{"id":21468,"date":"2023-05-07T11:01:02","date_gmt":"2023-05-07T09:01:02","guid":{"rendered":"https:\/\/evertonfc.cz\/?p=21468"},"modified":"2023-05-08T15:59:14","modified_gmt":"2023-05-08T13:59:14","slug":"pretrzeni-predniho-zkrizeneho-vazu-nocni-mura-fotbalistek","status":"publish","type":"post","link":"https:\/\/evertonfc.cz\/index.php\/2023\/05\/07\/pretrzeni-predniho-zkrizeneho-vazu-nocni-mura-fotbalistek\/","title":{"rendered":"P\u0159etr\u017een\u00ed ACL – no\u010dn\u00ed m\u016fra fotbalistek?"},"content":{"rendered":"

Co maj\u00ed spole\u010dn\u00e9ho dr\u017eitelka ceny pro nejlep\u0161\u00ed fotbalistku Euro 2022, p\u011bt z dvaceti nominantek na Zlat\u00fd m\u00ed\u010d 2022 a na\u0161e Nicoline S\u00f8rensen? Ano spr\u00e1vn\u011b, je to p\u0159etr\u017een\u00ed p\u0159edn\u00edho zk\u0159\u00ed\u017een\u00e9ho vazu. Pro\u010d je toto\u00a0 zran\u011bn\u00ed u hr\u00e1\u010dek ob\u00e1van\u00e9?<\/h4>\n

P\u0159etr\u017een\u00ed p\u0159edn\u00edho zk\u0159\u00ed\u017een\u00e9ho vazu (ACL) je v lep\u0161\u00edm p\u0159\u00edpad\u011b zran\u011bn\u00ed, kter\u00e9 si vy\u017eaduje velmi dlouhou, zhruba ro\u010dn\u00ed rekonvalescenci. Co\u017e je pro kari\u00e9rn\u00ed rozvoj hr\u00e1\u010dky citeln\u00e9 zdr\u017een\u00ed. V p\u0159\u00edpad\u011b hor\u0161\u00edm tak\u00e9 m\u016f\u017ee celou hr\u00e1\u010dskou kari\u00e9ru ukon\u010dit. Poran\u011bn\u00ed ACL na podzim rozlo\u017eilo \u00fatok Arsenalu, kdy s p\u00e1rt\u00fddenn\u00edm odstupem jej utrp\u011bly Bethany Mead (nejlep\u0161\u00ed hr\u00e1\u010dka hr\u00e1\u010dka Eura\u00a0 2022 a reprezentantka Albionu) a jej\u00ed kolegyn\u011b z \u00fatoku i \u017eivotn\u00ed partnerka Vivianne Miedema.<\/p>\n

Ned\u00e1vno vy\u0159adilo i arsenalskou a reprezenta\u010dn\u00ed obr\u00e1nkyni Leau Villiamson a dal\u0161\u00ed arsenalskou hr\u00e1\u010dku Lauru Wienroither. U n\u00e1s si j\u00edm pro\u0161ly Gabby George a Nico S\u00f8rensen. V prvn\u00edm z\u00e1pase Severn\u00edho Irska p\u0159ed\u010dasn\u011b zakon\u010dilo Euro pro Simone Magill. Podobn\u011b bychom mohli pokra\u010dovat i d\u00e1le a seznam ob\u011bt\u00ed tohoto poran\u011bn\u00ed by byl jist\u011b velmi dlouh\u00fd. A nen\u00ed divu, dle auditu FA je p\u0159etr\u017een\u00ed ACL u fotbalistek a\u017e 8 kr\u00e1t \u010dast\u011bj\u0161\u00ed ne\u017e u jejich mu\u017esk\u00fdch koleg\u016f. Jen\u017ee pro\u010d? Odpov\u011b\u010f je jednoduch\u00e1: nev\u00edme. Ale n\u00e1znaky p\u0159\u00ed\u010din zde jsou.<\/p>\n

Anatomie a biomechanika<\/h4>\n

Dle doktorky Katrine Okholm Kryger z katedry sportovn\u00ed medic\u00edny na St Mary’s University v Lond\u00fdn\u011b sv\u016fj pod\u00edl na \u010detnosti poran\u011bn\u00ed m\u016f\u017ee m\u00edt odli\u0161n\u00e1 anatomick\u00e1 stavba mu\u017esk\u00e9ho a \u017eensk\u00e9ho t\u011bla. \u017densk\u00e1 p\u00e1nev je \u0161ir\u0161\u00ed, co\u017e nutn\u011b vede k vy\u0161\u0161\u00ed valgozit\u011b (vbo\u010den\u00ed) kolenn\u00edch kloub\u016f. Spolu s vlivem relativn\u011b slab\u0161\u00edch hamstring\u016f je tak \u017eensk\u00e9 koleno p\u0159i z\u00e1t\u011b\u017ei stabilizov\u00e1no jinak, a patrn\u011b h\u016f\u0159e ne\u017e koleno mu\u017esk\u00e9. Nicm\u00e9n\u011b dr. Kryger vysloven\u011b upozor\u0148uje, \u017ee seri\u00f3zn\u00ed d\u016fkazy pro to, \u017ee anatomick\u00e1 stavba je hlavn\u00edm rizikov\u00fdm faktorem st\u00e1le chyb\u00ed.<\/p>\n

Hormon\u00e1ln\u00ed vlivy<\/h4>\n

V\u00fdkyvy hormon\u00e1ln\u00edch hladin v pr\u016fb\u011bhu menstrua\u010dn\u00edho cyklu jsou rovn\u011b\u017e mo\u017enou spolup\u0159\u00ed\u010dinou n\u00e1chylnosti k poran\u011bn\u00ed ACL. Vy\u0161\u0161\u00ed hladina estrogen\u016f v polovin\u011b cyklu m\u016f\u017ee ovli\u0148ovat stabilitu kloub\u016f, proto\u017ee p\u0159isp\u00edv\u00e1 k uvoln\u011bn\u00ed vaz\u016f obecn\u011b. Pro posouzen\u00ed v\u00fdznamnosti tohoto efektu ale rovn\u011b\u017e chyb\u00ed solidn\u00ed studie. Jak\u00e9si n\u00e1znaky v\u00fdzkumu zkoumaj\u00edc\u00edho f\u00e1zi menstrua\u010dn\u00edho cyklu a sklon k poran\u011bn\u00ed ACL prov\u00e1d\u011bny byly, ale jejich hodnota byla nevaln\u00e1. Kontinu\u00e1ln\u00ed monitorace hormon\u00e1ln\u00edch hladin hr\u00e1\u010dek v pr\u016fb\u011bhu cyklu je pom\u011brn\u011b n\u00e1ro\u010dn\u00e1 a v uveden\u00fdch studi\u00edch nebyla proveden\u00e1. Samotn\u00e9 hr\u00e1\u010dky uv\u00e1d\u011bj\u00ed, \u017ee se \u010dast\u011bji zran\u00ed v dob\u011b menstruace, tedy v prvn\u00edm t\u00fddnu cyklu. Teoreticky by to ov\u0161em m\u011blo b\u00fdt a\u017e v dob\u011b ovulace, tedy v polovin\u011b cyklu.<\/p>\n

Genderov\u00e1 nerovnost<\/h4>\n

Ne, pros\u00edm sv\u00e9 kolegy (b\u00edl\u00e9 mu\u017ee vy\u0161\u0161\u00edho st\u0159edn\u00edho v\u011bku), se\u010fme d\u00e1l v klidu u po\u010d\u00edta\u010de a pokra\u010dujme ve \u010dten\u00ed. Proto\u017ee n\u011bco na tom je. Ve studii z roku 2021 uv\u011b\u0159ejn\u011bn\u00e9 v British Journal of Sport Medicine auto\u0159i kostatuj\u00ed, \u017ee i p\u0159es dvacetiletou snahu se nepoda\u0159ilo sn\u00ed\u017eit rozd\u00edl v \u010detnosti poran\u011bn\u00ed ACL mezi \u017eenami a mu\u017ei. Doporu\u010duj\u00ed opustit tradi\u010dn\u00ed my\u0161lenkov\u00fd r\u00e1mec omezen\u00fd \u010dist\u011b na fyzick\u00e9 a fyziologick\u00e9 rozd\u00edly pohlav\u00ed a zam\u011b\u0159it se sp\u00ed\u0161e na zji\u0161t\u011bn\u00ed, zda sportovkyn\u011b maj\u00ed stejn\u00fd p\u0159\u00edstup k fyzioterapii, specifick\u00fdcm tr\u00e9ninkov\u00fdm program\u016fm, poznatk\u016fm sportovn\u00ed medic\u00edny a tr\u00e9ninkov\u00e9ho z\u00e1zem\u00ed, jako jejich mu\u017esk\u00e9 prot\u011bj\u0161ky.\u00a0 Nap\u0159\u00edklad za\u0159\u00edzen\u00ed posiloven a tr\u00e9ningov\u00fdch center je prim\u00e1rn\u011b vyr\u00e1b\u011bn\u00e9 pro mu\u017ee.\u00a0 Tr\u00e9nikov\u00e9 programy pro mlad\u00e9 sportovce mnohdy nezohled\u0148uj\u00ed rozd\u00edl mezi „r\u016fstov\u00fdm spurtem“\u00a0 svaloviny a motorick\u00fdch schopnost\u00ed chlapc\u016f a pozvoln\u011bnj\u0161\u00edm a m\u00e9n\u011b v\u00fdrazn\u00fdm v\u00fdvojem u d\u00edvek. P\u0159\u00edstup k tr\u00e9ninkov\u00e9mu z\u00e1zem\u00ed je ve WSL pom\u011brn\u011b slu\u0161n\u00fd, nicm\u00e9n\u011b v Champinship st\u00e1le nedostate\u010dn\u00fd.<\/p>\n

Podobn\u00fdch rozd\u00edl\u016f bychom na\u0161li v\u00edc. Kvalita tr\u00e1vn\u00edk\u016f na h\u0159i\u0161t\u00edch WSL je v\u00fdznamn\u011b ni\u017e\u0161\u00ed ne\u017e kvalita tr\u00e1vn\u00edk\u016f v PL. Biomechanika mu\u017esk\u00e9ho a \u017eensk\u00e9ho b\u011bhu je odli\u0161n\u00e1. P\u0159esto neexistuj\u00ed kopa\u010dky celou svoj\u00ed konstrukc\u00ed ur\u010den\u00e9 pro fotbalistky: nap\u0159\u00edklad \u0161punty kopa\u010dek i na d\u00e1msk\u00fdch modelech vych\u00e1z\u00ed z mu\u017esk\u00e9ho zp\u016fsobu pohybu a typu trakce. Snadno se tak stane, \u017ee p\u0159i pou\u017eit\u00ed \u017eenami se „zadrh\u00e1vaj\u00ed“. Zejm\u00e9na v kombinaci s hor\u0161\u00edm povrchem hrac\u00ed plochy.<\/p>\n

Poran\u011bn\u00ed ACL – jak d\u00e1l?<\/h4>\n

P\u0159edev\u0161\u00edm pot\u0159ebujeme dal\u0161\u00ed a kvalitn\u00ed v\u00fdzkum.<\/p>\n

Vznikaj\u00ed\u00a0 preventivn\u00ed programy zam\u011b\u0159en\u00e9 na slab\u00e1 a potenci\u00e1ln\u011b rizikov\u00e1 m\u00edsta fotbalistek. C\u00edlen\u00e1 prevence je jist\u011b d\u016fle\u017eit\u00e1, ale sama o sob\u011b nesta\u010d\u00ed. Hr\u00e1\u010dky mus\u00ed m\u00edt stejn\u011b propracovan\u00fd pl\u00e1n nejen pro tr\u00e9nink, ale tak\u00e9 pro zotaven\u00ed a rehabilitaci tak, jak to maj\u00ed mu\u017esk\u00e9 fotbalov\u00e9 kluby. Samostan\u00fdm probl\u00e9mem jsou finance. V \u017eensk\u00e9m fotbale se to\u010d\u00ed v\u00fdrazn\u011b m\u00e9n\u011b pen\u011bz, ne\u017e ve fotbale mu\u017esk\u00e9m. Proto p\u0159il\u00e1kat do n\u011bj skute\u010dn\u00e9 \u0161pi\u010dky fyzioterapie a dal\u0161\u00edho pot\u0159ebn\u00e9ho person\u00e1lu je v\u00fdrazn\u011b obt\u00ed\u017en\u011bj\u0161\u00ed. Dle nejmenovan\u00e9ho l\u00e9ka\u0159sk\u00e9ho zdroje z WSL „\u017eensk\u00fd t\u00fdm na nejvy\u0161\u0161\u00ed \u00farovni m\u00e1 jen zlomek po\u010dtu zam\u011bstnanc\u016f, kter\u00fd m\u00e1 velmi pr\u016fm\u011brn\u00fd t\u00fdm mu\u017esk\u00fd nebo velmi pr\u016fm\u011brn\u00e1 mu\u017esk\u00e1 akademie.“\u00a0 V ka\u017ed\u00e9m p\u0159\u00edpad\u011b je \u00fa\u010dinn\u00e1 prevence poran\u011bn\u00ed ACL program na velmi dlouhou dobu, ze kter\u00e9ho byl u\u010din\u011bn sotva prvn\u00ed krok.<\/p>\n

Na z\u00e1v\u011br je\u0161t\u011b Magill. Po p\u0159etr\u017een\u00ed ACL byla obklopena osmi t\u00fdmov\u00fdmi kolegyn\u011bmi, kter\u00e9 si podobn\u00fdm zran\u011bn\u00edm tak\u00e9 pro\u0161ly. „Byly skv\u011bl\u00e9, co se t\u00fdk\u00e1 uklidn\u011bn\u00ed. V\u0161echny takov\u00e9 zran\u011bn\u00ed tak\u00e9 m\u011bly a dok\u00e1zaly jej p\u0159ekonat a vr\u00e1tit se.“ Snad apo\u0148 v n\u011b\u010dem m\u016f\u017ee vysok\u00e1 \u010detnost tohoto zran\u011bn\u00ed b\u00fdt prosp\u011b\u0161n\u00e1.<\/p>\n

Voln\u011b dle: https:\/\/www.bbc.com\/sport\/football\/64032536
\n<\/em><\/span>Anterior cruciate ligament injury: towards a gendered environmental approach (https:\/\/bjsm.bmj.com\/content\/55\/17\/984)
\n<\/em><\/span>Fotografie: Magill zran\u011bn\u00e1 v z\u00e1pase s Rakouskem (zdroj: bbc.com)<\/em><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Co maj\u00ed spole\u010dn\u00e9ho dr\u017eitelka ceny pro nejlep\u0161\u00ed fotbalistku Euro 2022, p\u011bt z dvaceti nominantek na Zlat\u00fd m\u00ed\u010d 2022 a na\u0161e Nicoline S\u00f8rensen? Ano spr\u00e1vn\u011b, je to p\u0159etr\u017een\u00ed p\u0159edn\u00edho zk\u0159\u00ed\u017een\u00e9ho vazu. Pro\u010d je toto\u00a0 zran\u011bn\u00ed u hr\u00e1\u010dek ob\u00e1van\u00e9?<\/p>\n","protected":false},"author":26,"featured_media":21558,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_eb_attr":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[39,110],"tags":[],"yoast_head":"\nP\u0159etr\u017een\u00ed ACL - no\u010dn\u00ed m\u016fra fotbalistek? - Official Czech & Slovak Everton Supporters' Club<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/evertonfc.cz\/index.php\/2023\/05\/07\/pretrzeni-predniho-zkrizeneho-vazu-nocni-mura-fotbalistek\/\" \/>\n<meta property=\"og:locale\" content=\"cs_CZ\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"P\u0159etr\u017een\u00ed ACL - no\u010dn\u00ed m\u016fra fotbalistek? - Official Czech & Slovak Everton Supporters' Club\" \/>\n<meta property=\"og:description\" content=\"Co maj\u00ed spole\u010dn\u00e9ho dr\u017eitelka ceny pro nejlep\u0161\u00ed fotbalistku Euro 2022, p\u011bt z dvaceti nominantek na Zlat\u00fd m\u00ed\u010d 2022 a na\u0161e Nicoline S\u00f8rensen? 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