Nemamwe mamiriro ezvinhu kumashure, nzvimbo dzakasarudzwa dzinozivikanwa kubatsira kubata zviratidzo. Aya mazita anozivikanwa seanoshandiswa. Kune mhando mitatu yezvinyengeri: kubhururuka, kuwedzera uye kusina uremu hutakura. Zvakatorwa pamwe, izvi zvinoshevedzwa zvinonzi maitiro ekufambisa.
Kana musana wako uchinzwa zviri nani uye / kana zviratidzo zvako zvikaitika kana iwe ukakotama mberi, zvinogona kuti kukuvadzwa kana mamiriro ako aunoona ane mazamu echando.
Semuenzaniso, musipinha stenosis , iyo inenge ichiita kuti kuderedza nzvimbo iri mu intervertebral foramen, kazhinji ine ruvara rwekuyerera. Vanhu vazhinji vane spinal stenosis vanoona kuti kupfugama mberi kwavo (waka spinal kuruko) kunoita kuti inzwe zviri nani. Chikonzero chacho ndechekuti kupfugama mberi kunowedzera nzvimbo mu intervertebral foramen . Izvozvi, inobvumira mutsara unopfuura napamusoro weforamin kuti uite izvozvo usingabatanidzwi kana kushungurudzwa pedyo (uye kazhinji misshapen - nemhaka yeArthritis) bone.
Mamwe mamiriro ezvinhu anowanzove nekunyengera kwemazamu anosanganisira spondylosis uye spondylolisthesis .
Nokuda kwekukuvara uye chimiro chekunyengera, zviratidzo zvinowedzera kuwedzera apo musana wako unowedzera (arched).
Extension Bias
Kusiyana kwekutenderera kwemavara kunowedzera kuwedzera. Sezvo iwe unogona kunge uchifungidzira, kushamwaridzana kunowanzoitika apo kufamba kwekubvisa shure kwako kunoita zviratidzo zvako kunzwa zviri nani. Mienzaniso yemamiriro ezvinhu anowanzova nekunyanyisa kunokonzerwa neyekudzivirira uye kuburitsa disc.
Vanhu vane zvimwe zvezviitiko izvi vanowanzoona kuti kana vakanamatira mberi (mukati mekuyerera kwepfungwa) zviratidzo zvavo zvinowedzera, uye sezvazvakataurwa, pavanenge vadzoka shure kwavo, zvinonzwa zviri nani.
Mazano ekufambisa kubatsira Rubatsiro Rwavo Rwokudzokera Kumucheto
Kuda kufanana (pamwe chete nekuwedzera kusarura uye kusina kurema) kune chikamu chekusina-patho-anatomical system yekugadzirisa maitiro anokonzerwa nemakumbo ekumusoro, kunyanya zvinetso zvebhuku, hutano huri pamwe chete kana kusagadzikana, sacroiliac joint joint dispersion and spinal instability due to a dambudziko mumapurisa (iyo inzvimbo iri kumashure kwe vertebra apo nzira dzinoitika.
Izvi zvinoshandiswa kuva chikamu chezvikamu zvezvikamu.)
Ndinocherechedza kuti "kwete-patho-anatomical" inongova yemuromo saka ngatishandise izwi.
Panzvimbo pane izvo MRI yako kana X-ray zvinoratidzira pamusoro pemukona wako, iyo isina-patho-anatomical system inotora cue yayo (yekuongorora uye kusarudzwa kwehutano) kubva pane zviratidzo zvaunoshuma uye izvo mushonga wako anoona pane zvaunofamba.
Iyi sangano inoshandiswa muMcKenzie uye mamwe maitiro ekurapwa kwepanyama.
Nzira yekugadzirisa zvirwere zvepathoanatomical yekugadzirisa marwadzo ekurwadziwa kwepamusoro inoshandiswa zvakanyanya, uye zvichida zvakanyanya kuhofisi yechiremba, panzvimbo yekurapwa kwepachipatara. Izvi zvinogona kusiya vamwe varapi vepanyama mukubatanidzwa, sezvo nzira yavo yekushanda inosanganisira mamwe maonero nemeso kusangana nemurwere.
Pamusoro peizvi, Nachemson, munyaya yake, "Scientific diagnosis kana tsamba isina kuvimbiswa nevarwere vanorwadziwa shure." Lumbar Segmental Kuziva, "rinotevera zvinotevera:
Iyo patho-anatomical nzira yekuongorora mishonga inorwadza kurwadziwa kunorwadza inogona kubatsira kuna Vanachiremba uye Vanachiremba, asi izvi zvinogadziriswa sei mishonga yekugadzirisa nzira dzekuongorora kunobatsira masayendisiti ekugadzirisa muhutungamiri hwavo hweMLBP? Zvinogona here kuti vanachiremba venyama vashandure chero patho-anatomical mamiriro nemaitiro avo asingasviki maitiro ekurapa? Inogona here kunyoreswa madhishi kunoderedzwa, kana kunogona kuchinja kushanduka muzvinyorwa zygapophyseal uye intervertebral discs zvinotanga kushandura nenzira dzinotevera dzedzidzo?
Kutaura zvazviri, kunyanya kuisa pfungwa pamusana pekushandiswa kwemaitiro ekutsvaga nekugadzirisa chikonzero chinokonzera kurwadziwa kwaita kuti kuwedzerwa mukuongorora kuongororwa, kurara kwemubhedha, mararamiko anonyora, uye chirwere (Waddell 1998).
Kunobva:
Kinser, C., Colby, LA, Kurapa Kurapa: Mavambo uye Nzira. 4th Edition. FA Davis Company. Philadelphia, PA. 2002.
Dunsford, A., Kumar, S., Clarke, S. Kubatanidza uchapupu hunoshandiswa: kushandiswa kweMcKenzie-based treatments for mechanical low back pain. J Multidiscip Healthc. 2011.
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.