Indications and diagnoses

Indication group I/I – Malignant tumors

Within 12 months after completion of anticancer treatment. KLP-21 days. Repeat possible only for Hodgkin's disease, repeat possible 1x within 36 months from the basic stay. (Indication is not contracted in our spa for clients of the Oborová zdravotní pojišťovna (207).

Indication group IV – DISEASES OF METABOLISM AND DISORDERS OF GLANDS WITH INTERNAL SECRETION

  • IV / 2 Conditions after total thyroidectomy. Within 6 months after surgery. KLP-21 days, PLP-21 days, repeat only in case of complications.
  • IV / 3 Conditions after operations hyperfunctional benign pituitary adenoma. Within 6 months after surgery, KLP-21 days.

Indication group V – NON-TUBERCULOSIS RESPIRATORY DISEASES

  • V / 1 Conditions after operations upper and lower respiratory tract (within 6 months of surgery). Conditions after lung transplant up to 12 months after surgery. Lower respiratory tract KLP-28 days, upper respiratory tract KLP-21 days. (The indication is agreed in our spa only for clients of the General Health Insurance (111) and the Military Health Insurance (201)
  • V / 2 Damage larynx and vocal cords due to vocal overload, conditions after phonosurgical treatment. KLP-21 days, with repetition PLP-21 days.
  • V / 3 Conditions after a complicated pneumonia. Within 4 months of the end of hospitalization, KLP-21 days.
  • V/4 Bronchiectasis, recurrent lower respiratory tract infections. KLP-21 days with the possibility of extension, repetition possible once a year.
  • V / 5 Bronchial asthma, chronic obstructive pulmonary disease. KLP-28 days, FEV less than 60% or systemic corticosteroids for more than 6 months. PLP-21 days, repetition possible once a year.
  • V / 6 Interstitial pulmonary fibrosis of any etiology in systemic treatment. KLP- 28 days, PLP-21 days, repetition possible once a year.
  • V/7 Consequences of toxic effects of gases, fumes, corrosive vapors and irritating dusts to the upper respiratory tract and lower respiratory tract. KLP-21 days, in case of occupational disease KLP-28 days, repetition possible once a year.

Indication group VI – NERVOUS DISEASES

  • VI/1 Chabé polio, post-poliomyelitis syndrome, facial nerve palsy. KLP-28 days, with polio, repetition possible once a year.
  • VI/2 Polyneuropathy. KLP-28 days, PLP-21 days SS 0-3, EMG required, can be repeated once within 24 months.
  • VI/3 Root syndromes with irritation-extinction syndrome. KLP-21 days, after unsuccessful 6-week outpatient treatment or within 3 months after the end of hospitalization. Repeated treatment possible as PLP-21 days.
  • VI/4 Inflammatory CNS disease. KLP-28 days, within 6 months after the end of hospitalization, repetition possible once in 36 months.
  • VI/5 Paresis after stroke. KLP-28 days, within 6 months after the end of hospitalization, repetition possible 1x within 36 months from the beginning of the first stay.
  • VI/6 Conditions after surgeries and injuries CNS and PNS. KLP-28 days, within 6 months of surgery or injury, repetition possible once every 36 months.
  • VI/7 Multiple sclerosis a other demyelinating diseases in remission. KLP-28 days, repetition possible 1x within 24 months.
  • VI/8 Neuromuscular disease. KLP-28 days, repetition possible once a year.
  • VI/9 Syringomyelia with paretic manifestations. KLP-21 days, repetition possible once within 24 months.
  • VI/10 DMO. KLP-28 days, up to 21 years of age, repetition possible once a year, from 21 years of age, repetition possible once within 24 months.
  • VI/11 Parkinson's disease. KLP-21 days, repetition possible once within 24 months.

Indication group VII – DISEASES OF THE MOSCOW SYSTEM

  • VII/3 Other seronegative spondyloarthritis systematically treated as an outpatient. KLP-28 days, PLP-21 days, repetition possible once a year. (Indication is not contracted in our spa for clients of the Specialized Health Insurance Company (207)
  • VII/5 Osteoporosis. KLP-21 days, PLP-21 days, repetition possible 1x within 24 months. (Indication is not contracted in our spa for clients of the Sectoral Health Insurance Company (207)
  • VII/6 Pain syndromes tendons, bursae, muscle attachments and skeletal muscles or joints. KLP-21 days, PLP-21 days, in case of occupational diseases, repetition is possible once a year. (The indication is not agreed in our spa for clients of the Occupational Health Insurance Company (207)
  • VII/7 Coxarthrosisgonarthrosis in continuous outpatient care, III. stage. KLP- 21 days, PLP-21 days, repetition possible 1x within 24 months, in case of contraindicated surgery 1x per year. (Indication is not contracted in our spa for clients of the Specialized Health Insurance Company (207)
  • VII/8 Arthrosis in other locations, arthropathy. KLP- 21 days, repetition possible 1x within 24 months. (Indication is not contracted in our spa for clients of the Specialized Health Insurance Company (207)
  • VII/9 Chronic vertebrogenic algic syndrome. KLP-21 days, PLP-21 days within 3 months after the end of hospitalization or after 6 weeks of unsuccessful outpatient treatment. (The indication is not contracted in our spa for clients of the Specialized Health Insurance Company (207)
  • VII/10 Conditions after total endoprosthesis. KLP-28 days, within 3 months of surgery or injury, in case of postoperative complications within 6 months after surgery.
  • VII/11 Statuses after injuries and surgeries of the musculoskeletal system. KLP-28 days, within 6 months after surgery (in case of postoperative complications within 12 months after surgery), repetition possible 1 time within 24 months.

Indication group XX1 – ONCOLOGICAL DISEASES

XXI/1 Malignant tumors. 24 months from the end of comprehensive anti-cancer treatment. Length of comprehensive spa care: 28 days.

Indication group XXIV – DISEASES AND DISORDERS OF METABOLISM AND GLANDS WITH ENDOCRINE AND OBESITY

  • XXIV/2 Obesity associated with other risk factors. Repetition possible once a year, within 36 months from the start of the basic stay upon proof of the effect of the previous stay. KLP-28 days.
  • XXIV/3 Thyropathies, conditions after thyroid surgery and benign tumors of the adrenal glands and pituitary gland. Repetition possible once a year, within 36 months from the start of the basic stay. KLP-28 days.

Indication group XXV – NON-TUBERCULOSIS RESPIRATORY DISEASES

  • XXV/1 Recurrent complicated otitis after surgical treatment. Duration of comprehensive spa treatment: 28 days.
  • XXV/2 Chronic bronchitis and recurrent bronchitis. Repeat possible once a year, within 48 months from the start of the basic stay. Length of comprehensive spa care: 28 days.
  • XXV/3 Condition after repeated pneumonia within the last 2 years. Length of comprehensive spa care: 28 days.
  • XXV/4 Bronchiectasis. Length of comprehensive spa treatment: 28 days.
  • XXV/5 Bronchial asthma. Length of comprehensive spa treatment: 28 days.
  • XXV/6 Conditions after operations and traumas of HCD and DCD, conditions after operations on chest malformations. Length of comprehensive spa care: 28 days.
  • XXV/7 Cystic fibrosis, interstitial pulmonary fibrosis, pulmonary sarcoidosis. Length of comprehensive spa treatment: 28 days.

Indication group XXVI – NERVOUS DISEASES

  • XXVI/1 Peripheral motor neuron syndrome (flaccid paralysis). Length of comprehensive spa treatment: 28 days.
  • XXVI/2 Muscular dystrophy and other muscle diseases. Length of comprehensive spa treatment: 28 days.
  • XXVI/3 Cerebral palsy and related conditions (cerebellar syndromes and movement disorders within the framework of small strokes). Length of comprehensive spa care: 28 days.
  • XXVI/4 Other movement disorders of central origin: movement disorders after CNS inflammation, movement disorders after stroke and brain injury. Length of comprehensive spa care: 28 days.
  • XXVI/5 Root syndromes of vertebrogenic origin. Length of comprehensive spa treatment: 28 days.

Indication group XXVII – DISEASES OF THE MOSCOW SYSTEM

  • XXVII/1 Juvenile chronic arthritis, other chronic rheumatic diseases of the joints and spine. Length of comprehensive spa treatment: 28 days.
  • XXVII/2 Congenital or acquired orthopedic defects. Length of comprehensive spa care: 28 days.
  • XXVII/3 Conditions after injuries and orthopedic surgeries up to 36 months after the injury or surgery. Length of comprehensive spa care: 28 days.
  • XXVII/4 Scoliosis requiring a brace from Ib according to Cobb, in systematic rehabilitation care. Length of comprehensive spa care: 28 days.
  • XXVII/5 Osteochondrosis in the reparative stage, Morbus Perthes, primary and secondary osteoporosis. Cannot be repeated. Length of comprehensive spa treatment: 28 days.
  • XXVII/6 Scheuermann's disease. Cannot be repeated. Length of comprehensive spa treatment: 28 days.
  • XXVII/7 Vertebrogenic algic syndrome. Length of comprehensive spa treatment: 28 days.

Rehabilitation care in a specialized treatment facility

The goal of medical rehabilitation care in a specialized hospital (OLÚ) is to restore the client's maximum functional ability and can be provided to patients.

a) Patients in the stage of disease stabilization, i.e. by direct transfer from hospital inpatient departments, especially for the following diagnoses:

  1. conditions after stroke after the acute stage of the disease has subsided
  2. conditions after total joint endoprostheses and osteosynthesis
  3. conditions after injuries, operations and long-term immobilization
  4. movement disorders (plegia, paresis) of various origins
  5. conditions after spinal surgery (spondylosurgical procedures)
  6. decompensated conditions of chronic diseases of the spine and joints

b) Patients with chronic musculoskeletal problems or neurological diseases:

  1. unsuccessful outpatient treatment with an indication of how outpatient rehabilitation proceeded (treatment procedures)
  2. decompensated rheumatists, vertebropathies, patients with decompensated chronic root irritations without indications for surgery and other decompensated neurological diseases, etc.

Rehabilitation care in a specialized treatment facility

Rehabilitation care in a specialized hospital (OLÚ) is intended for pediatric patients with the following diagnoses:

  • E66 Obesity associated with other risk factors and obesity in cooperating patients
  • according to the basic diagnosis peripheral motor neuron syndrome of any etiology (flaccid paralysis)
  • G71 Muscular dystrophies and other muscle diseases
  • G80 Cerebral palsy and related conditions (cerebellar syndromes and movement disorders in small brain lesions)
  • according to the basic diagnosis, other movement disorders of central origin, movement disorders after inflammation of the brain and spinal cord
  • degenerative diseases that can be influenced by rehabilitation treatment, movement disorders after cerebrovascular or spinal cord events, after injuries
    and CNS surgeries, movement disorders after spinal cord injury or damage
  • metabolic and metabolic diseases with impaired psychomotor development
  • according to the basic diagnosis of respiratory system disease J01-04, J06, J10-18, J47, J20-22, J30-31, J35, J37, J39, J41-42, J44-45, J84, J95, J98
  • E84 Cystic fibrosis
  • according to the basic diagnosis, conditions after operations on chest malformations with reduced lung function
  • according to the basic diagnosis of congenital and acquired orthopedic defects of the musculoskeletal system
  • according to the basic diagnosis, conditions after injuries and orthopedic surgeries, for rehabilitation or for making prosthetic devices, rehabilitation preparation before planned surgeries
  • according to the basic diagnosis of scoliosis, kyphoscoliosis, kyphosis, hyperlordosis, poor posture
  • according to the basic diagnosis Scheuermann's disease, dorsopathy
  • M87, M89 Perthes disease – all stages
  • according to the basic diagnosis of spondylopathy and other dorsopathies including radicular syndromes
  • according to the basic diagnosis of enthesopathy, synovitis, hypermobility syndrome

Note: Patients are preferentially admitted directly from a hospital bed after the acute stage has subsided or after surgery.

Contraindications

Contraindications are conditions unsuitable for spa treatment and stay at the State Medical Spa Janské Lázně (hereinafter SLL JL).

SLL JL has the right to prematurely cancel or refuse the stay of a client whose health condition does not allow him to complete the stay, especially with regard to an identified contraindication to spa care.

Furthermore, SLL JL has the right to prematurely cancel or refuse the stay of a client who is dependent on the care of another person and accepting him would exceed the bearable workload of SLL JL employees (in particular The client must be fully self-sufficient, able to take care of themselves, must be oriented in space and time and be able to walk at least 300 meters independently.).

Overview of contraindications:

  • těhotenství
  • any acute disease (infectious and non-infectious)
  • worsening of chronic diseases such as high blood pressure, diabetes,
    cardiovascular (heart and vascular) disease
  • condition after deep vein thrombosis - within 3 months of the disease resolving and 6 weeks from
    previous superficial thrombophlebitis (inflammation of superficial veins)
  • if you are undergoing treatment for cancer
  • severe osteoporosis
  • after a stroke, at the earliest ½ year after the end of treatment, if you do not have
    epileptic seizures and you are fully self-sufficient
  • urinary and fecal incontinence
  • skin disease or skin integrity disorder
  • epilepsy (onset possible only with the opinion of a neurologist)
  • acute psychoses and mental disorders, confusional states, dementia
  • alcoholism and drug addiction, states under the influence of alcohol and psychotropic substances
  • age up to 18 years (exceptions are stays of children in the Children's Hospital and entry to the swimming pool)

The special spring stay combines spa wellness and spring activities. It also includes a gondola lift ticket and a ticket to the Treetop Walk.