Rehab ye-Anterior Tibialis Ubuthakathaka
Ukuba unobungozi okanye ugula obangela umsebenzi ongenakukhubazeka we-muscle phambi kwe-shin yakho, ngoko unokuthi uhlaselwe ngamanqatha enyawo. Ukunyuka kweenyawo kwenzeka xa i-muster tibialis yangaphambili ikunceda ukuphakamisa unyawo lwakho alusebenzi kakuhle. Xa oko kwenzeka, unokubamba iinzwane zakho phantsi xa uhamba.
Xa unyawo lwenyawo luyehla, ukukwazi kwakho ukuhamba nokuhamba ngokukhuselekileyo kunokungaphumeleli.
Nanini na xa uzama ukuguqula umlenze wakho phambili ngethuba lomjikelezo , i-muster yakho ye-tibialis muscle kufuneka inkontileka yokuphakamisa unyawo lwakho. Ukuba oku kungenzeki, kuhla kweenyawo, kwaye oku kunokutshintsha indlela ohamba ngayo.
Ukuwa kweenyawo ngokuqhelekileyo kubangele iphethini ethile ye-gait ebizwa ngokuba yi-steppage gait. Le pateni ye-gait iyabonakala kalula kubantu abanokunyuka kweenyawo. Njengoko uhamba phambili, unyawo lwakho neenzwane ziwela phantsi. Ukucima unyawo lwakho emhlabathini, uguqule i-hip yakho kunye neendolo ngokugqithiseleyo, kwaye oku kubangela ukunyuka kwe-steppage gait.
Ukuba unyawo lwehla, unokufumana inzuzo kwiinkonzo ezinezakhono zomgulana ongokwenyama ukuze uncede ukuphatha imeko yakho. Umgulana wakho womzimba uya kuhlola ukunyuka kweenyawo zakho kwaye asebenzise iindlela ezahlukeneyo zokunceda ukuphucula imeko yakho. Injongo ephambili yonyango lomzimba ukunyuka kweenyawo kukuphucula ukuhamba ngokusebenzayo okuhambelana nokuhamba. Oku kuya kuqinisekisa ukuba unako ukuhamba ngokukhuselekileyo kwaye unokunciphisa umngcipheko wokuwa.
Iimbangela zeLesti yeNyawo
Kukho izizathu ezininzi ezahlukeneyo zokunyuka kweenyawo. Ngamanye amaxesha, iingxaki kwi-system central nervous zingabangela ubuthathaka okanye ukukhubazeka kwesifo sakho sangaphakathi se-tibialis. Ngamanye amaxesha, ukulimala kwiimbilini emlenzeni wakho kungabangela ukuba unyawo luthi. Ezinye izizathu eziqhelekileyo zokunyuka kweenyawo zingabandakanya, kodwa azithethi:
- Stroke
- Sciatica
- Ukulimala kwentsholongwane
- I-myelitis
- Isifo sokugubhuka
Uphulo loPhulo lweMpilo loLwabiwo lweNyawo
Ngexesha leseshoni yokuqala yokwelapha, umzimba wakho uza kukubuza imibuzo malunga nemeko yakho. Uya kubuza imibuzo malunga nohlobo lwakho lokulimala, ukuba unyawo lwakho luye lwachaphazela njani ubomi bakho, kwaye kufike ixesha elingakanani ukuhla kweenyawo zakho.
Uvavanyo kunye nemilinganiselo eyahlukeneyo ingathathwa ngexesha lokuqeshwa kwakho kokuqala. Ezi ziquka:
- Inyawo kunye neenqaqa zeendwendwe (ROM)
- Amandla omzimba ophantsi
- Ukuhamba ngokusebenzayo
- Iziphumo zokusebenza
- Ukulinganisela kunye nokufaneleka
Unyango lweZonyango lweZonyango lweNyawo
Emva kokuba umphathiswa wakho wezilwanyana ahlolisise imeko yakho, uya kukwazi ukufumana unyango olungcono lwenyawo lwakho. Injongo ephambili yonyango lonyango lokunyuka kweenyawo kukuphucula ukuhamba kwakho nokuhamba ngokusebenzayo.
Umgulana wakho womzimba angasebenzisa iindlela ezahlukeneyo zonyango ukunceda ukuphucula umsebenzi we-tibialis muscle yakho yangaphambili. Ukuvuselelwa kombane nge-neuromuscular (NMES) kunokusetyenziswa ekuncediseni indlela yokuthengisa izivumelwano zakho ze-muscle nokuphakamisa unyawo lwakho. Olu hlobo lokuvuselela ugesi luyaqhotyoshelana kunye nesicathulo sakho ukuze usize ufundise kwakhona ukuba usebenze ngokufanelekileyo.
Iimpawu zokusebenzisa i-Ankle zenziwa ngexesha kunye nangemva kwe-NMES unyango.
Ukuzivocavoca kweeNyawo ezisezantsi
Kukho iindlela ezininzi ezahlukahlukeneyo zokunyuka kweenyawo . Ukuzivocavoca ukuphucula amandla e-ankle ngokugxila ngokukodwa kwi-tibialis yakho yangaphambili ibalulekile. Ukuba ukunyuka kweenyawo zakho kubangelwa ukunyanzelana kwentsholongwane yakho ye-sciatic yakho emva kwakho, ukusetyenziswa okuphantsi kwexesha elingasemva kunokumiselwa kwilingo lokunciphisa olo xinzelelo kwaye ubuyisele umsebenzi oqhelekileyo kwi-tibialis yakho yangaphambili.
Ukuba i-muster yakho yangaphakathi ye-tibialis ayisebenzeli ukutshintsha i-ankle yakho, ithambo lakho lenkomo emva komlenze wakho lingaba lukhulu. Ukuzilolonga ukunweba isisu sakho sinokumiselwa ukuba usize ukuyigcina ukuba ingagxininiswa.
Ibhalansi yakho inokuchaphazeleka xa unyawo lwenyawo luthi. Ukuba ngaba kunjalo, ugqirha wakho womzimba unokumisela umgangatho wokusebenza. Ibhodi yeBAPS ingasetyenziselwa ukunceda ukuphucula ibhalansi yakho kunye nolwazi lwakho .
Ukuxhaswa kwangaphandle kunye neBracing for Foot Foot
Ngexesha leeseshoni zonyango, umzimba wakho uza kusebenza nawe ukukunceda ukuphucula amandla akho okuphakamisa unyawo lwakho xa uhamba. Enye indlela yokuphakamisa unyawo lwakho ngelixa uhamba ngokusebenzisa ibhanti e-elastic emlenzeni nasemlenzeni. Ibhendi isalula xa uhamba uze uqhube unyawo lwakho xa uhamba phambili. Ukusebenzisa i-band elastic kuyinto isisombululo sethutyana sokunyuka kweenyawo, kodwa kunokukunceda ukulungelelanisa indlela yakho yokuziphatha ngexesha lokuqala kokuvuselelwa kwakho. Oku kunokukunceda ukuphepha kwimikhwa emibi yokusebenzisa i-pattiage gait pattern.
Ingcali yakho yomzimba ingakuhlola ngexesha lokuvuselela nokuvavanya inkqubela yakho. Ngamanye amaxesha, ukuphuculwa ngonyawo lweenyawo kuphuza, ngokunjalo ukunamathela kuyo. Ngezinye izihlandlo, ukuwa kweenyawo yimeko esigxina, kunye ne-outer brace ebizwa ngokuthi i -orthosis foot-foot (AFO) iyimfuneko ukunceda ukuphakamisa unyawo lwakho xa uhamba. Ukuba ngaba kunjalo, i-PT yakho inokwenza iziphakamiso ze-AFO efanelekileyo kuwe.
ILizwi
Unyawo lokulahla lunokuba yinto eyoyikisayo, kwaye kufuneka ukuba ingqwalasela ibuyele kwimisebenzi eqhelekileyo. Ukuba unyawo lwenyawo luthi, unokufumana inzuzo kwipilisi yokwenyama ukuze uncede ukuqinisa isisu sakho sangaphambili se-tibialis. I-PT yakho inokusebenza kunye nawe ukuphucula ibhalansi, kwaye unokuqinisekisa ukuba uhamba ngokufanelekileyo. Ukuba ukunyuka kweenyawo yimeko enesigxina, i-PT yakho inokwenza iziphakamiso zezona zinto zilungele.
Ngokusebenza kanzima kwipilisi yokunyanga ukunyuka kweenyawo zakho, unako ukwandisa amathuba akho okubuyisela ngokugcwele kwaye ungakwazi ukubuyela ngokukhawuleza kwinqanaba langaphambili lomsebenzi.
> Umthombo:
> Bae, YH, Kim, HG, Min, KS, & Lee, SM (2015). Iimpembelelo ze-kinesiology ezisezantsi ezithintela ukulinganisela kwizigulane eziphazamisayo. Ukhokelo olusisiseko olusisiseko kunye nolunye uhlobo , i- 2015 .