I-Myofascial Pain Syndrome kwi-Tensor Fasciae Latae

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Amathanga kwisiqingatha esisezantsi somzimba asebenza kunye nezinqe ukuya uzinzise imilenze xa umzimba ushukuma. Amathanga kunye ne ikhefu zikwaxhasa ubunzima besiqingatha esiphezulu somzimba kwaye zijikelezwe zizihlunu, iiligaments, kunye neengcambu zemithambo-luvo ukubonelela ngegazi kunye. umsebenzi woluvo-motor ukuya emilenzeni. Esinye sezihlunu zethanga ezisebenza kunye ne-hips yi-tensor fasciae latae (TFL) muscle. Xa izihlunu zamathanga zisetyenziswe ngokugqithiseleyo okanye zibandezeleka ngenxa yokulimala, amaqhuqhuva amancinci aziwa ngokuba zii-trigger points (i-myofascial pain syndrome) inokuchaphazela amandla omntu okusebenza emhlabeni wonke. Inqaku lanamhlanje lihlola ukuba yintoni imisipha ye-tensor fasciae latae eyenzayo, indlela i-myofascial pain syndrome ichaphazela ngayo amathanga, kunye neendlela ezahlukeneyo zokwelula / iindlela zamathanga. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi kwiindawo ezisezantsi zomzimba, njengonyango lweentlungu zethanga ezihambelana nokukhupha amanqaku, ukunceda abantu abajongene neempawu zentlungu kunye ne-tensor fasciae latae muscle. Siyazikhuthaza kwaye siyazixabisa izigulana ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuxilongo lwabo, ngakumbi xa kufanelekile. Siyaqonda ukuba imfundo sisisombululo esihle kakhulu sokubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana. UDkt Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Yintoni eyenziwa yi-Tensor Fasciae Latae Muscle?

Ngaba unobunzima bokuhamba ixesha elide? Ngoko uvakalelwa kukuba izinqe zakho ziziva zingazinzanga xa uhamba? Okanye ngaba uziva ukhupha iintlungu ezantsi ukusuka emathangeni ukuya emadolweni? Intlungu yethanga ehambelana nale mpawu inokuchaphazela ukukwazi komntu ukuhamba ukusuka kwindawo enye ukuya kwenye ngenxa yamanqaku okuqalisa achaphazela i-tensor fasciae latae muscle. I tensor fasciae latae (TFL) izihlunu zibekwe kwithanga elisecaleni le-anterolateral kwaye zivela kumqolo we-iliac ongaphambili. I-muscle ye-TFL iphakathi kwe-superficial and deep muscle fibers of the iliotibial (IT) band, njengoko i-attachment yayo incedisa ukuguqa kwamadolo kunye nokujikeleza kwecala. Izihlunu ze-TFL zisebenza kunye kunye nemisipha ye-gluteus kwiintshukumo ezahlukeneyo ze-hip. Uphando lutyhila ukuba umsebenzi oyintloko wemisipha ye-TFL ubonelela ngokulinganisela kubunzima bomzimba kunye nomlenze ongenabunzima bokuhamba. Izihlunu ze-TFL zivumela umntu ukuba ahambe, aqhube, kwaye ancedise ngokunyakaza kunye nokuzinzisa ezinqeni nasemadolweni ngaphandle kwentlungu ebangelwa kumalungu kunye nezihlunu. 

I-Myofascial Pain Syndrome echaphazela amathanga

Ekubeni izihlunu ze-TFL zivumela umntu ukuba ahambe kwaye aqhube, le misipha inokuthi isetyenziswe ngokugqithiseleyo kwaye igxininiswe ngokuphindaphindiweyo ngokuphindaphindiweyo kubangela imiba emininzi emathangeni, emadolweni nasemathangeni. Xa le miba ichaphazela imisipha ye-TFL, inokuphuhlisa ama-nodules kunye ne-muscle fibers eyaziwa ngokuba yi-trigger points okanye i-myofascial pain syndrome. I-Myofascial pain syndrome yintlupheko ye-musculoskeletal enokuthi ibangele intlungu ethunyelwe kwindawo enye yomzimba ngelixa ichaphazela imisipha ejikelezileyo kwindawo eyahlukileyo yomzimba. I-Myofascial pain syndrome ehambelana nezihlunu ze-TFL zingabangela imiba ezinqeni, emathangeni, nasemadolweni ngelixa ichaphazela ukukwazi komntu ukuhamba. Uphando lutyhila ukuba ukuxhaphaka kwe-myofascial pain syndrome kwiimisipha ze-TFL zihambelana neentlungu kunye nokukhubazeka emathangeni. Xa i-myofascial pain syndrome ichaphazela imisipha ye-TFL, inokulinganisa i-knee osteoarthritis engapheliyo. 

Nangona i-myofascial pain syndrome inzima ukuyixilonga, iyanyangeka ngeendlela ezahlukeneyo kunye nobuchule. Kwincwadi kaDkt Janet G. Travell, ye-MD, "Intlungu ye-Myofascial kunye ne-Dysfunction," ikhankanye ukuba xa izigulane zineengongoma ezisebenzayo kwimisipha yazo ye-TFL, ziyazi ukuba intlungu ezibhekiselele ezichaphazela ama-hip joints kwaye azikwazi ukulala ngokukhululekile. amacala abo ngenxa yoxinzelelo lobunzima bomzimba obucinezela imisipha ye-TFL echaphazelekayo. Le ncwadi iphinda ibonise ukuba xa intlungu ibhekiswa kwiimpawu ze-trigger ezinxulumene nezihlunu ze-TFL, inokuphosakela intlungu kwi-glutes.

Inqaku le-Trigger yeVeki: I-Tensor Fasciae Latae- Ividiyo

Ngaba unengxaki yokuhamba ukusuka kwenye indawo ukuya kwenye? Ngaba uziva iintlungu emathangeni okanye emadolweni? Okanye ngaba unengxaki yokungqengqa ngecala ekuvisa ubuhlungu? Ukuba uye wajongana nemiba yokuhamba, ingaba ngenxa ye-myofascial trigger pain in your tensor fasciae latae (TFL) izihlunu ezichaphazela ukukwazi kwakho ukuhamba. Imisipha ye-TFL inceda ukubonelela ngokuzinza ezinqeni nasemathangeni kunye nokuncedisa ukuguqa ngamadolo kunye nokujikeleza kwecala. Esi sihlunu sikwavumela abantu ukuba bahambe kwaye babaleke ngaphandle kwentlungu ebangelwa kumalungu kunye nezihlunu. Xa ukunyakaza okuphindaphindiweyo kuqalisa ukwenza ukuba imisipha ye-TFL isetyenziswe ngokugqithiseleyo kwaye igxininiswe, inokukhokelela kwi-syndrome ye-myofascial pain okanye i-trigger points ekhulayo, ebangela intlungu echazwe emathangeni. Ividiyo engentla ichaza apho imisipha ye-TFL ikhona kwaye apho i-trigger ikhomba kwi-TFL muscles ibangela intlungu emathangeni. I-Myofascial pain syndrome inokulinganisa ezinye iimeko ezingapheliyo ezifana ne-knee osteoarthritis, ebangela intlungu kunye nokukhubazeka kwisiqingatha esisezantsi somzimba.

Iindlela ezahlukeneyo zokolula kunye neeTeknoloji zamathanga

Ngoku i-myofascial pain syndrome ingumngeni wokuxilonga kuviwo ngenxa yeentlungu ezibhekiselele ezichaphazela indawo enye yomzimba kunomthombo wangempela apho intlungu iza khona. Nangona kunjalo, iyanyangeka ngeendlela ezahlukeneyo kunye nokwelula amathanga ukubuyisela ukuhamba komlenze. Uphando lutyhila ukuba ukunweba ngokuthe ngqo kwe-TFL (tensor fasciae latae) izihlunu kunokunciphisa imiphumo yentlungu yexesha elide kwi-hip, amathanga, kunye nomqolo ophantsi kunye nokuphucula ukuhamba kwe-hip kunye nethanga. Izandiso ezahlukeneyo ezifana nezandiso ze-hip kunye nokujikeleza ngokujikeleza izinqe kunokwaphula amanqaku e-myofascial trigger kwi-muscle ye-TFL. Ukusebenzisa i-foam roller ezinqeni kunokwelula ngobumnene kwaye ukhulule imicu ye-muscle kwi-TFL kwaye uncede ukufudumala imisipha ngaphambi kokuba usebenze. Ukuhlala phantsi ngokuchanekileyo esihlalweni kunokunceda i-hips ukuba ibangele ukunyanzeliswa kwemisipha emathangeni kwaye ikhusele imisipha ye-TFL ukuba iyancipha. Ukubandakanya ezi zoluleko kunye nobuchule kunokuphucula ukuhamba kwe-hip kunye nethanga emilenzeni, ukuvumela umntu ukuba ahambe okanye aqhube ngaphandle kwentlungu.

isiphelo

I-TFL (i-tensor fasciae latae) imisipha ifumaneka kwi-anterolateral thigh phakathi kwe-IT (iliotibial) band, encedisa ukuguqa ngamadolo kunye nokujikeleza kwecala. I-muscle ye-TFL iphinda isebenze kunye nemisipha ye-gluteal kwaye ivumela umntu ukuba ahambe, aqhube, kwaye ancedise ukunyakaza kokuzinza emacaleni nasemadolweni ngeentlungu ezibuhlungu kumalungu kunye nezihlunu ezizungezile. Xa izihlunu ze-TFL zisetyenziswe ngokugqithiseleyo, ziyakwazi ukuphuhlisa intlungu ye-myofascial trigger kwi-TFL, ebangela ukuba i-hip, idolo, kunye nentlungu yethanga. Oku kunokubangela ukuba umntu angakwazi ukuhamba ixesha elide kwaye acinge ukuba unokuba ne-osteoarthritis emadolweni. Ngethamsanqa, abantu banokubandakanya iintlobo ezahlukeneyo kunye nobuchule bokunciphisa intlungu emathangeni nasezinqeni ngelixa belawula iintlungu ze-myofascial trigger ecaleni kwemisipha ye-TFL. Ezi zoluleko ezahlukeneyo kunye nobuchule zivumela ukuhamba ubuyela ezinqeni nasemathangeni ukuze umntu akwazi ukuhamba ngaphandle kwentlungu.

Ucaphulo

Gottschalk, F, et al. "I-Anatomy esebenzayo yeTensor Fasciae Latae kunye neGluteus Medius kunye neMinimus." Ijenali yeAnatomy, Ilayibrari yeSizwe yaseMelika yoNyango, Okthobha 1989, www.ncbi.nlm.nih.gov/pmc/articles/PMC1256751/.

Ohtsuki, Keisuke. "Uphononongo lweenyanga ezi-3 zokulandelelwa kweempembelelo zexesha elide zoTyelo oluthe ngqo lwe-Tensor Fasciae Latae Muscle kwizigulane ezine-Acute Lumbago usebenzisa i-Single-Case Design." Ijenali yoNyango lwezeMpilo, Umbutho weNzululwazi yoNyango lwePhysical, ngoMeyi 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4047246/.

Simons, DG, kunye ne-LS Simons. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi. Williams & Wilkins, ngo-1999.

Sánchez Romero, Eleuterio A, et al. "Ukuxhaphaka kwamanqaku e-Myofascial Trigger Points kwizigulane ezine-Osteoarthritis ye-Knee Ebuhlungu: Uhlalutyo Lwesibini." Ijenali yamayeza onyango, MDPI, 7 Agasti 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7464556/.

Trammell, Amy P, et al. "I-Anatomy, iBony Pelvis kunye neLimb esezantsi, i-Tensor Fasciae Muscle-i-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 8 Aug. 2022, www.ncbi.nlm.nih.gov/books/NBK499870/.

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