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Uzinzo lwesisuUzinzo lwesisu
Ukuzinza umgudu kunye nokungazinzi komgudu kuya kugxininiswa ngokubanzi, ngokukodwa kwiikliniki ze-rehab kunye namaziko okuqeqesha. Emva kweeklasi ezimbini zePilates, unokucinga ukuba ukungazinzi kwakho komgudu kuncike kwisimo sakho seplvic kunye / okanye indlela enamandla ngayo imisipha yakho kunye nemisipha yangemva.
Kodwa oko kuphela yinto yomfanekiso. Uzinzo lwesigulane lunxulumene nomnye, ezimbini okanye ezintathu "eziphantsi kweenkqubo" ezichaphazela kakhulu umgudu wakho - lonke ixesha. Ezi zilandelayo: umqolo womgca kunye nemigqa yayo, inkqubo yakho yeentlanzi, elawula ukunyakaza kwemisipha kwaye, ngokuqinisekileyo, imisipha yakho, ehambisa umlenze. Xa kukho nayiphi na enye yalezi zixhobo ezincinci ziyonakele, zithi ukususela kwi-degeneration enxulumene neminyaka, i-fractures, ukulimala kwe-iatrogenic, okanye nokuba nezilonda zomgcini (lolu luhlu olungaphelelanga,) ezinye iisistim ezincinane kufuneka zihlawule. Ukungalingani okubangelwayo kunokukhokelela kunye nokungaqiniseki, okuya kuba neengxaki ezithwala ubunzima bawo, kungabonakali ubunzima bomthwalo wangaphandle owanako ngokukhetha abantwana, ukuthatha izinto zokutya kunye nokunye okunjalo.
Phawula indlela ukuzinza komgudu kungabangela ngayo nayiphi na inani lamathuba anokungahambi kakuhle. Oku kuthetha ukuba indlela yokuyiphatha okanye ukuyiphatha iya kuhlukahluka, kuxhomekeke kukuphi na isistim echaphazelekayo kwaye yintoni eqhubekayo nayo. Ukufumana ukuxilongwa ngokuzinzileyo komgudu kusekelwe kwimimiselo ebonakalayo (izinto ezinokulinganiswa okanye ezichanekileyo) kunye neempawu (amava akho afanelekileyo, anokubandakanya intlungu, nezinye iinjongo kunye nezinto ozibona malunga nendlela osebenza ngayo umva wakho).
Masizithathele i-sub-system nganye kwaye siyiqonde indlela yokugcina impilo yakho iphilile kwaye ingenabuhlungu ngokunikela ekuzinzeni umgudu.
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Ikholeji yomgca kunye neLIgamentsColumn Column
Ukulimala okanye ukulimala kwikholamu yakho yomgudu yimbangela eqhelekileyo yokungazinzi komgudu ngokwemvelo, kunye. al. kwinqaku labo, "Ukukhubazeka kwezonyango zeLumbar Spine: Ukuxilongwa kunye noNgenophiso." Inqoloba yomgudu iyisakhiwo esiyinkimbinkimbi, oku kuthetha ukuba kukho iindlela eziliqela iingxaki ezinokukhula kule nkqubo. Cinga:
Umqolo wamagxa ngumxube wamathambo angeneli angama-26 anama-disc phakathi. Inxalenye engaphambili iqukethe imizimba ye-vertebral engama-cylindrical and discs. Emuva (kweentlobo ezininzi ze-vertebrae) yindoda yethambo. Ingaphakathi kwindandatho ingenalutho, ukuvumela intambo yomgudu - isakhiwo esisisiseko senkqubo yakho ye-nervous central - idlule. Ngaphezulu nangaphantsi kwindandatho yebony (ngapha nangapha) ziinkalo ezongeziweyo ezibizwa ngokuba yiinkqubo, ezichaza iinkqubo ezivela kwi-vertebrae esondeleyo. Ezi ndawo zichanekileyo zibizwa ngokuba ngamalungu angama-facet. Ngokubanzi, amaqabane amacandelo anokunceda ukuzisa ubungqina kumgudu nokuhamba kwawo.
, Kwaye. al. bathi umgca wakho womgca wekhola ungaguqulelwa - kwaye ngoko unokuthi ube ngumthombo wokungazinzi - ukuba kukho na enye yezi zinto zilandelayo zibonakala kwiimvavanyo zokuxilongwa:
X-Ray:
- Enye okanye ngaphezulu kwe-vertebrae iguqulelwe (oko kukuthi idluliselwe ngokufanayo) ngokubhekiselele kwithambo elingentla okanye ngezantsi (i-spondylolisthesis.)
- Ukugqithisa ngokweqile okanye ukongezwa, ngokuqhelekileyo kwenziwe ngumhlaza wesibeleko somlomo wesibeleko, kwaye oko kunokubangela ukuba i-kyphosis.
- I-Bone igxotha emngceleni wangaphambili womzimba we-vertebral (obizwa ngokuba yi- traction spur .)
MRI
- Iindawo eziphakamileyo eziphezulu kwiidiski zakho.
SC SC
- Ukufakela okungaphezulu kwe-1mm kumaqabane akho xa ubhaqa umlenze wakho.
- Ukuqhathaniswa nokunciphisa okunzulu (kwi-MRI kodwa kuhambelana nokuhlolwa kwe-low disc discography).
Amagqabantshintshi
Ngokubhekiselele kumagqabantshintshi , ama-capsular ligaments agxininisa kwaye axhasayo ama-joint joints angabhalwa. Xa besenza, bazisa ukunyakaza okugqithisileyo - ngoko ke ukungazinzi - kwintlambo yakho. Phakathi kwezinto ezininzi ezinokubangela i-capsular ligament laxity i-disc, i-spondylosis, iingxaki ze-whiplash kunye nezinye.
Idibeneyo: Iyintoni i-Vertebral End Plate?
Imithombo:
Ngokufanelekileyo, S. PT, Smith, S. PT, PhD. Silfie, S. PT, PhD. Ukukhubazeka kwezonyango zeLumbar Spine: Ukuxilonga kunye noNgeniso. I-Orthopedic Practice. Umqulu 18. Ufikelele kwiJan 2016.
Carragee, E., et. al. Ukuncincika okuphantsi kweengcaphephe kwizifundo ezingahambelani nezifo ezibuhlungu eziphantsi. Isihlwele (Phila Pa 1976). 2006 uMar 1; 31 (5): 505-9.
Steilen, D., Hauser, R., Woldin, B., Sawyer, S. Ingxube Yengcinezelo Yomsinga: Ukwenza uxhumo phakathi kwe-Capsular Ligament Laxity kunye noKhuseleko lwentliziyo. Vula i-Orthop J. J.; 8: 326-345.
Stemper, BD, Yoganandan, N., i-Pintal, i-FA, i-Rao, i-RD, i-Longitudinal injongue ye-ligament ngexesha le-whiplash inokukhokelela ekuzinzekeni komlomo wesibeleko. Med Eng Phys. 2006 Julayi;
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Imisipha yama-SpinalImisipha, i-Active Spinal Sub System
Imisipha yimizi yamandla eyenza umlenze wakho. Ingxenye yomsebenzi wabo kubandakanya ukubonelela ukuqina nokuzinza, ngokunjalo.
Ukungazinzi komgudu kungabangela ukutyhafaza okanye ukulimaza kwiimisipha ezixhasa umgudu, njenge-multitifidus okanye isisu esiswini. I-ultrasound ingabonisa ukuphazamiseka (okuwuphawu lobuthathaka) obunzulu bemisipha yomzimba, ngelixa i-electormyography (EMG) isetyenziselwa ukufumana utshintsho lomzimba.
Funda kabanzi malunga nemisipha yakho yangemva:
- Imisipha yeParaspinal
- I-Extrinsic Back Muscles
- Umgca ongeyena ophezulu weMiscle ye-Back Insins
- Uluhlu olujulile lweMisipha ye-Intrinsic Back
- Imbuyiselo ye Rotator ephantsi
Umthombo:
Ngokufanelekileyo, S. PT, Smith, S. PT, PhD. Silfie, S. PT, PhD. Ukukhubazeka kwezonyango zeLumbar Spine: Ukuxilonga kunye noNgeniso. I-Orthopedic Practice. Umqulu 18. Ufikelele kwiJan 2016.
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I-System yeNervousI-Neural Control Control Subsystem
Inkqubo yesithathu yomthambo ochaphazela ukuzinza yinkqubo yeentlanzi. Inkqubo ye-nervous inexanduva lokufumana imiyalezo malunga nesimo samathambo omgulane kunye nekholamu kunye nokuvelisa iimpembelelo zokuhamba. Ezi mvakalelo zihanjiswe kwiimisipha, zibonisa ukuba zenze isivumelwano. Amagunya okuqhawula ngamagqabantshintshi ukunyuka kwemisipha kunye nokubonelela ukuzinza.
Ngoko ukuba imisipha yakho iyancipha ukwenza isivumelwano okanye yenza njalo ngendlela engavumelekanga, unokuphazamiseka kuloluhlelo lwe-neural control system. Ezi zinto zimbini ziyakuthi zifunyenwe yi-EMG vavanyo. Ezi ziphazamiso zingenza utshintsho kumaphethini omzimba wamagqabi, onokubonwa ngamehlo aqeqeshiwe (okanye ngomshini wokutshintsha umtshini).
Ukungaqhelekanga kwi-sub-system control system kungabuye kufunyenwe ngophando lwesondlo sokuqhuba (NCS). I-NCS idla ngokuqhutywa kunye ne-EMG ukufumanisa ukucaphukisa komzimba okanye umonakalo.
Xa lifika ngqo kuwo, awukwazi ukukrazula ngaphandle kwessystem kwindlela enye, yithi, kwaye. al. Endaweni yoko, ukungazinzi kwekliniki ngokwenene kuyinkqubo yokungasebenzi. Bathi ezinye izigulane zihlakulela iindlela (ezinjengokuphuhlisa iipatheni ezintsha zokusetyenziswa kwemisipha ezithatha umsebenzi wokuzinzisa) ngelixa abanye bengenzi. "Abangabikho-copers," njengoko bebodwa, kunye. al. ukubiza ngokuba banakho ukuza kunye nezibonakaliso neempawu zokungazinzi komthumbu.
Umthombo:
Ngokufanelekileyo, S. PT, Smith, S. PT, PhD. Silfie, S. PT, PhD. Ukukhubazeka kwezonyango zeLumbar Spine: Ukuxilonga kunye noNgeniso. I-Orthopedic Practice. Umqulu 18. Ufikelele kwiJan 2016.