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Ukuzinza komgogodlaUkuzinza komgogodla
Ukuzinza umgogodla nokungaqiniseki komgogodla kunamagama agxiliwe kakhulu, ikakhulukazi emitholampilo ye-rehab nezindawo zokuqeqesha. Ngemva kwamakilasi ama-Pilates ambalwa, ungase ucabange ukuthi ukungabi nokuqina komgogodla kusekelwe esimweni sakho se-pelvic kanye / noma ukuthi uqinile kangakanani imisipha yakho kanye nemisipha yangemuva.
Kodwa lokho kuphela ingxenye yesithombe. Ukuzinza komgogodla kungahlobene nomunye, ama-amabili noma amathathu "ama-sub-systems" asithinta kakhulu umgogodla wakho - sonke isikhathi. Lezi yizi: ikholomu yomgogodla nemigudu yayo, isimiso sakho sezinzwa, esilawula ukunyakaza komgogodla futhi, impela, imisipha yakho, ehambisa umgogodla. Uma kunoma iyiphi yalezi zinhlelo ezincane ezonakaliswayo, zisho kusuka ekuguqulweni okuhlobene neminyaka, ukulimala, ukulimala kwe-iatrogenic, noma ngisho nezicubu zomgogodla (lolu uhlu olungaphelele,) ezinye izinhlelo ezincane kufanele zibuyisele. Ukungalingani okubangelwayo kungabangela umgogodla ongaguquki, okungenzeka ube nezinkinga ezithwala isisindo sakho, ungasho ukuthi isisindo somthwalo wangaphandle osifaka ngokuthatha izingane, ukuthatha ukudla nokunye okunjalo.
Phawula ukuthi ukuzinza komgogodla kungabangela kanjani noma iyiphi inamba yamathuba angase ahambe kahle. Lokhu kusho ukuthi indlela yokuyiphatha noma yokuyiphatha ingase ihluke kakhulu, kuye ngokuthi iyiphi isistimu ethintekayo nokuthi yikuphi okuqhubekayo nayo. Ukuthola ukuxilongwa kokuqina komgogodla kusekelwe ezimpawu ezibonakalayo (izici ezingalinganiswa noma ezinqunywe ngokuqondile) kanye nezimpawu (isipiliyoni sakho esibucayi, esingabandakanya ubuhlungu, ezinye izinzwa nezinto ozibhekayo ngendlela osebenza ngayo emuva).
Ake sithathe isistimu ngayinye futhi siyiqonde ukuthi igcina kanjani impilo yakho enempilo nangenabuhlungu ngokunikela ekuqiniseni umgogodla.
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Ikholomu ye-Spinal ne-LIgamentsIkholomu Yokugwinya
Ukulimala noma ukulimala kwikholomu yakho yomgogodla kuyimbangela evamile kakhulu yokungazinzi komgogodla ngokusho kweByely, et. al. esihlokweni sabo, "Clinical Instability ye-Lumbar Spine: Ukuxilongwa Nokungenelela." Ikholomu yomgogodla isakhiwo esiyinkimbinkimbi, okusho ukuthi kunezindlela eziningi izinkinga ezingathuthuka kule subsystem. Cabanga ngalokhu:
Ikholomu yomgogodla yilabo ochungechunge lwamathambo angeneli angu-26 anama-discs phakathi. Ingxenye yangaphambili iqukethe imizimba ye-vertebral cylindrical ne-cushioning disks phakathi. Emuva (wezinhlobo eziningi ze-vertebrae) yindandatho yethambo. Ingaphakathi kwendandatho ayikho, ukuvumela intambo yomgogodla - isakhiwo esiyinhloko sesistimu yakho yezinzwa zomphakathi - idlule. Phezulu nangaphansi kwendandatho yebony (ngakwesinye icala) yizindawo ezifakiwe ezibizwa ngokuthi izinqubo, ezichaza ngezinqubo ezivela ku-vertebrae eseduze. Lezi zindawo zokuxhuma zibizwa ngokuthi yizici ezinhlangothini. Ngokuphelele, izixhumanisi zezinhlangothi zisiza ukuletha ubuqotho emgodleni nokuhamba kwawo.
Kuhle, futhi. al. tshela ukuthi uhlelo lwakho lwamakholomu omgogodla lungaguqulwa - ngakho-ke lungase lube ngumthombo wokungazinzi - uma noma yikuphi okulandelayo kubonakala ezivivinyweni zokuhlola:
Ama-X-ray:
- I-vertebrae eyodwa noma ngaphezulu ihumushe (ie ishukunyiswa ngokufanayo) ngokuphathelene nethambo elingaphezulu noma ngaphansi (i-spondylolisthesis.)
- Ukwelashwa ngokweqile noma ukwandisa, ngokuvamile okudalwe yisifo somlomo wesibeletho, futhi okungabangela ukucindezeleka.
- I-Bone iqhuma emaphethelweni angaphambili emzimbeni we-vertebral (okuthiwa i- traction spur .)
I-MRI
- Izindawo zokuphakama eziphezulu kuma-discs akho.
CT SCANS
- Ukugaya okungaphezu kwama-1mm ezinhlangothini zakho zezinhlangothi ngenkathi uguqula umgogodla wakho.
- Ukuhlehliswa okunamandla kuya ekujuleni okukhulu (ku-MRI kodwa kuhambelana nokuhlolwa kwe-low pressure discography.)
Amagciwane omgogodla
Ngokuphathelene nemigqa , izingxube ze-capsular ezithinta futhi zisekela izingxenyana ze-facet zingaba yi-lax. Uma benza, bazisa ukunyakaza okudlulele - ngakho-ke ukungazinzile - emgodleni wakho. Phakathi kwezimbangela eziningi ezikhona ze-capsular ligament laxity yi-disc herniation, i-spondylosis, izinkinga ezihlobene ne-whiplash nokuningi.
Okuhlobene: Iyini i-Vertebral End Plate?
Imithombo:
Kulungile, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Ukukhubazeka Kwemitholampilo Ye-Lumbar Spine: Ukuxilongwa Nokungenelela. I-Orthopedic Practice. Umqulu 18. Ufinyelele kuJan 2016.
I-Carragee, E., et. al. I-Discography ephansi ecindezelayo emibikweni engabonakali ngokugula okuphawulekayo okubuhlungu emuva. Isiphambano (Phila Pa 1976). 2006 Mar 1; 31 (5): 505-9.
Steilen, D., Hauser, R., Woldin, B., Sawyer, S. Umkhuhlane Womshuwalense: Ukwenza Ukuxhumeka Phakathi kwe-Capsular Ligament Laxity and Instability Instability. Vula i-Orthop J. 2014; 8: 326-345.
I-stemper, i-BD, i-Yoganandan, i-N., i-Pintal, i-FA, i-Rao, i-RD, i-Anterior yokulimala kwe-ligament e-whiplash ingaholela ekungazinzi komlomo wesibeletho. I-Med Eng Phys. 2006 Jul;
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Imisipha yomgogodlaImisipha, i-Active Spinal Sub System
Imisipha yizinjini ezihamba nomgogodla wakho. Ingxenye yomsebenzi wabo ihlanganisa nokuhlinzeka ukuqina nokuzinza, futhi.
Ukungaqiniseki komgogodla kungaba umphumela wokunciphisa noma ukulimaza emisipha eyisekela umgogodla, njenge-multitifidus noma isisu esiswini. I-Ultrasound ingabonisa ukuchithwa (okuyinto isibonakaliso sobuthakathaka) obuningi bemisipha yomgogodla, kuyilapho i-electormyography (EMG) isetshenziselwa ukuthola ukuguqulwa kwamasipha.
Funda kabanzi mayelana nemisipha yakho yangemuva:
- Imisipha yama-Paraspinal
- Imisipha Emuva Ye-Extrinsic
- Umdwebo Ongenasici Wezingxube Ze-Back Inrinsic
- Umthamo Ojulile Wezingxube Ze-Back Inrinsic
- Imisipha ye-Rotter Deep Back Deep
Umthombo:
Kulungile, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Ukukhubazeka Kwemitholampilo Ye-Lumbar Spine: Ukuxilongwa Nokungenelela. I-Orthopedic Practice. Umqulu 18. Ufinyelele kuJan 2016.
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Uhlelo LokukhathazekaI-Subural Control Subinal System
Uhlelo lwesithathu lwesimiso somgogodla oluthonya ukuzinza yisimiso sezinzwa. Uhlelo lwezinzwa lubophezele ukuthola imilayezo mayelana nesimo samathambo omgogodla kanye nekholomu kanye nokukhiqiza imizamo yokuhambisa. Lezi zimpendulo zithunyelwa emisipha, zibonise ukuthi zenze isivumelwano. I-muscle contraction yamandla okunyakaza komgogodla futhi inikeza ukuzinza.
Ngakho-ke uma imisipha yakho iphuza ukuvumelanisa noma yenza kanjalo ngendlela engavamile, ungase ube nokuphazanyiswa kwalesi sansi-system control system. Lezi zici ezimbili zingatholakala ngesilingo se-EMG. Lezi ziphazamiso zingabangela ushintsho emaphethini wokunyakaza komgogodla, okungabonwa ngeso eliqeqeshwe (noma ngomshini wokutshala umtshina).
Ukungahle kwenzeke ekulawulweni kwe-neural control system kungatholakala nangesifundo se-nerve conduction (NCS). I-NCS ivame ukuqhutshwa kanye ne-EMG ukuthola ukucasuka komzimba noma ukulimala okuhlobene.
Uma kufika ngqo kuwo, awukwazi ngempela ukuhlehlisa eceleni kwesinye sesimiso somgogodla kwesinye, uthi Biely, et. al. Esikhundleni salokho, ukungazinzi komtholampilo kuyi-multi-system disys function. Bathi ezinye iziguli zakha izindlela zokubhekana nezinkinga (ezifana nokuthuthukisa amaphethini amasha okusetshenziswa kwemisipha ethatha umsebenzi wokuzinza) kanti abanye abenzi. I "non-copers," njengoba ethanda, futhi. al. kubiza ukuthi kungenzeka ukuthi bazovela nezibonakaliso nezimpawu zokungazinzi komgogodla.
Umthombo:
Kulungile, S. PT, Smith, S. PT, PhD. Silfies, S. PT, PhD. Ukukhubazeka Kwemitholampilo Ye-Lumbar Spine: Ukuxilongwa Nokungenelela. I-Orthopedic Practice. Umqulu 18. Ufinyelele kuJan 2016.