Ukuqeqesha Amandla Emisipha

Ukusetshenziswa Komtholampilo Kokuqeqeshwa Kwamandla Emisipha

Ukuqeqeshwa kwamandla emisipha kuhlukaniswe ku-Level 0, level 1, level 2, level 3, level 4 nangaphezulu.

Ileveli 0

Ukuqeqeshwa kwamandla emisipha yeleveli 0 kuhlanganisa ukuqeqeshwa okwenziwayo kanye nokwelashwa nge-electrotherapy

1. Ukuqeqeshwa okungenzi lutho

Abelaphi bathinta imisipha yokuqeqesha ngezandla ukuze benze iziguli zigxile engxenyeni yokuqeqesha.

Ukunyakaza okungahleliwe kweziguli kungenziwa ngomnyakazo wokwenza okuthile, ukuze zizwe ukunyakaza kwemisipha ncamashi.

Ngaphambi kokuqeqesha uhlangothi olungasebenzi kahle, qedela isenzo esifanayo ohlangothini olunempilo, ukuze isiguli sithole indlela kanye nesenzo esibalulekile sokufinyela kwemisipha.

Ukunyakaza okunganyakazi kungasiza ekugcineni ubude bokuphila bemisipha, kuthuthukise ukujikeleza kwegazi lendawo, kushukumise ukutholwa okufanele ukuze kunxenxe ukuzwa kwemoto, nokuziphatha ku-CNS.

2. Electrotherapy

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

I-EMG Biofeedback: guqula izinguquko ze-myoelectric zokufinyela kwemisipha nokuphumula zibe izimpawu zokuzwa nezibonwayo, ukuze iziguli “zizwe’ futhi “zibone” ukufinyela kancane kwemisipha.

Ileveli 1

Ukuqeqeshwa kwamandla emisipha ye-Level 1 kuhlanganisa i-electrotherapy, ukunyakaza okusebenzayo, ukunyakaza okusebenzayo (i-muscle isometric contraction).

Izinga 2

Ukuqeqeshwa kwamandla emisipha yezinga lesi-2 kuhlanganisa ukunyakaza kokusiza okusebenzayo (ukunyakaza okusebenzayo okusizwa ngesandla nokumiswa kusiza ukunyakaza okusebenzayo) nokunyakaza okusebenzayo (ukuqeqeshwa kokusekelwa kwesisindo kanye nokwelapha emanzini).

Ileveli 3

Izinga lesi-3 lokuqeqeshwa kwamandla emisipha kuhlanganisa ukunyakaza okusebenzayo kanye nokunyakaza kokumelana ngokumelene namandla adonsela phansi ezitho.

Ukunyakaza okumelana namandla adonsela phansi emithonjeni emi kanje:

I-Gluteus maximus: iziguli ezilele endaweni eqondile, abelaphi balungisa i-pelvis yabo ukuze babenze balule izinqe zabo ngangokunokwenzeka.

I-Gluteus medius: iziguli ezilele ngohlangothi olulodwa ezinokungasebenzi kahle kwesitho esingaphansi ngaphezu kohlangothi olunempilo, udokotela walungisa i-pelvis yabo futhi wabenza bathumba amalunga abo e-hip ngangokunokwenzeka.

Imisipha ye-deltoid yangaphambili: iziguli ezihlezi nezitho zazo ezingaphezulu zigobe ngokwemvelo futhi izintende zazo zibheke phansi, ukugoba kwehlombe okuphelele.

Izinga lesi-4 nangaphezulu

Ukuqeqeshwa kwamandla emisipha yeleveli 4 nangaphezulu kufaka phakathi ukuqeqeshwa kokuqeqeshwa okusebenzayo kokumelana nesandla, ukuqeqeshwa okusebenzayo okusizwa kwemishini, kanye nokuqeqeshwa kwe-isokinetic.Phakathi kwabo, ukuqeqeshwa okusebenzayo kokumelana ne-freehand ngokuvamile kusebenza ezigulini ezinezinga lamandla emisipha 4. Ngenxa yokuthi amandla emisipha yeziguli abuthakathaka, abelaphi bangakwazi ukulungisa ukumelana nganoma yisiphi isikhathi ngokufanele.

Yini Engenziwa Ukuqeqeshwa Kokuqina Kwemisipha?

I-1) Vimbela ukungasebenzisi imisipha ye-atrophy, ikakhulukazi ngemva kokungakwazi ukuhamba kwesikhathi eside kwamalungu.

I-2) Vimbela ukuvinjelwa kwe-reflex ye-atrophy yamangqamuzana ophondo lwangaphambili lwentambo yomgogodla okubangelwa ubuhlungu ngesikhathi sokuhlukunyezwa nokuvuvukala.Khuthaza ukubuyiswa kwamandla emisipha ngemva kokulimala kwesistimu yezinzwa.

I-3) Siza ukugcina umsebenzi wokuphumula kwemisipha kanye nokunciphisa ku-myopathy.

I-4) Qinisa imisipha ye-trunk, ulungise ukulingana kwemisipha yesisu kanye nemisipha yangemuva ukuze uthuthukise ukuhlelwa nokucindezeleka komgogodla, ukwandisa ukuzinza komgogodla, ngenxa yalokho, ukuvimbela i-spondylosis yomlomo wesibeletho kanye nobuhlungu obuhlukahlukene obuphansi emuva.

I-5) Thuthukisa amandla emisipha, uthuthukise ibhalansi yemisipha ephikisanayo, futhi uqinise ukuzinza okuguquguqukayo kwelunga ukuvimbela izinguquko eziwohlokayo zejoyinti elithwala umthwalo.

I-6) Ukuqinisa ukuqeqeshwa kwezicubu zesisu kanye ne-pelvic floor kubaluleke kakhulu ekuvimbeleni nasekwelapheni ukuwohloka kwe-visceral kanye nokwenza ngcono imisebenzi yokuphefumula nokugaya.

Izinyathelo Zokuqaphela Ukuqeqeshwa Kokuqina Kwemisipha

Khetha indlela yokuqeqesha efanele

Umphumela wokuthuthukisa amandla emisipha uhlobene nendlela yokuqeqesha.Hlola uhla oluhlangene lokunyakaza namandla emisipha ngaphambi kokuqeqeshwa, khetha indlela yokuqeqesha efanele ngokwezinga lamandla emisipha ngenjongo yokuphepha.

Lawula inani lokuqeqeshwa

Kungcono ukungazizwa ukukhathala nobuhlungu ngosuku olulandelayo ngemva kokuqeqeshwa.

Ngokwesimo esijwayelekile sesiguli (ukuqina ngokomzimba namandla) kanye nesimo sendawo (i-ROM ehlangene namandla emisipha) ukukhetha indlela yokuqeqesha.Thatha ukuqeqeshwa izikhathi ezingu-1-2 ngosuku, imizuzu engu-20-30 isikhathi ngasinye, ukuqeqeshwa ngamaqembu kuyindlela enhle, futhi iziguli zingaphumula imizuzu engu-1 kuya kwemi-2 ngesikhathi sokuqeqeshwa.Ngaphezu kwalokho, kuwumqondo ohlakaniphile ukuhlanganisa ukuqeqeshwa kwamandla emisipha nokunye ukwelashwa okuphelele.

Isicelo sokumelana nokulungiswa

Lezi zihloko ezilandelayo kufanele ziqashelwe lapho kufakwa futhi kulungiswa ukumelana:

Ukumelana kuvame ukungezwa endaweni yokunamathisela ye-distal muscle edinga ukuqiniswa.

Lapho ukhulisa amandla e-anterior deltoid muscle fiber, ukumelana kufanele kwengezwe ku-distal humerus.
Lapho amandla e-muscle ebuthakathaka, ukumelana kungabuye kwengezwe ekugcineni okuseduze kwesayithi lokunamathisela kwemisipha.
Isiqondiso sokumelana siphambene nesiqondiso sokunyakaza okuhlangene okubangelwa ukugoqa kwemisipha.
Ukumelana okusetshenziswa ngaso sonke isikhathi kufanele kuzinzile futhi akufanele kushintshe kakhulu.