Iyo anterior cruciate ligament, kana ACL, ndiyo imwe yemigumo mina mikuru yemabvi. Kukuvadza kuAACL kunowanzovhiringidza mitambo uye kunogona kuve kukuvara kwemwaka. Kutsvakurudza kutsva kuri kutsvaga nzira dzekudzivirira kukuvara kweAACL mukuedza kudzivisa kuparara nguva kubva kumitambo uye kukwikwidzana.
Kugadzikana kwemabvi kunobva pane zvinhu zvakasiyana. Izvo zviviri zvinonyanya kukosha ndezvimwe zvinokonzera uye zvinodzivirira zvemabvi.
- Static stabilizers
Izvozvo zvinodzivirira zvakasimba ndezvimwe zvikamu zvina zvakakosha zvemabvi: iyo anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), iyo miviri yakagadziriswa ligament (MCL), uye inonzi lateral collateral ligament (LCL). - Dynamic Stabilizers
Izvozvo zvinomisa simba zvemabvi ndiyo mitsipa nematoni zvakakomberedza chibatanidzwa. Izvo tsvina nematononi zvinodzorwa nezvinozivikanwa se neuromuscular input, izvo zvisingazivikanwi kushandiswa kwezvivako izvi kuti zvive nechinzvimbo chekubatana.
Kudzidzisa Neuromuscular kunoshandiswa kudzidzisa muviri wako zviri nani maitiro ekugadzikana kwemabvi. Nokudzidzisa nzira iyo mabvi ako anofamba nayo, kunyanya kana uchisvetuka, iwe uchienda uye uchitenderera, iwe unogona kuchengeta nzvimbo yakagadzikana yemabvi akabatanidzwa. Tsvakurudzo dzinoverengeka dzakaratidza kuti zvirongwa zvekudzidzira neuromuscular zvinogona kuderedza mukana wekukuvara kwe ACL.
Zvidzidzo zvakawana kuti zvirongwa zvakakwana zvinosanganisira plyometrics, kusimbisa, kutambanudza uye kuenzanisa kwakadzidziswa ndiyo yakanakisisa pakudzivirira kukuvara kweAACL, kunyanya mumasikana echidiki vechidiki.
Plyometrics dzinosanganisira kudzokorora kudzidzira maitiro anovaka simba uye simba.
American Academy of Pediatrics Inokurudzira Neuromuscular Training Programs
Nevana vakawanda vachiita zvemitambo yakarongeka uye vari kudzidziswa zvakanyanya kwenguva refu, kukuvara kweAACL kwakava kwakajairika.
Izvi zvinonyanya kukura kwevasikana vachitamba bhora, volleyball, basketball, uye gymnastics. Mitambo inosanganisira kumhanya, kupindira uye kuruka kunonyanya kukanganisa kumajaya maduku. IAmerican Academy of Pediatrics (AAP) inokurudzira mapurogiramu ekurovedza neuromuscular kuderedza dambudziko rekukuvara kweAAC, kutsanangura tsvakurudzo kuti inogona kuderedza ngozi iyo inenge 72 muzana yevakadzi vechidiki.
IAAP inotora mapurogiramu ekudzidzira anopa kuvadzidzi uye mapurogiramu emitambo yechikoro. Izvi zvinosanganisira maitiro ekugadzirisa uye ekusimbisa.
Neuromuscular Training Programs
PEP Purogiramu : Imwe yezvirongwa zvinodzidzisa neuromuscular, zvinodzivirira Kuvhara, uye Kuvandudza Purogiramu (inowanzozivikanwa sehurongwa hwePEP) yakagadzirwa kuSanta Monica Orthopedics uye Sports Medicine Research Foundation. Inowanikwa sehurukuro yepachena PDF uye vhidhiyo inowanika mupiro. Inogona kugadziriswa pamunda nemitsetse kana koni. Purogiramu inotora maminitsi gumi nemashanu kusvika pakupera uye inofanira kuitwa katatu pavhiki. Inosanganisira kupisa-svetuka, kutambanudza, kusimbisa, plyometrics uye mitambo-yakananga agility kudzidzira.
KIPP yeCocaches: Iyi ndiyo mirayiridzo yepachena paIndaneti nemashizha uye mavhidhiyo ekudzidzira kwevatambi vechidiki vechikadzi.
Iyo inoshandiswa semaminitsi gumi nemashanu ekutsvaira kwehuni neuromuscular nemaitiro ekusimbisa, plyometrics, kuenzanisa, agility, uye kutambanudza. Yakagadzirirwa zvikoro zvepamusoro zveChicago munharaunda muna 2006 na Ann & Robert H. Lurie Children's Hospital yeChicago Institute for Sports Medicine.
Sources:
Griffin LY, et al. "Noncontact Anterior Cruciate Ligament Kukuvadza: Njodzi Dambudziko uye Kudzivirira Mazano" J. Am. Acad. Ortho. Surgery., May / June 2000; 8: 141 - 150.
Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lázaro-Haro C, Cugat R. "Kudzivirira kusingatauri anterior anerior cruciate kukuvara kwemagariro muvatambi vematambo Chikamu 2: kuongororwa kwezvirongwa zvekudzivirira zvinoshandurwa kuchinja pangozi zvinhu uye kuderedza kukuvara kwemari. " Knee Surg Sports Sports Traumatol Arthrosc. 2009 Aug; 17 (8): 859-79. doi: 10.1007 / s00167-009-0823-z. Epub 2009 Jun 9.
Cynthia R. LaBella, William Hennrikus, Timothy E. Hewett, BANO PAMASORO EZVIMA NOKUTYA, uye CHIKAMU PAO ORTHOPEDICS. "Clinical Report: Anterior Cruciate Ligament Kukuvara: Kuongororwa, Kurapa, uye Kudzivirira," Pediatrics May 2014, VOLUME 133 / ISSUE 5