Kugwiritsira Ntchito Zida Zopanda Chitetezo Chotsitsa Chakudya
Ngati muvulazidwa kapena mukudwala, mukhoza kupindula ndi mankhwala opatsirana kuti muthe kuyenda bwino ndikukhala bwino. Wodwala wodwala (PT) adzayesa matenda anu ndikugwiritsa ntchito mankhwala ndi njira zosiyanasiyana monga gawo la pulogalamu yanu. Chithandizo chimodzi chotere ndicho kupaka minofu ndi kutulutsa minofu. Pali mitundu yosiyanasiyana ya misala yomwe PT imagwiritsa ntchito, ndipo mtundu umodzi wotere umadziwika ngati othandizira zida zofewa kapena IASTM.
Gulu lothandizira phokoso lothandizira pulogalamu, lomwe amadziwikanso monga Graston technique®, ndimasulidwe apadera a myofascial ndi njira ya misala yogwiritsidwa ntchito panthawi ya mankhwala opatsirana. Ndi mankhwala atsopano omwe akuphatikizapo kugwiritsa ntchito zitsulo kapena zipangizo zamapulasitiki kuti mukhale ndi thupi lofewa. Zipangizo izi zogwiritsa ntchito ergonomically zimathandiza kupopera kwanu kwa PT ndikuthandizira minofu yanu, fascia (collagen yomwe imapangitsa minofu yanu), ndi matope. Izi ndizomwe zimachepetsa kupweteka komanso kusintha kusuntha.
Kuchotsa Misala ndi Myofascial Release
Kutseketsa nthawi zina kumagwiritsidwa ntchito ndi othandizira ena a thupi kuti athe kuwonjezera pulogalamu yanu ya rehab. Ubwino wotikita minofu m'thupi kumaphatikizapo:
- Kupititsa patsogolo minofu yofewa
- Kuletsedwa kwa zoletsedwa mu fascia zolimba
- Kulimbitsa kusintha
- Kuchepetsa
- Kuchepetsa kuchepa kwa minofu
- Kuchulukitsidwa kwachulukidwe ndi kuthamanga kwa magazi kumatenda
Nthawi zina pambuyo povulazidwa, mukhoza kukhala ndi minofu kapena zoletsedwa minofu.
Mitengo yofewayi imatha kuchepetsa kuyenda kwanu (ROM) ndipo ikhoza kuyambitsa ululu. Wodwala wanu wamagetsi angagwiritse ntchito njira zosiyanasiyana zotulutsira myofascial ndi njira zofewa zothandizira kuti asamayende bwino ndikukhala bwino. Kutulutsidwa kwamagetsi ndi ISATM kungakhale njira imodzi yomwe PT ikuchitira zoletsera izi.
Tiyenera kukumbukira kuti pali kutsutsana pa ntchito ya PT ndi rehab kuti ngati zovuta zoletsa minofu zimapweteka kwambiri kapena zikhoza kudziwika bwino ndi PT. (Ngati simungathe kudziwa minofu yolimba, mungathe bwanji kuchiza?) Komabe, ena a PT amamva kuti angathe kupeza minofu yofewa ndi zofewa zofewa ndipo amagwiritsira ntchito njira zamisala ndi zamagetsi kuti zithandize kusintha kayendedwe kanu ndi kuchepetsa ululu wanu. Ndipo odwala ambiri amatsimikizira ubwino wa kumasulidwa kwa myofascial ndi kupaka minofu monga chithandizo cha ululu wawo.
Mbiri ya IASTM
Graston technique® ya IASTM inakhazikitsidwa m'zaka za m'ma 1990, kutchulidwa ndi othamanga, kwa othamanga. Kuchokera nthawi imeneyo yakula mwakuya ndipo imagwiritsidwa ntchito ndi ochiritsa odwala, ochizira, ndi othandizira odwala kuti athe kuthandiza odwala omwe ali ndi malamulo omwe angapangitse ululu ndi kuchepetsa kuyenda. IASTM imagwiritsidwanso ntchito kwa odwala ena-osati othamanga okha-okhala ndi zikhalidwe zosiyanasiyana.
Odwala matupi angagwiritse ntchito zipangizo zosiyanasiyana kuti achite IASTM. Ambiri mwa awa amawoneka ngati zipangizo zamakono zozunzirako-masamba, scrapers, ndi lakuthwa, zinthu zovuta. Zina mwa zipangizozi zimayendetsedwa ndi kampani ya Graston®, ndipo makampani ena ambiri amapereka zitsulo kapena mapulasitiki omwe akugwiritsira ntchito IASTM.
Zolinga zogwiritsa ntchito zipangizozi pa IASTM zimakhalabe zokhazokha: kuthandizira kumasula zofewa zofewa ndi zoyenera kuti musinthe.
Momwe IASTM Imasiyanirana
Pa nthawi yowonongeka, PT imagwiritsa ntchito manja ake kupereka chithandizo. Pali kawirikawiri kukhudzana kwa khungu ndi khungu. Pa mankhwala a IASTM, wodwala wanu wamagwiritsidwe ntchito amagwiritsa ntchito chitsulo kapena chida cha pulasitiki kuti apereke minofu yofewa ndi kusonkhezera. Chida ichi ndi chochepa (kapena mwamphamvu) chopukutidwa ndi kuzisakaniza pa khungu lanu. Kugwedeza kwa chidachi kumagwiritsidwa ntchito kupeza ndi kumasula zolimba mu fascial system, chojambulira chojambulidwa ngati collagen kuzungulira minofu yanu.
Momwe IASTM Imachitira
Pamene PT yanu ikugwiritsira ntchito chida cha IASTM pamene mukuchiritsidwa, iyeyo adzakhala poyamba akufufuza malo oletsedwa ndi zachilengedwe komanso zamtundu. Madera amenewa adzamva ngati akugwedezeka kapena ngati miyala ikugwera. Zikanakhala zoletsedwa mu fascia, PT yanu imatha kuwongolera, pogwiritsira ntchito chida cha IASTM kuti chiwawombere.
Nanga nchiyani chomwe chikuchitika ngati PT ikugwiritsa ntchito chida cha IASTM kuti chiwonongeke pazifukwa zowonjezera? Zimaphatikizidwa kuti kudula ziphuphu zanu zimayambitsa tizilombo toyambitsa matenda, kotero kuti kuyambiranso kutentha kwa thupi lanu. Izi zimayambitsa zochitika zomwe zikuchitika kuphatikizapo kubwezeretsanso minofu yochuluka komanso fibrosis yomwe imayambitsa kulepheretsa. Zomwe zimapangidwira minofu zimatha kutambasulidwa bwino kuti zithandize kusintha kwapweteka.
Zisonyezo
Osati wodwala aliyense ayenera kulandira chithandizo cha IASTM. Wodwala wanu wathanzi angadziwe ngati muli ndi vuto lina lomwe lingapindule ndi chithandizochi. Kuwonongeka uku kungaphatikizepo:
- Kuyenda kochepa
- Ululu ndi kuyenda
- Kutaya ROM
- Kuchepetsa kuchepa kwa minofu
- Kuchuluka kwa minofu yopanga
Ngati muli ndi zovuta izi, PT yanu ingasankhe kugwiritsa ntchito IASTM kuti ikuthandizeni kusintha.
Zinthu zosiyanasiyana zomwe zingapindule ndi kugwiritsa ntchito njira za IASTM zingaphatikizepo izi:
- Tendonitis ndi tendinopathy
- Ligament imatulutsa
- Plantar fasciitis
- Sakani minofu kuchokera ku opaleshoni kapena kupsyinjika
- Kupweteka kwamtundu
- Kusiyanitsa kwa musculoskeletal
Ngati muli ndi zina mwazimenezi, PT yanu ingasankhe kugwiritsa ntchito IASTM panthawi ya mankhwala ngati ikuyenera.
Zimene muyenera kuyembekezera
Pa gawo la PT pamene IASTM imagwiritsidwa ntchito, PT yanu idzawonetsa gawo la thupi kuti ligwiritsidwe ntchito. Adzapaka chida chachitsulo chogwiritsidwa ntchito pa khungu lanu. PT yanu iyenera kuyamba mofatsa, kufufuza dera lozungulira chovulaza chanu ndi chida cha IASTM. Panthawiyi, mutha kumva kumverera bwino, ndipo mukhoza kumverera mwachidwi pamene chida chikudutsa m'malo ovuta a fascia. Pulogalamu yanu ya PT ingaganizire pa malo omwe akusowa ntchito yambiri, ndipo mutha kukhala ndi mphamvu zowonongeka ndi chida pa khungu lanu.
Phunziroli, mukhoza kumverera bwino ngati chida chikudutsa pakhungu lanu. Onetsetsani kuti muuzeni PT ngati simungathe kulekerera vutolo. Wothandizira wanu ayenera kusiya kuimika IASTM ngati sikumveka bwino kapena mukamuuza kuti asiye.
Mutatha kuchipatala, khungu lanu pafupi ndi dera limene limagwira ntchito likhoza kukhala lofiira. Nthaŵi zina, kuvulaza pang'ono kumachitika, makamaka ngati mankhwala a IASTM ankachitidwa mwamphamvu.
Pambuyo pa gawo la IASTM, wothandizira wanu adzakuchititsani kuchita mwangwiro kapena kutambasula kuti mupite patsogolo. Izi zingathandize kusunga zida zovuta kapena zovuta kuzikonzera kusintha.
Ubwino ndi Mavuto
Ubwino wa IASTM umaphatikizapo:
- Zowonjezera zowonjezera minofu
- Kuchepetsa
- Kupititsa patsogolo koyendetsa
- Kuchepetsa minofu yopanga mapangidwe
- Zosintha zamagetsi zowonjezera pafupi ndi malo ovulala
- Wopatsa thanzi wathanzi amalimbikitsidwa pa chithandizo
Ngakhale kuti izi zimapindulitsa phokoso lalikulu, ambiri samaphunzira mozama za sayansi. Kafukufuku wambiri za IASTM ndi malipoti a munthu wodwalayo kapena kafukufuku amene anachitidwa pazinthu zomwe sizinthu za anthu ndi fascia. Zotsatira za maphunziro ngati amenewa sizingasinthike ku chikhalidwe chanu, choncho ngati PT ikuyamikira IASTM, onetsetsani kuti mufunse za madalitso omwe mukuyembekezera.
Mavuto a IASTM angaphatikizepo:
- Kufiira khungu lanu kumene chithandizocho chinachitika
- Kudandaula
- Kupweteka kwambiri
- Kulephera kupereka chithandizo
Mphamvu
Pomwe PT yanu ikugwiritsira ntchito chithandizo chilichonse ku thupi lanu panthawi ya rehab, muyenera kukayikira kufunika kwa mankhwalawa. Kodi mankhwalawa amaperekedwa ndi kafukufuku wovuta wa sayansi, ndipo pali njira zina zothandizira mankhwala omwe angakhale opindulitsa kapena otetezeka kuti mulandire?
Ngati PT yanu ikukhulupirira kuti zoletsa zapakhomo ndizo chifukwa cha kupweteka kwanu, kuvulala, kapena kusayenda kwanu, angagwiritse ntchito IASTM kuti athetsere malamulowa. Ambiri a PT omwe amagwiritsa ntchito IASTM amakhulupirira kuti ndi chithandizo chothandizira kutayika, kusawa, ndi mavuto a myofascial.
Kafukufuku
Kafukufuku wina wamakono woyerekeza poyerekeza ndi kugwiritsidwa ntchito kwa manja pamagetsi pofuna kugwiritsa ntchito zipangizo zamakono, monga IASTM, chifukwa cha ululu wopweteka kwambiri. Zotsatira za kafukufuku zinapeza kusiyana kochepa mu njira ziwiri zochepetsera ululu. Njira ya IASTM inachititsa kuti pulogalamuyi itheke bwino poyerekeza ndi njira zamagetsi.
Ndondomeko yowonjezereka mu nyuzipepala ya Physical Therapy Reviews inayang'ana pa maphunziro 7 ndipo inayerekeza IASTM ndi njira zina za ululu ndi kusokonezeka kwa minofu. Olembawo anatsimikizira kuti IASTM ikhoza kukhala ndi zotsatira zabwino pa kuthamanga kwa magazi ndi minofu yowonjezera pamene ikuchepetsa minofu ya viscosity ndi kuchepetsa ntchito ya zopweteka zopweteka mu minofu.
Phunziro lina linagwiritsa ntchito kugwiritsa ntchito IASTM, sham (fake) ultrasound, komanso kupweteka kwa msana kwa odwala opweteka kwambiri. Odwala zana limodzi ndi makumi anayi ndi atatu adasankhidwa m'magulu atatu: IASTM, sham ultrasound, kapena kugwedeza kwa msana. Zotsatira za zotsatira zinaphatikizapo ubwino wa kupweteka ndi kulemala.
Ofufuza sanapeze kusiyana kwakukulu pakati pa ululu kapena kulemala ndi mankhwala aliwonse ovutika kupweteka; magulu onse apambana pakapita nthawi ndipo palibe zochitika zazikulu zolakwika zomwe zinachitika. Choncho IASTM sichitsitsikanso (kuposera) kuposa kupweteka kwa msana kapena ultrasound yachinyengo kwa ululu wa thoracic.
Kodi zotsatira za phunziro lirilonse limatanthauza kuti IASTM idzachita bwino kapena sizikuyenderani bwino? Mwinamwake, mwina ayi. Koma kumbukirani kuti aliyense ali wosiyana, ndipo vuto lanu lingayankhe m'njira zosiyanasiyana ku mankhwala osiyanasiyana.
Njira yabwino kwambiri: kumvetsetsa zomwe mankhwala anu PT amagwiritsira ntchito pa chikhalidwe chanu ndi kukhala ndi chiyembekezo choyenera cha zotsatira za mankhwalawa. Ndipo ngati muli ndi mafunso okhudza IASTM-kapena mankhwala ena-funsani wodwalayo.
Mawu Ochokera
Ngati muli ndi ululu kapena kuyenda kochepa, PT yanu ikhoza kuganiza kuti minofu imakhala yolimba, minofu yambiri, kapena zoletsedwa za myofascial kuti zikhale mbali ya chilango. Ngati ndi choncho, wodwalayo angasankhe kugwiritsa ntchito IASTM pothandizira kuti muchepetse zoletsedwa komanso mubwezeretsedwe. Izi zingakuthandizeni mwamsanga kuti mubwererenso kumoyo wanu wachizolowezi.
> Zotsatira:
> Crothers, AL, French, SD, Hebert, JJ, & Walker, BF (2016). Matenda opatsirana m'mimba, Graston technique® ndi placebo kwa zovuta zenizeni za thoracic msana: kuyesedwa kosasinthika. Chiropractic & mankhwala othandizira , 24 (1), 16.
> Eid, K., Tafas, E., Mylonas, K., Angelopoulos, P., Tsepis, E., & Fousekis, K. (2017). Kuchiza kwa thunthu ndi kumapeto kwake ndi njira ya Ergon® IASTM kungapangitse kusintha kwa masewera othamanga pa masewera a amateur: Kuphunzira mwachidwi. Thandizo lachilengedwe mu Masewera , 28 , e12.
> Kim, J., Sung, DJ, & Lee, J. (2017). Kuchiza kwabwino kwa zipangizo zothandizira zipangizo zofewa zothandizira kuvulaza kwa thupi: njira ndi ntchito zothandiza. Journal of exercise rehabilitation , 13 (1), 12.
> Lambert, M., Hitchcock, R., Lavallee, K., Hayford, E., Morazzini, R., Wallace, A., ... & Cleland, J. (2017). Zotsatira za zipangizo zothandizira zipangizo zofewa zofiira poyerekeza ndi zina zomwe zimathandiza pa ululu ndi ntchito: ndondomeko yowonongeka. Maphunziro Opanga Thupi , 22 (1-2), 76-85.
> Williams, M. (2017). Kuyerekeza zowawa ndi zotsatira za kulemala kwa chida chogwiritsira ntchito makina operewera kwa anthu omwe ali ndi ululu wopweteka kwambiri: meta-analysis (Doctoral dissertation, California State University, Fresno).