Physical therapy Management and Treatment for ITBS
Kana uine Iliotibial band friction syndrome (ITBS), unogona kubatsirwa nemishonga unyanzvi hwechiremba wepanyama kuti ubatsire kubvisa marwadzo ako nekuvandudza kufamba kwako.
Iliotibial band friction syndrome ndeyemamiriro ezvinhu anowanikwa apo kusina kuchena kana kukakavara kunowanikwa kune rimwe rutivi rwemabvi apo nzvimbo yeiotibial (IT band) miyambuko. Kuvhiringidza kusinganzwisisiki kunokonzera kuti IT band isvike uye inogona kukonzera marwa kurwadziwa .
Dzimwe nguva kurwadziwa kunogona kunzwika kumusoro nekunze kunze kwechidya chakakanganiswa uye kunogona kutonzwa sekurwadziwa kwechiputi .
Chii Chinonzi Iriotibial Band?
Bhuku iriotibial ibhande rakakura rematumbu rinomhanya kune rimwe divi rekunze kwehudyu pakati pechiuno nemabvi. Sezvo ichipfuura nemabvi inopfuura napamusoro pechipondyle ye lateral (femha bone). Iyo inosungira kumberi kwefupa, kana tibia. Pane bursa pasi peTI band iyo inobatsira boka richifamba zvakanaka kana iwe ukakotama uye wakanamatira bvi.
Ndezvipi zviratidzo zveTBB?
Zviratidzo zvinowanzoonekwa zveTIBS zvinopisa marwadzo kunze kwerutivi rwemabvi kana marwadzo pamucheto wekunze kwehudyu kana chiuno. Kurwadziwa kunopisa kunowanzoitika panguva yekudzidzira inoda kudzokororazve uye kururamisa sebhasiki kana kushanda.
Chii chinokonzera ITBS?
Kune zvikonzero zvakawanda zveTBB. Dzimwe nguva, misumbu yakaoma yakakomberedza chiuno uye mabvi inogona kukonzera kupesana kusina kukanganisa pakati peTI band uye mapfupa ehudyu kana mabvi.
IQ band ingangodaro ichitsvaga simba sezvo ichipfuura pamusoro pebony mukurumbira pedyo nemabvi. Kushaya simba mumisumbu kumativi ose muchiuno nehudyu kunogonawo kuwedzera kuItBS. Nzvimbo yepamusoro yepamusoro, yakadai sokupererwa kwemhepo panguva iyo inomhanya, inogonawo kuva inobva kuItBS. Sezvo zvikonzero zve ITBS zvakawanda, kuongororwa kwakaitwa nachiremba wako uye mushandi wepanyama kunogona kutungamirira kutarisira kwakakodzera kwedambudziko.
Therapy Therapy Kuongorora kweItBS
Kana uri kurwadziwa mukati memucheto wehudyu kana kuti ibvi, unogona kuva neIIBB. Dzimwe nguva zviratidzo zveTITB zvinogara kwenguva pfupi uye zvinogona kuenda nekuzorora. Kana urombo hwako huchiramba huripo kana kuti hunovhiringidza basa rakanaka, unofanira kuona chiremba wako achikubatsira iwe kutanga chirongwa chakakodzera. Chirwere chekuongorora chiitiko chinogona kudiwa kuti ubatsire kuziva zvikonzero zve dambudziko uye kutungamirira kuhutano hwakanaka.
Nyaya yehutachiona yekuongorora kweItBS inowanzotanga nenhau yakajeka. Iva wakagadzirira kuudza chiremba wako wepanyama apo zviratidzo zvako zvatanga uye kuti zviitiko zvakananga zvinokanganisa sei zviratidzo zvako. Nhoroondo inobatsira chiremba wako wepanyama kusarudza kupi kuti atarise kuongorora. Miedzo uye miyero inogona kusanganisira:
- Tsvina inogadziriswa: Misungo yehudyu nemakumbo inowanzoongororwa kuti ione kana kuoma kunogona kukonzera kupesana kusina kukanganisa pakati peTI band uye mapfupa emabvi.
- Simba reMasumbu : Kana iwe une ITBS, utsi hwakashata hungave huri muhudyu, mahudyu kana makumbo. Utera uhwu hunogona kutungamirira kune chinzvimbo chisina kujairika chemabvi panguva yezviito zvakadai sekumhanya uye mabhasikoro, zvichiita kubvisa kweTI band kumapfupa emabvi.
- Range of motion : Range of motion measurements inogona kutorwa pamabvi, chiuno kana chikwama kuti uone kana kuderera kwemajeri iwayo kuchikonzera dambudziko rako.
- Kuongororwa kwakakosha: The Noble Compression Test ndiyo inokosha yeTBBS. Pakati pomuedzo uyu, iyo band iyo pamusoro penzvimbo yebvi inomanikidzirwa apo mabvi anogadziriswa uye akawedzerwa. Muedzo wakanaka unobereka kupisa kwakanyanya pamusoro peTI band apo mabvi anenge ava kunyatsogadziriswa. Muedzo weA Ober ndiwo muedzo wakakosha kuti uone kushanduka kwemamiriro ako IT band. Muongorori wako wepanyama anogona kuita zvimwe zviedzo kuti ave nechokwadi chokuti mabvi ako ligaments kana kuti meniscus haisi kukonzera dambudziko rako.
- Kugoverwa kwekutsvaga: Kuongorora kwe gait kunogona kuitwa kuti uongorore kufamba nekusimudza kwechiuno chako, mabvi, uye tsoka apo iwe uchifamba kana kuti unoshanda. Nzvimbo yerutsoka rwako inogona kuongororwa kuti uone kana pane kudarika, dambudziko rinowirirana nekugadzirisa tsoka, zvingave zvichikonzera zviratidzo zvako.
Kana imwe PT yako yakagadzirisa kuongorora, iye achashanda newe kuti akure chirongwa chekurapa zvakananga nokuda kwehutano hwako.
Mishonga yeTBB
Acute Phase: Mazuva matatu kusvika ku5 okutanga okurwadziwa mumabvi kana muhudyu anoonekwa sechikamu chakaoma chekukuvadzwa kuTI band. Munguva ino, kudzivisa basa rakakonzera kurwadziwa kunorudzirwa. Ice kune kunzvimbo yakakanganiswa kunogona kubatsira kudzora kutuka. Ice inofanira kushandiswa kwemaminetsi gumi nemaminitsi makumi maviri nemakumi maviri pazuva panguva yechikamu chakaoma.
Subacute Phase: Mushure memazuva mashanu kusvika kune manomwe ekuzorora kweruzhinji uye kubvongodza mhuka dzakakuvara, kufamba kwakanyoro kunogona kutangwa kubatsira kubatsira kuchengetedza kwakakodzera kweTI band. Munguva ino kutambanudza kweBIT band uye mitsipa inotsigira inogona kutanga. Zviratidzo zvakajeka zvemabvi uye zvakasimba zvekusimudzira zvingave zvakatangwa kana zvichiratidzwa nechiremba wako kana mupfupa wepanyama.
Kudzokera kune rimwe basa: Mushure memavhiki mashomanana ekusimbisa zvinyoro uye kutambanudza, maitiro akawanda ane utsinye anogona kuitwa kuti ave nechokwadi chokuti iyo IT band inokwanisa kushivirira masimba ayo angasangana nawo panguva yemutambo wako. Yakanyatsogadziriswa kumuchengetedza maitiro anoshandiswa inogona kutangwa kuve nechokwadi chekuti huputi uye mimba dzemuviri dziri kupa rubatsiro rwakakodzera. Kana kudonhedzwa kwetsoka chiri dambudziko, orthotics kana kuiswa zvinogona kuedzwa muhomwe kuti igadzirise chinetso chacho.
Iliotibial band friction syndrome inowanzosvika anenge masvondo matanhatu kusvika masere, zvichienderana nekuoma kwekukuvara. Kana zviratidzo zvako zvichiramba zvichiitika, kutevedza kushanyira nechiremba wako kunogona kuve kudikanwa kuona kana zvimwe zvisarudzo zvisina kukodzera zvekurapa, zvakadai semakortisone injections , zvakakodzera.
Pain panze yemabvi ako kana chiuno chinogona kukanganisa kukwanisa kwako kufamba, kumhanya, kutenderera, kana kubatanidzwa zvakakwana mukuvaraidza kwakanaka. Nokutanga kurapwa pakutanga uye nekutevera mazano emutapi wako wepanyama uye chiremba, unogona kukwanisa kubvisa marwadzo kubva kuTIBB uye kudzokera kumabasa evamwe nekukurumidza nekuchengeteka.
> Sources:
Hertling, D. (2006). Kutungamira kwehutano husina kunaka hwehutachiona. (4th ed.). Philadelphia: Lippincott Williams & Wilkins Safran, M., Stone, D., & Zachazewski, J. (2003). Mirayiridzo yemitambo yemishonga varwere. Philadelphia: Saunders.