Ukusebenzisa ama-Steel Stainless Tools wokukhululwa kwamaMesfascial
Uma unobungozi noma ukugula, ungase uzuze ekwelapheni okungokwenyama ukukusiza ukuba uhambe kangcono futhi uzizwe ungcono. Isazi sakho somzimba (PT) sizohlola isimo sakho futhi sisebenzise izindlela zokwelapha kanye namasu ahlukahlukene njengengxenye yohlelo lwakho lokubuyisela kabusha. Enye yokwelashwa okunjalo ukusikhipha kanye nokukhululwa kwamathambo. Kunezinhlobo ezehlukene zokusiketshezi okwenziwa yi-PT njalo, kanti olunye uhlobo olunjalo luyaziwa ngokuthi ukugqugquzela izicubu ezithambile zokusiza noma i-IASTM.
Ukwakhiwa kwezicubu ezithambile ezenziwe nge-instrument, futhi eyaziwa ngokuthi iGroston technique®, kuyisisindo esikhethekile sokukhululwa kwama-myofascial kanye nokusikwa kwe-massage esetshenziswa ngesikhathi zokwelashwa ngokomzimba. Kuyindlela yokwelapha esanda kuhlanganisa ukuthi kuhilela ukusebenzisa amathuluzi ensimbi noma eplastiki ukuthuthukisa ukuhamba kahle kwezicubu emzimbeni wakho. Lezi zixhobo ezenziwe ngendlela e-ergonomically zisiza massage yakho PT futhi uhlanganise imisipha yakho, fascia (i-collagen ehlanganisa imisipha yakho), kanye namathononi. Lokhu kucatshangwa ukunciphisa ubuhlungu nokuthuthukisa ukunyakaza.
Ukukhishwa kwama-massage kanye ne-Myofascial Release
Ukubhula ngezikhathi ezithile kusetshenziswa abanye abahlinzeka ngemithi ukuze basize ukwandisa uhlelo lwakho lokubuyisela kabusha. Izinzuzo zokusikhipha ekwelapheni komzimba zingabandakanya:
- Ukuthuthukiswa kwezicubu ezithambile
- Ukuqedwa kwemingcele ekuthandeni okuqinile
- Ukwenza ngcono ukuguquguquka kwemvelo
- Ukunciphisa ubuhlungu
- Ukunciphisa ama- muscle spasm
- Ukujikeleza okuqhubekayo nokugeleza kwegazi kuya ezicukwaneni
Ngezinye izikhathi ngemuva kokulimala, ungase uhlakulele ukuqina komzimba noma imingcele emisipha nasezintabeni.
Lezi zimingcele ezithintekayo zomzimba zingakwazi ukukhawulela ukuhamba kwakho (ROM) futhi zingabangela ubuhlungu. Umhlinzeki wakho womzimba angasebenzisa ukukhishwa kwe-myofascial ehlukahlukene kanye namasu okugqugquzela amathisula athambile ukukhulula le miingcele ukukusiza ukuthi uhambe kangcono futhi uzizwe ungcono. Ukukhululwa kwama-intanethi nge-ISATM kungaba yinye indlela i-PT iphatha ngayo lezi zimingcele.
Kumele kuqashelwe ukuthi kukhona impikiswano emisebenzini ye-PT kanye ne-rehab mayelana nokuthi imithwalo ethintekayo yesikhumba iyabangela ubuhlungu noma ingaziwa ngokunembile yi-PT yakho. (Uma ungeke ukwazi ukubona izicubu eziqinile, ungayiphatha kanjani?) Noma kunjalo, amanye ama-PT azwa ukuthi angawathola imithwalo yemisipha ethambile kanye nesisindo somzimba futhi asebenzise amasu okubhusa kanye nama-myofascial ukusiza ukuthuthukisa ukunyakaza kwakho nokunciphisa ubuhlungu bakho. Futhi iziguli eziningi ziqinisekisa izinzuzo zokukhululwa kwama-myofascial kanye nokusikhipha imishanguzo njengendlela yokwelapha ubuhlungu babo.
Umlando we-IASTM
I-Graston technique® ye-IASTM yasungulwa ngawo-1990, okushiwo abagijimi, abagijimi. Kusukela ngaleso sikhathi kuye kwanda ekuthandeni futhi isetshenziselwa ukuxilonga abahlinzeki bezokwelapha, izidakamizwa, kanye nabahlengikazi bezempilo ukuze basize iziguli ezinemikhawulo ye-myofascial ezingabangela ubuhlungu nokunciphisa ukunyakaza. IASTM isetshenziselwa nezinye iziguli-hhayi nje abagijimi-abanezimo ezihlukahlukene.
Abahlinzeka ngemithi bangasebenzisa izinhlobo ezahlukene zamathuluzi ukwenza i-IASTM. Eziningi zazo zibukeka njengamadivaysi okuhlukunyezwa okuphakathi-ama-blades, ama-scrapers, nezinto ezibukhali, ezikhomba. Amanye alawa mathuluzi aklanyelwe yinkampani yaseGreyston®, nezinye izinkampani eziningi zinikeza inguqulo yabo yensimbi noma i-plastic scraping kanye nokuhlunga amathuluzi we-IASTM.
Imigomo yokusebenzisa la mathuluzi phakathi ne-IASTM ihlala ingaguquki: ukusiza izicubu ezithambile nezithintekayo ze-myofascial ukuthuthukisa indlela ohamba ngayo.
Indlela i-IASTM ehlukile ngayo
Ngesikhathi samasu okugcoba ajwayelekile, i-PT yakho isebenzisa izandla zakhe ukuhlinzeka ukwelashwa. Kukhona ukuxhumana nomzimba kesikhumba ngqo. Ngesikhathi ukwelashwa kwe-IASTM, isazi sakho somzimba sisebenzisa ithuluzi lensimbi noma lepulasitiki ukuze linikeze ukusikhipha kwezicubu ezithambile nokugqugquzela. Leli thuluzi lendabuko (noma ngamandla) lihlutshiwe futhi lihlutswe phezu kwesikhumba sakho. Ukuxubha kwensimbi kusetshenziselwa ukuthola nokukhulula isisindo esimisweni se-fascial, i-collagen sousage-casing-like emboza ezungeze imisipha yakho.
Indlela i-IASTM isebenza ngayo
Uma i-PT yakho isebenzisa ithuluzi le-IASTM ngenkathi ukwelashwa kwakho, uzobe eqala ukucinga izindawo zokuthinteka kwezinhlanga nezisiphazamiso. Lezi zindawo zizozizwa zikhukhumezekile noma zinciphise njengoba ithuluzi lidlula phezu kwazo. Lapho imingcele itholakale ku-fascia, i-PT yakho ingahle ihlale kuyo, isebenzisa ithuluzi le-IASTM ukuze libafake.
Ngakho kwenzekani njengoba PT yakho isebenzisa ithuluzi le-IASTM ukuze libheke emingcele yezintandokazi? Kuthiwa ukuthi ukusika izicubu zakho kubangele ama-microtrauma ezithweni eziphathekayo, ngaleyo ndlela uvuselele impendulo yomzimba yakho yokuvuvukala. Lokhu kubangela ukuqhuma kwemicimbi ukuthi kwenzeke kufaka phakathi ukubuyisela kabusha izicubu zokuqothula ngokweqile kanye ne-fibrosis ebangela ukuvinjelwa. Ukuxhaswa kwezicubu ezibomvu kungasetshenziselwa ngokufanele ukusiza ekuthuthukiseni ukuhamba okungahambi kahle kwezinhlungu.
Izinkomba
Akuzona zonke iziguli okufanele zithole ukwelashwa kwe-IASTM. Umhlinzeki wakho wenyama anganquma ukuthi unezinkinga ezithile ezingase zizuze kulolu hlobo lwezokwelapha. Lezi zingqinamba zingabandakanya:
- Ukuhamba okulinganiselwe
- Ubuhlungu ngokuhamba
- Ukulahlekelwa kweROM
- Ukunciphisa ukuqashwa kwamascle
- Ukwakheka kwezicubu zokweqa ngokweqile
Uma unalezi zinkinga, i-PT yakho ingakhetha ukhethe i-IASTM ukusiza ukuthuthukisa isimo sakho.
Izimo ezehlukene ezingase zizuze ekusetshenzisweni kwezinqubo ze-IASTM zingafaka:
- I-tendonitis ne-tendinopathy
- I-Ligament sprains
- Plantar fasciitis
- Izicubu zesikhumba kusuka ekuhlinzekeni noma ekudumeni
- Ubuhlungu be-myofascial
- Ukungalingani kwe-musculoskeletal
Uma unayo yalezi zimo, i-PT yakho ingakhetha ukhethe i-IASTM ngesikhathi sokwelashwa uma kuqinisekisiwe.
Okufanele Ukulindele
Ngesikhathi sesigaba se-PT lapho i-IASTM isetshenziselwa khona, i-PT yakho izoveza ukuthi ingxenye yomzimba kufanele isetshenziswe. Uzobe eshaqa ithuluzi lensimbi elenziwe ngendlela e-ergonomically phezu kwesikhumba sakho. I-PT yakho kufanele iqale ngokucophelela, ihlola indawo ezungeze ukulimala kwakho nethuluzi le-IASTM. Ngalesi sikhathi, cishe uzozizwa uzwela kahle, futhi ungase uzizwe unomsindo omncane njengoba ithuluzi lidlula ezindaweni eziqinile ze-fascia. I-PT yakho ingabe igxile kuyo endaweni edinga umsebenzi omningi, futhi ungase uhlangane nokuqina okukhulu ngethuluzi phezu kwesikhumba sakho.
Phakathi neseshini, ungase uzizwe ungakhululekile njengoba ithuluzi lidluliselwa isikhumba sakho. Qinisekisa ukuthi utshela i-PT yakho uma ungeke ukwazi ukubekezelela ubuhlungu. Udokotela wakho kumele ayeke ukwenza i-IASTM uma kungakhululekile noma uma umtshela ukuthi ayeke.
Ngemuva kokwelashwa, isikhumba sakho eduze kwendawo esasebenza kuyo cishe sibomvu. Kwezinye izimo, ukulimala okuncane kungenzeka, ikakhulukazi uma ukwelashwa kwe-IASTM kwenziwa ngamandla.
Ngemuva kweseshini ye-IASTM, umelaphi wakho uzoba nomsebenzi osebenzayo noma welula ukuze uthuthukise ukuhamba kwakho. Lokho kungasiza ukugcina izicubu ezincane noma izintandokazi ezithintekayo ekushintsheni.
Izinzuzo nezingozi
Izinzuzo ze-IASTM zifaka:
- Ukwandiswa kwezicubu ezithuthukisiwe
- Ukunciphisa ubuhlungu
- Uhla lokuthuthukiswa oluthuthukisiwe
- Ukunciphisa ukukhishwa kwezicubu
- Ukuthuthukiswa komsebenzi weselula eduze kwesayithi lokulimala
- Ukuthuthukiswa komzimba wezokwelapha ngesikhathi sokunakekelwa
Nakuba lezi zinzuzo zizwakala kahle, eziningi azizange zithathwe isifundo sezesayensi esiqinile. Ucwaningo oluningi mayelana ne-IASTM yimibiko yecala yesiguli esisodwa noma izifundo ezenziwe kuma-tendon angewona abantu kanye ne-fascia. Imiphumela yezifundo ezinjalo angeke ibuyeke esimeni sakho, ngakho-ke uma i-PT yakho itusa i-IASTM, qiniseka ukuthi ubuze ngezinzuzo ezilindelekile.
Izingozi ze-IASTM zingabandakanya:
- Ubomvu kwesikhumba sakho lapho ukwelashwa kwenzeka khona
- Ukuthuka
- Ukuphulukisa ubuhlungu
- Ukuhluleka ukunikeza ukukhululeka
Ukuphumelela
Noma ngabe i-PT yakho isebenza noma yimuphi ukwelashwa emzimbeni wakho ngesikhathi sokuvuselela, kufanele ubuze ukuphumelela kwalowo ukwelashwa. Ingabe ukwelashwa okuhlinzekwa kusekelwa ucwaningo olunzulu lwesayensi, futhi ingabe kunezinye izindlela zokwelapha ezingase zisebenzise kangcono noma ziphephile ukuze uzithole?
Uma i-PT yakho ikholelwa ukuthi imingcele ye-myofascial iyingxenye yezizathu zobuhlungu bakho, ukulimala, noma ukunyakaza kokungasebenzi, angasebenzisa i-IASTM ukusiza ukukhululeka le miingcele. Ama-PT amaningi amaningi asebenzisa i-IASTM akholelwa ukuthi iyindlela yokwelapha ephumelelayo yokunciphisa ukunyakaza, ubuhlungu, kanye nemikhawulo ye-myofascial.
Ucwaningo
Ukuhlaziywa kwe-meta yakamuva kuqhathanise nokusetshenziswa kokukhishwa kwezandla ekusetshenzisweni kwe-instrument myofascial release, njenge-IASTM, ngenxa yobuhlungu obungapheli bokubuya emuva. Imiphumela yokuhlaziywa yathola umehluko omncane kumasu amabili okunciphisa ubuhlungu. Izindlela ze-IASTM zanikeza ukuthuthukiswa okukhulu kokukhubazeka uma kuqhathaniswa nezindlela ezisebenza ngezandla.
Okunye ukubuyekezwa okuhleliwe kumagazini I- Physical Therapy Izibuyekezo zibuke izifundo ezingu-7 futhi zaqhathaniswa ne-IASTM kwamanye amasu okuhlukunyezwa kwesisindo somzimba kanye nokungasebenzi. Abalobi baphetha ngokuthi i-IASTM ingaba nethonya elihle ekugezeni kwegazi kanye nesisindo somzimba ngenkathi kunciphisa i-viscosity yezicubu futhi kuncishiswe umsebenzi wezinzwa ezibuhlungu emathisini.
Olunye ucwaningo luhlolisise ukusetshenziswa kwe-IASTM, imilenze (fake) ultrasound, nokuxhaphaza umgogodla iziguli ezinezinhlungu zesifo se-thoracic. Iziguli eziyikhulu namashumi amathathu nantathu zazihlelwe ngamaqembu amathathu: i-IASTM, i-sham ultrasound, noma ukuxhaphazwa komgogodla. Imiphumela yezinyathelo zihlanganisa izinga lobuhlungu kanye nesilinganiso sokukhubazeka.
Abacwaningi abatholanga umehluko ophawulekayo ebuhlungu noma ekukhubazekeni nganoma yiluphi ukwelashwa kobuhlungu be-thoracic; wonke amaqembu athuthukisiwe ngokuhamba kwesikhathi futhi akukho mcimbi obi kakhulu owenzekile. Ngakho i-IASTM ayisekho (noma ngaphansi) ephumelelayo kunokuxhaphaza umgogodla noma i-ultrasound yokukhohliswa ubuhlungu be-thoracic.
Ingabe imiphumela yanoma yisiphi isifundo sisho ukuthi i-IASTM izokwenza noma ngeke ikusebenzele kahle? Mhlawumbe, mhlawumbe hhayi. Kodwa khumbula ukuthi wonke umuntu uhlukile, futhi isimo sakho esithile singase siphendule ngezindlela ezehlukene zokwelashwa ezihlukahlukene.
Inkambo engcono kakhulu yokusebenza: uqonde ukuthi yiziphi izindlela zokwelapha iP PT ezisetshenziselwa isimo sakho futhi ube nethemba elihle lomphumela walezo zonyango. Futhi uma unemibuzo mayelana ne-IASTM-noma noma yimuphi omunye ukwelashwa-cela umuthi wakho wenyama.
Izwi elivela
Uma unezinhlungu noma ukuhamba okulinganiselwe, i-PT yakho ingase ifake ukumiswa kwesisipha, izicubu ezibomvu, noma imikhawulo ye-myofascial ukuba yingxenye yecala. Uma kunjalo, umhlinzeki wakho angakhetha ukusebenzisa i-IASTM ngesikhathi ukwelashwa kwakho ukunciphisa imingcele yezicubu nokubuyisela ukunyakaza okujwayelekile. Lokhu kungakusiza ukuthi ubuyele ngokushesha ekusebenzeni kwakho okuvamile okusebenzayo.
> Imithombo:
> Crothers, AL, French, SD, Hebert, JJ, & Walker, BF (2016). Ukwelapha okuphambene nomgogodla, i-Graston technique® ne-placebo yezinhlungu ezingekho emthethweni zomshoshaphansi wezimpumputhe: isilingo esilawulwa ngokungahleliwe. I-Chiropractic nemithi yokwelashwa , 24 (1), 16.
> Eid, K., Tafas, E., Mylonas, K., Angelopoulos, P., Tsepis, E., & Fousekis, K. (2017). Ukwelashwa kwe-trunk kanye nemikhawulo ephansi ne-Ergon® IASTM kungakwandisa ukuguquguquka kwemvelo kumathamathi amateur: Ukuhlola okungahleliwe kokulawula. Ukwelashwa Kwezemvelo Ezemidlalo , 28 , e12.
> Kim, J., Sung, DJ, & Lee, J. (2017). Ukuphumelela kokwelashwa kwezicubu ezithambile ezithintekayo zensimbi ukugqugquzela ukulimala kwezicubu ezithambile: izindlela nokusebenza okusebenzayo. Imibiko yokuvuselelwa kokuzivocavoca , 13 (1), 12.
> Lambert, M., Hitchcock, R., Lavallee, K., Hayford, E., Morazzini, R., Wallace, A., ... & Cleland, J. (2017). Imiphumela yokugqugquzela izicubu ezithambile ezenziwe ngethuluzi ngokuqhathaniswa nezinye izinyathelo zokubuhlungu nokusebenza: ukubuyekezwa okuhlelekile. Iziphakamiso zokwelapha ngokomzimba , 22 (1-2), 76-85.
> Williams, M. (2017). Ukuqhathaniswa nemiphumela yobuhlungu nokukhubazeka kwezinto ezisetshenziswayo ngokuhambisana nokukhululwa kwamandla kubantu abanobuhlungu obungapheli bokubuya emuva: ukuhlaziywa kwe-meta (Ukusungula udokotela, California State University, Fresno).