I-Cerebral palsy (CP) yi-syndrome engaqhubekiyo evela kwizizathu ezahlukeneyo ezikhokelela kumonakalo wobuchopho obungaqhubekiyo ngexesha lamanqanaba okuqala okukhula kwengqondo, nokuba ngaphambi kokuzalwa okanye kwinyanga yokuqala emva kokuzalwa.Ibonakala kukuphazamiseka kwemoto esembindini kunye nokuma okungaqhelekanga kwaye inokukhatshwa kukukhubazeka kwengqondo, ukuxhuzula, ukuphazamiseka kweemvakalelo, ukuphazamiseka kokuthetha, kunye nokungahambi kakuhle kokuziphatha.I-CP sesinye sezifo eziphambili ezibangela ukukhubazeka kweemoto ebantwaneni.
I-CP inokubangela ukuphazamiseka okukhulu kwimisebenzi yeemoto zabantwana abachaphazelekayo kwaye yimeko ekhubaza kakhulu.Ngaphandle kokungenelela kwangethuba, kunokuba nefuthe elibi kumgangatho wobomi kwixesha elizayo.
Kwiintsana ezikwinqanaba lokuqala lokubuyisela ukusindisa, ukusetyenziswa kwe-exoskeletons ekumeni nasekuhambeni ukulinganisa ukulinganisa kunokuphucula uphuhliso lomzimba, ukuququzelela ukufunyanwa kwezakhono zemoto, kunye nokunciphisa iqondo lokukhubazeka.Kubantwana abakwinqanaba lokungenelela lokubuyisela, ukuqeqeshwa kwe-exoskeleton-assisted gait kunokulungisa ukungahambi kakuhle, ukukhuthaza ukuphuhliswa kwendlela eqhelekileyo yokuhamba, ukunciphisa ukukhubazeka kwe-musculoskeletal, ukuphucula ukuhamba, ukuphucula impilo yengqondo, kunye nokuququzelela ukuphuhliswa kwezakhono zentlalo kubantwana. .
Kutheni usebenzisa iirobhothi zokubuyisela kwimeko yesiqhelo?
Iindlela eziqhelekileyo zokubuyisela kwisimo sangaphambili zinemida:
1.Ubunzima ekuqeqesheni umsebenzi wokuhamba: Ukuqeqeshwa kokuhamba yindlela yokubuyisela ekujoliswe kuyo kunye nomsebenzi.Ukufumana izakhono zokuhamba kubalulekile kuphuhliso lomzimba nengqondo kubantwana abasaqalayo.Nangona kunjalo, uqeqesho lokuhamba kwangoko lungumceli mngeni ngenxa yokunqongophala komzimba kwabantwana abane-CP kunye nokungabikho kwezixhobo zokuncedisa ezikhethekileyo.
2.Ukuncipha kwentatho-nxaxheba yabantwana kunyango: Ngenxa yokungafezeki kophuhliso lomzimba nengqondo lwabantwana abane-CP, ukuthatha kwabo inxaxheba kunyango kudla ngokunqongophala, kwaye banokukhathazeka ngokulula.Olunye unyango oluqhelekileyo lokubuyisela kwisimo sangaphambili luyinto eyolisayo kwaye aluyonwabisi kwaye aluyonwabisi, lwenza ukuba kube nzima ukucofa amandla anokubakho abantwana, luvuselele inkuthazo yabo, kwaye luchaphazela ngokubonakalayo inkqubela kunye nokusebenza konyango lokubuyisela kwisimo sangaphambili.
3.Ukuxhomekeka okuphezulu kubasebenzi namava amagqirha: Iindlela zoqeqesho lwangoku zixhomekeke kuncedo lomntu ngamnye (okanye nokuba luninzi-kuninzi) oluvela kwiingcali zonyango lokubuyisela kwisimo sangaphambili.Ekubeni uqeqesho lokubuyisela kwisimo sangaphambili lufuna ukuqina okwaneleyo kunye nokuphindaphinda, lubeka umthwalo omkhulu womzimba kwiingcali zonyango.Kuqeqesho oluqhelekileyo lokubuyisela, izinto ezinjengokunyanzeliswa kwamandla, uluhlu lwentshukumo, kunye nokuphindaphinda kaninzi kuxhomekeke kumava onyango, okwenza inqanaba lezakhono zengcali kunye namava abalulekileyo achaphazela ukusebenza kwonyango lokubuyisela.
4.Ubunzima bokulinganisa uqeqesho lokubuyisela kwisimo sangaphambili: Ukubuyisela kwisimo sangaphambili kuxhomekeke kakhulu kumsebenzi womzimba weengcali zonyango, okwenza kube nzima ukulinganisa kunye nokulawula ngokuchanekileyo inkqubo yoqeqesho.Iingcali ezahlukeneyo zonyango eziphumeza inkqubo yoqeqesho efanayo zinokukhokelela ekuhlukeni komgangatho woqeqesho.Izinto ezifana nesimo somzimba kunye nesengqondo somntu onyangayo kunokukhokelela kumgangatho woqeqesho olungaguqukiyo.
Ke ngoko, siye saphuhlisa iirobhothi ezenzelwe ngokukodwa ukubuyisela amalungu esimo sabantwana asezantsi.
Iinzuzo zethu:
1.Uvavanyo lokubuyisela kwisimo sangaphambili: Itekhnoloji yerobhothi yokubuyisela kwimeko yesiqhelo inokuvavanya ngokobungakanani ukusebenza kweemoto zabantwana ngokusebenzisa iinzwa kunye nohlalutyo lwedatha.Ezi ziphumo zovavanyo zisebenza njengezalathi zenjongo yenkqubela yokubuyisela kwisimo sangaphambili, ukunceda oogqirha kunye neengcali zonyango baqonde isimo sokubuyisela kwisimo somntwana, ukulungelelanisa izicwangciso zonyango, kunye nokuphuhlisa izicwangciso ezisebenzayo zokubuyisela.
2.Ukuququzelela ukubuyiswa kwemoto: Iirobhothi zokuvuselela imilenze ephantsi zibonelela ngenkxaso kunye noncedo, ukunceda abantwana abane-CP babandakanyeke ekuqeqesheni i-gait kunye nokubuyisela imoto.Ngokubonelela ngokuzinza kunye nokulungisa iipatheni zokuhamba, iirobhothi ziphucula ukulawulwa kwe-posture, ibhalansi, kunye nokulungelelaniswa, ukuququzelela ukubuyiswa kwemoto.
3.Ukunyuka komthamo woqeqesho kunye nokuqina: Iirobhothi zokubuyisela kwimeko yesiqhelo zinceda abantwana ekwandiseni umthamo woqeqesho kunye nokuqina.Banikezela ngenkxaso kunye nesikhokelo ngokwezifiso, ukubonelela ngoncedo oluyimfuneko ngexesha lokuvuselela ukuze abantwana bakwazi ukuphindaphinda ngokuphindaphindiweyo, ukuqinisa umsebenzi we-muscle kunye nokudibanisa kwe-neural, kunye nokukhuthaza inkqubela phambili yokubuyisela.
4.Izicwangciso zokubuyisela kwisimo sangaphambili: Itekhnoloji yerobhothi yokubuyisela kwisimo sangaphambili ivumela uphuhliso lwezicwangciso zokubuyisela kwisimo sangaphambili ezisekelwe kwiimeko ezithile.Iirobhothi zinokuhlengahlengisa uqeqesho olusekwe kumandla omzimba womntwana, amandla okulinganisa, kunye neempawu zokuhamba, ukubonelela ngoqeqesho lokubuyisela kwisimo sangaphambili olukhuthaza ngempumelelo inkqubela.
5.Ingxelo yexesha langempela kunye nesikhokelo: Iirobhothi zokuvuselela zibonelela ngedatha yentshukumo yexesha langempela kunye nesikhokelo ngokusebenzisa iinzwa kunye neenkqubo zeempendulo.Abantwana banokuhlengahlengisa ukuma kwabo, ukuhamba, kunye neendlela zokuhamba ngokusekwe kwingxelo yerobhothi, ukuphucula ukuchaneka kunye nokusebenza kakuhle kweentshukumo zabo kunye nokukhawulezisa inkqubo yokubuyisela kwisimo sangaphambili.
6.Imidlalo eyahlukeneyo nebandakanyayo ebandakanyayo: Ukudala iindawo zoqeqesho ezintywilayo apho abantwana banokuthatha inxaxheba kwimidlalo kunceda ukomeleza intsebenziswano yabo nobuchwephesha obukrelekrele.Oku kwandisa ukonwabela nokusebenza ngempumelelo koqeqesho kwakunye nokuthatha inxaxheba kwabantwana kunyango lokubuyisela kwisimo sangaphambili.
Funda ngokugqithisileyo:Ukusetyenziswa kweTekhnoloji ye-Isokinetic kwi-Clinical Practice
Ixesha lokuposa: Dec-21-2023