Tšoara Knee ea Hao Patellofemoral Stress Syndrome
Haeba u e-na le bohloko ba mango ka lebaka la patellofemoral stress syndrome (PFSS) , joale u ka rua molemo ho litsebi tse nang le tsebo ea setsebi sa 'mele ho u thusa ho laola bohloko ba hao le ho khutlela mosebetsing o nepahetseng. Your PT e ka hlahloba boemo ba hau ho fumana hore na bothata ba bothata ba hau ke bofe ebile e ka u fa phekolo e nepahetseng bakeng sa hau.
Patellofemoral stress syndrome e ka bakoa ke maemo a mangata a sa tšoaneng.
Bofokoli maotleng a hao bo ka beha khatello ea kelello mangole kapa mangole. Maoto a hlalositsoeng a ka 'na a etsa hore maoto a hao a fetohe ka hare ka mokhoa o sa tloaelehang ebe o beha khatello ka mangole. Bofokoli mesifa ea hau ea quadriceps e ka ba sesosa sa PFSS.
Haeba setsebi sa hau sa 'mele se etsa hore quadriceps e fokolise e ka' na ea e-ba sesosa sa PFSS ea hao, mohlomong o tla fana ka litlhahlobo tse matlafatsang ho thusa ho ntlafatsa tsela eo lengole le sebetsang ka eona. Matšoao a hau a quadriceps a thusa ho otlolla mangole, 'me a bohlokoa ho laola boemo ba kneecap ea hau ha u ntse u tsamaea, u matha le litepisi kapa u nyoloha setulong.
Ka linako tse ling ho etsa li-exercice tse matlafatsang li-quadriceps ho ka eketsa khatello ea meleng ka mangole, 'me sena se ka eketsa bohloko ba hao mme se ka mpefatsa boemo ba hau. Seo se ka u kenya konundrum-u hloka ho matlafatsa litlhaku tsa hau, empa ka ho etsa joalo u eketsa bohloko ba mangole mme u mpefatsa boemo ba hau ba PFSS.
Hona na ho na le litlhahiso tse ka etsoang ho matlafatsa quadriceps ea hau ha u ntse u fokotsa khatello ea mangole?
Ho na le. Sena sohle se itšetlehile ka hore na u etsa litlhahlobo joang.
Bopaki bo Bontša Eng?
Phuputso ea morao tjena ho Journal of Orthopedic and Sports Therapy Therapy e ile ea hlahloba phello ea mekhoa e fapaneng ea ho ikoetlisa ea quad ea khatello ea patellofemoral.
Bafuputsi ba lekanya khatello ea mangole lithuto tse leshome tse phetseng hantle ha ba ntse ba etsa li-skattering le li-exercice extension extension.
Nakong ea boikoetliso ba ho senya, bafuputsi ba fumane hore khatello ea kelello e ne e le tlase ha e ntse e arohana ka mokhoa o khethehileng oa ho tsamaea (ROM). Ho tloha lik'hilomithara tse 90 ho ea ho tse 45 (knee 90) ha lengole la hao le otlolohile ka lehlakoreng le letona, joaloka ha u lutse setulong), khatello ea kelello ka kneecap ea hau e fokotseha nakong ea squat. Ho etsa li-exercising tse senyang ho feta tekanyo ea 45-degree ho ile ha eketsa khatello ea mokuli haholo.
Ha ba ntse ba etsa kakaretso ea leoto, bafuputsi ba fumane hore khatello e matla ea mangole e ne e lekantsoe ka ROM 90 ho isa ho 45 degree. Ha baeta-pele ba ntse ba otlolohile, tsela ea khatello ea li-patellofemoral e ile ea eketseha. Bafuputsi ba ile ba boela ba fumana hore ho sebelisa ho feto-fetoha ha mefuta e sa tšoaneng ho ne ho se na khatello ea maikutlo ha ho bapisoa le ho sebelisa khanyetso e sa khaotseng bakeng sa ho ikoetlisa leoto.
Tlhokomeliso
Ha thuto ena e bontša hore khatello ea lengole e ka fokotseha ka ho etsa litlhahiso tsa quadriceps ho ROM e itseng, e ne e kenyeletsa litaba tse phetseng hantle. Liphello li lekanyelitse mathata a kopaneng a patellofemoral 'me ha ho joalo ho lekana le lihlooho tse nang le PFSS. Bopaki bo fana ka moralo oa ho sebedisa ha o etsa qeto ea hore na ke mekhoa efe e matlafatsang ea quad ea ho etsa le kamoo o ka e etsang ho fokotsa khatello ea mangole.
Kamoo U ka Etsang Kateng Ho Matlafatsa ho Koetlisa Ha U ntse U Fokotsa Knee Ho Tsamaea
Mesebetsi e 'meli e tobileng ea li-quadriceps e matlafatsang ke boikoetliso ba squat le boikoetliso ba maoto bo boima. Bobeli ba tsona ba thusa ho kopanya quadriceps ea hau, empa ba ka boela ba hatella kneecap ea hao mme ba eketsa bohloko ba hau. Ka ho fetola litlhahiso tsena, u ka thusa ho fokotsa khatello ea kelello le ho imeloa ka mangole le ho matlafatsa quadriceps ea hau ha u fokotsa bohloko ba mangole.
Ho etsa boikoetliso ba squat ka mokhoa o sireletsehileng, ema ka mahlakoreng a maoto lehetla u tšoere matsoho ka pel'a hao. Butle-butle hore mangole a hao a khumame, empa etsa bonnete ba hore u khaotse ho khumama ha mangole a hao a le maemong a 45.
Tšoara boemo bona ka metsotsoana e seng mekae, 'me butle-butle khutlela sebakeng sa pele. Etsa ketsahalo ena ts'ebetsong ea 10 ho ea ho e 15 'me u be bonnete ba hore u lekanyetsa hore na u qeta nako e kae. Hopola ho emisa ha mangole a hao a kobehile likhato tse 45.
Ho etsa boikoetliso ba lengole ka mangole, lula setulong le lengole la lengole la 90 likhato. Tloha fatše ka thōko, empa emisa ha e ka ba halofo ho ea holimo. Mangole a hau a lokela ho koaloa likhato tse 45. Tšoara boemo bona ka metsotsoana e seng mekae, ebe o theoha leoto la hao butle-butle ho ea pele. Hopola ho fokotsa lengole la ROM nakong ea boikoetliso. Pheta boikoetliso bakeng sa ho pheta-pheta ho 10 ho isa ho 15.
Mosebetsi oa ho atolosa leoto o ka etsoa phephetso ka ho eketsa khanyetso. U ka sebelisa boima ba likotlolo mokokotlong oa hao, kapa u ka sebelisa mochine oa motlakase oa leoto ho etsa mosebetsi ona.
Boikoetliso bo fetotsoeng le bo-'mamantsoane ba leoto bo etselitsoe ho matlafatsa mesifa ea quadriceps ha u ntse u fokotsa khatello ea kelello le maqakabetsing a mangole. Haeba boikoetliso bo itseng bo baka bohloko, o lokela ho emisa le ho hlahloba le setsebi sa hau sa 'mele.
Pele o qala sena, kapa lenaneo le leng le le leng la boithabiso, hlahloba ngaka ea hao ho netefatsa hore ho bolokehile hore u etse joalo.
Kaha ho na le lisosa tse ngata tsa PFSS, etsa bonnete ba hore u sebetsa haufi le setsebi sa hau sa 'mele ho etsa bonnete ba hore u phekola lintlha tsohle tse ka lebisang bohloko ba hau. Ka linako tse ling mangole a mangoa a loketse kapa li-orthote tsa lesela li hlokahala ho thusa boemo ba hau. Ho na le lisebelisoa tsa ho kenyelletsa li-kinesiology tse ka thusang ho laola boemo ba kneecap ea hau ho tšoara PFSS.
Mathata a bohloko a patellofemoral stress syndrome a ka fokotsa bokhoni ba hau ba ho tsamaea, ho matha le ho kenya letsoho mesebetsing e tloaelehileng ea boithabiso. Ho etsa mekhoa e fetotsoeng e fetotsoe le ho ikoetlisa ka leoto ho ka thusa ho matlafatsa mesifa e tšehetsang mangole ha u ntse u fokotsa khatello ho litho tsa hau. Sena se ka thusa ho fokotsa bohloko ba hau mme ho u phahamisa le ho falla kapele le ka mokhoa o sireletsehileng.
Matla, C. etal. "Matšoenyeho a kopanelo ea patellofemoral nakong ea ho ikoetlisa ka boima bo boima le bo sa boima ba quadriceps." JOSPT, 44 (5) May 2014. 320-327.