Dzidza pamusoro pezvidzidzo zvepalene uye nei vachigona kusvika zvakasimba
Iwe une masero anopfuura zana mumutsipa wako, musoro, uye chiso chako. Vanokubatsira kuita zviuru zvezviito zuva rega rega, zvinhu zvose kubva pakutarisa pamapfudzi ako kana pakafambidzana yekufambisa kana kuchinja nzira dziri munzira yekunzira kunon'a misodzi apo patinoshungurudzika kutora zvokudya zvako zvaunoda.
Izvozvi ndeimwe yemapoka emisungo mumutsipa wako, uye ndiyo iyo inogona kukupa matambudziko nokuti inowanzosangana nematambudziko akawanda.
Iyo yakaumbwa nematutu matatu, pamwe chete yakagadzirwa kune rumwe rutivi rwemuviri wako. Kuti ufungidzire zvavari kutarisa iwe unogona kufunga nezvekukomba kwechikepe chechikepe chechikepe; iyo scalenes inofanana uye yakasimudzwa pamutsipa nepirasi pfupa zvakafanana.
Apo iyo scalenes ine utano uye inoshanda nenzira yakanyatsogadzirisa, inobatsira kutsigira maitiro akarurama emukanda wako wepervical, iyo ndiyo nzvimbo yepamusoro inobatana nemutsipa wako. Asi nekuda kwekuti vanowanzosangana nematambudziko akawanda, mishonga iyi inobatsirawo mune zvinowanzobatwa nehutano hunoita mutsipa.
Tisati tapinda mumamiriro ezvinhu aya uye zvaunogona kuita kuti usunungurire zvipfeko zvako, regai tinyatsotarisa mapoka matatu. Aya ndiwo mamwe emashoko uye mazano anotaurwa pasi apa-kuverenga kuburikidza navo ndezvokuda asi zvinogona kubatsira.
- Kugona Kwepfungwa
- Mharapara Twist uye Rotation
- Muscle Insertion
- Tsvina Kubva
- Cervical Spine
- Lordosis
- Anatomy of the Spine (w / Mifananidzo)
The 3 Scalene Muscles
- Anterior Scalenes: Pamatumbu matatu anoumba scalenes, anterior iri pedyo nechemberi (anterior ishoko rinotarisa rinoratidza mberi kana mberi). Zvakangofanana, kufanana nematumbo ose emakumbo, inoonekwa semutsipa wemutsipa.
Saka chii chinonzi anterior scalene muscle inokuitira? Zvimwe zvinhu, asi kutanga, zvakakosha kuyeuka kuti une mishonga iyi kumativi ose emutsipa wako.
Anterior scalene, kana uchiita kune rumwe rutivi rwomutsipa wako chete, unogona kukotama uye kuchinja mutsipa wako. Iyo inomutsawo nhamba yekutanga, asi iyo inenge iri chinhu chisingaoneki chinopera mukuziva kwako pazvinenge zvichiitika. Apo anterior scalene kune rumwe rutivi rwomutsipa runoshanda pamwe chete neshamwari iyo iri kune rumwe rutivi (iyi inonzi "kuita bilaterally"), iyo inoshandura (inonamatira) mutsipa wako.
Zvinofadza kuti anterior scalene muscle inofungidzirwa kuti inoshandiswa kufema mutsvina nokuti inosimudza nhamba yekutanga panguva inhale.
- Medial Scalenes: Sezvinoratidzwa nezita racho, chirwere chinonzi scaleneus medius) chinogara pakati pebato rekare uye remashure emusana we scalene.
Sezvimwe nemamwe matavi emasumbu eboka iri, chokwadi chekuti iwe une chikamu chemukati kune rumwe rutivi rwomutsipa wako, pamwe chete nechomwe icho chinoshanda chimwe nechimwe nemamwe masimba emakumbo, zvinoreva kuti miviri-pamwe nevamwe- inobereka zvinopfuura chimwe chiito.
Kana rutivi rumwe chete (rumwe rutivi rworudyi kana rworuboshwe) rwuri kubvumirana, basa remukati wekwenyasi nderekusimudza (inonziwo kukwidziridzwa) nhamba yekutanga, kushandura (bend), nekukotamisa musana. Apo iyo yepakati yemapapiro kumativi ose maviri ari kubvumirana, inoshandura mutsipa. Aya maitiro akafanana zvikuru neaya anterior scalene, zvichida nokuti nzvimbo dzekubatanidza (dzinotangira uye kuiswa) yematavi ose maviri ari pedyo zvikuru.
Izvo zvinokonzera mushure mutsvuku zvinonzi inoshandiswa kufema kufema musumbu nokuti inokwidza rambo rwekutanga panguva inhale. - Posterior Scalenes: Iyo inonzi posterior scalene inobata kumashure kwepamusoro-soro kwezvose zvinokanganisa mapazi (mushure mekureva kunodzoka shure). Izvo hazviiti chikamu kune chetatu chinonzi scalene - chete matare anterior uye masheji anoita izvozvo.
Apo imwe chete yepamusoro pepalene iri kutengesa, inoshandura uye inotenderera mitsipa yemutsipa, sezvinoita mamwe maviri mavara. Kana zvose zvakanaka uye zvakasara posterior scalenes zviri kushanda, chigumisiro chacho ndechekuvhara mutsipa uyewo kukwidziridzwa kwembambo yechipiri, chiito chingave chakaoma kuona kana zviri kuitika. Izvozvo zvinokonzerwa nehutachiona hunonzi hutachiona hunofungidzirwa kufema kufema musumbu nokuti inokwidza nhamba yechipiri panguva inhale.
- The Scalene Triangle: Anterior scalene uye inonzi scalene, pamwe chete nechikamu chembambo yekutanga, inogadzira nzvimbo inonzi anatomical inonzi scalene triangle. Imwe zita rekugadzirwa uku ndeye scalene fissure, kana scalene haitus.
Iyo triangle inonzi scalene inokosha nokuti mabhonji e-brachial plexus nerve anofamba nayo. Dambudziko reScalene rinogona kukonzera matavi aya, uye iyo inogona kuva chiratidzo che thoracic outlet syndrome (TOS). Vanyori vekudzidza kwaFebruary 1990 yakabudiswa muAmerican Journal of Surgery vanotaura kuti furotic scalene muscle ndiyo chikonzero chakakosha chezviratidzo zvekutambudza thoracic outlet syndrome.
Chii Chinoita Kuti Zvisungo zveScalene Zvigone?
Izvo zvinokonzerwa nematambudziko akawanda emutsipa. Pasi pane zvishoma pane zvakajairika.
- Torticollis : Torticollis, inozivikanwawo sehuro wry, ndiyo mamiriro ayo misungo yako yemutsipa inoramba ichibvumiranwa muzviitiko zvisingaperi. Vanhu vane torticollis vanowanzogara nemutsipa wavo mumitsipa yakashata yakaoma zvikuru kusunungura. Musoro unobatanidzawo kune rumwe rutivi. Zviri nyore kunzwisisa kuti mazamu emakumbo angakanganisa sei torticollis-ose matatu anotamba basa guru mumutsipa wekutenderera uye kuputika.
Dzimwe nguva torticollis inokonzerwa nemararamiro uye dzimwe nguva inowanikwa mushure mokutambudzika. Izvozvo zvakati, zvipo zvakakanganiswa mumutsipa zvakabatana nehutano torticollis zvinowanzotungamirirwa nehutachiona hwehutano (genetic variety). Torticollis inogonawo kukonzerwa nemishonga. - Pamberi Mutungamiri Musoro uye Dowager's Hump : Maererano naTil Luchau, munyaya yake yakanzi, "Kushanda neScalenes," yakabudiswa paIndaneti ne Associated Bodywork & Massage Professionals, mumamiriro ezvinhu aya anterior scalenes kazhinji "akaoma, akasimba, uye akareba, kusvitsa veritabra yakadzika yepamusoro yepervical inzvimbo yakasimba. "Vanhu vanoita muviri kana kuti kuisa muviri vanoziva zvose zvakanyatsoshandiswa sei zvakasimba se scalenes, zvikurukuru anterior scalene, inogona kuwana.
Luchau anoenderera mberi achitaura kuti kunyange zvazvo kazhinji scalenes inobatsira kubvaridza mutsi mberi, apo iwe une mberi kwekumusoro kana Dowager's Hump iwe uchada kuunza musoro wako kuitira kuti uone zviri mberi kwako. Iko kushanduka kunouya nekuda kwekuti munzvimbo yepamusoro yepamusoro, nzvimbo yepalenesi haisi mukana wekudzivisa kukanganiswa mushure mehuro, iyo, ikozvino, inowedzera dambudziko rekutsvaga.
Kunyange zvazvo kazhinji inofungidzirwa kuti inonzi fluervous flexors, kamwechete mutsipa unowedzerwa mune izvi ndizvo zvinenge zvichitanga kuva cervical extensors. - Whiplash : Nepo pane ruzivo rudiki pamusoro pehutachiona hwetachiona hunowanika kuburikidza nekutsvakurudza kwezvekurapa kwezvechiremba, zvakare, vanoita muviri uye kuunganidza masayendisiti enyika vane chinyararo chepakati kune chinetso ichi. Muchikamu chataurwa pamusoro apa, Luchau anotaura zvakare pamusoro pecheplash, achitaura kuti scalenes inowanzobatwa nekukuvara uku, kunyanya kana dambudziko iri riri pamativi emutsipa. Luchau anonyevera kuti micheka yakadzika inoshanda pa scalenes inogona kuwedzera zviratidzo kana ikaitwa nokukurumidza mushure mokunge chiitiko chinokurudzira.
- Zvirwere zvepumusoro: Zvinonzi scalene misuli inofungidzirwa nevakawanda kuti ive yekufemera kunetseka kwemisungo. Vanobvumirana kana iwe uchifema, izvo zvinobatsira kuita nzvimbo mu thorax yemapapu kukura nekusimudza nenyuchi. Paunenge uine nyaya dzekuporesa (semuenzaniso, chirwere chepimma) yako scalenes inogona kunge yakapfupika.
Mazano Anofadza Masimba eScalene
Zvichienderana nezvikonzero zvinokonzera kupisa kwepfungwa yako, chinhu chimwe chaunogona kuita kuti uchengetedze kushanduka kunoona murapi wehutachiona ane ruzivo rwechipatara (zvichida mudzidzisi ane ruzivo mune zvemitambo achaita, zvakare.)
Zvechokwadi, kutambanudza zvinyorwa zvako zvinobatsira zvakare. Kuti uite izvi tenderera musoro wako kune rumwe rutivi. Izvi zvingangodaro zvinosvika pakati pepalene kune rumwe rutivi. Sezvaunoita pakati nepakati pezvishoma, kutarisa kumusoro pamusoro pefudzi rinotarisana nehutungamiri hwauri kuvhara musoro wako zvichida kusvika kumberi kwechemberi (inonzi anterior scalene), uchicherechedza pasi nemusoro wako wakatendeukira kune rumwe rutivi kuti misoro yako inokanganiswa inogona kukubatsira iwe kusvika kumashure (posterior) scalene.
Miitiro yeMovement yakadai seFeldenkrais, Alexander Technique , uye (maitiro mazhinji) somatics ingabatsirawo. Aya maitiro, uye mamwe akafanana, kazhinji anotarisana nekushungurudzika kwemusana uye kushaya simba kuburikidza nehutano hwemuviri, kukwanisa kutama, uye kunyanya kukosha, nzira iyo uropi nemutsara wemutsva "inotaura" kumisungo.
Sources :
Goshima, K., MD Nhoroondo ye thoracic outlet syndromes. UpToDate website. Kuvandudzwa Kwekupedzisira: April 2016. Yakasvika muna May 2016. http://www.uptodate.com/contents/overview-of-thoracic-outlet-syndromes
Luchau, T. Kushanda ne Scalenes. Kuchengetedza uye Muviri wevarwere vasina kuona. ABMP website. Jan / Feb 2011. Yakasvika muna May 2016. https://www.abmp.com/textonlymags/article.php?article=672
Peji, P., PhD., PT Cervicogenic Musoro wemusoro: Nzira Yakaratidzwa Yakajeka yeChipical Management. International Journal of Sports Physical Therapy. Svondo 2011. Kuwana: May 2016. http://www.muscleimbalancesyndromes.com/wp-content/uploads/2011/09/Page2011-ijspt-cgh.pdf
Sanders R., Jackson C., Banchero N., Pearce W. Scalene musungo usingaoneki mukushungurudzika kwechirwere chechirwere chetachiona. Am J Surg. 1990 Feb.
Wheeless, C., MD Scalenus Medius. Wheeless Textbook of Orthopedics yakabudiswa neDuke Orthopedics website. Dec. 2011. Kuwana: May 2016. http://www.wheelessonline.com/ortho/scalenus_medius
Wheeless, C., MD Scalenus Posterior. Wheeless Textbook of Orthopedics yakabudiswa neDuke Orthopedics website. Aug. 2011.