Maitiro ekudzidzisa vanhu kuti vagadzirise kukuvara kweAchilles tendon, nhungamiro huru yekuvandudza tendon ndeyekuti: kuchengetedzeka kutanga, kurovedza muviri zvinoenderana nepfungwa dzavo.
Danho rekutanga mushure mekuvhiyiwa
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Nguva yekudzivirira uye kupora (vhiki 1-6).
Zvinhu zvinoda kutariswa: 1. Dzivisa kutambanudza kweAchilles tendon; 2. Ibvi riri kushanda rinofanira kutenderedzwa pa90°, uye chiuno chinofanira kutenderedzwa panzvimbo isina kwayakarerekera (0°); 3. Dzivisa kudzvanya kunopisa; 4. Dzivisa kurereka kwenguva refu.
Kufamba kwemajoini nekukurumidza uye kutakura huremu hwakachengetedzwa ndizvo zvinonyanya kukosha munguva yekutanga mushure mekuvhiyiwa. Nekuti kutakura huremu uye kufamba kwemajoini kunokurudzira kupora uye kusimba kweAchilles tendon, uye kunogona kudzivirira migumisiro yakaipa yekusagona kufamba (semuenzaniso, kupera kwetsandanyama, kuomarara kwemajoini, degenerative arthritis, kuumbwa kwekunamatira, uye deep cerebral thrombus).
Varwere vakarayirwa kuti vaite mabasa akawanda emuvirijoiniKufamba-famba kwezuva nezuva, kusanganisira kurova kwetsoka, kugonya kwemiti, varus, uye valgus. Kugonya kwetsoka kunofanira kuganhurirwa pa0° pa90° yekugonya kwebvi. Kufamba-famba kwemajoini asina kusimba uye kutambanudza kunofanira kudzivirirwa kudzivirira tendon yeAchilles inoporesa kubva pakutambanudza zvakanyanya kana kuputika.
Kana murwere atanga kusimudza makumbo zvishoma kusvika pakurema, maekisesaizi ebhasikoro asingachinji anogona kutanga panguva ino. Murwere anofanira kurayirwa kushandisa kumashure kwetsoka panzvimbo petsoka yepamberi paanenge achitasva bhasikoro. Kukwiza mavanga nekufamba kwemajoini kwakareruka kunogona kukurudzira kupora uye kudzivirira kubatana kwemajoini nekuomarara.
Kurapa nechando uye kukwidziridzwa kwegumbo rakabatwa kunogona kudzora marwadzo nekuzvimba. Varwere vanofanira kurayirwa kusimudza gumbo rakabatwa zvakanyanya sezvinobvira mukati mezuva rose uye kudzivirira kubata huremu kwenguva yakareba. Murwere anogonawo kurayirwa kuisa maaizi kakawanda kwemaminitsi makumi maviri nguva imwe neimwe.
Kurovedza muviri kwechiuno nebvi repamberi kunofanira kushandiswa nenzira yekurovedza muviri inofambira mberi. Kurovedza muviri kwakavhurika uye michina ye isotonic zvinogona kushandiswa nevarwere vane huremu hwakaganhurirwa.
Matanho ekurapa: Paunenge uchishandisa tsvimbo yemuhuro kana tsvimbo uchitungamirirwa nachiremba, pfeka bhutsu dzakasimba dzine vhiri; shanda nechiuno, rovera dumbu, rovera tsinga ....
Vhiki 0-2: Kusafamba kwesimbi yemakumbo mapfupi, gumbo riri panzvimbo isina kusimba; kutakura huremu hushoma netsvimbo kana zvichibvumirwa; chando + kudzvanywa kwenzvimbo/kupwanywa kwemhepo; kudzivirirwa kwemabvi netsoka Kupinda kwetsoka netsoka Kushanda kwe plantar flexion, varus, valgus; kudzidziswa kwe resistance quadriceps, gluteal, hip abduction.
Mavhiki matatu: Kutsigira makumbo mapfupi kusina kufamba, gumbo riri panzvimbo isina kusimba. Kufamba zvishoma nezvishoma uchitakura zvinorema uchishandisa madondoro; kurovedza makumbo netsoka uchishandisa +- kurovedza makumbo netsoka, kurovedza valgus yetsoka (+- kurovedza bhodhi rekuenzanisa); Kukurumidzisa kufamba kwezvigunwe zvidiki zvegumbo (intertarsal, subtalar, tibiotalar) panzvimbo isina kusimba; Kudzivisa kurovedza quadriceps, gluteal, uye hip abduction.
Mavhiki mana: Kudzidziswa kwekurovedza muviri nemakumbo; kurovedza muviri ne plantar flexion, varus, uye eversion netambo dzerabha dzinochinjika; kurovedza muviri nekufamba netsoka zvishoma-kurovedza muviri ne isokinetic low resistance training (>30 degrees/sec); kurovedza muviri ne treadmill ne high sitting low Resistance heel rehabilitation.
Mavhiki mashanu: Bvisa chitsigiso chetsoka, vamwe varwere vanogona kuenda kunodzidziswa panze; kurovedza muviri kwekusimudza makumbo maviri; kurovedza muviri uchitakura uremu zvishoma-kurovedza muviri uchidzivirira muviri zvishoma (20-30 degrees/sekondi); kurovedza muviri uchigadzirisa chitsitsinho; kurovedza muviri uchityaira (kudzivirira panguva yekupora).
Mavhiki matanhatu: Varwere vese vakabvisa mabraces ndokuita kurovedza kufamba panzvimbo yakatsetseka yekunze; kurovedza kweAchilles tendon extension vari vakagara; kurovedza simba remhasuru dzisingapindi simba (dzisingapindi simba) (kudzivirira varus, kudzivirira valgus) mapoka maviri; kurovedza muviri negumbo rimwe chete (Rutivi rwakanaka --- divi rakakanganiswa rinoshanduka zvishoma nezvishoma); kuongorora kufamba kwetsoka.
Zvinodiwa pakusimudzira: kurwadziwa nekuzvimba zvinodzorwa; kurema kunogona kuitwa uchitungamirirwa nachiremba; chiuno chinotenderera chinosvika panzvimbo isina kwayakarerekera; simba remhasuru dzemucheto wepazasi rinosvika pagiredhi 5/5.
Danho rechipiri mushure mekuvhiyiwa
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Muchikamu chechipiri, kwakava nekuchinja kuri pachena padanho rekutakura huremu, kuwedzera kweROM yegumbo rakakanganiswa uye kuwedzera kwesimba remhasuru.
Chinangwa chikuru: Kudzorera kufamba kwakakwana kwemuviri kuti ukwanise kufamba zvakanaka uye kukwira masitepisi. Dzorera simba remakumbo, varus, uye valgus kusvika padanho re5/5. Dzokera pakufamba zvakanaka.
Matanho ekurapa:
Yakadzivirirwa, inogona kutsungirira kufamba kwayo iine huremu kusvika pakufamba kwayo iine huremu, uye inogona kubvisa madondoro kana pasina kurwadziwa; kufamba kwepasi pemvura uchishandisa treadmill system; chitsitsinho chetsoka chinobatsira kudzorera kufamba kwayo kwakajairika; kurovedza muviri kwemakumbo nemakumbo ne plantar flexion / varus / valgus; kurovedza muviri; kurovedza muviri ne isometric / isotonic strength exercises: ankle inversion / valgus.
Kurovedza muviri kwepakutanga kwetsandanyama dzemuuropi nedzemumajoini kuti kudzoreredze kugadzikana kwemuviri, tsandanyama dzemuuropi uye kugadzikana. Sezvo simba nekugadzikana zvichidzorerwa, maitiro ekurovedza muviri anochinjawo kubva kumakumbo ese ari maviri epasi kuenda kumakumbo ese epasi. Kukwiza mavanga, kurapa kwemuviri, uye kufamba kudiki kwemajoini kunofanira kuramba kuchienderera mberi sezvinodiwa.
Mavhiki manomwe kusvika masere: Murwere anofanira kutanga apfeka chitsigiso chetsoka achidzivirirwa nemadondoro kuti apedzise kutakura huremu hwegumbo rakabatwa, uye ozobvisa madondoro acho opfeka shangu kuti akwanise kutakura huremu hwacho zvizere. Chitsitsinho chinogona kuiswa mushangu panguva yekuchinja kubva pachitsigiso chetsoka kuenda kushangu.
Kureba kwechitsitsinho kunofanira kudzikira sezvo kufamba kwejoini kuchiwedzera. Kana murwere adzoka pakufamba kwakajairika, chitsitsinho chinogona kubviswa.
Kufamba kwakajairika chinhu chinodiwa kuti munhu afambe asina kubatwa. Mapombi emakumbo anosanganisira plantar flexion uye dorsi extension. Dorsiflexion zvinoreva kuti zvigunwe zvinosungirirwa kumashure zvakasimba sezvinobvira, kureva kuti, tsoka inomanikidzwa kudzokera panzvimbo yayo;
Padanho rino, maekisesaizi ekusimbisa tsandanyama zvishoma uye ekuchinja-chinja anogona kutanga, uye mabhendi erabha anogona kushandiswa kudzidzira padanho rekupedzisira. Vaka simba retsandanyama nekudhirowa chimiro chemavara negumbo rako pachishandiso chine mativi akawanda. Kana wawana mukana wakakwana wekufamba.
Unogona kutanga kudzidzira tsandanyama mbiri huru dzekutenderera kwemhuru. Maekisesaizi ekudzivirira kutenderera kwemhuru nekufamba kwebvi kusvika pa90° anogona kutanga mavhiki matanhatu mushure mekuvhiyiwa. Maekisesaizi ekudzivirira kutenderera kwemhuru nebvi rakatambanudzwa anogona kutanga pasvondo rechisere.
Kutenderera kweplantar kunogonawo kuitwa panguva ino uchishandisa mudziyo wekupedera unotambanudzwa nemabvi nemuchina wekukotamisa makumbo. Panguva ino, kurovedza muviri kwebhasikoro kwakatarwa kunofanira kuitwa netsoka yepamberi, uye huwandu hwacho hunofanira kuwedzerwa zvishoma nezvishoma. Kufamba uchidzokera kumashure uchishandisa treadmill kunowedzera kudzora kutenderera kweplantar. Varwere ava vanowanzoona kufamba vachidzokera shure zviri nyore nekuti kunoderedza kudiwa kwekunamira. Zvinokwanisikawo kutanga maekisesaizi ekufambisa mberi. Kureba kwematanho kunogona kuwedzerwa zvishoma nezvishoma.
Kurovera makumbo nemaoko nekudzivirira chitsitsinho (Achilles tendon inotambanudzwa nepfungwa yekurwadziwa kunoshivirira); mapoka matatu ekurovedza tsandanyama dzinotenderera zvine mwero (passive) (kudzivisa varus, kuramba valgus); Kusimudza zvigunwe (kurovedza muviri zvakanyanya); kusimudza zvigunwe nemabvi akatwasuka panzvimbo yakagara (kurovedza muviri kwakanyanya).
Tsigira huremu hwemuviri pabhawa rekuenzanisa kuti usimbise kurovedza muviri wega; kurovedza muviri kuti usimudzire tsoka dzako +- EMG pakumira; kurovedza muviri kuti ufambise tsoka dzako pasi petreadmill; kurovedza muviri kuti ugadzirise treadmill uchishandisa tsoka yepamberi (inenge maminetsi gumi nemashanu); kurovedza muviri kuti uverenge (bhodhi rekuenzanisa).
Mavhiki 9-12: kudzidziswa kwekuwedzera triceps yemhuru yakamira; kudzidziswa kwekusimudza mhuru yakamira (zvigunwe zvinobata pasi, kana zvichidikanwa, kukurudzira tsandanyama kwemagetsi kunogona kuwedzerwa); kudzidziswa kwekutsungirira kwetreadmill yekumashure (inenge maminetsi makumi matatu); kusimudza tsoka, kudzidziswa kwekufamba nekudzika, nhanho yega yega yakaparadzana nemasendimita makumi matatu, nekudzora kwakadzika uye kusingawanzoitiki; kufamba uchikwira mberi, kufamba uchidzika shure; kudzidziswa kwetrampoline balance.
Kudzorerwa kwemuviri mushure mekupora
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Vhiki rechi16: Kudzidziswa kwekuchinjika (Tai Chi); chirongwa chekumhanya chinotanga; kudzidziswa kwe isometric kwemapoinzi akawanda.
Mwedzi mitanhatu: Kuenzanisa makumbo epasi; bvunzo yekurovedza muviri yeisokinetic; kudzidza kuongorora kufamba; kusimudza mhuru negumbo rimwe chete kwemasekonzi makumi matatu.
Sichuan CAH
WhatsApp/Wechat: +8615682071283
Email: liuyaoyao@medtechcah.com
Nguva yekutumira: Mbudzi-25-2022
