Izindlela Eziyisikhombisa Eziyinhloko Ezichazwe
Ukwehla kwesibindi phakathi kokubili izingane kanye nabantu abadala kungaba buhlungu, kungaboni kahle, futhi mhlawumbe kubaluleke kakhulu, kunganciphisa ukusebenza kahle kwamapayipi nenhliziyo yakho. Njengoba kunikezwe lokhu, abantu abaningi bazimisele ukwenza okudingayo ukugwema ukuhlinzwa - kodwa yini leyo, ncamashi?
Ngenkathi kungekho muntu impendulo eqondile, ukusetshenziswa kwe-scoliosis ngokuzivocavoca okukhethekile kuyanda.
Ngemuva kokuxoxisana ngezindaba ze-scoliosis ne-lung, lesi sihloko sichaza izikole ezingu-7 eziyinhloko zokuzivocavoca okuqondile.
Izinkinga ze-Scoliosis kanye ne-Lung
Ucwaningo lwe-2015 olwanyatheliswa eNew England Journal of Medicine lwathola ukuthi ingane engaphezu kwengxenye eyodwa kweyesithathu yabantwana abangu-176 abane-scoliosis abaye bahlola nayo yayinezifo eziphazamisa izifo zamaphaphu (umsebenzi ongavamile womoya womoya). Abalobi bathi lolu hlobo lwe-lung lungasebenzi alukwazi ukutholakala nge-imaging yokuxilonga (ngokuqondile, i-ray ray, i-CT scan noma i-MRI).
Ngisho nangemva kokuba izingane zithole ama-bronchodilators, isifo se-lungs esivimbelayo saqhubeka (ngo-73% wabo.)
Ngaphezu kwalokho, isifundo sithole olunye ubudlelwane, ngalesi sikhathi phakathi kwe-scoliosis nevolumu yamapayipi aphansi.
Umthamo wamapayipi ophansi, owaziwa nangokuthi unesifo sokuphumula kwesifo samaphaphu, kuyinkinga ehlukile kunesifo sokuphazamiseka kwesifo samaphaphu. Njengoba igama liphakamisa, libhekiswe kumandla anciphise amaphaphu (okusho ukuthi umoya ophansi kancane ungangena futhi uphume emaphashini ngesikhathi sokuphefumula).
Ngokuvamile kubangelwa izifo noma ukuguqulwa kwezakhiwo zamaphaphu.
Ukuzivocavoca Ukuzivocavoca Okukhethekile - Isilinganiso Sezimboni Zezimboni?
Iningi lomuthi wezokwelapha ojwayelekile osebenza kulo mkhuba wokuzivocavoca, izikhathi zokwelapha zokwelashwa ezivamile, futhi kwezinye izimo ze-chiropractic, zingasiza ekulawuleni ubuhlungu nokulinganisela ezimweni ze-scoliosis.
Ukulinganisela kusiza ukubuyisela ukusebenza okuhle ngokomzimba, okuwusizo emisebenzini yansuku zonke, kodwa ekuqiniseni imilenze, inkolelo iyahamba, eyodwa idinga ukuhlinzwa.
Akubona wonke umuntu okholwa lokhu.
Ukudlulisela phambili abacwaningi bezinto ezingokwenyama nabanye, manje, esimweni sokwethenjelwa ngamacala futhi ngokukhula komzimba wocwaningo, ukwakha ubufakazi be-PSSE. I-PSSE isichazamazwi esithi "umzimba we-physiotherapy scoliosis". Libhekisela ohlelweni lwezokwelapha olunikezwa isiguli ekwelapheni ngokomzimba ukuphatha idiopathic scoliosis. (Idiopathic kusho imbangela ye-scoliosis engaziwa.)
Ucwaningo olwenziwa ngo-2015 lwathola ukuthi amaphesenti angu-22 angu-263 we-scoliosis aphikisana nokusetshenziswa kwe-PSSE neziguli zabo. Izizathu zifaka:
- Njengesivumelwano sokweqa, okuyinto yokwelashwa okungezona okuhlinzekwa kwe-scoliosis, yamaphethini amancane.
- Ukusiza ukuthuthukisa ubuhle be-aesthetics.
- Ukuthuthukisa imiphumela yokuhlinzwa.
Ukuntuleka kocwaningo olusekelwe ebufakazini ngesikhathi samanje, kanye nokubona ukuthi i-PSSE ayibalulekile kule nqubo yokwelapha yizizathu ezimbili ezinkulu zokuthi kungani ama-78% asele alabo abahlinzeka ngamathambo akhetha ukungasebenzisi i-PSSE neziguli zabo ze-scoliosis, ngokusho kwe- ucwaningo.
Lokho kusho ukuthi iningi labadoti "abangasebenzisi" iqembu lifuna ukucwaninga okwengeziwe kwi-PSSE.
Izikole ezingu-7 ezinkulu ze-PSSE
Nakuba kukhona okuhlukile, ukuzivocavoca nge-scoliosis akuvamile ukushiwo odokotela e-US noma e-UK
Kodwa eYurophu, kukhula. Eqinisweni, ngayinye yezinhlobo ezingu-7 eziyinhloko ze-PSSE zitholakala eYurophu.
Izikole eziyinhloko ze-physiotherapy scoliosis ezithile zokwelashwa zisebenza kanje.
I-Lyon (France)
Indlela yeLyon yindlela endala kunazo zonke yokusebenza kwe-scoliosis. Kwaqala ngasekuqaleni kwekhulu le-18 lapho uDkt. Gabriel Pravaz esungula isikhungo sokuqala samathambo e-orthopedic e-city of the same name. Esikhathini sikaPravaz, ukwelashwa kwakuhlanganisa ukulandelana kwe-auto-adjusted, ukuvivinya "imishini yokwandisa" efana nezitebhisi (ukuvumela isiguli ukuba senze umsebenzi wayo endaweni eqondile (kanye nokulungisa ukulandelana kwabo ngokwabo) nokuningi.
Eminyakeni engaphezu kwengu-100 kamuva, ama-brace kanye nama-braces zanezelwa kule protocol, kuqala nge-brace Lyon futhi kamuva nge-ARTbrace yesimanje. I-ARTbrace yashintsha indawo yaseLyon, futhi ngokuphumelelayo yashiya ukusetshenziswa kwe-casts.
Indlela yaseLyon igxile kakhulu ekusetshenzisweni kwe-brace, nakuba ukuqeqeshwa okwenziwe nge-scoliosis kuseyingxenye yecebo.
Ukuzivocavoca kwezesayensi Ukufinyelela kwe-Scoliosis (Italy)
Indlela yokuzivocavoca kwezesayensi ye-Scoliosis (isichazamazwi se-SEAS) injengeyodwa ngokulinganayo njengoba kuwubufakazi obusekelwe. Ilandela indlela yaseLyon - nakuba iqale kakhulu ngokuhamba kwesikhathi, ngawo-1960 - lapho u-Antonio Negrini noNevia Verzini basungula isikhungo eVigevano, e-Italy. Ngo-2002 igama laleli dolobha lashintshwa laba yi-Italian Scoliosis Spinal Institute.
Indlela ye-SEAS igxile ekuzilungiseni kwe-3D okusebenzayo kwe-scoliosis ngokusebenzisa imfundo yesineke (kuqala) bese kuthuthukisa ukuqwashisa kwesiguli ngokukhubazeka kwabo. Umqondo wukuthi ngokuqwashisa kokubili ukukhubazeka nendlela yokuyilungisa, isiguli sinikwe igunya lokwenza izinguquko kwijika. Lezi zilungiso zenziwa kuzo zonke izindiza-ezingaphambili, ngokuhlangene nohlangothi nokujikeleza.
Kunikezwa ukuqeqeshwa ukusiza ukuzinzisa umgogodla nokulondoloza ukutholakala kokulungiswa okusha. Abahlinzeki be-SEAS baqaphele ukubeka izivivinyo ezisekelwa yibo ubufakazi obusha obukwelapha.
I-Schroth (eJalimane)
Inhlangano yomndeni, indlela yeSchroth yaqala ngo-1910 lapho isiguli esineminyaka engu-16 ubudala, uKatharina Schroth, sithatha izindaba zakhe zokwelashwa ezandleni zakhe. Wayenesigqoko sensimbi, kodwa izakhiwo zamabhaloni zambheka njengendlela eyisibonelo sokunciphisa izinga le-curve ohlangothini lwe- concave .
Umqondo kaSchroth wawuwukuphefumulela ohlangothini lwe-concave ngenkathi ebuka phambi kwesibuko. Eminyakeni eyishumi nesishiyagalombili kamuva, uStroth waqala umtholampilo we-scoliosis lapho esebenzisa ukuvivinya umzimba okusekelwe ekuhloleni kwakhe kwentsha ukuphatha nokufundisa iziguli. Ngasekupheleni kweminyaka ye-1930, indlela yeSchroth yayiyimtholampilo eyaziwa kakhulu kunazo zonke ngenxa yokwelapha ngokucophelela kwe-scoliosis.
Ngemva kweMpi Yezwe II, uShroth nendodakazi yakhe bathuthela eNtshonalanga eJalimane baqala umtholampilo lapho, lapho umzukulu kaSchroth, ohlinzayo wamazinyo uHans-Rudolph Weiss, kamuva ekhonza njengomqondisi wezokwelapha (kuze kube ngo-2008). Ngonyaka ka-2009, u-Weiss waxoshwa wedwa ukuze anikele ngezinketho ezintsha zokwelapha nezindlela zokwelashwa ezisekelwe endleleni yeSchroth. Kodwa umtholampilo eNtshonalanga Jalimane uyaqhubeka nanamuhla.
Njengoba uzobona, iningi lezinye ze-PSSE lisekela noma liboleka endleleni yeSchroth.
I-Barcelona Scoliosis School Therapy Isikole
I-school scoliosis ye-physiotherapy school iyindlela eguquliwe yesimo seSchroth (esichazwe ngenhla). Ngaphambi kuka-2009, isikole saseBarcelona sasiyisikhungo seSchroth. Yasungulwa ngawo-1960 yi-physiotherapist u-Elena Salva ohlangana noKatharina Schroth nendodakazi yakhe ngaleso sikhathi eJalimane.
I-Schroths yanika uSalva umbono omusha nge-scoliosis eyabuyela ngokushesha eSpain. Kwaphela iminyaka engama-40, wasebenzisa indlela yeSchroth; Ngemva kwalokho, waqala umsebenzi ukuba uhlanganise ukuqeqeshwa kwengqondo, inzwa-motor kanye nokwenyama.
E-Barcelona Scoliosis Physical Therapy School, indlela yomuntu isuswa neziguli. Bafundiswa ukuba bathuthukise ukuma kwabo kwe-3D scoliosis nokuma ngokusebenzisa amasu okuvuselela nokuphefumula . Isikole saseBarcelona sinamathele emibhalweni ethi "umjikelezo ononya" okusho ukuthi ukusimama kwe-scoliosis kukhuthaza ukuqhubekela phambili kwamaphethini.
Indlela ye-DoboMed (Poland)
Indlela ye-Dobomed iyinhlanganisela yesindlela seSchroth kanye nenqubo enkulu eyaziwa ngokuthi i-Klapp. Kuthuthukiswe ngo-1940, indlela ye-Klapp isekelwe ekubonweni ukuthi izilwane ezine-quadruped zingabonakali ukuthola i-scoliosis, kuyilapho abantu, abathintekayo, bekwenza. Indlela ye-Klapp isebenze kangcono ngezinkinga zomgogodla kunezingqinamba ze-pelvic, kodwa izinkinga ezithintekayo zibalulekile ekusekelweni kwe-postural ekuzileni kwe-scoliosis nezimo ezihlobene.
Kanye nezindlela ezisuka kuhlelo lwe-Klapp, indlela ye-Dobomed isebenzisa ukusetshenziswa kwe-Schroth okuphefumulayo okusebenzayo.
Indlela yeDobomed yasungulwa ngo-1979 ngudokotela wasePoland no-physiotherapist ogama lakhe linguKrystyna Dobosiewicz. Kungakapheli iminyaka embalwa, yaba yindawo ejwayelekile emibuthanweni yokwelapha ye-scoliosis e-Poland. Le ndlela isetshenziselwa kokubili ngaphandle kokuqhaqhaza futhi yamukelwa nguMnyango Wokuvuselela eMnyango Wezokwelapha waseKatowice, njengokwelapha okunegciwane.
I-Side Shift Method (eLondon)
Indlela ye-Side Shift yasungulwa ngo-1984 nguDkt. Min Mehta futhi iqhutshwa kwiRoyal National Orthopedic Hospital eLondon. Njengamanje ngaphansi kokuqondiswa kukaTony Betts, i-physiotherapist. Ekuqaleni, le ndlela yayisetshenziselwa ukwelapha izingane kuphela, kepha manje inikwe abantu abadala. Le ndlela iboleka emsebenzini we-Schroth no-Dodomed wokuphefumula. Ukugcizelelwa kufakwe ekubhekiseni ukuma okushiya emkhatsini womugqa womzimba. I-Side Side Shift ithatha iziguli zombili ngaphambi kokuqala.
Ezinganeni, isimiso esiqondisayo sendlela ye-Side Shift ukuthi ukukhula kungasetshenziswa njengamandla okulungisa ekulawuleni ijika. Ukunyakaza kwe-trunk shift shift kwenziwa ngokuphindaphindiwe ukuphikisa ijika; lokhu kwandisa ukuhamba futhi kusiza ukuqondanisa kabusha umgogodla. Kubuye kusize ukuhlanganisa ukuqonda kwe-posture. Umgomo wokwenza ukuhamba kwe-trunk shift trunk ukuphazamisa indlela ijika eliqala ngayo.
Ukuzivocavoca kwamazinyo nakho kwenziwa ngokusebenzisa izakhi zomzimba zesisu eziphansi, izicathulo ezibuhlungu kanye nemisipha emaphethelweni ehlombe (scapula).
Kubantu abadala, umgomo ukhulu ngokunciphisa nokuphatha ubuhlungu obangelwa ukuthunyelwa njengoba kuhamba kude nomugqa womaphakathi womzimba.
Ukwelashwa Kwamanye Omunye Wokusebenza Kwe-Scoliosis (Poland)
Ukwelashwa Kwamanye Omunye Wokusebenza Kwe-Scoliosis (i-FITS) yenziwa ngo-2004 yiPolyotherapist yasePoland Marianna Białek kanye ne-physiotherapist ne-osteopath Andrzej M'hango. Le ndlela ye PSSE ihlanganisa futhi iguqule izinto ezivela kwezinye izindlela zokuzivocavoca. Isetshenziswe ngezindlela eziningana: Yedwa ngokwakho ukulungiswa kwendonga, kanye nokukhwabanisa, futhi njengokwelashwa kwangaphambi nangokuhlinzwa. I-FITS nayo inikezwa ngezinye izinkinga zokuthutha ezifana nesicoco seSuermermann .
Qondisisa futhi Ulazise I-Scoliosis Specific Exercise Treatment Spectrum
Nakuba indlela ngayinye ye-PSSE inomgomo ofanayo omkhulu - ukulungisa ukukhubazeka kwe-3D scoliosis ngokuphinda kulungiswe umgogodla, izimbambo, amahlombe kanye nesifuba - iningi libeka isitembu salo ekwelapheni.
Ukuzivocavoca okukhethekileko kunikezwa ngokubambisana ne- bracing . Kodwa njengoba kungenzeka ukuthi uphezulu ngaphezulu, lokhu akuwona umthetho onzima futhi okusheshayo. Kungenzeka, ngokuya ngesiguli, izinga le-curve nodokotela, phakathi kwezinye izinto, ukusebenzisa i-PSSE njengokwelashwa okuphela.
Kungakhathaliseki ukuthi, imithi ye-scoliosis idinga indlela yeqembu ngokubheka, i-physiotherapy, futhi ngezinye izikhathi i-psychotherapy kanye nokuhlinzwa okwenza umthamo wezokwelapha okungenzeka ukwenze.
> Imithombo:
> F. Bruder Stapleton, MD uhlaziya uMcPhail GL et al. J Pediatr . 2015.
> Ukusebenza komgogodla kungenziwa ukucutshungulwa nge-Scoliosis ephezulu. I-NEJM Journal Watch . 2015.
> Kotwicki T. et al. Ukuphathwa okuphelele kwe-idiopathic scoliosis ebusheni. I-Adolesc Health Med Ther . 2013.
> Marti C. et al. I-Scoliosis Research Society amalungu amalungu omqondo ngokuphathelene nokwelapha ngokomzimba kanye nokuzivocavoca umzimba we-scoliosis okukhethekile okwenziwe yi-idiopathic scoliosis. I-Scoliosis . 2015.