Rehab for Hip FAI
Ukwelapha okwenyama kwi-femoroacetabular impingement (FAI) kubandakanya ukuphucula uhla lwezithuthi (ROM) kunye namandla, ukunciphisa intlungu kunye nokuphucula ukuhamba komsebenzi jikelele. Ukuba unayo i-FAI, ugqirha wakho womzimba unokukukhokela kwiprogram efanelekileyo ye-rehab ukukunceda ukuba ubuyele kwimisebenzi yakho eqhelekileyo.
Zininzi izibangela zentlungu . Ukuba i-hip yakho okanye i-hip ibuhlungu, unokufumana inzuzo kwipilisi yokwenyama ukuqonda isizathu seentlungu zakho kwaye uqalise kunyango oluchanekileyo.
Ukutyelela ugqirha wakho kunokuncedisa ukuba yintoni enokubangela ubuhlungu be-hip. Ugqirha wakho angenza iimvavanyo ezizodwa zokuxilonga ezingaphetha ngokuxilongwa kwe-FAI. Ukuba kunjalo, ukuhanjiswa kwonyango lwangokwenyama kunokuqinisekiswa.
Yintoni i-FAI?
Ukufakela kwe-Femoroacetabular kwenzeka xa indawo yokubamba iqhosha lakho le-hip ishintshiswa xa uhamba kwiindlela ezithile. Umlenze wakho ibhola kunye kunye kunye, kwaye ngamanye amaxesha inxalenye yebhola (isiphelo esiphezulu se-femur yakho) yesigubungelo sakho sineenkcenkceshe kwisahlulo sesiseko (i-acetabulum). Oku kukhonta kungabangela intlungu kunye nokunyuka okufutshane, kwaye kunokunciphisa amandla akho okwenza umsebenzi wakho oqhelekileyo kunye nemisebenzi yokuzonwabisa.
Iimpawu ze-FAI zingaquka:
- Ubuhlungu kwi-groin yakho
- Ubuhlungu phambi kwe-hip yakho
- Intlungu engaphantsi kweentlungu kunye nentlungu
- Ukunyuswa okuye kwinqanaba lakho, ngokukodwa ngokujikeleza nokwandiswa
- Ukuva uvakalelwa kwi-hip yakho
- Ubunzima bokusebenza, ukuxuma kunye nokusika
Ukuba ugqirha wakho uxolisa ukuba iimpawu zakho zibangelwa yi-FAI, unokukwenza ii-ray okanye iMRI. Ezi zifundo zibonisa umlo wezandla zakho ze-hip kwaye uncedise ukuba i-FAI ibangele ubuhlungu be-hip. Ilumkiso kufuneka lithathwe apha-ezinye izigulane ezingenabuhlungu okanye iimpawu zibonisa iimpawu ze-FAI kwizifundo zengcamango.
Ukuxilongwa kwakho kufuneka kufake uvavanyo olubanzi lwenkcazo yakho yeklinikhi kunye nokufumanisa kwizifundo zokuxilonga.
Iintlobo ze-Hip Impingement ne-FAI
Kukho iintlobo ezimbini ze-hip-pincer impingement kunye nokufakelwa kwekham. Ungakwazi kwakhona ukudibanisa zombini iintlobo.
Ukugxilwa kwe-Cam kwenzeka ngenxa yesimo esingavumelekanga senkosikazi yakho-ibhola ledibeneyo. Oku kudala imeko apho uxinzelelo lubekwe phezu kwethambo ngezinye izinto. Ukufakelwa kwe-Pincer kwenzeka ngenxa yesimo esingaqhelekanga sesiseko sakho, esibizwa ngokuba yi-acetabulum. Udibaniso lwezinto zombini lunokuthi lube khona. Ugqirha wakho unokuncedisa ukuba yiyiphi uhlobo lwe-FAI onayo kunye nefuthe elona lungcono leentlungu zakho.
Zomibini iintlobo ze-hip FAI zingabangela umonakalo kwi-hip labrum yakho, isiqwenga seesishukela eziqhutywe kwi-hip socket. Oku kunokukhokelela ekutshatyalaliseni nasekugqibeleni ukutshatyalaliswa kwentsholongwane, kubangela intlungu kunye nokunyuka kwe-hip motion. I-Hip FAI ingakhokelela ekuqaleni kwe-ostostearthritis.
IP Assessment ye-FAI
Izixhobo zovavanyo olusisigxina lwe-FAI zingabandakanya:
- Udidi
- Iimilinganiselo zeendlela ezihamba ngayo umgudu, umlenze, amadolo kunye namaqhosha
- Imilinganiselo ye-hip kunye namandla angaphantsi
- Uvavanyo olukhethekileyo lwe-Hip
- Uvavanyo olusebenzayo
- Ukulinganisa kunye nokuhlolwa kwempahla
Xa uqala ukudibana ne-PT yakho, uya kukubuza imibuzo malunga nentlungu yakho ye-hip nendlela eziphatha ngayo. Yintoni eyenza ibe ngcono okanye yimbi? Iintlungu zakho ze-hip zivela njani kwi-FAI ekunciphiseni ukuhamba kwakho emsebenzini okanye umsebenzi kunye nezinto zokuzonwabisa? Yintoni oyenzile ngoku ukuxilongwa kunye nokonyango? Incoko enayo kunye ne-yourrapist kufuneka ikhululeke; Bobabini nisebenzisana ndawonye kumanyano wokunyanga ukunceda ukuphucula imeko yakho yonke nge-FAI.
Emva kokuvavanya, i-PT iya kusebenza nawe ukuseka isicwangciso sokunyamekela ukunyanga i-FAI yakho, kwaye unyango luyaqala.
Ulwaphulo lweMpilo lwePhysiyo ye-FAI
Iinjongo ze-PT ze-FAI zibandakanya ukuphucula uhla lwe-hip, umgudu, kunye ne-ROM ephantsi kunye namandla kunye nokunciphisa intlungu ukuze ubuyele ekuhambeni okufanelekileyo. Iinkathalo ezahlukeneyo ziya kwenzeka kwi-PT ukukunceda ukufezekisa ezo njongo.
Uphulo lwonyango olwenziwe ngomzimba lwe-hip FAI lungabandakanya izixhobo ezahlukeneyo:
Ukuzivocavoca makube sisixhobo sakho esiyinhloko kunyango lwe-FAI. I-PT yakho inokwenza isicwangciso esifanelekileyo nesicacileyo somzimba wakho. Izifundo ze-FAI zingaquka:
- Ukwelula kwe-Hip
- Ukuqhaqhazela i-Hamstring kunye ne-quadriceps
- Ukomelezwa kwe-Hip
- Ukulinganisela kunye nokuzilolonga
- Izenzo zokuqinisa isisu
Unokwenza iimvavanyo xa uya kwikliniki yase-PT, kwaye umgqirha wakho unokunika imiyalelo yokuzimela ozimele uyenze ekhaya njengenxalenye yenkqubo yohambo lwekhaya.
Indlela yokwenza izinto eziphathekayo : Umzimba wakho wenyama ungasebenzisa iindlela ezahlukeneyo zokuncedisa intlungu yakho okanye ukuphucula umsebenzi wakho we-muscular. Ezi ziquka:
- Ultrasound
- Ukuvuselelwa kombane
- Ukushisa
- Icebo
- I-Kinesiology yokubetha
Khumbula, ezininzi zezi zonyango azixhaswa ngophando olunzulu lwesayensi; abanokuba negalelo elikhulu ekuhambeni kwakho kunye nokubuyiswa komsebenzi. Ngaphezulu, ezininzi zezo zonyango ziyinyani; akenzi nto ngelixa i-PT isebenza unyango kuwe. Ukubandakanyeka ngokuzibandakanya ngokuzibandakanya kunye nokunyakaza kukusoloko unyango olungcono kwi-hip yakho ye-FAI.
Ukuqeqeshwa kwe-Neuromuscular: Enye isicwangciso sonyango esisebenzayo sokwenza i-FAI i-neuromuscular training. Izandi zinobuchule, kodwa ukuqeqeshwa kwe-neuromuscular kwenza nje ukunyakaza kunye nokusebenzisa ngokufanelekileyo , ngoko umva wakho, amaqabunga, namadolo kulungelelwano oluchanekileyo xa wenza imisebenzi efana nokusebenza, ukuxumla, okanye ukukrazula.
I-PT yakho inokwenza ukuba uyenze iindidi ezahlukahlukeneyo ngesivinini esithile, ngokugxila ngokukodwa kwindawo yokubeka umzimba wakho xa uhamba. Inokukufundisa ukuba ugxume kwaye usebenzise umhlaba ngokufanelekileyo kwaye unokusebenza kwibhalanethi ethile kunye nokuzivocavoca. Injongo igcina izikhwepha zakho kunye nemigangatho ephantsi kwisithuba esona sikwazi ukugcina ukunyakaza xa unciphisa uxinzelelo oluxinzeleleyo kunye noxinzelelo.
Kuza kuthatha ixesha elingakanani?
Wonke umntu uhlukile, kwaye wonke umntu uphendula ngokuhlukileyo kwinkqubo ye-PT ye-hip FAI. Ngokubanzi, kufuneka uqaphele utshintsho olulungileyo kwiintlungu zakho ze-hip, i-ROM, kunye namandla emva kweeyure ezimbini okanye ezintathu zonyango. Isistim sakho sokuhlaziya i-rehab sinokuthatha iiveki ezi-6, kwaye ulungele ukuqhubeka neprogram yokuzimela ngokuzimeleyo xa isiqendu sakho se-PT sinyamekile siphelile.
Ukuba uqhubeka neentlungu ze-hip kunye nokunyuka okufutshane emva kwekhosi ye-FAI, unokufuna ukutyelela ugqirha wakho ukuxoxa ngezinye iindlela zokonyango. Ezinye izigulane ezine-FAI zingadinga ukuqwalasela ukuhlinzwa kwe-hip ukulungisa ingxaki kunye nokulungisa umonakalo kwi-labrum yakho. Ugqirha wakho unokukunceda wenze isigqibo esona sikhetele xa ucinga ngeendlela ezingenayo kwi-hip yakho ye-hip. Ukuba ufuna ukuhlinzwa, unokufumana inzuzo kwipilisi yonyango emva kokuhlinzwa ukuze uncede ufumane ngokugcwele.
ILizwi
Intlungu ye-Hip ku-FAI inokunciphisa ukukwazi ukufumana umsebenzi oqhelekileyo kunye nomsebenzi wokuzonwabisa. Kodwa ucinga ntoni? Akufaneleki ukukuyeka kumathrekhi akho. Ngokungena ngogqirha wakho kwaye ufumane umgulana ongokwenyama onokukunceda ukuba ulungele ukuhamba kunye namandla, unokukwazi ukubuyisela ukunyuswa kwakho kwaye ubuyele kwimpilo yakho eqhelekileyo neyasebenza.
> Imithombo:
> Frank, J. et al. Ukunyameka kwe-Femoroacetabular Impingement Imaging Iziphumo kwiiVolontiya eziPhezulu: UkuHlola okuHlolo. I-Arthroscopy: J. ye-Arthorscopic kunye neNyango yokuPhepha. Juni, 2015; 31 (6): 1199-1204.
> Kahn, M. et al. Ukubanjelwa kwe-Femoroacetabular: Ngaba siye safaka iNdawo yokuThengisa iMhlaba yonke kwiNgcaciso kunye noTyango? Iziphumo ezivela kwi-InterNational Femoroacetabular Impingement Survey Update Survey Survey (KWI-FOCUS). I-Arthroscopy: J. ye-Arthorscopic kunye neNyango yokuPhepha. Meyi 2016; 31 (5): 779-87.