UQeqesho lokomelela kwezihlunu

Ukusetyenziswa kweKlinikhi yoQeqesho lwaMandla e-Muscle

Uqeqesho lwamandla emisipha luhlukaniswe kwiNqanaba 0, inqanaba 1, inqanaba lesi-2, inqanaba lesi-3, inqanaba lesi-4 nangaphezulu.

Inqanaba 0

Inqanaba le-0 loqeqesho lwamandla emisipha lubandakanya uqeqesho lwe-passive kunye ne-electrotherapy

1. Uqeqesho oluqhubekayo

Iingcali zonyango zichukumisa umsipha wokuqeqesha ngezandla ukwenza izigulane zigxininise inxalenye yoqeqesho.

Intshukumo engacwangciswanga yezigulane inokuqhutywa ngentshukumo yokwenziwa, ukuze zive intshukumo yemisipha ngokuchanekileyo.

Ngaphambi kokuqeqesha icala elingasebenziyo, gcwalisa isenzo esifanayo kwicala eliphilileyo, ukwenzela ukuba isigulane sinokufumana indlela kunye nezenzo eziyimfuneko zokunciphisa imisipha.

Ukunyakaza okungahambiyo kunokunceda ukugcina ubude be-physiological of muscle, ukuphucula ukujikeleza kwegazi lendawo, ukuvuselela i-prioception ukukhuthaza ukuvakalelwa kwemoto, kunye nokuziphatha kwi-CNS.

2. Electrotherapy

I-Neuromuscular electrical stimulation, i-NMES, eyaziwa ngokuba yi-electro gymnastic therapy;

I-EMG Biofeedback: guqula utshintsho lwe-myoelectric ye-contraction ye-muscle kunye nokuphumla kwi-auditory and visual signals, ukuze izigulane "zive" kwaye "zibone" ukunyanzeliswa okuncinci kwemisipha.

Inqanaba loku-1

Inqanaba le-1 loqeqesho lwamandla emisipha lubandakanya i-electrotherapy, i-active-assist movement, intshukumo esebenzayo (i-muscle isometric contraction).

Inqanaba lesi-2

Inqanaba le-2 loqeqesho lwamandla emisipha lubandakanya ukunyakaza okusebenzayo-ukuncedisa (isandla sokuncedisa intshukumo esebenzayo kunye nokumiswa kunceda ukunyakaza okusebenzayo) kunye nokunyakaza okusebenzayo (ukuqeqeshwa kokuxhaswa kwesisindo kunye nonyango lwamanzi).

Inqanaba lesi-3

Inqanaba lesi-3 loqeqesho lwamandla emisipha lubandakanya intshukumo esebenzayo kunye nentshukumo yokumelana ngokuchasene nobunzima bomzimba.

Iintshukumo ezimelana nomxhuzulane wamalungu zezi zilandelayo:

I-Gluteus maximus: izigulane ezilele kwindawo echanekileyo, oogqirha balungisa i-pelvis yabo ukuze babenze banwebe izinqe zabo kangangoko kunokwenzeka.

I-Gluteus medius: izigulana ezilele ngecala elinye kunye nokungasebenzi kakuhle kwemilenze engaphantsi kwecala eliphilileyo, i-therapist yalungisa i-pelvis yabo kwaye ibenze babambe ama-hip joints kangangoko kunokwenzeka.

I-Anterior deltoid muscle: izigulana ezikwindawo ehleliyo kunye nemilenze yazo ephezulu igobe ngokwendalo kwaye iintende zazo zijonge phantsi, ukuguquguquka kwamagxa ngokupheleleyo.

Inqanaba lesi-4 nangaphezulu

Uqeqesho lwamandla emisipha kwinqanaba le-4 nangaphezulu lubandakanya ukuqeqeshwa koqeqesho olusebenzayo lokumelana ne-freehand, izixhobo ezincedisa ukuxhathisa uqeqesho olusebenzayo, kunye noqeqesho lwe-isokinetic.Phakathi kwabo, ukuxhatshazwa kwe-freehand ukuqeqeshwa okusebenzayo ngokuqhelekileyo kusebenza kwizigulane ezinezinga le-muscle 4.

Yintoni enokwenziwa uQeqesho lokomeleza izihlunu?

I-1) Ukuthintela ukusetyenziswa kwe-atrophy ye-muscle, ngakumbi emva kokunyanzeliswa kwexesha elide kwamalungu.

I-2) Ukuthintela i-reflex inhibition ye-atrophy ye-spinal cord yangaphambili iiseli zeempondo ezibangelwa yintlungu ngexesha lokuxhatshazwa kwemilenze kunye nokuvuvukala.Ukukhuthaza ukubuyiswa kwamandla emisipha emva komonakalo wenkqubo ye-nervous.

3) Ukunceda ukugcina umsebenzi wokuphumla kwemisipha kunye nokunciphisa kwi-myopathy.

I-4) Yomeleza imisipha ye-trunk, ulungelelanise ukulungelelaniswa kwemisipha yesisu kunye nemisipha yangemva ukuphucula ilungiselelo kunye noxinzelelo lomqolo, ukwandisa ukuzinza komqolo, ngenxa yoko, ukukhusela i-spondylosis yomlomo wesibeleko kunye neentlungu ezahlukeneyo ezisezantsi.

I-5) Ukuphucula amandla e-muscle, ukuphucula ibhalansi yezihlunu ezichasayo, kwaye uqinise ukuzinza okuguquguqukayo kokubambisana ukukhusela ukuguqulwa kokuguqulwa komthwalo womthwalo.

I-6) Ukuqinisa ukuqeqeshwa kwemisipha yesisu kunye ne-pelvic kubaluleke kakhulu ekukhuseleni nasekuphatheni i-visceral sagging kunye nokuphucula imisebenzi yokuphefumula kunye nokugaya.

Izilumkiso zoQeqesho lokuQinisa i-Muscle

Khetha indlela yoqeqesho efanelekileyo

Isiphumo sokuphucula amandla emisipha sihambelana nendlela yoqeqesho.Vavanya uluhlu oludibeneyo lwentshukumo kunye namandla emisipha ngaphambi koqeqesho, khetha indlela yoqeqesho efanelekileyo ngokwenqanaba lokuqina kwemisipha ngenjongo yokhuseleko.

Lawula ubungakanani boqeqesho

Kungcono ukuba ungaziva ukhathala kunye nentlungu ngosuku olulandelayo emva koqeqesho.

Ngokwemeko eqhelekileyo yesigulane (ukufaneleka ngokomzimba kunye namandla) kunye nemeko yendawo (i-ROM edibeneyo kunye namandla emisipha) ukukhetha indlela yoqeqesho.Thatha uqeqesho ngamaxesha angama-1-2 ngosuku, imizuzu engama-20-30 ngexesha ngalinye, uqeqesho ngamaqela lukhetho oluhle, kwaye izigulane zinokuphumla kwi-1 ukuya kwimizuzu emi-2 ngexesha loqeqesho.Ukongezelela, ingcamango yobulumko yokudibanisa uqeqesho lwamandla emisipha kunye nolunye unyango olubanzi.

Ukusetyenziswa kokumelana kunye nohlengahlengiso

Ezi nqununu zilandelayo kufuneka ziqatshelwe xa kufakwa isicelo kunye nokulungelelanisa ukuxhathisa:

Ukuchasana ngokuqhelekileyo kufakwe kwindawo yokunamathisela ye-distal muscle efuna ukuqiniswa.

Xa ukwandisa amandla e-anterior deltoid muscle fiber, ukuxhathisa kufuneka kufakwe kwi-distal humerus.
Xa amandla e-muscle ebuthathaka, ukuchasana kunokongezwa kwakhona kwisiphelo esiphezulu sendawo yokunamathisela imisipha.
Isalathiso sokuchasana sichasana nesalathiso sokuhamba ngokubambisana okubangelwa ukunyanzeliswa kwemisipha.
Ukuchasana okusetyenziswe ngexesha ngalinye kufuneka kuzinzile kwaye akufanele kutshintshe kakhulu.