Inkqubo jikelele yoqeqesho lokubuyisela kwimeko yesiqhelo ye-Achilles Tendon, eyona ndawo iphambili yokubuyiselwa kwimeko yesiqhelo: Ukhuseleko kuqala, imisebenzi yokubuyisela kwimeko yesiqhelo ngokwendlela yabo.
Inqanaba lokuqala emva kotyando
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Ukukhuselwa kunye nexesha lokuphilisa (iiveki 1-6).
Imicimbi efuna ingqwalaselo: 1. Kulumkele ukungqubana kwe-Achilles Tendon; I-2. Idolo elisebenzayo kufuneka liguqulwe kwi-90 °, kwaye i-ankle dosiflexion kufuneka inqunyelwe kwindawo yokungathathi cala (i-0 °); 3. Kulumkele ukulungisa okushushu; 4. Kulumkele ukuqhubela phambili ixesha elide.
Ukuhamba ngokudibeneyo kunye nokuhamba kwesisindo okhuselekileyo yeyona mixholo ibaluleke kakhulu kwithuba lokuqala lendawo. Kuba ukuthwala ubunzima kunye nokudityaniswa okudibeneyo kukhuthaza ukuphiliswa kunye namandla e-Achilles, kwaye kunokuthintela iziphumo ezibi zokungaziphathi kakuhle (umz. Ukutya okuziisifo, ukuqulunqwa kwemisipha, kunye ne-rabritionations, kunye ne-adheral phrimor).
Izigulana zayalelwa ukuba zenze okusebenzayodibanisaIintshukumo ngemini, kubandakanya i-adhele dosiflexion, i-ratar bhedion, i-dussus, kunye ne-qualgus. I-Ankle esebenzayo ye-Ankle inqunyelwe kwi-0 ° ABO kwi-90 ° yedolo. Ukuhamba ngokudibeneyo kunye nokuhamba kufuneka kuthintelwe ukukhusela i-achilles yokuphilisa i-thechils ukusuka kwi-overstreting okanye i-upupture.
Xa isiguli siqala ukuba sikhethe isisindo esipheleleyo, imithambo yebhayisekile yebhayisekile inokuziswa ngeli xesha. Isigulana kufuneka sifundiswe ukuba sisebenzise umva wenyawo endaweni yonyawo lwangaphambili xa ibhayisikile. Ukutsala isikhafu kunye nokuhamba okudibeneyo kunokukhuthaza ukuphiliswa kunye nokuthintela amabinzana kunye nokuqina.
Unyango olubandayo kunye nokuphakama komlenze ochaphazelekayo unokulawula iintlungu kunye ne-Edema. Izigulana kufuneka zifundiswe ukuba ziphakamise imilenze echaphazelekayo kangangoko kunokwenzeka yonke imihla kwaye kuthintele ukubamba ubunzima bexesha elide. Isigulana sinokucetyiswa ukuba sifake i-ice ikhuphe izihlandlo ezininzi kangangezihlandlo ezingama-20 ngexesha ngalinye.
Ukuzilolonga kwe-proximal hip kunye nedolo kufuneka kusebenzise irejimeni yokuqhubela phambili ukuchasana nenkqubela phambili. Imithambo evulekileyo yokuzilolonga kunye noomatshini bokuziqhelanisa bungasetyenziswa zizigulana ezinomsindo othintelweyo.
Amanyathelo onyango: Xa usebenzisa intonga ye-axillary okanye i-cane phantsi kwesikhokelo sikagqirha, nxiba ubunzima obuqhubela phambili phantsi kweebhutsi ezisisigxina ngevili; i-ankle esebenzayo ye-ankle / i-raticar chesxion / i-VARUS / i-chatgus; isikhafu sokukhulula; ukudibanisa ukukhululeka; amandla omsikisi wemisipha; ulungiso lwenyama ; Unyango olubandayo.
Iiveki ze-0-2: I-Coce-Mul-Umlenze we-Brace Anklication, Ankle kwindawo engathathi hlangothi; ubunzima bomzimba obuthwala ngeetotshi ukuba zinyamezelwe; I-ice + yoxinzelelo lwasekhaya / i-pulser pharapy; idolo lokutshintsha kunye nokukhusela i-ankle esebenzayo, i-VARUS, i-Vesus; Ukuxhathisa i-quadriceps, gluteal, uqeqesho lokuthathwa kwe-hip.
Iiveki ezi-3: Inkxaso yomlenze emfutshane, i-ankle kwindawo yokungathathi cala. Ukuhamba ubunzima obuqhubela phambili ngokuhamba nzima nge-crutches; Isebenzayo + -Uncediswa i-Ankle Sumar Slexion / iinyawo zeVenkile yeVeethus, unyawo lwe-chatgus, + uqeqesho lweBhodi yeBhodi); Ukukhawulezisa iintshukumo ezidibeneyo ze-ankle (i-intertal, i-subtalar, tibiotalar) kwindawo engathathi cala; Unqande i-quadriceps, gluteal, kunye noqeqesho lokungaqwalaselwa.
Iiveki ezi-4: Uqeqesho lwe-ankle esebenzayo; Ukuchasana nokuguquguquka kweSiqalo esisebenzayo, i-VARUS, kunye ne-vesion ngeentambo zerabha; Uqeqesho lobunzima be-Gait-Isokinetic Iswinetic Pricise (> i-3 degrees / sec); Uqeqesho lwe-Heal ePhezulu lweSiel
Iiveki ezi-5: Susa i-Ankle Brace, kwaye ezinye izigulana zinokuya kuqeqesho lwangaphandle; ithole eliphindwe kabini yethole; Ukuqeqeshwa kwesisindo se-Gait-Isokinetic Uqeqesho lwe-teraltity ephantsi kwe-willmilting; Ukuqhubela phambili uqeqesho (ukukhuselwa ngexesha lokubuyisela kwakhona).
Iiveki ezi-6: Zonke izigulana zisusa i-broces kwaye zenza uqeqesho oluhamba phambili kumphezulu wangaphandle; uqeqesho oluqhelekileyo lwe-Achilles theindon kwi-Goltions kwindawo yokuhlala; Ukuxhathisa okuphantsi (i-Phiction) Uqeqesho lwamandla omsipha ojikelezayo (ukuchasana ne-vussi, ukuxhathisa i-getus) amaqela amabini; uqeqesho lwebhalansi yomlenze omnye (icala elisempilweni - icala elichaphazelekayo ngokuthe ngcembe); Ukuhamba kwe-gait.
Iikhrayitheriya zokupasa: Iintlungu kunye ne-Edema zilawulwa; ubunzima bomzimba bunokwenziwa phantsi kwesikhokelo sikagqirha; I-Ankle Dosiflexion ifikelela kwimeko yokungathathi cala; I-proximal engaphantsi kwamandla emisipha ifikelela kwiBanga le-5/5.
Inqanaba lesibini emva kotyando
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Kwinqanaba lesibini, bekukho utshintsho olucacileyo kwinqanaba lobunzima obuthwala, ukwanda kwe-ROM yelungu elichaphazelekayo kunye nokomelela kwamandla emisipha.
Eyona njongo iphambili: Ukubuyisela uluhlu olusebenzayo lwentshukumo ye-gait eqhelekileyo kunye ne-stair. Buyisela i-Ankle Dorsiflexion, I-VAUS, kunye namandla eValgas kwiBanga lesi-5/5. Buyela kwi-gait eqhelekileyo.
Amanyathelo onyango:
Ngaphantsi kokukhuselwa, inokumelana nobunzima bentsomi epheleleyo yokuziqhelanisa nobunzima obugcwele ubunzima, kwaye ungasusa utyekelo xa kungekho ntlungu; Ngaphantsi kwenkqubo ye-Treadmill yenkqubo yokuziqhelanisa ne-gait; i-shoe ye-heel pad inceda ukubuyisela i-gait eqhelekileyo; I-ankle esebenzayo ye-ankle / i-raticar chesxion / imithambo ye-varis; uqeqesho olusebenzayo; I-Ismoometric / i-isotonic amandla e-iskhatic
I-neuromuscular ye-neuromuscular kunye ne-dibanise iinkqubo zokuzihlaziya ukukhuthaza ukubuyiswa kwenkqubo, i-neuromuscular yohlobo kunye nebhalansi. Njengamandla kunye nokulingana kuyabuyiselwa, ipateni yokuzivocavoca iphinde ithathe ukusuka kuzo zombini iindawo ezisezantsi ukuya kwizinto eziphantsi. Isikhafu, unyango lomzimba, kunye nokudityaniswa okudibeneyo kufuneka kuqhubeke njengoko kufuneka.
Iiveki ezingama-7-8: Isigulana kufuneka sinxibe i-brace phantsi kokhuseleko lokugcwalisa umsindo ngokupheleleyo, kwaye emva koko sinxibe izihlangu. Ipali ye-heel inokubekwa kwisihlangu ngexesha lotshintsho ukusuka kwi-race kwi-shoe.
Ukuphakama kwepali ye-heel kufuneka kunciphe njengoluhlu lwentshukumo yonyuso oludibeneyo. Xa i-gait yesigulana ibuyela kwisiqhelo, ipali yentsimbi inokusasazwa.
I-gait eqhelekileyo yinto eyimfuneko yokuhamba ngaphandle kokuthintelwa. Iipuzz ze-ankle zibandakanya ukutshitshiswa kwesityalo kunye nolwandiso lwe-dorsi. UDoliflexion kuthetha ukuba iinzwane zibuyile njengelukhuni, oko kukuthi, inyawo linyanzelekile ukuba libuyele kwinqanaba;
Kweli nqanaba, ukuhlutha i-inversion kunye ne-iations zemoometric amandla emidlalo ye-Isometric Imithambo inokuqaliswa, kwaye iibhendi zerabha zingasetyenziselwa ukuziqhelanisa nenqanaba elizayo. Yakha amandla omsipha ngokutsala ubume beeleta kunye ne-ankle yakho kwisixhobo se-Axis ezininzi. Xa i-story eyaneleyo yentshukumo ifezekisiwe.
Ungaqala ukuziqhelanisa nezihlunu ezimbini eziphambili zokutshintsha kwethole. I-SAMARD YOKUGQIBELA Ukuzibandakanya nokuziqhelanisa ne-To-Futxion ukuya kwi-90 ° kunokuqalwa kwiiveki ezi-6 emva kotyando. I-SAMARD SOFICION YOLWAZI LOKUFUNDA NGOKUGQIBELA NGOKUGQIBELA KUFUNYANWA IXESHA LAYIPHI LWE-8.
I-Sumardion Shedion inokwenziwa ngeli nqanaba usebenzisa i-Dede-yandise isixhobo sokuhamba ngenyawo kunye nomatshini wokugoba umlenze. Ngeli xesha, ukuziqhelanisa nebhayisikile ngebhayisikile kufuneka kwenziwe ngendlela kwangaphambili, kwaye imali imele inyuke ngokuthe ngcembe. Ukubuyela umva kwi-treadmill kuphucula ulawulo lwe-Eccentric Subxion. Ezi zigulana zihlala zifumana ukubuyela umva kokutya okuncinci kuba kunciphisa isidingo sokuphambuka. Kuyenzeka ukuba wazise imisebenzi yangaphambili. Ukuphakama kwamanyathelo kunokwanda ngokuthe ngcembe.
I-micro-squat ye-squat yoKhuseleko lwe-Ankle (i-achilles tendon yongezwa phantsi kweyona ntlungu ingalunganga); Amaqela amathathu okuxhathisa okulinganiselweyo (ukuguqula) uqeqesho lwemisipha (Ukungavisisani kweVRUS, ukuxhathisa i-getus); Ukuphakamisa i-toe (uqeqesho oluPhezulu lwe-oultus); I-TOE iphakamisa amadolo ngokuthe ngqo kwindawo ehleli (i-gestroclesness gestrocforneus).
Xhasa ubunzima bomzimba kwi-bar yebhalansi ukomeleza uqeqesho lwangaphandle lwe-tit; Yenza uqeqesho lwe-CORF + - ukuvuselela isizathu sokuma; Yenza i-GAIT kwakhona phantsi kwe-treadmill; ukwenza uqeqesho lokuhlaziywa kweliso le-Recielity kunye ne-WorldFoir (malunga nemizuzu eli-15); Uqeqesho lokulinganisa (iBhodi eseleyo).
Iiveki ezili-9 ukuya kwezi-12 Uqeqesho lokungavisisani ngokunyangeka (iinzwane zichukumisa umhlaba, ukuba kukho imfuneko, ukhuthazo lwemisipha yombane lunokongezwa); ukunyangwa kwangaphambili kokuhlaziywa konyamezelo (malunga nemizuzu engama-30); Ukuphakanyiswa kweenyawo, ukuqeqeshwa kweGait, inyathelo ngalinye liyi-12 itches, ngolawulo lwe-gesiric kunye ne-eccentric; Ukunyuka phambili ukunyuka ukuhamba, ukubuyela umva ukuhamba; I-Tramppoline yoqeqesho.
Ukuhlaziywa kwakhona
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IVeki ye-16: Uqeqesho oluguqukayo (TAI Chi); Inkqubo iqala inkqubo yokuqhuba; uqeqesho lwamanqaku ngamanqaku amaninzi.
Iinyanga ezi-6: ukuthelekiswa kweziphelo ezisezantsi; uvavanyo lokuzilolonga lwe-Isokinetic; Isifundo sokuhlaziywa kweGait; Ithole elinye lomlenze liphakamisa imizuzwana engama-30.
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Ixesha lePosi: I-NoV-25 ukuya kwi-2022
