Rehabilitation therapy combines specialized methods and exercises to help individuals overcome physical limitations and regain full function and quality of life.

The Comprehensive Rehabilitation Center is a new, modern facility operating as a rehabilitation institute within Lázně Bělohrad a.s.

The CKR Pavilion was opened in January 2024 and focuses on neurorehabilitation, providing follow-up rehabilitation care across 60 beds. The building has its own rehabilitation facilities equipped with state-of-the-art technology, while patients can also use rehabilitation services located in the spa section (pool, IMOOVE, motorized splints, speech therapy, psychology, and more).

An additional 60 beds for follow-up rehabilitation care are available in the CKR Grand building.

A number of patients require continuous care. This care is provided by nurses and orderlies for all patients who are not self-sufficient, have mobility impairments, or problems with continence.

The care includes assistance with hygiene, dressing, meals, and accompanying patients to procedures. For non-self-sufficient patients, the department has facilities for assisted bathing.

The Comprehensive Rehabilitation Center is equipped with electrically adjustable beds and a call system at each patient’s bedside. The nursing staff helps patients attend their procedures. If needed, a variety of positioning and compensatory aids are available.

What can we treat?

  • Conditions after stroke, after the acute stage of the disease has subsided. 
  • Conditions after injuries and surgeries of the musculoskeletal system and spine. 
  • Multiple sclerosis. 
  • Neurodegenerative diseases with rehabilitation potential (e.g. Parkinson‘s disease).
  • Paralysis of limbs (plegia, paresis) of various origins. 
  • Conditions following total joint endoprosthesis. 
  • Conditions following traumatic limb amputations (healed amputation stump). 
  • Conditions associated with immobilization where improvement in mobility is likely. 
  • Decompensated chronic degenerative musculoskeletal disease.

For this purpose, we use a range of cognitive rehabilitation devices, from which we select programs individually according to the needs of the patient.
These include programs on the MYRO, Raphael, Gloreha and Rehamza/Rehacom devices.
Both of our neurorehabilitation programs include therapies with these advanced technologies.
Part of this offer includes a brief desccription of each therapy.

HOW TO PROCEED BEFORE?

  • Clients send us current Medical report.
  • Our specialist will review the Medical report and issue recommended treatments at our Rehabilitation Institute.
  • After mutual agreement, a date will be selected and treatment with us.
  • After arrival clients undergo an initial medical consultation.
  • After assessing the current health condition, an individual treatment plan will be created.
  • The client undergoes regular control medical examination, where their condition and progress are continuously evaluated.
  • During the final medical consultation, the overall course of therapies is evaluated and recommendations for home care are provided.

Upper limb rehabilitation

Introducing devices used for hand rehabilitation

Raphael Smart Board

The Raphael smart board is a device used for functional rehabilitation of the shoulder and elbow joints in 2D and for the development of cognitive functions. It provides effective therapy for the upper limbs and cognitive functions in neurological and post-traumatic patients, creating strategies for optimal rehabilitation. It allows for exercises with the support of a healthy limb, ensuring safe and targeted strengthening of the affected areas. Active involvement of the upper limb in repetitive patterns promotes neural plasticity, a key element in restoring damaged brain function.

MYRO

Myro is a diagnostic and therapeutic device that improves the patient‘s motor skills.
Designed for patients with reduced function in the upper limbs, hands, and fingers.
It supports task-oriented rehabilitation with real objects and trains everyday movements.
There is a high degree of variability in the use of the virtual gaming environment, with a focus on specific therapeutic goals.

Gloreha

Gloreha is a robotically assisted glove designed to restore mobility, improve sensation, reduce swelling, and decrease muscle tension in the hand. It can operate in several modes, making it suitable for patients with fully or partially limited active range of motion. Using sensors in the glove, it recognizes when the patient is at their limit and tightens the fingers in the direction of movement. It is also suitable for patients who have a full active range of motion and need to focus on speed, accuracy of movement, and muscle condition of the hand.

Armeo Spring PRO

A device for the rehabilitation of patients with limited upper limb function caused by cerebral, spinal, or other neurogenic, muscular, or traumatological-orthopedic damage. It consists of an external skeleton with a handle, which acts as a support for the upper limb, and visual feedback. The patient performs movement tasks in a virtual environment, the success of which is evaluated, allowing the effect of the therapy to be monitored. The handle has a force sensor that helps the patient learn to control finger activity and practice gripping. The goal is to maintain and restore limb motor skills and prevent the risk of muscle capacity loss.

SunBall

SunBall is a small portable device that maintains constant pressure in the ball, processes data from sensors, and communicates with a computer. The analytical data obtained offers the possibility to monitor the patient‘s progress during therapy SunBall allows video games to be controlled by changing the pressure inside the balls. To exercise, patients must combine physical and cognitive functions by playing interactive games. The data obtained makes it easier for therapists to monitor patient progress.

Bimeo PRO

Effective therapy for upper limb and cognitive functions in neurological and post-traumatic patients.
Training is more intensive, more effective, and the rehabilitation process is shorter.
Bimeo PRO is a rehabilitation device suitable for stroke patients and other neurological patients. Bimeo is designed to make treatment effective and motivating for patients and to facilitate therapy. The physician can easily monitor the patient‘s rehabilitation progress and adjust the difficulty of the exercises as needed and according to individual results. The therapy is therefore more effective and the rehabilitation process is shorter.

Fesia Grasp

A rehabilitation device based on functional electrical stimulation that generates flexion and extension of the wrist and fingers. The aim of the therapy is to regain hand function. Designed for people with motor impairment of the upper limbs due to injury or disease of the nervous system. It is used for patients after a stroke, with multiple sclerosis, incomplete spinal cord injury, cerebral palsy, after traumatic brain injury, or other damage to the central nervous system.

Rehabilitation of walking and standing

Regular exercise focused on strengthening muscles and improving balance and coordination is key to effective rehabilitation of walking and standing, and helps restore natural movement and stability.

Gait analysis

Used to evaluate and treat gait disorders.
Equipped with sensors that analyze the spatio-temporal, force, and derived pressure parameters of gait.

Walker View

A device capable of performing detailed analysis of walking and running. This is a therapy based on motivational feedback in a virtual environment controlled by the patient‘s active movements using a 3D camera and pressure sensors. It provides a graphical display of walking parameters with a video recording of the therapy.
Suitable, for example, for orthopedic and neurological patients and for post-traumatic conditions with impaired movement coordination.

Zebris Rehawalk

Suitable for objective analysis and therapy of gait pattern disorders.
The system is based on a trainer and pressure sensors that enable the analysis of important parameters (gait cycle phases, stride length and width, foot position, and detailed analysis of the distribution of forces under the soles). The system is equipped with a virtual environment to increase patient motivation. In case of stability deficits or inability to fully load the lower limbs, the treadmill is supplemented with a dynamic system to relieve the patient‘s body weight.

Triple sense pro

It is used for safe practice of walking on flat surfaces, up and down stairs with adjustable step height, and on inclined surfaces with adjustable degrees of inclination. It uses pressure sensors and advanced software.
It provides the patient with visual and acoustic feedback, which can help the patient gain control over their walking and maintain their motivation during exercise.

Medior

Muscle strength, endurance, and coordination are improved. The verticalization function allows patients to be gradually raised from a lying position to a sitting position and then to a fully standing position. The change of position is smooth and automatically adapts to all segments of the product, ensuring a comfortable transition between different positions. Patients can stop the bed in any position, confident that their body will remain in a physiological position. The bed can be conveniently controlled via an intuitive controller and touchscreen display, which increases user-friendliness. The system allows data on the exact settings of the bed to be stored, which facilitates digitization processes and contributes to the efficient operation of the hospital. The Medior recliner allows patients to communicate face-to-face while standing, which enhances interaction and comfort for both the patient and healthcare staff. The recliner offers a wide range of accessories for stabilizing patients, allowing for individualized care tailored to each patient‘s needs. Thanks to its innovative design, it is possible to verticalize the patient in the presence of only one therapist, which saves time and increases the efficiency of therapeutic procedures. The stretcher is equipped with a 360° mobile system, which ensures easy handling from room to room, which is particularly useful in a hospital or healthcare facility environment.

Balance Trainer

A highly effective modern rehabilitation device that offers static and dynamic standing for patients with paraplegia, quadriplegia, stroke, multiple sclerosis, various muscle diseases, and stability disorders.
With regular exercise, this new dynamic verticalizer can activate even residual muscle mass in cases of severely impaired range of motion. Exercise methods on the BALANCE-Trainer are highly effective, as proven by professional studies. The BALANCE-Trainer offers maximum safety for patients during therapy.

Homebalance

It is an interactive system for the treatment of balance and movement coordination disorders that uses biological feedback and can assess the condition of patients with motor and cognitive disorders. Patients use modern technology to complete their exercise plan. The exercise plan is individually determined by a physical therapist, who is available to the patient throughout the therapy. For therapy, the patient uses a stabilometric platform and a monitor with therapeutic scenes. During the final examination, the physical therapist evaluates the improvement in the patient‘s health during the therapeutic program. This is an innovative clinical therapy for balance and movement coordination disorders.

Bioness

The device is used for the rehabilitation of people with reduced function in the lower limbs.
A cuff placed on the lower limb stimulates the nerve responsible for the correct engagement of muscles during walking, thereby helping to improve the gait cycle and walking. The device also works in electro-gymnastics mode and is suitable for use by people with central nervous system deficits who are recovering, for example, from a stroke, traumatic brain or spinal cord injury, or who have multiple sclerosis or cerebral palsy.

Imoove

It helps restore muscle coordination, optimizes muscle tension, and improves posture.
Functionality of the device and its benefits. This is a special exercise that coordinates all muscle groups through a single synchronized movement of the joints of the limbs and spine using the ellipsoidal motion of a motorized platform. The movement of the platform and the correction guided by the physiotherapist activate the muscles of the deep stabilization system, improve joint and tendon flexibility, and thus restore and develop the body‘s balance.

Omego

A therapeutic device offering early rehabilitation and mobilization of the lower limbs using adjustable therapeutic modes. It is used to regulate muscle tone, maintain joint mobility, and strengthen muscle groups and the cardiovascular system.

Erilens

For safe walking. The Roomer S lifting unit offers safe walking training, but also a unique solution for the smooth and easy transfer of immobile persons between rooms or rail systems.

Motomed

Movement therapy developed for people with limited mobility, complementing physiotherapy and occupational therapy care. It serves to regulate muscle tone, maintain joint mobility, and strengthen muscle groups and the cardiovascular system.

Exercise bike

A low-impact cardiovascular workout that helps improve endurance, support joint mobility, and gently strengthen the lower body.

Group exercise

Instructor-led sessions focused on improving mobility, stability, and overall physical conditioning in a supportive group setting.

Exercises in the pool

Gentle aquatic activities that use the natural resistance of water to enhance mobility, build strength, and reduce strain on the joints.

Passive movement therapy

Passive movement therapy allows clients to rehabilitate through gentle manipulations and movements performed by the device.

Motomed

A continuous passive motion device allows for effective and gentle increases in the passive range of motion of joints in both the upper and lower limbs when mobility has been reduced as a result of surgery or injury. A typical therapy session lasts around 20 minutes, during which soft tissues surrounding the joint are stretched and relaxed, leading to improved quality of active movement.

  • Benefits for the patient
  • Ensures correct and continuous movement of the limb.
  • Faster recovery of the limb.
  • Earlier reduction of swelling.
  • Improved lymphatic circulation of soft tissues.
  • Increases range of motion.

Knee CPM device

Shoulder CPM device

Elbow CPM device

Ankle CPM device

Hand and wrist CPM device

Occupational Therapy

Occupational therapy is a non-medical profession aimed at maintaining or improving the highest possible level of independence in everyday activities.

WHAT DOES OCCUPATIONAL THERAPY OFFER AT THE CENTRE OF COMPLEX REHABILITATION IN LÁZNĚ BĚLOHRAD?

  • Training in everyday activities: transfers (to the toilet, into the bathtub/shower, to the floor, into a car), dressing, feeding, personal hygiene, overall hygiene, practising cooking, shopping, handling money
  • Training of mobility in bed: turning to the sides, onto the stomach, sitting up from lying down and back again
  • Practice bathroom: a place to try transfers into and out of a bathtub, with recommendations for hygiene-related assistive devices if needed
  • Consultations, selection and practical testing of additional assistive devices

Examples of assistive devices:

  • Mobility aids: walking cane, walkers, manual wheelchair
  • Bathroom and toilet: bathtub seat, raised toilet seat, grab bars, non-slip mats, long-handled washing sponge
  • Dressing aids: sock aid, button hook, self-tying shoelaces, long shoehorn, Swedish reacher
  • Kitchen aids: special cutlery, plates, cups, openers, peelers, cutting boards, non-slip mats, adapted knives
  • Aids for writing and grasping: orthoses, pencil grips
  • Training of gross and fine motor skills, graphomotor training
  • Use of robotic devices for the upper limb: Rapael Smart Board, Armeo Spring PRO, Gloreha Aria, Gloreha Sinfonia, MYRO
  • Other rehabilitation tools: SunBall, CPM device for wrist and fingers, Rehamza Software
  • Taping of the upper limb
  • Patient education in self-therapy
  • Recommendation of outpatient occupational therapy near the patient’s place of residence according to their health insurance
  • Training of cognitive functions (e.g. memory, attention, executive functions)
  • Consultations and recommendations regarding vocational rehabilitation and ergo-diagnostics
  • Consultations on individual car modifications
  • Recommendations for suitable adjustments in the home and work environment
  • Ergonomics of home and workplace

FOR WHICH DIAGNOSES IS OCCUPATIONAL THERAPY SUITABLE?

  • Neurological: e.g. post-stroke conditions, traumatic brain injury, multiple sclerosis, Parkinson’s syndrome
  • Orthopaedic: e.g. osteoarthritis of the shoulder joint and small joints of the hand, post-fracture conditions of the upper limb or joint replacements
  • Traumatological and surgical: e.g. upper or lower limb amputations, peripheral nerve injuries
  • Rheumatological: e.g. rheumatoid arthritis, ankylosing spondylitis