I-Myofascial Trigger Pain echaphazela i-Quadratus Lumborum

intshayelelo

The ngasemva isebenza kunye neziphelo ezisezantsi zomzimba ngokuzinzisa i ikhefu kunye nokunceda ukuxhasa ubunzima bomzimba ongaphezulu. Umqolo osezantsi nawo unemisebenzi emininzi xa kuziwa ekuhambeni. Umqolo ongezantsi uvumela umntu ukuba agobe, ajike, kwaye ajikelezise i-torso ngaphandle kwentlungu eyenziwa emzimbeni. Xa izinto eziqhelekileyo okanye imiba ebuhlungu iqala ukubangela low iqolo kumntu ngamnye, iimpawu ezinjengeentlungu zinokuthi zihambelane nokuphuhliswa kwamanqaku okubangela kwimisipha esezantsi. Inqaku lanamhlanje livavanya i-quadratus lumborum, indlela i-myofascial trigger pain echaphazela ngayo umva ophantsi, kunye nendlela yokulawula intlungu ye-myofascial trigger ngokusebenzisa unyango olwahlukeneyo. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi zonyango lweentlungu ezisezantsi ezinxulumene ne-trigger points ukunceda abantu abajongene neempawu zentlungu kunye ne-quadratus lumborum kwi-back back. Siyazikhuthaza kwaye siyazixabisa izigulana ngokuzithumela kubaboneleli bethu 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 iQuadratus Lumborum?

Ngaba ukhe wafumana iintlungu ezisezantsi? Ngaba uziva ukhululekile xa wolula umqolo wakho ongaphantsi, kuphela ukuba intlungu ibuye kamva? Ngaba uva ukuthamba okanye ubuhlungu emacaleni? Uninzi lwezi zikhalazo zihambelana neentlungu ezisezantsi ezinxulumene ne-trigger points ecaleni kwe-quadratus lumborum. I Quadratus lumborum sisihlunu esithe tyaba, esimile okwe-quadrangular kwi-iliac crest kunye nomqolo onzulu. Esi sihlunu sidlala indima ebalulekileyo kwi-thoracolumbar fascia ehlanganisa indawo yomzimba yangasemva ngelixa ibandakanya iindawo ezisezantsi neziphezulu zemilenze. Ngokutsho kwe "Myofascial Pain and Dysfunction: The Trigger Point Manual," ebhalwe nguDkt. Janet G. Travell, MD, ikhankanye ukuba i-quadratus lumborum isebenza ukulawula ukugoba kwecala ukuya kwelinye icala ngokwandisa ukunyathela. Ezinye izifundo zityhila ukuba izenzo ezahlukeneyo kwi-lumbar spine ziye zabizwa ngokuba yi-quadratus lumborum. Xa i-quadratus lumborum ihamba ngezi zenzo ezahlukeneyo, inokubangela ukuba izihlunu zisetyenziswe ngokugqithiseleyo, okanye xa ukulimala kwenzeka kumqolo ongaphantsi, kunokukhokelela kwimiba eyahlukeneyo enokuthi iphuhlise kwiimeko ezigqithisekileyo kwi-back back.

I-Myofascial Trigger Pain Echaphazela Umqolo Osezantsi

Xa kuziwa kumqolo ongezantsi, abantu abaninzi kwihlabathi liphela bafumana iintlungu ezithile emqolo, kwaye iintlungu ezisezantsi ziqhelekile. Izinto ezahlukahlukeneyo zibangela iintlungu ezisezantsi ukusuka ekuphakamiseni izinto ezinzima, ukugqithisa ngokugqithiseleyo emacaleni ngokujika ngokukhawuleza, okanye ukunxiba okuqhelekileyo kunye nokukrazula komzimba, okunokubangela intlungu ephantsi. Xa iintlungu ezisezantsi zichaphazela i-quadratus lumborum, inokuphuhlisa amanqaku e-trigger okanye intlungu ye-myofascial trigger. Uphando lutyhila ukuba iintlungu ezisezantsi ezivela kwi-quadratus lumborum zinokubonisa intlungu ye-myofascial, ebangela ukuba umntu abe neentlungu ezibuhlungu kwi-back back. Intlungu ye-Myofascial trigger iphuhliswa xa i-muscle echaphazelekayo isetyenziswe ngokugqithiseleyo kwaye ibangela ukuba amaqhina amancinci enze kunye nemicu ye-muscle. Xa intlungu ye-myofascial trigger ikwi-quadratus lumborum, isebenze ngokukhawuleza ngokusebenzisa ukunyakaza okungahambi kakuhle okanye ukwenzakala ngokukhawuleza kumqolo osezantsi, okuchaphazela ukuhamba komqolo ophantsi kunye nezinqe. Izifundo ezongezelelweyo zityhila ukuba ukuxhaphaka kwentlungu ye-myofascial ibangela intlungu kwi-quadratus lumborum, xa ifunyaniswa, inokubonisa amandla okuhluthwa kwe-hip. Iintlungu ezisezantsi ezihambelana ne-myofascial trigger pain inokunxibelelana neminye imiba engapheliyo echaphazela amazantsi omzimba.

Ukukhutshwa kwenqaku le-Trigger: Quadratus Lumborum-Ividiyo

Ngaba ufumana iingxaki zokuhamba ezinqeni zakho? Ngaba uziva iimpawu zobubele okanye ukuqina kumqolo wakho ophantsi? Ngaba kubuhlungu xa ugoba phantsi ukuze uchole into ethile? Uninzi lwezi mpawu zihambelana neentlungu ezisezantsi, ezinokuthi zibandakanye amanqaku okuqalisa ecaleni kwe-quadratus lumborum. Amanqaku e-Trigger akhiwa xa i-muscle isetyenziswe ngokugqithiseleyo okanye iqhutywe kwisiganeko esibuhlungu njengengozi yemoto, kwaye ekubeni intlungu ephantsi ye-back back ixhaphake emhlabeni wonke, inokufihla ezinye iimeko ezingapheliyo ezigqithise intlungu. Ividiyo ichaza apho i-quadratus lumborum ikhona ngasemva, apho amanqaku e-trigger aphawulwe khona, kunye nendlela yokulawula amanqaku e-trigger ngokusebenzisa ukuphathwa ngesandla ngelixa unciphisa intlungu kude nomzimba ophantsi. Xa intlungu ye-myofascial trigger iqala ukuphazamisa imisipha echaphazelekayo kumqolo ongaphantsi. Iindlela ezahlukeneyo zonyango ezisetyenzisiweyo kumqolo osezantsi zinokunceda ukunciphisa iimpawu ezibangelwa ngamanqaku okuqalisa ahambelana nomqolo osezantsi kunye ne-quadratus lumborum.

Ukulawula Intlungu ye-Myofascial Trigger Ngeendlela ezahlukeneyo zonyango

Ekubeni iintlungu ezisezantsi zixhaphake kwihlabathi jikelele kwaye zinokukhokelela ekuphuhlisweni kwamanqaku e-trigger kunye nezihlunu ezahlukahlukeneyo ezisezantsi, ngakumbi i-quadratus lumborum, abantu abaninzi banokusebenzisa amayeza ngokukodwa kwiintlungu ezisezantsi ukunciphisa iimpawu zentlungu; nangona kunjalo, ifihla kuphela intlungu ebangelwa yi-myofascial trigger pain. Uphando lutyhila I-manual trigger-point therapy iindlela ezisetyenziswa ngababoneleli bezempilo ukuvavanya izigulane ezinentlungu evela kwi-myofascial trigger pain. Abaninzi baya kuya kwingcali yeentlungu ukuze balawule amanqaku okuqalisa xa iintlungu ziba nzima kumntu ngamnye. Enye indlela abantu abaninzi ekufuneka bayisebenzise njengenxalenye yenkqubo yabo yemihla ngemihla kukwenza uhlangothi oluthambileyo olulula kwi-quadratus lumborum ukukhulula izihlunu eziqinileyo kunye nokunciphisa amathuba okubangela ukuba kubekho amanqaku kwi-muscle echaphazelekayo kwixesha elizayo. 

isiphelo

I-quadratus lumborum iyisihlunu esisicaba, esine-quadrangular kwi-iliac crest kunye nomqolo onzulu. Lo mzimba unceda ukuhamba kwangasemva kweendawo ezisezantsi kwaye, xa usetyenziswe ngokugqithiseleyo, unokuphuhlisa intlungu ye-myofascial trigger ehambelana nomqolo ophantsi. Oku kunokukhokelela kwimiba eyahlukeneyo yeentlungu eziqhelekileyo ezichaphazela indlela umntu ahamba ngayo kwaye angazinzi xa ehamba. Ngethamsanqa, iintlungu ezisezantsi ezinxulunyaniswa nentlungu ye-myofascial trigger iyanyangeka ngeendlela ezahlukeneyo zonyango ezinokunciphisa iintlungu kunye nokulawula amanqaku okubangela abekwe kumqolo osezantsi. Xa abantu bebandakanya unyango lokunciphisa iintlungu kumqolo wabo osezantsi, baya kuqala ukufumana isiqabu kwaye babe nenjongo yabo emva ebomini babo.

Ucaphulo

Bordoni, Bruno, kunye noMateyu Varacallo. "I-Anatomy, isisu kunye ne-Pelvis, i-Quadratus Lumborum." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 18 July 2022, www.ncbi.nlm.nih.gov/books/NBK535407/.

de Franca, GG, kunye noLJ Levine. "I-Quadratus Lumborum kunye neentlungu ezisezantsi." Ijenali yoNyango kunye noNyango lweeNkobe, iThala leeNcwadi leSizwe laseMelika, ngoFebruwari 11AD, yentshutshiso.ncbi.nlm.nih.gov/1826922/.

Grover, Casey, et al. "Intlungu Ebuhlungu Engasemva ngenxa ye-Quadratus Lumborum Spasm eNyangwa ngoNyango loMzimba ngeManual Trigger Point Therapy kwiSebe likaNgxamiseko." Uqheliselo lweKlinikhi kunye naMatyala kuNyango oluNgxamisekileyo, IYunivesithi yaseCalifornia Irvine, iSebe lezoNyango oluNgxamisekileyo liPapasha i-Western Journal ye-Emergency Medicine, i-29 ngoMeyi 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6682240/.

Phillips, S, et al. "I-Anatomy kunye neBiomechanics yeQuadratus Lumborum." Iinkqubo zeZiko leeNjineli zoomatshini. Icandelo H, iJenali yezobuNjineli kumayeza, ILayibrari yeSizwe yaMayeza yase-US, ngoFebruwari 2008, yentshutshiso.ncbi.nlm.nih.gov/18441751/.

Roach, Sean, et al. "Ukuxhaphaka kwamanqaku e-Myofascial Trigger kwi-Hip kwi-Patellofemoral Pain." IiNqoloba zoLwazi lweMpilo kunye nokuHlaziya, ILayibrari yeSizwe yaseMelika yoNyango, Mar. 2013, yentshutshiso.ncbi.nlm.nih.gov/23127304/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi. Williams & Wilkins, ngo-1999.

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