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Ukuhamba kunye nokuguquguquka

UkuHamba kweKlinikhi ngasemva kunye nokuGuquleka: Umzimba womntu ugcina inqanaba lendalo ukuqinisekisa ukuba zonke izakhiwo zawo zisebenza ngokufanelekileyo. Amathambo, imisipha, iigaments, i-tendon, kunye nezinye izicubu zisebenza kunye ukuvumela uluhlu lwentshukumo kunye nokugcina ukufaneleka okufanelekileyo kunye nokutya okunokulinganisela kunokunceda ukugcina umzimba usebenza ngokufanelekileyo. Ukushukuma okukhulu kuthetha ukwenza iintshukumo ezisebenzayo ngaphandle kwezithintelo kuluhlu lwesindululo (ROM).

Khumbula ukuba ukuguquguquka licandelo lokushukuma, kodwa ukuguquguquka okugqithisileyo ngokwenene akufuneki ukwenza iintshukumo ezisebenzayo. Umntu oguquguqukayo unokuba namandla angundoqo, ukulinganisela, okanye ulungelelwaniso kodwa akakwazi ukwenza ukunyakaza okufanayo okusebenzayo njengomntu onokuhamba okukhulu. Ngokutsho kukaGqr. Alex Jimenez ukuqulunqa amanqaku malunga nokuhamba kunye nokuguquguquka, abantu abangoluliyo umzimba wabo bahlala befumana imisipha efutshane okanye eqinisiweyo, ukunciphisa amandla abo okuhamba ngokufanelekileyo.


I-Neuropathic Gait: Uhlalutyo lokuhamba ngokungaqhelekanga

I-Neuropathic Gait: Uhlalutyo lokuhamba ngokungaqhelekanga

Ngaba unyango lomzimba lunokunceda ukunyanga i-steppage gait ephezulu kukwenzakala okanye iimeko zonyango kunye nokubuyisela iipatheni eziqhelekileyo zokuhamba kwabantu abanayo okanye abaphuhlisayo?

I-Neuropathic Gait: Uhlalutyo lokuhamba ngokungaqhelekanga

Ukuhamba okanye ukuhamba uhlalutyo lwe-anthropometric kwi-treadmill

I-Neuropathic Gait

I-neuropathic gait, i-aka equine okanye i-high steppage gait, luhlobo lokuhamba okungaqhelekanga okubangela ukuba abantu baphakamise izinqe zabo ukuze baphakamise imilenze yabo phezulu kunesiqhelo. Kwenzeka xa abantu behla unyawo okanye i-ankle equinus ngenxa yokulahlekelwa yi-dorsiflexion. Ngenxa yoko, unyawo lujinga ngeenzwane ezijonge phantsi, nto leyo eyenza ukuba iinzwane zirhuqe xa uhamba. Unyawo lusenokubonakala luthambile xa luwa. Ukuhla kweenyawo kubangelwa ubuthathaka okanye ukukhubazeka kwe-tibialis muscle yangaphambili phambi kwethambo le-shin. I-anterior tibialis muscle contracts ukuze uncede ukuguqula unyawo kunye ne-ankle ngelixa uhamba, uqinisekisa ukuba unyawo luhlambulula umgangatho kwaye aluyi kudonsa. Abantu abanobuthakathaka be-tibialis yangaphambili okanye ukukhubazeka banokuba ne-neuropathic gait kwaye bagobe ngokugqithiseleyo i-hip kunye nedolo ngelixa beqhubela phambili, bephakamisa umlenze wabo phezulu phantsi ukuze basuse unyawo ukuze bagweme ukukhubeka. Iqela lonyango lomzimba linokunceda ngepatheni ephezulu ye-steppage gait emva kokugula okanye ukulimala.

Izizathu

Iimeko ezinokubangela ubuthathaka be-tibialis yangaphambili okanye ukukhubazeka kunye nephethini ephezulu ye-steppage gait ibandakanya:

Sciatica

  • Intlungu ebangelwa ukunyanzeliswa okanye ukucaphuka kwe-nerve ye-sciatic iqala kumqolo ophantsi kwaye ihambe phantsi komlenze. (McCabe, FJ, McCabe, JP 2016)

Injury Peroneal Nerve

  • Umonakalo kumasebe e-peroneal nerve avela kwi-nerve ye-sciatic enceda ukuhambisa umlenze ophantsi kunye nonyawo. (Johns Hopkins Medicine. 2024)

Isifo sokugubhuka

Stroke

Umboneleli wezempilo osisiseko unokuthumela iqela lonyango lomzimba ukunceda ukulungisa ipateni ye-neuropathic gait.

impatho

Unyango lunokubandakanya iindlela ezahlukeneyo zonyango ezijolise kwi-anterior tibialis muscle.

  • Ukuzivocavoca kwe-ankle ekujoliswe kuyo kunokunceda ukuqinisa izihlunu.
  • Ukuzolula ithole kunokunceda ukugcina uluhlu lokushukuma kweqatha.
  • Uqeqesho lwe-Gait ukuzilolonga.
  • Ukuzivocavoca ngokulinganisela kuya kunceda ekuphuculeni iproprioception iyonke, okanye ingqiqo yesikhundla somzimba kunye nokuhamba.
  • I-Neuromuscular electrical stimulation, okanye i-NMES, inokunceda ukuphucula umsebenzi we-muscle. (Hollis, S., McClure, P. 2017)
  • Ukukhuthazwa kombane kudibanisa ngokufanelekileyo i-muscle ukubuyisela umsebenzi ofanelekileyo.
  • Ngenxa yobuthathaka be-tibialis yangaphambili ebangelwa yi-sciatica, i-back decompression exercises ingamiselwa ukukhulula uxinzelelo kwi-nerve ye-sciatic.
  • Ukuzivocavoca kukhulula i-nerve ukubuyisela ukuhanjiswa kwesignali eqhelekileyo phezulu nasezantsi kwi-nerve kumqolo ongezantsi.
  • Ukukhuthazwa kombane we-Neuromuscular kungasetyenziselwa ukunceda ukuphucula ukusebenza kwemisipha.

Izixhobo zokuhamba ezincedisayo

Ugqirha usenokucebisa ukuba kusetyenziswe isixhobo sokuncedisa isigulana ukuze sihambe kakuhle. Oku kunokubandakanya umhambi onamavili okanye i-quad cane. Isisombululo sesikhashana sobuthakathaka be-tibialis yangaphambili kukuphakamisa unyawo ngelixa uhamba nge-band elastic. Bopha ibhanti emlenzeni ngaphantsi kwedolo kwaye uyikhusele kwibhola yonyawo. Xa uguqula umlenze phambili, ibhanti idonsa unyawo phezulu. Ukuyisebenzisa njengesisombululo sexeshana kunokunceda ukugcina ukuhamba okukhuselekileyo. Ngamanye amaxesha, ukukhubazeka kwe-anterior tibialis muscle kunokuba sisigxina. Kule meko, abantu ngabanye banokuzuza kwizibophelelo ezikhethekileyo ezibizwa ngokuba yi- i-anthosis ye-ankle-foot. Izihlangu zezilima ezidityaniswe ngentsinjana/ngeplangana zinceda ukuphakamisa unyawo neenzwane emhlabeni.

Kubantu abachaphazelekayo malunga nokulahlekelwa ukulinganisela kunye nokuwa, kukho iindlela zokuphucula iipatheni zokuhamba ukuze bahlale bekhuselekile. Umboneleli wezempilo unokuncoma unyango lomzimba ukulungisa ukuhamba, ukuqinisa i-anterior tibialis muscle, ukuphucula ukulinganisela, nokufundisa ngokuthintela ukulimala. Abantu ngabanye kufuneka baxoxe ngeempawu kunye neemeko kunye nogqirha oyintloko, umboneleli wezempilo, okanye ingcali ukuba ibakhokele kwicala elifanelekileyo kwaye inqume unyango olungcono.

I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic isebenzisa indlela edibeneyo eyenzelwe umntu ngamnye egxile kwizinto ezisebenzelayo kunye nokuphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngezicwangciso zokunyamekela zomntu eziphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo zokunciphisa intlungu. Ukuba olunye unyango luyadingeka, uDkt Jimenez uye wadibanisa kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli bokubuyisela ukubonelela ngonyango olusebenzayo.


Lawula ukunyakaza kweenyawo kunye nokuma


Ucaphulo

McCabe, FJ, & McCabe, JP (2016). Inkcazo engaqhelekanga ye-Sciatica ye-Right-Sided nge-Foot Drop. Iingxelo zeemeko kwi-orthopedics, i-2016, i-9024368. doi.org/10.1155/2016/9024368

Johns Hopkins Medicine. (2024). Ukulimala kwe-nerve peroneal. www.hopkinsmedicine.org/health/conditions-and-diseases/peroneal-nerve-injury

Kaykisiz, EK, & Unluer, EE (2017). Isizathu esingalindelekanga sokulahla unyawo olulodwa: I-Acute Stroke. Ijenali yasePakistan yezenzululwazi zonyango, 33 (5), 1288-1290. doi.org/10.12669/pjms.335.13593

Taylor, PN, Wilkinson Hart, IA, Khan, MS, & Slade-Sharman, DE (2016). Ukulungiswa kweFootdrop ngenxa ye-Multiple Sclerosis Ngokusebenzisa i-STIMuSTEP eFakelwe isivuseleli seenyawo eziwisiweyo. Ijenali yamazwe ngamazwe ye-MS care, i-18 (5), i-239-247. doi.org/10.7224/1537-2073.2015-038

Hollis, S., & McClure, P. (2017). I-Intramuscular Electrical Stimulation for Muscle Activation of the Tibialis Anterior Emva kokulungiswa koCwangciso: Ingxelo yeNgxelo. Ijenali yonyango lwamathambo kunye nezemidlalo, 47 (12), 965-969. doi.org/10.2519/jospt.2017.7368

Ukuvula Uncedo: Ukolulwa kweSihlalo kunye neentlungu zesandla

Ukuvula Uncedo: Ukolulwa kweSihlalo kunye neentlungu zesandla

Ngaba izolulo ezahlukeneyo zinokuba luncedo kubantu abajongana nesandla kunye neentlungu zesandla ngokunciphisa iintlungu kunye nokungonwabi ukuya kwiziphelo?

intshayelelo

Kwihlabathi eliqhutywa yiteknoloji, kuqhelekile ukuba abantu bafumane intlungu yesandla kunye nesandla ngexesha elithile ebomini babo. Izandla ziyinxalenye yeendawo eziphezulu zomzimba kwaye zisetyenziselwa imisebenzi eyahlukeneyo kunye nemisebenzi yonke imini. Iingalo zangaphambili zibonelela ngobudlelwane be-causal kunye nezandla kunye nezandla kwiindawo ezingaphezulu kuba zinika imisebenzi ebaluleke kakhulu yemoto kumzimba. Izandla zixhasa umzimba xa uphethe into; imisipha eyahlukeneyo, iigaments, i-tendon, kunye namalungu anceda isihlahla ngokushukuma kunye nokuguquguquka. Nangona kunjalo, xa ukulimala okanye ukunyakaza kwemihla ngemihla kuqala ukuchaphazela iingalo kwaye kubangele imiba ngezandla kunye nesandla, kunokuba nzima ukwenza imisebenzi elula kunye nefuthe elibi kwindlela yomntu yokuphila. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa intlungu kunye nokukhathazeka kwesandla kunye nezandla. Inqaku lanamhlanje lijolise kwinto ebangela intlungu yesihlahla kunye nesandla, indlela yokuthintela iintlungu zesandla kunye nesandla ukuba zingabuyi, kunye nendlela ukudibanisa ezahlukeneyo kunokunceda ukunciphisa imiphumo efana nentlungu. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya izizathu ezininzi ezikhokelela ekuphuhlisweni kwentlungu yesandla kunye nesandla. Sikwazisa kwaye sikhokela izigulane malunga nokuba iindlela ezahlukeneyo zolula kunye neendlela ezinokunceda ukunciphisa amathuba eentlungu zesandla kunye nesandla ekubuyeni. Sikwakhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya olu luhlu kunye nobuchule kwiindlela zabo zemihla ngemihla ukuze baphile ubomi obunempilo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Yintoni Ebangela Intlungu Yesandla Nesandla?

Ngaba uhlala uziva iintlungu okanye ukuqina esihlahleni sakho emva kokuchwetheza imini yonke kwikhompyuter okanye kwifowuni? Ngaba unengxaki yokubamba izinto ezandleni zakho? Okanye ngaba izandla zakho ziba buhlungu kangaphi xa ukuziphulula kubangela isiqabu sokwexeshana? Abantu abaninzi, kubandakanywa nabantu abadala, baye bafumana intlungu ngexesha elithile, kwaye ixesha elininzi, lichaphazela izandla kunye nezandla. Ekubeni wonke umntu esebenzisa izandla kunye nezandla xa esenza imisebenzi eyahlukeneyo, xa ukulimala okanye ukunyakaza okuphindaphindiweyo kuqala ukuchaphazela izandla kunye nezandla, kunokuba nefuthe elikhulu kwimisebenzi elula. Xa ujongene nentlungu yesandla kunye nesandla, kunokwenza ubomi bube nzima kumntu. Ekubeni intlungu iyimpendulo eqhelekileyo yokukhusela kuyo nayiphi na inzakalo kunye nokuvuselela okunokuthi kube yingozi kwifom yayo enzima, xa imiba ye-neuromuscular ehlala ixesha elide okanye engasebenziyo iqala ukuchaphazela umzimba, inokubangela ukukhubazeka kunye neentlungu. (Merkle et al., 2020) Kwiintlungu zesandla kunye nesandla, iziganeko ezininzi ezikhokelela ekuphuhlisweni kwayo zibangelwa yi-micro-stress okanye ukusetyenziswa kweenyembezi okuphindaphindiweyo. 

 

 

Oku kungenxa yokuba ihlabathi liqhutywa yi-teknoloji, abantu abaninzi basebenzisa iikhomputha okanye ii-smartphones ukuze banxibelelane, nto leyo enokuba yenye yezizathu zokuphuhliswa kwentlungu yesandla kunye nesandla. Xa abantu abaninzi besebenzisa izixhobo zombane rhoqo, ukuhamba rhoqo kunye nokusetyenziswa kwezithupha kuya kwandisa umthwalo wabo kwaye kube kukuxhaphaka okuphezulu kokuphazamiseka kwe-musculoskeletal disorders. (UBaabdullah et al., 2020) Olunye uphononongo luchaze ukuba xa abantu abaninzi beqala ukwenza iintshukumo eziphindaphindayo rhoqo kwaye beneendawo ezahlukeneyo zamalungu esihlahla sabo ngelixa besebenzisa izixhobo zabo zombane rhoqo, kunokubangela intlungu kumalungu esihlahla sabo kwaye kuchaphazele ubume. (U-Amjad et al., ngo-2020) Ukongezelela, xa ukubonakaliswa kwe-vibration ngokuphindaphindiweyo okanye ukunyanzeliswa kwe-angular kuchaphazela izandla kunye nezandla, kunokukhokelela kwi-carpal tunnel syndrome kwaye ichaphazele izandla. (Osiak et al., 2022) Amalungu ahlukeneyo, imisipha, kunye nezihlunu nazo ziyachaphazeleka ezandleni nasezihlahleni njengeendawo ezivusa umphambili. Ngethamsanqa, kukho iindlela ezininzi apho abantu abaninzi banokunciphisa iintlungu ezinjengeentlungu zesandla kunye neentlungu zesandla.

 


Iingenelo Zokolula-Ividiyo


Indlela Yokuthintela Intlungu Yesandla kunye Nesandla Ekubuyeni

Kukho iindlela ezininzi zokunciphisa intlungu yesandla kunye nesandla, kwaye abantu abaninzi bazama ukufumana izisombululo zonyango ukunciphisa intlungu. Unyango olungasebenzisi utyando olufana nonyango lwezandla lunokunceda ngeentlungu zesandla kunye nesandla ngokusebenzisa amandla okuhlanganisa ukuvumela ukuguqulwa kwesandla kunye nokwandiswa ukuphucula ukusebenza kweemoto. (Gutierrez-Espinoza et al., 2022) Olunye unyango olungelulo utyando olunokunceda ngesihlahla kunye neentlungu zesandla yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, eziqinileyo, ezincinci ukuba zifakwe kwii-acupoints ezahlukeneyo kwi-forearm ukunciphisa ubunzima beentlungu kunye nokubuyisela umsebenzi wokushukuma kwizandla kunye nesandla. (Trinh et al., 2022)

 

Ukolulwa okwahlukeneyo kweSihlalo kunye neentlungu zesandla

 

Ngethamsanqa, kukho a ilula kwaye iyafikeleleka Indlela yabantu abaninzi yokunciphisa ifuthe lesandla kunye nezandla ukolula iintlungu kunye nokubandakanya i-yoga kwindlela yabo yesiqhelo. I-Yoga yolulela izandla kunye nezandla inokunceda ukuthothisa kunye nokunciphisa ukuqina, kwaye ezi zolule zingenziwa nje imizuzu embalwa, zinika iziphumo eziluncedo. (Gandolfi et al., 2023Apha ngezantsi kukho ezinye zezi zoluleko ezinokuthi Ukufakwa ngokulula kwindlela yakhe nabani na, ikwenza kube lula kuwe ukulawula impilo yesandla sakho kunye nempilo yesandla.

 

IWrist Flexor Yolula

  • Uyenza njani:
    • Yandisa ingalo yakho phambi kwakho uphakamise isandla sakho.
    • Sebenzisa esinye isandla sakho ukutsalela ngobunono iminwe ibuyele emzimbeni de uve ukolula kwingalo yakho.
    • Bamba le ndawo malunga ne-15 ukuya kwi-30 imizuzwana.
    • Phinda amaxesha angama-2-3 ngesihlahla ngasinye.

 

Ukolulwa kweWrist Extensor

  • Uyenza njani:
    • Yandisa ingalo yakho phambi komzimba wakho intende yakho ijonge ezantsi.
    • Tsala iminwe ngobunono ibhekise emzimbeni wakho ngesinye isandla de uve ukolulela ngaphandle komphambili wakho.
    • Gcina imizuzwana engama-15 ukuya kuma-30.
    • Yenza oku 2-3 amaxesha esihlahleni ngasinye.

 

Umthandazo Wolula

  • Uyenza njani:
    • Beka iintende kunye kwindawo yokuthandaza ngaphambili esifubeni, ngaphantsi kwesilevu.
    • Yehlisa kancinci i izandla ezihlangeneyo zijonge esinqeni, ugcine izandla zikufutshane nesisu sakho kunye nezandla zakho kunye de uzive ukhululekile phantsi kweengalo zakho.
    • Bamba imizuzwana engama-30 ubuncinane kwaye uphinde amaxesha ambalwa.

 

Tendon Glides

  • Uyenza njani:
    • Qala ngokuvula iminwe yakho ngqo.
    • Emva koko, goba iminwe yakho ukwenza inqindi hook; kufuneka uve ukolula kodwa akukho ntlungu.
    • Buyela kwindawo yokuqala kwaye ugobe iminwe yakho ukuze uthinte phezulu kwesandla sakho, ugcine iminwe yakho iqonde.
    • Ekugqibeleni, thoba iminwe yakho ibe yinqindi elipheleleyo.
    • Phinda ulandelelwano izihlandlo ezilishumi.

 

Ukuzolula ubhontsi

  • Uyenza njani:
    • Yolula isandla sakho kunye neminwe yakho kunye.
    • Tsala ubhontsi wakho kude neminwe yakho kude kube mnandi.
    • Gcina imizuzwana engama-15 ukuya kuma-30.
    • Phinda amaxesha angama-2-3 ngobhontsi ngamnye.

 

Yivuthulule

  • Uyenza njani:
    • Emva kokuzolula, xhawula izandla zakho kancinci ngokungathi uzama ukuzomisa. Oku kunceda ukunciphisa uxinzelelo kunye nokukhuthaza ukujikeleza.

Ucaphulo

Amjad, F., Farooq, MN, Batool, R., & Irshad, A. (2020). Ukuphindaphindwa kweentlungu zesihlahla kunye nemiba enxulumene nomngcipheko kubafundi abasebenzisa iiselfowuni. Pak J Med Sci, 36(4), 746-749. doi.org/10.12669/pjms.36.4.1797

Baabdullah, A., Bokhary, D., Kabli, Y., Saggaf, O., Daiwali, M., & Hamdi, A. (2020). Unxulumano phakathi kweziyobisi ze-smartphone kunye nentlungu yesithupha / yesandla: isifundo esinqamlezayo. Iyeza (Baltimore), 99(10), e19124. doi.org/10.1097/MD.0000000000019124

Gandolfi, MG, Zamparini, F., Spinelli, A., & Prati, C. (2023). I-Asana yeNtamo, amagxa, kunye neZihlalo zokuthintela ukuphazamiseka kwe-Musculoskeletal phakathi kweeNgcali zamazinyo: iProtocol ye-Yoga kwi-Ofisi. J Funct Morphol Kinesiol, 8(1). doi.org/10.3390/jfmk8010026

UGutierrez-Espinoza, H., Araya-Quintanilla, F., Olguin-Huerta, C., Valenzuela-Fuenzalida, J., Gutierrez-Monclus, R., & Moncada-Ramirez, V. (2022). Ukuphumelela kwonyango lwe-manual kwizigulane ezine-distal radius fracture: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. J Man Manip Ther, 30(1), 33-45. doi.org/10.1080/10669817.2021.1992090

Merkle, SL, Sluka, KA, & Frey-Law, LA (2020). Intsebenziswano phakathi kweentlungu kunye nokunyakaza. J Hand Ther, 33(1), 60-66. doi.org/10.1016/j.jht.2018.05.001

Osiak, K., Elnazir, P., Walocha, JA, & Pasternak, A. (2022). I-Carpal tunnel syndrome: ukuphononongwa kwe-state-of-the-art. Folia Morphol (Warsz), 81(4), 851-862. doi.org/10.5603/FM.a2021.0121

Trinh, K., Zhou, F., Belski, N., Deng, J., & Wong, CY (2022). Umphumo we-Acupuncture kwiSandla kunye noBuqaqawuli beNzululwazi, iSimo sokuSebenza, kunye noMgangatho woBomi kuBantu abadala: Ukuphononongwa okuCwangcisiweyo. Med Acupunct, 34(1), 34-48. doi.org/10.1089/acu.2021.0046

 

isikhanyeli

Banish Intlungu yeNtamo ngeYoga: Iiposes kunye namaqhinga

Banish Intlungu yeNtamo ngeYoga: Iiposes kunye namaqhinga

Ngaba ukubandakanya iindlela ezahlukeneyo zeyoga kunceda ukunciphisa uxinzelelo lwentamo kunye nokubonelela ngesiqabu kwiintlungu zabantu abajongene neentlungu zentamo?

intshayelelo

Kukuphithizela kunye nokuphithizela kobomi bale mihla, kuqhelekile ukuba abantu abaninzi baphathe uxinzelelo emizimbeni yabo. Xa umzimba ujongene noxinzelelo lwemihla ngemihla, uxinzelelo, ukungonwabi, kunye neentlungu zihlala zibonakala kwiindawo eziphezulu nezisezantsi zomzimba. Xa iindawo ezingaphezulu nezisezantsi zomzimba zijongana nale miba, zinokubangela ukugcwala kweeprofayili zomngcipheko kwinkqubo ye-musculoskeletal system. Enye yeengxaki eziqhelekileyo ze-musculoskeletal yintlungu yentamo. Inokubangela iingxaki ezininzi kwinxalenye yomlomo wesibeleko kwaye ibangele ukuba izihlunu ezijikelezayo zibe nzima kwaye zibuhlungu ngenxa yoxinzelelo lwemisebenzi yemihla ngemihla. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa uxinzelelo olusuka entanyeni kunye nokunceda ukukhulula izihlunu ezichaphazelekayo ekungakhululeni, kubandakanya i-yoga. Kwinqaku lanamhlanje, siza kujonga indlela iintlungu zentamo ezichaphazela ngayo umzimba ongaphezulu, izibonelelo zeyoga kwiintlungu zentamo, kunye neentlobo ezahlukeneyo ze-yoga zokunciphisa iziphumo ezidlulayo zeentlungu zentamo. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yentamo ehambelana ngayo noxinzelelo lwemihla ngemihla oluchaphazela umzimba ophezulu. Siyazisa kwaye sikhokela izigulana malunga nendlela i-yoga kunye neendlela ezahlukeneyo zokubeka ezinokuthi zincede umzimba kwaye zinike isiqabu kwiintlungu ezingqongileyo. Sikwakhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya i-yoga kwindlela yabo yemihla ngemihla ukunciphisa ukuxinezeleka kwemisipha kunye nokubonelela ukucaca emizimbeni yabo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Iintlungu zeNtamo ziwuchaphazela njani uMzimba oPhezulu?

Ngaba uziva ungakhululekile okanye intlungu entanyeni nasemagxeni emva kosuku olude, olunzima lomsebenzi? Ngaba uyaqaphela ukuba uzingela ngaphezu kwesiqhelo xa usenza umsebenzi wakho wemihla ngemihla? Okanye ngaba uzibona uhlakulela isimo sengqondo sokuzingela ngokujonga isikrini sekhompyutheni okanye ifowuni ixesha elide? Uninzi lwezi ntshukumo eziqhelekileyo zihlala zihambelana nomzimba ophezulu, ngakumbi kwintamo kunye nemimandla yamagxa, ebangela intlungu yentamo. Njengenye yeengxaki ezixhaphakileyo ezichaphazela abantu abaninzi emhlabeni wonke, intlungu yentamo sisifo se-multifactorial esinemiba emininzi yengozi ebangela ukuphuhliswa kwayo. (Kazeminasab et al., 2022) Njengentlungu emva, intlungu yentamo ingaba nezigaba ezinzima kunye nezingapheliyo ngokuxhomekeke kubunzima kunye nezinto ezisingqongileyo ezikhokelela ekuphuhlisweni kwayo. Izihlunu ezahlukeneyo, iigaments, kunye nezicubu ezijikeleze intamo kunye namagxa zigcina intamo izinzile kwaye ihamba. Xa abantu abaninzi besebenzisa ngokugqithiseleyo le misipha entanyeni nasemagxeni ngokuphindaphindiweyo, kunokunyusa intlungu yentamo kumzimba ophezulu xa umntu emdala. (UBen Ayed et al., 2019

 

 

Xa iintlungu ezibuhlungu zentamo zijika zingapheliyo, zinokubangela ukuba umntu ahlale engonwabanga, intlungu, kunye nosizi, ngoko ke baqala ukukhangela izisombululo ezahlukeneyo zokunciphisa iimpawu ezihambelanayo xa bethetha noogqirha babo bokuqala. Xa abantu abaninzi beqala ukuchazela oogqirha babo ukuba indlela yabo yemihla ngemihla ibonakala njani, oogqirha abaninzi baya kuqala ukuvavanya nokuqulunqa isicwangciso esijolise kuyo nayiphi na inkcazo ethile yokulimala, kubandakanywa neendlela ezinokubakho, izinto ezikhuthazayo kunye nokunciphisa, kunye neepatheni zentlungu abanazo. sidibene nayo yonke imini ukuza nesicwangciso sonyango lomntu ukuba singanciphisi nje iintlungu zentamo kodwa nokubonelela ngesiqabu kuxinzelelo kunye nokungonwabi emzimbeni. (Childress & Stuek, 2020

 


ISayensi yeNtshukumo-Ividiyo


IiNzuzo zeYoga kwiintlungu zeNtamo

Oogqirha abaninzi baseprayimari baya kusebenza nababoneleli bezonyango abanxulumeneyo ukuphuhlisa isicwangciso somntu siqu sokunciphisa iintlungu zentamo kunye neempawu ezinxulumene nazo kubantu abaninzi. Uninzi lwezi zicwangciso zonyango ezilungiselelweyo zibandakanya ukuguqulwa komgogodla, i-acupuncture, i-massage, unyango lokuthomalalisa, kunye nemithambo yonyango. Olunye uqheliselo lonyango oluye lwasetyenziswa ngabantu abaninzi yiyoga. I-Yoga sisenzo esipheleleyo esibandakanya ukulawula ukuphefumla, ukucamngca, kunye neendlela ezahlukeneyo zokolula kunye nokomeleza izihlunu eziphezulu ezichaphazelekayo. I-Yoga igqwesileyo ekunciphiseni intlungu yentamo kunye nokunceda ukuhamba komgudu ophezulu womlomo wesibeleko, ukunweba i-neck musculature ukunceda umntu ukuba aphucule ukuhamba kunye nokuguquguquka. (URaja et al., 2021Ukongeza, iziphumo ze-yoga kunye neemeko zayo ezininzi zinokunciphisa uxinzelelo, zinike ingcaciso engqondweni, kwaye zivumele izondlo kunye neoksijini kwisistim ye-musculo-articular ukuphilisa umzimba ngokwawo. (Gandolfi et al., 2023)

 

I-Yoga ibeka iintlungu zeNtamo

Kwangelo xesha, abantu abaninzi abanemisebenzi yokuhlala ehambelana neentlungu zentamo baye baphumeza i-yoga njengenxalenye yesiqhelo sabo. I-Yoga iphucula uluhlu lwabo lwentshukumo edibeneyo kunye nomsebenzi wokuqonda kwaye inceda ukukhulula ukungahambi kakuhle kwe-musculoskeletal kwintamo kunye nemimandla yamagxa. (Thanasilungkoon et al., 2023) Ngezantsi ezinye zeendlela ezahlukeneyo ze-yoga ezinokuthi zincede ukunciphisa iimpawu ezinjengeentlungu zentamo kunye nokunciphisa imisipha ejikelezayo. 

 

Ehleli Intamo Iyazolula

 

Ukolulwa kwentamo ehleliyo, le yoga pose inceda ukolula kwaye ikhulule izihlunu zentamo ezithwele uxinzelelo kunye noxinzelelo kwindawo yomlomo wesibeleko. 

  • Kwindawo ehleliyo ethe tye, jikela intloko ngasekunene kwaye uphakamise ngobunono isilevu.
  • Kufuneka uzive ukolula kwicala lasekhohlo lentamo kunye namagxa.
  • Bamba indawo emithathu ukuya kwemihlanu yokuphefumla kwaye uphinde kwicala lasekhohlo.

 

Ukuma kwenkamela

 

Kwimeko yenkamela, le yoga pose inceda ukomeleza izihlunu zentamo yangaphambili ngelixa unciphisa uxinzelelo emagxeni nasemva kwentamo.

  • Unokuguqa kwi-yoga mat ngokugcina amadolo akho kunye neenyawo zakho zikude-umgama ngelixa ugcina i-pelvis ingathathi hlangothi. 
  • Phakamisa isifuba ngelixa ugobe umqolo wakho kwaye ucinezela i-pelvis kancinci phambili.
  • Zisa iincam zeminwe kwizithende okanye iibhloko zeyoga ecaleni kwamaqatha.
  • Gxininisa ekuzoba isilevu kufutshane nentamo ngelixa ucinezela iinyawo kwi-mat.
  • Bamba indawo emithathu ukuya kwemihlanu yokuphefumla phambi kokuba ukhulule kwaye uphakamise i-sternum ukuze iphakame.

 

Isikhundla seSphinx

 

I-sphinx pose ikuvumela ukuba wandise kwaye uqinise umqolo ngelixa usolula amagxa kunye nokukhulula uxinzelelo. 

  • Kwi-yoga mat, lala ngesisu ngeengqiniba phantsi kwamagxa.
  • Cinezela iintende zakho kunye neengalo zakho kwi-mat kwaye uqinise isiqingatha esisezantsi ukukuxhasa njengoko uphakamisa i-torso yakho ephezulu kunye nentloko.
  • Qhubeka ujonge ngqo phambili njengoko ucinga ngokwandisa umnqonqo.
  • Bamba le ndawo ukuphefumla kathathu ukuya kwemihlanu.

 

Umsonto weNaliti yokuma

 

I-thread-the-needle pose inceda ukukhulula uxinzelelo olugcinwe entanyeni, emagxeni, nasemva.

  • Kwi-yoga mat, qalisa kwindawo yonke-ezine kunye nesandla phantsi kwamagxa kunye namadolo phantsi kwezinqe.
  • Phakamisa isandla sasekunene usihambise ngasekhohlo ecaleni komgangatho intende ijonge phezulu.
  • Bamba indawo emithathu ukuya kwemihlanu ukuphefumla imizuzwana engamashumi amathathu kwaye ukhulule.
  • Buyela kwindawo yesine kwaye uphinde uye kwicala lasekhohlo.

 

isiphelo

Ngokubanzi, ukubandakanya i-yoga njengenxalenye yenkqubo yemihla ngemihla kunokubonelela ngeziphumo eziluncedo ekunciphiseni iintlungu zentamo kunye ne-comorbidities ehambelana nayo. I-Yoga ayifuni iiyure zokuziqhelanisa okanye ukudibanisa kwiindlela ezahlukeneyo, njengoko nje imizuzu embalwa yokolula kunye nokuphefumla ngengqondo suku ngalunye kunokubonelela ngeziphumo ezilungileyo. Xa abantu beqala ukusebenzisa i-yoga njengenxalenye yemisebenzi yabo yemihla ngemihla, baya kuqaphela ukuphuculwa kwendlela yabo yokuma, iingqondo zabo zicace ngakumbi kunangaphambili, kwaye baphile ubomi obonwabisayo, obunempilo ngaphandle kokujongana neentlungu zentamo.


Ucaphulo

Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kasis, M., & Damak, J. (2019). Ukuxhaphaka, izinto eziMngcipheko kunye neZiphumo zeNtamo, amahlombe kunye neentlungu ezisezantsi kuBantwana beSikolo seSekondari. J Res Health Sci, 19(1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629

www.ncbi.nlm.nih.gov/pmc/articles/PMC6941626/pdf/jrhs-19-e00440.pdf

Childress, MA, & Stuek, SJ (2020). Intlungu Yentamo: UVavanyo lokuqala kunye noLawulo. Ugqirha wezeMerika waseMerika, 102(3), 150-156. www.ncbi.nlm.nih.gov/pubmed/32735440

www.aafp.org/pubs/afp/issues/2020/0801/p150.pdf

Gandolfi, MG, Zamparini, F., Spinelli, A., & Prati, C. (2023). I-Asana yeNtamo, amagxa, kunye neZihlalo zokuthintela ukuphazamiseka kwe-Musculoskeletal phakathi kweeNgcali zamazinyo: iProtocol ye-Yoga kwi-Ofisi. J Funct Morphol Kinesiol, 8(1). doi.org/10.3390/jfmk8010026

Kazeminasab, S., Nejadghaderi, SA, Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, MJM, Kolahi, AA, & Safiri, S. (2022). Intlungu yentamo: i-epidemiology yehlabathi, iintsingiselo kunye nezinto ezinobungozi. I-BMC Musculoskelet Disord, 23(1), 26. doi.org/10.1186/s12891-021-04957-4

Raja, GP, Bhat, NS, Fernandez-de-Las-Penas, C., Gangavelli, R., Davis, F., Shankar, R., & Prabhu, A. (2021). Ukusebenza kwe-fascial manipulation enzulu yomlomo wesibeleko kunye ne-yoga postures kwiintlungu, umsebenzi, kunye nokulawulwa kwe-oculomotor kwizigulane ezineentlungu zentamo yomatshini: iprotocol yokufunda ye-pragmatic, i-parallel-group, i-randomized, isilingo esilawulwayo. Zilingo, 22(1), 574. doi.org/10.1186/s13063-021-05533-w

Thanasilungkoon, B., Niempoog, S., Sriyakul, K., Tungsukruthai, P., Kamalashiran, C., & Kietinun, S. (2023). Ukusebenza kweRuesi Dadton kunye neYoga ekunciphiseni iNtamo kunye neentlungu zamagxa kubasebenzi baseOfisi. Int J Exerc Sci, 16(7), 1113-1130. www.ncbi.nlm.nih.gov/pubmed/38287934

www.ncbi.nlm.nih.gov/pmc/articles/PMC10824298/pdf/ijes-16-7-1113.pdf

isikhanyeli

ISikhokelo esipheleleyo se-Ehlers-Danlos Syndrome

ISikhokelo esipheleleyo se-Ehlers-Danlos Syndrome

Ngaba abantu abane-Ehlers-Danlos syndrome banokufumana isiqabu ngonyango olwahlukeneyo olungaqhaqho ukunciphisa ukungazinzi kwamalungu?

intshayelelo

Amalungu kunye nemigqa ejikeleze inkqubo ye-musculoskeletal ivumela ukuba iindawo eziphezulu kunye nezisezantsi zizinze umzimba kwaye zihambe. Izihlunu ezahlukeneyo kunye nezihlunu ezithambileyo ezijikeleze amalunga zinceda ukubakhusela kukwenzakala. Xa iimeko zokusingqongileyo okanye ukuphazamiseka kuqala ukuchaphazela umzimba, abantu abaninzi bavelisa imiba ebangela ukuba iiprofayili zomngcipheko zigqithise, ezichaphazela ukuzinza kwamalungu. Enye yeengxaki ezichaphazela amalunga kunye nezicubu ezidibeneyo yi-EDS okanye i-Ehlers-Danlos syndrome. Oku kuphazamiseka kwezicubu ezidibeneyo kunokubangela ukuba amalungu omzimba abe yi-hypermobile. Inokubangela ukungazinzi ngokubambisana kwiindawo eziphezulu kunye nezantsi, ngaloo ndlela ishiya umntu ukuba abe nentlungu eqhubekayo. Inqaku lanamhlanje ligxile kwi-Ehlers-Danlos syndrome kunye neempawu zayo kunye nokuba kukho iindlela ezingezizo utyando zokulawula le ngxaki. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-Ehlers-Danlos syndrome enokuthi ihambelane ngayo nezinye izifo ze-musculoskeletal disorders. Siyazisa kwaye sikhokela izigulane malunga nendlela ezahlukeneyo zonyango ezingasebenzisi utyando zinokunceda ukunciphisa iimpawu ezinjengeentlungu kunye nokulawula i-Ehlers-Danlos syndrome. Kwakhona sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo emininzi enzima kunye ebalulekileyo malunga nokubandakanya iindlela ezahlukeneyo zonyango ezingezona utyando njengenxalenye yendlela yabo yemihla ngemihla yokulawula imiphumo ye-Ehlers-Danlos syndrome. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Yintoni i-Ehlers-Danlos Syndrome?

 

Ngaba uhlala uziva udinwe kakhulu imini yonke, nasemva kokulala ubusuku bonke? Ngaba ugruzuka ngokulula kwaye uyazibuza ukuba le mivumbo ivela phi? Okanye ngaba uye waqaphela ukuba unoluhlu olwandisiweyo kumalungu akho? Uninzi lwale miba luhlala lunxulunyaniswa nengxaki eyaziwa ngokuba yi-Ehlers-Danlos syndrome okanye i-EDS echaphazela amalungu abo kunye nezicubu ezixhumeneyo. I-EDS ichaphazela izicubu ezidibeneyo emzimbeni. Izicubu ezidibeneyo emzimbeni zinceda ukunika amandla kunye nokuqina kwesikhumba, amalunga, kunye neendonga zemithambo yegazi, ngoko ke xa umntu ejongene ne-EDS, kunokubangela ukuphazamiseka okukhulu kwinkqubo ye-musculoskeletal. I-EDS ixilongwa kakhulu kwiklinikhi, kwaye oogqirha abaninzi baye bafumanisa ukuba i-gene coding ye-collagen kunye neeprotheyini ezisebenzisanayo emzimbeni zinokukunceda ukuba luhlobo luni lwe-EDS oluchaphazela umntu. (UMiklovic & Sieg, 2024)

 

Iimpawu

Xa uqonda i-EDS, kubalulekile ukwazi izinto ezintsonkothileyo zesi sifo soxhulumaniso. I-EDS ihlelwa ngokweendidi ezininzi ezineempawu ezahlukileyo kunye nemingeni eyahluka ngokuxhomekeke kubunzima. Enye yeentlobo eziqhelekileyo ze-EDS yi-hypermobile Ehlers-Danlos syndrome. Olu hlobo lwe-EDS lubonakaliswa yi-hypermobility ngokubanzi, ukungazinzi kwamalungu, kunye neentlungu. Ezinye zeempawu ezinxulumene ne-hypermobile EDS zibandakanya i-subluxation, i-dislocation, kunye nokulimala kwezicubu ezithambileyo eziqhelekileyo kwaye zinokuthi zenzeke ngokuzenzekelayo okanye ngomothuko omncinci. (Hakim, ngo-1993) Oku kunokubangela iintlungu ezibuhlungu kwiindawo eziphezulu kunye nezisezantsi. Ngoluhlu lwayo olubanzi lweempawu kunye nobuntu bemeko ngokwayo, abaninzi bahlala bengayiqondi ukuba i-hypermobility edibeneyo ixhaphake kuluntu ngokubanzi kwaye ingabonakali naziphi na iingxaki ezibonisa ukuba yi-disorder tissue disorder. (Gensemer et al., 2021) Ukongezelela, i-EDS ye-hypermobile inokukhokelela ekukhubazekeni komgogodla ngenxa ye-hyperextensibility yolusu, amalunga, kunye ne-fragility eyahlukeneyo yezicubu. I-pathophysiology ye-spinal deformity ehambelana ne-hypermobile EDS ngokuyinhloko ngenxa ye-hypotonia ye-muscle kunye ne-ligament laxity. (Uehara et al., 2023) Oku kubangela ukuba abantu abaninzi banciphise umgangatho wobomi babo kunye nemisebenzi yemihla ngemihla kakhulu. Nangona kunjalo, kukho iindlela zokulawula i-EDS kunye neempawu zayo ezihambelanayo zokunciphisa ukungazinzi ngokubambisana.

 


Iyeza lokuhamba: Ukhathalelo lweChiropractic-Ividiyo


Iindlela zokulawula i-EDS

Xa kuziwa ekufuneni iindlela zokulawula i-EDS ukunciphisa intlungu kunye nokungazinzi kwamalungu, unyango olungenalo utyando lunokunceda ukujongana nemiba yenyama kunye nemvakalelo yesimo. Unyango olungalulo utyando lwabantu abane-EDS ludla ngokujolisa ekwandiseni umsebenzi womzimba womzimba ngelixa uphucula amandla emisipha kunye nokuzinza kwamalungu. (Buryk-Iggers et al., 2022) Abantu abaninzi abane-EDS baya kuzama ukubandakanya iindlela zokulawula iintlungu kunye nonyango lomzimba kunye sebenzisa i-braces kunye nezixhobo zokuncedisa ukunciphisa imiphumo ye-EDS kunye nokuphucula umgangatho wobomi babo.

 

Non-utyando unyango EDS

Iindlela ezahlukeneyo zonyango ezingezizo utyando ezifana ne-MET (inkqubo yamandla emisipha), unyango lwe-electrotherapy, unyango olulula lomzimba, ukhathalelo lwe-chiropractic, kunye ne-massage. inokunceda ukomeleza ngelixa i-toning imisipha ejikelezileyo ngeenxa zonke kumalungu, unikeze isiqabu ngokwaneleyo seentlungu, kwaye unciphise ukuxhomekeka kwexesha elide kumayeza. (Broida et al., 2021) Ukongezelela, abantu abajongene ne-EDS bajolise ekuqiniseni imisipha echaphazelekayo, ukuzinzisa amajoyina, kunye nokuphucula ukufaneleka. Unyango olungenalo utyando luvumela umntu ukuba abe nesicwangciso sonyango esilungiselelwe ubunzima beempawu ze-EDS kunye nokunceda ukunciphisa intlungu ehambelana nemeko. Abantu abaninzi, xa besenza isicwangciso sabo sonyango ngokulandelelanayo ukulawula i-EDS yabo kunye nokunciphisa iimpawu ezinjengeentlungu, baya kuqaphela ukuphucuka kweempawu ezingathandekiyo. (Khokhar et al., 2023) Oku kuthetha ukuba unyango olungasebenzisi utyando luvumela abantu ukuba bacinge ngakumbi ngemizimba yabo kwaye banciphise iziphumo ezinjengeentlungu ze-EDS, ngaloo ndlela bevumela abantu abaninzi abane-EDS ukuba baphile ubomi obugcweleyo, obutofotofo ngaphandle kokuziva iintlungu kunye nokungakhululeki.

 


Ucaphulo

Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Ukulawulwa kokungazinzi kwamagxa kwi-hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002

Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ukuzivocavoca kunye nokuvuselelwa kwabantu abane-Ehlers-Danlos Syndrome: Ukuphononongwa okuCwangcisiweyo. IArch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrt.2022.100189

Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). I-Hypermobile Ehlers-Danlos syndromes: Ii-phenotypes eziyinkimbinkimbi, ukuxilongwa ngumngeni, kunye nezizathu ezingaqondakaliyo. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220

Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. KwiMP uAdam, uJ. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456

Khokhar, D., Amandla, B., Yamani, M., & Edwards, MA (2023). IiNzuzo ze-Osteopathic Manipulative Treatment kwisigulane esine-Ehlers-Danlos Syndrome. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698

Miklovic, T., & Sieg, VC (2024). Ehlers-Danlos Syndrome. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/31747221

Uehara, M., Takahashi, J., & Kosho, T. (2023). I-Spinal Deformity kwi-Ehlers-Danlos Syndrome: Gxininisa kwi-Musculocontractural Type. Imfuza (Basel), 14(6). doi.org/10.3390/genes14061173

isikhanyeli

Ukulawula I-Hinge Joint Pain kunye neeMeko

Ukulawula I-Hinge Joint Pain kunye neeMeko

 Ngaba ukuqonda amalungu ehenjisi omzimba kunye nendlela asebenza ngayo kunokunceda ukushukuma kunye neengxaki zokuguquguquka kunye nokulawula iimeko zabantu abanengxaki yokugoba ngokupheleleyo okanye ukwandisa iminwe yabo, iinzwane, iingqiniba, amaqatha, okanye amadolo?

Ukulawula I-Hinge Joint Pain kunye neeMeko

Ihinge Joins

Iifom ezidibeneyo apho elinye ithambo lidibanisa kwelinye, livumela ukunyakaza. Iindidi ezahlukeneyo zokudibanisa ziyahluka kwisakhiwo kunye nokunyakaza ngokuxhomekeke kwindawo yazo. Ezi ziquka ihenjisi, ibhola kunye nesokethi, iplani, i-pivot, isali, kunye ne-ellipsoid joints. (Ayinamda. Ibhayoloji ngokubanzi, ND) I-Hinge joints yi-synovial joints ehamba ngeplani enye yokunyakaza: i-flexion kunye nokwandiswa. Amalungu e-Hinge afumaneka kwiminwe, i-elbows, amadolo, amaqatha, kunye neenzwane kunye nentshukumo yokulawula imisebenzi eyahlukeneyo. Ukulimala, i-osteoarthritis, kunye neemeko ze-autoimmune zinokuchaphazela i-hinge joints. Ukuphumla, amayeza, umkhenkce, kunye nonyango lomzimba lunokunceda ukunciphisa intlungu, ukuphucula amandla kunye noluhlu lokunyakaza, kunye nokunceda ukulawula iimeko.

Anatomy

Ilungu lenziwa ngokudityaniswa kwamathambo amabini nangaphezulu. Umzimba womntu uneendidi ezintathu eziphambili zamalungu, ahlelwe ngokwenqanaba apho banokuhamba khona. Ezi ziquka: (Ayinamda. Ibhayoloji ngokubanzi, ND)

Synarthroses

  • Ezi zidibeneyo, ezingenakushukunyiswa.
  • Ukwenziwa ngamathambo amabini okanye ngaphezulu.

Amphiarthroses

  • Ikwabizwa ngokuba yi-cartilaginous joints.
  • I-fibrocartilage disc yahlula amathambo awenza amalungu.
  • La malungu ashukumayo avumela ukunyakaza okuncinci.

I-Diarthrosis

  • Ikwabizwa ngokuba yi synovial joints.
  • Ezi zezona zixhaphakileyo zihamba ngokukhululekileyo amalungu avumela ukuhamba kwiindlela ezininzi.
  • Amathambo awenza amajoyina ahlanganiswe ne-articular cartilage kwaye afakwe kwi-capsule edibeneyo egcwele i-synovial fluid evumela ukuhamba kakuhle.

Amalungu e-Synovial ahlulahlulwe kwiintlobo ezahlukeneyo ngokuxhomekeke kwiiyantlukwano kwisakhiwo kunye nenani leendiza ezihambayo ezivumelayo. Ihinge joint yi-synovial joint evumela intshukumo kwinqwelomoya enye yentshukumo, efana nehenjisi yocango eya phambili nasemva. Ngaphakathi komdibaniso, isiphelo sethambo elinye ngokuqhelekileyo li-convex / libhekiselele ngaphandle, kunye nenye i-concave / ijikelezwe ngaphakathi ukuvumela iziphelo ukuba zilingane kakuhle. Ngenxa yokuba i-hinge joints ihamba kuphela kwiplani enye yokuhamba, idla ngokuzinza ngakumbi kunamanye amalungu e-synovial. (Ayinamda. Ibhayoloji ngokubanzi, ND) Amalungu ehenjisi aquka:

  • Umnwe kunye neenzwane ezidibeneyo - vumela iminwe kunye neenzwane ukuba zigobe kwaye zandise.
  • I-elbow joint - ivumela i-elbow ukuba igobe kwaye yandise.
  • Idolo elidibeneyo - livumela idolo ukuba liguqe kwaye linwebe.
  • I-talocrural joint of the ankle - ivumela i-ankle ukuba ihambe phezulu / i-dorsiflexion kunye nezantsi / i-plantarflexion.

Amalungu ehenjisi avumela amalungu, iminwe kunye neenzwane ukuba zinabele kude kwaye zigobe ukuya emzimbeni. Le ntshukumo ibalulekile kwimisebenzi yemihla ngemihla, njengokuhlamba, ukunxiba, ukutya, ukuhamba, ukuma, kunye nokuhlala phantsi.

Conditions

I-osteoarthritis kunye neendlela ezivuthayo ze-arthritis zinokuchaphazela nayiphi na idibeneyo (I-Arthritis Foundation. ND) Iifom ze-autoimmune ezivuthayo ze-arthritis, ezibandakanya i-rheumatoid kunye ne-psoriatic arthritis, inokubangela ukuba umzimba uhlasele amalungu awo. Oku kudla ngokuchaphazela amadolo kunye neminwe, okukhokelela ekudumbeni, ukuqina, kunye neentlungu. (Kamata, M., Tada, Y. 2020IGout yindlela yokukrala yesifo samathambo ephuma kumanqanaba aphezulu euric acid egazini kwaye idla ngokuchaphazela ihenjisi edibeneyo yozwane olukhulu. Ezinye iimeko ezichaphazela amalungu ehinge ziquka:

  • Ukulimala kwi-cartilage ngaphakathi kwamalungu okanye iigaments ezizinzisa ngaphandle kwamalungu.
  • I-Ligament sprains okanye iinyembezi zingabangela iminwe edibeneyo okanye iinzwane, i-ankle eqengqelekayo, ukulimala okujijekileyo, kunye nefuthe elithe ngqo emadolweni.
  • Olu konzakala lunokuchaphazela i-meniscus, i-cartilage eqinile ngaphakathi kwedolo elidibanisayo elinceda ukunyathela kunye nokufunxa ukothuka.

kwimo

Iimeko ezichaphazela i-hinge joints zihlala zibangela ukuvuvukala kunye nokuvuvukala, okubangela intlungu kunye nokuhamba okulinganiselwe.

  • Emva kokulimala okanye ngexesha lokuvuvukala kwemeko, ukunciphisa ukunyakaza okusebenzayo kunye nokuphumla umdibaniso ochaphazelekayo kunokunciphisa uxinzelelo kunye intlungu.
  • Ukusebenzisa umkhenkce kunokunciphisa ukuvuvukala kunye nokudumba.
  • Amayeza okudambisa iintlungu afana nee-NSAID nawo anokunceda ukunciphisa iintlungu. (I-Arthritis Foundation. ND)
  • Emva kokuba intlungu kunye nokuvuvukala kuqale ukunciphisa, unyango lomzimba kunye / okanye lomsebenzi lunokunceda ukubuyisela iindawo ezichaphazelekayo.
  • Umgqirha uya kubonelela ngokuzolula kunye nokuzivocavoca ukunceda ukuphucula uluhlu oludibeneyo lokunyakaza kunye nokuqinisa imisipha exhasayo.
  • Kubantu abafumana iintlungu ezidibeneyo zehinge ezivela kwimeko ye-autoimmune, amayeza ebhayoloji okunciphisa umsebenzi womzimba we-autoimmune alawulwa ngokufakwa rhoqo kwiiveki okanye kwiinyanga ezininzi. (Kamata, M., Tada, Y. 2020)
  • Iinaliti zeCortisone zingasetyenziselwa ukunciphisa ukuvuvukala.

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, sigxininise kakhulu ekuphatheni ukulimala kwezigulane kunye ne-syndromes yentlungu engapheliyo kunye nokuphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe umntu. Ababoneleli bethu basebenzisa indlela edibeneyo yokudala izicwangciso zokunakekelwa komntu ezibandakanya i-Functional Medicine, i-Acupuncture, i-Electro-Acupuncture, kunye ne-Sports Medicine protocols. Injongo yethu kukukhulula intlungu ngokwemvelo ngokubuyisela impilo kunye nokusebenza komzimba. Ukuba umntu ufuna olunye unyango, uya kuthunyelwa kwikliniki okanye kugqirha omlungeleyo. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nabanikezeli be-premier rehabilitation ukubonelela ngonyango olusebenzayo lweklinikhi.


Izisombululo zeChiropractic


Ucaphulo

Ayinamda. Ibhayoloji ngokubanzi. (ND). I-38.12: I-Joints kunye ne-Skeletal Movement - Iintlobo ze-Synovial Joints. Kwi. LibreTexts Biology. bio.libretexts.org/Bookshelves/Introductory_and_General_Biology/Book%3A_General_Biology_%28Boundless%29/38%3A_The_Musculoskeletal_System/38.12%3A_Joints_and_Skeletal_Movement_-_Types_of_Synovial_Joints

I-Arthritis Foundation. (ND). I-Osteoarthritis. I-Arthritis Foundation. www.arthritis.org/diseases/osteoarthritis

Kamata, M., & Tada, Y. (2020). Ukusebenza kunye noKhuseleko lwe-Biologics ye-Psoriasis kunye ne-Psoriatic Arthritis kunye neMpembelelo yabo kwi-Comorbidities: Ukuhlaziywa koNcwadi. Ijenali yamazwe ngamazwe yenzululwazi yeemolekyuli, 21(5), 1690. doi.org/10.3390/ijms21051690

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

Kubantu abafumana igxalaba kunye neentlungu ezingaphezulu, ngaba i-periscapular bursitis ingaba ngunobangela?

Ukuphonononga i-Periscapular Bursitis: Iimpawu kunye nokuxilongwa

I-Periscapular Bursitis

I-scapula / igxalaba lithambo elitshintsha indawo kunye nomzimba ophezulu kunye nokunyakaza kwamagxa. Ukunyakaza kwe-scapula kubaluleke kakhulu kumsebenzi oqhelekileyo wegxalaba kunye nomqolo. Xa ukunyakaza okungaqhelekanga okanye ngokukhawuleza kwenzeka, ukuvuvukala kunye neempawu zentlungu zingakhula. (Augustine H. Conduah et al., 2010)

Umsebenzi we-Scapula oqhelekileyo

I-scapula lithambo elingunxantathu kumqolo ongasentla ngaphandle kweembambo. Icala layo elingaphandle okanye elisecaleni liqulethe i-socket ye-joint joint / glenoid, ngelixa elinye ithambo lisebenza njengeendawo zokuncamathela kwigxalaba kunye nezihlunu zangasemva. I-scapula iyatshintsha kwi-rib cage xa ​​uhambisa ingalo phambili nasemva. Le ntshukumo ibizwa ngokuba intshukumo ye-scapulothoracic kwaye ibaluleke kakhulu kumsebenzi oqhelekileyo wecala eliphezulu kunye negxalaba. Xa i-scapula ingahambi kwintshukumo edibeneyo, umsebenzi we-torso kunye namagxa amagxa unokuba nzima kwaye ube buhlungu. (JE Kuhn et al., 1998)

I-Scapular Bursa

I-bursa yingxowa ezaliswe ngamanzi evumela intshukumo egudileyo, etyibilikayo phakathi kwezakhiwo, izicubu zomzimba, amathambo kunye neetendon. I-Bursae ifumaneka kuwo wonke umzimba, kubandakanywa nalabo abaphambi kwe-kneecap, ngaphandle kwe-hip, kunye ne-joint joint. Xa i-bursa ivutha kwaye icaphukile, ukunyakaza okuqhelekileyo kunokuba buhlungu. Kukho ii-bursae ezijikeleze i-scapula kumqolo ongaphezulu. Ezimbini zezi ngxowa ze-bursa ziphakathi kwamathambo kunye ne-serratus anterior muscle elawula ukunyakaza kwe-scapular kudonga lwesifuba. Enye i-bursa sac itholakala kwikona ephezulu ye-scapula, kufuphi nomqolo kwisiseko sentamo, kwaye enye isekhoneni elisezantsi le-scapula, kufuphi ne-mid-back. Nokuba zombini iingxowa ze-bursa zinokuchaphazeleka yi-periscapular bursitis. Kukho ezinye ii-bursae ezijikeleze i-scapula kunye neentambo ezijikelezayo, kodwa iingxowa ezimbini zekona zivame ukuba yi-bursae ephambili eyenza i-periscapular bursitis.

Ukuvutha

Xa ezi bursae zidumba kwaye zicaphuka, zidumbe, kwaye zijiyile, imeko eyaziwa ngokuba yi-bursitis iziphumo. Xa i-bursitis ivela kufuphi ne-scapula, i-muscle, kunye ne-shoulder blade movements inokubangela ukungahambi kakuhle kunye neentlungu. Iimpawu eziqhelekileyo ze-periscapular bursitis ziquka:

  • Ukuhlutha ngentshukumo
  • Iimvakalelo zokugaya okanye i-crepitus
  • Ubuhlungu
  • Ububele ngokuthe ngqo kwi-bursa (Augustine H. Conduah et al., 2010)
  • Uvakalelo olungaqhelekanga lwe-scapular kunye nokunyakaza

Ukuhlolwa kwe-scapula kunokubonisa ukunyakaza okungaqhelekanga kwi-shoulder blade. Oku kunokukhokelela kwi-wissang, apho igxalaba lingabanjwanga ngokuchanekileyo kwi-rib cage kwaye liphume ngokungaqhelekanga. Abantu abane-wissang ye-scapula badla ngokuba noomatshini bokudityaniswa kwegxalaba ngendlela engaqhelekanga kuba ukuma kwegxalaba kutshintshiwe.

Izizathu

Izizathu ze-periscapular bursitis zinokuhluka. Eyona nto ixhaphakileyo yi-syndrome yokusetyenziswa ngokugqithiseleyo, apho umsebenzi othile ubangela ukucaphuka kwi-bursa. Oku kunokubandakanya:

  • Imisebenzi enxulumene nemidlalo ebangelwa ukusetyenziswa ngokuphindaphindiweyo.
  • Imisebenzi enxulumene nomsebenzi ebangelwa kukusetyenziswa ngokuphindaphindiweyo.
  • Ukulimala okubuhlungu okubangela ukuvuvukala okanye ukucaphuka kwi-bursa.

Ezinye iimeko zingabangela i-anatomy engaqhelekanga okanye i-bone protuberances, ecaphukisa i-bursa. Enye imeko kukukhula kwethambo elibi eyaziwa ngokuba yi-osteochondroma. (Antônio Marcelo Gonçalves de Souza kunye noRosalvo Zósimo Bispo Júnior 2014) Oku kukhula kunokuvela kwi-scapula, okukhokelela ekucaphukeni kunye nokuvuvukala.

impatho

Unyango lwe-periscapular bursitis luqala nge-conservative zonyango. Unyango oluhlaselayo alufane lufuneke ukulungisa ingxaki. Unyango lungabandakanya:

Ukuphumla

  • Isinyathelo sokuqala kukuphumla i-bursa ecasulayo kwaye ulungise ukuvuvukala.
  • Oku kungathatha iiveki ezimbalwa kwaye kunokufezwa ngokuguqula umzimba, imidlalo, okanye imisebenzi enxulumene nomsebenzi.

umkhenkce

  • Umkhenkce uluncedo ekunciphiseni ukudumba nokulawula iintlungu.
  • Ukwazi indlela yokwenza umkhenkce ngokufanelekileyo kunokunceda ukulawula intlungu kunye nokuvuvukala.

Ulungiso lwenyama

  • Unyango lomzimba lunokunciphisa iimpawu zokuvuvukala ngokusebenzisa imithambo eyahlukeneyo kunye nokwelula.
  • Unyango lunokuphucula i-scapular mechanics ukuze ukwenzakala kungabi yinto eqhubekayo kwaye iphindaphindeka.
  • Ukunyakaza okungaqhelekanga kwe-scapula kwi-rib cage ayikwazi nje ukukhokelela ekuphuhlisweni kwe-bursitis, kodwa ukuba le michiza engaqhelekanga ayilungiswanga, ingxaki inokuphinda ibuyele.

Amayeza achasene nokudumba

  • Amayeza achasene nokudumba asetyenziswa ukulawula ukudumba kwixesha elifutshane. (Augustine H. Conduah et al., 2010)
  • Amayeza anokunceda ukuthintela impendulo yokuvuvukala.
  • Ngaphambi kokuthatha nawaphi na amayeza, abantu kufuneka baqinisekise kunye nomboneleli wabo wezempilo ukuba akhuselekile.

Izitofu zeCortisone

  • Unyango oluyimpumelelo nge-cortisone shot luphawu lokuba utyando luya kusebenza ngakumbi kubantu abanokufuna utyando.
  • Iinaliti zeCortisone zinokuba luncedo kakhulu ekuhambiseni idosi enamandla yokuchasana nokudumba ngokuthe ngqo kwindawo yokudumba. (Augustine H. Conduah et al., 2010)
  • Iinaliti zeCortisone kufuneka zincitshiswe malunga nokuba zingaphi iinaliti ezinikezelwa kumntu, kodwa kwiidosi ezilinganiselweyo zinokuba luncedo kakhulu.
  • Nangona kunjalo, i-cortisone shots kufuneka yenziwe kuphela xa ukuxilongwa kuqinisekisiwe.

Ukuhlinzwa

  • Utyando alufane lube yimfuneko kodwa lunokusebenza kubantu abangakwaziyo ukufumana isiqabu ngonyango olululo.
  • Utyando luhlala lusetyenziselwa abantu abane-scapular anatomy engaqhelekanga, njengokukhula kwamathambo okanye amathumba.

Kwi-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic, siphatha ukulimala kunye ne-syndromes yentlungu engapheliyo ngokuphucula amandla omntu ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo ze-agility ezilungiselelwe onke amaqela eminyaka kunye nokukhubazeka. Izicwangciso zethu zokunakekelwa kwe-chiropractor kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Ukuba olunye unyango luyafuneka, abantu ngabanye baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu ukulimala kwabo, imeko, kunye / okanye isifo.


Uphiko lweScapular kubunzulu


Ucaphulo

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Ulawulo lweklinikhi ye-scapulothoracic bursitis kunye ne-scapula ye-snapping. Impilo yezemidlalo, i-2 (2), i-147-155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Iimpawu ze-scapulothoracic crepitus kunye ne-bursitis. Umbhalo we-American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: ukungahoyi okanye ukuphanda? Revista brasileira de ortopedia, 49 (6), 555-564. doi.org/10.1016/j.rboe.2013.10.002

Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

Ukubaluleka koNyango olungaqhawukiyo loNciphiso lwe-Joint Hypermobility

Ngaba abantu abane-hypermobility edibeneyo banokufumana isiqabu ngonyango olungazenzisiyo ekunciphiseni iintlungu kunye nokubuyisela ukuhamba komzimba?

intshayelelo

Xa umntu ehambisa umzimba wabo, izihlunu ezijikelezileyo, amalunga, kunye nemigqaliselo ifakwe kwimisebenzi eyahlukeneyo evumela ukuba banwebe kwaye baguquguquke ngaphandle kwentlungu okanye ukungahambi kakuhle. Iintshukumo ezininzi eziphindaphindwayo zenza umntu aqhubeke nenkqubo yakhe. Nangona kunjalo, xa amalunga, izihlunu, kunye nemigqa yolulelwe kude kunesiqhelo kwindawo ephezulu kunye nesezantsi ngaphandle kweentlungu, kwaziwa ngokuba yi-joint hypermobility. Olu kuphazamiseka kwezicubu ezixhumeneyo kunokunxibelelana nezinye iimpawu ezichaphazela umzimba kwaye kubangele ukuba abantu abaninzi bafune unyango lokulawula iimpawu ze-hypermobility edibeneyo. Kwinqaku lanamhlanje, siza kujonga i-hypermobility edibeneyo kunye nendlela ezahlukeneyo zonyango ezingezizo utyando ezinokunceda ukunciphisa intlungu ebangelwa yi-hypermobility kunye nokubuyisela ukuhamba komzimba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela intlungu yabo inokudibaniswa ngayo ne-hypermobility edibeneyo. Sikwazisa kwaye sikhokela izigulana malunga nendlela ukudibanisa unyango olungelulo utyando lunokunceda ukuphucula umsebenzi odibeneyo ngelixa ulawula iimpawu ezihambelanayo. Sikhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nengqiqo malunga nokubandakanya unyango olungasebenzisiyo njengenxalenye yendlela yabo yokunciphisa intlungu kunye nokukhathazeka kwi-hypermobility joint. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Yintoni Joint Hypermobility?

Ngaba uhlala uziva ukuba amalungu akho evalelwe ezandleni, ezihlahleni, emadolweni, nasezingqinibeni? Ngaba ufumana iintlungu kunye nokudinwa kumalungu akho xa umzimba wakho uziva udiniwe rhoqo? Okanye xa usolula iziphetho zakho, ngaba zinwenwela kude kunesiqhelo ukuze uve isiqabu? Uninzi lwezi meko zahlukeneyo zihlala zinxulunyaniswa nabantu abafumana i-hypermobility edibeneyo. I-Joint hypermobility sisifo esizuzwa njengelifa kunye neepateni eziphambili ze-autosomal ezibonisa i-hyperlaxity edibeneyo kunye neentlungu ze-musculoskeletal ngaphakathi kweendawo zomzimba. (Carbonell-Bobadilla et al., 2020) Le meko ye-tissue edibeneyo idla ngokuhambelana nokuguquguquka kwezicubu ezidibeneyo ezifana nemigqa kunye ne-tendon emzimbeni. Umzekelo uya kuba ukuba isithupha somntu sichukumisa umphambili wabo wangaphakathi ngaphandle kokuva iintlungu okanye ukungakhululeki, bane-hypermobility edibeneyo. Ukongeza, abantu abaninzi abajongana ne-hypermobility edibeneyo bahlala benokuxilongwa nzima njengoko beya kukhula ulusu kunye nobuthathaka bezicubu ngokuhamba kwexesha, okubangela iingxaki ze-musculoskeletal. (Tofts et al., 2023)

 

 

Xa abantu bejongana ne-hypermobility edibeneyo ngokuhamba kwexesha, uninzi luhlala lunophawu lwe-hypermobility edibeneyo. Baza kubonisa iimpawu ze-musculoskelet kunye ne-systemic ezikhokelela ekuboniseni ukukhubazeka kwamathambo, izicubu kunye ne-fragility yesikhumba, kunye nokwahlukana kwesakhiwo kwinkqubo yomzimba. (UNicholson et al., 2022) Ezinye zeempawu zokuba i-joint hypermobility iboniswa kuxilongo ziquka:

  • Iintlungu zemisipha kunye nokuqina kwamalungu
  • Ukucofa amalungu
  • Ukukhathala
  • Imiba yokugaya
  • Imicimbi yokulinganisa

Ngethamsanqa, kukho unyango olwahlukeneyo olunokuthi lusetyenziswe ngabantu abaninzi ukunceda ukubuyisela izihlunu ezijikeleze amalunga kunye nokunciphisa iimpawu ezihambelanayo ezibangelwa yi-hypermobility edibeneyo. 


Intshukumo Njengonyango-Ividiyo


Nosurgical Treatments For Joint Hypermobility

Xa ujongene ne-hypermobility edibeneyo, abantu abaninzi kufuneka bafune unyango lokunciphisa iimpawu ezihambelana neentlungu ze-hypermobility kunye nokunceda ukukhulula iziphelo zomzimba ngelixa ubuyisela ukuhamba. Olunye unyango olugqwesileyo lwe-hypermobility edibeneyo lunyango olungasebenzisi utyando olungaphazamisiyo, luthambileyo kumalungu kunye nezihlunu, kwaye lungabizi kakhulu. Iindidi ezahlukeneyo zonyango ezingezizo utyando zinokwenzelwa umntu ngamnye ngokuxhomekeke ekubeni kuqatha kangakanani na ukudityaniswa kwe-hypermobility kunye ne-commorbidities kuchaphazela umzimba womntu. Unyango olungenalo utyando lunokukhulula umzimba kwi-hypermobility edibeneyo ngokunyanga izizathu zentlungu ngokunciphisa kunye nokwandisa amandla okusebenza kunye nokubuyisela umgangatho wobomi bomntu. (Etwell et al., 2021) Iindlela ezintathu zonyango ezingenalo utyando ezigqwesileyo ekunciphiseni intlungu kwi-hypermobility yamalungu kunye nokunceda ukuqinisa imisipha ejikelezayo ingezantsi.

 

Ukhathalelo lweChiropractic

Ukunyamekela kwe-Chiropractic kusebenzisa ukunyanzeliswa komgogodla kwaye kunceda ukubuyisela ukuhamba ngokubambisana emzimbeni ukuze kuncitshiswe imiphumo ye-hypermobility edibeneyo ngokuzinzisa amajoyina achaphazelekayo ukusuka kwi-hypermobile extremities. (Boudreau et al., 2020) I-Chiropractors ibandakanya ukuguqulwa komatshini kunye nemigaqo kunye neendlela ezahlukeneyo zokunceda abantu abaninzi baphucule i-posture yabo ngokunyamekela imizimba yabo kunye nokusebenza kunye nezinye iindlela zokwelapha ezininzi ukugxininisa ukunyakaza okulawulwayo. Ngolunye ukuxhatshazwa okuhambelana nokuxhatshazwa ngokubambisana, njengentlungu emva nangentamo, ukunakekelwa kwe-chiropractic kunokunciphisa ezi mpawu ze-comorbidity kunye nokuvumela umntu ukuba aphinde abuyele umgangatho wobomi.

 

Ukwenza i-Acupuncture

Olunye unyango olungelona utyando olunokuthi abantu abaninzi balubandakanye ukunciphisa ukudityaniswa kwe-hypermobility kunye ne-comorbidities yayo yi-acupuncture. I-acupuncture isebenzisa iinaliti ezincinci, ezinqabileyo, eziqinileyo ezisetyenziswa ngabagqirha be-acupuncture ukuvala ii-receptors zentlungu kunye nokubuyisela ukuhamba kwamandla omzimba. Xa abantu abaninzi bejongene ne-hypermobility edibeneyo, iziphelo zabo emilenzeni, ezandleni nasezinyaweni ziba nentlungu ekuhambeni kwexesha, nto leyo enokubangela ukuba umzimba ungazinzi. Yintoni eyenziwa yi-acupuncture kukunceda ukunciphisa intlungu ebangelwa yi-hypermobility edibeneyo ehambelana neziphelo kunye nokubuyisela ukulinganisela kunye nokusebenza komzimba (Luan et al., 2023). Oku kuthetha ukuba ukuba umntu ujongene nokuqina kunye neentlungu zemisipha ezivela kwi-joint hypermobility, i-acupuncture inokunceda ukubuyisela iintlungu ngokubeka iinaliti kwii-acupoints zomzimba ukunika isiqabu. 

 

Ulungiso lwenyama

Unyango lomzimba lunyango lokugqibela olungasebenzisi utyando abantu abaninzi abanokulubandakanya kwimisebenzi yabo yemihla ngemihla. Unyango lomzimba lunokunceda ukulawula i-hypermobility edibeneyo elungiselelwe ukunceda ukuqinisa izihlunu ezibuthathaka ezijikeleze amajoyina achaphazelekayo, ukuphucula ukuzinza komntu kunye nokunceda ukunciphisa umngcipheko wokutshatyalaliswa. Ukongeza, abantu abaninzi banokusebenzisa umthambo onempembelelo ephantsi ukuqinisekisa ulawulo olululo lwemoto xa usenza umthambo rhoqo ngaphandle kokubeka uxinzelelo olugqithisileyo kumalungu. (URussek et al., ngo-2022)

 

 

Ngokubandakanya olu nyango luthathu lungelolo lotyando njengenxalenye yonyango olulungiselelweyo lwe-hypermobility edibeneyo, abantu abaninzi baya kuqala ukuva umahluko kwibhalansi yabo. Abayi kuba neentlungu ezidibeneyo ngokukhumbula ngakumbi umzimba kunye nokubandakanya utshintsho oluncinci kwindlela yabo. Nangona ukuhlala kunye ne-hypermobility edibeneyo kunokuba ngumceli mngeni kubantu abaninzi, ngokudibanisa kunye nokusebenzisa indibaniselwano efanelekileyo yonyango olungasebenzisi utyando, abaninzi banokuqala ukuphila ubomi obusebenzayo nobanelisayo.


Ucaphulo

Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Ukuxilongwa kunye noLawulo lwe-Hypermobility Spectrum Disorders kwi-Primary Care. J IBhodi ye Fam Fam, 34(4), 838-848. doi.org/10.3122/jabfm.2021.04.200374

Boudreau, PA, Steiman, I., & Mior, S. (2020). Ulawulo lweklinikhi ye-benign joint hypermobility syndrome: i-case series. J Can Chiropr Assoc, 64(1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667

www.ncbi.nlm.nih.gov/pmc/articles/PMC7250515/pdf/jcca-64-43.pdf

Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [I-Joint hypermobility syndrome]. Acta Ortop Mex, 34(6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)

Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). Iziphumo ze-acupuncture okanye unyango olufanayo lwe-needling kwiintlungu, i-proprioception, ibhalansi, kunye nomsebenzi wokuzichaza ngokuzimeleyo kubantu abanokungazinzi okungapheliyo kwe-ankle: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta. Mncedi Ther Med, 77, 102983. doi.org/10.1016/j.ctim.2023.102983

Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Iimbono zamazwe ngamazwe kwi-Joint Hypermobility: I-Synthesis yeNzululwazi yangoku ukuKhokela izikhokelo zeKlinikhi kunye noPhando. J Clin Rheumatol, 28(6), 314-320. doi.org/10.1097/RHU.0000000000001864

Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Ukunikezelwa kunye nokulawulwa konyango lomzimba wokungazinzi komlomo wesibeleko esiphezulu kwizigulane ezine-symptomatic generalized joint hypermobility: iingcebiso zeengcali zamazwe ngamazwe. Front Med (Lausanne), 9, 1072764. doi.org/10.3389/fmed.2022.1072764

Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Uxinzelelo oludibeneyo lwabantwana: isakhelo sokuxilonga kunye nophononongo olubalisayo. Orphanet J Rare Dis, 18(1), 104. doi.org/10.1186/s13023-023-02717-2

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