Baatlelete ba basali ba tsejoa hore ba na le kotsing e kholo ea ho lematsa lihlopha tsa bona tsa pele , kapa ACL, ha ba ntse ba kenela lipapali tsa tlhōlisano. Monyetla oa ho ruruha ha ACL ho baatlelete ba basali e fumanoe e le ka makhetlo a 2 ho isa ho a 10 holimo ho feta a banna. Liphetoho tse kotsing ho ea ka batho ba ithutoang, ho kenyelletsa le papali e itseng. Likhopolo tse ngata mabapi le hore na ke hobane'ng ha basali ba khaola ACL ho feta banna.
Phuputso e entsoeng morao tjena e bontša phapang pakeng tsa li-biomechanics (tsela eo 'mele ea rona e sisinyehang) ea baatlelete ba banna le basali. Litaba tse monate, joalokaha u tla li bala, ke hore re na le bokhoni ba ho fetola monyetla oa ho lla ha ACL.
Likhopolo mabapi le ho se tšoane ha likotsi tsa ACL pakeng tsa banna le basali
Ho entsoe lipatlisiso tse ngata ho etsa lipatlisiso tsa likhapha tsa ACL ho baatlelete ba basali, 'me se tsejoang ke hore lipapaling tse fanang ka tlhokahalo e kholo ho ACL , e kang basketball, bolo ea maoto, cheerleading, le ba bang, likotsi tsa ACL li feta ka makhetlo a leshome e tloaelehileng ho basali ho feta banna.
Hase sephiri seo banna le basali ba hahiloeng ka tsela e fapaneng, ba fapane le marapo a fapaneng, 'me ba na le mefuta e fapaneng ea' mele. Empa lebaka leo ka lona tekanyo ea ACL ho tabola e fapaneng e bile taba ea khang e kholo.
Likhopolo tse ling ke:
- Litsela tsa Anatomic
Ho na le phapang pakeng tsa banna le basali, ho akarelletsa le bophara ba pelvis, Q-angle, boholo ba ACL, le boholo ba notši ea li-intercondylar (moo ACL e fapanang ka lengole). Lipatlisiso tse fokolang li bontšitse phapang linthong tsena, empa ha li na bokhoni ba ho bolela esale pele batho ba tla boloka meokho ea ACL.
- Ho se tšoane ha Hormonal
Hoa tsebahala hore ACL e na le li-receptor tsa hormone bakeng sa estrogen le progesterone, 'me ho' nile ha nahanoa hore ho tsepamisa mohopolo oa hormone ho ka kenya letsoho likotsing tsa ACL. Ena e ne e le khopolo e tloaelehileng, empa bo-rasaense ba bangata ba lumellana hore ho ea khoeling ho na le phello e fokolang, haeba ho joalo, ka monyetla oa ho lla ha ACL.
- Liphapang Tsa Biomechanic
Ho tsitsa ha lengole ho itšetlehile ka maemo a fapaneng. Lintho tse peli tsa bohlokoa ka ho fetisisa ke li-static le tse matlafatsang tsa lengole. Li-stabilizer tse tsitsitseng ke lihlooho tse kholo tsa lengole, ho kenyelletsa le ACL. Mabitso a tiileng a lengole ke mesifa le li-tendon tse potolohileng selekane. Basali ba fumanoe ba e-na le phapang pakeng tsa libopeho tsa bomochane tsa lengole ha li phalla, li qhomela, le ho theoha-mesebetsi e atisang ho lebisa kotsi ea ACL.
Bopaki bo tiileng ka ho fetisisa bo bonts'itse hore lits'oaetso tsa ACL li na le tšusumetso e kholo ka lebaka la liphapano tsena li-biomechanics tsa banna le basali. Tse ling tsa phapang li kenyeletsa:
- Sebaka sa ho fihla sebakeng se seng: Ha basali ba theohela sebakeng sa ho fofa, ba atisa ho khumama ka mangole, ba fetisetsa matla a tšusumetso maotong. Banna ba atisa ho fumana matla a mangata ka ho theoha ka mangole a kobehile.
- Tlhaloso ea Valgus: Basali ba na le mahlakore a mangata a majoe a valgus (ponahalo e kokotloang) le ho falla sebakeng se ka morao ho hatelloa haholo mangole a mangole ka lebaka la taolo ena.
Ho thibela lithapelo tsa ACL ho Lipatlisiso tsa Basali
Tsela eo re tsamaeang ka eona (li-biomechanics tsa rona) e ka fetoloa ka mananeo a koetliso.
Merero ena ea koetliso e "ruta" 'mele ea rona e sireletsehile, e tsitsitseng e tsitsitseng, e fanang ka tlase ho khatello ea mantlha manonyeletso. Mananeo ana a bitsoa mananeo a koetliso ea neuromuscular.
Mananeo a koetliso ea neuromuscular a ka fokotsa kotsing ea ho lematsoa ke ACL ho baatlelete ba basali. Ho thibela meokho ea ACL ho bontšitsoe hore e atlehile ka tšebeliso ea mananeo ana a koetliso ea neuromuscular. Mananeo ana a ruta mesifa ea baatlelete ho laola botsitso ba litho tsa bona hantle. Liphuputso li bontšitse ha basali ba etsa mananeo a koetliso ea neuromuscular, kotsi ea likhapha tsa ACL e theoha kotsing ea hore banna ba qhale ACL (hoo e ka bang kotsi ea makhetlo a robeli).
Lisebelisoa:
"Slauterbeck J, et al." Likotsi tsa ACL ho basali: Ke hobane'ng ha ho se tšoane ha tekano le ho e fokotsa joang? " Orthopedics Kajeno 23: 1, July 2003.
Sutton KM le Bullock JM. "Anterior Cruciate Ligament Ho phahama: Phapang pakeng tsa banna le basali" J Am Acad Orthop Surg. January 2013; 21: 41-50.
Hewett TE, le al. "Phello ea koetliso ea neuromuscular ka ketsahalo ea ho senya mangole ho baatlelete ba basali: Tlhahlobo ea ho ithuta." Am J Sports Med 1999; 27: 699-706.