Chii icho IASTM muPhysical Therapy?

Kushandisa Stainless Steel Tools yeMyofascial Release

Kana iwe uine kukuvadzwa kana kurwara, unogona kubatsirwa nechirwere chepanyama kuti ikubatsire kufamba zvakanaka uye kunzwa zviri nani. Muongorori wako wepanyama (PT) achaongorora chirwere chako uye anoshandisa mishonga uye maitiro akasiyana- siyana sechikamu chepurogiramu yako rehabhi. Imwe yakadaro yakadai kurasikirwa uye myofascial kubudiswa kwemasukisi. Kune marudzi akasiyana-siyana ekusiwa kwemaawa anowanzoshandiswa nePP, uye imwe yakadaro inozivikanwa sechiridhi-yakabatsiridzwa kushandiswa kwemashuga kana IASTM.

Chigadziriswa-chekusimbiswa chemafupa ekugadzirisa mhuka, iyo inowanzonziwo seGreyston technique®, inoshandiswa myofascial inoshandiswa uye inoshandiswa kugadziriswa inoshandiswa panguva yekurapwa kwepanyama. Icho chirwere chisina kuwanikwa chinosanganisira kushandisa simbi kana mapurisa epurasitiki kuti uwedzere kushanduka kwemavara ekufambisa mumuviri wako. Izvi zvishandiso zvakashongedzwa zvigadziro zvinobatsira kuputika kwako kweP PT uye kukurudzira misungo yako, fascia (collagen yakafukidza misumbu yako), uye tendons. Izvi zvinofungidzirwa kuderedza marwadzo nekuvandudza kufamba.

Massage uye Myofascial Release

Kuchengetedza nguva nenguva kunoshandiswa nemamwe masayendisiti ekubatsira kubhadhara purogiramu yako yekugara. Makomborero ekutikisa mumuviri wepanyama anogona kusanganisira:

Dzimwe nguva mushure mekukuvadza, unogona kukura musimba kana kuti kumira mumisumbu uye fascia.

Izvi zvinorambidza zvigadziro zvinogona kukanganisa kufamba kwako (ROM) uye zvinogona kukonzera marwadzo. Mushonga wako wepanyama angashandisa zvakasiyana-siyana myofascial release uye nzira dzakagadziriswa dzekugadzirisa maitiro kusunungura mitemo iyi kukubatsira kuti uende zvakanaka uye unzwe zviri nani. Myofascial release neIATM inogona kuva imwe nzira yako PT inobata mitemo iyi.

Zvinofanira kuonekwa kuti kune mimwe mharo mubato reP PT uye rehabhi kana kuti zvigadziriswe zvinyorwa zvishoma zvinokonzera kurwadziwa kana zvinokwanisa kunyatsozivikanwa ne PT yako. (Kana iwe usingakwanisi kutora mishonga yakasimba, iwe unogona sei kurapa?) Kunyange zvakadaro, vamwe PT vanofunga kuti vanogona kuwana zvivara zvemavara uye zvinyoro zvishoma uye kushandisa maitiro uye myofascial mazano ekubatsira kuvandudza kufamba kwako uye kuderedza marwadzo ako. Uye varwere vazhinji vanosimbisa zvinobatsira zvemyofascial release uye kushambadzira sekurapa kwekutambudzika kwavo.

Nhoroondo yeIASTM

Greyton technique® yeIASTM yakasimbiswa muma1991, inotarisirwa nevatambi, kune vatambi. Kubva panguva iyoyo yakakura mukududzirwa uye inoshandiswa nekukanda masayendisiti, chiropractors, uye mafiropiti ekubatsira kurapa varwere vane myofascial zvipingamupinyi zvinogona kukonzera marwadzo uye kugadzirisa kufamba. IASTM inoshandiswawo kune vamwe varwere-kwete vatambi chete-vane mitemo yakasiyana-siyana.

Nyanzvi yezvepanyama ingashandisa marudzi akasiyana-siyana emashandisi ekuita IASTM. Zvizhinji zveizvi zvinoratidzika semapuranga ekurwisana kwemazuva ano-mashizha, scrapers, uye zvakakosha, zvinhu zvinokonzera. Zvimwe zvezvigadzirwa izvi zvakanyatsogadzirirwa nekambani yeGreyston®, uye mamwe makambani akawanda anopa shanduro yavo yesimbi kana epurasitiki yekuchera uye kushandisa midziyo yeIASTM.

Zvinangwa zvekushandisa zvishandiso izvi panguva yeIASTM zvinoramba zvichishandura: kubatsira mavara emhando dzakasununguka uye zvigadziriswe zvemyofascial kuvandudza nzira yaunofamba nayo.

Maitiro IASTM Akasiyana Sei?

Munguva yehutachiwana hutsika hunoita, PT yako inoshandisa maoko ake kuti ipe mushonga. Iko kunowanzotungamirirwa ganda-ku-ganda kusangana. Munguva yehutachiwana hweIASTM, mushonga wako wepanyama anoshandisa simbi kana chigadzirwa chepurasitiki kupa hutachipa hunoita hutsika uye kuunganidza. Ichi chishandiso chiri nani (kana zvakasimba) chakatsvairwa uye chakasungirwa pamusoro peganda rako. Kubviswa kwechiridzwa kunoshandiswa kutsvaga uye kusunungura kusunga mu fascial system, iyo collagen sausage casing-kufanana nekuvhara misungo yako.

IASTM Inoshanda Sei

Apo PT yako inoshandisa shanduko yeIASTM munguva yekurapwa kwako, iye iye pakutanga achange achitsvaga nzvimbo dzezvigadziriswe zvemasimba uye zvemuviri. Iyi nharaunda dzichanzwa dzisinganzwisisiki kana dombo sezvo chigadzirwa chiri kupfuura kwavari. Pane imwe nguva mitemo inowanikwa mufaira, PT yako inogona kumira mukati mavo, uchishandisa shanduro yeIASTM kuti ivanze.

Saka chii chiri kuitika sezvo PT yako iri kushandisa zvishandiso zveIASTM kuti zvikwanise kumira pamiganhu yefascial? Inotarisirwa kuti kuputika maitiro ako kunokonzera microtrauma kune maitiro akabatwa, nokudaro kuvezvezve kutora muviri wako wekupisa kupinduka. Izvi zvinokonzera kukonzera kwezviitiko kuti zviitike kusanganisira reabsorption ye excess scar tissue uye fibrosis inokonzera kugadziriswa. Kukanganiswa kwechivara chinogona kuve zvakanyatsogadziriswa kuti ubatsire kushandiswa kwehupenyu husina matambudziko.

Zviratidzo

Haasi murwere wose anofanira kugamuchira IASTM kurapwa. Muongorori wako wepanyama anogona kugona kana iwe uine zvimwe zvirwere zvinogona kubatsirwe mukurapa kwakadaro. Izvi zvinokanganisa zvinogona kusanganisira:

Kana uine chimwe chezvikanganiso izvi, PT yako inogona kusarudza kushandisa IASTM kuti ibatsire kuvandudza mamiriro ako.

Mamiriro akasiyana-siyana anogona kubatsirwa nekushandiswa kwemaitiro eIASTM angasanganisira:

Kana uine imwe yemamiriro aya, PT yako inogona kusarudza kushandisa IASTM panguva yekurapa kana yakakodzera.

Zvaunotarisira

Panguva yechikamu cheP PT apo IASTM inoshandiswa, PT yako ichafumura chikamu chemuviri kuti chishandiswe. Iye achazobvisa chigadzirwa chesimbi chakagadzirwa pamusoro peganda rako. Iko PT inofanira kutanga zvinyoro, nekuongorora nzvimbo yakakomberedza kukuvara kwako nechokushandisa cheIASTM. Munguva ino, iwe unganzwa uchinzwa kugadzikana kunzwisa tsitsi, uye iwe unganzwa uchinzwa hutsinye hutsvene sezvo chimbo chinopfuura panzvimbo dzakasimba dze fascia. Wako PT angangotarisa pane imwe nzvimbo inoda basa rakawanda, uye iwe unogona kuve nokunyora kushanda nesimba nechigadzirwa pamusoro peganda rako.

Panguva yemusangano, unganzwa uchinetseka sezvo chigadzirwa chacho chiri kupfuudzwa paganda rako. Iva nechokwadi chekuudza PT yako kana iwe usingakwanisi kutsungirira kusagadzikana. Murapi wako anofanira kumira achiita IASTM kana isina kunyanyisa kana kana iwe ukangomuudza kuti amire.

Mushure mokurapa, ganda rako pedyo nenharaunda yaishanda pane zvingave rakatsvuka. Mune zvimwe zviitiko, kuputika kunogona kuitika, kunyanya kana kurapa kwe IASTM kuchiitwa nesimba.

Mushure memusangano weIASTM, mushonga wako angangodaro iwe unobata maitiro kana kushandura kunatsiridza kufamba kwako. Izvozvo zvinogona kubatsira kuchengetedza ruvara rwemavara kana zvido zvekuda kubva mukugadzirisa.

Kubatsirwa uye Njodzi

Kubatsirwa kweIASTM kunosanganisira:

Kunyange zvazvo izvi zvikomborero zvinonzwika zvakanaka, vazhinji havana kunyatsoongorora zvesayenzi. Zvakawanda zvidzidzo pamusoro peIASTM ndezvimwe zviitiko zvemumwe murwere chaiwo kana zvidzidzo zvakaitwa kune vanhu vasiri vanhu uye fascia. Migumisiro yezviongorori zvakadaro haigone kuregererwa kune imwe mamiriro ako, saka kana PT yako inokurudzira IASTM, iva nechokwadi chekubvunza nezvezvakatarirwa zvikomborero.

Ngozi dzeIASTM dzinogona kusanganisira:

Kubudirira

Pose apo PT yako inoshanda chero mushonga kune muviri wako panguva yekugara, unofanirwa kubvunza kushanda kwekurapa. Ko kurapwa kwakapiwa kunotsigirwa nekutsvakurudza kwakaoma kwesayenzi, uye kune dzimwe nzira dzokurapa dzinogona kuva dzakakosha kana dzakachengeteka kuti iwe ugamuchire?

Kana PT yako inofunga kuti mitemo yegungwa inokonzera chikonzero chekutambudzika kwako, kukuvadza, kana kufamba kwekushaya simba, iye angashandisa IASTM kuti isunungure mitemo iyi. Vakawanda vePP vanoshandisa IASTM vanozvitenda kuti ive mushonga unoshanda wekufambisa kwekufambisa, kurwadziwa, uye myofascial miganhu.

Kutsvakurudza

Imwe meta yakakurumidza kuongorora yakaenzanisa kushandiswa kwemaoko-pa myofascial release kushandiswa kwechiridzwa myofascial release, kufanana neIASTM, nokuda kwekunetseka kwenguva refu kunorwadza. Zvigumisiro zvekutsvaga zvakawana kusiyana kwakanyanya mune nzira mbiri dzekudzikisa marwadzo. Nzira dzeIASTM dzakapa humwe huri nani hunovandudzwa mukuremara kana huenzaniswa nemaoko-pamagetsi.

Imwe nzira yekuongorora yakagadzirirwa mumagazini ino Physical Therapy Reviews yakarongedza zvidzidzo zvinomwe uye yakaenzanisa IASTM kune dzimwe nzira dzokurwadziwa kwemasishusekeletal uye kusashanda. Vanyori vakapedzisa kuti IASTM inogona kuva nemigumisiro yakaisvonaka pakubuda kweropa uye kuwedzerwa kwezvisikwa paunoderedza hutachiona hwemavara uye nekuderedza basa remarwadzo ekurwadza mumatumbu.

Chimwe chidzidzo chakaongorora kushandiswa kweIASTM, sham (fake) ultrasound, uye kugadzirwa kwepelinha kune varwere vane marwadzo anonzi thoracic. Vane zana nemakumi mana nevatatu varwere vakashandurwa mumapoka matatu: IASTM, sham ultrasound, kana kushandiswa kweperepa. Migumisiro yezviyero zvinosanganisira chirwere chekurwa uye chirema chekuremara.

Vatsvakurudzi havana kuwana kusiyana kwakakosha mukurwadziwa kana kuremara pamwe nekurapa kwekunzwa kurwadziwa; mapoka ose akavandudzwa nekufamba kwenguva uye hapana zviitiko zvakashata zvisina kuitika zvakaitika. Saka IASTM haisisiri (kana pasi) inoshanda kudarika kushandiswa kwepelinha kana kuti ultrasound fake kune marwadzo anonzi thoracic.

Izvozvo zvinoguma zvekupi zvidzidzo zvinoreva here kuti IASTM ichaita kana kuti isingashandi zvakanaka kwauri? Pamwe, zvichida kwete. Asi ramba uchifunga kuti munhu wese akasiyana, uye mamiriro ako chaiwo angaita nenzira dzakasiyana kune dzimwe nzira dzakasiyana siyana dzokurapa.

Nzira yakanakisisa yekuita: nyatsonzwisisa kuti zvipi zvirongwa zvinoshandiswa nePP yako nekuda kwehutano hwako uye kuva netarisiro inonzwisisika yemigumisiro yemishonga yakadaro. Uye kana uine mibvunzo pamusoro peIASTM-kana chimwe chekurapa-bvunza chiremba wako wepanyama.

Shoko Rinobva

Kana iwe uine marwadzo kana kusagadzikana kufamba kwako, PT yako inogona kufungidzira kusungirirwa kwemisumbu, ruvara rwemavara, kana myofascial kuti zvive chikamu chemhosva. Kana zvakadaro, mushandi wako angasarudza kushandisa IASTM panguva yekurapa kwako kuti udzike mitemo yezvinyorwa uye kuti udzorere kufamba kwakanaka. Izvi zvinogona kukubatsira iwe nokukurumidza kudzokera kumararamiro ako anorarama.

> Sources:

> Crothers, AL, French, SD, Hebert, JJ, & Walker, BF (2016). Chirwere chepachirwere chekunyengedza, Graston technique® uye placebo yehutachiona husinganzwisisiki hwemitsipa yepamusoro: chirwere chinotaridzika chinotungamirirwa. Chiropractic & manualrapies , 24 (1), 16.

> Eid, K., Tafas, E., Mylonas, K., Angelopoulos, P., Tsepis, E., & Fousekis, K. (2017). Kurapa kwetiro uye zviduku zvakaderera nemaitiro eErgon® IASTM zvinogona kuwedzera humwe hutachiona hunochinja mumitambo yevayambiki: A randomed control control. Therapy Therapy in Sport , 28 , e12.

> Kim, J., Sung, DJ, & Lee, J. (2017). Kubudirira kwehutano hwechiridzwa-yakabatsira mhando dzemafudzi ekugadzirisa kukanganisa kuora kwezviviri: nzira uye kushandiswa kunoitwa. Zvinyorwa zvekugadzirisa muviri , 13 (1), 12.

> Lambert, M., Hitchcock, R., Lavallee, K., Hayford, E., Morazzini, R., Wallace, A., ... & Cleland, J. (2017). Migumisiro yezviridzwa-zvigadziriswa zvinyoro zvishoma zvinoshandiswa zvichienzaniswa nezvimwe zvinopindira pamarwadzo nekushanda: kuongorora kwakarongeka. Kurapa Kwepanyama Kuongorora , 22 (1-2), 76-85.

> Williams, M. (2017). Kuenzanisa marwadzo nekuremara kwemigumisiro yechidimbu maererano nemaoko-on myofascial kubudiswa kune vanhu vane chirwere chisingaperi chisingarwadzo shure: meta-analysis (Doctoral dissertation, California State University, Fresno).