Ukuvivinywa Kwamahlombe: Ithuluzi Elibalulekile Lokuhlola Ubuhlungu Bakho Behlombe

-Delile

• Ngokuhlangana nomfanekiso wokuxilonga
• Kuyini impela ukufakwa kwehlombe?
• Kungani udinga ukuhlolwa okuphelele komzimba?
• Yiziphi izinhlobo zokuhlolwa kokufakwa, futhi kwenzekani ngesikhathi ngasinye?
• Ukuhlolwa kwe-Neer noma uphawu lwe-Neer
• Ukuhlolwa kukaHawkins-Kennedy
• Ukuhlolwa kokufakwa kwe-Coracoid
• Ukuhlolwa kwe-Yocum
• Ukuhlolwa kwesandla esiphambanweni
• Isivivinyo sikaJobe
• Yini abayifunayo?
• Ubuhlungu
• Indawo yobuhlungu
• Umsebenzi wemisipha
• Izinkinga zokuhamba nokuhlanganyela ngokuhlanganyela
• Okubalulekile

Uma ucabanga ukuthi ungaba nesifo se-shoulder impingement syndrome, udokotela angakudlulisela kuchwepheshe wezemvelo (PT) ozokwenza izivivinyo zokusiza ukukhomba ngqo lapho kutholakala khona impunge kanye nohlelo lokwelashwa olungcono kakhulu.

Ukuhlolwa okuvamile kufaka phakathi iNeer, Hawkins-Kennedy, ukufakwa kwe-coracoid, kanye nokuhlolwa kwe-cross-arm impingement, kanye nezinye eziningi. Ngesikhathi sokuhlolwa, i-PT izokucela ukuthi uhambise izingalo zakho ezindaweni ezihlukile ukuze uhlole izinkinga zobuhlungu nokuhamba.

ukwesekwa usebenzisa ukuhlolwa okuhlukahlukene ukuze ubone ukuthi yimiphi imikhawulo obhekene nayo nokuthi yini ebangela ubuhlungu.

“Abelaphi bomzimba kabaphanyeki izigqoko ekuhlolweni okukodwa. Ukuhlolwa okuningi kusiholela ekuxilongweni, ”kusho uSteve Vighetti, ongumlingani weAmerican Academy of Orthopedic Manual Physical Therapists.

Ngokuhlangana nomfanekiso wokuxilonga

Odokotela abaningi basebenzisa ama-X-ray, ama-CT scan, ama-MRI scan, nokuhlolwa kwe-ultrasound ukucacisa nokuqinisekisa imiphumela yokuhlolwa komzimba.

Ucwaningo lukhombisa ukuthi ukuhlolwa kwe-imaging kuphumelela kakhulu ekukhombiseni indawo eqondile yokulimala. I-Ultrasound inenzuzo yokuba lula ukuyenza futhi engabizi kakhulu kunezinye izivivinyo ze-imaging.

Uma kunezinyembezi, noma izilonda kukhafula we-rotator, ukuhlolwa kwe-imaging kungakhombisa izinga lokulimala futhi kusize odokotela ukuthi banqume ukuthi ngabe ukulungiswa kuyadingeka yini ukubuyisa amakhono akho.

Kuyini impela ukufakwa kwehlombe?

Ukufakwa emahlombe kuyisimo esibuhlungu. Kwenzeka lapho imisipha nezicubu ezithambile ezizungeze ukuhlangana kwehlombe lakho zivaleleka phakathi kwethambo lesandla sakho esingenhla (i-humerus) kanye ne-acromion, ukubonwa kwamathambo okukhuphukela phezulu kusuka ku-scapula (blade blade) wakho.

Lapho izicubu ezithambile ziminyiwe, zingacasuka noma zize zidabuke, zikubangele ubuhlungu futhi zikhawulele amandla akho okuhambisa ingalo yakho kahle.

Kungani udinga ukuhlolwa okuphelele komzimba?

Igama elithi "i-shoulder impingement syndrome" limane nje liyisiqalo sokuthola ukuxilongwa nokwelashwa okulungile.

"Kuyindlela yokubamba wonke umuntu," kusho uVighetti. “Ikutshela nje ukuthi imisipha iyacasuka. Okuzokwenziwa ngudokotela omuhle ngokomzimba ukunquma okuyi kuhileleke imisipha nemisipha. ”

Yiziphi izinhlobo zokuhlolwa kokufakwa, futhi kwenzekani ngesikhathi ngasinye?

Ukuhlolwa kwe-Neer noma uphawu lwe-Neer

Esivivinyweni se-Neer, i-PT ime ngemuva kwakho, icindezele phansi phezulu kwehlombe lakho. Ngemuva kwalokho, ijikelezisa ingalo yakho iye esifubeni sakho bese iphakamisela ingalo yakho kude lapho izofika khona.

Abanye bakhombisa ukuthi ukuhlolwa kweNeer okushintshiwe kunesilinganiso sokunemba kokuxilonga okungamaphesenti angama-90.59.

Ukuhlolwa kukaHawkins-Kennedy

Ngesikhathi sokuhlolwa kuka-Hawkins-Kennedy, uhleli ngenkathi i-PT imi eceleni kwakho. Ziguqulela indololwane yakho engxenyeni engu-90 degree bese ziyiphakamisela ezingeni lehlombe. Ingalo yabo isebenza njenge-brace ngaphansi kwendololwane yakho ngenkathi becindezela phansi esihlakaleni sakho ukuzungezisa ihlombe lakho.

Ukuhlolwa kokufakwa kwe-Coracoid

Isivivinyo se-coracoid impingement sisebenza kanjena: I-PT ime eceleni kwakho futhi iphakamisa ingalo yakho iye ezingeni lehlombe ngendololwane yakho igobile nge-90-degree angle. Ukusekela indololwane yakho, bacindezela phansi kahle esihlakaleni sakho.

Ukuhlolwa kwe-Yocum

Esivivinyweni seYocum, ubeka isandla sakho ehlombe eliphambene bese uphakamisa indololwane ngaphandle kokuphakamisa ihlombe.

Ukuhlolwa kwesandla esiphambanweni

Ekuhlolweni kwesandla esiphambanweni, uphakamisa ingalo yakho iye ezingeni lehlombe ngendololwane yakho igobeke nge-engela engama-90 degree. Ngemuva kwalokho, ukugcina ingalo yakho endizeni efanayo, uyihambisa emzimbeni wakho ezingeni lesifuba.

I-PT ingacindezela kahle ingalo yakho njengoba ufinyelela ibanga lokugcina lokunyakaza.

Isivivinyo sikaJobe

Ngesikhathi sokuhlolwa kukaJobe, i-PT ime eceleni kwakho futhi ngemuva kancane. Baphakamisela ingalo yakho eceleni. Ngemuva kwalokho, bahambisa ingalo ngaphambili komzimba wakho bese bekucela ukuthi uyigcine iphakeme kuleyo ndawo ngenkathi beyicindezela.

Zonke lezi zivivinyo zihlose ukwehlisa inani lesikhala phakathi kwezicubu ezithambile namathambo. Izivivinyo zingakhula kancane njengoba ukuhlolwa kwe-PT kuhamba.

"Sizoshiya izivivinyo ezibuhlungu kakhulu kuze kuphele ukuhlolwa ngakho ihlombe alicasuki sonke isikhathi," kusho uVighetti."Uma wenza isivivinyo esibuhlungu kusesekuseni kakhulu, imiphumela yazo zonke izivivinyo izobonakala ngathi inhle."

Yini abayifunayo?

Ubuhlungu

Ukuhlolwa kuthathwa njengokuhle uma kuphakamisa ubuhlungu obufanayo obukade ubuzwa ehlombe lakho. Ukuhlolwa kweNeer, kusho uVighetti, kuzovame ukuthola imiphumela emihle, ngoba iphoqa ingalo ukuthi igobe ngokuphelele.

"Usekunyakazeni ekugcineni kokuhlolwa kweNeer," esho. "Cishe noma ngubani ongena emtholampilo ephethwe yinkinga ehlombe uzozwa ukucinanwa ekugcineni kwalo."

Indawo yobuhlungu

Ngesikhathi sokuhlolwa ngakunye, i-PT ibhekisisa ukuthi ubuhlungu bakho benzeka kuphi. Lokhu kukhombisa ukuthi iyiphi ingxenye yenkxalabo yehlombe lakho okungenzeka ukuthi ithinteke noma ilimale.

Ubuhlungu ngemuva kwehlombe, ngokwesibonelo, kungaba luphawu lokufakwa ngaphakathi. Lapho abelaphi sebazi ukuthi yimiphi imisipha ebandakanyekayo, bangacacisa kakhulu ekwelashweni kwabo.

Umsebenzi wemisipha

Noma ungabuzwa ubuhlungu ngesikhathi sokuhlolwa, imisipha ethintekayo ekufakweni kwehlombe inempendulo ehluke kancane ekuhlolweni kwengcindezi.

"Sisebenzisa ukumelana okulula, kweminwe emibili ukuvivinya iminyakazo ethile kusikhwama se-rotator," kusho uVighetti. "Uma othile enenkinga ngesigaxa sikalo rotator, ngisho nalokho kumelana nokukhanya okuncane kuzodala izimpawu."

Izinkinga zokuhamba nokuhlanganyela ngokuhlanganyela

"Ubuhlungu yibo obuletha iziguli," kusho uVighetti. “Kodwa kunenkinga eyisisekelo edala ubuhlungu. Kwesinye isikhathi inkinga ihlobene nokuhamba ngokuhlanganyela. Ilungu lihamba kakhulu noma alanele. Uma ijoyini lingazinzile, inkomishi ijikeleza kanzima ukuzama nokunikeza ukuzinza okunamandla. ”

Lapho imisipha isebenza kanzima, izinkinga zingavela - hhayi ngoba imisipha isetshenziswe ngokweqile kepha ngoba isetshenziswa ngokungafanele.

Ngaleso sizathu, i-PT enhle ibheka imisebenzi oyenzayo ukubona ukuthi uhamba ngendlela ezoholela ekulimaleni. Imisebenzi ye-Vighetti videotapes efana nokugijima ukukhomba noma yikuphi ukungasebenzi ekuhambeni.

Okubalulekile

Odokotela nama-PTs basebenzisa izithombe zokuxilonga kanye nokuhlolwa komzimba ukubona ukuthi ihlombe lakho lingalimala kuphi futhi kangakanani.

Ngesikhathi sokuhlolwa komzimba, i-PT izokuhambisa ochungechungeni lwezimpawu zokuzama ukuphindaphinda ubuhlungu obuzwayo njengoba uhambisa ingalo yakho ezinhlangothini ezihlukile. Lezi zivivinyo zisiza i-PT ukuthi ithole ukuthi ulimele kuphi.

Izinhloso eziyinhloko zokwelashwa ukunciphisa ubuhlungu bakho, ukwandisa ukunyakaza kwakho, kukuqinise futhi amalunga akho azinze, futhi uqeqeshe imisipha yakho ukuba ihambe ngendlela eyenza ukulimala esikhathini esizayo kungabi namathuba amaningi.

"Konke kumayelana nemfundo," kusho uVighetti. “Ochwepheshe abaqeqeshiwe bomzimba bafundisa iziguli indlela yokuzilawula.”