Rehab for Anterior Tibialis Ukuntula
Uma unobungozi noma ukugula okuholela ekusebenziseni ukukhubazeka komzimba ngaphambi kwe-shin yakho, khona-ke ungase uhlupheke ngezinyawo. Ukudonsa kwezinyawo kwenzeka uma imisipha ye-tibialis yangaphambili esiza ukuphakamisa unyawo lwakho alusebenzi kahle. Uma lokho kwenzeka, ungase ubambe izinzwane zakho phansi uma uhamba.
Uma unyawo lwezinyawo, ikhono lakho lokuhamba futhi uhamba ngokuphepha lingase likhubazeke.
Noma nini lapho uzama ukuguqula umlenze wakho phambili phakathi nomjikelezo we-gait , isisu sakho sangaphakathi se-tibialis kufanele sivumelwano sokuphakamisa unyawo lwakho. Uma lokhu kungeke kwenzeke, ukwehla kwezinyawo kwenzeka, futhi lokhu kungashintsha indlela ohamba ngayo.
Ukudonsa kwezinyawo ngokuvamile kudala iphethini elithile le-gait elibizwa ngokuthi i-steppage gait. Le iphethini ye-gait ibonakala kalula kubantu abanezinyawo. Njengoba uqhubeka phambili, unyawo lwakho nezinzwane ziwela phansi. Ukuze ususe unyawo lwakho emhlabathini, uguqule i-hip yakho namadolo ngokweqile, futhi lokhu kuholela ekutheni uphezulu.
Uma unyawo lwezinyawo, ungase uzuze emisebenzini enekhono yophiko lomzimba ukuze usize ukuphatha isimo sakho. Umhlinzeki wakho womzimba uzohlola ukwehla kwezinyawo zakho bese usebenzisa amasu ahlukahlukene ukuze usize ukuthuthukisa isimo sakho. Umgomo oyinhloko wezokwelapha ngokomzimba ngezinyawo ezinyansi ukuthuthukisa ukuhamba komsebenzi okuhlobene nokuhamba. Lokhu kungaqinisekisa ukuthi uyakwazi ukuzungeza ngokuphepha futhi kunganciphisa ingozi yokuwa.
Izimbangela ze-Foot Drop
Kungase kube nezimbangela eziningi ezihlukahlukene zokunyakaza kwezinyawo. Ngezinye izikhathi, izinkinga zesistimu yezinzwa zomphakathi zingabangela ubuthakathaka noma ukukhubazeka komzimba wakho we-anterior tibialis. Ngesinye isikhathi, ukulimala emisipha emlenzeni wakho kungabangela ukuthi unyawo luthi. Ezinye izimbangela ezivamile zokunyakaza kwezinyawo zingabandakanya, kepha azikhawulelwe ku:
- Isibungu
- Sciatica
- Ukulimala kwe-nerve peroneal
- I-myelitis eguquguqukayo
- Multiple sclerosis
Ukuhlolwa Kwemithi Yokwenyama Ngokwezinyawo Zezinyawo
Phakathi neseshini yakho yokuqala yokwelapha ngokomzimba, umhlinzeki wakho womzimba uzokubuza imibuzo mayelana nesimo sakho. Uzobuza imibuzo mayelana nokulimala kwakho, ukuthi ukwehla kwezinyawo zakho kuthinta kanjani impilo yakho, nokuthi kube nini ukwehla kwezinyawo zakho.
Ukuhlolwa nokulingana okuhlukahlukene kungathathwa ngesikhathi sokuqokwa kwakho kokuqala. Lokhu kungafaka:
- Izinyawo nezinyawo zezinyawo ze-motion (ROM)
- Amandla emisipha ephansi
- Ukuhamba ngokusebenzayo
- Izinyathelo zomsebenzi ezisebenzayo
- Ukulingana nokuzimela
Ukwelashwa Kwemithi Yokwelashwa Yezinyawo Zedla
Ngemuva kokuthi umuthi wakho wezokwelapha ahlole isimo sakho, uzokwazi ukunquma ukwelashwa okungcono kokudonsa unyawo lwakho. Umgomo oyinhloko wokwelapha ngokomzimba ngezinyawo unyawo ukuthuthukisa ukuhamba kwakho nokuhamba komsebenzi.
Umhlinzeki wakho womzimba angasebenzisa izindlela ezahlukene zokwelapha ukusiza ukuthuthukisa umsebenzi we-anterior tibialis muscle yakho. Ukuvuselelwa kwamandla kagesi (NMES) kungasetshenziselwa ukusiza ukuthuthukisa indlela yakho yezivumelwano ze-muscle nokuphakamisa unyawo lwakho. Lolu hlobo lokuvuselela kagesi luhlanganisa isivumelwano sakho ngokusisiza ukuba ufundise kabusha ukuze usebenze kahle.
Ukuzivocavoca kwama-ankle kwenziwa ngokujwayelekile ngesikhathi nangemva kwe-NMES zokwelashwa.
Ukuvivinya for Foot Drop
Kunezivivinyo eziningi ezihlukene zokunyathela izinyawo . Ukuzivocavoca ukuze uthuthukise amandla e-ankle ngokugxila ngokukhethekile kwi-tibialis yakho yangaphakathi kubalulekile. Uma ukwehla kwezinyawo zakho kubangelwa ukucindezela kwe-nerve yakho yomsakazo kusukela ngemuva kwakho, ukuvivinya umzimba okuphansi kungase kumiswe ngomzamo wokukhulula lolo cindezelo bese ubuyisela umsebenzi ojwayelekile ku-tibialis yakho yangaphakathi.
Uma imisipha yakho ye-anterior tibialis ingasebenzi ukuze ivumelanise isifuba sakho, umsila wakho wenkomo ngemuva komlenze wakho ungase uqiniseke. Ukuzivocavoca ukwelula imfucuza yakho yenkomo kungabhalwa ukusiza ukuyiqeda ukuba ingasebenzi kakhulu.
Ibhalansi yakho ingathinteka uma unyawo lwezinyawo. Uma kunjalo, udokotela wakho ongokwenyama angase abhale umzimba wokulinganisela. Ibhodi ye-BAPS ingasetshenziselwa ukusiza ukuthuthukisa ibhalansi yakho kanye nokwaziswa kwakho .
Ukusekela kwangaphandle nokukhishwa kweDrop Drop
Phakathi nezikhathi zokwelashwa kwakho, umzimba wakho wezokwelapha uzosebenza nawe ukusiza ukuthuthukisa ikhono lakho lokuphakamisa unyawo lwakho ngenkathi uhamba. Indlela eyodwa yokuphakamisa unyawo lwakho ngenkathi uhamba ngokusebenzisa i-band elastic ezungeze umlenze nomlenze wakho. I-band ilula uma uhamba bese udonsa unyawo lwakho phezulu lapho uqhubeka phambili. Ukusebenzisa i-band elasana kuyisixazululo sesikhashana sokunyuka kwezinyawo, kodwa kungasiza ukujwayela i-pattern ye-gait ngesikhathi sokuqala sokuvuselelwa kwakho. Lokhu kungasiza ekugwemeni ukungena emikhuba emibi yokusebenzisa iphethini eliphakeme le-steppage gait.
Umhlinzeki wakho womzimba angakuhlola ngesikhathi sokuvuselela futhi ahlole intuthuko yakho. Ngezinye izikhathi, ukuthuthukiswa ngezinyawo kuhamba kancane, ngakho-ke bamba ngakho. Ngezinye izikhathi, ukwehla kwezinyawo kuyisimo esihlala njalo, futhi isongo sangaphandle esibizwa ngokuthi i- ankle-foot orthosis (AFO) kuyadingeka ukusiza ukuphakamisa unyawo lwakho ngenkathi uhamba. Uma kunjalo, i-PT yakho ingenza izincomo ze-AFO engcono kuwe.
Izwi kusuka
Unyawo lokudonsa lungaba nesipiliyoni esabekayo, futhi kudinga ukunakekelwa ngokugcwele ukubuyela emsebenzini ojwayelekile. Uma unyawo lwezinyawo, ungase uzuze ekwelapheni okungokwenyama ukuze usize ukuqinisa imithi yakho yangaphakathi ye-tibialis. I-PT yakho ingasebenza futhi nawe ukuthuthukisa ibhalansi, futhi angaqiniseka ukuthi uhamba kahle. Uma ukwehla kwezinyawo zakho kuyisimo esingunaphakade, i-PT yakho ingenza izincomo ze-brace engcono kakhulu kuwe.
Ngokusebenza kanzima ekwelapheni komzimba ukuphatha ukwehla kwezinyawo zakho, ungandisa amathuba akho okuthola ngokugcwele futhi ungakwazi ukubuyela ngokushesha futhi ngokuphepha ezingeni lakho langaphambilini lomsebenzi.
> Umthombo:
> Bae, YH, Kim, HG, Min, KS, & Lee, SM (2015). Imiphumela ye-kinesiology ephansi-legloth efaka ikhono lokulinganisela ezigulini ezihlaselwa ngezinyawo. Imithi ehambisana nokufakaza ehambisana nobufakazi , ngo- 2015 .