Ukuhamba Kanzima Ngenxa Ye-Anterior Tibialis Ubuthakathaka
Iphethini eliphezulu le-steppage gait elikwenzeka uma unyawo lwezinyawo . Ukuwa kwezinyawo kuyisimo esibangelwa ukubuthakathaka noma ukukhubazeka komzimba wakho we-anterior tibialis. Lezi zinkontileka zemisipha ukusiza ukuguqula unyawo lwakho nezinyawo ngesikhathi uhamba. Lokhu kuqinisekisa ukuthi unyawo lwakho luhlanza phansi futhi awubambi izinzwane zakho phansi. Umhlinzeki wakho womzimba angasiza uma unephethini eliphakeme le-steppage gait emva kokugula noma ukulimala.
Uma une-anterior tibialis obuthakathaka bokukhubazeka, ungase ubonise umthamo ophezulu wokuhamba. Phakathi nalesi sibonelo se-gait, uguqule kakhulu i-hip yakho namadolo wakho ngenkathi uhamba. I-steppage ephezulu kwenzeka njengoba uguqula umlenze wakho emoyeni ngenkathi uqhubeka phambili. Okuphawulekayo kwalesi sigaba se-gait ukuthi uyaphakamisa umlenze wakho phezulu phezulu, uqinisekise ukuthi uzosula unyawo lwakho phezu komhlaba futhi ungahambi.
Izimo ezingabangela ubuthakathaka obuthakathaka obuthakathaka noma ukukhubazeka futhi, emva kwalokho, iphethini eliphakeme le-steppage gait, kufaka:
- Sciatica
- Ukulimala kwe-nerve peroneal
- I-myelitis eguquguqukayo
- Isibungu
- Multiple sclerosis
Uma unayo yalezi zimo futhi uthola kunzima ukuhamba ngoba uthola izinzwane zakho phansi, kufanele uvakashele udokotela wakho ngokushesha ukuze uhlole umsebenzi wakho we-anterior tibialis muscle. Angase akubhekise kumthandi wezinto ezibonakalayo ukuze usize ukulungisa leli phasi eliphakeme le-steppage gait.
Ukwelashwa kwePhroat Steppage Gait Pattern
Ukwelashwa kwephethini eliphezulu ye-steppage gait kuhilela ukugxila ekusikeni komzimba we-tibialis. Ukuzivocavoca okuqondile kungasiza ukuqinisa i-tibialis yakho yangaphakathi, futhi welula ithole lakho lingasiza ekuqinisekiseni ukuthi i-ankle yakho yezinyathelo zokuhamba (i-ROM) igcinwa kahle.
Umhlinzeki wakho wenyama angakhetha ukusebenzisa ukuvuselela kagesi (ne-NMES) ukusiza ukuthuthukisa indlela umzimba wakho we-anterior tibialis usebenza ngayo. Lolu hlobo lokuvuselela kagesi luvumelana ngokuqinile nomsizi wakho, luwusize ukuthi lusebenze kahle.
Uma ubuthakathaka bakho be-anterior tibialis bubangelwa yi-sciatica evela ngemuva kwakho, udokotela wakho womzimba angase abeke ukuvivinya umzimba emuva ukusiza ukucindezela isisindo sakho sciatic bese ubuyisela umsebenzi ojwayelekile emlenzeni wakho. Izindlela zokuzivocavoca zenzelwe ukuvumela imiyalezo evamile ukuba ihambise futhi iphinde ijubane lakho le-sciatic ekugcineni kwakho okuphansi.
Ukuqeqeshwa kokuqeqesha nokuqeqeshwa kokulinganisa kungase kudingekile uma unomthwalo ophakeme wokuqhubela phambili. I-PT yakho ingase ibeke izivivinyo zokulinganisela ukusiza ukuthuthukisa ulwazi lwakho jikelele. Ungadinga idivayisi yokusiza njengomhlanga we- quad noma umgibeli wesondo ukuhamba kahle. Umhlinzeki wakho wenyama angakuqinisekisa ukuthi usebenzisa idivayisi yakho yokusiza ngokufanele.
Ukuqhafaza i-Pattern Steppage Gait Pattern
Ngezinye izikhathi, ukukhubazeka komzimba wakho we-anterior tibialis unomphela. Uma kunjalo, ungase uzuze kusikhwama esikhethekile esibizwa nge- ankle foot orthosis (AFO) . Le-brace isiza ukuphakamisa unyawo lwakho nezinzwane ezivela phansi. Lokhu kunciphise amathuba okubamba izinzwane zakho emhlabathini, futhi ukukhishwa kwakho okuphakeme kufanele kuhambe uma ugqoke i-AFO yakho.
Isixazululo sesikhashana sokwebuthakathaka kwe-anterior tibialis ukusebenzisa i-band elastic ukusiza ukuphakamisa unyawo lwakho ngenkathi uhamba. Thepha ibhande elungeze umlenze wakho phansi kwebhola lakho bese ulivikela eduze kwebhola lonyawo lwakho. Uma ugijimela umlenze wakho phambili, ibhendi elondayo lidonsa unyawo lwakho phezulu, futhi umthamo wakho ophezulu we-steppage awusadingeki ukusula izinzwani zakho ezisemhlabathini. Ngokusobala, ukugqoka i-band elastic ezungeze umlenze wakho usuku lonke kungase kungabi lula, kepha ukuyisebenzisa njengesikhambi sesikhashana kungakusiza uhlale uhamba ngokuphepha.
Iyini ingozi yokungaphathi umthamo wakho ophezulu we-steppage? Ukuphepha.
Uma ubamba izinzwane zakho emhlabathini ngenkathi uhamba, ungase uhlele ukuwa, futhi lokhu kungaholela ekulimaleni noma kube nemiphumela emibi.
Izwi elivela
Iphethini eliphakeme le-steppage gait elibangelwa ubuthakathaka be-anterior tibialis noma ukukhubazeka kungenza ukuhamba kunzima. Kungandisa amathuba akho okulahlekelwa ibhalansi yakho engabangela ukuwa. Ngokusebenza nodokotela wakho womzimba, ungagxila ekubambeni kobuthakathaka bakho futhi usebenze ekuqedeni ukuhamba kwakho okuphakeme.