Ngeemeko ezithile zexesha, izikhundla ezithile ziyaziwa ukusiza ukulawula iimpawu. Ezi zikhundla zibizwa ngokuba yizicalulo. Kukho iintlobo ezintathu zezinto eziphambanisayo: i-flexion, ukongezwa kunye nokungabi niselo. Kuthathwe ndawonye, ezi zibizo zibizwa ngokuba zikhetho zenkqubela.
Ukuba umva wakho uziva ngcono kwaye / okanye iimpawu zakho zihlala xa ugoba phambili, mhlawumbi ukuba ukulimala okanye imeko ova ngayo ine-bias.
Ngokomzekelo, umthambo wesifo somgudu , owona mqathango onciphisa indawo kwi-intervertebral foramen. Abantu abaninzi abane-spen stenosis bafumanisa ukuba ukugoba umqolo wabo phambili (aka spinal flow) kwenza ukuba uzive ngcono. Isizathu kukuba ukugoba phambili kwenza indawo engakumbi kwi- intervertebral foramen . Oku, kuvumela ukuba inambuzane idlulayo kwi-foramin ukwenza oko ngaphandle kokuchukumiswa okanye ukunyanzelwa kukufuphi (kunye kwaye kaninzi i-misshapen - ngenxa ye-arthritis) ithambo.
Ezinye iimeko eziqhelekileyo ziba ne-british bias ziquka i- spondylosis kunye ne- spondylolisthesis .
Ngenxa yokonzakala kunye nemeko kunye nekhenkco, iimpawu zivame ukwanda xa umva wakho uphawulwa (ugqityiweyo).
I-Extension Bias
Ukuchasana kwebala lokubhenca kukunyusa. Njengoko unokuqiqa ukuba, ukuxhaswa kwandiso kwenzeka xa ukuhamba kwe-back back kwenza ukuba iimpawu zakho zizive ngcono. Imizekelo yeemeko ezithatha ukuba neengxowankulu zandiso ziyi-disc ne-bulging disc.
Abantu abanalo kwezi meko bafumana ukuba xa begoba phambili (ekugqitheni kweminwe) iimpawu zabo ziba nzima kakhulu, kwaye njengoko sele zikhankanywe, xa zidibanisa umva wazo, zivakalelwa ngcono.
Izintandokazi eziLawulayo Ukunceda Ukubeka Ubunzima Bakho Bokubuyisela
I-bile ye-Flexion (kunye ne-bias extension kunye ne-non-weight bearing) iyingxenye yenkqubo yokungahambisani ne-patho-anatomical ye-classification yeentlungu ezisezantsi zintlungu, iingxaki ze-disc, i-facet intlungu edibeneyo okanye ukungasebenzi, isifo sokuxhamla se-sacroiliac kunye nokungazinzi kwempompo ngenxa ingxaki kwi-pars (leyo yindawo engemva kwe-vertebra apho iinkqubo zivela khona.
Ezi nkqubo ziba yingxenye yamalungu e-facet.)
Ndiyaqonda ukuba "engekho-patho-anatomical" yinto encinci yomlomo ngoko makhe siwususe ixesha.
Kunokuba i-MRI yakho okanye i-X-ray ibonakalise malunga nomgudu wakho, inkqubo ye-non-patho-anatomical ithatha i-cue yayo (ukuhlola nokunyanga ukhetho) kwiimpawu ozichazayo nokuba yintoni umgqirha wakho abone ngayo ekuhambeni kwakho.
Le nkqubo isetyenziswe kuMcKenzie kunye nezinye iindlela zokwelapha zonyango.
Indlela yokwenza isifo se-pathoanatomical ukuhlenga intlungu ye-back back isetyenziswa kakhulu, kwaye mhlawumbi ngakumbi kwiofisi yegqirha, kunokuba iiklinikhi zonyango. Oku kungashiya abaphihli bezonyango ngokubambisana, njengoko indlela yabo yokusebenza ibandakanya ukujongana nobuso kunye nesigulane.
Ngaloo nto, i-Nachemson, kwinqaku layo, "I-diagnostic yesayensi okanye i-ileti engavumelekanga yezigulane zentlungu." I-Lumbar Segmental Instability ", ithi:
Indlela ye-patho-anatomical yokuxilonga ubuhlungu be-back back mechanical inokuba luncedo kwiiNgcali kunye noogqirha, kodwa ezi ndlela zonyango ezithatyathwa ngokuxilongwa zithintela njani iingcali zengqondo kwi-MLBP? Ngaba ngaba oogqirha basemzimbeni basenokutshintsha naziphi na izimo ze-patho-anatomical ngeendlela zabo ezingekho ezingenasiphelo zonyango? Ngaba i-disney diss can be reduced, okanye ingaguquleka kwiinguqu zygapophyseal kunye nee-disvertebral diss zitshintsha ngokuzenzekelayo iindlela zonyango ezilondolozayo?
Enyanisweni, ukugqithisa kakhulu kwiindlela ezilula zokwenza izidalwa zokuzibona nokuphatha isisombululo sesohlwayo kuye kwaholela ekugqibeleni ukuvavanya uvavanyo, ukuphumula kombhede, iilcotic analgesics kunye nokuhlinzwa. (Waddell 1998).
Umthombo:
I-Kinser, C., Colby, LA, Exercise Exercise: Isiseko kunye Nezobugcisa. 4 Edition. FA Davis Inkampani. Philadelphia, PA. 2002.
UDunsford, A., Kumar, S., Clarke, S. Ukudibanisa ubungqina kusetyenziswa: ukusetyenziswa kwe-McKenzie-based treatment for pain-back back pain. J Multidiscip Healthc. 2011.
I-Nachemson, A. I-scient diagnostic okanye i-ileti engavumelekanga yezigulane zentlungu. I-Lumbar Segmental Instability. Szpalski M, Gunzburg R, uPapa uMH eds. Philadelphia: Lippincott William & Wilkins, 297-301.