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Ukusetyenziswa kweTekhnoloji ye-Isokinetic kwi-Clinical Practice

Ukuzivocavoca kwe-Isokinetic kubhekiselele kwintshukumo apho ilungu lihamba lijikeleze umdibaniso osisigxina ngelixa ligcina isantya esiqhubekayo kuyo yonke intshukumo, eyaziwa ngokuba "uqeqesho lwesantya esiqhubekayo."Umzimba womntu awukwazi ukuvelisa loo ntshukumo kwimeko yawo yendalo kwaye ufuna uncedo lwezixhobo ezikhethekileyo.Ukuvavanya ukusebenza kwezihlunu kwisantya esithile sokunyakaza kubizwa ngokuba kuvavanyo lwamandla e-isokinetic, okwangoku yeyona ndlela ilungileyo yokuvavanya ukusebenza kwemisipha kunye neempawu zoomatshini.

izixhobo zoqeqesho ze-isokinetic - izixhobo zokubuyisela kwisimo sangaphambili - umatshini wokuhlaziya - (2)

Ukusetyenziswa kweklinikhi yetekhnoloji yokuvavanya amandla e-isokinetic kubandakanya:

① ukuvavanya inqanaba lokukhubazeka kumalungu, izihlunu, okanye ukusebenza kwemithambo-luvo;

② ukumisela amaxabiso asisiseko kwicala elinempilo njengamaxabiso alindelekileyo kwisiphumo sonyango secala elichaphazelekayo;

③ Ukuvavanya ukusebenza kwezicwangciso zonyango lokubuyisela kwisimo sangaphambili kunye nokubeka iliso kwinkqubo yokubuyisela kwisimo sangaphambili ngexesha lokwenyani ukulungisa isicwangciso sokubuyisela kwisimo sangaphambili ngexesha.  

 

Uvavanyo lwamandla emisipha

Okwangoku, uvavanyo lwe-muscle manual lusetyenziswa ngokubanzi kwiiklinikhi zokuvavanya amandla omzimba.Nangona kulula ukuyenza, inezithintelo ezinjengokuthembela kwisigwebo somvavanyi kwaye singanakulinganiswa.Uvavanyo lwamandla e-Isokinetic, ngakolunye uhlangothi, lunokulinganisa ngokuchanekileyo amandla emisipha yemisipha ejikeleze ijoyini evavanyiweyo.Ipeak torque (PT) kwizantya ezisezantsi ze-angular (30°/s-60°/s) iqhele ukusetyenziselwa uvavanyo lwamandla aphezulu, ngelixa umsebenzi uwonke (TW) kwizantya eziphakamileyo ze-angular (180°/s-300°/s) isetyenziselwa ukuvavanya ukunyamezela kwemisipha.I-PT iyancipha ngokunyuka kwesantya se-angular.  uqeqesho lwengalo a8

UVavanyo oluHlangeneyo loZinzo

Uvavanyo lokuzinza kwamadolo ngokuyinhloko luthatha i-hamstring / quadriceps (H / Q) umlinganiselo we-torque ephezulu.Umlinganiselo we-H / Q uyisilathisi esibalulekileyo sokuba i-flexion kunye ne-extension muscle ye-muscle ye-knee joint balance.Uphando luye lwabonisa ukuba ixabiso eliqhelekileyo le-H / Q eliqhelekileyo li-60% -69% kwinqanaba elihlangeneyo le-angular velocity ye-60 ° / s.Umlinganiselo we-H / Q uyanda ngokunyuka kwe-angular velocity.Umlinganiselo ophezulu kakhulu okanye ophantsi we-H / Q unokuchaphazela ukulungelelaniswa kunye nokuzinza kwe-muscle movement, ekhokelela kukulimala kwamadolo.  izixhobo zoqeqesho ze-isokinetic - izixhobo zokubuyisela kwisimo sangaphambili - umatshini wokuhlaziya - (3)

 

UVavanyo lweSymmetry yeLimb emacala amabini

Uvavanyo lwe-symmetry yelungu lamacala omabini lwamkela ubukhulu becala umahluko wokuqina kwezihlunu zamaqela ezihlunu ezimacala omabini.Xa umlinganiselo wamaqela ezihlunu ezingaziwa kumacala omabini omzimba womntu ungaphantsi kwe-0.8, ukwenzakala kunokwenzeka ngakumbi, ngakumbi xa omabini amacala evelisa amandla okudubula aphezulu ngaxeshanye.Uphando ngokubanzi lukholelwa ukuba umahluko kwi-torque ephezulu phakathi kwezihlunu ze-homonymous kumacala omabini kufuneka ube ngaphakathi kwe-10% ukuqinisekisa ukulingana kwamandla emisipha.  

未标题-2

Uxilongo oluNcedisayo

Ngokuhlalutya iinotshi, ukuguquguquka, iiplateaus, ii-asymmetries, okanye ezinye iziphene kwijiko le-isokinetic torque, kunye nokuphazamiseka okanye ukunciphisa ijika, izilonda ezinokwenzeka ezidibeneyo zinokumiselwa, njenge-"M"-shaped curve of knee osteoarthritis. (KOA) kunye ne-"W"-shaped curve of menscal injury.Ukuhlalutya i-torque curves engaqhelekanga kunokubonelela ngolwazi olunenjongo malunga neenguqu ze-pathological muscle kunye nezidibeneyo.Nangona kunjalo, i-torque curves engaqhelekanga elinganiswe ngetekhnoloji ye-isokinetic ayiqhelekanga kwaye ingasetyenziswa kuphela njengolwazi oluncedisayo, olufuna ukuqinisekiswa ngakumbi ngokubambisana nezinye iindlela zeklinikhi.

Uvavanyo lwamandla e-Isokinetic lubuchwephesha obusebenzayo obubalulekileyo bovavanyo lwemisipha kwaye lunezicelo ezibanzi ekusebenzeni kweklinikhi.Izixhobo ze-Isokinetic zingasetyenziselwa uqeqesho lwamandla e-isokinetic ngelixa uvavanyo, oluyeyona ndlela iphambili yoqeqesho lwemisipha.

 

Umthombo wenqaku: uLiu Gongliang, iSebe lezoNyango loBuyiselo, iSibhedlele seSithandathu sabantu baseShanghai

Ngeenkcukacha zemveliso, nceda ucofe: UVavanyo lwaMandla e-Isokinetic oludibeneyo kunye neNkqubo yoQeqesho


Ixesha lokuposa: Jul-17-2023
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