Maitiro okutanga ekudzidziswa kwaAchilles Tendon kuputika, iyo hurukuro huru yekuvandudza ndeye: Chengetedzo kutanga, kurovedzera muviri maererano nemaune yavo.
Chikamu chekutanga mushure mekuvhiyiwa
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Dziviriro uye nguva yekurapa (mavhiki 1-6).
Nyaya dzinoda kutariswa: 1. Dzivisa kutambanudza kweiyo Achilles Tendon; 2. Ibvi rinoshanda rinofanira kutenderwa na90 3. Dzivisa kupisa kupisa; 4. Dzivisa kwenguva refu sagging.
Kufamba kwekutanga kwekufamba uye kwakachengetedza uremu kwakakura ndizvo zvinonyanya kukosha zvirimo mune yekutanga postoperative nguva. Nekuti kuremerwa kwehuremu uye kubatana kwekufamba kunosimudzira kupora uye kusimba kweAchilles tendon, uye kunogona kudzivirira kusakwana kwekusagadzikana (semuenzaniso, kuparadzira, kuumbwa kweArthritis, kuumbwa kwakadzora, uye kwakadzika cerebral thrombus).
Varwere vakarairwa kuita akati wandei anoshandamubatanidzwaMafambiro pazuva, kusanganisira ankle dorsiflexion, plantar lexion, varus, naValgus. Active Ankle Dorsiflexion inofanirwa kuve ishoma kune 0 ° pa0 9 ° yebvi yekubhururuka. Passive Joint kufamba uye kutambanudzwa inofanirwa kudzivirirwa kuchengetedza kurapa kurapa Achilles tendon kubva pakurambidza kana kuputika.
Kana murwere atanga kusarura kuzere kurema, akamira bhasikoro kurovedzwa kunogona kuunzwa panguva ino. Murwere anofanira kurairwa kuti ashandise kumashure kwetsoka panzvimbo petsoka yekumberi kana cycling. Kusvibisa iyo vanga uye chiedza chekubatana kwekuita kunogona kusimudzira kurapa uye kudzivirira zvakabatana zvinodhaka uye kuomarara.
Kutonhora kurapa uye kukwidziridzwa kweiyo yakakanganisika gumbo inogona kudzora kurwadziwa uye edema. Varwere vanofanirwa kurairwa kusimudzira iyo yakakanganisika mwenje sezvinobvira muzuva nezuva uye kudzivirira kubata uremu kwenguva yakareba. Murwere anogona zvakare kurayirwa kuti ashandise ice packs kakawanda kwemaminetsi makumi maviri nguva imwe neimwe nguva.
Maekisesaizi eiyo proximal hip uye ibvi inofanirwa kushandisa inofambira mberi kudzidzisa kudzidzisa kudzidzisa. Open-keteni
Matanho Ekurapa: Paunenge uchishandisa lexillary tsvimbo kana nzimbe pasi pekutungamirirwa nachiremba, pfeka huremu hwakaenderera uchitakura pasi pegwenzi dzakagadzirirwa newiricheya; Active Ankle Dorsiflexion / plantar Flexion / Varus / Valgus; massage vanga; kusunungura kusunungura; Broximal tsandanyama simba; kurapwa kwepanyama; kutonhora kurapwa.
Mavhiki 0-2: Pfupi-gumbo brace fungidziro, chinjo mune kusarerekera chinzvimbo; chidimbu uremu chine hutachiona kana zvichitsamwa; ice + yemuno compression / pulse magnetic kurapwa; Kuchengetedzwa kwebvi uye kuchengetedzwa kwechibereko kunoshanda chirimwa chinoshanduka, Varus, Valgus; Kupesana neQuadriceps, Gluteal, Hip Disvions Dzidzo.
Mavhiki matatu: Pfupi-gumbo rutsigiro gadziriso isaibilised, ankle mune isina kwayakarerekera chinzvimbo. Kufambira mberi zvishoma nezvishoma kuremerwa kufamba nemakumbo; Inoshanda + - Yakabatsira Ankle Plantar Flexion / Tsoka Varus, Tsoka Dzetsoka Dzidziso (+ - Balance yebhodhi yekudzidziswa); Inowedzera diki ankle inofamba-famba, subtarsal, subtarlar, tibiotalar) mune isina kwayakarerekera. Reserists quadriceps, gluteal, uye hip dzidziso yehudyu.
Mavhiki 4: Anoshanda Ankle Dorsiflexion Kudzidziswa; Kupesana kunoshanda kunoshanda chirimwa kushandurika, varus, uye kusimuka nemarara ebabhi; chidimbu uremu-kutakura git kudzidziswa-isokinetic yakaderera kupokana kudzidziswa (> 30 degrees / sec); yakakwirira yakagara yakaderera kupokana chitsitsinho kugadziridza treadmill kudzidziswa.
Mavhiki mashanu: Bvisa iyo jecha brace, uye vamwe varwere vanogona kuenda kudzidziswa kunze; Kaviri gumbo mhuru inomutsa kudzidziswa; chidimbu kuremerwa-kutakura git kudzidziswa-isokinetic zvine mwero kuramba kudzidziswa (20-30 degrees / yechipiri); chigaro chitsitsinho chitsitsinho chekuvandudza kudzidziswa; Kufambisa kudzidziswa (kuchengetedzwa panguva yekupora).
Mavhiki matanhatu: Varwere vese vakabvisa mabhureki uye vakaita kudzidziswa kwekufamba pane kunze kwekunze; kujairika Achilles tendon yekuwedzera kudzidziswa munzvimbo yekugara; Kupokana kwakaderera (Passive) kutenderera kwemasuru simba rekudzidzira (Varus Resistance, Valguus kuramba) mapoka maviri; Imwe-gumbo chiyero kudzidziswa (iyo ine hutano divi-- iyo yakakanganisika zvishoma nezvishoma shanduko); Kufamba Gait kuongorora.
Kusimudzira maitiro: Kurwadziwa naEdema zvinodzorwa; Kurema kutakura kunogona kuitwa pasi pekutungamirirwa nachiremba; Ankle Dorsiflexion inosvika kune isina kwayakarerekera nzvimbo; Proximal yakadzika mhedziso yemusuru simba rinosvika giredhi 5/5.
Chikamu chechipiri mushure mekuvhiyiwa
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Muchikamu chechipiri, kwaive nekuchinja kwakajeka mune uremu kwekubereka huremu, kuwedzera kweiyo yerudzi rwekukanda ruoko uye kusimudzira kwesimba remusandanyama.
Chinangwa chepuraimari: Kudzorera yakaringana inoshanda huwandu hwekufamba kweyakajairika gait uye stair kukwira. Dzosera ankle dorsiflexion, varus, uye valguus simba kune yakajairika giredhi 5/5. Dzokera kune yakajairika gait.
Kurapa Kwekuti:
Pazivha, inogona kudzikamisa kurema kuita zvizere kuita zvizere-zvizere zvizere, uye zvinogona kubvisa matombo kana pasina marwadzo; Pasi pemvura treadmill system inodzidzira gait; In-shangu chitsitsinho pad inobatsira kudzorera zvakajairika gait; Active Ankle Dorsiflexion / chirimwa chinoputika / Varus / Valgus kurovedza muviri; Kudzidziswa kwePropicececeTive; Isometric / isotonic Simba Exercises: Ankle Inversion / Valgus.
Pakutanga neuromuscular uye yakabatanidzwa yehuwandu hwekufambisa kurovedza kusimudzira kudzoreredzwa kweProfixception, neuromuscular uye chiyero. Sesimba uye chiyero chinodzoreredzwa, iyo nzira yekurovedza zvakare inoshandurwa kubva kumagumo ezvese mamafuro ekuzadzika kwezvinhu zvisina kujairika. Scarsage massage, kurapa kwemuviri, uye zvidiki zvidiki zvekubatanidza zvinofanirwa kuenderera mberi zvichidikanwa.
Mavhiki manomwe: Murwere anofanira kutanga kupfeka bhuroka pasi pekudzivirirwa kwemapendero kuti apedze huremu hwakakwana hwekuremerwa, uye wobva wabvisa crutch uye kupfeka shangu kuti utakure zvizere uremu. Iyo chitsitsinho padyoko inogona kuiswa mumhere panguva yekushandurwa kubva kutsoka kubva kune shangu.
Kureba kweiyo chitsitsinho pad kunofanira kuderera sezvo huwandu hwekufamba kwejoini hunowedzera. Kana iyo murwere gait inodzoka kune yakajairwa, iyo chitsitsinho pad inogona kugoverwa nayo.
Yakajairika gait fani yekufamba yekufamba isina kutapwa. Ankle pumps inosanganisira chirimwa zvekubhururuka uye dorsi yekuwedzera. Dorsiflexion zvinoreva kuti zvigunwe zvinodzokororwa zvakadzoserwa zvakaoma sezvinobvira, ndiko kuti, tsoka inodzoserwa kumashure kune chinzvimbo;
Panguva ino, inversion nyoro uye inversion isometric tsandanyama simba rinogona kutangwa, uye mabhendi rabha anogona kushandiswa kudzidzira muitiro imwe chete. Vakai tsandanyama simba nekudhirowa chimiro chetsamba neyekurova kwako pane yakawanda-axis mudziyo. Kana huwandu hwakaringana hwekufamba hwakawanikwa.
Iwe unogona kutanga kuita maviri makuru emasuru emuti wekudyara kwemhuru. Clintion Flexion Kudzivisa kurovedza muviri nebvi yekubhururuka kusvika 90 ° inogona kutangwa mavhiki matanhatu mushure mekuvhiyiwa. Plantar flexion kupesana kurovedza muviri pamwe nebvi yakawedzerwa inogona kutangwa nevhiki ye8.
Kudyara kwekufambisa kunogona kuitwawo panguva ino uchishandisa iyo mabvi-yakawedzera yekufambisa mudziyo uye gumbo-kukotama-kukotama muchina. Panguva ino, kurovedza bhasiketi yakatemwa kunofanira kuitwa nepamberi, uye huwandu hunofanira kuwedzera zvishoma nezvishoma. Kudzokera kumashure kwekufamba pane treadmill inovandudza eccentric chirimwa chekuchinja. Varwere ava vanowanzo tsvaga kufamba kumashure kwakasununguka nekuti inoderedza kudiwa kwekutanga. Izvo zvakare zvinokwanisika kuunza kumberi kwekutanga mafambisirwo. Kukwirira kwematanho kunogona kuwedzera zvishoma nezvishoma.
Micro-squat ine lekle dziviriro (iyo Achilles Tendon inotambanudzwa pasi penzira yekurwadziwa kunoshamisa); Mapoka matatu ekuramba ane mwero (anongoita) kutenderera kwemasuru kudzidziswa (Varus kupikisa, kuramba basa); Toe inomutsa (yakakwirira kuramba kwechokwadi kudzidziswa); Toe inomutsa nemabvi akananga pachinzvimbo (yakakwirira kuramba gastrocnemius kudzidziswa).
Tsigira uremu hwemuviri pane bar bar kusimbisa denderedzwa gait kudzidziswa; Ita kuti mhuru inomutsa kudzidzisa + - EMG kukurudzira munzvimbo yakamira; ita gait re-dzidzo pasi peiyo treadmill; ita kugadziridzwa kudzidzira kudzidziswa neiyo forefoot (anenge maminitsi gumi nemashanu); Balance kudzidziswa (Balance board).
Mavhiki 9-12: akamira mhuru trice yekuwedzera kudzidziswa; Yakamira mhuru inosimudza kudzidzisa kudzidzisa (zvigunwe zvinobaya pasi, kana zvichidikanwa, kusimudzira kwescle kukurudzira kunogona kuwedzerwa); Forefoot Kugadziridza Kutsungirira Kutsungirira Kudzidzisa (anenge makumi matatu maminitsi); Tsoka kusimudza, Kutambanudza GIT Kudzidziswa, nhanho imwe neimwe ndeye gumi nemaviri masendimita, nekanyama uye eccentric kutonga; Tungamira mberi kukwira kufamba, kudzoreredza kufamba; trampoline balance kudzidziswa.
Post-Rehabilation
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Vhiki 16: Kuchinjika Kudzidziswa (Tai Chi); Chirongwa chekumhanya chinotanga; Multi-point isometric kudzidziswa.
Mwedzi mitanhatu: Kuenzanisa kwemigumo yakadzika; ISOKINECIC yekubhadhara bvunzo; gait kuongororwa kudzidza; Imwe chete gumbo mhuru inosimudza kwemasekondi makumi matatu.
Sichuan Cah
WhatsApp / Wechat: +8615682071283
Email: liuyaoyao@medtechcah.com
Kutumira Nguva: Nov-25-2022
