Ngaba wakha waphawula ukuba ezinye izikhundla zenza ukuba umva wakho uzive ungcono kangakanani, ngelixa abanye bevakalelwa ngakumbi? Ngeengxaki ezithile zangasemva ezifana ne-disney herniated, i-facet arthritis, intlungu ye-sacroiliac intlungu kunye nabanye, iintlangano ezaziwayo kunye nezikhundla ezithile. Abagqirha bezinto eziphathekayo, kunye nabaqeqeshi bomntu abaziwayo, basebenzise le ngcaciso ukuze bancede abaxhasi babo kunye / okanye izigulane ziphethe iimpawu ekhaya, emsebenzini kunye nangethuba lokusebenzisa.
Okuthandayo
Ezi zikhetho zikhokelo, njengoko zibizwa ngokuba ngumhlaba wokuhlaziywa kwempompo, ziyinxalenye yendlela yokunyakaza-ntshukumo yokuhlukanisa iintlungu ezisezantsi ezenza ukuba ogqirha wakho abukele indlela oma ngayo, uhlale, uhambe kwaye uhambe, kwaye uphulaphule into onayo ukuba uthethe ngentlungu. Umgqirha wakho usebenzisa ulwazi olukhothoweyo ukuza kunye nesicwangciso sonyango esikusebenzelayo.
Indlela ebizwa ngokuba yi "inkqubo engeyiyo-pathoanatomical" yokuhlelwa. Kukho indlela yokuziphatha ngendlela eninzi malunga nokujonga i-MRIs, ii-CT kunye nezinto ezinje ukukhetha indlela engcono ngayo yokuphatha iimpawu zakho.
Inkqubo kaMcKenzie , ngokubanzi ekusebenziseni ngama-physiotherapists ehlabathini lonke, mhlawumbi umzekelo omhle wesistim se-classified non-pathoanatomical system.
Ngoko kusebenza kangcono - indlela yokuziphatha, oko kukuthi ukufunda okucacileyo malunga noko kuqhutywe kwizakhiwo zakho okanye indlela engeyiyo-pathoanatomical, ngokucacileyo ukuba i-patient centric centric?
Indlela yokwenza i-pathoanatomical ilawula indawo yeklinikhi, kodwa inani labalingcali entsimini lithetha ukuba le nkqubo ineziphene. Kukhokelo lwazo lwezonyango lwezentlungu ezisezantsi, umzekelo, uMbutho wezeMpilo we-American Physical Therapy uthi indlela engeyiyo-pathoanatomical yokuhlenga intlungu ebuyisela emuva yenziwa nzima ngakumbi kwinani leempembelelo ezingamanga ezifumanekayo kwiimvavanyo zokucinga zengqondo.
Ukubonisa umxholo wabo, abalobi bezikhokelo zivakalisa ukuba kwi-20% - i-76% yabantu abangenazo i-sciatica abafumana iimvavanyo zokucoca i-disni zikhoyo. Kwaye, kwi-32% yezigulane ezazingenayo impawu nantoni na, nokuba i-disc degeneration, i- bulging okanye i-herniation , okanye i-hypertrophy edibeneyo ye-facet okanye i-compinal nerv compress compress yafunyanwa. Ababhali bongeza ukuba kunokwenzeka ukuba abantu bafumane ubuhlungu obukhulu beentlungu ngelixa i-x-ray okanye i-CT izicatshulwa zihlala zingatshintshi. Baphetha ngokuthi xa kwanokungaqhelekanga kufumaneka kwifilimu, ukuxhomekeka kwimeko yesigulane kunye / okanye ukucacisa isizathu sayo, akunakwenzeka - kwaye akunakunceda kakhulu ukuba isigulane sibe ngcono okanye sibuyele ekusebenzeni.
Ngaba Ukubuyiswa Kwakho Kwentando Enye? (Nento enokuyenza Ngayo)
Ngokubambisana nokunyuka kwezinto, kukho ezinye iindidi ezimbini: i- Flexion bias kunye ne-non-weight bearing bearing. Ukuba iimpawu zakho zinciphisa okanye zishiya ngokupheleleyo xa ugqithisa umhlane wakho, imeko yakho yomva mhlawumbi inokwenyuka kwandiso.
Ngokuqhelekileyo, iingxaki ze-disc kunye ne-postitudinal longitudinal injured injuries ziye zandiswa. Iindlela ongayisebenzisa ngayo le ngcaciso ukuba unalo lwezinto ezimbini zokulimala ziquka:
- Ukukhohlisa kwindawo echanekileyo , apho i-arches (iqhubeka) ngasemva.
- Ncitshitshisa okanye uphelise imisebenzi apho umgudu kufuneka uguqule, njengokujikeleza umqolo wakho xa ukhetha izinto (okanye abantu) uphantsi komgangatho okanye esihlalweni.
- Buza ugqirha wakho okanye umphathiswa wezonyama malunga nokuxhaswa kwandiso kunye nendlela onokubeka ngayo umlenze wakho ukulawula intlungu yakho kunye nezinye iimpawu.
> Imithombo:
> Delitto, A., PT, PhD., Et. al. Ubunzima Bokubuya. Izikhokelo zeZikliniki zokuSebenza ezixhunywa kwiSizwe soBume beMisebenzi, ukukhubazeka, kunye neMpilo kwiCandelo le-Orthopedic le-American Physical Therapy Association. J Orthop Sports Phys Ther. 2012.
> Dunsford, A., Kumar, S., Clarke, S. Ukudibanisa ubungqina kusetyenziswa: ukusetyenziswa kwe-McKenzie-based treatment for pain mechanical back pain. J Multidiscip Healthc. 2011.
> I-Kinser, C., iColby, i-LA, i-Exercise Exercise: iziseko kunye nezobugcisa. 4 Edition. FA Davis Inkampani. Philadelphia, PA. 2002.
> I-Nachemson, A. I-scientist diagnostic okanye i-ilebula engavumelekanga yezigulane zentlungu. I-Lumbar Segmental Instability. Szpalski M, Gunzburg R, uPapa uMH eds. Philadelphia: Lippincott William & Wilkins, 297-301.