Ukuba une- tendonitis engaphantsi komzimba , ngezinye izihlandlo ekuthiwa yi-tanal-tibial tendon (PTT) yokungasebenzi, unokufumana inzuzo ekusebenzeni nomgulana wenyama ukuze uncede ukunciphisa intlungu yakho nokuphucula ukuhamba kwakho. Olunye unyango olwenziwe yi-PT yakho ye-PTT ukungasebenzi ngukuthi ucebise ama-orthotics okanye ufake izihlangu. Ukufakwa kwezicathulo kwi-tendonitis yangaphantsi kwe-tibial isetyenziselwa ukuphucula isikhundla sakho seenyawo kwaye ukuphakamisa okanye ukuxhasa unyawo lwakho lomzila, ngoko kukunciphisa uxinzelelo kunye noxinzelelo kwi-tendon yakho ye-tibialis posterior.
Kodwa ngaba ama-orthotics ayimfuneko ngempela?
Isikhundla seenyawo kunye ne-PTT Dysfunction
Umgqirha wakho womzimba uza kuhlola isikhundla sakho seenyawo ngexesha lokuvavanya kokuqala kwe-PTT ukungasebenzi. Ngoba? Ngenxa yokuba abaninzi abantu abaneengxaki ze-PTT bawa phantsi (okanye ngaphakathi) ngonyawo lwabo. Oku kudla ngokubhekisela kumntu omdala onokuthotyelwa kweenyawo okanye iplani yesifo. Njengoko i-arch yakho iwela kwaye unyawo lwakho luya kuphuma, uxinzelelo kunye noxinzelelo luya kufakwa kwi-tendon yakho ye-tibialis postside emlenzeni wakho ophantsi, kwaye oku kunokukhokelela intlungu kwizinto zangaphakathi zesikhumba kunye neenyawo.
Nantsi into ebangelisayo: kungekhona wonke umntu onokuthotyelwa kweenyawo ezitholakalayo ufumana ithethoni ye-tibial post post, kwaye kungekhona wonke umntu onobungozi be-PTT ene-arch. Yingakho unyango lwakho lufanele lube ngumntu ngamnye. Kwaye umgulana ongokwenyama unokunceda ukufumana unyango olungcono kwiimeko zakho. Ukusebenzisa i-orthotics kwi-PTT ukungasebenzi kuyinto enye yecandelo leprogram yakho ye-rehab.
Ukulungisa iiNyawo ngee-Orthotics
Ngoko yintoni eyenziwa ngama-orthotics ezinyaweni zakho? Ukubeka nje, baqinisa umgca ophakathi, uxhasa umgangatho wangaphakathi wonyawo lwakho. Le ndawo-kwiindawo zendawo-ntshukumo yakho inyawo kunye nesithoni sakho esingasemva kwe-tibial kwisithuba esiphezulu sokusebenza ngokufanelekileyo. Isithoni esisebenzayo ngokufanelekileyo ayilimazi, kwaye ukuhamba nokusebenza kwakho kungabuyela kwisiqhelo.
Kukho iintlobo ezahlukeneyo zamathambo. Ukufakwa kwesihlangu se-shelf kungasithengwa kwisitolo sakho seesanti okanye ikhemisi. Ziyi-orthotics eziqhelekileyo ozifaka kwizihlangu zakho ukunika inkxaso ngakumbi kwiinyawo zakho. Kwabanye abantu abane-PTT ukungasebenzi, ezi zinto zanele.
Amanye ama-orthotics ayenziwe ngokwezifiso yindlela enye abantu abafuna ukuxhasa inkxaso yabo. Ezi zifakwe ukulungelelanisa iinyawo zakho nge-PT okanye i-orthotist. Kuthatha iiveki ezimbalwa ukwenza; Ngokuqhelekileyo i-PT okanye i-orthotist izakuthatha ukuphosa kweenyawo zakho uze uthumele abo bahamba kwi-orthotics yomenzi. Iimpawu zenziwe ngeendlela zakho ezizenzekelayo. Ingxaki enkulu kunye nama-custom orthotics: angabiza. Uninzi lwezifestile zesiko lenkcubeko lunokubiza i-$ 300 ukuya kwii-500 zama-US. Iindleko eziphezulu zingenza ukuba ume kwaye ucinge kabili ngaphambi kokuthenga ukufakwa kwesiko kwi-PTT ukungasebenzi. Kodwa ukuba banceda imeko yakho, bafanelekile.
Umbuzo omkhulu ekuphenduleni xa ucinga malunga ne-orthotics ye-PTT ukungasebenzi: ngaba bayasebenza?
Yintoni Ebonisa Uphando?
Enye indlela yokuvavanya ukuphumelela kwamathambo (okanye nayiphi na enye unyango) ye-PTT ukungasebenzi, ukuhlola uphando lwezesayensi malunga nemeko.
Izinto zokuqala kuqala: ngaba i-orthotics inokutshintsha imeko yeenyawo zakho ukunciphisa ukulayishwa kwethenda ye-tibial posterior?
Uphando olupapashwe ngo-2016 luhlolisise utshintsho lwezandla kunye neenyawo zenzeke ngokusebenzisa iintlobo ezimbini ezahlukeneyo zeethambo kunye nesihlangu esifanelekileyo. Izifundo ezilishumi elinesibini ezinokusebenza kakubi kweTTT zahamba zihlalutye xa zivale iintlobo ezahlukeneyo zezihlangu kunye namathambo. Abaphandi bafumanise ukuba ukusebenzisa i-orthotic yesiqhelo kunye nesandiso esithile esikhethekileyo sokuncedisa ukuncedisa kunceda ukulungisa ukuma kweenyawo kungcono kunokusebenzisa isicathulo sokuhamba ngokuqhelekileyo. Omnye unokucinga ukuba i-orthotic inokulungisa ukuma kweenyawo ngelixa uhamba.
Kucatshulwa ukuba olu lungiso lunokunceda ukunciphisa ubunzima kwi-tendon yakho ye-posterior tibial.
Olunye uhlolisiso luhlolisise amanqanaba kunye nokukhubazeka kwizigulane ezingama-25 (amadoda angama-10 kunye nabasetyhini aba-15) abane-tendonitis yangemva kwe-tibial. Idatha yayiqokelelwe ekuqaleni malunga nenqanaba leentlungu kunye nelahleko esebenzayo, kwaye ke ngasinye isifundo sasiba neethambo zeeveki ezingama-6. Abaphandi bafumanisa ukuba kuncipha kwinqanaba lobuhlungu kunye nokukhubazeka kwixesha eli-6 leveki ngelixa usebenzisa i-orthotics.
Enye ingxaki ngesifundo: kwakungabikho iqela lokulawula. Zonke izifundo zinezixhobo ezithandwayo, ngoko awaziwa ukuba ukuphuculwa okubonwayo kwakungenxa yeempawu okanye nje ukuhamba kwexesha. Mhlawumbi ezinye iinguqu ezingalindelekanga zenze ukuba uphuculo olubonwe kwisifundo.
Ngaphantsi: ii-orthotics ziyakwazi ukulungisa indawo enyawo lwakho, kwaye zinokunceda ukunciphisa intlungu kunye nokulahleka komsebenzi ngenxa ye-PTT ukungasebenzi. Kodwa, uphando malunga nokusetyenziswa kwabo luhlwempuzekileyo, kwaye luhlala luyimfihlakalo ukuba luya kusebenza kwiimeko zakho.
Indlela unyango lweZinyama luncedo ngayo
Ukuba unayo i-PTT ukungasebenzi, unokuzuza ngokusebenza nomgulana wenyama ukuze uncede ukuphucula iimpawu zakho kwaye ubuyele kwinqanaba langaphambili lomsebenzi. I-PT yakho inokuvavanya imeko yakho ethile kwaye ikunikezele unyango olungcono. I-Rehab ye-tendonitis yangasemva kwe-tibial ingabandakanya:
- Amanqanaba okulawula ukuvutha kunye nentlungu
- Ukuzivocavoca ukuphucula uluhlu lwakho oluphantsi lokuhamba kunye namandla
- Ukulinganisela kunye nokuzilolonga
- IiOthostiki ukulungisa isithuba seenyawo
- Iseluleko malunga nexesha lokubuyela kwimisebenzi yakho yangaphambili
Ukuba i-PT ivakalelwa kukuba unyawo lwakho kunye nesikhumba seenyawo kubangela uxinzelelo olunzulu kwi-tendon yakho ye-tibialis postside, unokuncoma i-orthotics. Uphando lubonisa ukuba ii-orthotics zinokutshintsha isikhundla sakho seenyawo kwaye zinokunceda ukunciphisa intlungu kunye nokuphucula umsebenzi, ngoko le yonyango olululo. Ukuqonda ukuba kutheni unxibe ii-orthotics kunye nezinto ezifunekayo zokukhonza kunokukunceda wenze ukhetho olungcono kwiimeko zakho ezithile.
ILizwi
I-Orthotics yinto ekhethekileyo yokhetho lwonyango kubantu abaneengxaki zeetonon zangemva kwe-tibial. Ukuba unobandezeleka kule meko, unokuzuza ngokuwasebenzisa ukunciphisa intlungu yakho nokuphucula ukuhamba kwakho. Unyango lwakho lwe-PTT ukungasebenzi lufuna ukuba ngumntu ngamnye kwiimeko zakho. Xa usebenza ngokusondeleyo kunye nomzimba wakho wenyama, unokugqiba isigqibo sokuba ngaba i-orthotics ikulungele wena, kwaye ungakwazi ukubuyela ngokukhawuleza kwinqanaba langaphambili lomsebenzi.
> Imithombo:
> Bek, N. et al. Impembelelo yonyango lomzimba we-tonial post-thibal insufficiency kwiintlungu nokukhubazeka. Iklinikhi yePilini; 15 (3). Ishicilelwe kwi-intanethi 2013: 345-50.
> Neville, C. et al. I-orthosis yeenyawo zeenyawo kunye nesandiso esandula ngokunciphisa ukunciphisa i-forefoot ekuphunyezweni kwezifundo kunye nesigaba se-II emva kwesithintelo sentsholongwane. JOSPT; 46 (1) 2016: 26.-33.