Ama-insoles akhethekile angasebenza ukusiza ukunciphisa ubuhlungu obuhambisana nenxenye yomphakathi (yangaphakathi) i- knee osteoarthritis . I-insoles, eyaziwa njenge-insal-wedge insoles, unciphisa ubuhlungu ngokushintsha imishini yamadolo.
I-insole yangaphakathi-wedge igqoke ngaphakathi kwesihlangu. It is thinner at the instep and thicker at the edge of the foot. I-angle ye-inal lateral-wedge ingenziwa ngezifiso ezigulini ngabanye.
Indlela Yokunciphisa Ubuhlungu
I-lateral-wedge insoles iguqula ama-biomechanics ngesikhathi ihamba ngokunciphisa lokho okubizwa ngokuthi i-varus torque. I-Varus torque iguqa ngamadolo ngaphakathi. Umthwalo owandisa ngaphesheya komdolo uhlangene nokuthuthukiswa kwe-knee osteoarthritis. Abacwaningi basikisela ukuthi ukushintsha umthwalo wamadolo kunganciphisa izimpawu ze-osteoarthritis futhi kuphuze ukuqhubekela phambili kwezifo ezigulini ze-knee osteoarthritis.
Ubuhlungu obukhulu bomdolo nobufakazi obuningi be -x-ray bodolo lwe-osteoarthritis behlanganiswe ngisho nokukhishwa kwamadolo aphezulu (ukunyakaza kuya emkhatsini womzimba noma ngaphakathi) uma uhamba. I-insal-wedge insoles ingasiza ekunciphiseni ukungalingani kwe-varus.
Ubani Ongase Asize
Iziguli ezine-knee-osteoarthritis yangaphakathi zingasizwa ngama-insal lateral-wedge insoles. E-knee osteoarthritis ephakathi, ukulungiswa kwamadolo kuba i-varus (ihlangothi elisontekile) njengendawo yokuhlanganyela idlula . I-insole ye-lateral-wedge iyasiza ngokulungisa ukungaqondisi kahle nokushintsha umthwalo kude nendawo ephakathi kwamadolo.
Cishe ngamaphesenti angama-67% wegciwane le-osteoarthritis abanama-knee osteoarthritis, kanti u-10 kuya ku-16% une-osteoarthritis yama-kneal lateral. Bonke abanye bayathinteka esifundeni ngemuva kwe-kneecap (esifundeni se-patellofemoral).
Ukuphumelela
Ucwaningo luye lwaveza imiphumela engavumelani ngokuphathelene nokusebenza kwama-insal lateral-wedge insoles.
Nakuba ezinye izifundo ziphetha ngokuthi insoles lateral-wedge insoles ayinayo imiphumela ephawulekayo kwizimpawu ze-osteoarthritis noma ukuqhubekela phambili kwe-osteoarthritis, omunye wabonisa ukuthi ezinye iziguli ezazisetshenziswa nge-lateral-wedge insoles, futhi zanciphisa ukusetshenziswa kwazo kwezidakamizwa ezingezona ukuvuvukala (ama-NSAID) futhi ukuhambisana okukhulu ngokugqoka ama-insoles.
Ucwaningo olwengeziwe luyadingeka ukuze kuhlolwe ngempela izinzuzo zangempela ze-insallet-wedge insoles kubantu abane-knee-osteoarthritis. Ukusetshenziswa kwe-insal lateral-wedge insoles kubhekwa njengendlela yokwelashwa okulondolozayo. Kufanele uxoxe ngokufaneleka kwama-insal lateral-wedge insoles kuwe nodokotela wakho.
Imithombo:
Ukuhlukunyezwa Okukhethekile Kwe-Insole, Ukuqhubeka Knee Osteoarthritis. I-American Academy yezokwelapha kanye nokuvuselelwa. Kerrigan et al. Ngo-July 5, 2002.
Imiphumela ye-insoles ehlanganisiwe kamuva emabonakalweni nasekuthuthukeni kwezifo ku-knee osteoarthritis. Bennell et al. Ukuhlukunyezwa kwe-BMC Musculoskeletal. September 24, 2007.