Kazhinji Yakagamuchirwa Maitiro eROM
Range yekufamba (ROM) chiyero chemafambi uye nhungamiro chibatanidzi chinogona kuenda kune zvakakwana. Chibatanidzwa chiri nzvimbo mumuviri umo mapfupa anobatana. Zvizhinji zvezvo zvakavakwa kuti zvibvumire kufamba munzira dzakagara dzatemwa. Kuwanda kwekufambisa kuburikidza nehuwandu hwemafambiro ezvinyorwa zvinowanzoyerwa muzvidigiri uchishandisa chiridzwa chinonzi goniometer.
Nhengo imwe neimwe ine maitiro akasiyana-siyana ekufambisa kwemarudzi ose ekufambisa inogona kuita. Iko kune masangano mashomanana asingatsigiri kufamba kunoita sehenya.
Kushanda pamwe chete kwakabatana kunosanganisira kuruka , kuwedzera, kutora, uye kutengesa. Kuwedzerwa chimiro chemuviri chinoderedza kukanganisa pakati pemapfupa echiso pajoka. Iko kunoitika kana musungo wematumbo nemapfupa zvichiita kuti chibatanidza chigadzikane. Chimwe chinopesana, ruvara, runonamatira chibatanidzwa kuitira kuti iyo yakavharidzirwa inopera.
Rwendo Rwakajairika (neJoint)
Kunyange zvazvo kune kuchinja pakati pevanhu vakasiyana-siyana, zvinotevera zvinowanzogamuchirwa hutsika kweROM inowanikwa mumutauro wega wega wega wega uchienzaniswa nemadigirii. Masayendisiti ehupanyama uye masikirwo emapiristologist anoenzanisa mararamiro evanhu uye anoenzanisa nemafungiro aya.
Hip
- Kufungidzirwa 0 kusvika 125 degrees
- Kuwedzerwa 115 kusvika 0 degrees
- Hyperextension (kururamisa kunze kwemazuva ose) 0 kusvika 15 degrees
- Kubviswa (kubva kure nepakati nepakati yemuviri) 0 kusvika kune 45 degrees
- Kuwedzerwa (kutamira kumativi epakati emumuviri) 45 kusvika 0 degrees
- Kushandura kwefambisi (kutenderera kure nechepakati pemuviri) 0 kusvika kune 45 degrees
- Kurongeka kwemasvikiro (kutenderera kusvika pakati pemuviri) 0 kusvika kune 45 degrees
Knee
- Kufungidzirwa 0 kusvika 130 degrees
- Kuwedzera 120 kusvika 0 degrees
Ankle
- Plantar kuruka (kufamba pasi) 0 kusvika 50 degrees
- Kufuridzira (kufamba zvichikwira) 0 kusvika ku20 degrees
Foot
- Inversion (yakashandurwa mukati) 0 kusvika kune 35 degrees
- Eversion (akabuda) 0 kusvika ku25 degrees
Metatarsophalangeal Joint of the Foot
- Kufungidzirwa 0 kusvika ku30 degrees
- Kuwedzerwa 0 kusvika 80 degrees
Interphalangeal Joint yeToe
- Kutsemuka 0 kusvika 50 degrees
- Kuwedzerwa 50 kusvika 0 degrees
Edza
- Kufungidzirwa 0 kusvika 180 degrees
- Kuwedzerwa 0 kusvika 50 degrees
- Kubvisa 0 kusvika 90 degrees
- Kuwedzerwa 90 kusvika 0 degrees
- Kushandura kwekamberi 0 kusvika kune 90 degrees
- Kutenderera kwemuviri kusvika kune 90 degrees
Gokora
- Kufungidzirwa 0 kusvika 160 degrees
- Kuwedzerwa 145 kusvika 0 degrees
- Pronation (kutenderera mukati) 0 kusvika 90 degrees
- Kuongorora (kutenderera kunze) 0 kusvika 90 degrees
Wrist
- Kufungidzirwa 0 kusvika 90 degrees
- Extension 0 kusvika 70 degrees
- Kubatwa 0 kusvika ku25 degrees
- Kuwedzerwa 0 kusvika kune 65 degrees
Metacarpophalangeal (MCP)
- Kubatwa 0 kusvika ku25 degrees
- Kuwedzerwa 20 kusvika ku 0 degrees
- Kufungidzirwa 0 kusvika 90 degrees
- Kuchengetedzwa 0 kusvika kune 30 degrees
Interphalangeal Proximal (PIP) Joint yeFinger
- Kufungidzirwa 0 kusvika 120 degrees
- Kuwedzera 120 kusvika 0 degrees
Interphalangeal Distal (DIP) Joint of the Finger
- Kufungidzirwa 0 kusvika 80 degrees
- Kuwedzerwa 80 kusvika 0 degrees
Metacarpophalangeal Joint yeChigadziko
- Kubatwa 0 kusvika 50 degrees
- Kuwedzerwa 40 kusvika ku 0 degrees
- Kufungidzirwa 0 kusvika 70 degrees
- Kuwedzera 60 kusvika ku 0 degrees
Interphalangeal Joint yeChigumbuso
- Kufungidzirwa 0 kusvika 90 degrees
- Kuwedzerwa 90 kusvika 0 degrees
Kukonzera Zviitiko
Pane zvakawanda zvinoshandiswa-zvakagadzikana uye zvakasangana-zvinogona kuchinja ROM yako. Zvimwe zvezvinhu zvausingagoni kudzora uye kuti iwe wakazvarwa nazvo zvinosanganisira:
- Rudzi rwekubatana, sezvimwe zvibatanidzwa hazvirevi kutama zvakawanda
- Inopikisa mukati mukati memubatanidzwa
- Zvivako zveBony zvinogadzirisa kufamba
- Kuwedzera kwemashuga emusumbu, somuenzaniso, mishonga yemisumbu iyo yakasvibiswa nekuda kwekukuvadzwa kwakapfuura haisi yakasimba
- Uturu hunokwanisa kusununguka uye kubvumirana kuti uwane hukuru hwekufamba
Chimwe chinhu chausingagone kuzvidzora ndechepi iwe makore ekare iwe. Chimwe chidzidzo chakaongorora migumisiro yezera uye zvepabonde pazvibatanidzi zvakasiyana-siyana zvekufamba uye vakaona kuti vatori vechikamu vakwegura vairatidza maROM maduku kudarika vamwe vavo vaduku. Mune imwe nguva, musiyano muROM waiva 44.9 muzana wehe eversion uye inversion yetsoka. Zvakare, nyaya dzakwegura dzinoda nguva yakawanda kuti iwane huwandu hwakazara hwokufamba.
Kana iri zvebonde, yakawanikwa iine zvakakosha paROM. Varume vaiva nediki maROM kupfuura vakadzi mune dzimwe nzvimbo, uye kusiyana kukuru, 29.7 muzana, kunoitika muruoko.
Kusiyana uku kwezera uye zvepabonde kwakawanika kuchinja humwe hutano nemafungiro, izvo zvinogona kutsanangurwa nekusiyana kwemaatomy uye nguva iyo majoiri anoshandiswa mumabasa pakati pemapoka.
Rakakanganiswa Range yeMotion
Shanduro isina kukwana yekufambisa ishoko rinoshandiswa apo chibatanidzwa chine kuderedzwa kukwanisa kwayo kutama. Izvi zvinogona kuitika nekuda kwekukuvadzwa kune zvinyoro zvishoma zvakapoteredza sangano. Kuwanazve kufamba kwepachikamu mune imwe sangano ndeimwe yezvikamu zvekutanga zvekugadzirisa kugadzirisa. Maziviro ehupanyama anowanzotaurira maitiro chaiwo eROM ejoka rimwe nerimwe. Inogonawo kukonzerwa nezvirwere zvakadai sewasteoarthritis , rheumatoid arthritis , kana mamwe marudzi eArthritis .
Kuita Kuvandudza
Nhengo imwe neimwe ine ROM yakawanda, asi munhu mumwe nomumwe ane zvakasiyana-siyana zvekukwanisa kuzviita. Masangano anochengetedza maitiro akaenzana ekufambisa kuburikidza nekushandisa nguva dzose uye kutenderera kwezvishongo zvakapoteredza (misumbu, tendon, uye ligaments). Maminitsi gumi chete ekutambisa katatu pavhiki kunogona kubatsira kuvandudza hupenyu hwekufamba.
Chimwe chidzidzo chakawana kuti zvishoma zvigaro muROM zvingagadzirwa kuburikidza nekuisa kupisa panguva yokutambanudza. Mune vanhu vane hutano, avo vaive vachinyunyuta nezvemisungo yakaoma vakaona kuwedzera kwekufamba kwemafambiro nekupisa uye kutambanudza vachienzanisa neavo vakangotaridzika.
Kudzidzira
Maziviro ehupanyama anowanzotaurira maitiro chaiwo eROM ejoka rimwe nerimwe. Izvi zvinoshingairira kuwedzera zvinyoronyoro kutenderera kwekutenderera nekucherechedza kurwadziwa, kuoma, uye kuzvimba kungave kuripo. Kune mitatu mitatu yekuenzanisa-yekufamba-maitiro:
- Kushanda-famba-yekufamba: Iwe unoita maitiro aya pasina rubatsiro.
- Kushanda kwekubatsiri-famba-kwe--kufamba: Murapi anobatsira murwere kuita izvozvi maitiro. Izvi zvinogona kuitwa kana mishonga isisina simba kana kana kufamba kunokonzera kusagadzikana.
- Passive range-of-motion: Murapi kana mudziyo unofambisa kubatana kuburikidza nehuwandu hwekufamba kunze kwekuedza kubva kumurwere.
Shoko Rinobva
Iwe unofanirwa kukwanisa kuendesa majoi ako kuburikidza nemararamiro avo akaenzana kuti uite mabasa mazhinji ehupenyu hwezuva nezuva nebasa rebasa pamwe nekufadzwa nekuita muviri uye mitambo. Iwe unogona kuvandudza kushanduka kwako kwehutano kuburikidza ne-range-of--kufamba maitiro kana iwe uine hutano kana unoda kugadziriswa kubva mukukuvara.
> Sources:
> Behm DG, Blazevich AJ, Kay AD, McHugh M. Nzira Dzakaipa dzeMisidho Yakananga paMitambo yeMweya, Range of Motion, uye Kukuvadza Kuitika kune Vane Utano Hwakagadzikana: Kuongororwa Kwakarongeka. Appl Physiol Nutriti Metab . 2016 Jan; 41 (1): 1-11. doi: 10.1139 / apnm-2015-0235. Epub 2015 Dec 8.
> Hwang J, Jung MC. Zera uye Kusiyana Kwepabonde muRanges of Motion and Motion Patterns. Int J Shandisa Saf Ergon . 2015; 21 (2): 173-86. doi: 10.1080 / 10803548.2015.1029301.
> Nakano J, Yamabayashi C, Scott A, Reid WD. Migumisiro Yekudziya Inoshandiswa Nokutengesa Kuwedzera Rengiro Rokufungidzirwa: Ongororo Yakarongeka. Phys Ther Sport . 2012 Aug; 13 (3): 180-8. doi: 10.1016 / j.ptsp.2011.11.003. Epub 2011 Dec 29.
> Kazhinji Joint Range of Motion Study. Nzvimbo dzeDarease Control. https://www.cdc.gov/ncbddd/jointrom/.
> Physical Therapy (PT). Merck Manual Professional. http://www.merckmanuals.com/professional/special-subjects/rehabilitation/physical-therapy-pt.