Wati wambocherechedza here kuti mamwe masimba anoita sei kuti musana wako uchinzwe zviri nani, asi vamwe vachiita kuti vawedze kunzwa? Kune zvimwe zvinetso zvakakonzerwa kumashure zvakadai sedhiiyo disk, facet arthritis, chirwere chejojo ​​sacroiliac, uye vamwe, vanozivikanwa neshamwari dzakasiyana-siyana dziripo. Masayendisiti ezvepanyama, pamwe chete nevadzidzisi vemunhu arimo munoziva, shandisa ruzivo urwu kubatsira vashandi vavo uye / kana varwere kugadzirisa zviratidzo pamba, kubasa, uye pavanenge vachishandisa.
Directional Preferences
Aya mazano ekufambisa, sezvaanonzi muhutano hwekugadzirisa nyika, chikamu chekufamba-shanduka nzira yekugadzirisa marwadzo ekudzoka kwepamusoro anobvumira mushandi wako kutarisa kuti iwe unomira sei, ugere, kufamba uye kufamba, nekuteerera kune zvaunazvo kutaura pamusoro pekutambudzika kwako. Murapi wako anoshandisa ruzivo rwakakonzerwa kuti ruuye neurongwa hwekurapa hunoshanda kwauri.
Iyo nzira inonzi "isina-pathoanatomical system" yekugadzirisa. Panewo nzira yepatianatomical iyo inowedzera pamusoro pekutarisa kuMMIs, CT kuongorora uye zvakafanana kuziva kuti zvakanakisisa sei kurapa zviratidzo zvako.
IkoMcKenzie system , iyo yakawanda inoshandiswa ne physiotherapists pasi pose, pamwe ndiyo muenzaniso wakanaka wekusagadzirisa maitiro ehurumende.
Saka izvo zvinoshanda zviri nani - nzira yepathoanatomical, kureva kuverenga zvakananga pane zviri kuitika mune zvivako zvako kana nzira isiri yepathoanatomic, iyo zviri pachena kuti inowedzera murwere?
Iyo nzira yepathoanatomical inodzora nzvimbo yekliniki, asi nhamba dzakawanda dzevashandi mumunda dzinotaura kuti hurongwa hwacho hwakanganisa. Mumakiriniro avo emitambo yekurapa kunorwadza kwakanyanya, somuenzaniso, American Physical Therapy Association inoti nzira isiri yepathoanatomical yekugadzirisa marwadzo kumashure inowedzera zvakaoma nenhamba yezvipo zvenhema zvinowanikwa mukuongororwa kwekufungidzira kwekufungidzira.
Kuti vaenzanise pfungwa yavo, vanyori vemitungamiri vanotaura kuti mu20% - 76% yevanhu vasina sciatica avo vakawana mifananidzo yekuongorora mishonga inonzi herniated discs inogona kuwanikwa. Uye, mu 32% yevarwere vakanga vasina zviratidzo zvachose, kana kuora kwechikwata , kubvongodza kana kuti herniation , kana kuti chikamu chakabatanidza hypertrophy kana musana wepinja musikisi mizi yakawanikwa. Vanyori vanowedzera kuti zvinokwanisika kuti vanhu vawane marwadzo ekudzoka shure apo ma-ray-ray kana CT zvidzidzo zvisingachinji. Vanopedzisa nokutaura kuti kunyange kana chisingaoneki chinowanika mufirimu, kuchisungirirana nemamiriro ekurwara uye / kana kuti kuziva chikonzero chacho, hachisi chinhu - uye hachibatsiri pakubatsira murwere uyo kunzwa zviri nani kana kudzoka kushanda.
Yako Yakadzorerwa Yakanakira Kuwedzerwa Here? (Uye Zvaunofanira Kuita Nezvazvo)
Pamwe pamwe nekuwedzera kushamwaridzana, kune mamwe maviri maviri: Kufungidzirwa kwepfungwa uye kusasimbirira kwekutakura. Kana zviratidzo zvako zvichiderera kana zvichienda zvachose kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge waita shure, mamiriro ako ekudzokera angangodaro ane chido chokuwedzera
Kazhinji, matambudziko ehurukuro uye kupera kwenguva refu kwekukuvara kwegadziriro kunowedzera kukanganisa. Nzira dzaungashandisa iyo ruzivo kana uine rumwe rwemhando mbiri idzi dzinokuvadza dzinosanganisira:
- Kunyengera munzvimbo yakatarisa , iyo maberere (inowedzera) kumashure.
- Deredza kana kubvisa zvinhu izvo musana wako unofanirwa kuchinja, zvakadai sokukomberedza musana wako kana ukasarudza zvinhu (kana vanhu) zvichibva pasi kana chigaro.
- Kumbira chiremba wako kana chiremba wepanyama nezvekuwedzera kusarura uye kuti ungaisa sei musana wako kugadzirisa marwadzo ako kumashure uye zvimwe zviratidzo.
> Sources:
> Delitto, A., PT, PhD., Uye. al. Low Back Pain. Mirayiridzo yeChipatimendi Yokushandisa Inobatanidza neKutsvakurudza Kwenyika Yose kweKushanda, Urema, uye Utano kubva kuOrpededic Section Chikamu cheAmerica Physical Therapy Association. J Orthop Sports Phys Ther. 2012.
> Dunsford, A., Kumar, S., Clarke, S. Kubatanidza uchapupu hunoshandiswa: kushandiswa kweMcKenzie-based treatments for mechanical low back pain. J Multidiscip Healthc. 2011.
> Kinser, C., Colby, LA, Kurapa Kurapa: Mavambo uye Nzira. 4th Edition. FA Davis Company. Philadelphia, PA. 2002.
> Nachemson, A. Scientific diagnosis kana tsamba isina kuvimbiswa yevarwere vanorwadziwa shure. Lumbar Segmental Instability. Szpalski M, Gunzburg R, Papa MH eds. Philadelphia: Lippincott William & Wilkins, 297-301.