MUDr. Ingrid Janíková
Chief Physician, Chief of Rehabilitation and Physiotherapy Physicians
We provide comprehensive therapy for children - from infants, toddlers, school-age children to adolescents. We closely co-operate with other specializations within MY CLINIC, especially with pediatricians, occupational therapists, child psychiatrists and neurologists.
The aim of a child’s rehabilitation is to restore the healthy child’s development after an illness or accident. However, sometimes deviations from the normal child’s development could be caused by problems suffered already during the pregnancy or birth. The proper rehabilitation may require co-operation between different medical specializations e.g. pediatrics or orthopedics but also with other associated medical disciplines: physiotherapy, occupational therapy, speech therapy, psychology or podiatry.
Physiotherapy is usually one of the key elements of successful rehabilitation. Using the latest findings of brain functions, physiotherapy focuses on movement and other physiotherapeutic methods as means of making a directed influence on mental and other body systems.
We treat each patient individually. We try to perceive functional disorders in context, because a problem in a certain segment of the musculoskeletal system can, in addition to local difficulties, cause disorders in the joints or soft tissues, often very far from the site of the original pain. One of the leading representatives of the Czech school of rehabilitation, Prof. Karel Lewit used to say: "He who treats where it hurts is forever lost."
Our goal is to actively involve every patient in treatment - to teach him to perceive his body and to prevent disease with the help of appropriate exercises. It is also important to explain individual methods to the parents so that they can also work with the child at home.
A mosaic of the correct psychomotor development of the child starts to be composed shortly after the birth. Therefore, it is appropriate that any devia-tions from the child’s correct development are monitored by an expert al-ready from the 6th week after birth. At this time the physiotherapist can ef-fectively influence the proper involvement of the baby's muscles, which can have a major beneficial effect on proper posture and thus prevent manifes-tations of pain in later life. Our therapists are trained to work with newborns using the recognized methods, including Bobath concept, Vojta's method or sensory integration.
Bobath concept is based on a detailed analysis and understanding of sensorimotor functions, body tension, and movement patterns. It is a 24-hour concept that combines daycare, play, and participation in everyday social activities with therapy.
Vojta's method consists of the stimulation of the central nervous system and the subsequent induction of the desired movement reactions of the child. Also here, the crucial success factor lies in repeating the regular exercises not only during therapy but also at home.
Sensory integration means the ability of the brain to process incoming sensory information for its use. It is a process in which our brain processes, sorts and organizes all sensory stimuli from the external and internal environment. Sensory stimuli include: sight, hearing, smell, taste, touch (tactile perception), balance (vestibular perception) and body perception (proprioception).
If sensory integration does not work properly, the child has problems with fine motor skills, dexterity, and avoids physical activities. He/she has difficulty with articulation or his/her speech development is delayed. He/she reacts too impulsively to some situations or, on the contrary, behaves in a negative way towards certain activities. Such a child is often distracted and has difficulty with reading, writing or counting.
The aim of this method is to provide sensory stimuli so that the child can spontaneously form appropriate responses to incoming stimuli (i.e. adaptive responses).
Sensory integration therapy takes place in a modified environment that stimulates the child to move and be active. In this environment (sensory integration room) there are different types of swings, hanging nets or bags. In addition, various obstacles, including inclined planes, hollow cylinders, moving plates, load aids, objects with different textures and more can be found here. At the same time, the environment is very safe.
In therapy, we are jointly finding a balance between the child's freedom and the structure of therapy. Everything takes place through the game. In therapy, we try to affect mainly the vestibular, proprioceptive and tactile perception.
The MY CLINIC rehabilitation team is composed of specialists in the field. We use the latest procedures and proven treatment trends. We place the main emphasis on an individual, psychosomatic approach to a rehabilitation plan tailored to each patient. In addition to individual physiotherapy, it also includes various modalities of physical therapy and the use of special aids.
The team leader is a rehabilitation doctor with an attestation in the field of Rehabilitation and Physical Medicine, Internal Medicine and is included in the pre-certification training in the field of psychosomatics. The team leader indicates and coordinates medical rehabilitation procedures. He/she performs diagnostic and therapeutic procedures, suggests and organizes rehabilitation treatment, prescribes drugs, applies injections, acupuncture.
A specialist for child physiotherapy is also part of the team. She has an attestation in Physiotherapy and many years of practical experience in the field. She specializes mainly in Bobath’s method and Sensory Integration.