Amanqaku e-Trigger achaphazela iSerratus Anterior

intshayelelo

Umzimba ophezulu usebenza kuba ubonelela ngozinzo kumzimba kunye nemisebenzi ye-motor-sensory kwiingalo, entanyeni, amagxa, nesifuba. Izihlunu ezijikeleze icandelo ngalinye lomzimba zineendima ezahlukeneyo kunye neziphumo ezinemisebenzi ethile yokusebenza komzimba. Kwindawo yomzimba wesifuba, izihlunu ezahlukeneyo zikhona ukuxhasa mahlombe kunye neengalo ngelixa ukhusela isifuba sesifuba kunye namalungu angaphakathi ngaphakathi. Ezinye izihlunu zesifuba ezahlukeneyo zide zixhase amalungu angaphakathi kunye nezinye izihlunu. Esinye sezo zihlunu saziwa ngokuba yi-serratus anterior muscle. Inqaku lanamhlanje lijonge le misipha, indlela amanqaku e-trigger achaphazela ngayo i-serratus yangaphambili ye-muscle, kunye nezenzo ezahlukahlukeneyo zokulawula amanqaku okuqalisa kunye ne-serratus yangaphambili. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababonelela ngeendlela ezahlukeneyo kwiintlungu zonyango ezinxulumene namanqaku okubangela ukuba bancede abaninzi ababandezelekayo kwiimpawu ezinjengeentlungu kunye ne-serratus anterior muscle ecaleni kwe-ribcage. Sikhuthaza izigulane ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sichaza ukuba imfundo sisisombululo esihle sokubuza ababoneleli bethu imibuzo enzulu nentsokothileyo ngokwesicelo sesigulana. UDkt Alex Jimenez, DC, uphawula olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Yintoni iSerratus Anterior?

Ngaba ubuva iintlungu emacaleni akho? Ngaba uyaqaphela ukuba amagxa akho aziva eqinile xa ujikeleza ngasemva? Okanye ngaba ufumana naziphi na iingxaki zentliziyo ezibangela intlungu? Ubuhlungu bunokuza ngeendlela ezininzi kwaye buchaphazele umntu ngokwahlukileyo, njengoko uninzi lwezi zimpawu zihambelana namanqaku e-trigger achaphazela i-serratus yangaphambili ye-muscle ecaleni kweembambo. I izihlunu ze-serratus zangaphambili sebenza emzimbeni ngenxa yokuba le misipha ingaphakathi ngaphakathi kwe-scapula (amagxa ehlombe) kunye nezihlunu ze-pectoral. Eminye yemisebenzi eyenziwa yi-serratus yangaphambili kukuba inceda ukutsala amagxa ehlombe phambili malunga ne-thorax ngokuvumela i-anteversion kunye nokukhutshwa kweengalo.

Umzekelo omhle kuxa imbethi manqindi iphosa inqindi. Esi senzo se-motor senziwa nge-nerve ye-thoracic ende. I imithambo-luvo ende yethoraci ivela kwimimandla ye-C-5 kunye ne-C-6 yomqolo wesibeleko kwaye i-motor nerve ye-serratus yangaphambili ye-muscle ukuvumela ukunyakaza kwe-anterolateral kumagxa ehlombe avumela ukuphakama kwengalo. Omnye umsebenzi we-serratus yangaphambili kukuba inceda ukuphakamisa iimbambo kunye nokubonelela ngoncedo lokuphefumla. I-serratus yangaphambili yemisipha inceda ukukhusela icala le-ribcage.

Amanqaku e-Trigger achaphazela i-Anterior Serratus Muscle

I-serratus yangaphambili ye-muscle kunye ne-thoracic nerve ende isebenza ngesandla-ngesandla ukuze ibonelele umsebenzi weemoto kwiingalo kodwa ingakwazi ukuzithoba kwiinzakalo ezahlukeneyo ezinokubangela ukuphuhliswa kwamanqaku okubangela okanye i-myofascial pain syndrome kwi-anterior serratus muscle. Ngokutsho kukaDkt Travell, incwadi ye-MD ethi, "Intlungu ye-Myofascial & Dysfunction," i-trigger points inokuthi isebenze xa i-serratus yangaphambili ye-muscle isetyenziswe ngokugqithiseleyo kwaye igxininiswe ekusebenziseni okugqithisileyo njengokugijima ixesha elide, i-pushups, okanye ukuphakamisa ubunzima obunzima okanye ukukhwehlela okukhulu ekuphefumleni. izifo. Ezinye izifundo zityhila oko kubangela iingongoma ezichaphazela i-serratus yangaphambili ye-muscle ingabangela intlungu ejikelezayo ecaleni kodonga lwesifuba lwangaphambili olunokulinganisa i-radiculopathy kwaye luhlala lubhidaniswa neentlungu ezingapheliyo zentamo, ukungazinzi kwi-glenohumeral, kunye ne-shoulder impingement syndrome. Amanqaku e-Trigger ahlala enzima ukuxilonga ngenxa yeentlungu ezibhekiswe kwi-muscle echaphazelekayo. Izinto ezahlukeneyo ezinegalelo ekuphuhlisweni kwamanqaku e-trigger anokuba lula, njengesihlunu esisetyenziswa kakhulu okanye nokuba imeko yokuma embi kancinci enokubangela ukungalingani emzimbeni. 

Ukukhutshwa kwenqaku le-Trigger kwiSerratus Anterior-Ividiyo

Ngaba ujongene neentlungu kwicala leembambo zakho? Kuthekani ngokuba nokuqina okanye intlungu xa uphosa inqindi? Ngaba uziva naziphi na iintlungu okanye iintlungu xa ulungisa ukuma kwakho? Ezi mpawu ozifumanayo zinokuba negalelo ekuphuhliseni amanqaku e-trigger achaphazela i-serratus anterior muscle. I-serratus yangaphambili igubungela icala le-ribcage kwaye ilele ngaphakathi kwi-scapula kunye ne-pectoral muscle. Esi sihlunu sivumela umsebenzi wemoto kwiingalo njengoko idonsa i-scapula phambili malunga ne-thorax xa umntu ephosa i-punch. Nangona kunjalo, xa i-muscle isetyenziswe ngokugqithiseleyo, inokuphuhlisa amanqaku e-trigger kunye ne-serratus yangaphambili ye-muscle kunye nokulinganisa imiba engapheliyo kwisifuba sesifuba. Oku kubangela intlungu ebhekiswayo ukuhamba ukusuka kwicala leembambo ukuya kwisandla, kubangela iimpawu ezinjengeentlungu kwindandatho kunye neminwe epinki. Ngethamsanqa, unyango oluhlukeneyo lunceda ukulawula amanqaku e-trigger kwi-serratus anterior muscle. Ividiyo engentla ibonisa apho iinqununu ze-trigger zifumaneka kwi-serratus yangaphambili kunye nendlela yokukhulula amanqaku e-trigger ukusuka kwi-muscle echaphazelekayo ukuze ukhulule intlungu kunye nokulawula amanqaku okubangela ukuba abuyele kwi-muscle.

Iintshukumo ezahlukeneyo zokulawula amanqaku e-Trigger ecaleni kweSerratus Anterior

Xa i-serratus anterior ichaphazeleka ngamanqaku e-trigger, abantu abaninzi baya kuhlala beva intlungu emacaleni abo kwaye bakhalaze malunga nesifuba sabo esibuhlungu ngenxa yesizathu esingaziwayo. Xa oku kusenzeka, baya kuthunyelwa kwingcali yeentlungu ezifana ne-chiropractor okanye i-massage therapist ukulawula amanqaku e-trigger ahambelana ne-serratus anterior ngokusebenzisa iindlela ezahlukeneyo. Uphando lutyhila ukuba iindlela ezifana ne-intramuscular neural distribution of the serratus anterior muscle inokunceda ukunciphisa imiphumo ye-trigger points kwi-muscle echaphazelekayo ukunciphisa iimpawu ezinjengeentlungu. Ezinye iindlela ezifana ne-thoracic spinal manipulation, i-dry-needling, i-acupuncture, okanye ukunweba iqela le-muscle kunokunceda ukukhulula imisipha eqinile kunye namanqaku aphantsi okubangela ukuba enze. Nangona kunjalo, ezinye izenzo ezinokuthi abantu abaninzi bacinge ngokuguqula okanye ukuphepha imisebenzi enzima enokuvuselela i-serratus yangaphambili ye-muscle trigger points. Naxa umntu elele, ukubeka umqamelo ngaphantsi ukuxhasa ingalo kunokuthintela i-scapula ukuba iwele phambili.

isiphelo

I-serratus yangaphambili i-muscle ifumaneka kwicala leembambo kwaye inzulu ngaphakathi kwe-scapula (amagxa ehlombe) kunye nezihlunu zepowusta. I-serratus yangaphambili ye-muscle isebenza kunye ne-thoracic nerve ende ngokubonelela ngokusebenza kweemoto kwiingalo ngokuvumela ukunyakaza kwe-anterolateral. Oku kwenza umntu akwazi ukuphosa inqindi kumdlalo wamanqindi ngelixa ephakamisa iimbambo encedisa ekuphefumleni. Xa i-serratus yangaphambili ye-muscle inikezela kukulimala okanye isetyenziswe ngokugqithiseleyo, inokukhula ibe ngamanqaku e-trigger kwaye ibangele imiba eyahlukeneyo echaphazela isifuba somzimba. Amanqaku e-Trigger anyangwa ngeendlela ezininzi zonyango ezinokuthi zilawule amanqaku e-trigger ngelixa zinciphisa iziphumo zentlungu ezinikezelwa kwimisipha yangaphambili ye-serratus. Ezi zonyango zibuyisela ukuhamba kunye nokusebenza kweemoto kwiingalo kunye nemisipha yangaphambili ye-serratus.

Ucaphulo

Bautista, Alexander, et al. "I-Serratus Anterior Muscle Pain Syndrome: I-Diagnostic Conundrum." Izifundo ze-OUP, Oxford University Press, 11 Feb. 2017, academic.oup.com/painmedicine/article/18/8/1600/2990174?login=false.

Long, Kirsten, kunye Forshing Lui. "I-Anatomy, i-Thorax, iNerve ye-Thoracic ende." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 31 July 2021, www.ncbi.nlm.nih.gov/books/NBK535396/.

Umphunga, uKirsten, et al. "Anatomy, Thorax, Serratus Anterior Muscles-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), Upapasho lwe-StatPearls, nge-7 Okt. 2021, www.ncbi.nlm.nih.gov/books/NBK531457/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.

Yi, uKyu-Ho, et al. "I-Intramuscular Neural Distribution ye-Serratus Anterior Muscle: Ngokumalunga ne-Botulinum Neurotoxin Injection yokuNyanga i-Myofascial Pain Syndrome." Iidyobisi, MDPI, 11 kuMatshi 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC9033065/.

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