Izihlunu zePeroneal, amaqatha abuthathaka, kunye neeNqaku zokuQalisa

intshayelelo

Amaqatha kunye nemilenze ephantsi inobudlelwane obuqhelekileyo ngokuvumela ukunyakaza kwi unyawo oko kubangela intshukumo yokuhla-phezulu. Umlenze ongezantsi unemisipha eyahlukeneyo kunye neetoni ezijikeleze ithambo le-shin kwaye uvumela iinyawo ukuba zithathe umzimba ukusuka kwindawo ukuya kwenye. Izihlunu ze-peroneal emilenzeni zivumela ukuzinza kwe-ankle ukuqinisekisa ukuba ubunzima obuvela kumzimba womninimzi akubangeli ukulayisha ngaphezulu emilenzeni nasemaqatheni. Nangona kunjalo, izinto ezifana ukunyanya, ukuxhwaleka, okanye ukugqithisa kunokubangela ukuba imisipha ye-peroneal ibe sidikwe kunye nokuphuhlisa imiba enjengama-ankle abuthathaka okanye amanqaku abangela ukuba kubangele intlungu echazwe kwii-ankle kwaye ichaphazele indlela umntu ahamba ngayo. Inqaku lanamhlanje liphonononga izihlunu ze-peroneal, indlela amaqatha abuthathaka anxibelelana ngayo kunye namanqaku e-trigger, kunye neendlela zokuqinisa amaqatha ngelixa ulawula amanqaku okuqalisa. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezahlukeneyo zobugcisa kwiindawo eziphantsi zomzimba, njengomlenze ophantsi kunye neentlungu ze-ankle zonyango ezihambelana nokukhupha amanqaku, ukunceda abantu abaninzi abajongene neempawu zentlungu kunye nemisipha ye-peroneal, ebangela i-ankle ebuthathaka. Sikhuthaza kwaye siyasixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile. Siyaqonda ukuba imfundo yeyona ndlela ibalaseleyo xa ubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana kunye nokuqonda kwakhe. UDkt Alex Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli

Izihlunu Peroneal Emaqatheni

Ngaba ukhe wava iintlungu xa uhamba rhoqo? Kuthekani ngokuva iintlungu ezibukhali okanye ezidakumbileyo emqolo okanye ecaleni kwemilenze yakho? Okanye uziva ufuna ukuwa xa umile nje? Abantu abaninzi abajongene nale miba kwimilenze yabo kunye namaqatha banokujongana namanqaku okuqalisa kunye nemisipha ye-peroneal emaqatheni. Izihlunu ze-peroneal ziquka izihlunu ezimbini kwi-lateral compartment yemilenze ephantsi: i-peroneus longus kunye ne-peroneus brevis. I ixesha elide sisihlunu eside esibalulekileyo kwimilenze engezantsi njengoko ingaphezulu kwifibula kwaye ibaleka ihle ngomlenze ongaphandle ngelixa idibanisa unyawo. Omnye wemisebenzi ephambili ye-peroneus longus ivumela i-plantarflex kwaye iguqule unyawo kwi-ankle. Oku kuthetha ukuba i-peroneus longus inceda ukubonelela amandla emoto kunye noluhlu lwentshukumo kumaqatha. 

The peroneus brevis yenye yezihlunu ezimfutshane ze-peroneal emilenzeni ehla ukuya emaqakaleni kwaye inika uncedo lokuvumela i-eversion kunyawo kunye ne-plantarflexion ukuya emaqatheni. Esi sihlunu esifutshane sibalulekile kuba i-ankle edibeneyo ihamba ngokukhawuleza kwaye idinga ukuzinza kwi-ligaments ejikelezileyo kunye nezihlunu. Ezi zihlunu zimbini zisebenza kunye ukuzinza kwe-ankle xa uhamba kwaye ubeka indawo xa umzimba uhamba. Uphando lutyhila ukuba kuxhomekeke kwindawo yomntu, izihlunu ze-peroneal zivumela inkxaso kunye nokuzinza kwi-ankle kwiindawo ezahlukeneyo. Umzekelo omhle kukuba unyawo lubekwe kwindawo ethambekileyo, imisipha ye-peroneal kunye nemigqaliselo ejikelezileyo inceda ukuzinzisa i-ankle ngoko ayiyi kubangela intlungu, ebangela ukuba umntu angawi. 

Amaqatha abuthathaka kunye neeNqaku zokuTyala

Xa izinto ezinjengokutyeba, ukwenzakala, okanye ukulimala kuqala ukuchaphazela isiqingatha esisezantsi somzimba, kunokubangela ukungazinzi emilenzeni kwaye kubangele ukuba izihlunu ezijikelezileyo, iintambo, kunye nemigqaliselo yolulwe, ithathe umthwalo ongaphezulu emilenzeni. okanye unengxaki yokukrazuka kwemisipha okanye i-tendon. Ezi zinto zihambelana nemiba eyahlukeneyo enokuthi ibangele intlungu kunye nokuphuhlisa amanqaku e-trigger kunye nemilenze ephantsi. Xa kukho imiba kwimisipha ye-peroneal, kunokukhokelela ekubeni buthathaka kwemisipha kwi-ankle okanye "i-ankle ebuthakathaka," okubangela ukungazinzi emzimbeni kwaye kubangela ukuba umntu ahlasele amaqatha. Uphando lutyhila ukuba xa i-peroneal tendon inezinyembezi kwiindawo ezisezantsi, kunokukhokelela kwintlungu ye-ankle esecaleni ehlala iphosakele xa ihlolwe. Nangona kunjalo, ukuya kuthi ga ngelo xesha, ukuba ukusika kushiywe kungaphathwanga, kunokukhokelela kwiintlungu eziqhubekayo ze-ankle, ukungazinzi, kunye nokungasebenzi kakuhle kwe-ankle. Kwi-"Myofascial Pain and Dysfunction," ebhalwe nguDkt. Janet G. Travell, MD, wathi xa abantu bebandezeleka ngenxa ye-ankle ebuthathaka okanye i-ankle sprain, i-trigger points esebenzayo ingabangela intlungu kunye nokuthamba kwi-ankle kwaye kubangele ukuba umntu abe. engazinzanga. Ukuba ishiywe ingaphendulwanga, inokubangela ukuba balahlekelwe yibhalansi kwaye babe nokuhla kweenyawo kunye nokuphuka kwe-ankle ezinyaweni zabo. Le ncwadi iphinde yakhankanya ukuba nakuphi na ukuphuka kwi-tendon kunye nezihlunu kunokubangela i-lateral compartment syndrome. Xa kukho ukungazinzi emaqakaleni, abantu abaninzi babhenela ekusebenziseni izixhobo zokuhamba njengenduku okanye umntu ohambahambayo ukuba abe neselula ukuhlawulela umsebenzi olahlekileyo ezinyaweni zabo.

Unyango lwe-Trigger Point kwi-Peroneal Muscles-Ividiyo

Ngaba uziva iintlungu ukusuka emazantsi eenyawo ukuya emaqatheni? Ngaba kubuhlungu ukuhambahamba ixesha elifutshane? Okanye ngaba ukrunekile iqatha, kwaye kukho i-ache ebuhlungu xa uzama ukujikeleza? Eminye imiba ye-ankle idibaniswa namanqaku e-trigger achaphazela imisipha ye-peroneal. Imisipha ye-peroneal inceda imilenze ephantsi ngokuvumela i-eversion kwinyawo kunye ne-plantarflexion ukuya emaqatheni. Izihlunu ezimbini ezenza izihlunu ze-peroneal ziyi-peroneus longus kunye ne-peroneus brevis, kwaye zona, kunye nezinye iintambo kunye neentambo, zinceda ngokuzinza kwe-ankle. Ekubeni i-ankle idibeneyo ehambahambayo, inokuzithoba kwi-sprains, iinyembezi, kunye nokungazinzi emzimbeni, okuvumela ukuba amanqaku okuqalisa aphuhlise kwaye abangele imiba engaphezulu. Iindaba ezilungileyo kukuba kukho iindlela zokulawula amanqaku e-trigger kunye nemisipha ye-peroneal kunye nokunciphisa ukungazinzi kwe-ankle. Le vidiyo ingentla ibonisa apho izihlunu ze-peroneal zikhoyo emlenzeni, apho iindawo ze-trigger ziphi, kunye nendlela yokusebenzisa i-K-tape ukunceda ukuxhasa i-ankle kunye nokukhusela ukulimala okungaphezulu kwesi sixhobo esishukumayo.

Ukomelezwa kweAnkles kunye noLawulo lwamanqaku e-Trigger

Ukungazinzi emaqatheni kunokuba yinto ephazamisayo kubantu abaninzi abahambayo, kodwa xa kuziwa kunyango, kunokuthintela ukulimala kwexesha elizayo ukuba kuphinde kwenzeke. Uphando lutyhila ukuba xa iingcali zentlungu zibandakanya iindlela zokuhlanganisa kunye nonyango olomileyo lwe-needling kwizigulane zabo, lunokubavumela ukuba banciphise intlungu kunye nokukhubazeka kumaqatha, ngaloo ndlela balawule amanqaku e-trigger kunye nemisipha ye-peroneal. Enye indlela abantu abaninzi abanokunciphisa intlungu kwimisipha yabo ye-peroneal ngokubandakanya ukulula kunye nokuzivocavoca ukuqinisa amaqatha abo. Oku kuvumela izihlunu ze-peroneal ukuba zikhululeke kwaye zolule ngobunono ngelixa uqinisa kancinci amaqatha kwindawo yokutshixa. Xa abantu basebenzisa ezi ndlela emilenzeni nasemaqatheni, kunokuzisa ukuhamba kunye nokuzinza emva komzimba ngaphandle kokwesaba ukuwa okanye ukubangela imiba emininzi emaqatheni. 

isiphelo

Njengenye yeendlela ezihamba phambili ze-skeletal joints kumzimba ophantsi, ama-ankle asebenza kunye nemilenze ukubonelela ukuhamba kunye nokuzinza kumzimba. Imilenze engezantsi inezihlunu ezahlukeneyo, iintambo, kunye nemigqaliselo ehamba phantsi kwaye inceda ukuxhasa imilenze kunye namaqatha. Esinye sezihlunu ezibonelela ngaloo nkxaso sisihlunu se-peroneal. Izihlunu ze-peroneal zibandakanya imisipha emibini eyaziwa ngokuba yi-peroneus longus kunye ne-peroneus brevis inceda nge-eversion ukuya ezinyaweni kwaye ivumele i-plantarflexion kwi-ankle. Xa umntu egxininise i-ankle yakhe, ibangela ukuba i-peroneal muscle ibe yinto enqabileyo kwaye iphuhlise i-trigger points. Iindaba ezilungileyo kukuba amanqaku e-trigger ayanyangeka, kwaye unyango oluhlukeneyo lunokunciphisa intlungu kwi-muscle echaphazelekayo. Oku kuvumela ukuzinza kunye nokuhamba emva kweenyawo kunye nokuphucula ukusebenza komzimba.

Ucaphulo

Abd-Rasid, AF, kunye ne-MY Bajuri. "Iinyembezi eziZodwa zePeroneus Longus-Ezidla ngokuphoswa kuxilongo lweentlungu ze-Ankle eziLateral: Ingxelo yeNgxelo." Ijenali yaseMalaysian Orthopedic, ILayibrari yeSizwe yezeMithi yase-US, ngoJulayi 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7513650/.

Basit, Hajira, et al. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, i-Foot Peroneus Brevis Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 8 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK535427/.

ULezak, uBradley, kunye noMatthew Varacallo. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, i-Calf Peroneus Longus Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 25 Aug. 2022, www.ncbi.nlm.nih.gov/books/NBK546650/.

USalom-Moreno, uJaime, et al. "I-Trigger Point Dry Needling kunye ne-Proprioceptive Exercises yoLawulo lwe-Ankle engapheliyo yokungazinzi: uvavanyo lweklinikhi oluhleliweyo." Ubungqina obuSekwe kwiNgxaki eyongezelelweyo kunye neyoNyango olulolunye: i-ECAM, ILayibrari yeSizwe ka-US yamayeza, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4430654/.

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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