Iindlela eziMathandathu eziPhambili ezichazwe
Ukuqhathaniswa kolwazi kubantwana kunye nabantu abadala bangaba buhlungu, bangaboni kakuhle kwaye mhlawumbi kubaluleke kakhulu, banokunciphisa ukusebenza okusemgangathweni kwemiphunga yakho nentliziyo. Ngenxa yoko, abantu abaninzi bazimisele ukwenza okufunekayo ukukhusela ukuhlinzwa - kodwa yintoni leyo, kanye?
Nangona kungekho mntu uphendule ngokuchanekileyo, ukusetyenziswa kwe-scoliosis ukusetyenziswa okuthe ngqo kuqhubeka.
Emva kwengxoxo malunga nemiba ye-scoliosis kunye nemiphunga, eli nqaku lichaza izikolo ezi-7 eziphambili zokuzilolonga.
Iingxaki ze-Scoliosis and Lung
Ucwaningo olwenziwa ngo-2015 olupapashwe kwi- New England Journal of Medicine lufumene ukuba abantwana abangaphantsi kwesithathu kwabantwana abangama-176 abane-scoliosis bavavanya nabo banokuphazamiseka kwesifo somphunga (umsebenzi ongaqhelekanga womoya). Ababhali bathi le ntlobo yesifo semiphunga ayikwazi ukufunyanwa ngophawu lokuxilonga (ngokukodwa, x-ray, CT scan okanye i-MRI).
Nangemva kokuba abantwana befumana i-bronchodilators, isifo sokuphazamiseka kwesifo somphunga saqhubeka (kwi-73% yazo.)
Ngaphezu koko, uphando lufumene olunye ulwalamano, ngeli xesha phakathi kwe-scoliosis kunye nomthamo ophantsi wepomphu.
Umthamo we-lung wamaphesenti, owaziwa nangokuthi isifo sokukhupha umphunga, yinkinga eyahlukileyo kunezifo eziphazamisayo zomphunga. Njengoko igama libonisa, libonakaliswa ngumthamo ophantsi weemiphunga (oko kuthetha ukuba umthamo womoya ongaphantsi ungangena kwaye uphume kwimiphunga ngexesha lokuphefumla).
Ngokubanzi kubangelwa zizifo okanye ukuguqulwa kwezakhiwo zamapapu.
I-Scoliosis Exercise Specific - I-Standard Spine Industry Standard?
Uninzi lweenkqubo zonyango eziqhelekileyo zisebenza kumzekelo wokuzivocavoca, iiseshoni zonyango zonyango, kunye nakwezinye iimeko ze-chiropractic, zinokuba luncedo ekulawuleni ubuhlungu kunye nokulinganisela kwiimeko ze-scoliosis.
Ukulinganisela kunceda ukubuyisela ukusebenza kakuhle, okuyiluncedo kwimisebenzi yemihla ngemihla, kodwa ukulungisa imilenze, inkolelo iya, enye idinga ukuhlinzwa.
Akuyena wonke umntu okholelwa oku.
Ukugqithisa ukucinga iingcali zengqondo kunye nabanye ngoku, ngokubhekiselele kwimeko yimeko kunye nokukhula komzimba wophando, ukufaka ubungqina be-PSSE. I-PSSE isichaza "umzimba we-physiotherapy scoliosis". Ibhekisela kwiprogram yokwelapha eyenziwa kwisigulane sonyango lokwenyama ukuphatha idiopathic scoliosis. (Idiopathic kuthetha ityala le-scoliosis lingaziwa.)
Uphando lwe-2015 lufumene ukuba iipesenti ezingama-26 ezingama-263 ze-scoliosis zabuza imibuzo ye-PSSE kunye nezigulane zabo. Izizathu ziquka:
- Njengesiqhelo sokubhikisha, yinto yokwenza unyango oluqhelekileyo olungaphikanga, ukwenzela ukuba iincinci ezincinci.
- Ukunceda ukuphucula i-aesthetics.
- Ukuphucula iziphumo zokuhlinzwa.
Ukungabikho kophando olusisiseko-selweyo ngoku, kunye nombono wokuthi i-PSSE ayibalulekanga kwinkqubo yokwelapha zezi zizathu ezibini ezibangela ukuba i-78% eseleyo yabathinteli bakhetha ukungasebenzisi i-PSSE kunye nezigulane zabo, uphando.
Oko kwathiwa, ininzi yeengcali "ezingasebenzisi" iqela liyakuthanda uphando olongezelelweyo kwi-PSSE.
Izikolo ezi-7 ezinkulu ze-PSSE
Nangona kukho ukungafani, ukuvuthwa kwe-scoliosis akuqhelekanga kumagqirha ase-US okanye e-UK
Kodwa eYurophu, iyakhula. Enyanisweni, nganye yeentlobo ezi-7 eziphambili ze-PSSE zivela eYurophu.
Izikolo eziphambili ze-physiotherapy scoliosis ezithile zonyango zonyango zilandelayo.
ELyon (eFransi)
Indlela yeLyon yindlela endala kakhulu yokusebenza kwi-scoliosis. Kwaqala ekuqaleni kwekhulu le-18 xa uDkt. Gabriel Pravaz wasungula isikhungo sokuqala se-orthopedic physotherapy kwisixeko saloo gama. Ngomhla kaPravaz, unyango lwaluquka ukulandelelana kwezinto ezizenzekelayo, ukusetyenziswa "kwizinto zokongezwa" ezifana nezilinganiso (ukuvumela isigulane ukuba senze umsebenzi wabo kwindawo echanekileyo (kunye nokulungelelanisa ukuzenzekela) kunye nokunye.
Kwiminyaka engaphezu kwekhulu leminyaka kamva, i-braces ne-braces zongezwa kwiprothotho, okokuqala kunye ne-Lyon brace kwaye kamva kunye ne-ARTbrace yangoku. I-ARTbrace ithatha indawo yeLyon, kwaye ngoku kuphumelela kwathatha umhlala-phantsi.
Inqubo yeLyon igxile ekusebenziseni i-brace, nangona i-scoliosis yokuzivocavoca ethile iyingxenye yesicwangciso.
I-Science Exercises Approach to Scoliosis (Italy)
Indlela yokuSetyenziswa kweNzululwazi kwi-Scoliosis (isiqendu se-SEAS) sinjengeyodwa ngokukodwa njengobungqina obusekelwe kuyo. Ilandela indlela yeLyon - nangona yaqala kakhulu emva kwayo, ngee-1960s - xa uAntonio Negrini noNevia Verzini bamisela isiko eVigevano, eItali. Ngo-2002, igama leziko liye laguqulwa laba yi-Italian Scoliosis Spinal Institute.
Indlela ye-SEAS igxile ekusebenziseni ukulungiswa kwe-3D yokwenza i-scoliosis ngokusebenzisa imfundo yesigulane (yokuqala) ize ihlakulele ukuqaphela isigulane sokukhubazeka kwabo. Iingcamango kukuba ngokuqaphela ukukhubazeka kunye nendlela yokulungisa, isigulane sinamandla okwenza utshintsho kwi-curve. Ezi zihlengahlengiso zenziwa kuzo zonke iindiza-zangaphambili, ngapha nangapha kunye nokujikeleza.
Kuye kwenziwa ukuqeqeshwa okukunceda ukuzinzisa umlenze nokugcina i-impure yokulungiswa . ABASEBENZI be-SEAS baqaphele ukuba banikeze izixhobo ezixhaswa ngabafundi bezobugqirha.
Schroth (eJamani)
Inzala yentsapho, indlela yeSchroth yaqala ngo-1910 xa umguli we-16 ubudala we-scoliosis isigulane, uKatharina Schroth, ethatha imicimbi yonyango kwizandla zakhe. Wayenxibe i-steel brace, kodwa iimpawu zebhaluni zambamba ingqalelo njengomzekelo ongenako wokunciphisa umlinganiselo we-curve kwicala le- concave .
Ingcamango kaSchroth yayiwukuba uphefumlele kwicala lokucoca ngenkathi ujonge phambi kwesibuko. Kwiminyaka elishumi elinesibini emva koko, uSchroth waqala ikliniki ye-scoliosis apho wayesebenzisa ukusetyenziswa okusebenzayo ngokusekelwe ekuhloliseni kwakhe kwentsha ukuphatha nokufundisa izigulane. Ngasekupheleni kwee-1930, indlela yeSchroth yayiyikliniki eyaziwa kakhulu kunazo zonke ukwenzela unyango olulondolozo lwe-scoliosis.
Emva kweMfazwe Yehlabathi II, uSrroth nentombi yakhe yafudukela eNtshonalanga eJamani waza waqala iklinikhi apho, umzukulu kaSchroth, ozalisa oogqirha wamathambo uHans-Rudolph Weiss, kamva wakhonza njengomlawuli wezonyango (kwaze kwaba ngo-2008). Ngonyaka ka-2009, u-Weiss waxhuma ngokwakhe ukuba anikezele ngokukhethwa kwintsholongwane kunye neyonyango ezisekelwe kwiStroth. Kodwa iklinikhi eWest Jamani iyaqhubeka nanamhla.
Njengoko uza kubona, ininzi yezinye i-PSSE isondela kuyo okanye iboleke kwindlela yeSchroth.
I-Barcelona Scoliosis Ukwelapha Isikolo Sonyango
I-Barcelona i-scoliosis yezikolo zonyango yonyango yinguqu eguqulelwe kwindlela yeSchroth (ichazwe ngasentla). Ngaphambi ko-2009, isikolo saseBelcon sasisikhungo seSchroth. Yayisungulwa ngama-1960s ngo-physiotherapist u-Elena Salva odibana noKatharina Schroth nentombi yakhe malunga nelo xesha eJamani.
I-Schroths yanika uSalva umbono omtsha nge-scoliosis eyabuyela ngokukhawuleza eSpeyin. Kwiminyaka engama-40, wayesebenzisa indlela yeSchroth; emva koko, uguqule umsebenzi ukuba ube ngumxube weengcamango, uqeqesho lwe-sensory-motor kunye ne-kinesthetic.
KwiCrazil yaseCallos Scoliosis Physical Therapy School, indlela yabantu ithathwa ngabagulane. Bafundiswa ukuphucula i-3D scoliosis posture kunye nesimo ngokusebenzisa ukuphefumula kunye nobuchule bokusebenza. Isikolo saseBracelona sithobela "umjikelo onobuqili" inqaku elithetha ukuba ukunyaniseka kwe-scoliosis kukukhuthaza ukuqhubela phambili kweemeko.
Indlela yeDoboMed (Poland)
Indlela yeDobomed idibanisa indlela yeSchroth kunye neendlela ezininzi ezingabonakaliyo ezibizwa ngokuba nguKlapp. Kuphuhliswe ngowe-1940, indlela ye-Klapp yayisekelwe ekuqwalaseleni ukuba izilwanyana ezixhambileyo azibonakali zifumana i-scoliosis, ngelixa abantu, abanobuncwane, benza. Indlela ye-Klapp isebenze kangcono kwimibandela yesipelini kunokuba i-pelvic issues, kodwa imiba ye- pelvic ibalulekile ukuxhaswa kwenkxaso yangemva kwimeko ye-scoliosis kunye neemeko ezihambelanayo.
Ngokubambisana neendlela ezisuka kwi-Klapp ndlela, indlela yeDobomed isebenzisa ukusetyenziswa komoya okuphefumulayo okwenziwa nguSchroth.
Indlela yeDobomed yasungulwa ngowe-1979 ngumgqirha wasePoland kunye nomzimba we-physiotherapist ogama linguKrystyna Dobosiewicz. Kwiminyaka embalwa, yaba yinto eqhelekileyo yokwenza izilwanyana zonyango kwiPoland. Le ndlela isetyenziswe kokubili kwaye ngaphandle kokuqhawula kwaye yamukelwa yiSebe leNkqubo yokuBuyiselwa kwiYunivesithi yezoLuntu yaseKatowice, njengonyango olunegulane.
Indlela yeShift Side (eLondon)
Indlela eya ngasezantsi yeShift yaveliswa ngo-1984 nguDkt. Min Mehta kwaye iqhutywe kwiBrithani yesizwe i-Royal National Orthopedic Hospital eLondon. Okwangoku ikhokelwa nguTony Betts, i-physiotherapist. Ekuqaleni, le ndlela yayisetyenziselwa ukuphatha abantwana, kodwa ngoku kunikwe abantu abadala. Le ndlela iboleka ku-Schroth no-Dodomed umsebenzi wokuphefumula. Ugxininiso lubekwe ekujonganeni nesithuba sokuthi sichaphazeleka ukusuka kumgama ophakathi komzimba. Indlela yeShift yeShift iyakhathalela izigulane zombini zangaphambili kunye ne-post-op.
Kubantwana, umgaqo okhokelayo wendlela yeShift Shift kukuba ukukhula kunokusetyenziswa njengamandla okulungisa ekulawuleni iilve. Ukuhamba kwetrans shift shiftments are done repeatedly ukuphikisa ijika; oku kwandisa ukuhamba kwaye kunceda ukulungelelanisa umlenze. Kwakhona kunceda ukudibanisa ukuqonda kwendlela yokuhamba. Injongo yokwenza ukuhamba kwetrans shift shift is aphazamise indlela ijika ngayo.
Ukusetyenziswa kozinzo okuzinzileyo kuyenziwa ngokusebenzisa izicatshulwa ze-isometric zezibilini ezisezantsi, izihlunu ezinobungqina kunye nezihlunu ezisezantsi kwiplanga (scapula).
Kubantu abadala, iinjongo zininzi malunga nokunciphisa nokulawula intlungu ebangelwa yithuba lokuhamba njengoko lihamba ukusuka kumgca womgca womzimba.
Ulwaphulo lomntu ngamnye lomsebenzi we-Scoliosis (Poland)
Ulwaphulo lomntu ngamnye lwe-Scoliosis (FITS) lwadalwa ngo-2004 nguPhilanna Białek kunye nomzimba we-physiotherapist kunye ne-osteopath Andrzej M'hango. Le ndlela ye-PSSE idibanisa kwaye iguqula izinto ezivela kwezinye iindlela zokusebenzisa i-scoliosis. Isetyenziswe ngeendlela eziliqela: Ngokwakho ukulungiswa kwendlela yokujikeleza, kunye nokuqhaqha, kunye neyonyango lokuqala kunye nosuku lokuhlinzwa. I-FITS nayo inikwe ezinye iimeko zokunyamezela ezifana ne -kyphosis yakwaSuermermann .
Ukuqonda nokuxabisa i-Scoliosis ekhethekileyo yokuPhathwa koMhlaza
Nangona indlela nganye ye-PSSE inomnqopho ohambelana nomgangatho - ukulungisa i-3D scoliosis deformity ngokuphinda ulungele umlenze, iimbambo, amahlombe kunye neentsimbi - abaninzi bafaka isitampu sabo kunyango.
Ukuzivocavoca okuqhelekileyo kunikwa ngokubanzi ngokubambisana. Kodwa njengoko usenokwenzeka ukuba ungaphantsi kwinqanaba elingentla, oku akuwona umthetho okhuni kunye wokukhawuleza. Kunokwenzeka, kuxhomekeke kwisigulane, umlinganiselo wekhalo kunye nogqirha, phakathi kwezinye izinto, ukusebenzisa i-PSSE njengonyango kuphela.
Ngandlela-thile, unyango lwe-scoliosis ludinga indlela yeqela ngokubhekisisa, i-physiotherapy, ngezinye ii-psychotherapy kunye nokuhlinzwa okwenza udidi lwezo kunyango.
> Imithombo:
> F. Bruder Stapleton, MD uhlaziya uMcPhail GL et al. J Pediatr . 2015.
> Umsebenzi weLung Unokuba Ulungelelaniswa yi-Scoliosis. NEJM Journal Watch . 2015.
> Kotwicki T. et al. Ulawulo olufanelekileyo lwe-idiopathic scoliosis ebusheni. I-Adolesc Health Med Ther . 2013.
> Marti C. et al. I-Scoliosis Research Society ilungu leempembelelo zonyango kunye ne-physiotherapeutic scoliosis ukuzivocavoca ngokukhethekileyo kwe-adolescence idiopathic scoliosis. Scoliosis . 2015.