Isikhokelo esigqibeleleyo sokuqinisa imisipha ye-Multifidus

Kubantu abafumana iintlungu ezisezantsi banokuqonda i-anatomy kunye nomsebenzi we-multifidus muscle uncedo ekuthinteleni ukulimala kunye nophuhliso lwesicwangciso sonyango esisebenza kakhulu?

Imisipha ye-Multifidus

Izihlunu ze-multifidus zide kwaye zincinci ngapha nangapha kwekholamu yomgogodla, enceda ukuzinzisa ummandla ophantsi womqolo okanye i-lumbar spine. (UMaryse Fortin, uLuciana Gazzi Macedo 2013) Ukuhlala kakhulu, ukwenza i-postures engafanelekanga, kunye nokungabikho kokunyakaza kunokuqhubela phambili kwi-multifidus muscle buthathaka okanye i-atrophy, enokubangela ukungazinzi komgogodla, ukunyanzeliswa kwe-vertebral kunye nentlungu emva. (UPaul W. Hodges, uLieven Danneels 2019)

Anatomy

Eyaziwa ngokuba ngumaleko onzulu, ngumaleko ongaphakathi wemisipha emithathu yomqolo kwaye ilawula ukuhamba komqolo. Eminye imigangatho emibini, eyaziwa ngokuba yi-intrinsic kunye ne-superficial, inoxanduva lwe-thoracic cage / i-rib cage kunye nokunyakaza kwamagxa. (U-Anouk Agten et al., 2020) I-multifidus ineendawo zokuncamathela apha:

• Umqolo wethoracic womqolo ophakathi.
• I-lumbar spine yomqolo osezantsi.
• Umqolo we-iliac - isiseko sethambo le-pelvis enephiko.
• I-Sacrum - uchungechunge lwamathambo kwisiseko somqolo oxhunywe kwi-tailbone.
• Xa umile okanye uhamba, i-multifidus muscle isebenza kunye ne-transversus abdominus kunye nemisipha ye-pelvic floor ukuzinzisa i-lumbar spine. (UChristine Lynders 2019)

Umsebenzi Wezihlunu

Umsebenzi oyintloko kukuzinzisa umqolo ongaphantsi, kodwa unceda ukwandisa umqolo ophantsi xa ufikelela okanye ukolula. (UJennifer Padwal et al., 2020) Ngenxa yokuba i-muscle inamanqaku amaninzi okunamathisela kwaye isetyenziswa lisebe elithile leentsholongwane ezibizwa ngokuba yi-ramior yangasemva, ivumela i-vertebra nganye ukuba isebenze ngokuzimeleyo nangaphezulu.

• Oku kukhusela ukuwohloka komgogodla kunye nokuphuhliswa kwe-arthritis. (UJeffrey J Hebert et al., 2015)
• Imisipha ye-multifidus isebenza kunye namanye amaqela amabini e-muscle anzulu ukuzinza kunye nokuhambisa umqolo. (UJeffrey J Hebert et al., 2015)
• Imisipha ye-rotatores yenza ukujikeleza kwe-unilateral, ukujika ukusuka kwelinye icala ukuya kwelinye, kunye nokwandiswa kwamacala amabini okanye ukugoba ngasemva naphambili.
• Imisipha ye-semispinalis ngaphezu kwe-multifidus ivumela ukwandiswa kunye nokujikeleza kwentloko, intamo, kunye nomva ongaphezulu.
• I-multifidus muscle iqinisekisa amandla omgogodla ngenxa yokuba inamanqaku amaninzi okunamathisela kumqolo kunezinye iindawo, ezinciphisa ukuguquguquka komgogodla kunye nokujikeleza kodwa kwandisa amandla kunye nokuzinza. (U-Anouk Agten et al., 2020)

Ubuhlungu Bokubuyisela

I-multifidus muscle ebuthakathaka iphazamisa umqolo kwaye inika inkxaso encinci kwi-vertebra. Oku kongeza uxinzelelo kwiimisipha kunye nezicubu ezixhamlayo phakathi kunye nakufuphi nekholamu yomgogodla, ukwandisa umngcipheko weempawu zentlungu ephantsi. (UPaul W. Hodges, uLieven Danneels 2019) Ukulahlekelwa kwamandla emisipha kunye nokuzinza kunokubangela i-atrophy okanye ilahleko. Oku kunokubangela uxinzelelo kunye nezinye iingxaki zomqolo. (UPaul W. Hodges et al., 2015Iingxaki zangasemva ezinxulumene nokuwohloka kwemisipha ye-multifidus zibandakanya (UPaul W. Hodges, uLieven Danneels 2019)

• Iidiski zeHerniated - nazo ziqhuma okanye zityibilikile iidiski.
• I-nerve entrapment okanye i-compression pinched nerve.
• Sciatica
• Intlungu ekubhekiselwa kuyo - iintlungu zemithambo-luvo ezivela kumqolo ovakala kwezinye iindawo.
• I-Osteoarthritis - i-arthritis yokunxiba kunye nokukrazula
• I-Spinal osteophytes - i-bone spurs
• Izihlunu ezibuthathaka zesisu okanye ze-pelvic zingaphazamisa undoqo, ukwandisa umngcipheko weentlungu ezingapheliyo ezisezantsi kunye nokulimala.

Abantu ngabanye banconywa ukuba badibane nonyango lomzimba kunye ne-chiropractor onokukunceda ukuphuhlisa ezifanelekileyo impatho, isicwangciso sokubuyisela, kunye nokomeleza ngokusekelwe kwiminyaka yobudala, ukulimala, iimeko eziphantsi, kunye nobuchule bomzimba.

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Ngaba i-Core Exercises iNceda ngeeNhlungu zoBumva?

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Ucaphulo

Fortin, M., & Macedo, LG (2013). I-Multifidus kunye neqela le-muscle ye-paraspinal ye-cross-sectional areas yezigulane ezineentlungu ezisezantsi kunye nokulawula izigulane: ukuphononongwa okucwangcisiweyo okugxininise ekungabonini. Unyango lomzimba, 93 (7), 873-888. doi.org/10.2522/ptj.20120457

Hodges, PW, & Danneels, L. (2019). Utshintsho kwiSakhiwo kunye noMsebenzi weMihlunu yangasemva kwintlungu esezantsi: Amanqaku ahlukeneyo exesha, ukuqwalaselwa, kunye neendlela. Ijenali yonyango lwamathambo kunye nezemidlalo, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827

Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). I-lumbar multifidus ibonakala ngohlobo olukhulu lwe-I muscle fibers xa kuthelekiswa ne-erector spinae. I-Anatomy & cell biology, 53 (2), 143-150. doi.org/10.5115/acb.20.009

Lynders C. (2019). Indima ebalulekileyo yoPhuhliso lwe-Transversus Abdominis ekuThintelweni kunye noNyango lwe-Low Back Pain. Ijenali ye-HSS : ijenali ye-musculoskeletal yeSibhedlele soTyando oluKhethekileyo, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8

Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Umahluko wengingqi phakathi kwe-surficial and deep lumbar multifidus kwizigulane ezine-chronic lumbar spine pathology. I-BMC ye-musculoskeletal disorders, i-21 (1), i-764. doi.org/10.1186/s12891-020-03791-4

Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Uvavanyo lomsebenzi we-lumbar multifidus muscle nge-palpation: ukuthembeka kunye nokunyaniseka kovavanyo olutsha lweklinikhi. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056

Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Utshintsho lwe-Muscle ye-Multifidus Emva kokulimala kwe-Back ibonakaliswe ngokuHlaziywa kweSakhiwo se-Muscle, i-Adipose kunye ne-Connective Tissue, kodwa kungekhona i-Muscle Atrophy: Ubungqina be-Molecular and Morphological. Umqolo, 40 (14), 1057-1071. doi.org/10.1097/BRS.0000000000000972