Melao e amohelehang ka kakaretso bakeng sa ROM
Boemo ba tsamaiso (ROM) ke tekanyo ea sebaka le taelo ea kopane e ka fetisetsa bokhoni ba eona bo feletseng. Motsoako ke sebaka 'meleng moo masapo a ikopanya teng. Boholo ba tsona bo hahoa ho lumella ho tsamaea ka litaelo tse reriloeng pele. Palo ea ho tsamaea ka tsela e tloaelehileng ea ho khanna hangata e lekanyelitsoe ka li-degrees ho sebelisa seletsa se bitsoang goniometer.
Sehlopha se seng le se seng se na le mefuta e sa tšoaneng ea ho tsamaea ha mofuta o mong le o mong oa ho sisinyeha hoo e ka o etsang Ho na le lihlopha tse 'maloa tse sa tšehetsang mehato e kang ea lehata.
Mekhatlo e tloaelehileng e kopanetsoeng e kenyeletsa ho pota , ho eketsa, ho nkela thepa, le ho kenya chelete. Ts'ebetso ke boemo ba 'mele bo fokotsang marang-rang pakeng tsa masapo a setho sa motsoako. E etsahala ha konteraka ea masapo le masapo a etsa hore selekane se lule se kobehile. Ntho e fapaneng le eona, ponahalo, e kopa se kopane e le hore sehlabelo se kopantsoeng se fokotsehe.
Meeli e tloaelehileng (ka Joint)
Le hoja ho na le phapang pakeng tsa batho ba fapa-fapaneng, litekanyetso tse latelang li amoheloa ka tloaelo bakeng sa ROM e tloaelehileng ka lenane ka leng le le leng le lekanngoang ka likhato. Lingaka tsa 'mele le boikoetliso ba boikoetliso ba' mele ba lekanya tsela eo motho a tsamaeang ka eona le ho e bapisa le litekanyetso tsena tse tloaelehileng.
Hip
- Ho phunya 0 ho isa ho 125 likhato
- Ts'ebetso ea 115 ho isa ho digrure tse 0
- Hyperextension (ho otloloha ho feta mefuta e tloaelehileng) 0 ho isa ho likhato tse 15
- Ho khaoloa (ho tloha hōle le motsoako o moholo oa 'mele) 0 ho isa ho likhato tse 45
- Ho khahloa (ho fallela bohareng ba 'mele) 45 ho isa ho dirii tse 0
- Ho potoloha hamorao (ho potoloha ho tloha bohareng ba 'mele) 0 ho isa ho likhato tse 45
- Ho potoloha ho potolohileng (ho potoloha ho ea bohareng ba 'mele) 0 ho isa ho likhato tse 45
Knee
- Ho phunya 0 ho isa ho 130 likhato
- Ho eketsa likarolo tse 120 ho isa ho tse 0
Ankle
- Palesa ea Plantar (ho theoha holimo) 0 ho isa ho likhato tse 50
- Ho hlophisa (ho nyolohela holimo) 0 ho isa ho likhato tse 20
Leoto
- Inversion (eteletsoe ka hare) 0 ho isa ho likhato tse 35
- Eversion (e fetotsoe) 0 ho isa ho digrama tse 25
Joalo ea Metatarsophalangeal ea Leoto
- Ho phunya 0 ho isa ho likhato tse 30
- Eketsa 0 ho isa ho 80 likhato
Selekane sa Interphalangeal of the Toe
- Ho phunya 0 ho isa ho likhato tse 50
- Ho eketsa likhato tse 50 ho isa ho tse 0
Mahetla
- Ho phunya 0 ho isa ho likhato tse 180
- Eketsa 0 ho isa ho likhato tse 50
- Ho tlatlapa 0 ho isa ho 90 likhato
- Ho eketsoa ho 90 ho isa ho 0 likhato
- Ho potoloha ha morao ho isa ho 0 ho 90 likhato
- Tsamaiso e tloaelehileng ea 0 ho isa ho 90 likhato
Sejoale
- Ho phunya 0 ho isa ho 160 likhato
- Kenyelletso 145 ho isa ho digrure tse 0
- Pronation (potoloho ka hare) 0 ho isa ho 90 likhato
- Ho hlophisoa (ho potoloha ka ntle) 0 ho isa ho 90 likhato
Wrist
- Ho phunya 0 ho isa ho 90 likhato
- Eketsa 0 ho isa ho likhato tse 70
- Tšoaroa 0 ho isa ho digrama tse 25
- Ho eketsa 0 ho isa ho likhato tse 65
Metacarpophalangeal (MCP)
- Tšoaroa 0 ho isa ho digrama tse 25
- Ho eketsa likhato tse 20 ho isa ho tse 0
- Ho phunya 0 ho isa ho 90 likhato
- Ho eketsa likhato tse 0 ho isa ho tse 30
Interphalangeal Proximal (PIP) Joang ea Monoana
- Ho phunya 0 ho isa ho 120 likhato
- Ho eketsa likarolo tse 120 ho isa ho tse 0
Interphalangeal Distal (DIP) Kopano ea Monoana
- Ho phunya 0 ho isa ho 80 likhato
- Ts'ebetso ea 80 ho isa ho 0 degrees
Setho sa Metacarpophalangeal ea Thupa
- Tšoaroa 0 ho isa ho likhato tse 50
- Ho hatisoa ho 40 ho isa ho 0 likhato
- Ho phunya 0 ho isa ho likhato tse 70
- Ho eketsa likhato tse 60 ho isa ho tse 0
Selekane sa Interphalangeal of the Thumb
- Ho phunya 0 ho isa ho 90 likhato
- Kenyelletso ea 90 ho isa ho tse 0
Ho susumetsa Mabaka
Ho na le tšusumetso e mengata-e leng lefutso le maemo-e ka ama ROM ea hau. Tse ling tsa lintho tseo u ke keng ua li laola le hore u tsoaloa li kenyelletsa:
- Mofuta oa lenonyeletso, joalokaha manonyeletso a mang a sa reretsoe ho tsamaea haholo
- Ho hanyetsa ka hare ka har'a selekane
- Mehaho ea Bony e fokotsang ho tsamaea
- Ka tsela e tsitsitseng ea mesifa ea mesifa, mohlala, mesifa ea mesifa e senyehileng ka lebaka la kotsi e fetileng e se e tlaase haholo
- Bokhoni ba mesifa ea ho phomola le ho etsa tumellano ea ho finyella mefuta e mengata ea ho tsamaea
Ntho e 'ngoe eo u ke keng ua e laola ke hore na u lilemo li kae. Phuputso e 'ngoe e ile ea hlahloba liphello tsa lilemo le ho kopanela liphate ka mekhoa e kopanetsoeng ea ho tsamaea' me ea fumana hore barupeluoa ba seng ba hōlile ba bontša li-ROM tse nyenyane ho feta balekane ba bona ba banyenyane. Ketsahalong e 'ngoe, phapang ho ROM e ne e le 44,9 lekholong bakeng sa eversions le ho senya ha leoto. Ho feta moo, lihlooho tsa khale li hloka nako e eketsehileng ho fihlella mefuta e mengata ea ho tsamaea.
Mabapi le tekano, e fumanoe e na le phello e kholo ho ROM. Banna ba ne ba e-na le li-ROM tse nyane ho feta basali libakeng tse ling, ka phapang e kholo, karolo ea 29,7 lekholong, e hlahang letsohong.
Ho se tšoane hona ha lilemo le ho kopanela liphate ho fumanoe hore ho ama li-joints le mekhoa e tobileng, e ka hlalosoang ke ho se tšoane hoa anatomy le makhetlo ao manonyeletso a sebelisetsoang ho oona pakeng tsa lihlopha.
Boemo bo fokolang bo fokolang
Tsela e fokolang ea ho tsamaea ke lentsoe le sebelisitsoeng ha lenonyeletso le fokotsa bokhoni ba lona ba ho falla. Sena se ka bakoa ke ho lematsoa ke lisele tse bonolo tse pota-potileng motsoako. Ho boela ho e-na le mohato o motsoako ho e mong oa mekhahlelo ea pele ea ho tsosolosa kotsi. Hangata litsebi tsa 'mele li fana ka liketso tse khethehileng tsa ROM bakeng sa kopane ka' ngoe. E ka boela ea bakoa ke maloetse a kang osteoarthritis , ramatiki ea mafu a mafu , kapa mefuta e meng ea ramatiki .
Ho Etsa Lintlafatso
Sehlopha ka seng se na le ROM e tloaelehileng, ha motho e mong le e mong a e-na le bokhoni bo fapaneng ba ho bo finyella. Lihlopha li boloka mekhoa e tsitsitseng ka mokhoa o tloaelehileng oa ho sebelisa le ho otlolla liphatsa tse bonolo tse potolohileng (mesifa, li-tendon, le li-ligaments). Metsotso e 10 feela ea ho otlolla ka makhetlo a mararo ka beke e ka thusa ho ntlafatsa mefuta e mengata ea ho tsamaea.
Phuputso e fumanoe hore maruo a nyenyane a ROM a ka etsoa ka ho sebelisa mocheso ha o ntse o otlolla. Batho ba phelang hantle, ba neng ba tletleba ka mesifa e thata ba ile ba bona ntlafatso e fokolang ea ho tsamaea ka mocheso le ho otloloha ha bapisoa le ba neng ba otlolla feela.
Boikoetliso
Hangata litsebi tsa 'mele li fana ka liketso tse khethehileng tsa ROM bakeng sa kopane ka' ngoe. Mesebetsi ena e ikemiselitse ho eketsa ka mofuthu mekhoa ea ho tsamaea ka hloko ho bohloko, ho tiea le ho ruruha ho ka ba teng. Ho na le mefuta e meraro ea ho ikoetlisa ka mefuta-futa:
- Mofuthu o tsoileng matsoho: U etsa litlhahiso tsena ntle le thuso.
- Boithaopi bo sebetsang bo sebetsang: Setsebi se thusa mokuli hore a etse litšoantšiso tsena. Sena se ka etsoa haeba mesifa e fokola kapa ha mokhatlo ona o baka mathata.
- Mokhoa o fokolang oa ho tsamaea: Setsebi kapa thepa e tsamaisa motsoako ka mefuta e mengata ea ho tsamaea ntle le boiteko bo tsoang ho mokuli.
Lentsoe le Tsoang ho
U hloka ho khona ho tsamaisa manonyeletso ka mekhahlelo ea bona e tloaelehileng ho etsa mesebetsi e mengata ea bophelo ba letsatsi le letsatsi le mesebetsi ea mosebetsi hammoho le ho thabela boithabiso le lipapali. O ka ntlafatsa ts'ebetso ea hau ea ho feto-fetoha ka mekhoa e fapaneng ea ho itšunya-tšunya ho sa tsotellehe hore na o phetse hantle kapa o hloka ho tsosolosoa ho tsoa kotsi.
> Mehloli:
> Behm DG, Blazevich AJ, Kay AD, McHugh M. Phello e Atlehileng ea Mesebetsi e otlollang 'Meleng, Boemo ba Motion, le Kotsi ea Batho ba Bophelo bo Botle: Tlhahlobo e Hlophisitsoeng. Appl Physiol Nutriti Metab . 2016 Jan; 41 (1): 1-11. le: 10.1139 / apnm-2015-0235. Epub 2015 Qetellong ea 8.
> Hwang J, Jung MC. Lilemo tsa lilemo le tsa ho kopanela liphate ka litsela tsa Motion le Motion Patterns. Int J Occup Saf Ergon . 2015; 21 (2): 173-86. doi: 10.1080 / 10803548.2015.1029301.
> Nakano J, Yamabayashi C, Scott A, Reid WD. Phello ea Mocheso o sebelisitsoeng ka ho otloloha ho eketsa Monyetla oa Phallo: Tlhahlobo ea Ts'ebetso. Phys Ther Sport . 2012 Aug; 13 (3): 180-8. doi: 10.1016 / j.ptsp.2011.11.003. Epub 2011 Dec 29.
> Tsela e tloaelehileng ea ho kopanya thuto ea Motion. Litsi tsa Tlhokomelo ea Maloetse. https://www.cdc.gov/ncbddd/jointrom/.
> Therapy Therapy (PT). Merck Manual Professional. http://www.merckmanuals.com/professional/special-subjects/rehabilitation/physical-therapy-pt.