Nzira Huru Nzira Dzokushandisa Dzinotsanangurwa
Chikoroti muvana nevana vakuru chinogona kuva chinorwadza, chisingaoneki, uye zvichida chinonyanya kukosha, chinogona kuderedza kushanda zvakanaka kwemapapu ako nemoyo. Izvozvi, vanhu vazhinji vanoda kuita zvavanoda kuti varege kuvhiyiwa - asi chii ichocho, chaizvoizvo?
Kunyange zvazvo pasina mhinduro yakananga, kushandiswa kwe scoliosis kunyatsoshanda kunosimudzira.
Mushure mokukurukurirana pamusoro pehupfumi hweputiliosis uye mapapu, ino ino inotsanangura zvikoro 7 zvikuru zve scoliosis-chaiyo yekuita muviri.
Matambudziko e Scoliosis uye Makomba
Chimwe chidzidzo chakaitika gore ra2015 chakabudiswa muNew England Journal of Medicine chakawana kuti chikamu chimwe chete pazvikamu zvitatu zvevana 176 vane scoliosis vakaongorora zvakare vakange vasina kuvhiringidza zvirwere zvemapapu (zvisina kujairika airway function). Vanyori vanotaura kuti rudzi urwu rwemapapu harwukwanisi kuonekwa nekufungidzira mafungiro (kunyanya, x-ray, CT scan kana MRI).
Kunyange mushure mokunge vana vaine borodilator, chirwere chinoputika chemapapu chakaramba (muna 73% chavo.)
Kunyanya, chidzidzo chakawana humwe hukama, nguva ino pakati pe scoliosis uye yakadzika mapapu.
Low mapapu, iyo inozivikanwa seyakagadzirisa mapapu chirwere, chinetso chakasiyana nekuvhara chirwere chemapapu. Sezvinoratidzwa nezita racho, rinoratidzwa nekuderedza simba remapapu (izvo zvinoreva kuderera kwemhepo inogona kupinda uye kubuda mumapapu panguva yekufema).
Iro inowanzokonzera zvirwere kana kuchinjwa kwemapapu emapapu.
Scoliosis Kuchengetedza Kwazvo - Inzvimbo Yakashambadzira Indasitiri?
Yakawanda yehutano hwehutano hunoita mumuenzaniso wekurovedza muviri, zvirongwa zvezvechirwere zvemazuva ano, uye mune zvimwe zviitiko chiropractic, zvinogona kubatsira pakurwadziwa nekurwadziwa mumamiriro ezvinhu e scoliosis.
Kuenzanisa kunobatsira kudzorera kushanda kwakanaka kwemuviri, izvo zvinobatsira pamabasa ezuva nezuva, asi kuti zvinyatsogadzirisa mazamu, pfungwa yacho inofamba, unoda kuvhiyiwa.
Haasi wose anotenda izvi.
Kuenderera mberi kufunga mafungiro ehupenyu nevamwewo ikozvino, pane imwe nyaya-ne-kesi uye nekukura muviri wekutsvakurudza, kuvaka uchapupu hwe PSSE. PSSE inotsanangurwa "physiotherapy scoliosis specific exercises." Icho chinoreva chirongwa chekurovedza chirongwa chinopiwa kumurwere muhutano hwepanyama kurapa idiopathic scoliosis. (Idiopathic zvinoreva chikonzero che scoliosis hachizivikanwi.)
Ongororo yegore ra2015 yakawana kuti 22 muzana ye 263 scoliosis vashandi vakakurudzira kushandisa PSSE nevarwere vavo. Zvikonzero zvinosanganisira:
- Sekugadzirisa kuputika, iyo inowanzo isiri iyo chirwere chirwere chechirasira, pamakona madiki.
- Kubatsira kuvandudza aesthetics.
- Kuvandudza migumisiro yekuvhiya.
Kushayikwa kwekutsvakurudza-kwakarongwa panguva ino, pamwe nekufungidzira kuti PSSE haisi inokosha mukurapa maitiro ndiyo zvikonzero zviviri zvakakonzera nei 78 vakasara vevanyengeri vakasarudza kusashandisa PSSE pamwe nevarwere vavo scoliosis, maererano kuongorora.
Izvozvo zvakati, vazhinji vevashandi ve "havasashandisi" boka vari kufarira kutsvakurudza kwakawanda pa PSSE.
Zvikoro 7 Zvikuru zve PSSE
Kunyange zvazvo pane izvo zvisiri izvo, kurovedza muviri kwe scoliosis hakuwanzo kurongedzerwa navanachiremba muUnited States kana UK
Asi muEurope, inobudirira. Zvechokwadi, imwe neimwe ye 7 mikuru mikuru ye PSSE yakatanga kuEurope.
Zvikoro zvikuru zve physiotherapy scoliosis zvakanyatsoshandiswa kurapa maitiro zvinotevera.
Lyon (France)
Nzira yeLyon ndeyekare kudarika kushanda kwe scoliosis. Yakatanga mukutanga kwezana remakore rechi18 apo Dr. Gabriel Pravaz akatanga nhengo yemapfupa epiotherapy muguta rezita rimwe chete. Muzuva raPrvaz, kurapwa kwaisanganisira kushandiswa kwegadziriro yakagadziriswa, kushandiswa kwe "midziyo yekuwedzera" yakafanana nematanho (kubvumira murwere kuita basa ravo panzvimbo yakarurama (pamwe nekugadzirisa tsvina yavo pachavo) nezvimwe.
Makore anopfuura zana gare gare, kukwidza uye kusungirirwa kwakawedzerwa kune protocol, kutanga neLyon brace uye gare gare neAirbrace yakawanda. IAbrbrace yakatsiva Lyon, uye izvi zvakabudirira kubvisa kushandiswa kwekasa.
Nzira yeLyon inonyanya kushandiswa kushandiswa kwebhande, kunyange zvazvo scoliosis maitiro anoitwa achiri muchikamu cherongwa.
Scientific Exercises Approach to Scoliosis (Italy)
Nzira yeScientific Exercise Approach ye Scoliosis (acronym SEAS) inofanirwa kuenzaniswa semuongorori hunobva. Icho chinotevera nzira yeLyon - kunyange yakave yakatanga yekare kare, muma1960 - apo Antonio Negrini neNevia Verzini vakatanga nheyo muVigevano, Italy. Muna 2002, zita rekati racho rakashandurwa kuvaItaly Scoliosis Spinal Institute.
IYASAS nzira inotarisa pamusangano wehu 3D huri kururamisa we scoliosis kuburikidza nekudzidzisa kwechiremba (kutanga) uye zvino kukudziridza murwere kuziva kwekuora kwavo. Mhedziso ndeyokuti nekuziva zvose zvekuora uye nzira yekugadzirisa nayo, murwere anopa simba rekugadzirisa kugadzirisa kusvika kumativi. Izvi zvinogadziriswa zvinowanikwa mundiro imwe neimwe-yakatarisana, nechepamusoro-ne-kurutivi uye kushandura.
Kudzidzira kunobva kwapiwa kuti kubatsire kusimbisa musana uye kuchengetedza ichangobva kugadziriswa kugadziriswa . SEAS vashandi vanongwarira kuti varayirire mabhizimisi anotsigirwa neuchapupu huripo huripo hwehutano.
Schroth (Germany)
Imwe nyaya yemhuri, nzira yeSchroth yakatanga muna 1910 apo 16-year-old scoliosis patient, Katharina Schroth, akatora nyaya dzake dzokurapa mumaoko ake. Akanga akapfeka simbi yesimbi, asi zvinhu zvebhaluni zvakamubata seanokwanisa kuita muenzaniso wekuderedza dhigirii rwemafuro pamativi e- concave .
Chirongwa cheSchroth chakanga chiri chokufema mucheka reconcave paaizvicherechedza pamberi pegirazi. Makore gumi nemasere gare gare, Schroth akatanga scoliosis clinic apo akashandisa maitiro anoshandiswa kubva paanenge achiri kuyaruka kuongorora kurapa uye kudzidzisa varwere. Pakazosvika makore makumi matatu nemakumi matatu, nzira yeSchroth yaiva kiriniki yakanyanyozivikanwa pakugadzirisa kurapwa kwe scoliosis.
Mushure meHondo Yenyika II, Schroth nemwanasikana wavo vakatamira kuWest Germany ndokutanga kliniki ikoko, uko muzukuru waSchroth, chirwere chechiremba wemapfu Hans-Rudolph Weiss, akazoshanda semukuru wezvokurapa (kusvikira muna 2008). Muna 2009, Weiss akabatanidza ari oga kuti apiwe hutsva hwekugadzirisa uye hupi hwehutano hunoenderana neSchroth method. Asi kliniki muWest Germany inoramba iripo nanhasi.
Sezvauchaona, dzakawanda zveimwe PSSE dzinoswedera dzinogona kubva kana kubhadhara kubva kuSchroth method.
Barcelona Scoliosis Physical Therapy Chikoro
Bhocellas scoliosis physically therapy school is version modified of the Schroth method (described above). Pakazosvika gore ra2009, chikoro cheBarcelona chaiva chiteshi cheSchroth. Yakatangwa muma1960 ne physiotherapist Elena Salva uyo akasangana naKatharina Schroth nemwanasikana wake munguva iyo muGermany.
The Schroths akapa Salva maonero matsva pamusoro pe scoliosis iyo yakakurumidza kudzokera kumudzimai wake weSpain. Kwemakore makumi mana, akashandisa nzira yeSchroth; mushure meizvi, akadzika basa racho mukusanganiswa kwepfungwa, manzwi-motor uye kinesthetic training.
PaBrazil Scoliosis Physical Therapy School, nzira yevanhu inotorwa nevarwere. Vanodzidziswa kuvandudza zvavo zvavo 3D scoliosis posture uye mashizha vachishandisa kufema uye misuli nzira yekuita. Chikoro cheBarcelona chinotsigira "chinotyisa" chirevo chinotaura kuti scoliosis posture inokurudzira kufambira mberi kwemashure.
DoboMed nzira (Poland)
Nzira yeDobomed inobatanidza nzira yeSchroth uye nzira inonyanya kubhadhara inozivikanwa seKlapp. Yakagadziridzwa muna 1940, nzira yeKlapp yakanga yakavakirwa pakuona kuti mhuka dzemazuva mana dzinenge dzisingaratidzi kuwana kuwana scoliosis, asi vanhu, ivo bipedal, vanoita. Iko nzira yeKlapp yakashanda zviri nani pamusana pemaspini pane zvepasviki, asi nyaya dzepachiviki dzakakosha pakugadziriswa kwemashure mu scoliosis uye mamiriro akafanana.
Pamwe chete nemaitiro anobva nenzira yeKlapp, nzira yeDobomed inoshandisa kushandiswa kweSchroth kusingagumi kufema.
Dobomed nzira yakagadzirwa muna 1979 nechiPolish chiremba uye physiotherapist anonzi Krystyna Dobosiewicz. Mukati memakore mashomanana, yakave yakagadziriswa nguva dzose muzvidzidzo zvekuchengetedza chirwere muPoland. Iyo nzira inoshandiswa zvose uye isina kunze kwekugumburwa uye yakagamuchirwa neDhipatimendi rekuvandudza paDhivhesiti yeKudowice yeKatowice, sekurapa kwevarwere.
Side Shift Method (London)
The Side Side Shift nzira yakagadzirwa muna 1984 naDkt. Min Mehta uye inoitwa kuRoyal National Orthopedic Hospital muLondon. Iko zvino iri pasi pekutungamirirwa kwaTony Betts, a physiotherapist. Pakutanga, iyo nzira yaishandiswa chete mukurapa vana, asi ikozvino yapiwa kuvanhu vakuru zvakare. Iyi nzira inokwereta kubva kuSchroth uye Dodomed kufema magetsi. Kusimbiswa kunoiswa pakutarisana nemamiriro ekutsvaga anotsauka kubva pakati pomukati wemuviri. The Side Side Shift nzira inobata vose vasati vasvika uye vanotevera.
Muvana, mutemo unotungamira weChishanu Shift nzira ndeyokuti kukura kunogona kushandiswa sechisimba chekugadzirisa mumagetsi ekugadzirisa. Kugadzika kweguruji kuchinja kwemagetsi kunoitwa kakawanda kupikisa mutsindo; izvi zvinowedzera kufamba uye zvinobatsira zvakare kugadzirisa musana. Inobatsirawo kusanganisa maonero ekutsvaga. Izvo zvinangwa zvekugadzirisa hurumende inotenderera mafambiro ndeyekukanganisa nzira iyo mutezo unoita.
Kuita zvakadzika maitiro kunoshandiswa kushandiswa kwemaitiro ekudzivirira emadzimai ekudzivirira, maziso nemaronda mumapapupa (shoulder scapula).
Muvanhu vakuru, chinangwa chiripo pamusoro pokuderedza nekugadzirisa marwadzo anokonzerwa nekugadzirisa sezvo ichifambira mberi kubva pakati pomukati wemuviri.
Kushanda Kwomumwe Munhu Kurapa kwe Scoliosis (Poland)
Kushanda Kwomumwe Munhu Kurapa kwe Scoliosis (FITS) yakasikwa muna 2004 nePolish physiotherapist Marianna Białek uye physiotherapist uye osteopath Andrzej Muhango. Iyi nzira ye PSSE inounza pamwe uye inogadzirisa zvinhu kubva kune dzimwe nzira dzekuchikoro. Inoshandiswa nenzira dzakasiyana-siyana: Pamusoro payo yekugadzirisa mairi, pamwe nekuputika, uye sepakutanga uye shure kwekuvhiya kurapa. FITS inopiwawo kune dzimwe nharo dzekugadzirisa zvakadai saCheuermann's kyphosis .
Kunzwisisa uye Kukoshesa Scoliosis Specific Exercise Treatment Spectrum
Kunyange zvazvo nzira imwe neimwe yePSSE ine chinangwa chepamusoro-chinokonzera - kururamisa 3D scoliosis deformity nekugadzirisazve musana, mbabvu, mapepa uye mapepa - vakawanda vanoisa matanda avo pachavo mukurapa.
Scoliosis chaiyo maitiro anoshandiswa kazhinji anopiwa pamwe chete nekuputika . Asi sezvaunenge uchida kubvisa kubva kumusoro, iyi haisi mutemo wakaoma uye unokurumidza. Zvinogoneka, zvichienderana nemurwere, chiyero chemukati uye chiremba, pakati pezvimwe zvinhu, kushandisa PSSE semushonga chete.
Chero nzira, scoliosis mushonga inoda nzira yeboka pamwe nekucherechedza, physiotherapy, uye dzimwe nguva psychotherapy uye chirwere chinoumba hutachiona hwekugona kurapwa.
> Sources:
> F. Bruder Stapleton, MD anoongorora McPhail GL et al. J Pediatr . 2015.
> Mhemberero yeMabasa Inogona Kuongororwa neSevere Scoliosis. NEJM Journal Watch . 2015.
> Kotwicki T. et al. Zvakanaka kugadzirisa idiopathic scoliosis mukuyaruka. Adolesc Health Med Ther . 2013.
> Marti C. et al. Scoliosis Research Society nhengo maonero ekurapa kwepanyama uye physiotherapeutic scoliosis chaiyo maitiro evechiri kuyaruka idiopathic scoliosis. Scoliosis . 2015.