Intlungu e buhlungu, okanye i-LBP, yimeko eqhelekileyo kakhulu echaphazela i-lumbar spine, okanye icandelo elisezantsi lomqolo. Phantse ngaphezu kwe-3 yezigidi zeemeko ze-LBP zifunyaniswa e-United States umgca minyaka yonke kwaye malunga neepesenti ze-80 zabantu abadala emhlabeni jikelele bafumana intlungu ephantsi emva kwexesha elithile ebomini babo. Iintlungu ezisezantsi ngokuqhelekileyo zibangelwa ukulimala kwi-muscle (strain) okanye i-ligament (i-sprain) okanye ngenxa yomonakalo kwisifo. Izizathu eziqhelekileyo ze-LBP ziquka ukungahambi kakuhle, ukungabikho kokuzivocavoca rhoqo, ukuphakanyiswa okungafanelekanga, ukuphuka, iidiski ze-herniated kunye / okanye isifo samathambo. Uninzi lweemeko zentlungu ephantsi zingahlala zihamba zodwa, nangona kunjalo, xa i-LBP ingapheliyo, kunokubaluleka ukufuna unyango olukhawulezileyo. Iindlela ezimbini zonyango zisetyenziselwe ukuphucula i-LBP. Inqaku elilandelayo lithelekisa imiphumo yoqeqesho lwePilates noMcKenzie kwi-LBP.

 

Ukuthelekiswa kweempembelelo zePilates noMcKenzie UkuQeqesha ngoBuhlungu kunye neMpilo Jikelele kwiMadoda ene-Chronic Low Pain Pain: A Trial

 

Abstract

 

• imvelaphi: Namhlanje, ubuhlungu obungapheliyo emva kweentlungu zenye yeengxaki ezikhethekileyo kwiinkonzo zempilo. Akukho ndlela ekhethekileyo yokunyanga iintlungu ezingapheliyo. Iinkqubo ezahlukeneyo zisetyenziselwa unyango lweentlungu eziphantsi, kodwa iziphumo zale ndlela azikaphenywanga ngokwaneleyo.
• Injongo: Injongo yale sifundo yayikuthelekisa imiphumo yoqeqesho lwe-Pilates no-McKenzie kwiintlungu kunye nempilo jikelele yabantu abanobuhlungu obungapheliyo.
• Impahla nenkqubo: Izigulane ezingamashumi amathathu anesithandathu ezinezifo ezingapheliyo zentlungu zanyula zikhethwa ngokuzithandela kwaye zabelwa amaqela amathathu e-12 ngalinye: iqela likaMcKenzie, iqela le-Pilates kunye neqela lolawulo. Iqela le-Pilates lithathe inxaxheba kwiiseshoni ze-1-h, iiseshoni ezintathu ngeveki kwiiveki ze-6. Iqela lakwaMcKenzie lenza umsebenzi we-1 ngosuku lweentsuku ze-20. Iqela lolawulo alinakho unyango. Impilo jikelele yabathathi-nxaxheba ilandelwa yi-General Health Questionnaire 28 kunye nentlungu nge-Questionnaire ye-McGill Pain.
• iziphumo: Emva kokuzivocavoca, kwakungekho nto ephawulekayo phakathi kwamaqela ePilates noMcKenzie kwisihluthulelo seentlungu (P = 0.327). Ayikho yeendlela ezimbini eziphezulu ngaphezu komnye ukukhululeka kwentlungu. Nangona kunjalo, kwakukho umahluko omkhulu kwimibandela yezempilo jikelele phakathi kwamaqela ePilates noMcKenzie.
• Isiphelo: Ukuqeqeshwa kwePilates noMcKenzie kunciphisa intlungu kwizigulane ezinentlungu engapheliyo, kodwa uqeqesho lwe-Pilates lwaluphumelele ngakumbi ukuphucula impilo jikelele.
• Internet: Ubuhlungu obungapheliyo, impilo jikelele, ukuqeqeshwa kukaMckenzie, intlungu, ukuqeqeshwa kwePilates

 

intshayelelo

 

Iintlungu ezisezantsi kunye nembali engaphezulu kweenyanga ze-3 kwaye ngaphandle kwempawu ye-pathological ibizwa ngokuba yintlungu engapheliyo. Kwisigulane esinentlungu engapheliyo ye-back back, ugqirha kufuneka athathele ingqalelo amathuba okuphuhliswa kweentlungu ze-muscle kunye nemvelaphi yomgogodla, ngaphezu kweentlungu ezisezantsi kunye nemvelaphi engaziwayo. Olu hlobo lweentlungu lunokuba ngumatshini (ukwanda kweentlungu kunye nokunyakaza okanye uxinzelelo lomzimba) okanye ukungabikho komatshini (ukwanda kweentlungu ngexesha lokuphumla).[1] Iintlungu ezisezantsi okanye iintlungu zomqolo yeyona nto ixhaphakileyo kwi-musculoskeletal complication.[2] Malunga ne-50% �80% yabantu abasempilweni banokufumana iintlungu ezisezantsi ngexesha lokuphila kwabo, kwaye malunga ne-80% yeengxaki zihambelana nomqolo kwaye zenzeke kwindawo ye-lumbar.[3] Iintlungu ezisezantsi zingabangelwa kukwenzakala, usulelo, amathumba, njalo njalo.[4] Ukulimala komatshini okubangelwa ukusetyenziswa ngokugqithiseleyo kwesakhiwo sendalo, ukukhubazeka kwesakhiwo se-anatomical, okanye ukulimala kwizicubu ezithambileyo zezona zizathu eziqhelekileyo zentlungu emva. Ngokwembono yezempilo yomsebenzi, iintlungu zomqolo ziphakathi kwezona zizathu zibalulekileyo zokungabikho emsebenzini kunye nokukhubazeka emsebenzini;[5] eneneni, ixesha elide lokugula, [6] kuncinci ukuba kuphuculwe kwaye kubuyele emsebenzini. [1] Ukukhubazeka ngenxa yeentlungu ezisezantsi ngaphezu kokuphazamiseka ekwenzeni imisebenzi yemihla ngemihla kunye nentlalontle kunempembelelo embi kakhulu, kwimbono yentlalo kunye nezoqoqosho, kwisigulane kunye noluntu, okwenza ukuba intlungu ephantsi engapheliyo ibaluleke kakhulu.[3] Namhlanje, iintlungu ezingapheliyo ezisezantsi ngomnye wemicelimngeni ebalulekileyo kumayeza. Izigulane ezineentlungu ezingapheliyo eziphantsi zinoxanduva lwe-80% yeendleko ezihlawulelwa unyango lweentlungu ezisezantsi ezikwasisizathu sokuthintela ukuhamba kubantu abaninzi abangaphantsi kweminyaka engama-45 [7]. Kumazwe aphuhlileyo, ixabiso elipheleleyo elihlawulwe kwiintlungu ezisezantsi ngonyaka yi-7.1 yesabelo esipheleleyo semveliso yesizwe. Ngokucacileyo, uninzi lweendleko zihambelana nokucebisa kunye nokunyangwa kwezigulane ezineentlungu ezingapheliyo ezibuhlungu kunokuba zibuhlungu kunye neentlungu ezisezantsi. [8] Ubukho beendlela ezahlukeneyo zonyango kungenxa yokuba akukho nobangela omnye weentlungu ezisezantsi zomqolo.[9] Iindlela ezahlukeneyo ezifana ne-pharmacotherapy, i-acupuncture, i-infusions, kunye neendlela zomzimba zizona ngenelelo eziqhelekileyo zonyango lwentlungu ephantsi. Nangona kunjalo, iziphumo zezi ndlela zihlala zaziwa ngokupheleleyo.[6] Inkqubo yokuzivocavoca, ephuhliswe ngokusekelwe kwiimeko zomzimba wezigulane, inokukhuthaza umgangatho wobomi kwizigulane ezinezifo ezingapheliyo. [10,11,12,13,14]

 

 

 

Iincwadi zibonisa ukuba umphumo wokusebenza ngokulawula ubuhlungu obungapheliyo buhlungu buya ngaphantsi kokufunda kwaye kukho ubungqina obuqinileyo malunga nokuba unyango lwenyango lusebenza kakuhle ukuphatha intlungu ephantsi. [15] Nangona kunjalo, akukho ziphakamiso ezithile ezikhoyo malunga nohlobo lomsebenzi, kunye nemiphumo yeentlobo ezithile zonyango yokunyanga ziye zenziwa kwizifundo ezimbalwa. [9] Qeqesho lwePilates iqukethe imizimba ejolise ekuphuculeni ukuguquguquka kwamandla kunye namandla kuwo onke amalungu omzimba, ngaphandle kokunyusa ubuninzi bemisipha okanye ukutshabalalisa. Le ndlela yokuqeqesha iququzelele ukunyakaza okulawulwayo okwenza ukuvisisana ngokomzimba phakathi komzimba kunye nengqondo, kwaye inokuphakamisa amandla omzimba wabantu kunanoma yiphina iminyaka. [16] Ukongeza, abantu abaqhuba umsebenzi wePilates babeya kuba nokulala nokuncipha , uxinzelelo, kunye nokwesaba. Le ndlela yokuqeqesha isekelwe ukuma, ukuhlala, kunye nezikhundla zokulala, ngaphandle kwexesha, ukuxumla, nokuxhuma; Ngaloo ndlela, kunokunciphisa ukulimala okubangelwa umonakalo odibeneyo ngenxa yokuba ukunyakaza kokusebenza kwimigangatho yokunyuka kwezi zikhundla zintathu zilapha zenziwa ngokuphefumula ngokucokisekileyo kunye nokunyanyiswa kwemizimba. [17] Indlela kaMcKenzie, ebizwa ngokuba yi-diagnostic mechanical and therapy kwaye isekelwe ekuthatheni inxaxheba ngokuthe gulane, isetyenziswe kwaye ithembeke zizigulane kunye nabantu basebenzisa le ndlela emhlabeni jikelele. Le ndlela isekelwe kwipilisi yonyango eye yafundwa rhoqo. Impawu ezahlukileyo zale ndlela yinkqubo yokuhlola kokuqala. [18] Lo mgaqo uyindlela ethembekileyo neyokhuselekileyo yokwenza ukuxilongwa okwenza ucwangciso oluchanekileyo lwenyango lunokwenzeka. Ngaloo ndlela, ixesha kunye namandla angasetyenziselwa iimvavanyo ezixabisekileyo, kunokuba asebenze i-McKenzie therapists, esebenzisa isibonakaliso esifanelekileyo, ngokukhawuleza ukuba uyazi ukuba zinjani kwaye indlela le ndlela ivelisa ngayo isigulane. Ngendlela efanelekileyo, indlela kaMcKenzie yindlela epheleleyo ngokubhekiselele kwimigaqo echanekileyo ekuqondeni kwayo ngokupheleleyo kunye nelandelayo kuvelisa iziqhamo. [19] Kwiminyaka yamuva, iindlela ezingezizo zezonyango ziye zatsala iingcali zamagqirha kunye nezigulane ezinentlungu ephantsi. ] Iinkqubo ezongezelelweyo zokwelapha [20] kunye nonyango kunye noluntu olupheleleyo (ukwandisa ukuzinzileyo ngokomzimba nangokwengqondo) zifanelekile ukulawula ukugula ngokomzimba. [21] Iinkqubo ezongezelelweyo zonyango zinganciphisa ukunyuka kwesifo kunye nokuphucula amandla kunye nokusebenza ngokomzimba. Injongo yesi sifundo solu xwebhu ukuthelekisa umphumo we-Pilates no-McKenzie uqeqesho malunga neentlungu kunye nempilo jikelele kwizinto ezinokuhlala zibuhlungu.

 

 

Impahla nenkqubo

 

Olu vavanyo lweklinikhi olungenamsebenzi lwenziwa e-Shahrekord, e-Iran. Isibalo esipheleleyo sabantu abalinganiselwayo siyi-144. Sagqiba ekubeni sibhalise ubuncinane i-25% yabemi, abantu be-36, besetyenzisiwe ngokuchanekileyo. Okokuqala, abathathi-nxaxheba babalwa kwaye uluhlu lwaphuhliswa. Icala lokuqala likhethwe ngokusetyenziswa kwetafile zeenombolo ezingaqhelekanga kwaye esinye sezigulane ezine zibhaliswe ngokulandelelana. Le nkqubo yaqhubekela phambili kwaze kwaba yilapho inani elithandayo labathathi-nxaxheba libhalisiwe. Emva koko, abathathi-nxaxheba babekwa ngokulandelelweyo kumacandelo okuqeqesha (amaQela ePilates noMcKenzie) kunye neqela lolawulo. Emva kokuchaza iinjongo zophando kubathathi-nxaxheba, bacelwa ukuba bazalise ifom yokuvuma ukuba bathathe inxaxheba kwisifundo. Ngaphezu koko, izigulane zaqinisekiswa ukuba idatha yophando igcinwa iyimfihlo kwaye isetyenziselwe kuphela injongo zophando.

 

Iingqinisiso zokufakwa

 

Abemi bophononongo babandakanya amadoda aneminyaka eyi-40�55 iminyaka e-Shahrekord, eSouth-West Iran, enentlungu engapheliyo yangasemva, oko kukuthi, imbali engaphezulu kweenyanga ezi-3 zeentlungu ezisezantsi kwaye akukho sifo sithile okanye olunye utyando.

 

Iimpawu zokungabikho

 

Imilinganiselo yokukhutshwa yayiyi-back back arch okanye ebizwa ngokuba ngumkhosi emva, i-pathology enzulu yomgogodla efana ne-tumor, i-fractures, izifo ezivuthayo, utyando lwangaphambili lomgogodla, i-nerve root compromise kwingingqi ye-lumbar, i-spondylolysis okanye i-spondylolisthesis, i-spinal stenosis, ukuphazamiseka kwe-neurological, izifo zenkqubo. , izifo zentliziyo, kunye nokufumana ezinye iindlela zonyango ngaxeshanye. Umvavanyi ovavanye iziphumo wayemfamekile kwisabelo seqela. Iiyure ezingamashumi amabini anesine ngaphambi koqeqesho, ukuhlolwa kwangaphambili kwalawulwa kuwo onke amaqela amathathu ukugqiba intlungu kunye nempilo jikelele; kwaye ke, uqeqesho lwaqala emva kokugqitywa kweMcGill Pain Questionnaire (MPQ) kunye ne-General Health Questionnaire-28 (GHQ-28). I-MPQ ingasetyenziselwa ukuvavanya umntu ofumana intlungu ebalulekileyo. Ingasetyenziselwa ukubeka iliso kwintlungu ekuhambeni kwexesha kunye nokumisela ukuphumelela kwanoma yimuphi ukungenelela. Ubuncinci bentlungu: i-0 (ayiyi kubonwa kumntu onentlungu yangempela), amanqaku aphezulu entlungu: i-78, kwaye inqanaba eliphezulu leentlungu ezibuhlungu kakhulu. Abaphandi babika ukuba ukwakhiwa kokufaneleka kunye nokuthembeka kwe-MPQ kwabikwa njengovavanyo lokuvavanya kwakhona ukuthembeka kwe-0.70.[22] I-GHQ yi-questionnaire yokuhlola yokuzimela. Ukuthembeka kovavanyo ngokutsha kuye kwaxelwa ukuba kuphezulu (0.78�0 0.9) kwaye ukuthembeka phakathi kunye ne-intra-rater zombini zibonakaliswe zigqwesileyo (Cronbach's ? 0.9�0.95). Ukuhambelana okuphezulu kwangaphakathi kuye kwaxelwa. Okukhona amanqaku asezantsi, kokukhona impilo jikelele iba ngcono.[23]

 

Abathathi-nxaxheba kumaqela ovavanyo baqalise inkqubo yoqeqesho phantsi kweliso lengcali yamayeza ezemidlalo. Inkqubo yoqeqesho ibibandakanya iiseshini ezili-18 zoqeqesho lomntu ngamnye oluphantsi kweliso lwamaqela omabini, neeseshoni eziqhutywa kathathu ngeveki kwiiveki ezi-6. Iseshoni yoqeqesho nganye ithathe iyure kwaye yenziwa kwiKliniki yePhysiotherapy kwiSikolo sokuHlaziya kwiYunivesithi yaseShahrekord yeSayensi yezoNyango kwi-2014�2015. Iqela lokuqala lokulinga lenza uqeqesho lwePilates kwiiveki ze-6, kathathu ngeveki malunga neyure ngeseshoni. Kwiseshoni nganye, okokuqala, ukufudumala kwemizuzu emi-5 kunye neenkqubo zokulungiselela zenziwe; kwaye ekugqibeleni, ukunweba kunye nokuhamba kwenziwa ukuze kubuyiselwe kwimeko yesiseko. Kwiqela likaMcKenzie, kusetyenziswe iindlela ezintandathu zokuzilolonga: Izifundo ezine zohlobo lokwandiswa kunye neentlobo ezimbini ze-flexion. Ukuzivocavoca kohlobo lokwandiswa kwenziwa kwiindawo ezithintekayo kunye nokuma, kunye ne-flexion-type exercises in the supine and sitting positions. Umthambo ngamnye wawuqhutywa izihlandlo ezilishumi. Ukongeza, abathathi-nxaxheba baqhube iiseshoni zoqeqesho ezingamashumi amabini zemihla ngemihla ngeyure. [18] Emva koqeqesho lwamaqela omabini, abathathi-nxaxheba bazalise iikhweshine kwaye emva koko idatha eqokelelweyo yanikezelwa kwiinkcukacha-manani ezichazayo kunye ne-inferential. Ngaphezu koko, iqela lokulawula ngaphandle koqeqesho, ekupheleni kwexesha xa amanye amaqela egqityiwe, azalise i-questionnaire. Iinkcukacha-manani ezichazayo zisetyenziselwe izikhombisi-ndlela ezingundoqo ezifana nentsingiselo (� ukutenxa okusemgangathweni) kunye nemizobo efanelekileyo isetyenziselwe ukuchaza idatha. Izibalo ezingabonakaliyo, i-ANOVA yendlela enye kunye novavanyo lwe-post hoc Tukey, zisetyenziselwa ukuhlalutya idatha. Uhlalutyo lwedatha lwenziwa yi-SPSS Statistics ye-Windows, Version 21.0 (IBM Corp. Ikhutshwe ngo-2012. IBM Armonk, NY: IBM Corp). I-P <0.05 ithathwa njengebaluleke kakhulu ngokwezibalo.

 

Insight of Dr. Alex Jimenez

Ngaphandle kokusetyenziswa kohlengahlengiso lomqolo kunye nokunyanzeliswa kwezandla kwiintlungu ezisezantsi, ukunakekelwa kwe-chiropractic ngokuqhelekileyo kusetyenziswa iindlela zokuzilolonga zonyango zokuphucula iimpawu ze-LBP, ukubuyisela amandla omntu ochaphazelekayo, ukuguquguquka nokuhamba kunye nokukhuthaza ukubuyiswa ngokukhawuleza. Indlela yokuqeqeshwa kwePilates kunye neMcKenzie, njengoko kuchazwe kwinqaku, ifaniswa nokugqiba ukuba yeyiphi i-repeutic exercise ilungele ukunyanga iintlungu ezisezantsi. NjengeNqanaba lokuQinisekisa uMfundisi wePilates, uqeqesho lwePilates luphunyezwa ngonyango lwe-chiropractic ukuphucula i-LBP ngokufanelekileyo. Izigulane ezithatha inxaxheba kwindlela yokuzivocavoca yonyango kunye nohlobo oluphambili lonyango lweentlungu ezisezantsi zinokufumana inzuzo eyongezelelweyo. Uqeqesho lweMcKenzie lunokuthi luphunyezwe ngonyango lwe-chiropractic ukuqhubela phambili ukuphucula iimpawu ze-LBP. Injongo yolu phononongo lophando kukubonisa ulwazi olusekelwe kubungqina malunga neenzuzo zePilates kunye neMcKenzie iindlela zentlungu ephantsi kunye nokufundisa izigulane ukuba zeziphi iindlela ezimbini zokuzivocavoca zonyango kufuneka ziqwalaselwe ukunceda ukunyanga iimpawu zabo kunye nokufezekisa impilo yonke. kunye nempilo.

 

Inqanaba ndiqinisekisile i-Pilates Instructor kwiNgingqi yethu

 

 

iziphumo

 

Iziphumo azibonisi mmahluko omkhulu phakathi kwimeko kunye namacandelo okulawula ngokubhekiselele kwesini, isimo somtshato, umsebenzi, izinga lemfundo kunye nemali engenayo. Iziphumo zibonise utshintsho kwinkcazo yeentlungu kunye nempilo jikelele kubathathi-nxaxheba ngaphambi nangemva kokuqeqeshwa kwePilates noMcKenzie kumaqela amabini ovavanyo kunye namaqela okulawula [Itafile 1].

 

 

Ukwahlukana okubalulekileyo kwabonakala kwintlungu kunye nempilo jikelele phakathi kokulawulwa kunye namaqela amabini okuvavanya phambi kokuvavanya nokuvavanywa, ukuze uqeqesho loqeqesho (zombini i-Pilates noMcKenzie) lubangele intlungu ephantsi kunye nokukhuthaza impilo jikelele; ngelixa liqela lolawulo, intlungu iyenyuka kwaye impilo yempilo iyanqabile.

 

ingxoxo

 

Iziphumo zolu pho nonongo lubonisa ukuba ubuhlungu bentliziyo buye buthatyathwa kwaye impilo ephezulu iphuculwe emva kokusebenzisa unyango kunye noqeqesho lwe-Pilates no-McKenzie, kodwa kwiqela lolawulo, intlungu yaqina. Petersen et al. Ukufunda kwizigulane ze-360 ezineentlungu ezingapheliyo emva kweentlungu ezigqithiseleyo ziphelile ukuba ekupheleni kwee-8 iiveki ze-McKenzie ukuqeqeshwa kunye nokuqeqeshwa kokunyamezela okukhulu kunye ne-2 yoqeqesho lweenyanga ekhaya, intlungu kunye nokukhubazeka kuyehla kwiqela likaMcKenzie ekupheleni kweenyanga ze-2, kodwa ekupheleni kweenyanga ze-8, akukho nantlukwano yabonwa phakathi kwelashwa. [24]

 

 

Iziphumo zenye ifundo zibonisa ukuba uqeqesho lukaMcKenzie luncedo lokunciphisa intlungu kunye nokwandisa ukuhamba komgudu kwizigulane ezineentlungu ezingapheliyo. (18] Uqeqesho lwePilates lunokuba yindlela efanelekileyo yokuphucula impilo jikelele, ukusebenza kwezemidlalo, ukufaneleka , kunye nokunciphisa intlungu kwizigulane ezinentlungu engapheliyo emva. [25] Ukuphuculwa kwamandla obonwe kubathathi-nxaxheba kwisifundo samanje kwakungenzeka ngenxa yokunciphisa ubunzima beentlungu kunokuba utshintsho lweentsholongwane kumaphethini wokudubula / ukugaya amathambo okanye kwiinguqu zokuziphatha (hypertrophic) kwiinguqu. Ukongezelela, akukho zonyango eziphezulu ngaphezu komnye ngenxa yokunciphisa ubunzima beentlungu. Kwisifundo samanje, iiveki ze-6 zoqeqesho lukaMcKenzie zaholela ekunciphiseni okukhulu kumanqanaba enzondo kumadoda anentlungu engapheliyo. Ukubuyiselwa kwezigulane ezinentlungu engapheliyo emva kweentlungu zijolise ekubuyiseni amandla, ukunyamezela, kunye nokuguquguquka kwezicubu ezinotshi.

 

Udermann et al. Ubonise ukuba ukuqeqeshwa kukaMcKenzie kuphuculwe intlungu, ukukhubazeka, kunye neengxaki zengqondo ezigulini ezineentlungu ezingapheliyo, kwaye ukuqeqeshwa okwelulekileyo akuzange kube neyongeziweyo eyongezelelweyo kwiintlungu, ukukhubazeka kunye nokuguquguquka kwengqondo. [26] Iziphumo zesinye isifundo zibonisa ukuba kukho ukunciphisa intlungu kunye nokukhubazeka ngenxa yeendlela zeMcKenzie ubuncinane ngeveki ye-1 ngokuthelekiswa nokunyanga okunyanga kwizigulane ezinentlungu ephantsi, kodwa ukunciphisa intlungu kunye nokukhubazeka ngenxa yeendlela zeMcKenzie xa kuthelekiswa neendlela zokwenza unyango ezinqwenelekayo ngaphakathi kwe-12 kwiiveki emva kokuba unyango. Ngokubanzi, unyango lweMcKenzie lusebenza ngakumbi kuneendlela ezingahambi kakuhle zokuphatha intlungu ephantsi. [27] Enye yezilwanyana ezithandwayo zonyango kwizigulane ezinentlungu ephantsi yenkqubo yoqeqesho lukaMcKenzie. Indlela kaMcKenzie ikhokelela ekuphuculeni iimpawu zentlungu ezisezantsi ezinjengeentlungu ngexesha elifutshane. Ngaphezu koko, unyango lukaMcKenzie lusebenza ngokuthelekisayo xa luqhathaniswa nokunyanga. Olu qeqesho lusetyenziswe ukuququzelela umlanjana nokuqinisa imisipha ye-lumbar. Izifundo zangaphambili zibonise ukuba ubuthathaka kunye ne-atrophy emzimbeni womzimba, ikakhulukazi isisu esiswini esisigxina kwizigulane ezinentlungu ephantsi. [28] Iziphumo zolu cwaningo ziye zabonisa ukuba kwakukho umahluko omkhulu kwimibandela yezempilo phakathi kwePilates kunye Amacandelo kaMcKenzie. Kwisifundo samanje, iiveki ze-6 ze-Pilates no-McKenzie zikhokelela ekunciphiseni okunzulu kwinqanaba lempilo jikelele (iimpawu zomzimba, uxhalaba, ukungasebenzi kwezenhlalakahle kunye nokudakumba) kwindoda eneentlungu ezingapheliyo kunye nezempilo jikelele kwiqela le-Pilates yoqeqesho phuculwa. Iziphumo zeengcali ezininzi zibonisa ukuba unyango lwentsebenzo lunciphisa intlungu kwaye luphucula impilo jikelele kwizigulane ezineentlungu ezingapheliyo. Okubaluleke kakhulu, isivumelwano malunga nobude, uhlobo kunye nokuqina koqeqesho kuya kuhlala kuphunyeziweyo kwaye akukho ndlela yokuqeqesha enokuthi ibe nefuthe elingcono kwizigulane ezinentlungu engapheliyo. Ngoko ke, uphando olongezelelweyo lufunekayo ukuchonga ixesha elifanelekileyo kunye neendlela zokonyanga ukuphucula nokuphucula impilo jikelele kwizigulane ezinentlungu ephantsi. Ku-Al-Obaidi et al. ukufunda, intlungu, ukwesaba, kunye nokukhubazeka okusebenzayo emva kweeyure ze-10 zonyango kwizigulane. [5]

 

 

 

Ngaphandle kokuba uqeqesho lukaMcKenzie lwandisa uluhlu lwezandla zokuhamba. Ngokubanzi, akukho zindlela ezimbini zonyango ziphezulu ngaphezu komnye. [18]

 

Borges et al. kugqiba ukuba emva kweeveki ze-6 zonyango, isalathisi esiphakathi yentlungu kwiqela lokulinga laliphantsi kweqela lolawulo. Ngaphezulu, impilo jikelele yeqela lokulinga libonise ukuphucula okukhulu kuneqela lolawulo. Iziphumo zenkxaso yophando zikhuthaza ukuqeqeshwa kwePilates kwizigulane ezineentlungu ezingapheliyo. abafundi beyunivesiti baphetha ukuba ukuqeqeshwa kwePilates kunye ne-Tai chi guan kuphuculwe iiparameters zengqondo ezifana nokuzimelela, umgangatho wobuthongo kunye nokuziphatha kwabafundi kodwa akukho mphumo ekusebenzeni ngokomzimba. [29] Garcia et al. Ukufunda kwizigulane ze-30 ezineentlungu ezingapheliyo zentlungu ezisezantsi ezigqityiweyo zaphetha ukuba ukugulisa izigulane ezingenasiphelo esingaphantsi kwexesha eliqhelekileyo ngenxa yokuqeqeshwa kukaMckie kunye nokubuya esikolweni kwabangela ukuba ukhubaze ukuphucula emva kokunyanga, kodwa umgangatho wobomi, intlungu, kunye nohlobo lweemoto eziguquguqukayo aluguqukanga. Ukunyanga kukaMcKenzie kusebenza ngokugqithiseleyo ngokukhubazeka kunokuba iprogram yesikolo yangemva. [148]

 

Iziphumo ezipheleleyo zezi zifundo zixhaswa yiincwadi, kubonisa ukuba inkqubo yePilates inokunikela ngexabiso eliphantsi, elikhuselekileyo kunyango lweentlungu eziphantsi kweli qela elithile lezigulane. Imiphumo efanayo ifunyenwe kwizigulane ezinentlungu engapheliyo emva. [31]

 

Ukufundisisa kwethu kunamanqanaba amahle okusebenza kwangaphakathi naphandle kwaye ngaloo ndlela unokubakhokela oogqirha kunye nezigulane eziqwalasela iziganeko ezikhethiweyo ngenxa yentlungu. Ulingo lubandakanye inani leempawu zokunciphisa i-bias ezifana nokubhalisa ngokuzenzekelayo nokulandela inkqubo epapashwe.

 

Uluhlu lokuFunda

 

Ubungakanani besampula obuncinane obhalisiweyo kulolu cwaningo lunqamle ukuveliswa kweziphumo zophando.

 

isiphelo

 

Iziphumo zolu pho nonongo lubonisa ukuba ukuqeqeshwa kwee-Pilato zee-Pilato kunye ne-McKenzie kweeveki zanciphisa intlungu kwizigulane ezinentlungu engapheliyo, kodwa akukho mvelaphi ephawulekayo phakathi kweempembelelo zendlela ezimbini zokwelapha entlungu kwaye zombini iiprotokholi zinefuthe elifanayo. Ukongeza, ukuqeqeshwa kwePilates noMcKenzie kuphuculle impilo jikelele; nangona kunjalo, ngokubhekiselele kwintsholongwane yempilo jikelele emva kokunyanga, kuthethwa ukuba uqeqesho lwe-Pilates lunempembelelo enkulu ekuphuculeni impilo jikelele.

 

Inkxaso yezeMali kunye nenkxaso

 

Nil.

 

Iimbambano Zomdla

 

Akukho zimbambano zomdla.

 

Ukuququmbela,Xa uthelekisa imiphumo yoqeqesho lwePilates kunye noMcKenzie kwimpilo jikelele kunye neempawu ezibuhlungu kumadoda aneentlungu ezingapheliyo ezibuhlungu, uphando olusekelwe kubungqina lubonise ukuba zombini iPilates kunye neMcKenzie indlela yoqeqesho yanciphisa ngokufanelekileyo intlungu kwizigulane ezineentlungu ezingapheliyo. LBP engapheliyo. Kwakungekho mmahluko obalulekileyo phakathi kweendlela ezimbini zonyango ngokupheleleyo, nangona kunjalo, iziphumo ezivakalayo zophando zophando zibonise ukuba uqeqesho lwePilates lwalusebenza ngakumbi ekuphuculeni impilo jikelele kumadoda aneentlungu ezingapheliyo ezibuhlungu kunoqeqesho lukaMcKenzie. kuLwazi lweBiotechnology (NCBI). Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic kunye nokulimala komgogodla kunye neemeko. Ukuxoxa ngombandela, nceda uzive ukhululekile ukubuza uDkt Jimenez okanye uqhagamshelane nathi 915-850-0900 .

 

Ikhutshwe nguDkt. Alex Jimenez

 

 

Imixholo eyongezelelweyo: iSciatica

 

I-Sciatica ibhekiselwa kuyo njengeqoqo leempawu kunokuba luhlobo oluthile lokulima okanye imeko. Iimpawu zibonakaliswa njenge-radiating intlungu, ukuxubha kunye nokuvakala kwintsholongwane kwi-nerve ye-sciatic kumqolo ongaphantsi, phantsi kweentsimbi kunye namathanga kunye nemilenze enye okanye zombini kunye neenyawo. I-Sciatica idla ngokubangelwa ukucaphukisa, ukuvuvukala okanye ukunyanzeliswa kwesibindi esikhulu kunazo zonke emzimbeni womntu, ngokuqhelekileyo ngenxa ye-disc okanye i-bone spur.

 

 

INGXELO EBALULEKILEYO: UKUPHATHA KWE-EXTRA: Ukunyanga i-Sciatica Pain