Rehab for Hip FAI
Ukwelapha ngokomzimba we-femoroacetabular impingement (FAI) kuhilela ukuthuthuka kwe-hip range of motion (ROM) namandla, ukunciphisa ubuhlungu, nokuthuthukisa ukuhamba komsebenzi jikelele. Uma unayo i-FAI, udokotela wakho womzimba angakusiza esimisweni esifanele sokuvuselela ukusiza ukuthi ubuyele emisebenzini yakho evamile.
Kunezimbangela eziningi zobuhlungu be-hip . Uma i-hip yakho noma izindebe zilimaza, ungase uzuze ekwelapheni okungokwenyama ukuze ubone ukuthi imbangela yobuhlungu bakho bese uqala ukwelashwa okufanele.
Ukuvakashela kudokotela wakho kungasiza ekutholeni ukuthi yini engabangela ubuhlungu bakho be-hip. Udokotela wakho angenza izivivinyo ezikhethekile zokuxilonga ezingaphetha ngokuxilongwa kwe-FAI. Uma kunjalo, ukudluliselwa kokwelapha ngokomzimba kungavunyelwa.
Kuyini i-FAI?
Ukufaka impingement ye-Femoroacetabular kwenzeka lapho indawo yokujoyina yakho ye-hip ikhonjiwe uma uhamba ngezinkomba ezithile. I-hip yakho ibhola kanye nehlangothini elenziwe ngetekisi, futhi ngezinye izikhathi ibhola ingxenye (ukuphela okuphezulu kwe-femur yakho) ye-hip yakho iphoyintiwe engxenyeni engxenyeni (i-acetabulum). Lokhu kukhonta kungabangela ubuhlungu nokunyakaza okulinganiselwe, futhi kunganciphisa ikhono lakho lokwenza umsebenzi wakho ojwayelekile nemisebenzi yokuzilibazisa.
Izimpawu ze-FAI zingafaka:
- Ubuhlungu ku-groin yakho
- Ubuhlungu phambi kwe-hip yakho
- Ubuhlungu obuphansi emuva futhi ubuhlungu be-buttock
- Ukunyakaza okunciphisayo ku-hip yakho, ikakhulukazi ngokushintshaniswa nokwandiswa
- Ukuzwa okudabukile ku-hip yakho
- Kunzima ukwenza ukugijima, ukuxuma, nokusika
Uma udokotela wakho esolwa ukuthi izimpawu zakho zibangelwa yi-FAI, angenza ama-x-ray noma i-MRI. Lezi zifundo zibonisa ukuma kwamajoyini akho we-hip kanye nosizo ukuthola ukuthi i-FAI ibangela ubuhlungu bakho be-hip. Ukuqapha kufanele kuthathwe lapha-ezinye iziguli ezingenabuhlungu noma izimpawu zibonisa izimpawu ze-FAI ekufundeni izithombe.
Ukuxilongwa kwakho kufaka phakathi ukuhlolwa okuphelele kombukiso wakho wemitholampilo nokuthola ngezifundo zokuxilonga.
Izinhlobo ze-Hip Impingement ne-FAI
Kunezinhlobo ezimbili zokufakelwa kwe-hip FAI-pincer nokufakelwa kwamakhamera. Ungabuye ube nokuhlanganiswa kokubili izinhlobo.
Ukungena kwe-Cam kwenzeka ngenxa yesimo esingavamile senhloko yakho yezinsikazi-ibhola lohlangene. Lokhu kudala isimo lapho ukucindezeleka kufakwa phezu kwethambo ngezinye izindlela. Ukungena kwe-pincer kwenzeka ngenxa yesimo esingavamile sesokhethi sakho, esibizwa nge-acetabulum. Ukuhlanganiswa kokubili izinhlobo kungase kwenzeke. Udokotela wakho angasiza ekunqumeni ukuthi yiliphi uhlobo lwe-FAI onayo kanye nokwelashwa okungcono kakhulu kobuhlungu bakho be-hip.
Zombili izinhlobo ze-hip FAI zingabangela umonakalo emlonyeni wakho we-hip, isiqephu sezincuba ezifundisa ezungeze isikhwama sakho se-hip. Lokhu kungaholela ekwenzeni ukukhwabanisa nokuqhaqhaqhaqhaza ukukhwabanisa, okubangela ubuhlungu nokunyakaza okulinganiselwe. I-Hip FAI ingase ibangele ne-opioarthritis yangaphambili ye-hip.
PT Ukuhlolwa kwe-FAI
Izingxenye zokuhlolwa kokuhlolwa kokwelashwa kwe-FAI ngokuphelele zingabandakanya:
- Ukuhlukaniswa
- Izinyathelo zokuhamba komgogodla wakho, iziqhakazi, amadolo, nezinyawo
- Izindlela zokuqina kwe-hip nokuphansi
- Izivivinyo ezikhethekile ze-Hip
- Ukuhlolwa okusebenzayo
- Ukulinganisa nokuhlolwa kokuzimela
Uma uqala ukuhlangana ne-PT yakho, uzokubuza imibuzo mayelana nobuhlungu bakho be-hip nokuthi uziphatha kanjani. Yini eyenza kube ngcono noma kubi? Ukuhlukunyezwa kwakho kwe-hip kusuka ku-FAI kunciphisa kanjani ukuhamba kwakho konke ukusebenza noma umsebenzi nokuzijabulisa? Yini oyenzile kuze kube manje ngokuxilongwa nokuphathwa? Ingxoxo onayo nomthandi wakho kufanele ikhululeke; bobabili nisebenzisana ndawonye ngokubambisana kwezokwelapha ukusiza ukuthuthukisa isimo sakho jikelele nge-FAI.
Ngemuva kokuhlola, i-PT izosebenza nawe ukusetha uhlelo lokunakekela ukwelapha i-FAI yakho, futhi ukwelashwa kungaqala.
Ukwelashwa Kwemithi Yokwenyama Ye-FAI
Imigomo ye-PT ye-FAI ihlanganisa ukuthuthukisa u-hip jikelele, umgogodla, nomgqa ophansi we-ROM namandla nokunciphisa ubuhlungu ukuze ubuyele ekuhambeni okuhle. Ukwelashwa okuhlukahlukene kuyokwenzeka PT ukuze usize ukufeza leyo migomo.
Ukuphathwa kokwelashwa kwe-hip FAI kungase kuhlanganise izingxenye ezihlukahlukene:
Ukuzivocavoca kufanele kube yithuluzi lakho eliyinhloko ekwelapheni i-FAI. I-PT yakho ingahle ihlele uhlelo olufanele noluthile lokuzivocavoca ngesimo sakho. Ukuzivocavoca kwe-FAI kungafaka:
- Ukwelula kwe-Hip
- Ukwelula kwe-Hamstring ne-quadriceps kulula
- Ukuqinisa i-Hip
- Ukuzilinganisa nokuzivocavoca
- Ukuzivocavoca umzimba okuqinisayo
Ungase usebenzise umzimba uma uya emtholampilo we-PT, futhi ochwepheshe bakho angase abonise ukuzivocavoca ozimele ozokwenza ekhaya njengengxenye yohlelo lokuzivocavoca ekhaya.
Izindlela zomzimba : Uchwepheshe wakho ongokwenyama angasebenzisa izindlela ezihlukahlukene zokusiza ukuphatha ubuhlungu bakho noma ukuthuthukisa umsebenzi wakho we-muscular. Lokhu kungafaka:
- I-Ultrasound
- Ukuvuselela kagesi
- Ukushisa
- Ice
- I-Kinesiology icubungula
Khumbula, eziningi zalezi zonyango azisekelwe isifundo sezesayensi esinamandla; bangase bangabi negalelo elikhulu ekuhambeni kwakho konke nokubuyiselwa komsebenzi. Ngaphezu kwalokho, eziningi zalezi zonyango zihamba phambili; awukwenzi lutho ngenkathi i-PT isebenza ukwelashwa kuwe. Ukubandakanyeka ngokusebenza ngokuzivocavoca nokunyakaza kuhlale kungcono ukwelashwa kwe-hip yakho ye-hip.
Ukuqeqeshwa kwe-Neuromuscular: Enye indlela yokwelashwa ephumelelayo ye-hip FAI ukuqeqesha nge-neuromuscular. Kuzwakala umsindo, kodwa ukuqeqeshwa kwe-neuromuscular kwenza nje ukunyakaza nokuzivocavoca ngendlela efanele , ngakho-ke emuva kwakho, izintambo, namadolo kulungelelwano olufanele lapho wenza imisebenzi efana nokugijima, ukugxuma noma ukukhipha.
I-PT yakho kungenzeka ukuthi wenze ukuhambelana okuhlukahlukene ngokusheshisa okuhlukahlukene, ngokugxila ngokukhethekile ekubekeni komzimba wakho ngenkathi uhamba. Angase akufundise ukuba ugxume futhi uvumele kahle umhlaba futhi angasebenza emabhalweni athile nokuzivocavoca. Umgomo ugcina izinyathelo zakho kanye nemigqa ephansi esimweni esihle kunazo zonke ukuze uqhubeke ukwandisa ukunyakaza ngenkathi unciphisa ukucindezeleka ngokweqile kanye nobunzima.
Kuyokwenzeka Kanjani Ukuthi Rehab Long?
Wonke umuntu uhlukile, futhi wonke umuntu uphendula ngokuhlukile ohlelweni lwe-PT lwe-hip FAI. Ngokuvamile, kufanele uqaphele ushintsho oluhle ebuhlungwini bakho be-hip, i-ROM, namandla ngemuva kwamasonto amabili noma amathathu wezokwelapha. Uhlelo lwakho lwe-rehab eliphelele lungathatha amasonto angu-6, futhi ulungele ukuqhubeka nohlelo lokuzivocavoca ozimele uma isiqephu se-PT sokunakekelwa sesiphelile.
Uma uqhubeka nobuhlungu be-hip nokunyakaza okulinganiselwe ngemuva kokuthola ukwelapha ngokomzimba we-FAI, kungase kudingeke uvakashele udokotela wakho ukuxoxa ngezinketho zokwelashwa. Ezinye iziguli ezine-FAI zingadinga ukucubungula ukuhlinzwa kwe-hip ukulungisa inkinga nokulungisa noma yimuphi umonakalo ku-labrum yakho. Udokotela wakho angakusiza wenze isinqumo esihle kunokwenzeka lapho ucabangela izinketho ezingavamile ze-hip yakho ye-hip. Uma udinga ukuhlinzwa, ungase uzuze enkambweni yokwelapha ngokomzimba ngemuva kokuhlinzwa ukusiza ukuthi ululame ngokugcwele.
Izwi elivela
Ubuhlungu be-Hip kusuka ku-FAI bungakwazi ukulinganisela ikhono lakho lokujabulela umsebenzi ovamile nomsebenzi wokuzilibazisa. Kodwa ukuqagela ngani? Akudingeki ukukumise emathrekhi akho. Ngokungena nodokotela wakho futhi uthole isazi somzimba ongakusiza ukuba uthuthukise ukuhamba kwe-hip namandla, ungakwazi ukubuyisela ukunyakaza kwakho bese ubuyela ekuphileni kwakho okujwayelekile nokusebenzayo.
> Imithombo:
> Frank, J. et al. Ukuqhathaniswa kokuqothulwa kwe-Femoroacetabular Imaging Ukutholakala kokuzithandela kwabokuzithandela: Ukubuyekezwa okuhlelekile. I-arthroscopy: J. ye-Arthorscopic ne-Surgery ehlobene. Juni, 2015; 31 (6): 1199-1204.
> Kahn, M. et al. Ukumiswa Kwe-Femoroacetabular: Ingabe Sifake I-Global Tipping Point Ekuxilongweni Nekwelashwa? Imiphumela Evela kuNgqungquthela Yokuvuselela Okunakekelwa Kwezokunakekelwa Okunakekelwa Kwe-Femoroacetabular InterNational (IN FOCUS). I-Arthroscopy: J. ye-Arthorscopic ne-Surgery ehlobene. May 2016; 31 (5): 779-87.