Mofuta o moholo oa sepakapaka, kapa ACL, ke o mong oa melaho e mene e meholo ea lengole. Litlokotsi ho ACL ke kotsi e tloaelehileng ea lipapali 'me e ka ba likotsi tse qetellang tsa nako. Phuputso e ncha ke ho batlisisa litsela tsa ho thibela likotsi tsa ACL ho leka ho qoba nako e senyehileng lipapaling le tlhōlisano.
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.
- Matlafatso a tsitsitseng
Lintlheng tse 'nè tse kholo tsa mangole: li -cruciate ligament (ACL), li -poster cruciate ligament (PCL), li -collateral ligament (MCL), le lateral collateral ligament (LCL). - Matlafatso a Matla
Mabitso a tiileng a lengole ke mesifa le li-tendon tse potolohileng selekane. Matšoao ana le li-tendon li laoloa ke se tsejoang e le ho kenngoa ha neuromuscular, ho se khone ho etsa lintho tsena ho laola boemo ba lenonyeletso.
Koetliso ea neuromuscular e sebelisetsoa ho ruta 'mele oa hau mekhoa e metle ea botsitso ba lengole. Ka ho koetlisa tsela eo lengole la hao le tsamaeang ka eona, haholo-holo ha u qhomela, u theoha le ho phalla, u ka boloka boemo bo tsitsitseng ba lengole. Liphuputso tse 'maloa li bontšitse hore mananeo a koetliso ea neuromuscular a ka fokotsa monyetla oa kotsi ea ACL.
Liphuputso li fumane hore mananeo a mangata a kenyeletsang plyometrics, ho matlafatsa, ho koetlisa le ho leka-lekaneng koetliso e bile tse molemo ka ho fetisisa ho thibela likotsi tsa ACL, haholo-holo ho bapalami ba basali ba bacha.
Plyometrics e akaretsa ho ikoetlisa ho pheta-pheta ho matlafatsang matla le matla.
Sekolo sa Amerika sa Pediatrics se Khothalletsa Mananeo a Koetliso ea Neuromuscular
Kaha bana ba bangata ba kenya letsoho lipapaling tse hlophisitsoeng 'me ba ntse ba koetlisoa ka matla haholo bakeng sa linako tse telele, likotsi tsa ACL li atile haholo.
Tsena ke haholo-holo ha banana ba bapala bolo ea maoto, volleyball, basketball le li-gymnastics. Lipapali tse akarelletsang ho matha, ho phalla le ho qhomela li kotsi haholo bakeng sa menoana e mengata. Mokhatlo oa American Academy of Pediatrics (AAP) o khothalletsa mananeo a koetliso ea neuromuscular ho fokotsa kotsi ea ho hlaseloa ke ACL, ho qotsa lipatlisiso hore e ka fokotsa kotsi ka karolo ea 72 lekholong ho basali ba bacha.
AAP e thathamisa mananeo a koetliso ao ba a khothalletsang ho baetapele le mananeo a lipapali tsa sekolo Tsena li kenyeletsa li-exercises tsa plyometric le tse matlafatsang.
Mananeo a Koetliso ea Neuromuscular
Lenaneo la PEP : E 'ngoe ea mananeo a koetlisoang ka neuromuscular e tsebahalang haholoanyane, Lenane la Thibelo ea Thibelo, le Lenaneo la Phalliso ea Phalliso (e tsejoang e le lenaneo la PEP) le ile la thehoa mokhatlong oa Santa Monica Orthopedics le Sports Medicine Research Foundation. E fumaneha e le mahala ea mahala ea PDF le video e fumaneha bakeng sa monehelo. E ka thehoa tšimong ka mela kapa li-cones. Lenaneo le nka metsotso e 15-20 ho phetha le e lokelang ho etsoa ka makhetlo a mararo ka beke. E kenyeletsa ho futhumala, ho otlolla, ho matlafatsa, plyometrics le ho ikoetlisa ka mokhoa o khethehileng oa boikokobetso.
KIPP bakeng sa Bakoetlisi: Ena ke taelo ea mahala Inthaneteng e nang le li-slides le li-video tse sebelisoang bakeng sa baatlelete ba bacha ba bacha.
E sebelisoa e le mokhoa oa ho futhumatsa oa metsotso e 15 oa neuromuscular le ho ikoetlisa bakeng sa ho matlafatsa, plyometrics, ho leka-lekana, boiphihlelo, le ho otlolla. E ile ea etsoa bakeng sa likolo tsa sechaba tsa Chicago ka 2006 ke Ann & Robert H. Lurie Children's Hospital ea Chicago Institute for Sports Medicine.
Lisebelisoa:
Griffin LY, le al. "Noncontact Anterior Cruciate Ligament Ho tsoa likotsi: Merero ea Likotsi le Thibelo" J. Am. Acad. Ortho. Tso., May / June 2000; 8: 141 - 150.
Alentorn-Geli E, Myer GD, Silvers HJ, Sam G. G, Romero D, Lázaro-Haro C, Cugat R. "Thibelo ea ho se kopane le ho se kopane le likotsi tse hlaselang lipapaling tsa bolo ea maoto. Karolo ea 2: tlhahlobo ea mananeo a thibelo a reretsoeng ho fetola lisosa tsa kotsi le ho fokotsa litefello tsa kotsi. " Knee Surg Sports Sports Traumatol Arthrosc. 2009 Aug; 17 (8): 859-79. le: 10.1007 / s00167-009-0823-z. Epub 2009 Jun 9.
Cynthia R. LaBella, William Hennrikus, Timothy E. Hewett, KELETSO KA METEBETSI LE METEBETSI, LE KAROLO KA LITHUTO TSE KOPITSOENG. "Clinical Report: Meriana ea Ligament ea Anterior Cruciate Ligament: Tlhahlobo, Tlhahlobo le Thibelo," Pediatrics May 2014, VOLUME 133 / ISSUE 5