Isishwankathelo seLumbago

intshayelelo

Abantu abaninzi abaqondi ukuba izihlunu ezahlukeneyo kumqolo wabo zinceda ukubonelela ngokusebenza komzimba. I izihlunu zomqolo nceda ukushukuma, ukugoba, ukujikelezisa, kwaye uncede umntu ngamnye ukuba ame nkqo xa ephumile naxa ehamba. Izihlunu zangasemva zinceda ukukhusela i-cervical, thoracic, kunye ne-lumbar amacandelo omqolo kunye nokusebenza kunye nentloko, intamo, amahlombe, iingalo kunye nemilenze ukubonelela ukuhamba. Xa umzimba uqala ukuguga ngokwemvelo, kunokukhokelela imiba e ngasemva oko kunokunciphisa ukuhamba komntu, okanye imisebenzi eqhelekileyo inokubangela ukuba izihlunu zangasemva zisetyenziswe ngokugqithiseleyo kwaye ziphuhlise i-trigger points ukubiza intlungu emva okanye i-lumbago. Inqaku lanamhlanje lijonga imisipha ye-thoracolumbar paraspinal ngasemva, indlela i-lumbago ehambelana ngayo namanqaku e-trigger, kunye nonyango lokukhulula i-lumbago kwi-thoracolumbar muscles. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababonelela ngeendlela ezahlukeneyo kwi-thoracic lumbar back pain therapies ezinxulumene ne-trigger points ukunceda abaninzi abathwaxwa yintlungu efana neempawu ezibuhlungu kunye ne-thoracolumbar paraspinal muscles ngasemva, ebangela i-lumbago. Sikhuthaza izigulane ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sichaza ukuba imfundo sisisombululo esihle sokubuza ababoneleli bethu imibuzo enzulu nentsokothileyo ngokwesicelo sesigulana. UDkt Alex Jimenez, DC, uphawula olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

I-Thoracolumbar Paraspinal Muscles Ngasemva

 

Ngaba ukufumanisa kunzima ukuhamba nokuba lixeshana nje elifutshane? Ngaba uziva iintlungu kunye neentlungu xa uphuma ebhedini? Ngaba uhlala usentlungwini xa ugoba ukuze uchole izinto emhlabeni? Ezi zenzo ezahlukahlukeneyo ozenzayo zibandakanya i-thoracolumbar paraspinal muscle ngasemva, kwaye xa imiba ichaphazela le misipha, inokukhokelela kwi-lumbago ehambelana ne-trigger points. I i-thoracolumbar paraspinal ngasemva liqela lemisipha ejikelezwe ngokusondeleyo ngumqolo we-thoracolumbar, apho ummandla we-thoracic uphela, kwaye ummandla we-lumbar uqala. Imisipha ye-thoracolumbar paraspinal ngasemva inobudlelwane obuqhelekileyo kunye nomzimba njengoko ifuna igalelo kwiinkqubo ezifuna ukunyakaza. Uphando lutyhila ukuba imisipha ye-thoracolumbar paraspinal imodulated ngonxibelelwano kunye ne-sub-systems ezintathu, ezibandakanya:

• Inkqubo ye-passive: i-vertebrae, iidiski kunye nemigqa
• Inkqubo esebenzayo: imisipha kunye nemisipha
• Inkqubo yokulawula: inkqubo ye-nervous central kunye nemithambo-luvo

Inkqubo nganye ibonelela ngemisebenzi ye-muscular xa umntu egoba ukuze athathe into okanye enze iintshukumo ezilula. Nangona kunjalo, xa izihlunu zisetyenziswa ngokugqithiseleyo, kunokukhokelela kwimibandela eyahlukeneyo echaphazela umva kunye nemisipha ejikelezayo.

 

I-Lumbago eNxulunyaniswe namanqaku e-Trigger

 

Uphando lutyhila ukuba ingqibelelo ye-muscle ye-paraspinal idlala indima ebaluleke kakhulu xa ifika ekugcinweni kokulungelelaniswa komqolo ngasemva. Xa i-thoracolumbar paraspinal muscles isetyenziswe ngokugqithiseleyo kwimisebenzi eqhelekileyo, inokuchaphazela umva ngokubangela iimpawu zentlungu okanye i-lumbago ehambelana namanqaku e-trigger. KuDkt Travell, incwadi ye-MD ethi "Intlungu ye-Myofascial kunye ne-Dysfunction," i-trigger points inokuthi isebenze ngenxa yokunyakaza ngokukhawuleza okanye ukunyanzeliswa kwe-muscular eqhubekayo ngexesha elikhokelela ekuphuhlisweni kwe-lumbago. Imiba ye-Atrophy kwimisipha ye-paraspinal inokufaka isandla kwi-lumbago ehambelana namanqaku e-trigger abangela intlungu enzulu ebhekiswe kwimimandla ye-thoracolumbar ngasemva. Amanqaku e-trigger asebenzayo kwiqela elinzulu le-muscle ye-thoracolumbar paraspinal inokuphazamisa ukunyakaza phakathi kwe-vertebrae ngexesha lokuguqa okanye ukugoba kwecala. 

 

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Isishwankathelo seLumbago- Ividiyo

Lumbago okanye umqolo obuhlungu yenye yezona zinto zixhaphakileyo kubantu abaninzi, ukusuka kwi-acute ukuya kwi-chronic, kuxhomekeke kwindlela ebuhlungu ngayo intlungu ebangelwa ngasemva. Ngaba ubuziva iintlungu kumbindi-mazantsi emqolo? Ngaba uziva ukothuka kombane xa ubaleka emlenzeni wakho kwindawo engaqhelekanga? Okanye ngaba ukhe waziva uthambile phakathi komqolo wakho? Ukufumana ezi zimpawu zingabonisa ukuba imisipha ye-thoracolumbar paraspinal ichaphazeleka ngamanqaku e-trigger ahambelana ne-lumbago. Ividiyo ichaza ukuba yintoni i-lumbago, iimpawu, kunye neendlela ezahlukeneyo zonyango zokunciphisa intlungu kunye nokulawula iingongoma ezibangela ukuba imiba ye-thoracolumbar ibuyele ngasemva. Abantu abaninzi abanengxaki ye-lumbago abasoloko beqaphela ukuba izinto ezahlukeneyo zinokuchaphazela izihlunu ezingqongileyo kwingingqi ye-thoracolumbar kwaye bafihle ezinye iimeko zangaphambili abanokuthi bahlupheke kuzo. Ngokumalunga nokulawula i-lumbago ehambelana namanqaku e-trigger, iindlela ezahlukeneyo zonyango zinokunceda ukunciphisa intlungu echaphazela imisipha ye-thoracolumbar paraspinal ngelixa ulawula amanqaku okuqhubela phambili ukuqhubela phambili emva.

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Unyango lokukhulula iLumbago kwiMiscle yeThoracolumbar

 

Ekubeni i-lumbago okanye intlungu ye-back back yinto eqhelekileyo kubantu abaninzi, unyango oluhlukeneyo lunokunciphisa iimpawu ezifana nentlungu kwimisipha ye-thoracolumbar kwaye ilawule amanqaku adibeneyo. Olunye unyango olulula olunokuthi lusetyenziswe ngabantu abaninzi kukulungisa indlela abame ngayo. Abantu abaninzi bahlala bexhomekeke kwelinye icala lemizimba yabo ebangela ukuba izihlunu ze-thoracolumbar paraspinal kumacala ahlukeneyo zilayishwe kakhulu. Oku kubangela ukuguqulwa komgogodla okanye ukungahambi kakuhle kwingingqi ye-thoracolumbar. Olunye unyango olunokuthi lufakwe kubantu abaninzi kubomi babo bemihla ngemihla kukuya kwi-chiropractor ukulungiswa komgogodla we-thoracolumbar spine. Uphando lutyhila ukuba ukhathalelo lwe-chiropractic oludityaniswe nonyango lomzimba lunokunciphisa umva we-thoracolumbar ngelixa lunciphisa iimpawu zentlungu ezinxulumene namanqaku okuqalisa ngokukhulula imisipha eqinile kwaye kubangele ukukhululeka kumqolo. 

 

isiphelo

Umva unemisipha eyahlukeneyo eyaziwa ngokuba yi-thoracolumbar paraspinal muscles evumela ukunyakaza kunye nokuhamba emzimbeni. Imisipha yangemva inceda ukukhusela umlomo wesibeleko, i-thoracic, kunye ne-lumbar amacandelo omqolo ngelixa usebenza kunye namanye amacandelo omzimba ukugcina umzimba uzinzile. Xa ukuguga kwendalo okanye izenzo zichaphazela izihlunu zangasemva, kunokukhokelela kwimiba eyahlukeneyo yeentlungu ezinokuthi zisebenzise amanqaku abangela i-lumbago okanye iintlungu zangasemva. Ngethamsanqa, ezinye iindlela zonyango zinokunceda ukunciphisa intlungu emva kwemisipha ye-thoracolumbar paraspinal ngelixa ulawula amanqaku e-trigger ukubuyisela ukuhamba ngasemva.

 

Ucaphulo

Bell, Daniel J. “Paraspinal Muscles: Radiology Reference Article.” Radiopaedia Blog RSS, Radiopaedia.org, 10 kaJulayi 2021, radiopaedia.org/articles/paraspinal-muscles?lang=us.

du Rose, Alister, kunye noAlan Breen. "Ubudlelwane phakathi kweParaspinal Muscle Activity kunye neLumbar Inter-Vertebral Range of Motion." Ukhathalelo lwempilo (eBasel, eSwitzerland), MDPI, 5 Jan. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4934538/.

Yena, uKevin, et al. "Iimpembelelo ze-Paraspinal Muscle Atrophy kwi-Low Back Pain, i-Thoracolumbar Pathology, kunye neZiphumo zeKliniki emva koTyando lwe-Spine: Ukuphononongwa kweNcwadi." Ijenali yeGlobal Spine, SAGE Publications, Aug. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7359686/.

Khodakarami, Nima. "Ukunyangwa kwezigulane ezineentlungu ezisezantsi: ukuthelekiswa koNyango lwePhysical Therapy kunye neChiropractic Manipulation." Ukhathalelo lwempilo (eBasel, eSwitzerland), MDPI, 24 Feb. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7151187/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.

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