Physiotherapy & Rehabilitation

AKESO's physiotherapy and rehabilitation department offers adult and paediatric sessions integrating kinesiological assessment with manual techniques including PNF (proprioceptive neuromuscular facilitation), DNS (Dynamic Neuromuscular Stabilisation), and Brugger postural therapy. Sessions are 45 minutes for adults, with initial paediatric appointments also 45 minutes and follow-ups 30 minutes. The department also incorporates visceral manipulation, kinesiology taping, and therapeutic exercises. Located in Building D at Bucharova 1314/8, 11th floor.

The physiotherapy and rehabilitation department at AKESO POLIKLINIKA provides evidence-based movement assessment and treatment across the full spectrum of musculoskeletal and neuromuscular conditions. Sessions are conducted by qualified physiotherapists in Building D (Bucharova 1314/8, 11th floor), and cover both adult and paediatric populations. **Assessment approach:** Every new patient begins with a kinesiological assessment — a systematic evaluation of movement patterns, joint mobility, muscle tone, posture, and motor control. This identifies not only the site of pain or dysfunction but also the underlying movement compensations that perpetuate it. The assessment takes approximately 15 minutes of the initial 45-minute session, leaving time for initial treatment. **Therapeutic methods:** - **PNF (Proprioceptive Neuromuscular Facilitation):** Diagonal movement patterns that activate muscle chains and normalise motor recruitment. Originally developed for neurological rehabilitation, PNF is now widely used in orthopaedic physiotherapy to restore motor patterns after injury or surgery. - **DNS (Dynamic Neuromuscular Stabilisation):** Based on the developmental kinesiology work of Professor Pavel Kolář, DNS activates the deep stabilising system — the diaphragm, pelvic floor, and deep spinal muscles — to restore automatic postural co-contraction. Particularly effective for chronic low-back pain, breathing dysfunction, and sports performance. - **Brugger postural therapy:** Addresses pain arising from habitual poor posture, especially desk work and sustained flexion patterns. Teaches patients to activate erector muscles and reduce the load on passive spinal structures. - **Visceral manipulation:** Gentle mobilisation of abdominal and pelvic organs to release fascial restrictions that may contribute to musculoskeletal pain or altered breathing patterns. - **Kinesiology taping:** Elastic therapeutic tape applied to modulate proprioceptive input, reduce oedema, and support muscles without restricting range of motion. - **Lymphatic drainage (if indicated):** Manual techniques to reduce limb swelling in post-surgical or post-traumatic cases. **Paediatric physiotherapy:** Initial sessions 45 minutes; follow-up sessions 30 minutes. Treatments are adapted for developmental stage and may include sensory integration elements for children with neuromotor delays. The department works closely with AKESO's sports medicine, orthopaedic, and neurology departments, enabling seamless cross-referral within the same campus. Self-pay rates are available on request from reception at +420 233 555 000.