Ukunyamezela-Ukunyusa ukuPhupha okuPhakamileyo kunye neentambo

Ukuphucula ukulingana kweMpahla kunye nokuNikwa

Ukuzivocavoca kwimizimba yokunyamezela kungadinga emva kokulimala kwegxalaba okanye ukuhlinzwa ukuze kukuncede ufumane ngokugcwele. Umgulana wakho womzimba angasebenza nawe ukuqinisekisa ukuba ulungelelanise ngokufanelekileyo imilinganiselo yokulinganisela kunye nesenzo sokunyameka kwisisombululo sakho sokuvuselela.

Ukuba unayo intlungu okanye unobungozi obuphezulu okanye utyando, unokufumana inzuzo kwiinkonzo ezinezakhono zengqondo ukuze uncede ufumane ngokugcwele.

Enye inxalenye ebalulekileyo yenkqubo yakho, usebenze ngokuthe ngqo ekuncedeni ukuphucula indlela ihlombe lakho, i-elbow kunye nesandla ngayo yonke into isebenza kunye ukuze isebenze kakuhle. Olunye uhlobo lomzimba luphezu kwesisindo esiphezulu, esaziwa nangokuthi i-kinetic ivaliweyo yegqeba.

Iimeko ezinokuthi zifune ukunyuka kwesisindo

Abantu abaneemeko ezithile banokuzuza kwi-shoulder bearing-bearing and exercising balance in quadruped (isikhundla sokukhahlela kuzo zonke iine) okanye kwindawo yeplank. Ezi meko zingabandakanya:

• Stroke
• Uphulo oluphezulu
• Ukulungiswa kwesikhombi seLotator
• Ukulimala kweLabrum okanye ukulungiswa kokucoca kwebhubhile
• I-Elbow fracture
• Ukuhlukana kwamabala

Ngokwenene, nayiphi na ingozi ekugqibeleni okanye imeko ingabangela ukulinganisela okulinganiselwe kunye nekhono lakho kwiphepha okanye ingalo yakho. (Ukufunyanwa ngumntu nje ngokuqonda komzimba wakho kwisimo sakho.) I-PT yakho ingancoma ukuba usebenze ukuphucula ibhalansi yakho yonke ngeengalo zakho ngexesha lokuhlaziya.

Kutheni Usebenza Ngamahlombe Ukulinganiswa Nokulinganisela?

Emva kokulimala okuphezulu, unako ukulinganisela okungekho nto kunye nolwazi olusemgangathweni wakho ophezulu. Ukusebenza kwimigqaliselo ethile yokuphucula umgangatho ophezulu kunokuba kunokukunceda ukuba uphinde usebenzise ingalo yakho. Ingcali yakho yomzimba ingakhetha ukusebenzisa iindlela ezahlukeneyo kunye nokuqhubela phambili kokusebenza njengalowo ukukunceda ukuba uphinde ufumane emva kokulimala kwegxala okanye ingalo okanye utyando.

Ukusebenzisa amahlombe akho kwi-quadruped or position-bearing-bearing position, njengeplank, inokusebenzisa izihlunu ngokujikeleza ikhenkethi yakho kunye negalelo. Ezi zihlunu zisebenza xa uphakamisa ingalo yakho phezulu okanye ngexesha lemisebenzi efuna ukuba utyhoboze okanye udibanise into ethile. Basenokungakwazi ukuphazamiseka emva kokulimala okanye ukuhlinzwa ehlombe lakho elidinga ixesha lokungafihli. Ngethuba lexesha lokuchithwa kwexesha, ihlombe lakho okanye ingalo yakho ingaphilisa, kodwa ingaphinde ilahlekelwe amandla, inqanaba lesincophiso (ROM) kunye nokufumanisa.

Inkqubela yokuPhucula ukuFundisa kwiNgxaki yokuPhathisa isisindo

Ukuba umguqirha wakho womzimba ukhetha ukubeka isalathiso esithwele isisindo kunye nesandla sengalo kuwe, mhlawumbi uya kulandela inkqubo eqhubekayo. Kufuneka uqhube phambili ukusuka kwizinto ezilula ukuya kwizifundo eziphambili.

Ngaphambi kokuba uqale ngokusebenzisa imithwalo yesigxina, ugqirha wakho kufuneka uqinisekise ukuba amandla akho kunye nesigxina sakho sanele ngokwaneleyo ukuba uthwale ubunzima ngengalo yakho. Mhlawumbi unokukwenza ukuba usebenze ukuqinisa ukunyusa izitya kunye ne-band resistance kunye ne- supine yokuguqulwa kwamagxathu ngaphambi kokuba uqalise ukuzithobela ukunyameka njengenxalenye yokuvuselela kwakho.

Ukuqhubela phambili okuqhelekileyo kokuthwala ubunzima bokuzibandakanya umthwalo kungabandakanya:

1. Ukunyuka kwesisindo somzimba . Sifumane nje kwisimo esifana neso. ILatye lihamba ngokukhawuleza kwaye lihamba phambili kwaye libuya kwaye libuya emva kwemizuzwana engamashumi amathathu ukuya kumashumi mathandathu.
2. I-quadruped weight changes to a surface unsteady . Phinda usebenze ngenhla ngentsimbi encinane ngaphantsi kwesandla sakho. Ukusebenzisa ibhola yerabha phantsi kwesandla sakho kunokunyusa umngeni walo msebenzi.
3. Isikhundla esine-quadruped kunye nendima echasene nengalo . Qala kwisikhundla esine-quadruped, uze uphakamise isandla sakho esingalimazi kude kube yinto ehambelana nomgangatho. Gcina le ndawo imizuzwana embalwa, uze ubuyele kwindawo yokuqala. Phinda amaxesha angama-10 ukuya kwezi-15. Qinisekisa ukugcina ihlombe lakho lilungile ngaphezu kwesandla sakho ngelixa uqhuba umsebenzi. Khumbula, isandla esingenalimazi sihamba, ngoko ihlombe lakho elifuna umsebenzi lithwala ubunzima bakho.

1. Isikhundla esine-quadruped nge-arm motion ngesimo esingapheliyo . Yenza umsebenzi wesi-3 ngentla ngesandla sakho ngomsila okanye ibhola elincinci.
2. Isikhundla esine-quadruped kwibhodi yeBAPS . I-PT yakho inokuba nefowuni yokusebenza ebizwa ngokuba yiBAPS kwibhodi ye-ankle proprioception. Ungayisebenzisa ngokwenene ukulinganisela okuphezulu. Isikhundla esilula izandla zakho kwibhodi ye-BAPS, kwaye uhlale uhlale uhleli xa uqhuba isisindo somzimba kwisimo se-quadruped. Ngokuqinisekileyo, lo msebenzi ungenziwa kuphela kwiklinikhi yasePteni kwaye kungekhona njengenxalenye yenkqubo yohambo lwakho lwasekhaya (ngaphandle kokuba kwenzeka ukuba ube nebhodi yeBAPS).
3. Isitishi sokunyuka kwesisindo sePlank . Emva kokuba ufumene amandla anele kwaye uzinzile, unokuhamba ukusuka kwisithuba esine-quadruped kwaye uphinda ngokulandelelana kwiplank isikhundla. Qalisa nje ngokungena kwi-plank, uze uguqule ubunzima bakho ukusuka ecaleni ukuya kwelinye icala uze uphindele emuva.
4. Isikhundla sePlank kwindawo engapheliyo . Phinda uphinde uphinde usebenzise isisindo somsebenzi kwisithuba soku-6 ngelixa ugcina isandla sakho kwindawo engapheliyo.
5. Isikhundla sePlank kwibhodi yeBAPS . Yenza i-plank isikhundla sesisindo sishintsha ngelixa ugcina izandla zakho zizinzile kwiBAPS ibhodi.
6. BOSU Walkovers . Ukuba unako ukufikelela kwi-BOSU, ungayisebenzisa ukulinganisela umthwalo kunye nokuqeqeshwa kwendawo. Ngena nje kwindawo yeplank ngezandla zakho kwi-BOSU, kwaye "isinyathelo" ecaleni kwelinye icala, emva koko. "Hamba" ecaleni ngaphaya kweBOSU ngezandla zakho. Qinisekisa ukuba ugcine ipakeki ehleliweyo kunye ne-abs yakho. Yenza ngokuphindaphindiweyo kwezinto ezilishumi zee-lateral walkovers ne-BOSU.
7. Umgca wecala ophezulu ohamba kunye namaqela angamelana . Ukuze wenze lo mdlalo, udibanise ibhanti yokumelana neentambo zakho, uze ungene kwindawo yeplank. Hamba izandla zakho ngasecaleni, ugcine uxhaphalo kwibhendi xa uhamba. Gcina isiseko esisigxina ngokugcina i-abs yakho yokuzibandakanya, kwaye uhambe ngezandla zakho ngaphaya kwamanyathelo ayishumi ukuya kwesobunxele kunye neshumi ukuya kunene. Iinyawo zakho ziya kufuneka zihambe ngeendlela ezihamba ngayo.

Ukuba naluphi na umsebenzi obangela intlungu, kufuneka ukhangele kunye nogqirha okanye i-PT ukuqinisekisa ukuba wenza umsebenzi ngokuchanekileyo kwaye uyaqiniseka ukuba ulungile.

Le nkqubela iqala nje ngesimo esisiseko sokukhawulela kwaye iqhubela phambili kwimigqaliselo ephezulu yamagxa akho ngokuchasene kunye nakwiindawo ezingapheliyo. Umgulana wakho womzimba unokukunceda ukuba wenze isigqibo malunga nexesha lokuqhubela phambili kwinqanaba ngalinye lokuqhubela phambili.

Awukwazi ukukwazi (okanye kufuneka ukuba wenze) ngokuqhubekayo. Abanye abantu bafumanisa ukuba ukunyuka kwesisindo esilula kunokwaneleyo ukuphucula ukulinganisela kwamagxa kunye nomsebenzi. Abanye abantu, ingakumbi abo bathatha inxaxheba kwimidlalo yezinga eliphezulu, bangadinga ukuqhubela phambili ukuya kwiindawo eziphambili eziphambili zokubuyisela.

Ngaphambi kokuba uqalise nayiphi na inkqubo yovavanyo, kufuneka uhlolwe kunye nogqirha wakho ukuqinisekisa ukuba ukusetyenziswa kwamagxa okuthwala umzimba kukhuselekile ukuba wenze.

Ukulimala kwegxala okanye ukuhlinzwa kunokukhusela ukwenza umsebenzi wakho oqhelekileyo okanye imisebenzi yokuzonwabisa. Ukuba unengxaki yentlungu okanye ubuthathaka, inkqubo yokuvuselela kunye nomgulana wakho wenyama ingakunceda ukubuyisela i-ROM eqhelekileyo kunye namandla. Elinye iqela leprogram yakho ye-rehab ingaba yindlela ephezulu yokuphelisa isisindo somzimba kwi-quadruped okanye kwindawo yeplank. Xa senziwe ngokuchanekileyo kwaye xa kuqhubekile kakuhle, ukuzivocavoca kunokukunceda ukuba uphinde uphumelele umsebenzi ukuze ukwazi ukubuyela kwinqanaba lakho langaphambili lomsebenzi.

> Imithombo:

> Matthews, MJ, etal.Quadrupedal Movement Training Kuphucula abaMakethi beCognition kunye nokuBumbisana okuHlangeneyo. I-Human Movement Science. 2016; 47 (6): 70-80.

> van der Meijden, etal. Ukubuyiselwa emva kwe-Arthroscopic Rotator Cuff Repair: IiNkcazo zokuHlola zangoku kunye neZikhokelo eziSekelwe kwiNkcazo. Int J Sports Phys Ther. 2012; 7 (2): 197-218.

> I-Wells, SN, etal. Ukuhlaziywa kweeNcwadi zoPhando Ukuvavanya iRotator Cuff Ukuqalisa ngexesha lokubuyiswa kwexesha lokuqala Ukuzilungiselela ukuPhukisa iCot-Op Rotator Cuff Repair. J Exer Phys Online. 2016; 19 (3): 70-99.