Ukwahluka kwe-MET Technique ye-Muscle Pain

intshayelelo

Amaqela ahlukeneyo emisipha emzimbeni avumela umphathi ukuba ahambe kwaye asebenze ngezenzo ezininzi ngaphandle kokuva nakuphi na ukungonwabi okanye iintlungu. Umzimba unamacandelo amabini: amacandelo aphezulu nangaphantsi anemisebenzi eyahlukeneyo, ukusuka ekujikeni entanyeni ukusuka kwelinye icala ukuya kwelinye ukuvumela i imilenze ukuze umzimba ukwazi ukuhamba. Xa imiba eyahlukeneyo okanye izinto ziqala ukuchaphazela umzimba ngokuhamba kwexesha, njengokulimala kwemisipha okanye izinto eziqhelekileyo ezifana ukuphosa kwaye ukuhlala ixesha elide, kubangela ukugqithiswa kweeprofayili zengozi ezinokukhokelela kwiimeko ezingapheliyo ze-musculoskelet. Nini ukuphazamiseka kwe-musculoskeletal kuchaphazela umzimba, kunokukhokelela kwiintlungu kunye neentlungu ezidibeneyo ezinokubangela ukungahambi kakuhle kumqolo kwaye kubangele ukuba imicu yemisipha ibe mfutshane kwaye igxininise. Ngethamsanqa kukho unyango olukhoyo oluvumela umzimba ukuba uzilungelelanise kwaye wolule loo misipha imfutshane. Inqaku lanamhlanje lijonga indlela iintlungu ze-muscle ezichaphazela ngayo umzimba kunye nendlela iindlela ezahlukeneyo ze-MET ezisetyenziselwa ngayo ukunciphisa kunye nokwelula iintlungu zemisipha. Sikhankanya kwaye sinikezele ngolwazi oluxabisekileyo malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa iindlela ezifana ne-MET kunye nonyango lwabantu abane-muscle strain ehambelana neentlungu zomzimba. Sinika inkuthazo kwizigulane ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo zoxilongo. Siyayixhasa ukuba imfundo yeyona ndlela imangalisayo yokubuza ababoneleli bethu eyona mibuzo inomdla xa isigulana sivuma. UDkt Alex Jimenez, DC, udibanisa olu lwazi njengenkonzo yemfundo. isikhanyeli

Iintlungu zemisipha ziwuchaphazela njani umzimba?

Ngaba uye wajongana noxinzelelo lwemisipha okanye iintlungu kwiindawo ezahlukeneyo zomzimba? Ngaba ufumana naziphi na iintlungu ezithunyelwe kwezinye iindawo zomzimba? Okanye ngaba izihlunu zakho ziziva ziqine kakhulu kangangokuba zikwenza ube buhlungu? Xa umzimba ujongene nemiba eyahlukeneyo ebangela ukuba imicu ye-muscle igxininiswe, inokukhokelela kwiintlungu zemisipha kwaye ibangele abantu abaninzi bahlupheke. Uphando lutyhila ukuba iintlungu zezihlunu zenziwa xa iimeko ezibuhlungu ezifana namandla omatshini, ischemia, kunye nokudumba zivuselela imithambo-luvo ekhululekileyo yomzimba. Uninzi lwezi zinto zihambelana nokuphazamiseka kwe-musculoskeletal ezifana ne-fibromyalgia kunye nentlungu ye-myofascial enokuphuhlisa amanqaku e-trigger (i-palpable, i-nodules encinci) kwi-fibers ye-muscle eyenza ukuba izihlunu zibe nzima kwaye zivumelane. Izifundo ezongezelelweyo nazo zityhila ukuba xa izihlunu ziqala ukuxinana, ngakumbi amathole, inokuba buhlungu kakhulu kwaye ingabi yokuzikhethela njengoko ichaphazela iqela le-muscle, isihlunu ngokwaso, okanye nayiphi na imicu yezihlunu ekhethiweyo. Oku kubangela ukuba umntu abe nentlungu kwimeko ebukhali njengoko i-muscle ikhulula; nangona kunjalo, ukuba iintambo ze-muscle zisekho ukunyathela rhoqo, kunokukhokelela kwimiba engapheliyo echaphazela iqela le-muscle.

Ukoyisa Intlungu Ngokhathalelo lweChiropractic-Ividiyo

Ngokuphathelele intlungu yemisipha emzimbeni, izifundo zityhila ukuba i-nociceptive nerve endings kwimisipha kunye ne-tissue fibers inokubangela ukuba izibonakaliso ze-neuron ezivela kwinkqubo ye-nervous central ibe yi-hyperexcitable, kwaye ukuxhatshazwa kunokukhokelela kwiintlungu zemisipha. Oku kubangela ukuba iqela lezihlunu kunye nezihlunu ezijikelezileyo zixinzelele kwaye zibongoze iintlungu xa zishukuma. Ukuza kuthi ga ngoku, kunokubangela umntu ojongene neentlungu zemisipha ukuba azame ukufumana unyango olwahlukeneyo lokunciphisa intlungu kwaye aqhubeke nobomi babo. Xa kufikwa kwiintlungu zinokukhululeka ngonyango olufana nokhathalelo lwe-chiropractic kunye nonyango lwe-massage ukunciphisa iziphumo zentlungu yemisipha ehambelana nokuphazamiseka kwe-musculoskeletal. Ividiyo engentla ichaza indlela unyango olufana nokhathalelo lwe-chiropractic lubandakanya iindlela ezahlukeneyo zokulungelelanisa umzimba ukusuka kwi-subluxation kunye nokunceda ukunweba imisipha eqinile, emifutshane usebenzisa i-manpulation manual kunye ne-MET technique.

Iiyantlukwano ze-MET Technique

Xa izihlunu kwi-musculoskeletal system zijongene neentlungu kwiindawo ezahlukeneyo okanye kwindawo enye emzimbeni, kunokubangela ukuba umntu abe neentlungu eziqhubekayo. Ngethamsanqa unyango olufana nokhathalelo lwe-chiropractic aluphazamisi kwaye lunyanga njengoko lusebenzisa iindlela ezahlukeneyo zokulungelelanisa umqolo kunye nokwelula amaqela aqinileyo emisipha. Kwi-"Clinical Applications of Neuromuscular Techniques," ebhalwe ngu, Leon Chaitow, ND, DO, kunye noJudith Walker DeLany, LMT, wathi xa intlungu ye-muscle ichaphazela i-tone ye-tone okanye ibangela utshintsho lwesakhiwo kwi-ROM ye-joint (uluhlu lokunyakaza) kunokukhokelela ubufutshane kunye noxinzelelo kwiqela le-muscle. Uphando lutyhila ukuba i-MET yindlela yokwelula i-therapist therapists isebenzisa isivumelwano somsipha ochaphazelekayo ngendlela elawulwa ngokuchanekileyo ngokuzithandela. Iinguqu ezininzi ezilula zobuchule be-MET zivumela imisipha ukuba yolulwe, iqinise kwaye iphucule ukujikeleza kwendawo ngelixa idibanisa ukukhawulelana ngokubambisana. Ezantsi apha ngezantsi kukho ukuhluka kobuchule bokwelula nge-MET.

I-Isometric Contraction: I-Reciprocal Inhibition kwi-Acute Setting

Ubuchule be-isometric contraction busetyenziselwa ukuthintela ukuphindaphinda kwimeko ebukhali apho izihlunu ezichaphazelekayo zijongene neempawu ze-muscle spasms. I-contraction ye-isometric ivumela ugqirha ukuba ancede ukukhulula i-spasms ye-muscular acute kunye nokudibanisa amalunga athintelweyo ngelixa elungiselela amajoyina ukuze aqhutywe.

• Indawo yokuqala: Xa izihlunu ezibukhali okanye iingxaki ezidibeneyo zichaphazela ukusebenza komzimba, iingcali zonyango kufuneka ziqalise isithintelo esilula.
• Imodus Operandi: Imisipha echaphazelekayo isetyenziswe kwi-contraction ye-isometric, evumela ukuba i-muscle emfutshane ikhululeke.
• Amandla: I-Therapist kunye nemikhosi yomntu ngamnye ihambelana kwaye ibandakanya i-20% yamandla omntu ukunyusa akukho ngaphezu kwe-50%.
• Ubude bexesha: Ekuqaleni i-7-10 imizuzwana ngelixa inyuka ukuya kwimizuzwana engama-20.
• Intshukumo elandelayo ukufinyezwa: Ummandla we-muscle kunye nokudibanisa uthathwa kwisithintelo esitsha esithintelweyo ngaphandle kokwelula emva kokuphumla okupheleleyo. Iingcali zonyango kufuneka zenze intshukumo kwisithintelo esitsha esithintelweyo ekukhupheni umoya.
• Uphindaphindo: Phinda izihlandlo ezithathu ukuya kwezintlanu de kungabikho nzuzo engakumbi kuluhlu lwesindululo esinokwenzeka.

I-Isometric Contraction: I-post-isometric Relaxation kwi-Chronic Setting

Ubuchule be-isometric contraction busetyenziselwa ukuphumla kwe-post-isometric kwimeko engapheliyo apho imisipha ibanjwe kakhulu. I-isometric contraction technique iyaziwa ngokuba yi-post-facilitation stretching, apho abaphengululi bezolula ezingapheliyo okanye ezithintelweyo, i-fibrotic, i-contracted tissues okanye izicubu ze-muscle ezichaphazelekayo yintlungu ye-myofascial trigger point.

• Indawo yokuqala: Kufutshane komqobo wokuchasa
• Imodus Operandi: Imisipha echaphazelekayo isetyenziswe kwi-contraction ye-isometric evumela ukuba izihlunu ezimfutshane ziphumle kwaye zivumele ukulula okulula.
• Amandla: Zombini i-therapist kunye nemikhosi yomntu ngamnye iyahambelana kwaye inyuse malunga ne-30% yamandla esigulane kwaye inyuke ukuya kwi-50% ye-contractions ukuya kwi-20 imizuzwana.
• Ubude bexesha: Ekuqaleni 7-10 imizuzwana kwaye ukwandisa ukuya kwimizuzwana engama-20.
• Intshukumo elandelayo ukufinyezwa: Ixesha lokuphumla yimizuzwana emi-5 ukuze umzimba uphumle ngokupheleleyo ngaphambi kokuba wolulwe, kwaye ngexesha lokuphefumla, isihlunu sidlula kwindawo engenantlungu, esitsha sothintelo lomqobo obambelwa ubuncinci imizuzwana eyi-10-60.
• Uphindaphindo: Phinda kathathu ukuya kahlanu. 

I-Isotonic Eccentric Contraction

I-isotonic eccentric contraction yindlela ye-isolytic yokomeleza izihlunu ezingasemva ezibuthathaka okanye eziqinile ngenxa yokuhlala ixesha elide okanye ukungama kakuhle. 

• Indawo yokuqala: Kumqobo wokuthintelwa
• Imodus Operandi: Xa i-muscle ibanjwe kwaye ithintelwe, i-therapist isebenzisa le ndlela yokuphumelela ngokukhawuleza kwaye iguqule i-muscle ye-contracting ukuze ikwazi ukunweba ubude obupheleleyo.
• Amandla: Iingcali zonyango zisebenzisa amandla amakhulu kumntu ngamnye kwaye zakha iziphambano ezilandelayo kwi-muscle echaphazelekayo (* Sebenzisa olu luhlu kubantu abangajongani nemiba ye-osteoporotic kwimisipha yabo kunye namalungu)
• Ubude bexesha: Imizuzwana emihlanu ukuya kwesixhenxe
• Uphindaphindo: Phinda amaxesha amathathu ukuya kahlanu ukuba ukungakhululeki akugqithisi.

Isokinetic

Ubuchule be-isokinetic yindibaniselwano ye-isotonic kunye ne-isometric contractions ukuba iingcali ezininzi zeentlungu ezifana ne-chiropractors kunye ne-massage therapists zisebenzisa ithoni ye-musculature ebuthakathaka, ukwakha amandla kuzo zonke izihlunu ezijikelezayo ezibandakanyeka kumsebenzi othile odibeneyo, kunye nokunceda ukuqeqesha kunye nokulinganisela imiphumo imicu yezihlunu zomzimba.

• Indawo yokuqala: Indawo elula yoluhlu oluphakathi
• Imodus Operandi: Umntu usebenzisa ukuchasana okuphakathi njengoko i-therapist ibeka i-joint ngokusebenzisa uluhlu olupheleleyo lokuhamba ngokukhawuleza njengoko le ndlela ihluke kuneendlela ezilula ze-isotonic, kwaye ukuxhathisa kuyahluka kumntu ngamnye. Le ndlela yobugcisa iyanda njengoko inkqubo iqhubela phambili.
• Amandla: Umgqirha usebenzisa amandla aphakathi ukukhusela ukunyakaza komntu kwaye emva koko aqhubele phambili kwimikhosi epheleleyo.
• Ubude bexesha lokufinyela: Ukuya kwimizuzwana emine.

isiphelo

Iindlela ezahlukeneyo zokwelula kwi-MET yonyango zivumela izihlunu ezichaphazelekayo ukuba zolule kwaye zande ngelixa zinciphisa intlungu ye-muscle echaphazela indawo yomzimba. Kubalulekile ukuba uqaphele ukunyakaza okunokubangela ukuba izihlunu zigqithise okanye zixinzelelwe, ezinokubangela intlungu. Unyango olubandakanya ezi ndlela ezahlukeneyo zolula zivumela izihlunu ezichaphazelekayo ukuba ziphumle kwaye zibuyisele ngokwemvelo.

Ucaphulo

Bordoni, Bruno, et al. "IiCramps zeMuscle-StatPearls-ishelufa yeencwadi yeNCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 4 Septemba 2022, www.ncbi.nlm.nih.gov/books/NBK499895/.

UChaitow, uLeon, kunye noJudith Walker uDeLany. Izicelo zeklinikhi zeTechnique zeNeuromuscular. UChurchill Livingstone, ngo-2003.

UFaqih, uAnood I, et al. "Iimpembelelo ze-Muscle Energy Technique kwi-Pain, Range of Motion and Function in Patients with Post-Surgical Elbow Stiffness: A Randomized Controlled Trial." Ijenali yePhysiotherapy yaseHong Kong : Upapasho olusemthethweni lweHong Kong Physiotherapy Association Limited = Wu Li Chih Liao, ILayibrari yeSizwe yezeMithi yase-US, ngoJuni 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6467834/.

UGregory, uNicholas S, kunye noKathleen A Sluka. "Iizinto ze-Anatomical kunye nePhysiological ezinegalelo kwiintlungu ezingapheliyo ze-Muscle." Imixholo yangoku kwiiNeuroscience zokuziphatha, ILayibrari yeSizwe ka-US yamayeza, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4294469/.

Mense, Siegfried. "I-Pathogenesis ye-Muscle Pain." IiNzululwazi zangoku kunye neeNgxelo zeNtloko, ILayibrari yeSizwe yezeMithi yase-US, ngoDisemba 2003, yentshutshiso.ncbi.nlm.nih.gov/14604500/.

isikhanyeli