Iwe wakakuvadza bhiza rako kutamba mitambo, uye wakashanyira mushandi wako wezvechirwere wemasopa uyo akarayira MRI yemabvi ako. Zvibereko zvinodzoka zvakare: anterior cruciate ligament (ACL) kusvimha misodzi , uye chiremba wako anokurudzira chirwere kuti chigadzirise. Chii chaunofanira kuita kugadzirira kuvhiyiwa? Kune imwe, iwe unofanira kuenda uone chiremba wako wepanyama wep-pre-op ACL therapy.
Kutsvakurudza kunoratidza kuti pre-operative physically therapy-PT usati wave nekugadzirisa ACL-inogona kubatsira kuvandudza zvakakwana zvinoshanda pashure pekuvhiyiwa kwako kweAACL.
Therapy Therapy for ACL Sprains
ACL yako inobatsira kutsigira bhete yako nekudzivirira mberi kusvetuka kwebasa rako pasi pechidya chako. Nhengo ye ACL inogona kuitika kana iwe ukanganisa mavi ako kamwe kamwe, kazhinji apo rutsoka rwako rwakasimwa pasi. Izvi zvinogona kuitika kana kucheka uye kumhanya zvakananga kana kuti kupumha nekudzika.
Zviratidzo nezviratidzo zveAACL zvinogona kusanganisira:
- Knee pain
- Kuzvikudza mumabvi ako
- Kuoma kunokotama kana kunyatsogadzirisa mabvi ako
- Kunzwa kwemabvi kusagadzikana
Kana iwe uchifungidzira kuti une dambudziko re ACL, iwe unofanira kuenda kundoona chiremba wako kuti awane chirongwa chakarurama uye kuronga nzira yakakodzera yekurapa yemamiriro ako chaiwo. Chiremba wako anogona kuita zvirongwa zvakakosha kuti aone kana ACL yako yakabvaruka , uye MRI ingashandiswa kusimbisa inenge yafungidzirwa kuongororwa. Kurapa kwekudzivirira kwe ACL kunogona kunge yakagadzirisa, inosanganisira kurapwa kwepanyama uye kurovedza muviri, kana kuti inogona kuva yakawanda, inosanganisira kugadziriswa kwekugadzira kwepakutanga kwako cruciate ligament.
Haasi munhu wose ane dambudziko re ACL inoda kuvhiyiwa. Vanhu vazhinji vanogona kushanda zvakazara neAACL yakabvaruka; iyo ligament inoporesa uye iwe bhote romufambiro (ROM) uye simba regumbo rinodzoka zvizere. Dambudziko nderokuti kukwirira kwemaitiro nemitambo zvinogona kuoma, kunyanya kana mutambo unoda iwe kuti usvetuke uye uite pasi kana kuti uite mukucheka uye kuchinja mazano nokukurumidza paunenge uchishanda.
Muzviitiko izvi, mabote ako ACL-akakwana angasakwanise kubata masimba anoiswa paari paanoita mabasa aya. Vanhu vanoda kudzokera kumitambo yepamusoro-soro vanogona kusarudza kuva nekugadzirwa kunogadzirwa kweAACL yavo. Chiremba wako anogona kukubatsira kuti usarudze pane zvakanakisisa kurapwa kwako.
Zvikamu zvePre-Op ACL PT Program
Kana iwe une dambudziko re ACL uye uri kutarisana nekuvhiyiwa, unofanira kubvunza chiremba wako kana iwe ukakwanisa kupinda muhutano hwepanyama husati hwavapo. Vako PT vanogona kuongorora mamiriro ako uye kurongedza maitiro akanaka ekukubatsira iwe kuvandudza ROM yako, simba, uye hupenyu hwose pamberi pokuvhiya.
Zvikamu zvepurogiramu yehutachiona prehab chirongwa pamberi peAACL chirwere chinogona kusanganisira:
- Kudzidzira kugadzirisa mabvi ROM
- Kudzidzira kunatsiridza quadriceps uye kupisa simba
- Kuenzanisa uye kudzidzira maitiro
- Neuromuscular magetsi stimulation (NMES) kuvandudza quadriceps basa
- Mishonga yekudzivirira kubatana kwemabvi kuzvimba
- Neuromuscular training , iyo inosanganisira kudzidza kudzika uye kugadzikana zvakanaka uye kugadzirisa mabvi ako paunenge uchiita mitambo yepamusoro uye mabasa.
Chinangwa chikuru chekutanga-operative ACL PT ndeyekudzorera romu marefu ROM, simba, uye kugadzikana kuitira kuti iwe wakagadzirira kupinda ACL chirurgical repair uye uve nemigumisiro yakanakisisa.
Asi mushonga wep-pre-op hunokosha here?
Kutsvakurudza Kunoratidzei?
Paunofunga nezvekurapwa kwepanyama musati wambovhiyiwa ACL, iwe unofanirwa kuva nenzwisiso yekutanga yekutsvakurudza kwakabudiswa. Inogona kubatsira kutungamirira matanho ekugadzirisa chisarudzo paunosarudza kuendesa mberi kweputi PT kana kwete.
Chimwe chidzidzo chakabudiswa muAmerican Journal of Sports Medicine chakaongorora nguva yakareba zvinokonzerwa nemigumisiro yebasa kubva kuvarwere vakave vakagadzirira pre-op ACL rehab neavo vasina kupinda P PT vasati vambovhiya ACL yekuvhiya. Vatsvakurudzi vakaona kuti varwere vakabatanidzwa mukurapa kwepanyama vasati vasvika pakuberekwa kwavo kweAACL vaive nekudzoka kukuru kune zvemitambo uye kuwedzerwa maitiro pane mamwe maitiro ekubuda kwegondo.
Izvo zvikomborero zvakagara kwemakore anopfuura 2 mushure mekuvhiyiwa. Vagari vakabatanidzwa mu-pre-op ACL rehab, kana prehab, vaiva nemigumisiro yebasa iri nani nemabvi avo. Zvimwe chete, makore maviri mushure mekuvhiyiwa, varwere vakaita PT pamberi pekuvhiya ACL vakanga vari nani kupfuura avo vasina kubatanidzwa mukurapa kwepanyama.
Chimwe chidzidzo chakawana kuti varwere vakapinda muhutano hwepakutanga husati hwave hwakanaka kune imwe yegumbo yekuongorora mitsva mivhiki 12 mushure mekuvhiya kwavo ACL yekugadzira. Chimwe chegumbo chikwata chekuongorora chiyeuchidzo chekucherechedza chimiro chemuteereti kudzokera kumutambo mushure mekuvhiyiwa kweAACL. Varwere vakapinda muchidzidzo chacho vakavewo nezvakawanda zviri nani pamagetsi ekugadzirisa matanho kana vachienzaniswa nevarwere vasina kubatanidzwa mukutanga kweP PT.
Zvidzidzo izvi zvinogona kukuita kuti uite kuti zvikomborero zvakakura zvinogona kuve kana munhu achizobatwa muchirwere chepanyama vasati vasangana nekuvhiyiwa kweAACL yakabvaruka.
Kuzviisa Zvose Pamwe
Sei iwe uchifunga nezvema-pre-op therapy mumuviri usati watanga chirwere cheAACL? Hausi ibvi rako rinotambura nekurwadziwa, kurwadziwa, nekurasikirwa kwekufamba sechikonzero chekuvhiyiwa here? Ko vose vanofanotanga kufambira mberi vanowana kurasikirwa mushure mekuvhiyiwa here?
Zvimwe zvakadaro. Asi kutsvakurudza kunoratidza kuti kushanda pamabvi ako ROM, simba, uye neuromuscular control mushure mekuvhiyiwa kunobereka migumisiro yakareba kwenguva refu. Kutora nguva yekuwedzera mabvi ako kufamba pamberi pokuvhiya kwako kunogona kutungamirira kumagumisiro akavandudzwa mushure mekuvhiyiwa kwako. Yeuka kuti munhu wese akasiyana, uye kukuvara kwevanhu vose uye zvido zvinopesana. Kunzwisisa zvingave zvakabatsiro zvepamberi yeP-PT musati mavhiya ako ACL anogona kukubatsira kuita sarudzo yakanakisisa yemamiriro ako chaiwo.
Kana iwe wakabvarura ACL yako mumabvi ako, unofanira kutaura nachiremba wako kuti auye nehurongwa hwekuchengeta iwe wakakodzera iwe. Vamwe vanhu havadi kuvhiyiwa kweAACL yavo yakabvaruka. Vamwe vanhu vangada kuvhiyiwa-kuteverwa ne-post-operative ACL rehab-kuwedzera basa ravo rekufamba mushure mekukuvara kwavo.
Kuita chirongwa chepachirongwa chetachiona chinotarisa pakuvandudza mabvi kufamba uye kumira kwemaviri kunogona kuva nezvikomborero zvinopedzisira zvichisvika pakushamba kwepanguva. Iko pfungwa yakanaka kutaura nechiremba wako kana chiremba wechiremba uye kubvunza kana chirwere chekare chisati chashandiswa cheAACL kusvimha ndiyo nzira yakarurama yekuita pane yako chaiyo mamiriro.
> Sources:
> Failla, MJ, etal. Inowedzera Kubudirira Kwekugadziriswa Kwekugadziriswa KweMigumisiro Mitsva 2 Makore Ekubva ACL Kuvakazve? Kubudirira Kuenzanisa Kudzidza Pakati peMONON naDelaware-Oslo ACL Cohorts. Am J Sports Med. 2016 Oct; 44 (10): 2608-2614.
> Shaarani, SR, etal. Migumisiro yekugadzirisa matambudziko pamusoro pemigumisiro yeanterior cruciate ligament reconstruction. AM J Sports Med. 2013 Sep; 41 (9): 2117-27.