Ukuxinezeleka kuye kwaba ngumgangatho omtsha kuluntu namhlanje, nangona kunjalo, inani elikhulu labantu baseUnited States liye lafumana impembelelo ebonakalayo kwimpilo yabo ngenxa yokuxinezeleka ebomini babo. Ngokumalunga neepesenti ze-77 zamaMerika bathi zibandezeleka ngezifo eziphathekayo ngezifo rhoqo. Kwakhona, i-73 ipesenti ibona iimpawu ezinxulumene noxinzelelo, ezifana nokuxhalaba nokuxinezeleka. Izindlela zokulawulwa kwengcinezelo kunye nobuchule, kubandakanywa nokungenelela kwengqondo kunye nokunyamekela ingqondo, kuyindlela yokwenza unyango oluxabisekileyo kwizifo ezahlukahlukeneyo. Ngaphambi kokujongana neempawu ezinxulumene noxinzelelo, kubalulekile ukuba uqale uqonde ukuba yintoni ingcinezelo, yiyintoni imiqondiso kunye neempawu zokuxinezeleka, kwaye ukunyanzelisa ingozi njani kwimpilo.

 

Yintoni yoxinzelelo?

 

Ukuxinezeleka yimeko yoxinzelelo lwengqondo okanye lwengqondo olubangelwa yimicimbi, iziganeko ezimbi, okanye iimeko ezinzima kakhulu. Nangona kunjalo, uhlobo loxinzelelo ngolu hlobo lwenza kube lula ukuthobela. Iimeko ezixinzelelekileyo kumntu omnye zingenakuqwalaselwa ngcinezelo kwelinye. Oku kwenza kube nzima ukuza nencazelo yendalo yonke. Ukuxinezeleka kuninzi kusetyenziswa ukubhekisela kwiimpawu zayo kwaye ezo zimpawu zinokuba zifana neendoda kunye nabasetyhini ababafumanayo.

 

Ziziphi iimpawu kunye neempawu zokuxinezeleka?

 

Imiqondiso kunye neempawu zengcinezelo inokuchaphazela umzimba wonke, emzimbeni nangokomzwelo. Imiqondiso eqhelekileyo kunye neempawu zoxinzelelo ziquka:

 

• Iingxaki zokulala
• ukudakumba
• Ukuxhalabisa
• Ukuxhatshazwa kwemizimba
• Intlungu engaphantsi
• Iingxaki zesisu
• Ukukhathala
• Ukungabi nokhuthazo
• Ukutshatyalaliswa
• intloko ebuhlungu
• Ukungabi naso
• Iintlungu zesifuba
• Ukuvakalelwa
• Ukunciphisa okanye ukwandisa kwi-sex drive
• Ukungakwazi ukugxila
• Ukunyusa okanye ukondla

 

I-Impress Health?

 

Abantu banokufumana iimpawu kunye neempawu ezahlukeneyo zoxinzelelo. Ukuxinezeleka ngokwawo akuchaphazeli ngqo kwimpilo yomntu. Kunoko, kudibanisa impawu kunye neempawu zoxinzelelo kunye nendlela umntu aphatha ngayo ezo zichaphazela impilo.

 

Ekugqibeleni, uxinzelelo lunokubangelwa zizifo ezinzulu kakhulu ezibandakanya: isifo senhliziyo, uxinzelelo lwegazi, isifo sikashukela, ukukhuluphala, kunye neesifo somhlaza. Iingqondo, ukunyamezela kunokukhokelela ekuhlakalweni kwezenhlalakahle nakwizentlalo zentlalo. Kwakhona kudla ngokuqhagamshelana ngqo nokusetyenziswa kakubi kotywala nokusetyenziswa kweziyobisi.

 

I-Chiropractic yoLawulo lwexinzelelo

 

Ukungenelela kwengqondo ziindlela eziqhelekileyo zokulawula uxinzelelo kunye nobuchule obunokunceda ukunciphisa iimpawu kunye neempawu zoxinzelelo. Ngokwezifundo ezininzi zophando, nangona kunjalo, ukhathalelo lwe-chiropractic lukhetho olusebenzayo lokulawula uxinzelelo, oluthi kunye nokungenelela kwengqondo, lunokunceda ukuphucula kunye nokulawula uxinzelelo. inokugqiba ngendlela oya kuvakalelwa ngayo suku ngalunye, ngokwasemzimbeni nangokweemvakalelo. I-Chiropractic inokunceda ukubuyisela ukulinganisela komzimba, ukulungelelanisa umqolo, kunye nokunciphisa intlungu.

 

Ukuxeliswa, okanye ukungahambisani kakuhle nomgudu, kungaphazamisa indlela inkqubo yeentlanzi ehamba ngayo neendawo ezahlukeneyo zomzimba. Oku kunokukhokelela kwimimiselo eyongezelelweyo kunye neempawu zoxinzelelo. Iingqungquthela zingakhokelela Ubuhlungu obungapheliyo, ezifana nentloko, intlungu yentamo okanye umqolo obuhlungu. Uxinzelelo lokungalungelelani kakuhle komnqonqo lunokwandisa iimpawu kunye neempawu zoxinzelelo kwaye zenze umntu abe sengozini ngakumbi kuxinzelelo.

 

Ukunyamekela ngonyango rhoqo kunokunceda ukulawula kakuhle uxinzelelo. Ngokusebenzisa ukuguqulwa kwemigqomo kunye neendlela zokuphatha, i-chiropractor ingakwazi ukunyanzelisa umlenze, ukukhulula uxinzelelo olubekwe kwi-vertebrae yomgudu kunye nokunciphisa uxinzelelo lwe-muscle olujikeleze umgudu. Ukongezelela, umlenze olinganiselayo unceda ukukhulisa umzimba wokuzikhusela, ukhuthaza imilinganiselo yokulala engcono kwaye unceda ukuphucula ukujikeleza, konke okufunekayo ekunciphiseni uxinzelelo. Ekugqibeleni, ukunakekelwa kwe-chiropractic "kunokucima" ukuhamba okanye ukulwa nokuphendula okuqhelekileyo kuhambelana noxinzelelo, ukuvumela umzimba wonke uphumule uphilise.

 

Ukuxinezeleka akufanelekanga. Imiqondiso kunye neempawu zoxinzelelo azikwazi ukuhamba zodwa. Injongo yale nqaku elandelayo kukubonisa ukuhlaziywa okusekelwe kwisiseko ekusebenziseni iindlela zokulawula uxinzelelo kunye nobuchule bokungenelela unyango olungapheliyo kwakunye nokuxubusha imiphumo yale ndlela yokonyango ekuphuculeni impilo kunye nokuphila kakuhle. I-chiropractic, ukulungiswa ngokwenyama kunye nokungenelela kwengqondo kukusetyenziswa kweendlela zokulawula uxinzelelo kunye / okanye iindlela ezicetyiswayo ekuphuculeni nasekulawuleni uxinzelelo.

 

Ukungenelela kwengqondo kwiNkqubo yokuPhucula iPhilimatika: UkuHlola kwakhona

 

Abstract

 

Uphononongo lwe-scoping luye lwaqhutyelwa ukuchaza indlela ingqondo esetyenziswa ngayo ekubuyiseleni umzimba, ukuchonga iziphumo zokwenza unyango lomsebenzi, kunye nokukhokela uphando lwexesha elizayo malunga nokungenelela kwengqondo yeklinikhi. Ukukhangelwa okucwangcisiweyo koovimba beenkcukacha zoncwadi kuvelise izicatshulwa eziyi-1,524 zantlandlolo, apho kuqukwe amanqaku ali-16. Nangona kuphela izifundo ze-3 zeNqanaba I okanye ii-II zichongiwe, uncwadi olubandakanyiweyo lubonisa ukuba ukungenelela kwengqondo kunceda izigulane ezine-musculoskelet kunye ne-chronic disorder disorders kwaye zibonise iindlela zokuphucula iziphumo kwizigulane ezine-neurocognitive kunye ne-neuromotor disorders. Izifundo ezi-2 kuphela ezibandakanya i-occupational therapist njengoyena mboneleli wengqondo ephambili, kodwa zonke iindlela zokungenelela ngengqondo kwizifundo ezikhethiweyo zifanelekile ngaphakathi kwendawo yonyango lomsebenzi ngokwe-American Occupational Therapy Association's Isakhelo sokuSebenza soNyango lweMisebenzi: iNdawo kunye neNkqubo. Uphando oluphezulu lufunekayo ukuvavanya imiphumo yokungenelela kwengqondo ekubuyiseleni umzimba kunye nokuchonga iindlela ezifanelekileyo zokusetyenziswa kwengqondo ngabasebenzi bonyango lomsebenzi.

 

I-MESH TERMS: iindlela zokwenza umgangatho, ukunyamekela, unyango lomsebenzi, ukulungiswa kwempilo, imithi

 

Ukungenelela kwengqondo kuhlala kusetyenziswa kukhathalelo lwempilo ukunceda abaguli kulawulo lwentlungu, uxinzelelo kunye noxinzelelo kunye nokujolisa kwezempilo, impilo kunye neziphumo zobomi. Nangona iindlela zokucinga zivela kwiBuddhism, ungenelelo lwengqondo luye lwasasazeka kakhulu kwaye lusekwe kwifilosofi yokuba amava apheleleyo nalawo angagwetywanga okwangoku enza iziphumo ezilungileyo kwimpilo yengqondo neyomzimba (Williams & Kabat-Zinn, 2011). Le paradigm ithatha ukuba abantu abaninzi bafumana umthamo ophakamileyo wexesha elizayo- okanye iingcinga ezijolise ngaphambili ezivelisa uxinzelelo. Yiyo ke loo nto ukuba nengqondo kukuziqhelanisa nokuchasana nezi zinto ziphazamisayo kunye namava aphilayo.

 

Ubuninzi bokungenelela kwengqondo ekunakekeleni impilo kuye kwanda kakhulu kwiminyaka yamuva nje, kwaye iintlobo ezininzi zokungenelela kwengqondo ziye zavela. Ungenelelo lwengqondo lokuqala nolona lwaziwa ngokubanzi kukunciphisa uxinzelelo lwengqondo (MBSR; Kabat-Zinn, 1982). Ekuqaleni kwakubizwa ngokuba yinkqubo yokunciphisa uxinzelelo kunye nokuphumla, i-MBSR yaphuhliswa ngaphezulu kweminyaka eyi-30 eyadlulayo kwizigulana ezinentlungu engapheliyo kwaye kubandakanya ukucamngca kokuhlala okukhokelwayo, ukuhamba ngengqondo, kunye nemfundo kwiziphumo zoxinzelelo kunye noxinzelelo kwimpilo nakwimpilo. Ubungqina obuxhasa ukungenelela kwengqondo kukhathalelo lwempilo bukhulile ukusukela oko kwaqalwa i-MBSR, kunye nongenelelo lwengqondo lwanamhlanje luboniswa lusebenzayo ekunciphiseni ubuzaza bentlungu (UReiner, uTibi, noLipsitz, 2013), ukunciphisa uxinzelelo (uShennan, uPayne, noFenlon, 2011), kunye nokuphucula impilo (I-Chiesa kunye neSerretti, 2009).

 

Ungenelelo olusekwe kwingqondo luhambelana kakuhle nogxininiso oluluqilima kwi-holism ngaphakathi kwenkqubo yonyango lomsebenzi (Dale et al., 2002). Ngokukodwa, ukuxabisa ingqondo yomzimba wonke yeyona nto ingundoqo eyahlula abasebenzi bonyango emsebenzini kwabanye ababoneleli bezempilo (Bing, 1981; Kielhofner, 1995; Wood, 1998). Uncwadi oluvelayo lucebisa ukuba ukucingela kungaphucula ukuzibandakanya emsebenzini kwaye kunxibelelene nemeko yokuhamba (okt, imeko yokungaphelelwa lixesha ngaphakathi kwamava afanelekileyo okuzibandakanya; uElliot, 2011; Reid, 2011). Ukuba nengqiqo kukuziqhelanisa nokucamngca, oku kungumsebenzi ngokwawo, kunye neendlela zokuphucula amava emisebenzi (Elliot, 2011). Ngaphezu koko, kukho ungqamaniso phakathi kwezenzo zokucinga kunye nenkqubo yomsebenzi yokwenza, ukuba, kunye nokuba (Stroh-Gingrich, 2012; Wilcock, 1999).

 

Amanyathelo angenelelo ekunakekelweni kwempilo aqhubeka nokukhula ngokubanzi nenkcazo yeenkqubo zorhwebo, ukusetyenziswa kwengqondo kubantu abitsha kunye nokujoliswa kweempawu ezahlukahlukeneyo. Uninzi lwangoku iincwadi zengqondo zijolise ekuncedeni abantu abaneemeko zempilo yengqondo kunye nokuphucula ukuphucula abantu, ukubonelela ngobuncwane bobugcisa bezonyango zonyango abasebenza kwimpilo yengqondo okanye ukukhuthazwa kwezempilo. Nangona kunjalo, ukufaka isicelo kunye nesiphumo sokungenelela kwengqondo kubaxhasi ekubuyiselweni kwimeko yokungasebenzi kakubi. Uncwadi lwangoku oludibanisa ukunyamekela kunye nokunyango olusebenzayo lukhulu kakhulu, kwaye ukuguqulela kwisetyenziselwe kwisetyenzisiwe akukafuneka kuhlolwe ngokupheleleyo. Ngako oko, injongo yale ngqwalaselo yayikuchaza indlela engqondweni ekhoyo ngoku kusetyenziselwa ukulungiswa ngokomzimba, ukuchonga izicelo ezinokuthi zongenelela ingqondo kumsebenzi wonyango osebenzayo, kwaye zikhanyise ikhefu ngolwazi oluzakuphononongwa ngophando olusasa.

 

indlela yokwenza

 

Uphononongo lwe-Scoping ziinkqubo zophononongo olungqongqo ezisetyenziselwa ukubonisa ubume boncwadi kwisihloko esibanzi, ukuchonga izikhewu kulwazi, kunye nokutsala iziphumo zophando oluthe kratya kunye nokusetyenziswa kwezonyango (Arksey & O�Malley, 2005). Olu hlobo lokuphonononga luhluke kuphononongo olucwangcisiweyo kuba aluhloselwe ukuphendula imibuzo malunga nokusebenza kongenelelo okanye ukubonelela ngeengcebiso ezithile zokuqhuba kakuhle. Uphononongo lwe-scoping lwenziwa ngokwesiqhelo endaweni yophononongo olucwangcisiweyo xa uncwadi olukumgangatho ophezulu kwisihloko esinikiweyo lulinganiselwe. Nangona injongo kunye nesiphumo sophononongo lwe-scoping yahlukile kwezo zophononongo olucwangcisiweyo, inkqubo ecwangcisiweyo ibandakanyekayo ukuze kuqinisekiswe ukuqina kunye nokunciphisa ucalucalulo (Arksey & O�Malley, 2005). Inkcazo yeendlela ezisetyenziswe kolu phononongo kwinyathelo ngalinye elicwangcisiweyo ilandelayo.

 

Umbuzo okhokele ukuhlaziywa kwesi sihloko, Ubungakanani obuya kusetshenziselwa ukuvuselelwa ngokwenyama, kwaye yintoni echaphazelekayo ekusebenziseni unyango lomsebenzi kunye nophando? Kungenxa yokuba injongo yale ngongoma yayikubonelela ngeengxelo ezikhoyo, ukukhangela ngokubanzi ukusetyenziswa kwemigaqo yazo zonke iindlela zokungenelela okanye ukuxilongwa akuzange kusetyenziswe. Esikhundleni saloo nto, sanyula ukudibanisa igama eliqhelekileyo lokucinga ngengqondo ngalunye lwezi zihloko ezilandelayo zonyango: ukwelashwa, ukuvuselelwa, kunye neyeza. Ukukhangela kwenziwa kwi-PubMed, CINAHL, SPORTDiscus, kunye ne-PsycinFO kwaye yayinganiselwe kumanqaku atyhulwa ngesiNgesi ngaphambi ko-Oktobha 10, i-2014 (okt, umhla wokukhangela). Akukho mida eyongezelelweyo eyabekwayo, kwaye akukho mithintelo ebekwa kwizinga elincinci lobungqina okanye uyilo lokufunda.

 

Izicatshulwa ezivela kukhangelo zahlanganiswa, iimpinda zapheliswa, kwaye abaphononongi ababini bavavanya ngokuzimeleyo zonke ii-abstracts zangaphambili. Iikhrayitheriya zokuqala zokubandakanywa kokuhlolwa kwe-abstract yayiyinkcazo yokungenelela kwengqondo, ukufaneleka kwonyango lomsebenzi, kunye nokujoliswa kwengxaki ejongene nokuvuselelwa komzimba. Inkcazo ebanzi yongenelelo lwengqondo yamkelwa ukuba ibandakanye nakuphi na ukuziqhelanisa nokucamngca, ungenelelo ngokwasengqondweni okanye ngokwasengqondweni, okanye olunye uhlobo lonyango lwengqondo olukhankanyiweyo okanye olujongana nengqondo. Izicatshulwa zithathwa njengezifanelekileyo kunyango lomsebenzi ukuba uxilongo oluvavanywayo luphakathi konyango lomsebenzi wokuziqhelanisa. Ukuphazamiseka okubhekiswe ekubuyiselweni komzimba kwakuchazwa njengaso nasiphi na isifo, ukulimala, okanye ukukhubazeka kwe-neurological, musculoskeletal, okanye enye inkqubo yomzimba enokuthi iphathwe ngaphakathi kwendawo yonyango okanye yokubuyisela.

 

Naliphina i-abstract echongiweyo echaphazelekayo ngumbhali okanye ubani oye waziswa kwisigaba esigcwele. Inxalenye enkulu, ezi zifundo zenziwa ngabaososayensi, izazi zengqondo, izazi zengqondo, okanye oogqirha. Ukongezelela, ukungenelela kwakungasetyenziswanga kwizicwangciso apho abanikezeli bobuchule bokuvuselela abasebenzi basebenza. Ngoko ke, ngokufanelekileyo ukuphendula umbuzo wophando, ukufakwa kokugqibela kufuneke ukuba uhlolisiso lubhekisele ekusebenziseni ukucetyiswa kwimeko yokubuyisela. Le bemfuno ezongezelelweyo wanelisekile ukuba ungenelelo lumkileyo yabonelelwa eyiyo kwimeko yesiqhelo (umzekelo, therapist, ingcali emzimbeni, intetho therapist), waba sokwandiswa okanye enye ukuya ekolulekweni zemveli, okanye yanikezelwa emva kwimo zemveli kokuba akuphumelelanga. Ababhali ababini bazimela ngokuzimeleyo izicatshulwa ezipheleleyo, kunye nokufakwa kokugqibela kokufundwa kufuneke isivumelwano sababhali ababini. Naluphi na ukungavumelani malunga nokukhethwa kweso sifundo kulungiswe ngokubambisana okuphelile ngokuvumelana.

 

Ukunika ingxelo, izifundo ziququzelelwe ngokuyintloko ngohlobo lokuphazamiseka komzimba okujoliswe kuyo kwaye okwesibini kuhlelwe kwaye kuchazwe ngohlobo lokungenelela kwengqondo kunye nenqanaba lobungqina. Ezi datha zishwankathelwe kwaye zibonelelwe kwicandelo leZiphumo ukuphendula inxalenye yokuqala yombuzo wophando, oko kukuthi, ukuchaza indlela ingqondo esetyenziswa ngayo ekubuyiseleni umzimba. Ungenelelo luthelekiswe neentlobo �Iintlobo zoNyango lwezeMisebenzi� amacandelo ngaphakathi kweSakhelo sokuSebenza soNyango lwezeMisebenzi: iDomain kunye neNkqubo (i-American Occupational Therapy Association [AOTA], 2014) ukufumanisa ukuba abasebenzi bonyango lomsebenzi banokulusebenzisa njani ungenelelo kwiiklinikhi. Iincoko ezininzi kunye nokuhlelwa kweli nqaku phakathi kwababhali ababini kubangele inkcazo yokugqibela yeempembelelo zokuziqhelanisa nonyango lomsebenzi kunye nophando.

 

iziphumo

 

Iziphumo zophando oluchanekileyo kunye nenkqubo yokuphonononga kuboniswa kwi-Figure 1. Uphando luvelise iziganeko ze-1,967 kuzo zonke ezine zolwazi. Emva kokuba izicatshulwa ze-443 zisuswe, izixhobo zangaphambili ze-1,524 zahlolwa, kwaye izibhalo ezipheleleyo ze-188 zavanywa ukuba zifakwe. Ukukhutshwa kwinqanaba lokuphonononga okubhaliweyo kwakubangelwa kukuxilongwa okanye ukungenelelo ngaphandle kwendawo yokwelapha (umz., Unyango lwe-tinnitus) okanye ukungenelelo okungakhange kuthathelwe ingxaki yomzimba (umz., Ukukhathazeka kwesifo). Kwinqanaba lokhetho lokufunda, ama-text-full articles are excluded if they failed to describe the use of mindfulness in the context of rehabilitation context (n = 82) okanye bahluleka ukuhlangabezana nezinye iinkqubo zokuqala zokufaka (n = 90). Izifundo ezilishumi elinesibhozo zadibana nazo zonke iinkqubo kwaye zafakwa kwi-extraction data kunye ne-synthesis.

 

 

Njengoko kubonisiwe kwiThebhile 1, izifundo ze-14 ezisetyenzisiweyo zovavanyo okanye i-quasi-experimental designs, kuquka i-posttest posttest (n = 6), uchungechunge lwamatyala amaninzi (n = 4), izilingo ezingahleliwe (n = 2), i-retrospective cohort (n = 1) , kunye nolingo lokuthelekisa olungenamkhethe (n = 1). Amanqaku amabini oluvo lweengcali nawo aqukiwe ngenxa yokuba bobabini bongeza ubungqina be-anecdotal bokusetyenziswa kwengqiqo kwizicwangciso zokuziqhelanisa nokuvuselela umzimba. Izifundo ezihlanu ze-16 zichaze ukubandakanyeka kweengcali zonyango emsebenzini kwiqela lokufunda, kodwa kuphela i-2 yezi zifundo ichaze ukuba i-occupational therapist inike ukungenelela kwengqondo. Izifundo ze-11 eziseleyo zinikeze ukungenelela kwengqondo kubathathi-nxaxheba mhlawumbi ngokubambisana nokungenelela kokuvuselela okungachazwanga njengenxalenye yophononongo okanye emva kokuba ukuvuselelwa kwehlulekile. Ukungenelela kwengqondo kubandakanya i-MBSR (n = 6), ingqondo jikelele kunye nokucamngca (n = 5), ukwamkela kunye nokuzibophelela unyango (UMTHETHO; n = 2), kunye nezinye iindlela zokwenza izifundo (n = 3). Ukuphazamiseka komzimba okujoliswe ngokungenelela kwengqondo kwizifundo ezibandakanyiweyo ngokukodwa zihlelwe njengeengxaki ze-musculoskeletal kunye neentlungu (n = 8), ukuphazamiseka kwe-neurocognitive kunye ne-neuromotor (n = 6), okanye ukuphazamiseka kwezinye iinkqubo zomzimba (n = 2).

 

 

Iingxoxo eziqhelekileyo

 

Ukunciphisa Ukunyanzeliswa Kwengqondo. Njengoko kuchazwe kwiThebhile 1, izifundo ze-3 ezisetyenziselwa i-MBSR, nganye igxininise ekucamngceni okubonelelwe kwiseshoni yeqela le-2-hr, kanye ngeveki kwi-8 wk. Izifundo ezintathu ezongezelelweyo zisebenzise iprotocol ye-MBSR elungelelanisiweyo ukuhlangabezana neemfuno zabantu ekujoliswe kubo. Ukulungelelaniswa okuqhelekileyo kweprotocol ye-MBSR kwakutshintsha inani leeveki iqela le-MBSR elidibene (Azulay, Smart, Mott, & Cicerone, 2013; Bâdard et al., 2003, 2005) kunye nokunciphisa ubungakanani beqela kunye neseshoni ubude (Azulay et al., 2013). Injongo ephambili ye-MBSR kunye neenkqubo ezisekelwe kwi-MBSR yayikukuphucula i-trait-level mindfulness ngaphakathi kwabathathi-nxaxheba. Iiseshoni zazibandakanya ukuskena umzimba (okt, ukuzisa ingqwalasela kumalungu ahlukeneyo omzimba kunye neemvakalelo ezivakalwayo), iyoga enengqondo, ukucamngca okukhokelwayo, okanye imfundo malunga noxinzelelo kunye nempilo. Umntu omnye okanye ababini abanoqeqesho olunzulu kwi-MBSR kwaye ababengabasebenzi bengqondo ngokwabo bahlala beququzelela iiseshoni ze-MSBR. Abathathi-nxaxheba kulindeleke ukuba basebenzise ukurekhoda ukucamngca ekhaya yonke imihla. Izifundo eziphunyeziweyo ze-MBSR zisebenzise njengongenelelo oluphambili lokuphucula ingqondo ngokusebenzisa iindlela zokucinga ukuba izigulane kulindeleke ukuba zidibanise kubomi babo bemihla ngemihla. Le ndlela iphose ingqondo njengomsebenzi omtsha onentsingiselo kubathathi-nxaxheba abaququzelelwa lungenelelo. Ngoko ke, inkcazo kunye nokusetyenziswa kwe-MBSR kwezi zifundo zihambelana nemisebenzi kunye nemisebenzi, imfundo kunye noqeqesho, kunye nokungenelela kweqela ngaphakathi kokusebenza kwonyango lomsebenzi (AOTA, 2014).

 

Jikelele. Izifundo ezintlanu ezisetyenziselwa ukucwangcisa ingqondo ngokubanzi, zahluleka ukuchaza ngokucacileyo inxalenye yengqondo yokungenelela kwabo, okanye ukusetyenziswa kweengcinga (umz., Ukukhangela umzimba okanye ukucamngca kuphela) ngaphakathi kwongenelo olubanzi lokubuyisela (jonga i-Table 1). Amanyathelo ahlukeneyo ahlukeneyo phakathi kweqela okanye amafomathi ngabanye, ngexesha kunye neeseshoni zeeseshoni, kunye nexesha lolawulo olupheleleyo. Izindlela eziqhelekileyo zokuqwalasela zazisetyenziselwa ukuvula, njengokuvala, okanye ngokuhambelana nokunyangwa kobugcisa bendabuko. Ngoko ke, ukusetyenziswa kwengqondo kwakujoliswe ngabanye ukuhlangabezana neemfuno ezithile kunye neenjongo zabaxhasi. Imizekelo yalezi njongo yayibandakanya ukubandakanyeka emsebenzini, ukubandakanyeka kwonyango, ukuxhalabisa, ukunciphisa imizwa yomzimba kunye nesimo sengqondo. Ukunikezelwa kweenjongo ezipheleleyo, ukungenelela kwengqondo ngokubanzi njengoko kusetyenziswe kwezi zifundo kuya kuchazwa njengemisebenzi, imfundo, okanye iindlela zokulungiselela kunye nemisebenzi (AOTA, 2014).

 

Ukwamkelwa kunye nokuzibophelela. UMTHETHO lungenelelo lwengqondo oluvela kuhlalutyo lokuziphatha kweklinikhi kunye nemigaqo yokucinga. Izifundo ezibini ziphunyezwe UMTHETHO ngezicwangciso ezahlukeneyo. Kwisifundo se-1 (McCracken & Guti�rrez-Mart�nez, 2011), ungenelelo olunzulu lwanikezelwa kubathathi-nxaxheba kwisethingi yeqela, iintsuku ze-5 ngeveki, i-6 hr ngosuku, kwixesha le-4-wk. Olunye uphononongo (uMahoney & Hanrahan, 2011) UMTHETHO odibeneyo njengenxalenye yongenelelo lwesiqhelo lonyango lomzimba. Kuzo zombini izifundo, iinjongo eziphambili ze-ACT yayikukuphucula ukuguquguquka kwengqondo kunye nokubandakanyeka kunyango ngokwamkelwa kweentlungu kunye nokuphazamiseka kwamanye amava engqondo. Ngokufana nokusetyenziswa kokudibanisa okuchazwe kwangaphambili kwingqondo jikelele, UMTHETHO wawusetyenziswa kwezi zifundo njengemisebenzi, imfundo, okanye iindlela zokulungiselela kunye nemisebenzi (AOTA, 2014).

 

Iithagethi Zengqondo

 

Izifo zeMisculoskeletal and Pain Disorders. Ukuphazamiseka kwe-Musculoskeletal kunye neentlungu ezijoliswe kukungenelela kwengqondo zibandakanya intlungu engapheliyo ye-musculoskeletal (n = 6), ukulimala kwe-musculoskeletal ezinxulumene nomsebenzi (n = 1), kunye nokuhlinzwa kwamadolo (n = 1). Izifundo ezihlanu ze-6 ezisebenzisa ukunyamekelwa kweentlungu ezingapheliyo zazizama. Kwi-3 yezi zifundo, ukunciphisa okuphawulekayo kobunzima beentlungu kufunyenwe emva kokuthatha inxaxheba kumanyathelo okungenelela kwengqondo (Kabat-Zinn, Lipworth, & Burney, 1985; McCracken & Guti�rrez-Mart�nez, 2011; Zangi et al., 2012) . Olunye ulingo olungenamkhethe olwahlukileyo kwezinye izifundo; Wong et al. (2011) yafumanisa ukuba intlungu yancitshiswa ngexesha, kodwa inani lokunciphisa intlungu lalingafani kakhulu phakathi kwabaxhasi abafumana ukungenelela kwengqondo kunye neqela lokulawula. Uphononongo lwesihlanu lokulinga (Kristj�nsd�ttir et al., 2011) luvavanye ungenelelo lokuqonda ngokusebenzisa isicelo sefowuni ephathwayo. Ubungakanani besampulu yolu phononongo yayingenkulu ngokwaneleyo ukuvavanya utshintsho olubalulekileyo kwimilinganiselo yesiphumo; nangona kunjalo, abathathi-nxaxheba baxela ukuba ukungenelela kwengqondo yeselula kwakuluncedo kwaye kufanelekile ukunyanga iimpawu zabo. Nangona ezi zifundo zibonise iziphumo ezahlukahlukeneyo ekunciphiseni ubunzima beentlungu, iziphumo zesibini ezifana nokwandiswa kokwamkelwa kweentlungu, ukuphuculwa kokusebenza kweentlungu, kunye nokunciphisa uxinzelelo kwavelisa ubukhulu beempembelelo ezinkulu kwaye zihlala zibalulekile.

 

Uphononongo olwenziwayo (Vindholmen, H�igaard, Espnes, & Seiler, 2014) bafuna ukuqikelela iziphumo zonyango ezisekelwe kwi-trait-level mindfulness yezigulane kwiziko lokuvuselela umsebenzi ofumana ukungenelela kwonyango kwi-musculoskeletal disorders ezinxulumene nomsebenzi. Inkalo yoqwalaselo lwengqondo yenqanaba lophawu lwafunyanwa ukuba luqikelele ngokubonakalayo ixesha de ubuyele emsebenzini, kodwa kuphela kwizigulana ezifunde kakhulu. Ababhali baqaphele ukuba ukungenelela kwengqondo kunokulinganisela umgangatho wobomi, okwakungumbono obalulekileyo wexesha de ubuyele emsebenzini kubo bonke abathathi-nxaxheba.

 

Izifundo ezibini, i-1 kunye neNqanaba IV (okt, uthotho lwamatyala; UMahoney kunye noHanhanhan, 2012) kunye no-1 ngenqanaba V (okt, uluvo lweengcali; uPike, 2008) ubungqina, bacebisa ukuba ukudibanisa ungenelelo lwendabuko kunyango lokubuyisela kwimeko yesiqhelo kunye nengqondo kwizigulana ezine-musculoskeletal and iingxaki zentlungu zinezibonelelo. Abathengi abafumana i-ACT badityaniswe kwiiseshoni zabo zonyango emva kotyando lwedolo baxela ukuba ungenelelo lwengqondo lwalunceda kwinkqubo yabo yokuvuselela kwaye bandise ukubandakanyeka kwabo kunyango (Mahoney & Hanrahan, 2012). Kwinkcazo yakhe, uPike (2008) waxela ukuphumeza ukungenelela kwengqondo ngokudibanisa nonyango lomzimba kwizigulana ezinesifo esinganyangekiyo, ephawula ukuba ukuqonda kuyafana nongenelelo olusetyenziswa ngokubanzi lokuqonda (umzekelo, iiPilates). Kuyafana nokwamkelwa okuhle okuphawulwe nguMahoney noHanrahan (2012), uPike waphawula ukuba ukudibanisa ingqondo kunyango lwakhe lomzimba kungqineke kuluncedo lwezonyango kwaye kunyamezelwa kakuhle zizigulana. Wayecinga ukuba iindlela zokungenelela kwengqondo zinokunciphisa ngokuthe ngqo iintlungu okanye ziphucule iziphumo zomsebenzi ngaphandle kwentlungu, iikhonsepthi eziqinisekisiweyo zizifundo zovavanyo ebezixoxwe ngaphambili kweli candelo.

 

Iingxaki ze-Neurocognitive ne-Neuromotor. Izifundo ezisebenzisa ukungenelela kwengqondo kubantu abane-neurocognitive kunye ne-neuromotor disorders ziquka abathathi-nxaxheba abanokuxilongwa kwe-aphasia (n = 1), ukulimala kwengqondo ebuhlungu (TBI; n = 4), kunye ne-disorder coordination disorder (n = 1). U-Orenstein, u-Basilakos, noMarshall (2012) abafumananga utshintsho olubangelwa ukungenelela kwengqondo kwimisebenzi yengqwalasela eyahlulahluliweyo okanye iimpawu ze-aphasia xa zisetyenziswe kunye nabaxhasi be-3. Nangona kunjalo, izifundo ezi-3 zovavanyo lwangaphambili zisebenzisa ungenelelo lokuqaphela kwizigulana ezine-TBI zibonise iziphumo ezithembisayo. Azulay et al. (I-2013) ichaze umkhwa (p = .07) ekuphuculeni ukusebenza kwengqondo, kunye nobukhulu bempembelelo ephakathi (d = 0.31 kunye ne-0.32). UBdard et al. (I-2003) ifumene iindlela zokunciphisa uxinzelelo lweempawu kunye nokuphucula impilo yomzimba, kunye neempembelelo ezincinci ukuya kwimodareyitha yempembelelo (0.296 <d <0.32). Baphinde babonise ukuphuculwa okubalulekileyo kumanyathelo esibini afana nokusebenza ngokuzimeleyo, umgangatho wobomi, kunye nempilo yengqondo. Ngaphezu koko, ulandelelwano lwe-12-mo emva kokungenelela kophando lwabo lwe-2003 lubonise ukugcinwa okubalulekileyo okanye ukuphuculwa kwezigulane ezine-TBI ngexesha lonke kwimpilo, indima yeemvakalelo, kunye nempilo yengqondo, kodwa iintlungu eziguquguqukayo (B'dard et al., 2005). Ingqalelo kukuba nangona abathathi-nxaxheba baxela ukuba bayaluxabisa ukungenelela kwengqondo, isini sadlala indima ekuqeshweni nasekugcinweni kuba uninzi lwabafana bakhetha ukungathathi nxaxheba okanye baphume kuphononongo (B�dard et al., 2005).

 

EMeili naseKabat-Zinn (2004), uMeili, owasetyhini owagcina i-TBI, ubalise ukuba ingqondo yayingundoqo kuhambo lwakhe lokuphilisa. Esebenzisa amava kaMeili njengomzekelo, uKabat-Zinn waqinisekisa ukuba ukunceda izigulane ziqonde, zamkele, kwaye zilungelelanise ukugula okanye ukukhubazeka kwazo zombini uhlengahlengiso lwangaphakathi kumava amatsha omzimba, okanye ingqondo, kunye nokubuyiselwa kwangaphandle kokusebenza komzimba, okanye ukuvuselelwa ngokomzimba, zibalulekile kwinkqubo yokuphilisa. Ngaphezu koko, uKabat-Zinn uthe iingcali zonyango kunye nabanye abachwephesha bokubuyisela kwisimo sangaphambili baxhotyiswe kakuhle ukuba baphumeze ukungenelela kwengqondo kuba olu ngenelelo luncedisa umkhuba wabo okhoyo wokuququzelela umsebenzi wangaphandle wokuphilisa umzimba. Ukongeza ukungenelela kwengqondo kuya kufaneleka ngokweklinikhi ukukhuthaza umsebenzi wangaphakathi oyimfuneko ukuba izigulane ziphilise. UJackman (2014) uphinde wacebisa ukuba ukucinga kufanelekile njengenxalenye yenkqubo yokubuyisela. UJackman uxoxe ngokusetyenziswa kwengqondo kunyango lomsebenzi kubantwana abanengxaki yokulungelelaniswa kophuhliso. Abantwana abathathe inxaxheba kunyango lokomeleza ingqondo baphucule ubuncinci kwinxalenye enye yolungelelwaniso lwemoto. Olu nyango lukwancede iidyad zabazali ukuba zifezekise iinjongo zabo ezizikhombayo.

 

Ezinye iimeko. Izifundo ezibini ezongezelelweyo zijolise ekuchongeni ngokwasemzimbeni ezazingacaciswanga gwenxa kwezihlunu okanye neuromotor. Kowokuqala, i-MBSR yanikezelwa kwabasetyhini abanomdla wokuchaphazeleka komchamo ngumchwepheli wezemisebenzi owayefumene uqeqesho olunzulu ngengqondo (Baker, Costa, & Nygaard, 2012). Abafazi abasixhenxe ababenomndilili weziqendu ze-4.14 zokungahambi kakuhle komchamo ngosuku bathathe inxaxheba kwiqela le-8-wk ye-MBSR. Ngokuchasene nolunye uphononongo oludibanise ingqondo kunye nokuvuselelwa kwendabuko, abathathi-nxaxheba kolu phononongo abafumananga lunye unyango okanye ungenelelo lwesiqhelo lokungasebenzi kakuhle komchamo (umz., Imithambo ye-pelvic floor muscle, imfundo yesinyi). Kwiposti yokugqibela, abathathi-nxaxheba babeneziqendu ezimbalwa kakhulu (p = .005), umndilili we-1.23 ngosuku. Nangona kuthintelwe sisayizi esincinci sesampulu kunye nokusilela kweqela lolawulo, olu phononongo lubonakalise inkxaso yangaphambili yokungenelela kokuma kwengqondo yedwa okubonelelwa ngabanyangi bezemisebenzi kwimeko yomzimba.

 

Uphononongo lwesibini lusebenzise unyango olusekwe kwingqondo ekubuyiseleni ukungasebenzi kakuhle kwe-vestibular kunye nesiyezi (Naber et al., 2011). Kolu phononongo, amacandelo engqondo esekwe kwiqela abekwe ngaphakathi kweendlela zokubuyisela kwisimo sesiqhelo se-vestibular, unyango lwendlela yokuziphatha ngokwelizwi, kunye nonyango lwengqondo yokuziphatha kwiiseshini ezintlanu zeveki ezimbini. Ukongeza, abathathi-nxaxheba badibana nomntu ngamnye kunye nonyango lomzimba obonelela ngemithambo yobuqu. Uphuculo oluphawulekayo kwiimpawu ze-vestibular, kubandakanywa izinga lokusebenza, ukuphazamiseka, ukujamelana, kunye nokusetyenziswa kwezakhono (p <.0001), kwaphawulwa.

 

Insight of Dr. Alex Jimenez

Ungenelelo lwengqondo, olufana nokunciphisa uxinzelelo olusekwe kwingqondo, ukuqonda ngokubanzi kunye nokwamkelwa kunye nonyango lokuzibophelela, ziindlela zolawulo loxinzelelo oluxhaphakileyo kunye neendlela ezisetyenziswa rhoqo kukhathalelo lwempilo ukunceda ukuthoba iimpawu zoxinzelelo, imiba yempilo yengqondo kunye neentlungu zomzimba kunye nokujongana. kunye nokunyanga iimpawu kunye nezifo ezahlukeneyo. Ukungenelela kwengqondo kukholelwa ukuba kwandisa imilinganiselo yesiphumo sezinye iindlela kunye nonyango olongezelelweyo. Ukhathalelo lweChiropractic lolunye ukhetho oludumileyo lokulawula uxinzelelo olunokunceda ukuphucula kunye nokulawula uxinzelelo. Ukusetyenziswa kokungenelela kwengqondo kunye nokunyamekela kwe-chiropractic kunye nolunye unyango, njengokuvuselelwa ngokomzimba, kuye kwagqitywa ukwandisa iziphumo zabo. Eli nqaku lingasentla libonise iziphumo ezisekelwe kubungqina ekusebenzeni kokungenelela kwengqondo kwiimpawu zoxinzelelo, kuquka intlungu engapheliyo.

 

ingxoxo

 

Olu hlalutyo lokuhlaziya lubonisa ukuba ingqondo isetyenziselwa ukuvuselelwa ngokwenyama, ichaza impembelelo yonyango lomsebenzi, kwaye ikhanyise ikhefu kulo uphando lwangoku. Izifundo ezibandakanyiweyo ekuhlaziyeni zibonelela ngenkxaso yokuqala ukuba ukungenelela kwengqondo kunokuphucula ukungahambisi kwamanzi, ukunyamezeleka okungapheliyo kunye nokusebenza kwe-vestibular. Ezi zifundo zibonisa umgangatho othembisayo kwiziphumo eziphuculweyo zokujoliswa kwengqondo kunye nokuziphatha kwezigulane ezine-TBI. Kuzo zonke izifundo, iziphumo eziqinileyo zenzelwe ukuphucula ukuguqulwa kwisifo okanye ukukhubazeka ezifana nokuzimelela ukulawula izifo, ukwanda komgangatho wobomi kunye nokwamkelwa kweempawu zentlungu. Ukongezelela, ukungenelela kwengqondo kwezi ziphumo akuzange kusebenze ngokukhawuleza kodwa kwagcinwa ngempumelelo ekulandeleni kwinqanaba elibalulekileyo kwiklinikhi. Esi siphumo sibonisa ukuba iziphumo ezisuselwe kwizilungelelwaniso zibalulekile ekuzaliseni iziphumo zomsebenzi kunye neziphumo ekuphandleni kwengqondo yekliniki. Ukongezelela koko, iiprojekiti zeengxaki zengqondo zengenelelo, kwaye akukho ziphumo ezichaze iziphumo ezimbi okanye ezibi.

 

Iingcali zonyango zomsebenzi zingababoneleli abaphambili bokungenelela kwengqondo kwizifundo ze-2 (Baker et al., 2012; Jackman, 2014). Nangona ezi zifundo zibonise iziphumo ezithembisayo, zombini zilinganiselwe ngobungakanani besampulu encinci kunye nokungabikho kweemeko zokulawula. Ukongeza, uJackman (2014) akaphumelelanga ukunika ingxelo ngamaxabiso amanani kwizinto ezifunyanisiweyo, enciphisa ukutolika. Kwizifundo ezi-3 ezongezelelweyo, abaphengululi bezemisebenzi babenendima encedisayo ekuboneleleni ngokungenelela kwengqondo (McCracken & Guti�rrez-Mart�nez, 2011; Vindholmen et al., 2014; Zangi et al., 2012). Nangona kunjalo, ngenxa yendalo ehambelanayo yongenelelo kunye nomda wonyango wokusebenza (AOTA, 2014) kunye nendlela eziphunyezwe ngayo, abaqeqeshi bezonyango bangaba ngababoneleli abasebenzayo bokungenelela kwengqondo kwezi zifundo, kugxininisa ukuba kunokwenzeka. yokudibanisa ingqondo kwisenzo sonyango lomsebenzi kuphando lwexesha elizayo. Ngaphezu koko, nangona i-MBSR yayiyeyona ndlela yokungenelela ephambili eyakhuthaza ukubandakanyeka ekucingeni kwengqondo njengomsebenzi, ukungenelela kwengqondo ngokubanzi kunye noMTHETHO waphinda wasebenza njengomsebenzi ofanelekileyo osekelwe, ukulungiswa kunye nokungenelela kwezemfundo kwezi zifundo. Ukunikezelwa kweziphumo zezi zifundo kunye nenkxaso evela kuncwadi olongezelelweyo oluchaza ukusetyenziswa kwengqondo ngabanyangi bezengqondo (Moll, Tryssenaar, Good, & Detwiler, 2013; Stroh-Gingrich, 2012), uphando olongezelelweyo lweendlela ezilungileyo zokudibanisa iindlela zengqondo ekuvuseleleni umzimba. iqinisekisiwe.

 

Nangona uncwadi lubonisa ukuba ukungenelela kwengqondo kunokuba nemiphumo emihle ekubuyiseleni umzimba, ukulinganiselwa okukhulu kukho kubungqina bangoku. Okokuqala, uninzi lwezifundo ezilungileyo zisikelwe umda kuyilo lwazo lophononongo, ukuba, okona kulungileyo, ubungqina beNqanaba III (okt, uyilo lweqela). Ngokwahlukileyo, uvavanyo olulawulwa ngokufanelekileyo olulawulwa ngokufanelekileyo lufumene i-pretest posttest impembelelo yokungenelela kwengqondo ekunciphiseni intlungu kodwa yaphawula ukunciphisa okufanayo kwiintlungu zabathathi-nxaxheba beqela (Wong et al., 2011). Okwesibini, ukwahluka okubanzi kwiiprothokholi zongenelelo lwengqondo kwenza kube nzima ukufikelela kuzo naziphi na izigqibo ngokubanzi malunga nokusebenza kongenelelo. Okokugqibela, izifundo ezininzi zibonise ngokugqithisileyo abasetyhini abaMhlophe abakwiminyaka ephakathi, banciphisa ukutolikwa kokwamkeleka kokungenelela kwengqondo okanye iziphumo zabo kwezinye iidemographics. Ngokukodwa, uB'dard et al. (2005) uqaphele ukunciphisa umdla kunye nokuthobela ukungenelela kwabo kwengqondo ngabathathi-nxaxheba abangamadoda.

 

Ulwazi oluninzi lufunekayo ukuze uqonde iindlela ezifanelekileyo zokuhlanganiswa kwengqiqo ekusebenziseni unyango osebenzayo. Ngokukodwa, ukungenelela kwengqondo kubandakanywa kule ngongoma kubanzi kunzima, kusetyenziswe umgaqo-nkqubo ohambelanisiweyo, awuhlanganiswanga ngokugcwele kunye nokungenelela okulungelelaniso, kunye nokuqeqeshwa okufunekayo kwabanikezeli. Ngaloo ndlela, uphando olongezelelweyo lufunekayo ukuze:

 

• Ukuseka ukusetyenziswa kweengongoma ezithintekayo kwizicwangciso ezahlukeneyo kunye nabantu abanezigulane ngokuxilongwa kwezilwanyana kwizinga eliphezulu, izilingo ezingenangqondo;
• Ukuphonononga ukusetyenziswa kweendlela zokuqeqesha abaqeqeshi bezonyango ekunikweni kwamanyathelo okunyamekela ingqondo ngenxa yeengxaki zempilo njengenxalenye yeekharityhulam zengcali, ngokusebenzisa iinkqubo eziqhubekayo zemfundo okanye olunye uqeqesho lwentsebenzo;
• Chaza iindlela ezifanelekileyo zokuhlanganiswa kwekliniki yokuziphendulela ekusebenziseni unyango osebenzayo; kwaye
• Hlola iimpembelelo ezinxulumene nokubuyiselwa kweendleko kunye nokuphumelela kweendleko zokuhanjiswa kweengqondo kwindlela yokwenza unyango lwabasebenzi.

 

Impembelelo yoTyhutyha yamaSebenzi

 

Iziphumo zolu cwaningo zinempembelelo elandelayo kwindlela yokwenza unyango lwabaqeshwa:

 

• Ukuqwalasela ekubuyiselweni komzimba kusetyenziswa ngokusisiseko ukunceda abathengi abaneentlungu ezingapheliyo kunye ne-TBI ukuvumelanisa nokugula kunye nokukhubazeka, okukhuthaza ukubuyiswa okusebenzayo njengoko kuhambelana nokulungiswa kwempawu.
• Ukuqwalasela ukukhathazeka ngokwenyama akukafuneka kuqinisekiswe njengongenelelo olusisiseko-mali kwisifo somsebenzi; nangona kunjalo, ukuthembisa ubungqina bokuqala, kwaye iiprotokholi ezikhoyo zengqondo zihambelana nokusebenza kwonyango lokusebenza njengemalungiselelo, imisebenzi, okanye iinkqubo zokungenelela emsebenzini.
• Uphando lwezinga eliphezulu lufunekayo ukujongana nemilinganiselo emininzi kwizifundo ezisetyenziswayo ngoku ngokubhekiselele kwiimeko zomzimba kunye nokuqulunqa iindlela ezifanelekileyo zokusebenzisa ingqondo ekuvuseleleni ngokomzimba ngabasebenzi bezokwelapha.

 

Imibulelo

 

Enkosi kakhulu ngenkxaso kunye nezikhokelo ezifunyenwe kuGqirha Gelya Frank. Umsebenzi kolu hlaziyo uxhaswe ngokuyinxenye yiGranti enguNombolo ye-K12�HD055929, iZiko leSizwe leMpilo yoMntwana kunye noPhuhliso loLuntu/iZiko leSizwe leZiphazamiso zeNzululwazi kunye neNkqubo yoPhuhliso lweMisebenzi yoPhando lweStroke. Umxholo weli nqaku kuphela uxanduva lwababhali kwaye akufuneki ukuba bamele iimbono zamaZiko ezeMpilo eSizwe. Iinxalenye zalo msebenzi zanikezelwa kwiNgqungquthela ye-2015 ye-Occupational Therapy ye-Scholar eLos Angeles, CA.

 

Imihlathi

 

Ibonisa izifundo ezibandakanyiweyo ekuphonononongweni kwelo nqaku.

 

I ngcaciso

 

Ncbi.nlm.nih.gov/pmc/articles/PMC4834757/

 

Ukuququmbela,�Nangona uxinezeleko luxhaphakile kwibutho lanamhlanje, uxinezeleko lunokukhokelela kwizifo ezahlukahlukeneyo zomzimba nezeemvakalelo. Iindlela zokulawula uxinzelelo kunye nobuchule bukhula njengeendlela zonyango ezidumileyo zokunyanga uxinzelelo kunye nezifo ezinxulumene nazo, kubandakanywa intlungu engapheliyo. Ukunyamekela kwe-Chiropractic kunceda ukunciphisa uxinzelelo ngokulungisa i-subluxations, okanye i-spinal misalignments, ukukhulula uxinzelelo kwi-vertebrae kunye nokunciphisa ukuxhatshazwa kwemisipha. Eli nqaku lingentla libonisa nokusebenza kokungenelela kwengqondo ekubuyiseleni umzimba, nangona uphando olongezelelweyo lufunekayo. Ulwazi olubhekiselele kwiZiko leSizwe loLwazi lweBiotechnology (NCBI). Ububanzi bolwazi lwethu bukhawulelwe 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: Ubunzima bokubuyisela

 

Ngokwezibalo, malunga ne-80% yabantu baya kuba neempawu zentlungu emva koko kanye ngexesha lokuphila kwabo. Intlungu ebuyayo yinkxalabo eqhelekileyo enokubangelwa ngenxa yeemeko ezahlukeneyo kunye / okanye iimeko. Ngokuphindaphindiweyo amaxesha, ukuguqulwa kwemvelo komgudu kunye nomdala kunokubangela intlungu emva. Iidiski zeHerniated kwenzeka xa i-disc, i-gel-like centre ye-disc intervertebral iqhubezela ngeengqungquthela kwijikelezo zayo zangaphandle, ukuxilisa nokucaphukisa izimpande zentliziyo. Iingxoxo ze-Disc zivame ukuqhutyelwa kwi-back back, okanye i-lumbar spine, kodwa nazo zingenzeka kunye nomlenze womlomo wesibeleko okanye intamo. Ukufakelwa kwamathambo afunyenwe kwinqanaba eliphantsi ngenxa yokulimala kunye / okanye imeko ehlaseleyo ingakhokelela kwimpawu ze-sciatica.

 

ISIHLOKO ESIBALULEKILEYO: Ukulawula uxinzelelo lomsebenzi

 

 

IINGXELO EZIBALULEKILEYO: UKUPHATHA KWE-EXTRA: Ukukhetha i-Chiropractic? | Familia Dominguez | Izigulane | El Paso, TX I-Chiropractor