I-Q / Quadriceps Angle Knee Ukulimala kwiimbaleki zabasetyhini

I-Q okanye i-quadriceps angle yimilinganiselo yobubanzi be-pelvic ekukholelwa ukuba igalelo kumngcipheko wokulimala kwezemidlalo kubadlali basetyhini. Ngaba unyango olungasebenzisi utyando kunye nokuzivocavoca kunceda ukubuyisela ukwenzakala?

I-Quadriceps Q - Ukulimala kwe-Angle

The I-angle ye-Q yi-engile apho i-femur / ithambo lomlenze ophezulu lidibana ne-tibia / ithambo lomlenze ongezantsi. Ilinganiswa ngemigca emibini engenelayo:

• Enye ukusuka kumbindi wepatella / idolo ukuya kumqolo we-iliac ongaphezulu we-pelvis.
• Enye isuka kwi-patella ukuya kwi-tubercle ye-tibial.
• Kwi-avareji i-engile izidanga ezintathu eziphezulu kwabasetyhini kunamadoda.
• Umyinge we-17 degrees kubasetyhini kunye ne-14 degrees yamadoda. (URamada R Khasawneh, et al., 2019)
• Iingcali zonyango lwezemidlalo zidibanise i-pelvis ebanzi kwi-Q-angle enkulu. (URamada R Khasawneh, et al., 2019)

Abasetyhini banomahluko we-biomechanical oquka i-pelvis ebanzi, okwenza kube lula ukuzala. Nangona kunjalo, lo mahluko unokubangela ukulimala kwamadolo xa udlala imidlalo, njengoko i-angle ye-Q eyandisiweyo ivelisa uxinzelelo olungakumbi kwi-joint joint, kunye nokukhokelela ekunyusweni kweenyawo.

Ukulimala

Izinto ezahlukeneyo zinokunyusa umngcipheko wokulimala, kodwa i-angle ye-Q ebanzi idibaniswe nezi meko zilandelayo.

I-Patellofemoral Pain Syndrome

• I-angle ye-Q eyongeziweyo inokubangela ukuba i-quadriceps itsale kwi-kneecap, ukuyisusa kwindawo kwaye ibangele ukulandelwa kwe-patellar engasebenziyo.
• Ngokuhamba kwexesha, oku kunokubangela intlungu emadolweni (ngaphantsi kunye ne-kneecap), kunye nokungalingani kwemisipha.
• I-orthotics yeenyawo kunye nenkxaso ye-arch inokucetyiswa.
• Abanye abaphandi baye bafumana ikhonkco, ngelixa abanye bengayifumananga intlangano efanayo. (Wolf Petersen, et al., 2014)

IChondromalacia yedolo

• Oku kukunxitywa kwe-cartilage ngaphantsi kwe-kneecap.
• Oku kukhokelela ekuhlaziyweni kweendawo ze-articular zamadolo. (Enrico Vaienti, et al., 2017)
• Uphawu oluqhelekileyo lubuhlungu phantsi kunye nokujikeleza i-kneecap.

ACL Ukwenzakala

• Abasetyhini banamazinga aphezulu okulimala kwe-ACL kunamadoda. (Yasuhiro Mtani. 2017)
• I-angle ye-Q eyandisiweyo ingaba yinto eyandisa uxinzelelo kwaye ibangele ukuba idolo lilahlekelwe ukuzinza.
• Nangona kunjalo, oku kuhlala kuyingxabano, njengoko ezinye izifundo zifumene ukuba akukho nxulumano phakathi kwe-Q angle kunye nokulimala kwamadolo.

Unyango lweChiropractic

Ukuqinisa imiSebenzi

• Iiprogram zokuthintela ukulimala kwe-ACL ezenzelwe abafazi ziye zaphumela ekunciphiseni ukulimala. (UTrent Nessler, et al., 2017)
• The vastus medialis obliquus okanye VMO sisihlunu se-teardrop esinceda ukuhambisa idolo kunye nokuzinzisa i-kneecap.
• Ukomeleza i-muscle kunokunyusa ukuzinza kwamadolo.
• Ukuqiniswa kunokufuna ugxininiso oluthile kwi-muscle contraction time.
• Imithambo evaliweyo efana nee-squats eludongeni iyacetyiswa.
• Ukuqiniswa kweGlute kuya kuphucula ukuzinza.

Ukuthoba imithambo

• Ukolula imisipha eqinile kuya kunceda ukukhulula indawo eyonzakeleyo, ukwandisa ukujikeleza, kunye nokubuyisela uluhlu lwentshukumo kunye nomsebenzi.
• Izihlunu ezifunyanwe ziqinile ziquka I-quadriceps, i-hamstrings, i-iliotibial band, kunye ne-gastrocnemius.

IiOthotics zeenyawo

• I-orthotics eyenziwe ngokwezifiso, i-flexible orthotics inciphisa i-angle ye-Q kwaye inciphisa ukubizwa, ukukhulula uxinzelelo olongezelelweyo emadolweni.
• I-orthotic yesiko iqinisekisa ukuba unyawo kunye nomlenze we-dynamics zibalwa kwaye zilungiswe.
• Izihlangu zokulawula ukuhamba zinokunceda ukulungisa ukugqithisa.

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Ukuvuselela idolo

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Ucaphulo

Khasawneh, RR, Allouh, MZ, & Abu-El-Rub, E. (2019). Umlinganiselo we-quadriceps (Q) i-angle ngokumalunga nemilinganiselo eyahlukeneyo yomzimba kubantu abancinci base-Arab. PloS enye, 14(6), e0218387. doi.org/10.1371/journal.pone.0218387

Petersen, W., Ellermann, A., Gösele-Koppenburg, A., Best, R., Rembitzki, IV, Brüggemann, GP, & Liebau, C. (2014). I-Patellofemoral syndrome yentlungu. Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: Ijenali esemthethweni ye-ESSKA, i-22 (10), i-2264-2274. doi.org/10.1007/s00167-013-2759-6

Vaienti, E., Scita, G., Ceccarelli, F., & Pogliacomi, F. (2017). Ukuqonda idolo lomntu kunye nobudlelwane bayo nokutshintshwa kwedolo elipheleleyo. I-Acta bio-medica : Atenei Parmensis, 88 (2S), 6-16. doi.org/10.23750/abm.v88i2-S.6507

UMitani Y. (2017). Ukwahluka okunxulumene nesini kukulungelelaniswa kwemilenze engaphantsi, uluhlu lwentshukumo edibeneyo, kunye nesiganeko sokulimala kwezemidlalo kwiimbaleki zaseyunivesithi zaseJapan. Ijenali yeNzululwazi yoNyango lwePhysical, 29 (1), 12-15. doi.org/10.1589/jpts.29.12

Nessler, T., Denney, L., & Sampley, J. (2017). UThintelo lokwenzakala kwe-ACL: UPhando lusixelela ntoni? Uphononongo lwangoku kwiyeza le-musculoskeletal, i-10 (3), i-281-288. doi.org/10.1007/s12178-017-9416-5