Rehab kwa Anterior Tibialis Kufooka
Ngati muli ndi zovulaza kapena matenda omwe amachititsa kuti minofu ikhale yovuta kutsogolo kwanu, ndiye kuti mukumva zowawa pamapazi. Dontho lamanzere limapezeka pamene minofu yamtundu wa tibialis yomwe imathandiza kukweza phazi lanu siigwira bwino. Izi zikachitika, mungagwire zala zanu pansi ngati mukuyenda.
Mukakhala ndi dontho la phazi, kutha kwanu kumayenda bwinoko kungakhale kovuta.
Pamene muyesa kuyendetsa phazi lanu mtsogolo, nthawi yanu yoyamba ya tibialis imayenera kugwira ntchito kuti muthe kukweza phazi lanu. Ngati izi sizikuchitika, dontho la phazi limapezeka, ndipo izi zingasinthe njira yomwe mukuyendera.
Dontho lamanzere kawirikawiri limayambitsa kanthana kakang'ono kamene kamatchedwa kuti steppage gaitage. Mtundu wa gaitwu umawoneka mosavuta kwa anthu okhala ndi dontho la mapazi. Pamene mukupita patsogolo, phazi lanu ndi zala zakutsogolo zikugwera pansi. Kuti muchotse phazi lanu pansi, mumasintha mchiuno ndi mawondo anu, ndipo izi zimapangitsa kuti muyambe kuyenda mofulumira.
Ngati muli ndi dontho la phazi, mungapindule ndi othandizi a zachipatala kuti muthandize kuchiza matenda anu. Wodwala wanu wathanzi adzayang'ana dontho la phazi lanu ndikugwiritsa ntchito njira zosiyanasiyana kuti muthe kusintha vuto lanu. Cholinga chachikulu cha chithandizo chamankhwala chadontho la phazi ndiko kukonzanso kayendetsedwe ka ntchito yogwirizana ndi kuyenda. Izi zikhoza kuonetsetsa kuti mumatha kuyenda mozungulira ndipo zingachepetse chiwopsezo chanu chogwa.
Zifukwa za Mapazi Otsala
Pakhoza kukhala zifukwa zosiyanasiyana zosiyana siyana za phazi lamapazi. Nthaŵi zina, mavuto m'katikati mwa mitsempha angayambitse kufooka kapena kuuma kwa thupi lanu lachiberekero la tibialis. Nthawi zina, kuvulala kwa mitsempha mwendo mwako kungayambitse phazi. Zina zomwe zimayambitsa zowononga phazi zingakhalepo, koma sizingatheke ku:
- Sitiroko
- Sciatica
- Kuwonongeka kwa mitsempha yowonongeka
- Kusintha myelitis
- Multiple sclerosis
Kuchiza Mankhwala Owonetsera Mapazi Otsala
Pa gawo lanu loyamba lachipatala, wodwala wanu akukufunsani mafunso okhudza matenda anu. Adzafunsa mafunso okhudza mtundu wa kuvulaza kwanu, momwe phazi lanu likugwera likukhudzira moyo wanu, ndi kuika kwa phazi lanu kwa nthawi yayitali bwanji.
Mayesero ndi mayesero osiyanasiyana angatengedwe nthawi yanu yoyamba. Izi ziphatikizapo:
- Mapazi ndi makondo a kuyenda (ROM)
- Lower extremity minofu mphamvu
- Kuyenda mogwira ntchito
- Zotsatira zogwira ntchito
- Kusamalirana ndi kudziwika
Mankhwala Othandizira Pakati pa Mapazi Apafupi
Pambuyo pa wodwala wanu wamthupi akuyesa matenda anu, adzatha kudziwa chithandizo chabwino cha phazi lanu. Cholinga chachikulu cha chithandizo chamankhwala cha phazi ndi kupititsa patsogolo kuyenda kwanu ndikuyenda bwino.
Wodwala wanu wamagetsi angagwiritse ntchito njira zosiyanasiyana zochizira kuti athandizire kusintha kwa thupi lanu lachiberekero la tibialis. Kutsitsimutsa kwa magetsi (NMES) kungagwiritsidwe ntchito kuthandiza kuwongolera momwe minofu ikugwirizanirana ndi kukweza phazi lanu. Kutsitsimutsa kwa magetsi kumaphatikizapo minofu yanu kuti muwathandize kuphunzitsanso kuti mugwirizane bwino.
Zochita za ankle zimachitika nthawi ndi pambuyo pa mankhwala a NMES.
Zochita Zogwiritsa Ntchito Mphindi
Pali zochitika zambiri zosiyana za phazi la phazi . Kuchita masewera olimbitsa mphamvu ya minofu ndi makamaka kuganizira za tibial yanu yamkati n'kofunikira. Ngati dontho la phazi lanu likuyambitsidwa ndi kupanikizika kwa mitsempha yanu yam'mimba kuchokera kumbuyo kwanu, machitidwe apansi angaperekedwe pofuna kuyesetsa kuthetsa vutoli ndikubwezeretsanso ntchito yanu kwa tibialis yanu yamkati.
Ngati thupi lanu lachiberekero la tibialis silikugwira ntchito kuti musinthe mawondo anu, mwana wanu wamphongo musanayambe mwendo wanu. Kugwiritsa ntchito zovuta kutambasula mwana wanu wamphongo kungapangidwe kuti muwathandize kuti zisamakhale zolimba kwambiri.
Kusamala kwanu kungakhudzidwe ngati muli ndi dontho la phazi. Ngati ndi choncho, wodwala wanu angapereke mankhwala oyenerera. Bokosi la BAPS lingagwiritsidwe ntchito kuthandizira kukonza kwanu ndi kudziwika kwanu.
Zothandizira za kunja ndi Bracing kwa Foot Drop
Pazochitika zanu zamankhwala, wodwala wanu akugwira ntchito ndi inu kuti athandize kukonza luso lanu lokwezera phazi lanu mukuyenda. Njira imodzi yokweza phazi lanu pamene mukuyenda ndi kugwiritsa ntchito gulu losungunuka pamutu ndi phazi lanu. Gululo likutambasula pamene mukuyenda ndikukweza phazi lanu pamene mukupita patsogolo. Kugwiritsira ntchito zotupa ndi njira yothandizira kuchepetsa phazi, koma zingakuthandizeni kuti muzitha kuonetsetsa kuti mukuchita bwino panthawi yoyamba. Izi zingakuthandizeni kupeŵa kuchita zizoloŵezi zoipa pogwiritsa ntchito njira yapamwamba yowonongeka.
Wodwala wanu wathanzi akhoza kukuyang'anirani panthawi ya kukonzanso ndikuyesa momwe mukuyendera. Nthawi zina, kusintha ndi phazi la phazi kuli pang'onopang'ono, kotero kumamatirana nalo. Nthaŵi zina, dontho la phazi ndilokhalitsa, ndipo chimbudzi chakunja chomwe chimatchedwa footthosis (AFO) n'chofunika kuti muthe kukweza phazi lanu mukuyenda. Ngati ndi choncho, PT yanu ikhoza kupereka malangizo kwa AFO yabwino kwa inu.
Mawu ochokera
Phazi lakuponya lingakhale chowopsya choopsa, ndipo limafuna kubwerera kwathunthu kuntchito yachizolowezi. Ngati muli ndi dontho la phazi, mungapindule ndi chithandizo chamankhwala kuti muthe kulimbitsa thupi lanu lachiberekero la tibialis. PT yanu ingagwiritsenso ntchito nanu kuti mukhale oyenera, ndipo iye akhoza kuonetsetsa kuti mukuyenda bwino. Ngati dontho la phazi lanu likhale lachikhalire, PT yanu ikhoza kupereka malingaliro abwino kwambiri kwa inu.
Pogwira ntchito mwakhama kuti muthetse phazi lanu, mukhoza kupititsa patsogolo mwayi wanu wochira ndipo mutha kubwerera mwamsanga kuntchito yanu yapitayi.
> Chitsime:
> Bae, YH, Kim, HG, Min, KS, & Lee, SM (2015). Zotsatira za zamoyo zam'mbali za m'munsi zimagwiritsira ntchito mphamvu zolimbana ndi odwala omwe ali ndi phazi lakuthwa. Zolemba zowonjezera zovomerezeka ndi njira zina , 2015 .