Kubantu abaninzi abafuna impendulo engabonakaliyo, "engeyona inetyhefu" kwimpendulo yabo engapheliyo, kunokubonakala ngathi oogqirha basemagqabini ekumisela amachiza (kuquka i- opioids yomlutha) kunye / okanye utyando lwe-spine . Kwaye izigulane eziye zaphazamisa ixesha elide zihlala zisengozini kwisiphakamiso; bangahamba kunye neengcebiso zabo ngogqirha ngenxa yokuba bathathele intlungu, kuba akukho nto iphakanyisiwe kubo (kwaye abazange benze uphando lwabo), okanye zombini.
Ukuba oku kuzwakala ngathi, yibambe umzuzu kwaye uthathe umoya ophefumlelweyo. Uninzi lwezigulane zentlungu ezingapheliyo zihamba kakuhle ngokuthatha indlela ekhuselekileyo kuphela; Ngale ndlela yokufikelela kwisihluthulelo kunokubandakanya unyango lwamaziko, utshintsho lwendlela yokuphila (umzekelo ukulahlekelwa isisindo) kunye nokusebenzisa umzimba-kodwa akusebenzi malunga nokuhlinzwa.
Kwaye nakhu isicatshulwa: Iingcali ezininzi zengqondo zikholelwa ukuba kunokuba kusetyenziswe iibhanki kwindlela enye yokwenza unyango, ukusebenzisa iindlela zokudibanisa kungenza iziphumo zikhawuleze kwaye zinzulu kakhulu ngokubhekiselele ebuhlungu kunye nokusebenza komzimba.
Enye yeendlela ezininzi ezingabonakaliyo kwiintlungu ezisezantsi eziye zazuza ekuthandeni, kunye nokuphazamisa umdla wabalingcali bezonyango, ukusetyenziswa kwezihlangu kunye / okanye i-footthote yezinyawo. Kule nqaku, siza kuphanda indlela amacebo enkxaso enyawo angakunceda ngayo ukunciphisa ubuhlungu bakho obungapheliyo.
Iifowuni zifakela ngokubhekiselele kwi-Custom Orthotics-Yintoni eyahlukileyo?
Kukho unyawo lenkxaso kwaye kukho ukuxhaswa kweenyawo, ngoko makhe siqale ngokufumana imigaqo yethu ngqo.
Ungathenga ukungena kwemigodi yokufaka umyalelo, i-arch isekela kunye ne-insoles-ngamanye amagama, iifowuni ezizenzekelayo ezithintela kwisihlangu sakho kwaye ziguqule (ngokubhetele okanye zibi nakakhulu) ukuma kweenyawo zakho kunye ne-ankle-kwisitokisi sakho sezilwanyana. Unako ukuwahambisa kwakhona kwi-intanethi.
Enye indlela yokuyiqonda olu hlobo lokufakela ngolu hlobo lokuba bafika ngaphambili kwaye bavelisa ubuninzi.
I-American Podiatric Medical Association (APMA) ithi unokufumana oko kuthiwa "isiko esenziwe" unyawo lusekela ngezitolo ezizodwa zokuthengisa okanye kwi-intanethi. Kodwa, umbutho uyayilumkisa, ngaphandle kokuba ingeniso imiselwe ngugqirha kwaye isetyenziswe ngokukodwa ngeenyawo zakho, kuthathwa njengesixhobo esingenayo kwaye asiyiyo i-orthotic.
Iintlobo zeeNtloko zeeNtloko
I-APMA ithi iindidi eziqhelekileyo zokufakelwa kwezihlangu ziquka inkxaso yenkxaso yamatye aphakamileyo okanye iinyawo ezicwebileyo, izibhengezo zokukhutshwa kunye nokuxhaswa, ukuxhaswa kweelithende ukuxhaswa kwesithende kunye nenkxaso, kunye neentambo zokunyanzela ukunyanzeliswa xa iingcambu zesihlangu sakho zihlutha unyawo lwakho .
Malunga neeOthotic Custom
Ngaphandle kolunye uhlangothi, ziyafumaneka ngegciwane kuphela kwaye zihambelana nokuchaneka kwiinyawo zakho-ukuma kwazo, ukuma kwexesha (nokuba zilungelelaniswe kakuhle okanye hayi), kunye nendlela abasebenza ngayo imini nangemini.
Okokuthi, kukho ukungavumelani okukhulu phakathi kweengcali malunga nendlela i-custom orthotics esebenzayo ngayo, kunye nabaninzi kwi-shishini bakholelwa ukuba bangaphezu kwemigaqo. Kwaye itekethi yentengo ingaba nzima kakhulu: Inqaku le-2006 le- New York Times libike ukuba, ngokwemveliso yecandelo elinye lonyango, indleko yokuvelisa enye iimbumba zee-orthotics, ngelo xesha, i-$ 78.
Kodwa njengomthengi, uya kuhlawulwa ubuncinane kabini, nangona kunjalo ngokuphindaphindiweyo ukuya kwizihlandlo ezisibhozo ngaphezulu. Esinye isizathu esikhulu salokhu kukuba ukucacisa ugqirha-kunye nomvelisi-uya kwongeza kwinzuzo yabo kwindleko yesiseko, ukuqhuba ngokukodwa.
I-APMA ibonisa ukuba ii-orthotics zenkcubeko zenzelwe wena kwaye nguwe kuphela, kwaye ngendlela enokuthi ihambelane ngqo nemida yeenyawo zakho. Yiyo ke loo mfundiso inokukwazi ukufumana isakhiwo sakho seenyawo kunye nokukhubazeka, kuquka, kodwa kungaphelelanga kwintlungu emva, bathi.
Ngokuqhelekileyo, i-orthotics yesiko yenza enye, okanye zombini, izinto ezimbini:
- Banikezela ngokunyusa kunye nenkxaso.
- Banceda ukulawula ukunyuswa kwonyawo lwakho (oluqulethwe ngamathambo angama-26, kwaye ngoko ke amaninzi amaninzi aguqukayo.) Ngokumisa isilawuli, i-orthotic yakho yesiko inokukwazi ukugcina iinyawo zakho kunye namaqhosha kwindawo efanelekileyo kakhulu ngexesha lokuma, ukuhamba, ukuhamba , kunye nezinye izinto ezithwala ubunzima.
I-APMA ithi ngaphambi kokuba ulandele i-orthotic yakho yesiko, uzakufuna ukuvavanya kungekhona nje iinyawo zakho, kodwa umgca wakho osezantsi. Ngokuqinisekileyo, bacebisa kuphela i-podiatrists kule nto, kodwa abaninzi bezonyango kunye nabagqirha bezonyango kunye noogqirha bezonyango banikela inkonzo.
Emva kokuba uvavanyo luyenziwe, ngelo xesha ukuveliswa komsebenzi wakho wesiqhelo, i-APMA ithi.
Xa Ufuna Uncedo lweeNyawo ezingaphezulu?
Ukufakwa kwezicathulo kunye ne-orthotics yesiko kusetyenziswa ngokubanzi kwiingxaki zenyawo. Ukuxilongwa okuqhelekileyo apho iintlobo ezahlukeneyo zenkxaso enyawo zimiselwe (okanye zicetyiswa) zibandakanya iiplanga, i-bunions, i-fasciitis ye-plantar, i-neuropathy ehlobene ne-diabetes, kunye nokunye. Ukuba ucinga ukuba unaloo nto, thetha nogqirha wakho kunye / okanye umgqugquzeli.
Kodwa kuthekani ngeengxaki zangemva?
Mhlawumbi isizathu esihambelana nesiqhelo sesisiphelo se-orthotics yesiko ngumlinganiselo wobude bomlenze. Uhlu lobude bomlenze (ukungafani komlenze wangapha) kunokuthi "unyuke" i-pelvis leyo ekuchaphazelayo ukuphazamisa ukulungelelaniswa komgudu kunye nokulinganisela kwemisipha.
Isebenza ngale ndlela: Njengoko umlenze omfutshane uzama ukufikelela emhlabathini (okwenzayo ngeyiphi na inyathelo oyithathayo), kubaluleke kakhulu ukudonsa i-pelvis ngapha nangapha. Isiphumo kukuba i-pelvis kunye ne-hip kwicala elifutshane lemilenze liya kuhlala liphantsi kunelo elide lomlenze. Inkqubo eyenziwe yinkqubo inokukunceda ngisho nangaphandle ubude bemilenze kwakunye nokubuyisela ubungakanani kwisimo sakho seplavic, ngokukodwa kwimisebenzi yokuthwala ubunzima. I-pelvis isebenza njengesiseko sokulungelelanisa umgudu kunye nokunyakaza, ngoko lolu hlobo lokulungiswa lungenza impembelelo enkulu kwimpilo yakho yangemuva.
Ngaphandle koko, ezininzi iingcali ziyavuma ukuba i-orthotics yesiko kunye nezinye iintlobo zenkxaso yonyawo azijoliswanga naluphi na uhlobo oluthile lokuxilonga. Kunoko, kuthathwa njengokuba luncedo ekugcinweni jikelele.
Oko kwathiwa, into enye inzululwazi avumelana ngayo kukuba ukunyuka kweenyawo (aka, iinyawo ezinqabileyo) ngokuqhelekileyo kuxhamene nentlungu ephantsi. Kwaye ukunyanyiswa kwenyawo yinto elungileyo isithethe esinokukwazi ukulungisa.
Ngoko ukunyuka kweenyawo kwandisa njani intlungu ephantsi? Ngokukodwa ngeendlela ezimbini okanye ezimbini.
Uphononongo luka-2014 kwiphepha le- Foot lifunyenwe ukubiza amagama ngenxa yokunyusa okungaqhelekanga okuqala ngenyawo nokuguqulela emadolweni, emagqabini, kwintsimbi, nangomgudu ngoluphi uhlobo lwezonyango kunye nabaqeqeshi bezobuchopho ababizayo ngokuthi "ukhenketho lwekinetic". ukuguqulwa kwamathambo kuloo ndawo. Abaphandi baphinda baphawule utshintsho kwindlela i-pelvic ne-back back muscle esebenza ngayo ngendlela yokunyuka kweenyawo zonyuka okanye zenze i intlungu.
Ababhali bongeza ukuba uphando olongezelelweyo lufunekayo ukuze banikeze umfanekiso opheleleyo malunga nendlela oogqirha abangasebenzisa ngayo imiyalelo yokunceda ukutshintsha ukusetyenziswa kwemisipha, ukunyakaza komzimba okanye zombini, kwaye ngoko ke kunciphisa intlungu engapheliyo. Iindaba ezilungileyo kukuba imizila emitsha yokubuza ngolu hlobo kwicandelo lophando lunokukhawuleza ukukhanya ngakumbi kule nto.
Ngelo xesha, abalobi beesifundo seenyawo bavakalisa uphando olusasaza ngokubonisa ukuba i-orthotics yesiko isisombululo esilula, yindlela enokusebenza ngayo yokujongana nobuhlungu obungapheliyo.
Ngaba i-Orthotics ye-Reins Pain Relief Ngempela iyasebenza?
Icandelo lobugcisa lobugcisa litshintshayo le ntsuku-mhlawumbi ngenxa yokuba inkxaso yonyawo inikeza indlela, engeyiyo yokuhlinzwa yokujongana nentlungu ebuyiswe emva.
Kodwa esinye isizathu singathi kukuba kwezinye izibhengezo zabathengi, ukufakelwa kunye nama-orthotics baye baba ngamazwi okuhlaziya, okuya kuthi, ngokubakho, bangakhokelela ekubeni bangalindelekanga ukuba bakhuthaze ootitshala abangenangqondo ukuba bazuze ukuthanda kwabo.
Ukulungelelanisa umsebenzi ongenamahhala onokuthi uqhubeke kwimarike, ababhali be-2016 inqaku elipapashwe kwiphepha le- Foot linikezela isishwankathelo esisekelwe kwisiseko kunye nesinconywa ekusebenziseni kwezi zixhobo.
Kuyo, basikhumbuza ukuba ukusetyenziswa kwamathambo kunye nokufakelwa kwangoko kungavunyelwanga nezifundo zezonyango eziphezulu (RCTs). Ukuguqulelwa kubathengi bezempilo base-US, oku kuthetha ukuba abalobi abakwazi ukukhuthazwa ngokuqinisekileyo ngenkxaso yeenyawo njengonyango kubantu abajonge ukukhupha iintlungu zabo ezingaphantsi.
Kodwa akusiyo umfanekiso opheleleyo. Nangona kuyi nyaniso ukuba uphando olongezelelweyo kwiinkalo ezahlukeneyo zesikhwele kunye neenyawo zenkxaso ngokubhekiselele ekuncedisweni kweentlungu ezisezantsi zifuna, abalobi baveza ukuba uphando olunzulu kwiindlela ze-biomechanical eziphantsi kweenzuzo zezobugcisa sele zikhona kwaye zingasetyenziselwa sincede usazise malunga nantoni na esebenzayo.
Ngethamsanqa, abalobi basitshilo ukuba iimvavanyo zokuqhubela phambili (ezinobungcali obuhle kakhulu) ziqala ukuvela kwindawo yonxweme yophando, oko kuthetha ukuba siza kubona iimpendulo.
Njengoko ndikhankanywe ngaphambili, nakuba i- podiatrists , i-MDs, kunye neengcali zonyango zonke ziyakwazi ukubeka i-orthotics njengesisombululo kwiintlungu ezisezantsi, ngokuqhelekileyo i-chiropractor eyindlela yokungena yabantu abaneentlungu eziphantsi. Le nto yinto entle, kuba uphando oluthile lwamanani athatyathwa unyango kunye neendlela zokutshintshwa kwe-chiropractic zibonisa ukuba uphuculo oluninzi lunokubambisana nokuxhaswa kweenyawo kunye nokulungiswa.
Ngokomzekelo, uphando olwenziwa ngo-2017 olupapashwe kwi- Archives of Medicine Physical Rehabilitation lwafumanisa ukuba ngabantu abangama-225 kwisifundo, kuphela abo babembethe izicathulo zobucubu okanye bazinxibe kunye kunye nokulungiswa kwe-chiropractic babone ukuphucula ekusebenzeni kwabo kwimpilo yabo yemihla ngemihla . (Bonke abathathi-nxaxheba, nokuba babembethe izicathulo okanye bangenayo, okanye babe neyonyango okanye bangenalo unyango, bakwazi ukunciphisa intlungu yabo ngaphakathi kweeveki ezingama-6.)
Kodwa abo babephethe unyango lwe-chiropractic kunye nama-orthotics baphucula ngaphezu kwezo zonyango zodwa zenziwa ngama-orthotics kuphela.
ILizwi
Nangona nje unyawo olumqhubi wentlungu yakho, i-orthotics inokwenza isisombululo sokuphucula intlungu.
Ngamanye amagama, ukuba unomkhuba wokubamba inyawo lakho, lo msebenzi ongaphantsi kobuchule unokuguqulela " intambo yekinetic " kunye negalelo lentlungu yakho ephantsi. Ngaloo ndlela, ukuvakalisa uhlobo lwengxaki yeenyawo apho iziphiwo zenkcubeko zingasiluncedo njengoko ufuna uncedo olufanelekileyo.
> Imithombo:
> Cambron, JA, et. al. I-Orthothosti yeeTyhulwa kwiNyango yoBuhlungu obuPhezulu obuPhezulu: I-Trial Control Regulated Trial. IArch Phys Med Rehabil. Epreli 2017 https://www.ncbi.nlm.nih.gov/m/pubmed/28465224/
> Kendall, JC, kunye. al. Ukuhamba kweenyawo, ukungafani komlenze kunye nentlungu ephantsi - ubudlelwane babo kunye nokulawulwa kweekliniki usebenzisa imiyalelo yeenyawo - ukujonga. Ngeenyawo. Juni 2014. https://www.ncbi.nlm.nih.gov/pubmed/24703513
> Papuga MO, et al. Amathambo ezinyawo kwiintlungu eziphantsi: Iimeko zokuqonda kwethu kunye neengcebiso malunga nophando olusasa. Iinyawo (i-Edinb). 2016.
> I-Prescription Custom Orthotics kunye neNtshontsho. IWebhsayithi yaseMerika yezoNyango. http://www.apma.org/Learn/FootHealth.cfm?ItemNumber=988
> U-Tuff, uSara. Ngaba ufuna ngokwenene i-$ 800 yeSofesi yeSofthiwe? I-New York Times. Juni 2006. http://www.nytimes.com/2006/06/22/fashion/thursdaystyles/22Fitness.html