Uvavanyo lokunyanzelwa kwamagxa: Isixhobo esibalulekileyo sokuvavanya iintlungu zakho

Umxholo

• Ngokudibana nomfanekiso ngqondweni wokuqonda isifo
• Yintoni kanye kanye impinge egxalabeni?
• Kutheni le nto ufuna uvavanyo olunzulu lomzimba?
• Zeziphi iintlobo zovavanyo lokufaka ngaphakathi, kwaye kwenzeka ntoni ngexesha ngalinye?
• Uvavanyo lweNeer okanye uphawu lweNeer
• Uvavanyo lukaHawkins-Kennedy
• Uvavanyo lokufakwa kweCoracoid
• Uvavanyo lweYocum
• Uvavanyo lwengalo yomnqamlezo
• Uvavanyo lukaJobe
• Bakhangela ntoni?
• Intlungu
• Indawo yeentlungu
• Umsebenzi wemisipha
• Ukuhamba kunye nemicimbi yozinzo ngokudibeneyo
• Umgca wezantsi

Ukuba ucinga ukuba unokuba une-shoulder impingement syndrome, ugqirha unokukuthumela kunyangi (PT) oya kuthi enze uvavanyo ukuze ancede achonge kanye apho ikhoyo impembelelo kunye nesicwangciso sonyango esona silungileyo.

Uvavanyo oluqhelekileyo lubandakanya i-Neer, i-Hawkins-Kennedy, i-coracoid impingement, kunye novavanyo lwe-cross-arm impingement, kunye nezinye ezininzi. Ngethuba lovavanyo, i-PT iya kukucela ukuba uhambise iingalo zakho ngeendlela ezahlukeneyo ukujonga intlungu kunye neengxaki zokuhamba.

Inkxaso usebenzisa uvavanyo olwahlukeneyo ukubona ukuba yeyiphi imiqobo ohlangabezana nayo kwaye yintoni ebangela iintlungu.

“Abanyangi bomzimba abayeki iminqwazi yabo kuvavanyo olunye. Uvavanyo oluninzi lusikhokelela ekubeni sixilongwe, utshilo uSteve Vighetti, oligosa leAmerican Academy of Orthopedic Manual Physical Therapists.

Ngokudibana nomfanekiso ngqondweni wokuqonda isifo

Oogqirha abaninzi basebenzisa iiX-reyi, iiCT scan, iiMRI scan kunye nokuvavanywa kwe-ultrasound ukucacisa nokuqinisekisa iziphumo zoviwo lomzimba.

Uphononongo lubonisa ukuba iimvavanyo zokucinga ngokusebenza kakuhle kakhulu ekuchongeni indawo echanekileyo yokwenzakala. I-Ultrasound inenzuzo yokuba kulula ukuyenza kwaye ingabizi kakhulu kunezinye iimvavanyo zokucinga.

Ukuba kukho iinyembezi, okanye izilonda, kumjikelo wokujikeleza, iimvavanyo zokucinga zinokubonisa inqanaba lokwenzakala kwaye zincede oogqirha babone ukuba kuyafuneka na ukulungiswa ukuze kubuyiselwe amandla akho.

Yintoni kanye kanye impinge egxalabeni?

Ukunyanzelwa kwamagxa yimeko ebuhlungu. Kuyenzeka xa imisipha kunye nezicubu ezithambileyo ezijikeleze igxalaba lakho zibambeke phakathi kwethambo lengalo yakho ephezulu (ihumerus) kunye ne-acromion, ingqikelelo yebony ekhuphukela phezulu kwi-scapula (blade blade).

Xa izicwili ezithambileyo zifinyeziwe, zinokucaphuka okanye zide zikrazule, zikwenze iintlungu kunye nokunciphisa amandla akho okuhambisa ingalo yakho ngokufanelekileyo.

Kutheni le nto ufuna uvavanyo olunzulu lomzimba?

Igama elithi "igxalaba lokunyanzelwa kwesifo" sisiqalo nje kwisifo esichanekileyo kunye nesicwangciso sonyango.

"Libinzana elibanjwayo," utshilo uVighetti. Ikuxelela nje ukuba imisipha iyacaphuka. Yintoni enokunyangwa ngugqirha olungileyo eyiphi Kubandakanyeka imisipha nezihlunu. ”

Zeziphi iintlobo zovavanyo lokufaka ngaphakathi, kwaye kwenzeka ntoni ngexesha ngalinye?

Uvavanyo lweNeer okanye uphawu lweNeer

Kuvavanyo lweNeer, i-PT ime emva kwakho, icinezele ezantsi phezulu egxalabeni lakho. Emva koko, ujikelezisa ingalo yakho ngaphakathi esifubeni sakho kwaye uphakamise ingalo yakho ukuya apho iya khona.

Abanye babonisa ukuba uvavanyo lweNeer olulungisiweyo lunezinga elichanekileyo lokuqonda isifo kwiipesenti ezingama-90.59.

Uvavanyo lukaHawkins-Kennedy

Ngexesha lovavanyo lwe-Hawkins-Kennedy, uhleli ngelixa i-PT imi ecaleni kwakho. Bayayiguqula ingqiniba yakho kwi-engile ye-90-degree kwaye bayiphakamise kwinqanaba lamagxa. Ingalo yabo isebenza njenge-brace phantsi kwengqiniba yakho ngelixa becinezela phantsi esihlahleni sakho ukujikeleza igxalaba lakho.

Uvavanyo lokufakwa kweCoracoid

Uvavanyo lwe-coracoid lokufaka ngaphakathi lusebenza ngoluhlobo: I-PT ime ecaleni kwakho kwaye iphakamise ingalo yakho ukuya egxalabeni kunye nengqiniba egobile kwi-90-degree angle. Ukuxhasa ingqiniba yakho, bacinezela kancinci esihlahleni sakho.

Uvavanyo lweYocum

Kuvavanyo lweYocum, ubeka isandla sakho kwelinye igxalaba eliphambene kwaye uphakamise ingqiniba yakho ngaphandle kokuphakamisa igxalaba lakho.

Uvavanyo lwengalo yomnqamlezo

Kuvavanyo lwengalo yomnqamlezo, uphakamisa ingalo yakho ubekwigxalaba kunye nengqiniba yakho egobileyo kwi-90-degree angle. Emva koko, ukugcina ingalo yakho kwindiza enye, uyihambisa emzimbeni wakho kwinqanaba lesifuba.

I-PT inokucinezela ngobunono ingalo yakho njengoko ufikelela kwinqanaba lokugqibela lokunyakaza.

Uvavanyo lukaJobe

Ngexesha lovavanyo lukaJobe, i-PT ime ecaleni kwakho kwaye emva kwakho kancinci. Baphakamisa ingalo yakho ecaleni. Emva koko, bahambisa ingalo ngaphambili komzimba wakho kwaye bakucele ukuba uyigcine iphakame kuloo ndawo ngelixa becinezela kuyo.

Zonke ezi mvavanyo zijolise ekunciphiseni ubungakanani bendawo phakathi kwezicubu ezithambileyo kunye nethambo. Iimvavanyo zinokuthi ngokuthe ngcembe zibe namandla njengoko uviwo lwe-PT luhamba.

"Siza kushiya ezona mvavanyo zibuhlungu ukuphela kovavanyo ukuze igxalaba lingacaphukisi lonke ixesha," utshilo uVighetti."Ukuba wenza uvavanyo olubuhlungu kwangoko, iziphumo zovavanyo lonke ziya kubonakala zilungile."

Bakhangela ntoni?

Intlungu

Uvavanyo luthathwa njengolulungileyo ukuba lukhupha iintlungu ezifanayo obukade uzifumana egxalabeni lakho. Uvavanyo lweNeer, utshilo uVighetti, uya kuthi rhoqo afumane iziphumo ezilungileyo, kuba inyanzela ingalo ukuba ijike ngokupheleleyo.

"Ukwiqondo lokugqibela lokuhamba kunye novavanyo lweNeer," utshilo. "Phantse wonke umntu oza eklinikhi enengxaki egxalabeni uya kuba namava okuncancisa kumgangatho ophezulu woluhlu."

Indawo yeentlungu

Ngexesha lovavanyo ngalunye, i-PT ihlawula ingqalelo apho iintlungu zakho zivela khona. Oku kubonisa ukuba leliphi icandelo legxalaba lakho elinokubakho okanye lonzakale.

Ubuhlungu ngasemva kwegxalaba, umzekelo, kunokuba luphawu lokungena ngaphakathi. Nje ukuba abanyangi bazi ukuba zeziphi izihlunu ezibandakanyekileyo, banokuba ngakumbi kunyango lwabo.

Umsebenzi wemisipha

Nokuba awuva zintlungu ngexesha lovavanyo, izihlunu ezibandakanyeka ekuthinjweni kwamagxa zinempendulo eyahlukileyo kancinane kuvavanyo loxinzelelo.

"Sisebenzisa ukukhanya, iminwe emibini ukumelana nokuvavanya intshukumo ethile kwikhafu yerotator," utshilo uVighetti. "Ukuba umntu othile unengxaki nesixhobo sokujikeleza, oko kunganyangeki kwaphela kuyakwenza ukuba ube neempawu."

Ukuhamba kunye nemicimbi yozinzo ngokudibeneyo

"Ubuhlungu yinto ezisa izigulana," watsho uVighetti. “Kodwa kukho ingxaki engunobangela weentlungu. Ngamanye amaxesha ingxaki inxulumene nokuhamba ngokudibeneyo. Umdibaniso uhamba kakhulu okanye awonelanga. Ukuba indibaniselwano ayizinzanga, ikhafu ijikeleza nzima ukuzama ukubonelela ngozinzo olomeleleyo. ”

Xa izihlunu zisebenza nzima, iingxaki zinokuvela- hayi ngenxa yokuba izihlunu zisetyenziswa kakhulu kodwa ngenxa yokuba zisetyenziswa ngendlela engeyiyo.

Ngenxa yeso sizathu, i-PT efanelekileyo ijonge kwimisebenzi oyenzayo ukubona ukuba uhamba ngendlela eza kukhokelela ekonzakaleni. Imisebenzi yevidiyo zeVighetti ezinje ngokubaleka ukuchonga nakuphi na ukungasebenzi kakuhle kuloo ntshukumo.

Umgca wezantsi

Oogqirha kunye ne-PTs basebenzisa ukucinga ngokujonga isifo kunye noviwo lomzimba ukubona ukuba liphi kwaye lingakanani inqanaba legxalaba elinokwenzakala.

Ngexesha lovavanyo lomzimba, i-PT iya kukuthatha uthotho lwezindululo zokuzama ukuphinda iintlungu ozivayo xa uhambisa ingalo yakho kumacala ahlukeneyo. Ezi mvavanyo zinceda i-PT ifumanise ukuba wenzakele phi.

Ezona njongo ziphambili zonyango kukunciphisa iintlungu, ukonyusa uluhlu lwakho lokunyakaza, ukomeleza kwaye amalungu akho azinze ngakumbi, kwaye uqeqeshe izihlunu zakho ukuba zihambe ngendlela eyenza ukuba ukwenzakala kwikamva kungabi namathuba.

"Konke malunga nemfundo," kusho uVighetti. “Iingcali zonyango olufanelekileyo zifundisa abaguli indlela yokuzilawula.”