Uke waphawula ukuthi ezinye izikhundla zenza kanjani umuzwa wakho uzizwe kangcono, kanti abanye benza uzizwe uzibi nakakhulu? Ngezinye izinkinga zangasese ezinjenge-disc, i-facet arthritis, ubuhlungu obuhlangene be-sacroiliac, nabanye, izinhlangano ezaziwayo nezikhundla ezithile zikhona. Abahlinzeki bezitho zomzimba, kanye nabaqeqeshi bomuntu siqu abazi, sebenzisa lolu lwazi ukusiza amaklayenti abo kanye / noma iziguli ukuphatha izimpawu ekhaya, emsebenzini, futhi ngenkathi zivivinya.
Izintandokazi zokuqondisa
Lezi zintandokazi zokuqondisa, njengoba zibizwa ngezwe lomhlaba we-spy rehab, ziyingxenye yenqubo yokusekela izintambo ekuhlukaniseni ubuhlungu obunzima bokubuya emuva obuvumela umuthi wakho ukuba abuke ukuthi ume kanjani, uhlale, uhambe futhi uhambe, futhi ulalele lokho onakho ukusho ngobuhlungu bakho. Udokotela wakho usebenzisa ulwazi oluqoqiwe ukuza nehlelo lokwelapha elikusebenzelayo.
Le ndlela ibizwa ngokuthi "uhlelo olungenayo i-pathoanatomical" yezinhlawulo. Kukhona indlela yokwenza izifo ezingaphezu kwezinto eziphathelene nokubuka ama-MRIs, ukuhlola kwe-CT nokunye okunjalo ukucacisa indlela engcono yokuphatha ngayo izimpawu zakho.
Uhlelo lweMcKenzie , olusetshenziswa kakhulu yi-physiotherapists emhlabeni wonke, mhlawumbe isibonelo esihle kakhulu sokuhlelwa kwezinhlelo ezingekho pathoanatomical.
Ngakho-ke okusebenza kangcono - indlela yokuphila, okusho ukuthi ufunde ngokucacile ukuthi kwenzekani ezakhiweni zakho noma indlela engeyona ye-pathoanatomical, okusobala ukuthi i-patient centric?
Indlela yokwenza izidakamizwa ilawula indawo yezemitholampilo, kodwa iningi labachwepheshe ensimini lisho ukuthi uhlelo lunamaphutha. Emibhalweni yabo yokukhubazeka emitholampilo yezinhlungu ezibuhlungu emuva, isibonelo, i-American Physical Therapy Association ithi indlela engeyona i-pathoanatomical yokuhlukanisa ubuhlungu be-back emuva yenza kube nzima kakhulu ngenani lamaphutha amanga atholakalayo ekuhlolweni kwe-imaging yokuxilonga.
Ukuze zifanekise iphuzu labo, abalobi bezinhlahlandlela babika ukuthi ku-20% - 76% wabantu abangenayo i-sciatica abathola ukuhlolwa kwe-imaging yokuhlolwa kwama-diski angatholakala. Futhi, kuma-32% weziguli ezazingenayo izimpawu nhlobo, noma ukuguqulwa kwe- dis , ukuqubuzana noma i-herniation , noma i-hypertrophy ehlangene noma i-spinal nerve compression compression itholakale. Abalobi bangezela ukuthi kungenzeka ukuthi abantu bathole ubuhlungu obuphansi emuva ngenkathi ama-x-ray noma ama-CT ahlaziyekile angaguquki. Baphetha ngokusho ukuthi ngisho nalapho kutholakala okungavamile kwifilimu, ukuyixhumanisa nesimo sesiguli kanye / noma ukucacisa imbangela yayo, ayinakwenzeka - futhi akusizi kakhulu ekusizeni leso siguli sizizwe singcono noma sibuyele ekusebenzeni.
Ingabe Isandiso Sakho Sokunciphisa Emuva? (Futhi Okufanele Ukwenze Ngayo)
Ngokuhambisana nokwenyusa, kunezinye izinhlobo ezimbili: Ukukhishwa kwe-Flexion nokungahambisani nesisindo. Uma izimpawu zakho zinciphisa noma zishiya ngokuphelele lapho uvala umhlane wakho, isimo sakho sempilo kungenzeka sibe nesandiso sokwandisa.
Ngokuvamile, izinkinga ze-disc kanye nokulimala kwe-ligament longitudinal kwesikhashana kunesisindo sokwandisa. Izindlela ongasebenzisa lolu lwazi uma unayo yalezi zinhlobo ezimbili zokulimala zihlanganisa:
- Ukukhohlisa esimweni esicacile , okuyinto evulekile (iqhubeka) ngemuva.
- Nciphise noma uqede imisebenzi okumele uguqule ngayo umgogodla, njengokugodla emuva uma ukhetha izinto (noma abantu) phezulu phansi noma esihlalweni.
- Buza udokotela wakho noma umhlengikazi mayelana nesandiso sesikhangiso nokuthi ungabeka kanjani umgogodla wakho ukuphatha ubuhlungu bakho emuva kanye nezinye izimpawu.
> Imithombo:
> Delitto, A., PT, PhD., Et. al. Ubuhlungu Emuva Emuva. Izinkombandlela Zokuzivocavoca Zomtholampilo ezixhunywe kuHlelo Lwamanye amazwe Lokusebenza, Ukukhubazeka, kanye Nempilo kusuka eSigaba Se-Orthopedic se-American Physical Therapy Association. J Orthop Sports Phys Ther. 2012.
> Dunsford, A., Kumar, S., Clarke, S. Ukudidiyela ubufakazi ngokusebenza: ukusetshenziswa kweMcKenzie-based treatment for pain mechanical back back. J Multidiscip Healthc. 2011.
> Kinser, C., Colby, LA, Ukuzivocavoca kwezokwelapha: Izisekelo kanye Nezobuchwepheshe. I-4th Edition. Inkampani ye-FA Davis. Philadelphia, PA. 2002.
> I-Nachemson, A. Ukuxilongwa kwezesayensi noma ilebula engavumelekile yeziguli ezibuhlungu emuva. Ukuzimela kwe-Lumbar Segmental. Szpalski M, Gunzburg R, uPapa MH eds. Philadelphia: Lippincott William & Wilkins, 297-301.