ClickCease
+ 1-915-850-0900 spinedoctors@gmail.com
Select Page

Kuchiza Mankhwala

Back Clinic Chiropractic Examination. Kuyezetsa koyambirira kwa chiropractic kwa matenda a musculoskeletal nthawi zambiri kumakhala ndi magawo anayi: kukambirana, mbiri yamilandu, ndi kuyezetsa thupi. Kusanthula kwa labotale ndi X-ray kutha kuchitidwa. Ofesi yathu imaperekanso Kuwunika kwa Ubwino Wogwira Ntchito ndi Kuphatikizana bwino kuti timvetsetse bwino momwe wodwalayo akuwonera.

Kukambirana:
Wodwalayo adzakumana ndi chiropractor yemwe adzayesa ndikufunsa mwachidule za ululu wake wam'mbuyo, monga:
Kutalika ndi kuchuluka kwa zizindikiro
Kufotokozera za zizindikiro (monga kutentha, kugunda)
Malo opweteka
Zomwe zimapangitsa ululu kumva bwino (monga kukhala, kutambasula)
Zomwe zimapangitsa kuti kupweteka kumveke (monga kuyimirira, kukweza).
Mbiri yakale. Chiropractor amazindikiritsa malo (malo) odandaula ndi momwe ululu wammbuyo ulili mwa kufunsa mafunso ndikuphunzira zambiri za madera osiyanasiyana a mbiri ya wodwalayo, kuphatikizapo:
Mbiri ya banja
Zakudya
Mbiri yakale yamankhwala ena (chiropractic, osteopathic, zamankhwala ndi zina)
Mbiri ya ntchito
Mbiri ya chikhalidwe cha anthu
Madera ena oti mufufuze, nthawi zambiri kutengera mayankho a mafunso omwe ali pamwambawa.

Kuyeza thupi:
Tidzagwiritsa ntchito njira zosiyanasiyana kuti tidziwe zigawo za msana zomwe zimafuna chithandizo cha chiropractic, kuphatikizapo koma osangokhala ndi njira zowonongeka komanso zowonongeka zomwe zimatsimikizira zigawo za msana zomwe zili ndi hypo mobile (zoletsedwa kuyenda) kapena zokhazikika. Kutengera zotsatira za mayeso omwe ali pamwambapa, chiropractor angagwiritse ntchito mayeso owonjezera, monga:
X-ray kuti apeze ma subluxations (malo osinthika a vertebra)
Chipangizo chomwe chimazindikira kutentha kwa khungu m'chigawo cha paraspinal kuti chizindikire madera a msana ndi kusiyana kwakukulu kwa kutentha komwe kumafuna kusintha.

Kuwunika kwa Laboratory:
Ngati pakufunika timagwiritsanso ntchito njira zingapo zowunikira ma labu kuti tidziwe chithunzi chonse cha wodwalayo. Tagwirizana ndi ma lab apamwamba mumzindawu kuti tipatse odwala athu chithunzithunzi choyenera chachipatala komanso chithandizo choyenera.

Kuonetsetsa Chitetezo cha Odwala: Njira Yachipatala mu Chipatala cha Chiropractic

Kuonetsetsa Chitetezo cha Odwala: Njira Yachipatala mu Chipatala cha Chiropractic

by | Chiropractic, Kuchiza Mankhwala, Chiropractic News, aakulu Chisoni, Kujambula & Kuzindikira, Kuchiza

Kodi akatswiri azachipatala ku chipatala cha chiropractic amapereka bwanji njira yachipatala kuti apewe zolakwika zachipatala kwa anthu omwe ali ndi ululu?

Introduction

Zolakwa zachipatala zinachititsa kuti 44,000-98,000 amwalira m'chipatala ku America chaka chilichonse, ndipo zina zambiri zinayambitsa kuvulala koopsa. (Kohn et al., 2000) Chiwerengerochi chinali choposa chiwerengero cha anthu amene amamwalira chaka chilichonse ndi AIDS, khansa ya m’mawere, ndi ngozi za galimoto panthawiyo. Malinga ndi kafukufuku wamtsogolo, chiwerengero chenicheni cha imfa chikhoza kukhala pafupi ndi 400,000, ndikuyika zolakwika zachipatala monga chifukwa chachitatu cha imfa ku US. Kaŵirikaŵiri, zolakwa zimenezi sizichokera kwa akatswiri azachipatala amene ali oipa mwachibadwa; m'malo mwake, ndizo zotsatira za zochitika zadongosolo ndi kayendetsedwe ka zaumoyo, monga machitidwe osagwirizana ndi opereka chithandizo, ma network a inshuwaransi osagwirizana, kusagwiritsidwa ntchito bwino kapena kusowa kwa ndondomeko za chitetezo, ndi chisamaliro chosagwirizana. Nkhani ya lero ikuyang'ana njira yachipatala yopewera cholakwika chachipatala muzochitika zachipatala. Timakambirana zachipatala chogwirizana ndi chithandizo chamankhwala chothandizira anthu omwe akudwala matenda aakulu. Timawatsogoleranso odwala athu powalola kuti afunse mafunso ofunika kwambiri komanso ovuta kwa omwe amawathandiza. Dr. Alex Jimenez, DC, amangogwiritsa ntchito chidziwitsochi ngati ntchito yophunzitsa. chandalama

Kufotokozera Zolakwa Zachipatala

Kuzindikira cholakwika chachipatala chomwe chili gawo lofunikira kwambiri pazokambirana zilizonse zokhudzana ndi kupewa zolakwika zachipatala. Mutha kuganiza kuti iyi ndi ntchito yosavuta, koma izi ndizotheka mpaka mutayang'ana pamitundu yambiri ya mawu omwe amagwiritsidwa ntchito. Mawu ambiri amagwiritsidwa ntchito mofanana (nthawi zina molakwika) popeza mawu ena amatha kusinthasintha, ndipo nthawi zina, tanthauzo la liwu limadalira zapadera zomwe zikukambidwa.

 

 

Ngakhale kuti bungwe la zaumoyo linanena kuti chitetezo cha odwala ndi kuthetsa kapena kuchepetsa zolakwika zachipatala zinali zofunika kwambiri, Grober ndi Bohnen adanena posachedwa monga 2005 kuti adalephera m'dera limodzi lofunika kwambiri: kudziwa tanthauzo la "mwinamwake funso lofunika kwambiri ... vuto lachipatala? Kulakwa kwachipatala ndiko kulephera kukwaniritsa zomwe munakonza pachipatala. (Grober & Bohnen, 2005) Komabe, palibe mawu alionse amene munthu angawatchule kuti ali ndi vuto lachipatala—odwala, chithandizo chamankhwala, kapena china chilichonse—amene akufotokozedwa m’nkhaniyi. Ngakhale zili choncho, tanthauzoli limapereka chikhazikitso cholimba cha chitukuko china. Monga mukuwonera, tanthauzo lenilenili lili ndi magawo awiri:

  • Kulakwitsa: Kulephera kukwaniritsa zomwe unakonzeratu monga momwe unafunira.
  • Vuto lokonzekera: ndi njira yomwe, ngakhale ndi kuphedwa mwangwiro, sikutulutsa zotsatira zomwe mukufuna.

Lingaliro la zolakwika za kuphedwa ndi kukonza zolakwika sizokwanira ngati tikufuna kufotokozera zolakwika zachipatala mokwanira. Izi zikhoza kuchitika kulikonse, osati kuchipatala kokha. Chigawo cha kayendetsedwe kachipatala chiyenera kuwonjezeredwa. Izi zimabweretsa lingaliro la zochitika zosasangalatsa, zotchedwa zochitika zoyipa. Tanthauzo lodziwika bwino la chochitika choyipa ndi kuvulaza mwadzidzidzi odwala omwe amabwera ndi chithandizo chamankhwala m'malo mwa matenda awo. Tanthauzoli lapeza kuvomerezedwa padziko lonse lapansi mwanjira ina. Mwachitsanzo, ku Australia, mawu akuti zochitika amatanthauzidwa ngati kuvulaza komwe kunapangitsa munthu kulandira chithandizo chamankhwala. Izi zikuphatikizapo matenda, kugwa koyambitsa kuvulala, ndi nkhani za mankhwala operekedwa ndi dokotala ndi zipangizo zachipatala. Zochitika zina zosavomerezeka zitha kupewedwa.

 

Mitundu Yodziwika ya Zolakwa Zachipatala

Nkhani yokhayo ndi lingaliro ili ndikuti sizinthu zonse zoipa zomwe zimachitika mwangozi kapena mwadala. Chifukwa wodwalayo amatha kupindula, zomwe zimayembekezeredwa koma zolekerera zimatha kuchitika. Pa mankhwala a chemotherapy, nseru ndi kutayika tsitsi ndi zitsanzo ziwiri. Pamenepa, kukana chithandizo chomwe akulangizidwacho chingakhale njira yokhayo yanzeru yopewera zotsatirapo zosasangalatsazo. Timafika pamalingaliro azovuta zomwe zingapewedwe komanso zosalephereka pamene tikukonzanso tanthauzo lathu. Sikophweka kuyika chisankho chololera kukhudzika kumodzi zikadziwika kuti zotsatira zabwino zidzachitika nthawi imodzi. Koma cholinga chokha sichinthu chowiringula. (Patient Safety Network, 2016, para.3) Chitsanzo china cha cholakwika chokonzekera chingakhale kudulidwa kwa phazi lamanja chifukwa cha chotupa ku dzanja lamanzere, chomwe chikanakhala kuvomereza chochitika chodziwika bwino ndi chonenedweratu poyembekezera zotsatira zopindulitsa pamene palibe chomwe chinayamba. Palibe umboni wotsimikizira kuyembekezera zotsatira zabwino.

 

Zolakwa zachipatala zomwe zimavulaza wodwala ndizo zomwe timayang'ana kwambiri pa kafukufuku wathu. Komabe, zolakwa zachipatala zimatha ndipo zimachitika ngati wodwala sanavulazidwe. Kupezeka kwa zophonya pafupi kungapereke chidziwitso chamtengo wapatali pokonzekera momwe mungachepetsere zolakwika zachipatala m'chipatala. Komabe, kuchuluka kwa zochitikazi poyerekeza ndi zomwe madokotala amawauza pafupipafupi kuyenera kufufuzidwa. Kuphonya kwapafupi ndi zolakwika zachipatala zomwe zikanavulaza koma sizinachitike kwa wodwalayo, ngakhale wodwalayo akuchita bwino. (Martinez et al., 2017) N’chifukwa chiyani mungavomereze chinachake chimene chingakubweretsereni mlandu? Taganizirani zimene zinachitika pamene namwino, pazifukwa zilizonse, anali atangoyang'ana zithunzi za mankhwala osiyanasiyana ndipo anali pafupi kupereka mankhwala. Mwinamwake chinachake sichim'kumbukira, ndipo amasankha kuti si momwe mankhwala enieni amawonekera. Atayang'ana, adapeza kuti mankhwala olakwika adaperekedwa. Akaona mapepala onse, amakonza zolakwikazo n’kupatsa wodwalayo malangizo oyenerera. Kodi zingatheke kupeŵa cholakwika m'tsogolomu ngati zolemba zoyang'anira zikuphatikizapo zithunzi za mankhwala oyenera? N'zosavuta kuiwala kuti panali kulakwitsa ndi mwayi wovulaza. Mfundo imeneyi imakhalabe yoona mosasamala kanthu kuti tinali ndi mwayi woipeza m’nthawi yake kapena kuvutika ndi zotsatirapo zilizonse zoipa.

 

Zolakwika za Zotsatira & Njira

Timafunikira deta yathunthu kuti tipeze njira zothetsera chitetezo cha odwala komanso kuchepetsa zolakwika zachipatala. Pang'ono ndi pang'ono, pamene wodwalayo ali m'chipatala, zonse zomwe zingatheke kuti zisawonongeke ndikuziika pangozi ziyenera kufotokozedwa. Madokotala ambiri atsimikiza kuti kugwiritsa ntchito mawu olakwika ndi zochitika zowawa kunali kokwanira komanso koyenera pambuyo poyang'ana zolakwika ndi zochitika zovuta pazachipatala ndikukambirana za mphamvu zawo ndi zofooka zawo mu 2003. akuphonya, ndi zolakwika zokhazikika komanso zobisika. Kuphatikiza apo, mawu akuti "zoyipa" amaphatikizanso mawu omwe nthawi zambiri amatanthauza kuvulaza odwala, monga kuvulala kwachipatala ndi kuvulala kwa iatrogenic. Chokhacho chomwe chatsalira ndikusankha ngati bungwe lowunikira ndilo bungwe loyenera kuthana ndi kulekanitsa kwa zochitika zolephereka komanso zosalephereka.

 

Chochitika cha alonda ndizochitika pomwe kulengeza ku Joint Commission kumafunika. The Joint Commission ikunena kuti chochitika cha alonda ndi chochitika chosayembekezereka chomwe chimaphatikizapo kuvulala kwakukulu m'thupi kapena m'maganizo. ("Sentinel Events," 2004, p.35) Palibe chosankha, chifukwa chiyenera kulembedwa. Zipatala zambiri, komabe, zimasunga zolemba zawo zofotokoza zochitika za alonda ndi zomwe angachite ngati wina atatsimikizira kuti mfundo za Joint Commission zikukwaniritsidwa. Izi ndi zina mwazochitika pamene kuli bwino kukhala otetezeka kusiyana ndi chisoni. Popeza kuti “zowopsa” ndi lingaliro lachibale, pangakhale mpata wokangana potetezera wantchito mnzathu kapena bwana. Kumbali ina, kunena molakwika chochitika cha alonda ndikwabwino kuposa kulephera kupereka lipoti la alonda. Kulephera kuulula kumatha kukhala ndi zotsatirapo zoyipa, kuphatikiza kuchotsedwa ntchito.

 

Poganizira zolakwika zachipatala, anthu nthawi zambiri amalakwitsa pongoyang'ana zolakwika zomwe amapatsidwa ndi dokotala. Zolakwika zamankhwala mosakayikira zimachitika pafupipafupi ndipo zimaphatikizapo zolakwika zambiri zamachitidwe monga zolakwika zina zamankhwala. Kusokonekera kwa kulumikizana, zolakwika zomwe zimachitika panthawi yamankhwala kapena kupereka, ndi zina zambiri ndizotheka. Koma tingakhale tikulingalira molakwa kwambiri nkhaniyi ngati tingaganize kuti kulakwa kwa mankhwala ndi kumene kumavulaza wodwala. Vuto limodzi lalikulu pakuyika zolakwika zosiyanasiyana zachipatala ndikusankha kuyika zolakwikazo potengera njira yomwe ikukhudzidwa kapena zotsatira zake. Ndizovomerezeka kuyang'ana maguluwa pano, poyesa kuyesa kangapo kuti akhazikitse matanthauzidwe ogwirira ntchito omwe amaphatikiza zonse zomwe zikuchitika komanso zotsatira zake, zambiri zomwe zidachokera ku ntchito ya Lucian Leape kuyambira m'ma 1990. 

 

Limbikitsani Moyo Wanu Masiku Ano- Kanema

Kusanthula & Kupewa Zolakwa Zachipatala

Ogwira ntchito ndi osagwira ntchito anali magulu awiri akuluakulu a zochitika zovuta zomwe Leape ndi anzake adazisiyanitsa mu phunziroli. (Leape et al., 1991) Mavuto okhudza opaleshoni anali monga matenda a zilonda, kulephera kwa maopaleshoni, mavuto omwe si aukadaulo, zovuta mochedwa, ndi zovuta zaukadaulo. Osagwira ntchito: mitu monga yokhudzana ndi mankhwala, osadziwika bwino, ozunzidwa, okhudzana ndi ndondomeko, kugwa, fracture, postpartum, anesthesia-related, neonatal, and catch-all head of the system anaphatikizidwa pansi pa gulu ili la zochitika zovuta. Leape adayikanso zolakwika powonetsa zomwe zidawonongeka. Adazigawanso izi m'mitu isanu, yomwe ili: 

  • System
  • Magwiridwe
  • Mankhwala Osokoneza Bongo
  • matenda
  • Zoteteza

Zolakwika zambiri zamachitidwe zimagwera pamitu yopitilira imodzi, komabe zonse zimathandiza kudziwa chomwe chimayambitsa vuto. Ngati madokotala oposa mmodzi akugwira ntchito kuti adziwe malo enieni omwe akufunika kuwongolera, ndiye kuti mafunso owonjezera angafunikire.

 

 

Mwaukadaulo, cholakwika chachipatala chingapangidwe ndi wogwira ntchito aliyense pachipatala. Sizimangoperekedwa kwa akatswiri azachipatala monga madokotala ndi anamwino. Woyang'anira akhoza kumasula chitseko, kapena wogwira ntchito yoyeretsa akhoza kusiya mankhwala m'manja mwa mwana. Chofunika kwambiri kuposa kudziwitsidwa kwa wolakwayo ndi chifukwa chake. Nanga zisanachitike? Ndipo tingatsimikize bwanji kuti zimenezo sizichitikanso? Pambuyo kusonkhanitsa deta onse pamwamba ndi zina zambiri, ndi nthawi kudziwa mmene kupewa zolakwa zofanana. Ponena za zochitika za alonda, Joint Commission yalamula kuyambira 1997 kuti zonsezi zichitike ndondomeko yotchedwa Root Cause Analysis (RCA). Komabe, kugwiritsa ntchito njirayi pazochitika zomwe ziyenera kufotokozedwa kwa anthu akunja ziyenera kukonzedwa.

 

Kodi Choyambitsa Choyambitsa Ndi Chiyani?

Ma RCA "anajambula tsatanetsatane komanso momwe amawonera." Amapangitsa machitidwe owunikira kukhala osavuta, kuwunika ngati kuwongolera kuli kofunikira, ndikutsata zomwe zikuchitika. (Williams, 2001) Kodi RCA ndi chiyani kwenikweni? Poyang'ana zochitika zomwe zidayambitsa cholakwikacho, RCA imatha kuyang'ana kwambiri zochitika ndi njira m'malo mowunikiranso kapena kuimba mlandu anthu ena. (AHRQ, 2017) Ichi ndichifukwa chake ndikofunikira kwambiri. RCA nthawi zambiri imagwiritsa ntchito chida chotchedwa Five Whys. Iyi ndi njira yodzifunsa mosalekeza kuti "chifukwa chiyani" mutakhulupirira kuti mwazindikira chomwe chayambitsa vuto.

 

Chifukwa chomwe chimatchedwa "zifukwa zisanu" ndichifukwa, ngakhale zisanu ndizoyambira zabwino kwambiri, muyenera kumafunsa nthawi zonse mpaka mutazindikira chomwe chayambitsa vutoli. Kufunsa chifukwa chake mobwerezabwereza kumatha kuwulula zolakwika zambiri pamagawo osiyanasiyana, koma muyenera kupitiliza kufunsa chifukwa chake pagawo lililonse la nkhaniyo mpaka mutatha zinthu zina zomwe zingasinthidwe kuti mupereke zotsatira zabwino. Komabe, zida zosiyanasiyana kupatula izi zitha kugwiritsidwa ntchito pakufufuza zomwe zimayambitsa. Ambiri alipo. Ma RCA akuyenera kukhala amitundu yambiri komanso osasinthasintha ndikuphatikiza onse omwe akhudzidwa ndi vutolo kuti apewe kusamvetsetsana kapena kupereka lipoti lolakwika la zomwe zachitika.

 

Kutsiliza

Zolakwika zachipatala m'mabungwe azachipatala ndizochitika pafupipafupi komanso zosafotokozeredwa zomwe zimawopseza kwambiri thanzi la odwala. Anthu pafupifupi kotala la miliyoni amaganiziridwa kuti amamwalira chaka chilichonse chifukwa cha zovuta zachipatala. Ziwerengerozi ndizosavomerezeka panthawi yomwe chitetezo cha odwala chikuyenera kukhala chofunikira kwambiri, koma palibe zambiri zomwe zikuchitika kuti asinthe machitidwe. Ngati zolakwa zachipatala zafotokozedwa molondola ndipo gwero la vutolo likupezeka popanda kupereka mlandu kwa ogwira ntchito enieni, izi sizofunikira. Zosintha zofunikira zitha kupangidwa ngati zoyambitsa zolakwika za dongosolo kapena ndondomeko zizindikirika bwino. Njira yosasinthika, yosiyana siyana yowunikira zifukwa zomwe zimagwiritsa ntchito zikhazikiko monga zifukwa zisanu kuti zifufuze mpaka zovuta zonse ndi zolakwika zitawululidwa ndi chida chothandiza. Ngakhale kuli kofunikira kuti pakhale zochitika za alonda, Root Cause Analysis ikhoza kugwiritsidwa ntchito pazolakwitsa zonse, kuphatikizapo kuphonya pafupi.

 

Zothandizira

Agency for Healthcare Research and Quality. (2016). Kusanthula Zoyambitsa Mizu. Zabwezedwa pa Marichi 20, 2017, kuchokera psnet.ahrq.gov/primer/root-cause-analysis

Grober, ED, & Bohnen, JM (2005). Kufotokozera zolakwika zachipatala. Kodi J Surg, 48(1), 39-44. www.ncbi.nlm.nih.gov/pubmed/15757035

Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komiti ya Quality of Health Care ku America. (2000). Kulakwitsa ndi munthu : kupanga njira yotetezeka yaumoyo. National Academy Press. books.nap.edu/books/0309068371/html/index.html

Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). The chikhalidwe cha chokhwima zochitika m'chipatala odwala. Zotsatira za Harvard Medical Practice Study II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605

Lippincott ® NursingCenter®. NursingCenter. (2004). www.nursingcenter.com/pdfjournal?AID=531210&an=00152193-200411000-00038&Journal_ID=54016&Issue_ID=531132

Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Njira Zozindikiritsira ndi Kuwunikanso Zochitika Zoyipa ndi Zosowa Zapafupi Pachipatala Chachipatala. Jt Comm J Qual Patient Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001

Patient Safety Network. (2016). Zochitika zoyipa, zophonya pafupi, ndi zolakwika. Zabwezedwa pa Marichi 20, 2017, kuchokera psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors

Williams, PM (2001). Njira zowunikira zomwe zimayambitsa. Proc (Bayl Univ Med Cent), 14(2), 154-157. doi.org/10.1080/08998280.2001.11927753

chandalama

Kupititsa patsogolo Thanzi la Intervertebral Disc: Njira Zaumoyo

Kupititsa patsogolo Thanzi la Intervertebral Disc: Njira Zaumoyo

by | Kuchiza Mankhwala, Ukhondo wa msana

Kwa anthu omwe akukumana ndi ululu wammbuyo ndi mavuto, kodi kudziwa momwe mungasinthire ndi kusunga thanzi la intervertebral disc kungathandize kuchepetsa zizindikiro?

Kupititsa patsogolo Thanzi la Intervertebral Disc: Njira Zaumoyo

Intervertebral Disc Health

Msana wa msana uli ndi mafupa 24 osunthika ndi mafupa 33 otchedwa vertebrae. Mafupa a vertebral amayikidwa pamwamba pa wina ndi mzake. The intervertebral disc ndi chinthu chokhazikika pakati pa mafupa oyandikana nawo. (Dartmouth. 2008)

Miyala

Mafupa a vertebral ndi ang'onoang'ono komanso ozungulira kudera lotchedwa vertebral body. Kumbuyo kuli mphete ya mafupa yomwe ma protrusions amafalikira ndipo matupi ndi njira zimapangidwira. Dongosolo lililonse lili ndi cholinga chimodzi kapena zingapo ndipo limaphatikizapo: (Waxenbaum JA, Reddy V, Williams C, et al., 2023)

  • Kukhazikika kwa msana.
  • Kupereka mpata wolumikizira minofu ndi minofu yakumbuyo kuti zigwirizane.
  • Kupereka ngalande yoti msana udutse mwaukhondo.
  • Kupereka malo omwe mitsempha imatuluka ndikutuluka kumadera onse a thupi.

kapangidwe

Diski ya intervertebral ndi khushoni yomwe imakhala pakati pa vertebrae. Mapangidwe a msana amalola kuti azisuntha mbali zosiyanasiyana:

  • Flexion kapena kupinda
  • Kuwonjezera kapena kukwera
  • Kupendekeka ndi kuzungulira kapena kupotoza.

Mphamvu zamphamvu zimagwira ntchito ndikuwongolera gawo la msana kuti lipange mayendedwe awa. The intervertebral disc imatenga mantha pamene ikuyenda ndikuteteza vertebrae ndi msana kuvulala ndi / kapena kuvulala.

Mphamvu

Kunja, timinofu tamphamvu toluka timapanga malo otchedwa annulus fibrosis. The annulus fibrosis imakhala ndi kuteteza gel osakaniza pakati, nucleus pulposus. (YS Nosikova et al., 2012) The nucleus pulposis imapereka kugwedezeka, kusinthasintha, ndi kusinthasintha, makamaka pansi pa kupanikizika panthawi ya msana.

zimango

The nucleus pulposus ndi chinthu chofewa cha gel chomwe chili pakatikati pa diski yomwe imalola kusinthasintha ndi kusinthasintha pansi pa mphamvu zopanikizika kuti zitenge kuponderezedwa. (Nedresky D, Reddy V, Singh G. 2024) Kuchita kwa swivel kumasintha kupendekeka ndi kuzungulira kwa vertebra pamwamba ndi pansi, kusokoneza zotsatira za kayendedwe ka msana. Ma discs amazungulira poyankha komwe msana umayenda. Nucleus pulposus imapangidwa makamaka ndi madzi, omwe amayenda ndi kutuluka kudzera m'mabowo ang'onoang'ono, akukhala ngati njira pakati pa vertebra ndi disc bone. Malo a thupi omwe amanyamula msana, monga kukhala ndi kuyimirira, kukankhira madzi kunja kwa diski. Kugona kumbuyo kapena pamtunda kumathandizira kubwezeretsa madzi mu diski. Pamene thupi limakalamba, ma disks amataya madzi /kusowa madzi m'thupi, zomwe zimayambitsa kuwonongeka kwa disc. Diski ya intervertebral ilibe magazi, zomwe zikutanthauza kuti kuti diski ilandire zakudya zofunikira komanso kuchotsa zinyalala, iyenera kudalira kuyendayenda kwa madzi kuti ikhale yathanzi.

Chisamaliro

Njira zina zosungira thanzi la intervertebral disc ndi izi:

  • Kusamalira kaimidwe.
  • Kusintha malo pafupipafupi tsiku lonse.
  • Kuchita masewera olimbitsa thupi ndi kuyendayenda.
  • Kugwiritsa ntchito njira zolondola zogwirira ntchito zathupi.
  • Kugona pa matiresi othandizira.
  • Kumwa madzi ambiri.
  • Kudya wathanzi.
  • Kukhala wathanzi labwino.
  • Kumwa mowa mopambanitsa.
  • Kusiya kusuta.

Ku chipatala cha Injury Medical Chiropractic ndi Functional Medicine Clinic, timachiza kuvulala ndi ma syndromes opweteka kwambiri mwa kupititsa patsogolo luso la munthu kupyolera mu kusinthasintha, kuyenda, ndi mapulogalamu a agility ogwirizana ndi magulu onse azaka ndi olumala. Gulu lathu la chiropractic, mapulani osamalira, ndi ntchito zachipatala ndizopadera ndipo zimayang'ana kwambiri kuvulala komanso kuchira kwathunthu. Malo athu omwe timachita ndi monga Wellness & Nutrition, Acupuncture, Chronic Pain, Kuvulala Kwaumwini, Kusamalira Ngozi Yamoto, Kuvulala Kwa Ntchito, Kuvulala Kwambuyo, Kupweteka Kwambiri, Kupweteka kwa Pakhosi, Migraine Mutu, Kuvulala Kwa Masewera, Sciatica Kwambiri, Scoliosis, Complex Herniated Discs, Fibromyalgia , Ululu Wosatha, Kuvulala Kwakukulu, Kuwongolera Kupsinjika, Chithandizo Chamankhwala Ogwira Ntchito, ndi njira zosamalira bwino. Ngati chithandizo china chikufunika, anthu adzatumizidwa ku chipatala kapena dokotala woyenerera kuvulala, chikhalidwe, ndi / kapena matenda awo.

Kupitilira Pamaso: Kumvetsetsa Zotsatira za Kuvulaza Munthu

Zothandizira

Dartmouth Ronan O'Rahilly, MD. (2008). Basic Anatomy ya Anthu. Mutu 39: Mzere wa vertebral. Mu D. Rand Swenson, MD, PhD (Mkonzi.), BASIC HUMAN ANATOMY A Regional Study of Human Structure. WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html

Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). Anatomy, Back, Lumbar Vertebrae. Mu StatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618

Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Mawonekedwe a mawonekedwe a annulus fibrosus-vertebral body: chizindikiritso cha mawonekedwe atsopano. Journal of anatomy, 221 (6), 577-589. doi.org/10.1111/j.1469-7580.2012.01537.x

Nedresky D, Reddy V, Singh G. (2024). Anatomy, Back, Nucleus Pulposus. Mu StatPearls. www.ncbi.nlm.nih.gov/pubmed/30570994

Makina Omangamanga ndi Mayendedwe: Kufotokozera kwa Biomechanics

Makina Omangamanga ndi Mayendedwe: Kufotokozera kwa Biomechanics

by | Kuchiza Mankhwala, Physiology yaumunthu

Kwa anthu omwe akukumana ndi zovuta zamafupa ndi zowawa, kodi kuphunzira za biomechanics ndi momwe zimagwirira ntchito pakuyenda, kuchita masewera olimbitsa thupi, kuchita masewera olimbitsa thupi, kuthandizira kuchiza ndi kupewa?

Makina Omangamanga ndi Mayendedwe: Kufotokozera kwa Biomechanics

Biomechanics

Biomechanics imaphunzira zamoyo zonse komanso magwiridwe antchito amamakina. Ambiri amaganiza za biomechanics pamasewera ndi masewera, koma biomechanics imathandizira kupanga ndi kukonza matekinoloje, zida, ndi njira zowongolera zovulala. (Tung-wu Lu, Chu-Fen Chang 2012) Asayansi, madotolo azachipatala, ma physiotherapists, ma chiropractors, ndi akatswiri azamisala amagwiritsa ntchito biomechanics kuti athandizire kupanga njira zophunzitsira ndi njira zowongolera zotsatira za chithandizo.

Thupi La Thupi

Biomechanics imaphunzira kayendetsedwe ka thupi, kuphatikizapo momwe minofu, mafupa, tendon, ndi mitsempha zimagwirira ntchito limodzi, makamaka pamene kusuntha sikuli koyenera kapena kolondola. Ndi gawo la gawo lalikulu la kinesiology, makamaka makamaka pamakina oyenda ndikuwunika momwe ziwalo zonse zathupi zimagwirira ntchito limodzi kuti zipange mayendedwe othamanga komanso abwinobwino. (José M Vilar et al., 2013) Biomechanics imaphatikizapo:

  • Mapangidwe a mafupa ndi minofu.
  • Kukhoza kuyenda.
  • Zimango za kayendedwe ka magazi, ntchito yaimpso, ndi ntchito zina.
  • Kuphunzira za mphamvu ndi zotsatira za mphamvuzi pa minofu, madzimadzi, kapena zipangizo zomwe zimagwiritsidwa ntchito pozindikira, kuchiza, kapena kufufuza. (Jose I. Priego-Quesada 2021)

Sports

Sports biomechanics imaphunzira mayendedwe pakuchita masewera olimbitsa thupi, kuphunzitsa, ndi masewera, omwe amaphatikiza fiziki ndi malamulo amakanika. Mwachitsanzo, biomechanics ya zochitika zinazake zimayang'ana pa:

  • Malo a thupi.
  • Kusuntha kwa mapazi, chiuno, mawondo, kumbuyo, mapewa, ndi mikono.

Kudziwa mayendedwe olondola amathandizira kuchita bwino masewera olimbitsa thupi ndikupewa kuvulala, kukonza zolakwika za mawonekedwe, kudziwitsa ma protocol, ndikuwonjezera zotsatira zabwino. Kumvetsetsa momwe thupi limayendera komanso chifukwa chake limayenda momwe limayendera kumathandiza akatswiri azachipatala kuti ateteze ndi kuchiza kuvulala, kuchepetsa zizindikiro za ululu, komanso kupititsa patsogolo ntchito.

zida

Biomechanics imagwiritsidwa ntchito popanga zida zakuthupi ndi zamasewera kuti zithandizire bwino. Mwachitsanzo, nsapato imatha kupangidwa kuti igwire bwino ntchito pa skateboarder, wothamanga mtunda wautali, kapena wosewera mpira. Malo osewerera amaphunziridwanso pachifukwa ichi, monga momwe kuuma kwa pamwamba kwa turf wopangira kumakhudzira masewera olimbitsa thupi. (Jose I. Priego-Quesada 2021)

Anthu

  • Biomechanics imatha kusanthula mayendedwe amunthu kuti azitha kuyenda bwino panthawi yophunzitsira ndi masewera.
  • Mwachitsanzo, kuthamanga kwa munthu kapena kugwedezeka kungajambulidwe ndi malingaliro pazomwe angasinthe kuti asinthe.

kuvulala

  • Sayansi imaphunzira zomwe zimayambitsa, chithandizo, ndi kupewa kuvulala kwa neuromusculoskeletal.
  • Kafukufukuyu amatha kusanthula mphamvu zomwe zimayambitsa kuvulala ndikupereka chidziwitso kwa akatswiri azachipatala momwe angachepetsere chiopsezo chovulala.

Training

  • Biomechanics imaphunzira zamasewera ndi machitidwe ophunzitsira kuti apange njira zopititsira patsogolo luso.
  • Izi zitha kuphatikiza kafukufuku woyika, kumasula, kutsatira, ndi zina.
  • Itha kusanthula ndikuthandizira kupanga njira zatsopano zophunzitsira kutengera zomwe zimafunikira pamakina amasewera, zomwe cholinga chake ndi kupanga bwino. ntchito.
  • Mwachitsanzo, kutsegula kwa minofu kumayesedwa poyendetsa njinga pogwiritsa ntchito electromyography ndi kinematics, zomwe zimathandiza ochita kafukufuku kufufuza zinthu monga kaimidwe, zigawo, kapena masewero olimbitsa thupi omwe amakhudza kuyambitsa. (Jose I. Priego-Quesada 2021)

Zotsatira

Mu biomechanics, kusuntha kwa thupi kumatchulidwa kuchokera ku mawonekedwe a anatomical:

  • Kuyimirira mowongoka, kuyang’ana molunjika kutsogolo
  • Mikono m'mbali
  • Manja akuyang'ana kutsogolo
  • Mapazi otalikirana pang'ono, zala kutsogolo.

Ndege zitatu za anatomical zikuphatikizapo:

  • Sagittal - wapakatikati - Kugawa thupi kumanja ndi kumanzere ndi ndege ya sagittal / yapakatikati. Kusintha ndi kukulitsa kumachitika mu ndege ya sagittal.
  • Patsogolo - Ndege yakutsogolo imagawaniza thupi kutsogolo ndi kumbuyo koma imaphatikizanso kulandidwa, kapena kusuntha mwendo kutali ndi pakati, ndikulowetsa, kapena kusuntha mwendo kupita pakati pa ndege yakutsogolo.
  • Chopingasa - chopingasa. - Zigawo zam'mwamba ndi zam'munsi za thupi zimagawidwa ndi ndege yodutsa / yopingasa. Kusuntha kozungulira kumachitika apa. (Bungwe la American Council on Exercise 2017)
  • Kusuntha thupi mu ndege zonse zitatu kumachitika ndi ntchito za tsiku ndi tsiku. Ichi ndichifukwa chake kuchita masewera olimbitsa thupi mu ndege iliyonse yoyenda kuti mupange mphamvu, kugwira ntchito, ndi kukhazikika kumalimbikitsidwa.

zida

Zida zosiyanasiyana zimagwiritsidwa ntchito pophunzira biomechanics. Kafukufuku nthawi zambiri amachitidwa pogwiritsa ntchito chipangizo chotchedwa electromyography kapena EMG masensa. Zomverera zimayikidwa pakhungu ndikuyesa kuchuluka ndi kuchuluka kwa minyewa ya minofu mu minofu ina panthawi yoyeserera. Ma EMG angathandize:

  • Ochita kafukufuku amamvetsetsa kuti ndi masewera ati omwe ali othandiza kwambiri kuposa ena.
  • Madokotala amadziwa ngati minofu ya odwala ikugwira ntchito bwino.
  1. Dynamometers ndi chida china chomwe chimathandiza kuyeza mphamvu ya minofu.
  2. Amayesa mphamvu yotulutsa mphamvu yomwe imapangidwa pakadutsa minofu kuti awone ngati minofuyo ili yolimba mokwanira.
  3. Amagwiritsidwa ntchito poyesa mphamvu zogwira, zomwe zingakhale chizindikiro cha mphamvu zonse, thanzi, ndi moyo wautali. (Li Huang et al., 2022)

Pambuyo pa Kusintha: Chiropractic ndi Integrative Healthcare

Zothandizira

Lu, TW, & Chang, CF (2012). Biomechanics of Human movement ndi ntchito zake zachipatala. Magazini ya Kaohsiung ya sayansi ya zamankhwala, 28(2 Suppl), S13–S25. doi.org/10.1016/j.kjms.2011.08.004

Vilar, JM, Miró, F., Rivero, MA, & Spinella, G. (2013). Biomechanics. BioMed Research International, 2013, 271543. doi.org/10.1155/2013/271543

Priego-Quesada JI (2021). Gwiritsani ntchito Biomechanics ndi Physiology. Moyo (Basel, Switzerland), 11(2), 159. doi.org/10.3390/life11020159

American Council on Exercise. Makeba Edwards. (2017). Mapulani Oyenda Akufotokozedwa (Sayansi Yolimbitsa Thupi, Nkhani. www.acefitness.org/fitness-certifications/ace-answers/exam-preparation-blog/2863/the-planes-of-motion-explained/

Huang, L., Liu, Y., Lin, T., Hou, L., Song, Q., Ge, N., & Yue, J. (2022). Kudalirika komanso kutsimikizika kwa ma dynamometer amanja awiri akagwiritsidwa ntchito ndi akuluakulu okhala mdera lazaka zopitilira 50. BMC geriatrics, 22(1), 580. doi.org/10.1186/s12877-022-03270-6

Kumvetsetsa Spinal Synovial Cysts: Chidule

Kumvetsetsa Spinal Synovial Cysts: Chidule

by | Kuchiza Mankhwala, Sciatica

Anthu omwe adutsa kuvulala kwa msana akhoza kukhala ndi synovial spinal cyst ngati njira yotetezera msana umene ungayambitse zizindikiro zowawa ndi zowawa. Kodi kudziwa zizindikiro kungathandize othandizira azaumoyo kupanga dongosolo lachidziwitso lothandizira kuti athetse ululu, kupewa kuipiraipira kwa chikhalidwecho ndi zina za msana?

Kumvetsetsa Spinal Synovial Cysts: Chidule

Matenda a Spinal Synovial Cysts

Spinal synovial cysts ndi matumba odzaza madzimadzi omwe amamera m'magulu a msana. Amapanga chifukwa cha kuwonongeka kwa msana kapena kuvulala. Ma cysts amatha kupanga paliponse msana, koma ambiri amapezeka m'dera la lumbar / kumunsi kumbuyo. Nthawi zambiri amakula m'magulu amagulu kapena magawo omwe amasunga mafupa a msana / msana.

zizindikiro

Nthawi zambiri, ma synovial cysts samayambitsa zizindikiro. Komabe, dokotala kapena katswiri adzafuna kuyang'anitsitsa zizindikiro za matenda osokoneza bongo, spinal stenosis, kapena cauda equina syndrome. Zizindikiro zikapezeka, nthawi zambiri zimayambitsa radiculopathy kapena kupsinjika kwa mitsempha, zomwe zingayambitse kupweteka kwa msana, kufooka, dzanzi, ndi kuwawa kowawa chifukwa cha kukwiya. Kuopsa kwa zizindikiro kumadalira kukula ndi malo a chotupacho. Synovial cysts imatha kukhudza mbali imodzi ya msana kapena zonse ziwiri ndipo imatha kupanga gawo limodzi la msana kapena pamagulu angapo.

Zotsatira Zingaphatikizepo

  • Zizindikiro za radiculopathy zimatha kuchitika ngati chotupa kapena kutupa komwe kumachitika chifukwa cha chotupacho kukhudzana ndi mizu ya msana. Izi zingayambitse sciatica, kufooka, dzanzi, kapena kuvutika kulamulira minofu ina.
  • Neurogenic claudication / impingement ndi kutupa kwa mitsempha ya msana kungayambitse kupweteka, kupweteka, ndi / kapena kugwedeza m'munsi kumbuyo, miyendo, chiuno, ndi matako. (Martin J. Wilby et al., 2009)
  • Ngati msana wa msana umakhudzidwa, zingayambitse myelopathy /kupsinjika kwakukulu kwa msana komwe kungayambitse dzanzi, kufooka, ndi zovuta zokhazikika. (Dong Shin Kim et al., 2014)
  • Zizindikiro zokhudzana ndi cauda equina, kuphatikizapo mavuto a m'mimba ndi / kapena chikhodzodzo, kufooka kwa mwendo, ndi chishalo cha anesthesia / kutayika kwa kumva mu ntchafu, matako, ndi perineum, zikhoza kuwonetsa koma ndizosowa, monga momwe zilili ndi synovial cysts pakati pa msana ndi khosi. Ngati thoracic ndi khomo lachiberekero synovial cysts ayamba, angayambitse zizindikiro monga dzanzi, kumva kuwawa, kupweteka, kapena kufooka m'dera lomwe lakhudzidwa.

Zimayambitsa

Spinal synovial cysts nthawi zambiri imayamba chifukwa cha kusintha kosinthika monga nyamakazi ya osteoarthritis yomwe imayamba molumikizana pakapita nthawi. Ndi kung'ambika nthawi zonse, cartilage ya mbali / zinthu zolumikizana zomwe zimateteza, malo osalala, kuchepetsa mikangano, komanso kuyamwa modzidzimutsa kumayamba kuwonongeka. Pamene ndondomekoyi ikupitirira, synovium imatha kupanga chotupa.

  • Zovulala, zazikulu ndi zazing'ono, zimakhala ndi zotupa komanso zowonongeka pamalumikizidwe omwe angapangitse kupanga chotupa.
  • Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi spinal synovial cyst amakhalanso ndi spondylolisthesis.
  • Matendawa ndi pamene vertebrae imachoka pamalo ake kapena kuchoka kumtunda kupita ku vertebra pansi.
  • Ndi chizindikiro cha kusakhazikika kwa msana.
  • Kusakhazikika kumatha kuchitika m'dera lililonse la msana, koma L4-5 ndiyomwe imakhala yofala kwambiri.
  • Gawo ili la msana limatenga kulemera kwakukulu kwa thupi.
  • Ngati kusakhazikika kumachitika, chotupa chimayamba.
  • Komabe, ma cysts amatha kupanga popanda kusakhazikika.

Matendawa

chithandizo

Ma cysts ena amakhalabe ang'onoang'ono ndipo samayambitsa zizindikiro zochepa. Ma cysts amafunikira chithandizo kokha ngati akuyambitsa zizindikiro. (Nancy E, Epstein, Jamie Baisden. 2012)

Kusintha kwa Moyo Wathu

  • Katswiri wazachipatala amalangiza kupewa zinthu zina zomwe zimakulitsa zizindikiro.
  • Anthu angalangizidwe kuti ayambe zolimbitsa thupi zotambasula komanso zolunjika.
  • Thandizo lolimbitsa thupi kapena ntchito zantchito zingalimbikitsenso.
  • Kugwiritsa ntchito nthawi ndi nthawi kwa nonsteroidal anti-inflammatories/NSAIDs monga ibuprofen ndi naproxen kungathandize kuthetsa ululu wa apo ndi apo.

Njira Zachipatala

  • Kwa ma cysts omwe amayambitsa kupweteka kwambiri, dzanzi, kufooka, ndi zina, njira yothira madzi / chikhumbo kuchokera ku chotupa ingalimbikitse.
  • Kafukufuku wina anapeza kuti chiwongoladzanja chimachokera ku 0 peresenti kufika pa 50 peresenti.
  • Anthu omwe amapita ku chikhumbo nthawi zambiri amafunika kubwereza ndondomeko ngati madzi amadzimadzi abwereranso. (Nancy E, Epstein, Jamie Baisden. 2012)
  • Majekeseni a epidural corticosteroid amatha kuchepetsa kutupa ndipo akhoza kukhala njira yochepetsera ululu.
  • Odwala akulimbikitsidwa kuti alandire jekeseni zosaposa katatu pachaka.

Zosankha Zopangira Opaleshoni

Kwa milandu yoopsa kapena yosalekeza, dokotala angapangire opaleshoni ya decompression kuchotsa cyst ndi fupa lozungulira kuti athetse kupanikizika pamizu ya mitsempha. Njira zopangira maopaleshoni zimayambira ku ma endoscopic ocheperako mpaka maopaleshoni akulu, otsegula. Njira yabwino kwambiri yopangira opaleshoni imasiyanasiyana malinga ndi kuuma kwa vutolo komanso ngati pali zovuta zina. Zosankha za opaleshoni zikuphatikizapo:

  • Laminectomy - Kuchotsa mafupa omwe amateteza ndi kuphimba ngalande ya msana / lamina.
  • Hemilaminectomy - Laminectomy yosinthidwa pomwe gawo laling'ono la lamina limachotsedwa.
  • Facetectomy - Kuchotsa gawo la mbali yomwe yakhudzidwa pomwe pali synovial chotupa, nthawi zambiri kutsatira laminectomy kapena hemilaminectomy.
  • Fusion fupa la mafupa ndi mafupa a vertebra - Amachepetsa kuyenda kwa vertebral m'dera lovulala.
  1. Anthu ambiri amamva kupweteka msanga pambuyo pa laminectomy kapena hemilaminectomy.
  2. Kusakaniza kumatha kutenga miyezi isanu ndi umodzi kapena isanu ndi inayi kuti muchiritse kwathunthu.
  3. Ngati opaleshoni ikuchitika popanda kuphatikizika kumene chotupacho chinayambira, ululu ukhoza kubwerera, ndipo chotupa china chikhoza kupanga mkati mwa zaka ziwiri.
  4. Zovuta za Opaleshoni zimaphatikizapo matenda, kutuluka magazi, ndi kuvulala kwa msana kapena mizu ya mitsempha.

Momwe Ndinapezera Kubwerera Kwanga Ndi Chiropractic

Zothandizira

Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Kufalikira ndi matenda a synovial cysts mkati mwa ligamentum flavum mwa odwala omwe ali ndi lumbar spinal stenosis ndi radiculopathy. Msana, 34 (23), 2518-2524. doi.org/10.1097/BRS.0b013e3181b22bd0

Kim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). Acute myelopathy chifukwa cha khomo lachiberekero synovial chotupa. Journal ya Korea Neurosurgical Society, 56 (1), 55-57. doi.org/10.3340/jkns.2014.56.1.55

Epstein, NE, & Baisden, J. (2012). Kuzindikira ndi kuyang'anira ma synovial cysts: Kuchita bwino kwa opaleshoni motsutsana ndi cyst aspiration. Opaleshoni ya mitsempha yapadziko lonse, 3 (Suppl 3), S157-S166. doi.org/10.4103/2152-7806.98576

Momwe Mungathanirane ndi Mapazi Oyaka Pamene Mukuthamanga ndi Kuyenda

Momwe Mungathanirane ndi Mapazi Oyaka Pamene Mukuthamanga ndi Kuyenda

by | Othamanga, Kuchiza Mankhwala

Mapazi a anthu amatha kutentha akamayenda kapena akuthamanga; komabe, kuwotcha mapazi kungakhale chizindikiro cha matenda monga phazi la wothamanga kapena kuvulala kwa mitsempha kapena kuwonongeka. Kodi kuzindikira zizindikirozi kungathandize kupeza njira zothetsera vutolo?

Momwe Mungathanirane ndi Mapazi Oyaka Pamene Mukuthamanga ndi Kuyenda

Mapazi Oyaka

Oyenda ndi othamanga nthawi zambiri amamva kutentha kumapazi awo. Izi ndi zachilengedwe chifukwa cha kuchuluka kwa kuyendayenda, kugunda kwa mtima, misewu yotentha kapena yotentha, ndi kuyenda. Koma mapazi amatha kumva kutentha kapena kuyaka mosadziwika bwino. Kawirikawiri, kutentha kwakukulu kumayambitsidwa ndi masokosi ndi nsapato ndi kutopa pambuyo pochita masewera olimbitsa thupi. Masitepe oyamba odzisamalira akuphatikizapo kuyesa nsapato zatsopano kapena zapadera komanso kusintha kolimbitsa thupi. Ngati mapazi akuyaka akupitilirabe kapena pali zizindikiro za matenda, kumva kulasalasa, dzanzi, kapena kupweteka, anthu ayenera kuwonana ndi chipatala. (Mayo Clinic. 2018)

nsapato

Nsapato ndi mmene zimavalira zikhoza kukhala chifukwa.

  • Choyamba, yang'anani zinthu za nsapato. Zitha kukhala nsapato ndi/kapena insoles zomwe sizimazungulira mpweya. Amatha kutentha ndi kutuluka thukuta popanda mpweya wabwino kuzungulira mapazi.
  • Posankha nsapato zothamanga, ganizirani zinthu za mesh zomwe zimalola kuti mpweya uziyenda bwino kuti mapazi azizizira.
  • Ganizirani zokonzekera nsapato zokhala ndi kukula koyenera, monga mapazi amatupa pothamanga kapena kuyenda.
  • Ngati nsapatozo ndi zazing'ono, mpweya sungathe kuyendayenda, zomwe zimapangitsa kuti pakhale mikangano yambiri pakati pa phazi ndi nsapato.
  • Nsapato zomwe zimakhala zazikulu kwambiri zimatha kuyambitsanso kukangana pamene mapazi amayenda mozungulira kwambiri.
  • Ma Insoles angathandizenso.
  • Ma insoles ena amatha kutentha mapazi, ngakhale nsapatozo zimapuma.
  • Sinthani ma insoles kuchokera ku nsapato zina kuti muwone ngati akuthandizira, ndipo ngati ndi choncho, yang'anani mu insoles zatsopano.

Malangizo othandizira kupewa mapazi otentha:

Mafuta Opaka

  • Gwiritsani ntchito anti-blister/chafing topical cream kuti muzipaka mafuta ndi kuteteza mapazi.
  • Izi zidzachepetsa mikangano ndikuletsa matuza.

Lace bwino

  • Anthu amatha kumangirira nsapato zothina kwambiri, kutsekereza kuzungulira, kapena kukwiyitsa mitsempha yomwe ili pamwamba pa phazi.
  • Anthu azitha kulowetsa chala chimodzi pansi pa mfundo.
  • Kumbukirani kuti mapazi adzatupa pamene kuyenda kapena kuthamanga kukayamba
  • Anthu angafunikire kumasula zingwe zawo pambuyo pofunda.
  • Anthu amalangizidwa kuti aphunzire njira zotsekera zomwe zingathandize kuti asathike kwambiri pamalo ovuta.

Kusakaniza

  • Kutopa chifukwa chochita masewera olimbitsa thupi nthawi yayitali kapena kuyimirira kwanthawi yayitali / kusuntha kumatha kubweretsa mapazi oyaka.
  • Anthu pawokha angafunike kuwonjezeredwa kowonjezera mu nsapato.
  • Yang'anani ntchito ndi nsapato zamasewera zomwe zawonjezera kutsitsa.

Matenda a Nsapato

Anthu amatha kukhala ndi ziwengo kapena kukhudzidwa ndi nsalu, zomatira, utoto, kapena mankhwala ena. (Cleveland Clinic. 2023) Mankhwala omwe amagwiritsidwa ntchito popanga amasiyana pazikopa poyerekeza ndi nsalu ndipo amasiyana ndi mtundu wake komanso wopanga.

  • Kusagwirizana kwa zinthu za nsapato kungayambitsenso kuyaka, kuyabwa, ndi kutupa.
  • Ndikoyenera kuzindikira ngati zizindikiro zimangochitika mutavala nsapato zenizeni.
  • Malingaliro ndi kuyesa mitundu yosiyanasiyana ya nsapato ndi mtundu.

Masokiti

Nsalu ya sock ikhoza kuthandizira kumapazi otentha kapena kuyaka. Zomwe mungachite zingaphatikizepo:

Pewani thonje

  • Thonje ndi ulusi wachilengedwe koma osavomerezeka kuyenda ndi kuthamanga chifukwa umakhala ndi thukuta lomwe limatha kunyowa mapazi.
  • Ndibwino kugwiritsa ntchito masokosi opangidwa ndi Cool-Max ndi ulusi wina wochita kupanga womwe umachotsa thukuta ndikuziziritsa.

Ubweya

  • Masokiti a ubweya amathanso kuyambitsa kuyabwa ndi kuyaka.
  • Ganizirani za masokosi othamanga opangidwa kuchokera ku ubweya wopanda kuyabwa.

Kuganizira

  • Anthu amatha kusamala ndi nsalu zina kapena utoto wa masokosi.
  • Dziwani kuti ndi masokosi ati omwe amachititsa zizindikiro za mapazi otentha kapena oyaka.
  • Anthu amathanso kukhala okhudzidwa ndi zochapira ndipo tikulimbikitsidwa kuyesa mtundu wina kapena mtundu wina.

Zochitika Zamankhwala

Kuphatikiza pa nsapato ndi masokosi, matenda amatha kuyambitsa ndikuthandizira kuzizindikiro.

Phazi la Wothamanga

  • Phazi la Athlete ndi matenda oyamba ndi fungus.
  • Anthu amatha kumva kutentha m'dera lomwe lakhudzidwa.
  • Nthawi zambiri, imakhala yoyabwa, yofiira, yotupa, kapena yosweka.
  1. Sinthani nsapato.
  2. Bowa limakula m'malo achinyezi, chifukwa chake, tikulimbikitsidwa kutembenuza nsapato kuti ziume pakati pa masewera olimbitsa thupi.
  3. Sambani ndi kupukuta mapazi mutayenda kapena kuthamanga.
  4. Yesani njira zapakhomo ndi zogulitsira, ufa, ndi mankhwala ochizira phazi la othamanga.

Matenda a Mitsempha

Anthu omwe nthawi zambiri amawotcha mapazi nthawi zambiri akakhala akuchita masewera olimbitsa thupi amatha kukhala chifukwa cha kuwonongeka kwa mitsempha yotchedwa peripheral neuropathy. (National Institute of Neurological Disorders ndi Stroke. 2023) Zizindikiro za peripheral neuropathy zimaphatikizapo mapini ndi singano, dzanzi, kutekeseka, kumva kuwawa, komanso / kapena kuyaka.

Kufufuza

  • Matenda a shuga ndi chimodzi mwazomwe zimayambitsa matenda a peripheral neuropathy.
  • Matenda a shuga amatha kubwera pazaka zilizonse.
  • Anthu ayenera kuphunzira momwe angatetezere mapazi awo, chifukwa masewera olimbitsa thupi akulimbikitsidwa ndi matenda a shuga.

Zina zomwe zingayambitse peripheral neuropathy ndi monga:

  • Kuperewera kwa Vitamini B-12
  • Mowa mopitirira muyeso
  • Zosokoneza magazi
  • AIDS
  • Chiphe chachitsulo cholemera

Kusisita ndi Kuyenda

  • Kusisita mapazi kumathandizanso kuti magazi aziyenda.
  • Kuchita masewera olimbitsa thupi monga kuyenda kumalimbikitsidwa chifukwa cha peripheral neuropathy chifukwa kumapangitsa kuyenda bwino kumapazi.

Zifukwa Zina

Zizindikiro zimathanso kuyambitsidwa ndi zinthu zina monga: (Cleveland Clinic. 2023)

Kutsekeka kwa Mitsempha

  • Kusintha kwapang'onopang'ono kwa msana kapena kupwetekedwa kwa msana kungayambitse kuvulala / kuwonongeka kwa mitsempha yomwe ingayambitse kupweteka, kugwedeza, ndi dzanzi pamapazi.

Matenda a Tarsal Tunnel Syndrome

  • Kuponderezedwa kwa mitsempha ya posterior tibial m'munsi mwa mwendo wanu kungayambitse kugwedeza ndi kuwotcha pamapazi anu.

Morton's Neuroma

  • Morton's neuroma, yomwe imayamba chifukwa cha kukhuthala kwa minyewa, imatha kuyambitsa kupweteka komanso kuyaka pansi pa zala.

Matenda a Autoimmune

  • Matenda monga multiple sclerosis kapena lupus amathanso kuyambitsa kuyaka mapazi.

Kudzikonda

Kusintha kapena kuwonjezera zizolowezi ndi zizolowezi zingathandize.

  1. Osayenda kapena kuthamanga mu nsapato zotha.
  2. Tetezani mapazi pogwiritsa ntchito masokosi oyenerera, ufa wa phazi, ndi mafuta odzola, ndikuphimba madera aliwonse omwe kupaka ndi kukangana kumachitika.
  3. Nthawi yomweyo sinthani nsapato ndi masokosi mutatha kuchita masewera olimbitsa thupi, kulola kuyanika bwino kwa mpweya.
  4. Izi zidzathandiza kuchepetsa chiopsezo cha bowa wa phazi la wothamanga.
  5. Zilowerereni mapazi m'madzi ozizira. Osagwiritsa ntchito ayezi, chifukwa amatha kuwononga khungu.
  6. Zilowerereni mapazi mumchere wa Epsom kuti muchepetse ululu ndi kutupa ndikuwumitsa matuza.
  7. Kwezani mapazi mukamaliza kuchita masewera olimbitsa thupi.
  8. Sinthani nsapato ndi masokosi pakati pa masewera olimbitsa thupi ndi masana.
  9. Yesani nsapato zosiyanasiyana, masokosi, ndi insoles.
  10. Kuchuluka kwa maphunziro kumatha kukulitsa zizindikiro.
  11. Yesani pang'onopang'ono kumanga patali pamene mukuwunika zizindikiro.

Onani dokotala kapena wothandizira zaumoyo ngati zizindikiro pitirizani ndipo sizikugwirizana ndi kuyenda kapena kuthamanga masewera olimbitsa thupi.

Kufufuza Integrative Medicine

Zothandizira

Mayo Clinic. (2018). Mapazi Oyaka.

National Institute of Neurological Disorders ndi Stroke. (2023). Matenda a Mitsempha.

Cleveland Clinic. (2023) Kuwotcha Mapazi Syndrome.

Upper Crossed Syndrome Muscle Health

Upper Crossed Syndrome Muscle Health

by | Kuchiza Mankhwala, Makhalidwe

Kodi machiritso a minofu ndi mafupa angathandize anthu omwe ali ndi matenda ophatikizika kuti athetse ululu, kusintha kaimidwe, ndi kulimbikitsa minofu yapakhosi, mapewa ndi pachifuwa?

Upper Crossed Syndrome Muscle Health

Upper Crossed Syndrome

Upper crossed syndrome ndi chikhalidwe chomwe minofu ya mapewa, khosi, ndi chifuwa imakhala yofooka komanso yolimba, ndipo nthawi zambiri imabweretsedwa kuchokera ku machitidwe osayenera. Zizindikiro zake nthawi zambiri zimakhala:

  • Kuuma kwa khosi ndi kukoka kumverera.
  • Kuvuta kwa nsagwada ndi/kapena kumangika
  • Kuthamanga kwapamwamba kumbuyo, kusowa kusinthasintha, kuuma, ndi kuwawa kowawa.
  • Kupweteka kwa khosi, phewa, ndi kumtunda kwa msana.
  • Kuthetsa mutu kumutu
  • Mapewa ozungulira
  • Hunched msana

Upper Crossed Syndrome ndi Kaimidwe

  • Matendawa amakhudza kaimidwe wathanzi polenga kusalinganika minofu pakati chapamwamba msana ndi chifuwa.
  • Minofu yayifupi ya pachifuwa chapamwamba imatambasulidwa mopitirira muyeso ndikukhalabe mumkhalidwe wokhazikika wokoka minofu yakumbuyo.
  • Izi zimapangitsa kuti minofu yakumtunda kumbuyo, mapewa, ndi khosi ikokedwe ndikufowoka.
  • Chotsatira chake ndi kukumbatira kumbuyo, mapewa akutsogolo, ndi khosi lotuluka.
  • Minofu yeniyeni yomwe imakhudzidwa ndi trapezius ndi levator scapula / mbali ya minofu ya khosi. (Chipatala cha Opaleshoni Yapadera. 2023)

Anthu omwe ali ndi ululu wammbuyo kwa milungu iwiri kapena kuposerapo akulimbikitsidwa kuti afunsane ndi katswiri wa msana kapena wothandizira zaumoyo kuti awone ndi kudziwa chomwe chimayambitsa za zizindikiro za ululu. (National Institute of Arthritis ndi Musculoskeletal and Skin Diseases. 2023)

Kusakhalitsa Ululu

  • Kusalinganika kwa minofu yogwira ntchito ndi kayendetsedwe kake ndi kaimidwe kosayenera zonse zimapangitsa zizindikirozo.
  • Syndrome imadziwika ndi kuuma kwanthawi yayitali, kupsinjika, kupweteka, komanso kusasunthika kwa chifuwa ndi mapewa.
  • Pakapita nthawi kumangika ndi kukoka, kuphatikizapo kufooka kungayambitse kuwonongeka kwa mapewa. (Seidi F, et al., 2020)

Zimayambitsa

Pali zochitika zina ndi ntchito zomwe zingapangitse kukula ndi kuwonjezereka kwa matendawa. Zomwe zimayambitsa zovuta za matendawa ndi: (National Institute of Arthritis ndi Musculoskeletal and Skin Diseases. 2023- - (Seidi F, et al., 2020)

  • Kuvulala kwakuthupi / kuvulala kumadera aliwonse aminyewa.
  • Ntchito zolimbitsa thupi kwambiri, zonyamula katundu, komanso zoopsa zovulala.
  • Kuyeserera kaimidwe kolakwika ndi kaimidwe.
  • Ntchito zomwe zimafuna nthawi yayitali yokhala ndi / kapena kuyimirira.
  • Kusachita chilichonse komanso/kapena moyo wongokhala.
  • Pa masewera othamanga.
  • Kusuta.

Komabe, matendawa amatha kupewedwa komanso kutheka.

Mankhwala

Kugwira ntchito ndi chiropractor ndi gulu lothandizira kutikita minofu kungathandize kudziwa ndikupanga dongosolo lachidziwitso lamunthu lomwe lili lothandiza komanso loyenera. Katswiri wa chiropractic ndi wothandizila thupi adzapereka njira zingapo, zomwe zingaphatikizepo: (Mikungudza-Sinai. 2022- - (National Institute of Arthritis ndi Musculoskeletal and Skin Diseases. 2023- - (Bae WS, et al., 2016)

  • Kuphulika
  • Kusisita kumawonjezera kuyendayenda, kupumula, ndi kubwezeretsanso minofu.
  • Kusintha kwa Chiropractic pakukonzanso kwa msana ndi kubwezeretsanso kaimidwe.
  • Makina osapanga opaleshoni traction ndi decompression therapy.
  • Kinesiology kujambula - kuchira ndi kupewa.
  • Kuphunzitsanso kaimidwe.
  • Maphunziro a kayendedwe ka minofu.
  • Zochita zolimbitsa thupi zolunjika ku minofu yofewa ndi mafupa.
  • Kulimbitsa mtima.
  • jakisoni wa steroid kudera linalake.
  • Mankhwala oletsa kutupa kwa zizindikiro zowawa - nthawi yochepa.
  1. Anthu akhoza kulangizidwa ndi gulu la chiropractic kuti apewe kupuma kwambiri pabedi ndi kuchepetsa kapena kupewa zinthu zomwe zingayambitse ululu kapena zizindikiro zowonjezereka. (Mikungudza-Sinai. 2022)
  2. Kafukufuku wasonyeza kuti chiropractic spinal manipulation imachepetsa bwino khosi, msana, ndi zizindikiro zopweteka za msana. (Gevers-Montoro C, et al., 2021)

Kudzisamalira

Pali njira zodzithandizira nokha upper-crossed syndrome ndi zizindikiro zofananira. Njira zodziwika bwino ndi izi: (National Institute of Neurological Disorders ndi Stroke. 2023- - (National Institute of Arthritis ndi Musculoskeletal and Skin Diseases. 2023)

  • Kuyeserera kaimidwe koyenera.
  • Kuchulukitsa kapena kuchepetsa masewera olimbitsa thupi monga momwe gulu lachipatala likufunira.
  • Kugwiritsa ntchito ayezi kapena mapaketi otentha kuti muchepetse ululu ndikuwonjezera kufalikira kuti mulimbikitse kukonzanso kwa minofu ndi machiritso.
  • Kugwiritsa ntchito mafuta odzola kapena gel osakaniza.
  • Pa-the-counter nonsteroidal - NSAIDs, monga Advil kapena Motrin ndi Aleve.
  • Zotsitsimula minofu kuti muchepetse kupsinjika kwakanthawi kochepa.

Limbikitsani Moyo Wanu

Zothandizira

Chipatala cha Opaleshoni Yapadera. Yendani ndi cholinga chothana ndi ma syndromes apamwamba komanso otsika.

National Institute of Arthritis ndi Musculoskeletal and Skin Diseases. Ululu wammbuyo.

Seidi, F., Bayattork, M., Minoonejad, H., Andersen, LL, & Page, P. (2020). Pulogalamu yolimbitsa thupi yokonzekera bwino imathandizira kuyanjanitsa, kuyambitsa minofu, ndi kayendedwe ka amuna omwe ali ndi matenda amtundu wapamwamba: kuyesedwa kosasinthika. Malipoti asayansi, 10(1), 20688. doi.org/10.1038/s41598-020-77571-4

Bae, WS, Lee, HO, Shin, JW, & Lee, KC (2016). Zotsatira za masewera olimbitsa thupi apakati ndi apansi a trapezius ndi levator scapulae ndi masewera olimbitsa thupi apamwamba a trapezius mu upper crossed syndrome. Journal of Physical Therapy Science, 28 (5), 1636-1639. doi.org/10.1589/jpts.28.1636

National Institute of Neurological Disorders ndi Stroke. Ululu wammbuyo.

Mikungudza-Sinai. Kupweteka kwa msana ndi khosi.

Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piché, M. (2021). Kuchita Kwachipatala ndi Kuchita Bwino kwa Chiropractic Spinal Manipulation for Spine Pain. Pakatikati pa kafukufuku wowawa (Lausanne, Switzerland), 2, 765921. doi.org/10.3389/fpain.2021.765921

Glute Muscle Imbalance: El Paso Back Clinic

Glute Muscle Imbalance: El Paso Back Clinic

by | Kuchiza Mankhwala, Zinthu Zinachitiridwa

Minofu ya gluteal / glute imakhala ndi matako. Ndi gulu lamphamvu la minofu lomwe lili ndi minofu itatu. The gluteus maximus, gluteus medius, ndi gluteus minimus. Minofu ya glute imathandiza mphamvu zolimbitsa thupi komanso mayendedwe a tsiku ndi tsiku monga kuyenda, kuyimirira, ndi kukhala ndikuthandizira kupewa kuvulala pachimake, kumbuyo, m'mimba, ndi minofu ina yothandizira. Anthu amatha kukhala ndi kusalinganika kwa glute komwe mbali imodzi imakhala yayikulu ndikuyambitsa zambiri kapena ndipamwamba kuposa inayo. Kusalinganika komwe sikuyankhidwa kungayambitse kusalinganika kwa minofu, mavuto a kaimidwe, ndi zowawa. Chiropractic Medical Chiropractic ndi Functional Medicine Clinic imatha kupanga dongosolo lachidziwitso lamunthu kuti lichepetse zizindikiro ndikubwezeretsanso kuyanjana, kusakhazikika, komanso thanzi.

Glute Muscle Imbalance: Gulu la Chiropractic la EP

Glute Muscle Imbalance

Ma glutes amphamvu, athanzi amalimbikitsa kukhazikika kwa lumbopelvic komanso Rhythm, kutanthauza kuti amasunga msana ndi pelvis molunjika kuti ateteze zovuta ndi kuvulala. Kusagwirizana kwa glute kumachitika pamene mbali imodzi ya glutes ndi yaikulu, yamphamvu, kapena yowonjezereka. Kusagwirizana kwa glute ndikofala komanso gawo la umunthu wamba wamunthu, popeza thupi silimafanana bwino. Kusuntha ndi kugwiritsa ntchito mbali yomwe imayang'anira kwambiri polemera kapena kunyamula zinthu ndikwachilendo, kotero mbali imodzi imakula. Monga momwe munthu amafunira dzanja limodzi, mkono, ndi mwendo kuposa wina, mbali imodzi ya glute imatha kugwira ntchito molimbika ndikukhala yamphamvu.

Zimayambitsa

Pali zifukwa zingapo zomwe zimapangitsa kusalinganika kwa minofu ya glute, kuphatikizapo:

  • Kusiyana kwa Anatomical- Aliyense ali ndi minofu yowoneka mwapadera, malo olumikizirana, ndi minyewa. Kusiyanasiyana kumeneku kungapangitse mbali imodzi ya glutes kukhala yolamulira kapena yamphamvu.
  • Kaimidwe kosayenera.
  • Zizindikiro zowawa zam'mbuyo zimatha kupangitsa anthu kukhala ndi machitidwe osayenera ndi kuyika, monga kutsamira mbali imodzi.
  • Kuvulala komwe kunalipo kale.
  • Kukonzekera kosakwanira kuchokera kuvulala koyambirira.
  • Kuvulala kwa mitsempha.
  • Kuphulika kwa Ankle kungayambitse kuchepa kwa glute activation.
  • Maphunziro osayenera
  • Kusiyanasiyana kwa kutalika kwa mwendo
  • Matenda
  • Mkhalidwe wa msana
  • Ntchito yantchito
  • Zinthu zamasewera zitha kuika patsogolo mbali imodzi ya thupi kuposa ina.

Kusintha Thupi

Pamene ululu umapezeka m'dera limodzi la thupi, zizindikiro zimatumizidwa kuti zichenjeze minofu ina kuti igwirizane / kulimbitsa ngati njira yotetezera kuteteza kuvulala kwina. Zosinthazi zimasintha kayendedwe ka kayendetsedwe kake, zomwe zimayambitsa kusalinganika kwa minofu mu glutes ndi madera ena. Anthu omwe sasintha kuchokera kuvulala moyenera akhoza kutsalira ndi kusalinganika.

Thandizo la Chiropractic ndi Kubwezeretsa

Mkhalidwewu uyenera kuyang'aniridwa kuti upewe kuvulala kwina komanso zovuta zokhudzana ndi kaimidwe. Chithandizo chimasiyanasiyana malinga ndi munthu payekha komanso kukula kwa vutolo. Dongosolo la chithandizo choletsa ndikuwongolera mitundu ina ya kusamvana kwa glute kungaphatikizepo izi.

  • Kuwonongeka kwa msana adzatambasula thupi ndi minofu ku malo ogwira ntchito.
  • Kuchiza kutikita minofu kudzapumula minofu ndikuwonjezera kutuluka kwa magazi.
  • Kusintha kwa Chiropractic kuti akonzenso msana ndi thupi.
  • Matambala owonetseredwa ndi masewera olimbitsa thupi adzaperekedwa kuti mukhale ogwirizana.
  • Maphunziro a Unilateral kapena kuphunzitsa mbali imodzi ya thupi panthawi imodzi kungathandize kumanga ndi kulimbikitsa mbali yofookayo.
  • Kulimbitsa mtima kumatha kuthetsa kusiyana kwa mbali zonse za thupi.

Njira ya Chiropractic yochepetsera ululu

Zothandizira

Bini, Rodrigo Rico, ndi Alice Flores Bini. "Kuyerekeza kwa kutalika kwa linea alba ndi mayendedwe apakati-minofu panthawi yochita masewera olimbitsa thupi komanso otsika kumbuyo." Journal of Bodywork and movement Therapies vol. 28 (2021): 131-137. doi:10.1016/j.jbmt.2021.07.006

Buckthorpe, Matthew, et al. "KUYENZA NDI KUCHIZA KUfooka kwa GLUTEUS MAXIMUS - Ndemanga Yachipatala." International Journal of sports physiotherapy vol. 14,4, 2019 (655): 669-XNUMX.

Elzanie A, Borger J. Anatomy, Bony Pelvis ndi Lower Limb, Gluteus Maximus Muscle. [Yosinthidwa 2023 Apr 1]. Mu: StatPearls [Intaneti]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Zikupezeka kuchokera: www.ncbi.nlm.nih.gov/books/NBK538193/

Liu R, Wen X, Tong Z, Wang K, Wang C. Kusintha kwa minofu ya gluteus medius mwa odwala akuluakulu omwe ali ndi unilateral developmental hip dysplasia. BMC Musculoskelet Disord. 2012;13(1):101. doi:10.1186/1471-2474-13-101

Lin CI, Khajooei M, Engel T, et al. Zotsatira za kusakhazikika kwapang'ono kwapang'onopang'ono pamachitidwe a minofu m'munsi. Li Y, ed. PLoS ONE. 2021;16(2):e0247581. doi:10.1371/journal.pone.0247581

Pool-Godzwaard, AL et al. "Kusakhazikika kwa lumbopelvic: njira yachipatala, ya anatomical ndi biomechanical ku ululu wochepa wa msana." Thandizo pamanja vol. 3,1, 1998 (12): 20-10.1054. doi:1998.0311/math.XNUMX

Vazirian, Milad, et al. "Lumbopelvic rhythm pakuyenda kwa thunthu mu ndege ya sagittal: kuwunikanso njira zoyezera ma kinematic ndi njira zamakhalidwe." Physical Therapy and Rehabilitation vol. 3 (2016): 5. doi:10.7243/2055-2386-3-5