I-Hip Pain kunye nokuphazamiseka
Iqela leKlinikhi eNgemva leeNzululwazi zeHip kunye neZiphazamiso. Ezi ntlobo zokuphazamiseka zizikhalazo eziqhelekileyo ezinokubangelwa ziingxaki ezahlukeneyo. Indawo echanekileyo yentlungu yakho ye-hip inokunika ulwazi oluninzi malunga nesizathu esibangela. I-hip joint ngokwayo ithambekele ekubangeleni intlungu ngaphakathi kwe-hip okanye indawo ye-groin. Ubuhlungu obungaphandle, ithanga eliphezulu, okanye i-buttock yangaphandle ngokuqhelekileyo ibangelwa izifo / iingxaki kunye nemisipha, iigaments, i-tendon, kunye nezicubu ezithambileyo ezijikeleze i-hip joint. Iintlungu ze-Hip zinokubangelwa zizifo kunye neemeko kwezinye iindawo zomzimba wakho, oko kukuthi kumqolo ongezantsi. Into yokuqala kukuchonga apho intlungu ivela khona.
Eyona nto ibalulekileyo yokwahlula kukufumanisa ukuba i-hip yimbangela yentlungu. Xa iintlungu ze-hip zivela kwimisipha, i-tendon, okanye ukulimala kwe-ligament, ngokuqhelekileyo ivela ekusebenziseni ngokugqithiseleyo okanye Ukuphindaphinda Ukulimala (RSI). Oku kuvela ekusebenziseni ngokugqithisileyo izihlunu zenyonga emzimbeni okt iliopsoas tendinitis. Oku kunokuvela kwi-tendon kunye ne-ligament irritations, edla ngokubandakanyeka kwi-snapping hip syndrome. Inokuvela ngaphakathi kwilungu elibonakalisa ngakumbi i-hip osteoarthritis. Nganye kwezi ntlobo zentlungu iziveza ngeendlela ezahlukileyo, nto leyo ke ngoko eyeyona nxalenye ibalulekileyo ekuxilongeni ukuba yintoni unobangela.
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, impilo, I-Hip Pain kunye nokuphazamiseka, Ukuhamba kunye nokuguquguquka, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
The ikhefu idlala indima ebalulekileyo ekugcineni uzinzo kunye nokuhamba emzimbeni. Nangona kunjalo, izenzo ezingalunganga zingakhokelela ekungalungelelaniseni kunye nentlungu kwi izihlunu zenyonga, kubangela ukungakhululeki kunye nokuchaphazela abanye imisipha kunye namalungu. Eli nqaku ligxininisa kwimisipha ye-hip flexor kunye nendlela yokuvavanya ngayo unyango lwe-MET kunokunciphisa intlungu kunye nokubuyisela ukuhamba kwe-hip. Sisebenzisa kwaye sifaka ulwazi oluxabisekileyo malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa unyango lwe-MET ukukhulula ubuhlungu obungapheliyo bemisipha ehambelana nemisipha ye-hip flexor. Sikhuthaza kwaye sithumele izigulana kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo ngelixa sixhasa ukuba imfundo yindlela ephawulekayo nemangalisayo yokubuza ababoneleli bethu imibuzo ebalulekileyo xa isigulana sivuma. UDkt Alex Jimenez, DC, uquka olu lwazi njengenkonzo yemfundo. isikhanyeli
Yintoni i-Hip Flexor Muscles?
Ngaba unazo naziphi na iintlungu esinqeni sakho? Ngaba ukutshintsha ubunzima bakho ukusuka kwelinye icala ukuya kwelinye kunceda ukukhulula intlungu? Ngaba uziva iintlungu zidubula ukusuka esinqeni ukuya emilenzeni yakho? Ezi zimpawu zinokuthi zibangelwa yintlungu kwimisipha yakho ye-hip flexor. Uphando lophando lutyhila ukuba ezi zihlunu zixhasa amanye amaqela emisipha efana ne-trunk kunye nemilenze, evumela umsebenzi ofanelekileyo we-muscle xa uphakamisa imilenze yakho ngokuthe tye ngexesha leemvavanyo zokusebenza kwi-hips kunye ne-pelvis. Izihlunu ze-hip ezinqeni zakho zinemisipha emithandathu enceda ukuzinza kunye nokuhamba:
- I-Psoas Major
- Iliacus
- I-Rectus femoris
- ISartorius
- Adductor Longus
- I-Tensor Fasciae Latae
Uphononongo olongezelelweyo luye lwatyhila ukuba imisipha ye-hip flexor ibalulekile ekuxhaseni umva ophantsi kunye nokugcina uzinzo. Ezi zihlunu zintandathu zincedisa ukunyakaza kwe-hip njenge-flexion enzulu, i-adduction, kunye nokujikeleza kwangaphandle, phakathi kweminye imisebenzi. Ubudlelwane phakathi kwe-hip flexors kunye ne-lumbar spine yomelele ngakumbi. Nangona kunjalo, ukuba ezi zihlunu ziba nzima, zinokuchaphazela kakubi ukusebenza kwaye zikhokelela kweminye imiba.
Iintlungu ze-Hip ezinxulumene ne-Musculoskeletal System
Iintlungu ze-Hip zinokubangelwa yi-tight hip flexor muscles, enokuthi ichaphazeleke ngezinto ezahlukeneyo ezifana nemicimbi yezempilo, ukulimala, okanye iimeko zokusingqongileyo. Izifundo zophando zibonisile ukuba ukulimala okungaphantsi kunokunciphisa ukusebenza kwaye kubangele iimpawu ezinjengeentlungu ezinxulumene ne-musculoskeletal system. I-flexible hip flexors ingabangelwa ukuhlala ixesha elide, ukunyuswa okungalunganga, okanye izenzo eziphindaphindiweyo, ezikhokelela kwimisipha eyoluliweyo okanye efutshane kunye nokuphuhliswa kwamaqhuqhuva. Oku kunokubangela ukuphazamiseka kwe-musculoskeletal kunye nezinqe ezingalinganiyo. Iintlobo ezahlukeneyo zonyango zikhoyo ukuze zilungelelanise umzimba kunye nokuqinisa imisipha ye-hip flexor.
Isisombululo esingenalo Utyando: Ukhathalelo lweChiropractic-Ividiyo
Ngaba ulwa nokungazinzi ngelixa uhamba okanye uzifumana uxhomekeke ngakumbi kumlenze omnye kunomnye? Mhlawumbi ufumana iintlungu zenyonga rhoqo. Ukungahambi kakuhle ezinqeni ezibangelwa yimiba yokusingqongileyo kunokukhokelela ekungazinzini kunye neempawu ezinjengeentlungu ezinxulumene nemisipha ye-hip flexor. Le miba inokubangela ukuphazamiseka kwe-musculoskelet edibanisayo kwaye ibangele ukuguqulwa komgogodla. Uphononongo lophando lukhankanyiwe ukuba kunokuba nzima ukuxilonga intlungu ye-hip ngenxa yokuba ihlala ibonisa intlungu echazwe kwi-lumbar spine okanye idolo elihlangeneyo. Oku kuthetha ukuba izinqe ezingalinganiyo okanye eziqinileyo zinokubangela iintlungu ezisezantsi okanye edolweni. Unyango lukhona ukunciphisa intlungu ye-hip kunye nokwelula ngobumnene imisipha ye-flexor. Ividiyo engentla ibonisa indlela ukunakekelwa kwe-chiropractic kunokunika ngayo izisombululo ezingezizo zokuhlinzwa ukuze zilungelelanise umzimba kunye nokunciphisa uxinzelelo kwimisipha ejikelezayo.
Ukuvavanya i-Hip Flexors ngoNyango lwe-MET
Ukuba ufumana ubunzima okanye intlungu ezinqeni zakho ngenxa ye-hip flexors, unokuphucula ukuhamba kwakho kwaye uthintele imiba yexesha elizayo ngeendlela ezininzi. Uphando luye lwabonisa ukuba unyango lomzimba olubandakanya i-RICE (ukuphumla, iqhwa, ukunyanzeliswa, kunye nokuphakama) kunokunceda ukubuyisela amandla emisipha kunye noluhlu lokunyakaza. Unyango oluthambileyo oludityaniswe nonyango lomzimba lunokusebenza kwakhona ekubuyiseleni ukuhamba kwe-hip. Kwincwadi yabo ethi "I-Clinical Application of Neuromuscular Techniques," uDkt Judith Walker DeLany, LMT, kunye noDkt Leon Chaitow, ND, DO bachaza ukuba i-Muscle Energy Techniques (MET) inokwelula ngobumnene imisipha ye-hip flexor kunye nokubuyisela ukuhamba kunye noluhlu lokuhamba. kwindawo ye-hip joint. Unyango lwe-MET lunokwandisa imisipha ye-hip flexor, ukunciphisa iintlungu ezigqithisiweyo, kunye nokuphucula umsebenzi we-hip.
isiphelo
Xa ama-hips kunye nezihlunu ezijikelezayo ziqala ukubangela intlungu esasazeka kuwo wonke umzimba, kunokukhokelela kwiimpawu ezingathandekiyo ezibangela ukuba abantu batshintshe ubunzima babo ukuze bahlawule intlungu. Oku kunokwenzeka ngenxa yezinto ezisingqongileyo ezifana nokuhlala ixesha elide okanye ukugqithisa imisipha, okwenza ukuba i-hip flexors ibe nzima kwaye inokukhokelela kwiintlungu ezinqeni kunye nomqolo ophantsi. Nangona kunjalo, unyango lomzimba oludityaniswe neendlela zamandla emisipha (MET) lunokunceda ukukhulula iintlungu kunye nokulungelelanisa isinqe kunye nomzimba. Olu nyango luvumela umzimba ukuba uphilise izihlunu ezichaphazelekayo ukuze abantu bangabi nantlungu.
Ucaphulo
Ahuja, Vanita, et al. "Intlungu engapheliyo ye-Hip kubantu abadala: ulwazi lwangoku kunye nekamva elilindelekileyo." Ijenali ye-Anaesthesiology, iClinical Pharmacology, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.
UChaitow, uLeon, kunye noJudith Walker uDeLany. Izicelo zeklinikhi zeTechnique zeNeuromuscular. UChurchill Livingstone, ngo-2003.
Konrad, Andreas, et al. “Impembelelo yokolula i-Hip Flexor Muscles kwi-Performance Parameters. Uphononongo olucwangcisiweyo kunye nohlalutyo lwe-Meta. " Ijenali yehlabathi yoPhando lwezeNdalo kunye neMpilo yoLuntu, 17 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7922112/.
Mills, uMateyu, et al. "Impembelelo yoBubude be-Hip Flexor eSikelwe umda kwi-Hip Extensor Muscle Activity kunye ne-Lower Extremity Biomechanics kubadlali bebhola ekhatywayo abakwiKholeji." Ijenali yeHlabathi yezeMidlalo yoNyango loMzimba, Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4675195/.
UTyler, uTimothy F, et al. "Ukubuyiselwa kwimeko yokwenzakala kwe-Soft Tissue ye-Hip kunye ne-Pelvis." Ijenali yeHlabathi yezeMidlalo yoNyango loMzimba, Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4223288/.
Yamane, Masahiro, et al. "Ukuqonda iPatheni yoMsebenzi we-Muscle we-Hip Flexors ngexesha lokuKhulisa umlenze oLungileyo kwiZifundo eziphilileyo." Inkqubela phambili kwiyeza lokuBuyiselwa kwisimo sesiqhelo, 16 Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7365227.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, impilo, I-Hip Pain kunye nokuphazamiseka, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
The izihlunu zamathanga ukubonelela ukuhamba kunye nokuzinza kwi-hips kunye nomzimba ophezulu. Bavumela ukwandiswa komlenze kunye ne-flexion ngelixa kwakhona kuzinzisa i-pelvis. I abenzi kwaye imisipha ngamaqela amabini ezihlunu asebenza kunye ukuze akwazi ukubaleka, ukutsiba, uku-squatting, kunye nokubaleka. Nangona kunjalo, ukusetyenziswa kakhulu kwezi zihlunu kunokukhokelela iintlungu zemisipha, enokubangela ukungahambi kakuhle kunye nokungahambi kakuhle emzimbeni. Eli nqaku liza kugxininisa kwi-hamstring kunye nemisipha ye-adductor, impembelelo yentlungu ye-muscle kunye noxinzelelo kule misipha, kunye nendlela unyango lwe-MET lunokunceda ngayo. Sisebenzisa kwaye sifaka ulwazi oluxabisekileyo malunga nezigulane zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa unyango lwe-MET ukukhulula ubuhlungu obungapheliyo bemisipha ehambelana ne-hamstrings kunye nemisipha ye-adductor. Sikhuthaza kwaye sithumele izigulana kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo ngelixa sixhasa ukuba imfundo yindlela ephawulekayo nemangalisayo yokubuza ababoneleli bethu imibuzo ebalulekileyo xa isigulane sivuma. UDkt Alex Jimenez, DC, uquka olu lwazi njengenkonzo yemfundo. isikhanyeli
IiHamstrings & Adductor Izihlunu
Ngaba uziva iintlungu kwithanga lakho eliphezulu? Ngaba ukuhamba okanye ukubaleka kubangela iingxaki? Ngaba ufumana intlungu emadolweni xa usolula imilenze yakho? Le miba inokunxulumana nemisipha ye-hamstrings kunye ne-adductor emathangeni akho. Ezi zihlunu zibonelela ngokuzinza kunye nokuhamba emathangeni akho nangaphantsi. Uphando lutyhila ukuba imisipha ye-hamstring liqela leemisipha ezintathu ezidlala indima ebalulekileyo kwimisebenzi yemihla ngemihla. Imisebenzi yabo ephambili ibandakanya:
- Ukwandiswa kwe-Hip kunye nokuguqa kwamadolo.
- Ikuvumela ukuba wenze iintshukumo ezahlukeneyo, njengokuma kunye nokubaleka.
- Ukutsiba.
I-hamstrings kunye ne-adductors zidlala indima ebalulekileyo kumjikelezo wokuhamba komntu kunye nokulawula ukuma kwe-pelvic. I-hamstrings inceda ukwandisa i-hip kwaye iguqe ngamadolo, ngelixa imisipha ye-adductor iqinisa i-hip kunye ne-pelvis. Izifundo zophando zibonisa ukuba izihlunu ze-adductor zivela kwi-pelvis kwaye ziyeke kwi-femur emilenzeni. Zibalulekile ekuzinziseni i-pelvis kunye nokugcina ibhalansi kumalungu angaphantsi ngexesha lokuhamba. Nangona kunjalo, ezi zihlunu ziyakwazi ukwenzakala nangona zinendima ebalulekileyo kumsebenzi ophantsi.
Iintlungu zemisipha kunye noxinzelelo kwi-Hamstring-Adductors
Ukulimala kwi-hamstrings kunye nezihlunu ze-adductor kunokubangela izinto ezininzi. Ukugqithisa izihlunu ze-adductor kunokukhokelela kwiintlungu eziphezulu ze-hamstring, ngelixa iimbaleki zinokuthi zibe nokuqhwala xa zikhupha i-hamstrings. Uphando lutyhila ukuba izenzo ze-eccentric kule misipha zingabangela izikhundla ezidibeneyo, okwenza i-fibers ye-muscle isengozini yokulimala okunxulumene noxinzelelo. Ukunyakaza okuphindaphindiweyo kunokuphuhlisa amaqhuqhuva amancinci aziwa ngokuba ngamanqaku e-trigger abangela intlungu ekhuphayo kwi-hamstrings kunye nezihlunu ze-adductor. Izifundo ezongezelelweyo zityhila ukuba ukungabikho kwe-mechanical advantage kungenza ezi zihlunu zithinteke kuxinzelelo. Ngethamsanqa, unyango oluhlukeneyo luyafumaneka ukunciphisa intlungu yemisipha kunye noxinzelelo kwi-hamstrings kunye ne-adductors.
Kutheni ukhetha iChiropractic? - Ividiyo
Ngaba unentlungu ye-muscle kwi-hamstrings okanye imisipha ye-adductor? Ngaba ikwenza ukuba uqhwalele okanye uzive uxinene kwi-hamstrings yakho? Le miba ihambelana neentlungu ze-muscle ezichaphazela le misipha, esebenza kunye ukubonelela ukuzinza kunye nokuhamba kwiindawo ezisezantsi. Imiba yokusingqongileyo okanye izenzo eziphindaphindayo zinokukhokelela kwimiba yengozi eyongezelelweyo, ebangela ukungahambi kakuhle kunye nokungasebenzi kakuhle emzimbeni. Oku kunokukhokelela ekukhubazekeni kwemisipha kunye nobunzima bokuhamba. Ngethamsanqa, ukhathalelo lwe-chiropractic kunye nonyango lwe-tissue ethambileyo njengonyango lwe-MET lunokunceda ukunciphisa iintlungu kunye nokubuyisela umqolo ohlangeneyo ekusebenzeni. Ividiyo engentla ichaza indlela ukhathalelo lwe-chiropractic lusebenzisa ngayo ukuphathwa ngesandla ukuze kuncitshiswe i-spine subluxation ngelixa ulula kwaye uqinisa imisipha ejikeleze amalunga.
UNyango lwe-MET Uvavanyo lweeHamstrings kunye neeAdductors
Ukuba ufumana intlungu ye-muscle kunye noxinzelelo kwi-hamstrings kunye nemisipha ye-adductor, unyango olukhoyo lunokunceda. Ngokutsho kwencwadi kaLeon Chaitow kunye noJudith Walker DeLany, ebizwa ngokuba yi "Clinical Application of Neuromuscular Techniques," iingcali zentlungu zisebenzisa iindlela zamandla emisipha (MET) zingasetyenziselwa ukunweba imisipha echaphazelekayo kunye nokunciphisa intlungu kuloo ndawo. Ukusebenzisa i-MET, iingcali zentlungu zinokunceda kwakhona ukubuyisela ukuhamba kunye nokuguquguquka kwethanga lakho kunye neziphelo zomzimba ezisezantsi. Olu nyango lunokuba luncedo kakhulu ekupheliseni intlungu kunye nokubuyisela ukuzinza emzimbeni wakho.
isiphelo
I-hamstrings kunye nezihlunu ze-adductor zisebenza kunye ukubonelela ukuzinza kunye nokuhamba emathangeni nangaphantsi. Ngelixa zinemisebenzi efanayo neyohlukileyo, zombini zibalulekile ekumeni, ukubaleka, nokuhamba. Nangona kunjalo, ukulimala kunokwenzeka xa ezi zihlunu zigqithise okanye zonakaliswe ngenxa yezenzo eziphindaphindiweyo, ezibangelwa ukungahambi kakuhle emzimbeni. Ngethamsanqa, unyango lwezicubu ezithambileyo ezifana nonyango lwe-MET okanye ukhathalelo lwe-chiropractic lunokunceda ukulungelelanisa umzimba, ukunweba izicubu ze-muscle, kunye nokubuyisela ukuhamba kunye nokuzinza kwezi zihlunu. Oku kunokunceda abantu ukuba bahambe ngaphandle kokuva naziphi na iintlungu.
Ucaphulo
UAfonso, uJosé, et al. "I-Hamstrings: Ukwahluka kwe-Anatomic kunye nePhysiologic kunye nobudlelwane babo obunokubakho kunye noMngcipheko wokwenzakala." Imida kwiPhysics, 7 Julayi 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8294189/.
UChaitow, uLeon, kunye noJudith Walker uDeLany. Izicelo zeklinikhi zeTechnique zeNeuromuscular. UChurchill Livingstone, ngo-2003.
UJeno, uSusan H, kunye noGary S Schindler. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi: I-Thanga Adductor Magnus Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), 1 Agasti 2022, www.ncbi.nlm.nih.gov/books/NBK534842/.
Rodgers, Cooper D, kunye noAvais Raja. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, i-Hamstring Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), 29 Jan. 2022, www.ncbi.nlm.nih.gov/books/NBK546688/.
UTyler, uTimothy F, et al. "Ukulimala kweGroin kuNyango lwezeMidlalo." Impilo yezemidlalo, ngoMeyi 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3445110/.
isikhanyeli
by UGqr Alex Jimenez | I-Hip Pain kunye nokuphazamiseka, Ubuhlungu Bokubuyisela
Ilungu kulapho ahlangana khona amathambo amabini. Amalungu amabini e-sacroiliac okanye e-SI adibanisa umqolo, i-pelvis, kunye ne-hips. Lo mlinganiso oqinileyo odibeneyo kwaye udlulisela uxinzelelo oluvela kumzimba ophezulu ukuya kwi-pelvis kunye nemilenze. Amalungu anokuba ne-sprain ebangela intlungu kunye neempawu ezingathandekiyo. Kusenokubakho nemvakalelo yokuqina ejikeleza esinqeni kunye nokuqaqamba okuthe cwaka ephantsi njengoko izihlunu ezijikelezayo ziqina njengendlela yokukhusela, eyaziwa ngokuba yi-muscle guarding. Uxilongo oluchanekileyo lubalulekile ukuze kuthintelwe naziphi na iingxaki ezinokubakho. Iingcali ze-Chiropractors ziingcali kwiingxaki ze-neuromusculoskeletal kwaye ziyakwazi ukunyanga, ukuphilisa, kunye nokomeleza umzimba ngokusebenzisa i-MET eyahlukeneyo, ukuhlanganisa, kunye nobuchule bokuphatha.
I-Sacroiliac Sprain
Umsebenzi oyintloko kukulungelelanisa amandla omzimba ophezulu nangaphantsi. Amalungu e-sacroiliac ajikelezwe yi-muscle, i-tissue edibeneyo, i-nerve eyenzelwe ukujamelana noxinzelelo olukhulu kunye nenkqubo enzima ye-ligaments, ngakumbi ukomeleza amalunga.
Ukwenzakala
I-Sacroiliac sprains inokubangelwa ukwenzakala ngokuthe ngqo kwi-pelvis ukusuka ekuwa okanye ukungqubana kwemoto okanye imisebenzi kunye nemidlalo ebandakanya ukugoba kunye nokujija okuninzi. Nangona kunjalo, ngamanye amaxesha akukho sizathu sicacileyo. Oonobangela abaxhaphakileyo baquka:
- I-microtrauma ephindaphindayo kukuhamba okugqithisileyo/okuphindaphindayo njengokujija ixesha elide, ukugoba, okanye ukuphakamisa emsebenzini, ekhaya, kwimisebenzi yomzimba, kunye nemidlalo.
- Umdibaniso unokutyhalwa ngaphandle kolungelelwaniso.
- Ukungalingani kwemisipha okanye ubuthathaka kwimisipha ejikeleze i-sacroiliac joints kunokubangela ukuba iingxaki zikhule ngokuhamba kwexesha, zibonise iimpawu ezincinci okanye zingabikho.
- Izicubu ezijikeleze ijoyinti ye-sacroiliac nazo zinokuzolulwa okanye zikrazuke.
- Ukwenzakala okufana nokuwa okanye iingozi zendlela
- Iingxaki ezinqeni, amadolo, kunye neenyawo zinokuvelisa uxinzelelo olwandisiweyo kwilungu, elinokuthi libe buhlungu ngokuhamba kwexesha ngenxa yoxinzelelo oluphindaphindiweyo.
- Amahomoni okukhulelwa akhutshwa ukukhuthaza ukuphumla kwe-pelvis kunokunyusa umngcipheko wokulimala kwe-SI.
Ukuxinezeleka okugqithiseleyo kwi-joint kunokubangela umonakalo omncinci kwi-ligaments ejikeleze umgudu. Ilungu ke ngoko liyadumba kwaye liveze iintlungu kunye nokuziva ungakhululeki. Umzimba uphendula ngokuqhawula izihlunu ukukhusela umonakalo ongakumbi. Nangona kunjalo, i-spasms ye-muscle ayinakuyeka, ibangele intlungu eninzi. Intlungu ebhekiswayo iqhelekile kwiimisipha ezingena kwi-spasm, kunye neyona nto ichaphazelekayo yi-piriformis, i-gluteal / buttock, kunye nemisipha ye-psoas.
Izimpawu kunye neMpawu
- Ubumnene phezu kwelungu elichaphazelekayo kunye nommandla.
- Iimpawu zentlungu kwelinye okanye kumacala omabini ngaphezu kwamalungu kunye neempundu.
- Ukuma okanye ukusebenza kunye nobunzima obuninzi emlenzeni omnye kwandisa iimpawu zentlungu.
- Iintlungu emva kokuphakanyiswa okanye ukujija ezikhula emva kwexeshana.
- Iintlungu zihamba ngasemva komlenze, phambi kwethanga, kunye ne-groin.
- Iintlungu ziba mbi ngakumbi xa uhleli kwaye ugoba phambili.
- Ukungqengqa kunciphisa iimpawu.
- Uninzi lweemeko azichazi ukuphulukana namandla, ukuntyiloza, okanye ukuziva ndindisholo.
Unyango lweChiropractic
Unyango lweChiropractic luya kunciphisa iimpawu zentlungu, kodwa kukho izigaba impatho, ngalinye linosukelo oluthile ngaphambi kokuba liye kolulandelayo.
- Injongo yesigaba sokuqala kukunciphisa intlungu kunye nokuvuvukala.
- Inqanaba lesibini lizinzisa kunye nokubuyisela umsebenzi ofanelekileyo we-musculoskeletal.
- Ukubuyiselwa kwisimo sangaphambili kunye nokwalulwa okujoliswe kuko kunye nokuzivocavoca kuya kwaziswa njengoko unyango luqhubeka.
- Kwinqanaba lokulondoloza, akufanele kubekho intlungu, kwaye umntu kufuneka akwazi ukwenza imisebenzi eqhelekileyo yemihla ngemihla kwaye abuyele kubomi obuqhelekileyo.
- Ixesha lokubuyisela i-sprain ye-sacroiliac ingaba ziiveki ezi-4-6 kodwa kunokuthatha iinyanga ukuphilisa ngokupheleleyo.
Indlela yeChiropractic yokuNceda iintlungu
Ucaphulo
BIDWELL, A M. “Ukunyangwa kwe-sacroiliac sprain ngokuyiphatha.” The Medical World vol. 65,1 (1947): 14-6.
Evans, P. “Sacroiliac sprain.” Ugqirha wosapho waseMelika vol. 48,8 (1993): 1388; umbhali uphendula 1390.
LeBlanc, K E. "I-Sacroiliac sprain: unobangela ongahoywanga wentlungu yomqolo." Ugqirha wosapho waseMelika vol. 46,5 (1992): 1459-63.
Sun, Chao, et al. "Iindleko kunye nesiphumo sihlalutya ngexesha lovavanyo lokuqala oluzimeleyo lwezonyango kwizigulane ezine-lumbosacral sprain enxulumene nomsebenzi." Ijenali yoMsebenzi kunye neyeza lokusingqongileyo vol. 49,11 (2007): 1264-8. doi:10.1097/JOM.0b013e318156ecdb
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, impilo, I-Hip Pain kunye nokuphazamiseka, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
The inkqubo yemisipha ivumela amaqela ahlukeneyo emisipha ukuba ajikeleze amathambo kunye namalungu ngokusebenzisa i-ligaments kunye nezicubu ze-muscle ezinceda ukuhamba kunye nokuzinzisa isakhiwo samathambo kwiintlungu. Njengoko umzimba uguga ngokwendalo, izihlunu, amathambo kunye namalungu ayachaphazeleka njengoko izinto ezininzi ziqala ukwenza ukuba umzimba ungasebenzi. Uninzi lwezi zinto zinokuthatha umthwalo kumzimba kwaye zibangele ukulahleka kobunzima bamathambo, okukhokelela ekubeni osteoporosis. Umntu ojongene ne-osteoporosis unokuvelisa iiprofayili zomngcipheko ezidlulayo ezichaphazela imisipha kunye namalungu omzimba, okukhokelela ekubeni iimpawu ezibuhlungu. Inqaku lanamhlanje lijonga i-osteoporosis, indlela eyichaphazela ngayo imisipha kunye namalungu, kunye nokuba zininzi kangakanani unyango olunokunceda ukunciphisa iimpawu ze-osteoporosis. Sisebenzisa ulwazi malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa unyango lwe-MET ukunciphisa imiphumo ye-osteoporosis kwi-musculoskeletal system. Sikhuthaza izigulane ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuxilongo lwabo ngelixa sixhasa ukuba imfundo yindlela ephawulekayo yokubuza ababoneleli bethu eyona mibuzo inomdla kunye nebalulekileyo ekuvunyweni kwesigulana. UDkt Alex Jimenez, DC, uquka olu lwazi njengenkonzo yemfundo. isikhanyeli
Yintoni i-Osteoporosis?
Ukuba uye wafumana intlungu ebuhlungu emqolo okanye enqeni okanye uphefumla nzima, unokuba ne-osteoporosis. Le meko ibangela ukuba amathambo abe namaqhakuva, awenze abe brittle kwaye abe buthathaka, kwaye ichaphazela abantu abamalunga nezigidi ezingama-200 kwihlabathi liphela, kwaye abasetyhini bachaphazeleka kakhulu kunamadoda, njengoko Izifundo zityhiliwe. Izinto ezininzi ezinobungozi zinokubangela ukuba amathambo ahlasele ngokukhawuleza kwaye abe buthathaka, okukhokelela ekunyuseni komngcipheko wokuba buthathaka, ukuphuka, kunye neentlungu zemisipha kunye nokudibanisa. Uphononongo olongezelelweyo luye lwatyhila ukuba ezinye izinto ezinobungozi ezinokukhokelela kuphuhliso lwe-osteoporosis ziquka:
- Race
- Buhlanga
- ubudala
- Ngesondo
- Isifo se-Metabolic syndrome
I-osteoporosis ihlala ingabonwa ixesha elide, kwaye abantu babona kuphela iimpawu ezinje ngomqolo ogobileyo ongasentla okanye ithambo elaphukileyo.
I-Osteoporosis echaphazela izihlunu kunye namalungu
I-Osteoporosis inokuchaphazela amathambo omzimba, izihlunu, kunye namalungu, ngakumbi iindawo ezinkulu zamathambo afana nomqolo, isinqe, izihlahla kunye namagxa. Izifundo zibonise ukuba abantu abanomonzakalo okanye abangenazo iimpawu ezifana neentlungu ngenxa ye-osteoporosis ebangelwa kukusilela kwehomoni. "IiClinical Applications of Neuromuscular Techniques" nguDkt. Leon Chaitow, ND, DO, kunye noDkt Judith Walker DeLany, LMT, bachaza ukuba ukuxinwa kwamathambo kunokuncipha xa ukuchithwa kwamathambo kwenzeka ngokukhawuleza kunokwakheka kwamathambo. Oku kuncipha kwethambo kunokukhokelela ekuqhekekeni kwamalungu kwaye kubangele ukuphazamiseka kwe-musculoskeletal echaphazela ukuzinza kunye nokuhamba komntu, okukhokelela kwizikhalazo kwiindawo eziphezulu kunye nezisezantsi zomzimba.
Isishwankathelo seOsteoporosis-Ividiyo
Ngaba uva iintlungu ezingalweni okanye emilenzeni yakho? Ngaba amalungu akho aqaqamba ngakumbi kunesiqhelo okanye ngaba unentlungu engapheliyo yomqolo? Ezi mpawu zidla ngokunxulunyaniswa ne-osteoporosis, imeko engapheliyo apho amathambo abe buthathaka kwaye abe buthathaka ngenxa yokwaphuka okanye ukwenzakala. I-Osteoporosis inokuhamba ingabonwa ixesha elide, kwaye xa ichaphazela ukuxinana kwamathambo, inokuchaphazela izihlunu ezijikelezileyo kunye namalungu, okukhokelela kwiimeko ezahlukeneyo ze-musculoskeletal. Ividiyo engentla ichaza i-osteoporosis, kubandakanywa nemingcipheko kunye neendlela zonyango ezifana nokunyamekela kwe-chiropractic ukunciphisa imiphumo yayo.
Unyango Ukunciphisa iimpawu zeOsteoporosis
Ukuba usengozini yokuphuhlisa i-osteoporosis, kungcono ukudibana nogqirha wakho oyintloko ukuze uqinisekise. Nje ukuba uqinisekisiwe, unokhetho oluninzi kumanyathelo akho alandelayo, njengokubandakanya umthambo, iivithamini, iiminerali, kunye nezongezelelo zempilo yamathambo, utshintsho lwendlela yokuphila, kunye nokusetyenziswa konyango olunjengonyango lwe-MET okanye unyango lwe-chiropractic. Unyango lwe-MET lunokunceda ukubuyisela ukuxinana kwamathambo kunye nokukhuthaza indlela enengqondo kumzimba womntu kunye nendlela yokuphila xa kudibaniswa nokutya okufanelekileyo kunye nokuzivocavoca. Izifundo zibonisa ukuba abantu abane-osteoporosis banokusebenzisa unyango lwe-MET ukunciphisa intlungu kunye nokuphucula uluhlu lwentshukumo kumalungu achaphazelekayo. Iingcali zentlungu zihlala zisebenzisa i-MET ukolula kunye nokunciphisa izihlunu ukunceda ukubuyisela umzimba kwisiqhelo.
isiphelo
I-Osteoporosis sisifo esinganyangekiyo esithe cwaka esichaphazela amathambo ngokuthula, kubangela intlungu kunye nokuhambelana nezinto ezininzi ezinokunyusa ukuqhubeka kwayo. Xa amathambo esiba neentunjana, abe buthathaka, kwaye abe brittle, oko kunokukhokelela kwiimpawu ezinjengeentlungu kwinkqubo ye-musculoskeletal system. Oku kunokubangela imiba engapheliyo ephazamisa umzimba, ekhokelela ekuhambeni kunye neengxaki zokuzinza. Ngethamsanqa, kukho iindlela ezininzi zokuthintela nokunciphisa imiphumo ye-osteoporosis. Amanye amanyathelo asebenzayo abandakanya ukudibanisa iivithamini kunye nezongezelelo zempilo yamathambo, ukwenza umthambo imizuzu engama-30 ukuya kwiyure, kunye nokufumana unyango lwe-MET ukubuyisela uluhlu lokunyakaza komzimba. Olu tshintsho luncinci lunokuba nefuthe elikhulu kuhambo lwempilo yomntu kunye nokuba sempilweni.
Ucaphulo
UChaitow, uLeon, kunye noJudith Walker uDeLany. Izicelo zeklinikhi zeTechnique zeNeuromuscular. UChurchill Livingstone, ngo-2003.
Porter, uJoann L, kunye noMateyu Varacallo. "I-Osteoporosis." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), 4 Septemba 2022, www.ncbi.nlm.nih.gov/books/NBK441901/.
Pouresmaeili, Farkhondeh, et al. "Umbono obanzi malunga neOsteoporosis kunye neMingcipheko yayo." Unyango kunye noLawulo loMngcipheko weKlinikhi, 6 Nov. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6225907/.
Sözen, Tümay, et al. "Umbono kunye noLawulo lwe-Osteoporosis." Ijenali yaseYurophu yeRheumatology, Mar. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5335887/.
Thomas, Ewan, et al. "Ukusebenza koBuchule boMmandla we-Muscle kwiZifundo zeSimptomatic kunye ne-Asymptomatic: Uphononongo oluCwangcisiweyo." IChiropractic & Manual Therapy, 27 Agasti 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, I-Hip Pain kunye nokuphazamiseka, Ukuhamba kunye nokuguquguquka, Unyango, I-Viscerosomatic Reflex
intshayelelo
Izihlunu ezijikeleze i ikhefu kwiindawo ezisezantsi zibonelela ngokuzinza kwi-lumbar spine kunye ne-pelvis ngelixa uvumela ukuhamba, ukuguquguquka, kunye nokujikeleza kwi-groin, imilenze kunye namathanga. Izihlunu ezijikeleze i-groin ziquka amaqela amathathu emisipha emikhulu: i isisu, iiopsoas, yaye abenzi, ezinobudlelwane obuqhelekileyo kunye nemigqaliselo eyahlukeneyo kunye nezicubu ezithambileyo ezinokuthi zoyiswe kukulimala okanye ezinye iimpawu ezinokubangela intlungu kunye ukungahambi kakuhle komzimba. Oku kwenzeka kubantu abaninzi abathatha inxaxheba kwimidlalo okanye rhoqo ukwenza umthambo, nto leyo enokubangela uxinzelelo kufutshane ne-groin kunye nezihlunu ezingqongileyo. Inqaku lanamhlanje lijolise kunobangela woxinzelelo lwe-groin, indlela elichaphazela ngayo isinqe kunye ne-pelvis, kunye nokuba unyango olukhoyo lunokunceda njani ukunciphisa ubunzima be-groin. Sikhankanya kwaye sinikezele ngolwazi oluxabisekileyo malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa ubuchule obufana ne-MET kunye nonyango lwabantu abane-groin strain kunye nokubangela imiba yokuhamba xa besebenza. 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
Iimbangela zoxinzelelo lweGroin
Ngaba ukhe wahlangabezana nayo nayiphi na imiba yokuhamba xa uhamba? Ngaba uziva iintlungu ngasesinqeni okanye emanqeni? Okanye ngaba uziva ubuthathaka kwizihlunu emathangeni akho xa usenza umthambo? Uninzi lwale miba lunxulunyaniswa noxinzelelo lwe-muscle kufuphi ne-groin echaphazela umzimba wakho ophantsi. Izihlunu ezijikeleze i-groin zivumela imilenze kunye namathanga ukuba ajikeleze ngokujikeleza, ukujikeleza, kunye nokwandiswa ngaphandle kokuva intlungu. Nangona kunjalo, xa umntu eqala ukuva intlungu ejikeleze i-groin yabo, inokuba ngumcimbi ukuba awukhathalelwanga. Uphando lutyhila ukuba ezinye zezizathu, ezifana noxinzelelo lwe-adductor okanye ukulimala kwimisebenzi yomzimba, kunokubangela ukuba imicu yemisipha kumaqela amathathu emisipha ye-groin ibe yintlungu. Kwi-"Clinical Applications ye-Neuromuscular Techniques," ababhali uLeon Chaitow kunye noJudith Walker DeLany, bachaza ukuba iimeko ezingapheliyo ezidibeneyo kunye nezithambileyo zangaphambili zibonisa iimpawu ezibuhlungu kwimimandla ye-groin muscle. Ukuza kuthi ga ngoku, ukuba umntu unokulimala kwangaphambili kwimisipha ye-groin, inokuchaphazela indlela umntu ahamba ngayo kunye nokusebenza xa ehamba, enokuthi iholele kwimiba echaphazela i-hips kunye ne-pelvis.
Uxinzelelo lweGroin luyichaphazela njani iHips kunye nePelvis
Uphando lutyhila ii-pathologies ezininzi ezinokuthi zihlale ezinqeni kunye ne-pelvis ezinokubangela iimpawu ezifanayo kwi-hips kunye ne-pelvis enokuthi ihambelane neenkqubo ezininzi zamalungu afana namathumbu kunye nenkqubo yokuzala ebangela intlungu egqithisiweyo kwi-groin. Izifundo ezongezelelweyo nazo zikhankanyiwe ukuba iintlungu ze-groin zaziwa ngokubanzi njengomcimbi phakathi kweembaleki eziqeqeshiweyo kunye ne-amateur. Banokufumana iimpawu ezahlukeneyo kunye nokulimala kwintlungu ye-groin ehambelana nesinqe kunye ne-pelvis. Umzekelo uya kuba ukuba umntu uthatha inxaxheba kumcimbi wezemidlalo, unokufumana i-myofascial trigger points ezinxulumene ne-groin, ezichaphazela i-pelvis kunye ne-hips. Ezinye zeempawu ezinxulumene noxinzelelo lwe-groin ziquka:
- Ubunzima
- Ukuvuvukala
- Ubuthakathaka obuthathaka
- Ukungakhululeki kweGroin
- Ukugruzuka kwindawo yonke
- Ukungakhululeki komlenze xa uguquguquka
- Imiba yokuhamba
- Isisu esisezantsi okanye iimpawu zomqolo
Uninzi lwezi mpawu ezichaphazela i-hips kunye ne-pelvis zingakhokelela kwimibandela emininzi ebangela ukuba abantu bahlale bebuhlungu okanye bangakhathazeki de bafumane ukukhululeka.
Ngaba unengxaki yokushukuma? Kuthekani ngeentlungu ezinqeni, ezinqeni okanye ezinqeni? Okanye ngaba udla ngokuziva ungakhululekanga xa uzolula? Uninzi lwale miba lunxulunyaniswa noxinzelelo lwe-groin ecaleni kwesinqe kunye nommandla we-pelvic. Uxinzelelo lwe-Groin lwenzeka kumaqela amathathu emisipha emikhulu: izibilini, i-iliopsoas, kunye ne-adductors, xa zigqithisekile kwaye zibangele intlungu echazwe kwi-hips kunye ne-pelvis. Oku kubangela ukuba abantu abaninzi babe nokungazinzi kunye nemiba yokuhamba. Ezinye zeempawu ezikhoyo kwezi zihlunu ziquka:
- Ubuhlungu kwintshukumo esebenzayo
- Iintlungu ngexesha le-palpation
- Ukudumba kwendawo
- Iintlungu ngelixa usolula i-muscle-tendon
Xa iintlungu zibangela imiba kwi-groin, abantu abaninzi baya kunyango olukhoyo ukunceda ukunciphisa intlungu kunye nokuhamba kwakhona xa usenza umthambo. Olunye unyango olukhoyo lukhathalelo lwe-chiropractic. Ividiyo engentla ibonisa indlela ukhathalelo lwe-chiropractic lufakwe ngayo kubomi banamhlanje njengoko lisebenzisa izandla ezingasebenziyo kunyango lokulungelelanisa umzimba kunye nokunceda ukwandisa imisipha echaphazelekayo.
Unyango olukhoyo lokunciphisa uxinzelelo lwegroin
Unyango oluninzi lunokunceda ukunciphisa ubunzima be-groin ekuchaphazeleni imilenze ephantsi kunye nokunceda ukubuyisela ukuhamba kwimisipha ejikelezayo. Abantu abaninzi baya kusebenzisa iipakethi zomkhenkce, baphumle kwaye baphakamise umlenze ukunqanda ukwenzakala kwixa elizayo ukuba kungenzeki kwakhona. Nangona kunjalo, ukuba iyekwa inganyangwa, inokuba mandundu kwaye ikhokelele kwiimeko ezingapheliyo. Ngethamsanqa unyango olufana nokhathalelo lwe-chiropractic oludityaniswe neendlela ezithambileyo zokwelula izicubu ezifana ne-MET (ubuchule be-muscle energy) bunokunceda ukuhlanganisa amalungu athintelweyo kunye nokuphumla i-acute muscular spasms okanye ukuphambana ngelixa ulungiselela umdibaniso ukuze uphathwe. I-chiropractor iya kusebenzisa ezi ndlela zokulungelelanisa umqolo ukusuka kwi-subluxation kunye nokukhulula amajoyina aqinileyo kunye nezihlunu ezijikelezileyo ezichaphazelekayo. I-Chiropractors nayo iya kwazisa izigulane zabo ukuba zifake iindlela ezahlukeneyo zokuzivocavoca kunye nokwelula ukunceda ukuqinisa iqela le-muscle elichaphazelekayo kwaye babe nolwazi ngakumbi ngemizimba yabo.
isiphelo
Ngokubanzi, izihlunu ezahlukeneyo, iintambo, kunye nemigqaliselo ejikeleze imilenze ephantsi, njengamathanga, imilenze, kunye ne-groin, ivumela ukuhamba, ukuguquguquka, kunye nokujikeleza kwindawo ephantsi yomzimba. Xa ukulimala kuqala ukuchaphazela le miphetho, kunokukhokelela kwiintlungu ezibhekiselele kwi-hips kunye ne-pelvis, ebangela ukuxinwa kwe-groin kunye nentlungu ebizayo. Ukuba ayiphathwa ngokukhawuleza, inokukhula ibe yimeko engapheliyo eyenza imiba yokuhamba kunye nokuzinza kumzimba ophantsi. Umzimba ongaphezulu kuya kufuneka uhlawule intlungu ebangela ukuthotywa komnqonqo. Ngethamsanqa, unyango olufana nokhathalelo lwe-chiropractic ludityaniswe neendlela zokolula ezifana ne-MET zinokunceda ukunciphisa intlungu kwimisipha ye-groin ngelixa ukwandisa imisipha emfutshane. Ezi ndlela zobuchule zivumela ukushukuma ukubuyela kwimida engezantsi kwaye ulungelelanise umzimba ukuze abantu bangabi nantlungu.
Ucaphulo
Bisciotti, Gian Nicola, et al. "I-Groin Pain Syndrome: Umbutho weePathologies ezahlukeneyo kunye neCase Presentation." Izihlunu, iLigaments kunye neTendons Journal, Ilayibrari yeSizwe yaseMelika yoNyango, 20 Okt. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4617224/.
UChaitow, uLeon, kunye noJudith Walker uDeLany. Izicelo zeklinikhi zeTechnique zeNeuromuscular. UChurchill Livingstone, ngo-2003.
Kiel, uJohn, kunye noKimberly Kaiser. "Uxinzelelo lweAdductor." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 21 June 2022, www.ncbi.nlm.nih.gov/books/NBK493166/.
UTyler, uTimothy F, et al. "Ukulimala kweGroin kuNyango lwezeMidlalo." Impilo yezemidlalo, ILayibrari yeSizwe yaseMelika yoNyango, ngoMeyi 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC3445110/.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, impilo, I-Hip Pain kunye nokuphazamiseka, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
Ngomzimba ungumatshini ontsonkothileyo onamaqela ahlukeneyo emisipha kunye namacandelo asebenza ukugcina umzimba uhamba, kubalulekile ukwazi ukuba izihlunu ezibuthathaka kwiindawo eziphezulu kunye nezisezantsi zomzimba zinokubangela. iimpawu ezinjengeentlungu ezingafunwayo oko kunokukhokelela ekungasebenzini kwexesha. Nini izinto ezininzi zokusingqongileyo kunye nemikhwa echaphazela amaqela e-muscle, inokukhokelela ekugqithiseni izinto ezinobungozi ezibangela ukuqina kwimisipha echaphazelekayo kwaye kubangele ukulimala. Kwi iindawo ezisezantsi zomzimba, i-hips, amathanga, i-hamstrings, kunye nemisipha ye-glute inceda ukuzinzisa ummandla we-pelvis. Xa ezi zinto ziqala ukubangela imiba ngale misipha, kunokukhokelela ekulimaleni kunye neengxaki kulawo maqela emisipha. Inqaku lanamhlanje liza kuphonononga ukuba kwenzeka njani ukwenzakala kwe-hamstring, ukuba kuchaphazela njani umzimba ophantsi, kunye nendlela unyango kunye neendlela ezifana ne-MET (ubuchule be-muscle energy) zisetyenziselwa ukukhulula ukulimala kwe-hamstring. Sikhankanya ulwazi oluxabisekileyo malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo ababonelela ngeendlela zonyango ezifana ne-MET kunye nonyango lokunyamekela abantu abanokulimala kwe-hamstring ehambelana namacandelo aphantsi omzimba. Sinika inkuthazo kwizigulane ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo zokuxilonga. Sinikezela ngenkxaso yokuba imfundo iyindlela enomtsalane xa sibuza ababoneleli bethu eyona mibuzo iluncedo xa sivuma isigulana. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo. isikhanyeli
Zenzeka Njani Ukwenzakala Engqungqutheleni?
Ngaba uye waqaphela ukuba i-hamstrings yakho iziva iqinile? Ngaba uhlala uhlala phantsi ixesha elide? Okanye ngaba ufumana iintlungu ezisezantsi ezichaphazela i-hamstrings yakho? Abantu abaninzi bahlala beva iintlungu ezisezantsi ecaleni kwethanga kunye neempawu ezinxulumene nobuthathaka bemisipha ebangela ukuba imicu yemisipha ibe ngqongqo kwaye ibe buhlungu. Xa iintambo ze-muscle ziqinile ngokuqhubekayo, kubangela ukuba umva wemisipha yomlenze ungakhululeki kwaye unokwenza ukunyakaza kube nzima. Uphando lutyhila ukuba umva wemisipha yomlenze okanye i-hamstrings ichaphazeleka kakhulu kukulimala, ngakumbi kubadlali. Imisipha ye-hamstring iquka izihlunu ezintathu ezinkulu kwindawo yangasemva kwethanga. Xa umntu egqithisa ngokugqithiseleyo i-hamstrings okanye ukuqina kwe-muscle ekubeni ehleli kunokubangela oku kwenzakala kunye nokungahambi kakuhle kwiindawo ezisezantsi. Izifundo zophando ezongezelelweyo zikhankanyiwe ukuba ukulimala kwe-hamstring kunokuvela kwi-acute muscle strain ukuya kwi-proximal hamstring tendinopathy ehambelana nokuphuka kwemisipha.
Iwuchaphazela njani uMzimba ongezantsi?
Ekubeni imisipha ye-hamstring iyancipha ngenxa yokulimala okanye iyancipha, iya kuchaphazela njani umzimba ophantsi kwaye ibangele imiba yokuhamba? Ewe, xa i-hip flexors okanye i-hamstrings iba nzima kwaye iyancipha, inokubangela ukungqubuzana kwingingqi ye-pelvis kwaye ibangele ukungahambi kakuhle komgogodla. Ukuza kuthi ga ngoku, kunokukhokelela ekuqineni kwemisipha kunye nentlungu kwi-hamstrings ngelixa ihambelana nentlungu ephantsi kwaye inokubangela ukuba umntu adideke njengoko ecinga ukuba yi-sciatica endaweni yokulimala. Izifundo zityhila kwi-"Izicelo zeKlinikhi ze-Neuromuscular Techniques," ebhalwe nguLeon Chaitow, ND, DO, kunye noJudith Walker DeLany, LMT, ithi xa kukho uluhlu lwezinye iimpawu ze-biomechanical ezinokuthi zibekwe ngaphambili kwi-hamstring ukulimala okunokubangela ikhonkco. Ukusabela okunokubandakanya kungekuphela nje imisipha kodwa iinzwane, umqolo, umboko, kunye neendawo eziphezulu. Ukulahlekelwa amandla okusebenza kwiindawo ezisezantsi kunokubangela ukungasebenzi, ubuthathaka bemisipha, kunye nokungazinzi kumntu ngamnye.
Ukunyangwa kweNdalo: Ukunyamekelwa kweChiropractic yoBuyiselo-Ividiyo
Ngaba uye wafumana ukuqina okanye intlungu kwi-hamstrings yakho? Kuthekani ngokuziva ungakhululeki kwelinye icala lesinqe sakho kunye neentlantsi? Okanye ngaba ufumana ubunzima bemisipha? Ininzi yale miba ihambelana nokulimala kwe-hamstring enokubangela ubuthathaka bemisipha kunye nokungazinzi emzimbeni. Ngethamsanqa, xa ujongana nokulimala kwe-hamstring, ubuchule obufana nokwelula ngokuthambileyo kunye nokufudumala izihlunu zivumela ukwenzakala ukuba kubuyiselwe kwaye kuzise isiqabu. Enye indlela umntu anokufumana ngayo intlungu kwintlungu yokulimala kukunyamekelwa kwe-chiropractic. Ukunyamekela kwe-Chiropractic kunokunceda ukukhulula ingxaki ngaphandle kokusebenzisa amayeza, i-injection, okanye utyando ngokuguqulwa komgogodla kunye nokubandakanya iindlela ezahlukeneyo zokwelula imisipha eqinile kunye nokulungelelanisa umzimba. Ividiyo engentla ichaza indlela ukhathalelo lwe-chiropractic lusetyenziswa ngayo ukubuyisela ukulimala.
Unyango Kuba Ukwenzakala Hamstring
Xa ujongene nokulimala kwe-hamstring, kubalulekile ukuphumla ukukhusela ukulimala kwexesha elizayo ukuba kwenzeke kwaye udibanise ukulula okuthambileyo kwezihlunu ezijoliswe kuzo ukuphepha ukunyanzeliswa kunye neentlungu. Ukuba ukolula okuthambileyo akuzisi isiqabu, ngoko kuyacetyiswa ukuba ube nonyango lomntu kunye nenkqubo kunye ne-chiropractor. I-chiropractor isebenzisa unyango lwezandla ukuze ikhulule kwaye ikhulule izihlunu ezixineneyo, ngaloo ndlela iqinisa ukuguquguquka kunye noluhlu lwentshukumo ebuyela kwi-hamstrings. Ukhathalelo lweChiropractic lukwabandakanya iindlela zokolula ezifana ne-MET ukuphucula ukuguquguquka kwe-hamstring. Uphando lutyhila ukuba ubuchule be-MET busebenzisa i-soft tissue mobilization ukunyusa i-ROM ye-hamstring (uluhlu lokunyakaza) ngelixa libuyisela ukuhamba kwi-hip kunye nokunciphisa intlungu. Ngaphaya koko, ezi zolulo kunye nonyango zinokunceda ukunciphisa ukungazinzi kwaye zivumele umntu ukuba angabi nantlungu.
isiphelo
I-hamstrings ifumaneka ngasemva kwethanga kwaye ngaphantsi kweedolo, njengoko zingakwazi ukuzithoba ngenxa yokulimala ngenxa yokugqithisa okanye ezinye izinto ezibangela iimpawu zentlungu kunye nobuthathaka. Ukulimala kwe-Hamstring kuqhelekileyo kwaye kunokuvela kwi-acute ukuya kwisigxina, kuxhomekeke kwingozi. Abantu abaninzi abanokulimala kwe-hamstring bahlala bejongana nemiba edibeneyo ye-sciatica kunye neentlungu ezisezantsi ezinokubangela ukungazinzi kumzimba ophantsi. Ngethamsanqa, unyango oluhlukeneyo kunye neendlela zokwelula zinokunceda ukwandisa imisipha ye-hamstring, ukukhuthaza ukuguquguquka ukubuyisela kwi-hamstrings, kwaye kubangele ukukhululeka kwi-muscle echaphazelekayo.
Ucaphulo
UChaitow, uLeon, kunye noJudith Walker uDeLany. Ukusetyenziswa kweklinikhi ye-Neuromuscular Techniques. UChurchill Livingstone, ngo-2002.
UChu, uSamuel K, kunye noMonica E Rho. "Ukulimala kweHamstring kwimbaleki: Ukuxilongwa, Unyango, kunye nokuBuyela ekudlaleni." IiNgxelo zeMithi zeMidlalo zangoku, ILayibrari yeSizwe ka-US yamayeza, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5003616/.
UGunn, uLeanna J, kunye nabanye. "Isixhobo esiNcedayo ukuHaywa kweTissue ezithambileyo kunye neendlela zokujongana ne-Neuromuscular Facilitation ziphucula ukuguquguquka kwe-Hamstring Kungcono kunokolula nge-Static wedwa: ulingo lwezonyango olungenamkhethe." Ijenali yeManual & Manipulative Therapy, ILayibrari yeSizwe yaMayeza yase-US, ngoFebruwari 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6338275/.
Poudel, Bikash, kunye noShivlal Pandey. "Ukwenzakala kweHamstring-Statpearls-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 28 Aug. 2022, www.ncbi.nlm.nih.gov/books/NBK558936/.
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, impilo, I-Hip Pain kunye nokuphazamiseka, Ukuhamba kunye nokuguquguquka, Unyango, I-Viscerosomatic Reflex, Ukuphila
intshayelelo
Sihlala sihamba imini yonke, ukusuka ekuhambeni, ukubaleka, okanye ukuma sisenza imisebenzi, konke oko kungenxa yeendawo ezisezantsi neziphezulu zemizimba yethu. Umzimba ngumatshini onzima, okhethekileyo kunye namacandelo aphezulu kunye asezantsi kunye nemisebenzi ethile kunye nemisebenzi. I inxalenye ephezulu yomzimba inika ukushukumiseka kunye nokusebenza entanyeni, emagxeni, entloko, kwiingalo kunye nezandla. Kwangaxeshanye, i inxalenye ephantsi yomzimba inika uzinzo kunye nemisebenzi yeemoto ezinqeni, emilenzeni, emadolweni nasezinyaweni. Xa kukho imiba echaphazela umzimba, inokuthi, ekuhambeni kwexesha, ibangele uxinzelelo kwi inkqubo yemisipha kwaye ichaphazele amalungu kwiindawo ezisezantsi, ngaloo ndlela ibiza intlungu kunye nokukhubazeka. Inqaku lanamhlanje lijonga i-tibial stress fractures, indlela echaphazela ngayo umzimba ophantsi, kunye nendlela unyango olufana nobuchule be-MET lunokunceda umzimba ophantsi. Sinikezela kwaye sikhankanye ulwazi oluxabisekileyo malunga nezigulane zethu kubaboneleli bezonyango abaqinisekisiweyo abanikezela ngeendlela zonyango ezifana ne-MET edibeneyo kunye nokunyamekela unyango kubantu abane-tibial stress fractures kumzimba wabo ophantsi. Sikhuthaza isigulana ngasinye ngokusithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo ngokufanelekileyo. Siyavuma ukuba imfundo yeyona ndlela ibalaseleyo xa ubuza ababoneleli bethu eyona mibuzo iluncedo xa isigulana sivuma. UDkt Alex Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo. isikhanyeli
Yintoni i-Tibial Stress Fractures?
Ngaba ujongene nobunzima emilenzeni nasezinyaweni zakho? Kuthekani ngeentlungu ezingafunekiyo eziphuma emadolweni ukuya ezinqeni zakho? Okanye ngaba iinyawo zakho zihlala zidiniwe? Uninzi lwale miba lunokuthi lube ngenxa yokugqithiswa kwemisipha kwiindawo ezisezantsi ezinxulumene ne-tibial stress fractures. Uphando lophando lutyhila ukuba xa iindawo ezisezantsi ziphantsi koxinzelelo oluphindaphindiweyo lomatshini, oko kunokubangela amaqhekeza amancinci kwi-tibia. Le meko ixhaphake kakhulu kubaqeshwa emkhosini, iimbaleki, kunye neembaleki. Kwincwadi ethi "IiClinical Applications of Neuromuscular Techniques" nguLeon Chaitow, ND, DO, kunye noJudith Walker DeLany, LMT, bachaza ukuba iintlobo ezimbini zokuphulwa koxinzelelo zinokuthi zenzeke kwi-tibia eyisiphumo se-fractions ye-tibial stress. Bazi:
- Ukuqhekeka koxinzelelo lokukhathala: Kubangelwa ukuxinezeleka okuphindaphindiweyo kwemisipha (torque) esetyenziswe kwithambo eliqhelekileyo, elinamandla okumelana ne-elastic kunye noxinaniso.
- Ukunqongophala koxinzelelo lwe-fracture: Kubangelwa amandla aqhelekileyo e-muscular asetyenziswa kwi-mineral-deficient okanye ithambo elingaqhelekanga elinelastic.
Ziwuchaphazela njani uMzimba ongezantsi?
Izinto ezininzi zinokubangela ukuphuka koxinzelelo kumzimba ongezantsi, okuchaphazela i-motor-sensory kunye nomsebenzi wokuhamba. Ezinye zezinto ezinxulumene nokuphulwa koxinzelelo kwi-tibia ziquka:
- Ukunyuka ngokukhawuleza koqeqesho okanye imisebenzi
- Imiphezulu engalinganiyo
- Izihlangu ezingafanelekanga
- Indlela yokubaleka engafanelekanga
- Ukungahambi kakuhle kumalungu angaphantsi
Uphando luye lwabonisa ukuba xa le mingcipheko ibangela ukuphuhliswa koxinzelelo lweefractures emilenzeni, kunokukhokelela kwiimpawu ezinjengeentlungu kunye nokuvuvukala emilenzeni nasezinyaweni. Ukuba iyaqhubeka ngaphandle konyango ngokuhamba kwexesha kunokubangela ukuba amathambo abe buthathaka kwaye angabhidaniswa nokuphazamiseka kwe-musculoskeletal njenge-osteoporosis okanye i-shin splits.
Fumana ukuHamba emva kunye neChiropractic Care-Video
Ngaba ujongene neentlungu emilenzeni okanye ezinyaweni zakho? Ngaba uvakalelwa kukuba unemiba yokuhamba xa uhamba okanye umile? Okanye ngaba uye waphawula ukuba imilenze yakho idinwe kakhulu kwiintsuku ezimbalwa emva koqeqesho oluqatha? Abantu abaninzi abajongene nale miba badibaniswa nokuqhekeka kwengcinezelo kwimida ephantsi. Ukuphindaphinda okuphindaphindiweyo kubangela ukuphulwa kwengcinezelo kwimida engaphantsi kwexesha elibangela ukuba kuncinci, ukuphuka kweenwele kwithambo. Oku kubangela ukuba izihlunu ezijikelezileyo ezijikeleze umdibaniso ukuba zigqithise ithambo kwaye zibangele iimpawu zentlungu kunye nemisipha. Ngethamsanqa, kukho iindlela zokunciphisa iifractures zoxinzelelo kwiindawo ezisezantsi kunye nokubuyisela ukuhamba komlenze. Unyango olufana nokhathalelo lwe-chiropractic lunokunceda uninzi lweengxaki ze-musculoskeletal ezinxulumene nokuqhekeka koxinzelelo kumzimba osezantsi. Ividiyo engentla ithetha malunga nendlela unyango olungena-invasive olufana nokhathalelo lwe-chiropractic lubandakanya iindlela ezahlukeneyo kunye nokusetyenziswa ukulungelelanisa umqolo kunye nokunciphisa intlungu ehambelana nokuphulwa koxinzelelo.
Indlela i-MET Technique inceda ngayo uMzimba ongezantsi
Ukubandakanya iindlela zokwelula kunye nokunyamekela kwe-chiropractic kunokunceda ukunciphisa uxinzelelo lwe-stress fractures kwi-tibia kunye nokukhusela ukulimala kwexesha elizayo le-musculoskeletal. Ngokumalunga nokunciphisa imiphumo yokuphulwa koxinzelelo kwiindawo ezisezantsi, unyango olukhoyo olufana nokunyamekela kwe-chiropractic lunokunceda ukukhulula intlungu. Ukusebenzisa iindlela zokuzolula ezifana ne-MET (i-muscle energy technique) inokunceda ukunweba kunye nokwandisa imicu ye-muscle ukunciphisa intlungu ye-muscle fibers. Ubuchwephesha be-MET buvumela ii-chiropractors ukuba zisebenzise i-mechanical and neuromuscular stretches ukunyusa uluhlu lwentshukumo ngokusebenzisa ukunweba kwe-isometric ukukhulula imisipha eqinile kwaye iya kwenza umzimba ukuba uziphilise ngokwemvelo. Olunye unyango olufana ne-massage ye-ice, i-electrotherapy, kunye nemisebenzi engeyiyo impembelelo (ukubhukuda kunye nokuhamba ngebhayisikili) kunye nokunyamekela kwe-chiropractic kunokuphucula ukubuyiswa kunye nokwazisa umntu ukuba uxinzelelo luchaphazela kangakanani amalunga abo.
isiphelo
Amacandelo aphantsi omzimba avumela ukuhamba kunye nokuzinza ukwenzela ukuba umntu ajikeleze kwaye enze izenzo ezahlukeneyo ngaphandle kweentlungu. Nangona kunjalo, izinto ezininzi ezinobungozi ezibangela ukuba inkqubo ye-musculoskeletal ibangele amandla okugqithisa kakhulu kwiindawo ezisezantsi kunokuphuhlisa i-stress fractures kwithambo kwaye ibangele intlungu kunye nokukhathazeka. Ukuqhekeka koxinzelelo, ngokuhamba kwexesha, kubangela intlungu kunye nokuvuvukala emilenzeni kwaye kunokuchaphazela umntu ngokubenza bangakwazi ukuhamba ngaphandle kokuva intlungu kwisinyathelo ngasinye abasithathayo. Ngethamsanqa, unyango olufana nokhathalelo lwe-chiropractic kunye neendlela zokolula njenge-MET zinokunceda ukukhulula, ukwandisa imisipha eqinile, kunye nokukhulula imilenze. Ngonyango oluqhubekayo, abantu abaninzi baye bazi ukuba lungakanani uxinzelelo olugqithileyo abalubeka emilenzeni yabo kwaye banokuqaphela ngakumbi imisebenzi yabo yemihla ngemihla ngaphandle kweentlungu.
Ucaphulo
UChaitow, uLeon, kunye noJudith Walker uDeLany. Ukusetyenziswa kweklinikhi ye-Neuromuscular Techniques. UChurchill Livingstone, ngo-2002.
May, Todd, kunye noRaghavendra Marappa-Ganeshan. "Uxinzelelo lweefractures-Statpearls-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 17 July 2022, www.ncbi.nlm.nih.gov/books/NBK554538/.
URobinson, uPatrick G, kunye nabanye. "IiNgxaki zoxinzelelo: Uxilongo kunye noLawulo kwisetingi yokhathalelo oluphambili." Ijenali yaseBritani yeZenzo Jikelele : Ijenali yeKholeji yaseRoyal yeeGcisa Jikelele, ILayibrari yeSizwe yezeMithi yaseMelika, ngo-Epreli 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6428476/.
isikhanyeli
