Iimpawu eziqhelekileyo zamkelwa kwiROM
Ukuphakama kwesigxina (ROM) kukulinganisa umgama kunye nesalathiso isisombululo sinokuthi sihambele ngokupheleleyo. Idibaniso yindawo kwindawo emathambo axhulumene ngayo. Uninzi lwazo lwakhiwe ukuvumela ukunyakaza kwikhowudi echazwe ngaphambili. Isixa sokunyakaza ngebala eliqhelekileyo lokunyakaza ngokuqhelekileyo lilinganiselwe kumadiresi usebenzisa isixhobo esibizwa ngokuba yi-goniometer.
Intlangano nganye ineendawo ezahlukeneyo zokunyakaza kwindlela nganye yokunyakaza inokuyenza. Kukho amanxeba ambalwa angayixhasayo inkuthalo njengengqayi.
Ukuhamba ngokubambisana okuqhelekileyo kubandakanya ukuhamba , ukwandiswa, ukuthatha, nokukhutshwa. Ukongezwa sisimo senyama esinciphisa i-angle phakathi kwamathambo enqwelwana. Kuyenzeka xa isivumelwano somathambo kunye namathambo ahambisa inxalenye ngokubambisana. Intshukumo ephikisanayo, i-penxion, igoba idibeneyo ukuze i-angle ehlangeneyo iphelelwe.
Ranges eziqhelekileyo (ngokuzibandakanya)
Nangona kukho ukuhluka phakathi kwabantu abahlukeneyo, ezi zilandelayo ziyakwamkela ixabiso eliqhelekileyo kwiROM eqhelekileyo kwisigxina ngasinye somyinge njengoko kulinganiswa kwiidridi. Iingcali zezilwanyana kunye nokuzivocavoca umzimba zilinganisa uluhlu lomntu ohambayo kwaye luyithelekise nale miqobo evamile.
I-Hip
- Ukuhluma 0 ukuya kuma-125 degrees
- Ukwandiswa kwe-115 ukuya kwi-0 degrees
- I-Hyperextension (eqondisa ngaphaya kwebala eliqhelekileyo) 0 ukuya kwi-15 degrees
- Ukutshintshwa (ukuhamba kude nomkota ophakathi komzimba) 0 ukuya kwi-45 degrees
- Ukunyuswa (ukuhambela kwi-axis ephakathi yomzimba) 45 ukuya kwi-0 degrees
- Ukujikeleza kwesikhokelo (ukujikeleza kude nomgangatho womzimba) 0 ukuya kwi-45 degrees
- Ukujikeleza okuphakathi (ukujikeleza ukuya kumbindi womzimba) 0 ukuya kuma-45 degrees
Knee
- Ukuhluma 0 ukuya kuma-130 degrees
- Ukongezwa kwee-120 ukuya kwi-0 degrees
Ankle
- I-Plantar i-floxion (ukunyuka kwehla) 0 ukuya ku-50 degrees
- I-Dorsiflexion (ukunyuka phezulu) 0 ukuya kwi-20 degrees
Ngeenyawo
- Inversion (yajika ngaphakathi) 0 ukuya kwi-35 degrees
- Eversion (yajika) 0 ukuya kuma-25 degrees
I-Metatarsophalangeal Joint yeenyawo
- Ukuhluma 0 ukuya kuma-30 degrees
- Ukongezwa kwee-0 ukuya kuma-80 degrees
I-Interphalangeal Joint ye-Toe
- Ukuhluma 0 ukuya kuma-50 degrees
- Ukwandiswa kwee-50 ukuya kwi-0 degrees
Ngamahlombe
- Ukuhluma 0 ukuya kuma-180 degrees
- Ukongezwa 0 ukuya kuma-50 degrees
- Ukuphanga 0 ukuya kuma-90 degrees
- Ukunyusa ama-90 ukuya kwi-0 degrees
- Ukujikeleza kwe-Lateral 0 ukuya kwi-90 degrees
- Ukujikeleza okuphakathi kwe-0 ukuya kwi-90 degrees
Elbow
- Ukuhluma 0 ukuya kuma-160 degrees
- Ukwandiswa kwe-145 ukuya kwi-0 degrees
- Isibizo (ukujikeleza kwangaphakathi) 0 ukuya kuma-90 degrees
- Ukuphakanyiswa (ukujikeleza kwangaphandle) 0 ukuya kuma-90 degrees
Wrist
- Ukuhluma 0 ukuya kuma-90 degrees
- Ukongezwa 0 ukuya kuma-70 degrees
- Ukuthathwa kwe-0 ukuya kwi-25 degrees
- Ukunyusa 0 ukuya kuma-65 degrees
IMetacarpophalangeal (MCP)
- Ukuthathwa kwe-0 ukuya kwi-25 degrees
- Ukunyusa ama-20 ukuya kwi-0 degrees
- Ukuhluma 0 ukuya kuma-90 degrees
- Ukongezwa kwee-0 ukuya kwi-30 degrees
I-Interphalangeal Proximal (PIP) Idibanisa leNtsana
- Ukuhlutha 0 ukuya kwi-120 degrees
- Ukongezwa kwee-120 ukuya kwi-0 degrees
I-Interphalangeal Distal (DIP) Idibaniselwano seMinwe
- Ukuhlutha 0 ukuya kuma-80 degrees
- Ukongezwa kwama-80 ukuya kwi-0 degrees
I-Metacarpophalangeal Joint yeSigxina
- Ukuthathela ama-0 ukuya kuma-50 degrees
- Ukunyusa ama-40 ukuya kwi-0 degrees
- Ukuhlutha 0 ukuya kuma-70 degrees
- Ukwandiswa kwee-60 ukuya kwi-0 degrees
I-Interphalangeal Joint yeSigxina
- Ukuhluma 0 ukuya kuma-90 degrees
- Ukongezwa kwee-90 ukuya kwi-0 degrees
Ukuchaphazela Izinto
Zininzi iimpembelelo-ifa kunye neemeko-ezinokuchaphazela i-ROM yakho. Ezinye zezinto ongenakukwazi ukuzilawula kunye nokuba uzalelwa nazo ziquka:
- Uluhlu lobambiswano, njengamalungu amaninzi asenokuthi ahambe kakhulu
- Ukungqinelana kwangaphakathi ngaphakathi kokubambisana
- Izakhiwo zeBony ezinciphisa ukunyakaza
- Ukuxhamla kweethambo zomzimba, umzekelo, izicubu ezinamahlunu ezinobungozi ngenxa yokulimala kwangaphambili akunjalo kakhulu
- Ukukwazi ukuphumla kwemisipha kunye nokuqhawula ukuphumeza udidi oluhamba phambili lokuhamba
Enye into ongenakukwazi ukuyilawula ukuba uneminyaka engakanani. Olunye uphando luhlolisise imiphumo yobudala kunye nesondo kwiindawo ezidibeneyo zokunyuka kwaye zafumanisa ukuba abathathi-nxaxheba abadala baye babonisa iiROM ezincinci kunezinye zabo ezincinci. Kwimeko enye, umahluko kwiROM wawungama-44.9 ekhulwini kwi-eversion kunye ne-inversion yonyawo. Okongeziweyo, izifundo ezikhulile zidinga ixesha elide lokufikelela kwiinkalo ezipheleleyo.
Ngokubhekiselele kwisini, kwafunyanwa ukuba negalelo elikhulu kwiROM. Amadoda anamaROM amancinci kunabasetyhini kwezinye iindawo, kunye nempembelelo enkulu, iipesenti ezingama-29.7, ezenzeka esandleni.
Oku kwahluka kwabudala kunye nobulili kufunyaniswe ukuchaphazela amalunga athile kunye nezigaba, ezinokuchazwa ngantlukwano kwi-anatomy kunye nokuphindaphinda kwamajoyina asetyenziswa kwimisebenzi phakathi kwamaqela.
Uhlobo loMoya oNcinci
Uluhlu oluthile lwenkqonkqo lixesha elisetyenzisiweyo xa umdibaniso unciphisa ukukwazi ukuhamba. Oku kungenxa yokulimala kwezicubu ezithambileyo ezijikelezayo. Ukufumana kwakhona uluhlu lokunyuka kwendibano enye yeyigaba zokuqala zokulungiswa kokulimala. Iingcali zemizimba zihlala zibeka imiyalelo ethile ye-ROM nganye. Kwakhona kubangelwa zizifo ezifana ne- osteoarthritis , i- rheumatoid arthritis , okanye ezinye iintlobo ze-arthritis .
Ukwenza ngcono
Idibene nganye ineROM eqhelekileyo, ngelixa umntu ngamnye enexabiso elithile lokukwazi ukulifeza. Amaqumrhu agcina uluhlu olulinganisiweyo lokunyuswa ngokusetyenziswa rhoqo kunye nokwelula kwezicubu ezinqamlezileyo (izihlunu, iintambo, kunye neigaments). Imizuzu engama-10 yokwelula kathathu ngeveki inokukunceda ukuphucula uluhlu lweendululo.
Uphando lufumene ukuba inzuzo encinane kwi-ROM inokwenziwa ngokusetyenziswa kweshushu xa iselula. Kubantu abaphilileyo, abo babemangalisa ngemisipha eqinile babone ukuphuculwa kancinci kwintlobo yokunyakaza ngokufudumala kunye nokulula xa kuthelekiswa nalabo bathenwa kuphela.
Ukuzivocavoca
Iingcali zemizimba zihlala zibeka imiyalelo ethile ye-ROM nganye. Ezi zinto zihlose ukunyusa ngokunyanisekileyo uluhlu lokunyakaza ngokuqwalasela intlungu, ubunzima, kunye nokuvuvukala okukhoyo. Kukho iintlobo ezintathu zeendlela zokuhamba ezihamba phambili:
- Uhlobo oluhambayo lokuhamba: Uzenza ezi zifundo ngaphandle koncediso.
- Isistim sokuncedisa esisisigxina : Umgulisi unceda isigulane senze ezi zivivinyo. Oku kunokwenziwa ukuba iimfumba zibuthathaka okanye xa ukunyakaza kubangela ukungathandeki.
- Ukuhamba kweendlela ezihambayo: Umgqirha okanye isistim ishukumisela intsebenziswano ngokusebenzisa uluhlu lwezinyameko ngaphandle kwesilingo esivela kwisigulane.
ILizwi
Kufuneka ukwazi ukuhambisa amajoyina akho kwiindawo eziqhelekileyo ukwenza imisebenzi emininzi yokuphila kwansuku zonke nemisebenzi kunye nokuzonwabisa nemisebenzi yemidlalo. Unokuphucula ukuguquguquka kwakho kwiindlela zokuhamba ngokunyuka okanye ukuba ufuna ukuvuselelwa kwingozi.
> Imithombo:
> Behm DG, Blazevich AJ, Kay AD, McHugh M. Imiphumo emihle yeMiscle ejongene nokuSebenza koMzimba, ukuHlalwa kweNdleko, kunye nokuKhathazeka kwabasebenzi abaSebenzayo abaSebenzayo: Uhlolo lokuHlola. Appl Physiol Nutr Metab . 2016 Jan; 41 (1): 1-11. i-doi: 10.1139 / apnm-2015-0235. Epub 2015 Dec 8.
> Hwang J, Jung MC. Ukwahluka kobudala kunye noThaso kwiiNgqungquthela zokuHamba kunye nePatesi zeMpawu. Int J Occup Saf Ergon . 2015; 21 (2): 173-86. i-doi: 10.1080 / 10803548.2015.1029301.
> Nakano J, Yamabayashi C, Scott A, Reid WD. Impembelelo yoLwandle oluSebenzisiweyo ngeNqamaniso yokwandisa i-Angels of Motion: Uhlolo lokuHlola. Phys Ther . Ngo-Agasti ka-2012; 13 (3): 180-8. i-doi: 10.1016 / j.ptsp.2011.11.003. Epub 2011 ngoDisemba 29.
> IsiQinisekiso soHloniphelo soHlangano oluqhelekileyo. Amaziko okuLawula izifo. https://www.cdc.gov/ncbddd/jointrom/.
> Ukwelapha umzimba (PT). Merck Manual Professional. http://www.merckmanuals.com/professional/special-subjects/rehabilitation/physical-therapy-pt.