Pasi Pasi Pain
Back Clinic Lower Back Pain Chiropractic Team. Kupfuura 80% yevanhu vanotambura nemarwadzo ekudzokera shure pane imwe nguva muupenyu hwavo. Zviitiko zvakawanda zvinogona kubatanidzwa kune zvinowanzoitika zvikonzero: kushungurudzika kwemisungo, kukuvara, kana kushandisa zvakanyanya. Asi inogonawo kuverengerwa kune chaiyo mamiriro emuzongoza: Herniated Disc, Degenerative Disc Disease, Spondylolisthesis, Spinal Stenosis, uye Osteoarthritis. Mamiriro mashoma akajairika ndeye sacroiliac joint dysfunction, spinal tumors, fibromyalgia, uye piriformis syndrome.
Marwadzo anokonzerwa nekukuvara kana kukuvara kumisungo nemarunda ekumusana. Dr. Alex Jimenez akanyora zvinyorwa zvinotsanangura kukosha kwekunzwisisa zvikonzero nemigumisiro yechiratidzo ichi chisingafadzi. Chiropractic inotarisa kudzorera simba remunhu uye kushanduka kwekubatsira kuvandudza zviratidzo zvekurwadziwa kwepashure.
by Dr Alex Jimenez Kugadzirira Therap , chisingaperi Pain , Gut uye Utachiona Utano , Pasi Pasi Pain , Mishonga , Viscerosomatic Reflex
Vanhu vari kubata nekuzvimba kwemudumbu vanogona kuwana zororo kubva kuacupuncture therapy kuderedza zviratidzo zvinorwadza sekurwadziwa kwemusana?
ziviso
Apo vazhinji vanotanga kufunga nezvehutano hwavo uye kugara zvakanaka, vanozoona zvinhu zvakasiyana-siyana zvinokanganisa maitiro avo ezuva nezuva. Zvinhu zvakatipoteredza kana kukuvara kwekukuvara kunogona kukonzera kukanganisa mumuviri wemunhu, izvo zvinozokonzera nyaya dzemusculoskeletal pamwe nenyaya dzenhengo. Imwe yematambudziko-akaita senge anorwadza ayo vanhu vazhinji vanoita sekunge vari kubata nawo kuzvimba kwematumbo, uye zvinogona kukonzera kuyerera kwemuviri uye kutungamirira kumarwadzo anorehwa munzvimbo dzepamusoro nedzezasi dzemuviri. Izvi zvinogona kukanganisa maitiro emunhu ezuva nezuva uye kukonzera kupindirana kwengozi profiles, zvichitungamira kumamiriro emusculoskeletal sekurwadziwa kwemusana. Panguva imwecheteyo, kuzvimba kwematumbo kunogona kunge kuri munhanho dzakaoma kana dzisingaperi uye kuve nyaya kune vanhu vane pre-iripo mamiriro. Sezvineiwo, kurapwa kwakawanda kunoderedza kuzvimba kwematumbo kunoenderana nekurwadziwa kwemusana uye kunopa maitiro akanaka pane vanhu. Chinyorwa chanhasi chinotarisa maitiro ekuzvimba kwematumbo pamuviri, kuti kuzvimba kwematumbo kunopindirana sei nemarwadzo ekumusana, uye kuti acupuncture therapy inogona kubatsira sei kuderedza kuzvimba kwematumbo. Tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vaone kuti kuzvimba kwematumbo kuri kukanganisa sei miviri yavo uye kuti inobatana sei nemarwadzo ekumusana. Isu tinozivisawo uye kutungamira varwere kuti acupuncture therapy inogona kubatsira sei kuderedza kuzvimba izvo zviri kukonzera ura uye kumashure nyaya. Tinokurudzira varwere vedu kubvunza avo vanobatana navo vekurapa mibvunzo yakaoma uye yakakosha nezvekuti kurwadziwa kwavo kuri kukonzera sei nyaya kumiviri yavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Migumisiro Yekuzvimba KweGut Pamuviri
Unonzwa wakaneta zvikuru mangwanani, kunyange pashure pousiku hwakazara here? Wakambonzwa chero kuvaviwa kana kupfava muura mako kana zvimwe zvikamu zvekumashure? Kana iwe unonzwa chero tsandanyama aches kana kuomarara kwekubatana mukati mezasi yako yepasi? Kana vanhu vachinge vachisangana nenyaya dzekuzvimba idzi, zvinogona kunge zviri nekuda kwegut system yavo kunzwa idzi nyaya dzinorwadza. Iyo gut system iri muhukama neyepakati tsinga system sezvo iri chikamu chegut-brain axis uye inobatsira iyo autonomic system inoshingairira kukanganisa immune system. Izvi zvinobvumira iyo musculoskeletal system kukurudzira yakajairika basa remuviri. Kana zvakatipoteredza zvinhu kana kukuvara kwekushungurudza kunotanga kukanganisa gut-brain axis uye kuita kuti immune system iwande kuburitsa zvinoputika cytokines uye cortisol kukonzera musculoskeletal uye gut nyaya. Iyo yekuzvimba mhedzisiro yegut system inokonzeresa kukanganiswa mukati memukati inovharira basa uye kutamiswa kwehutumbu hutachiona uye kunyange kusimudzira hyper-activation yemucosal immune system kugadzira pro-inflammatory cytokines inotungidza gut kuzvimba. ( Amoroso et al., 2020 ) Kana izvozvo zvikaitika, zvinogona kukanganisa zvakanyanya immune system, uye uko gut microbiota inogona kukonzerwa nemamiriro ekunze senge metabolic syndrome, kufutisa, uye Type-2 chirwere cheshuga, icho chine mhedzisiro inokuvadza kumuviri wemunhu. ( Scheithauer et al., 2020 ) Izvozvi zvinoita kumuviri ndezvekuti kuzvimba kwematumbo kunogona kukanganisa immune system, nhengo dzakakosha, uye musculoskeletal system.
Kuzvimba KweGut Kunoenderana Nekurwadza Kwemusana
Saka, kurwadziwa kwemusana kunowanzotevera kana vanhu vazhinji vaine gut nyaya dzine chekuita nemamiriro ekunze. Kana intestinal permeability mugut inotanga kubata nekuzvimba, mabhakitiriya ese nema cytokines anobva ku immune system anokurumidza kuburitsa uye kufamba nzira yavo kuenda kune akasiyana mhasuru, matishu, uye marunda anotanga kukanganiswa. Sezvo marwadzo ekudzokera kumashure ari akajairika musculoskeletal mamiriro vanhu vazhinji vanotsungirira, kuzvimba kwematumbo kunogonawo kuvepo. Sezvo mabhakitiriya utachiona uye kuzvimba cytokines ari kusvika musana wemusana tsandanyama uye skeletal zvimiro, anogona kutanga kukonzera degenerative nyaya, zvichitungamirira kumarwadzo musana. Iyo skeletal chimiro chemuzongoza ine facet joints, spinal discs, uye mapfupa anodzivirira musana uye anogona zvakare kukanganiswa nekuzvimba kwematumbo. Iyo yeropa-disc barriers mukati memusana inodzivirira iyo spinal disc kubva mukuzvimba zvinokonzeresa izvo zvinogona kudaidza musculoskeletal nyaya. Nekudaro, kana hutachiona hwehutachiona hunobva mudumbu hukatanga kubatana nekupwanya chivharo cheropa-disc, anogona kukurumidza kuwanda sezvo immune system yekuongorora isisipo, zvichikonzera kuderera kweokisijeni kudzikamisa spinal discs uye kukonzera kurwadza kwemusana. ( Ratna et al., 2023 ) Panguva imwecheteyo, zvinhu zvezvakatipoteredza zvinotambawo nyaya mukuvandudzwa kwemarwadzo ekudzokera shure ane chokuita nekuputika kwematumbo. Neraki, marapirwo mazhinji anogona kubatsira kwete chete kuderedza kuzvimba kwematumbo asi zvakare kupa zororo rekurwadziwa kumarwadzo ekumusana.
Kurwisa Kuzvimba Zvakasikwa- Vhidhiyo
VIDEO
Wanga uchitarisana nekuchinja kwakasiyana-siyana kunokanganisa maitiro ako ezuva nezuva? Iwe unogara uchinzwa usimbe kana kuneta mukati mezuva rese? Kana kuti unonzwa aches uye marwadzo mukati mako-chikamu uye kuzasi musana? Vanhu vazhinji varikusangana nematambudziko aya-sekurwadziwa mumiviri yavo vari kubata nekuzvimba kwematumbo kuri kukanganisa musana wavo. Kana zvakatipoteredza zvinotanga kukonzera kuwanda kwehutachiona hwehutachiona mumatumbo emukati, iyo inoputika cytokines inotanga kukonzera kuzvimba musculoskeletal system. Izvi zvinogona kutungamirira kukuvandudzwa kwemarwadzo ekudzokera shure uye kukonzera nyaya kumuviri kana usina kurapwa pakarepo. Apa ndipo panobatsira kurapwa kwakasiyana-siyana kudzikisa kuzvimba kweiyo gut system uye kubatsira kuderedza nyaya dzakawanda dzayakakonzera. Mishonga yakawanda haisi yekuvhiya uye inogoneka kune vanhu vanobata nekuzvimba kwematumbo kunoenderana nekurwadziwa kwemusana. Vhidhiyo iri pamusoro inoratidza kuti kurapa kusiri kwekuvhiya kunogona kubatsira sei kuderedza kuzvimba uye kubatsira vanhu vazhinji vari kubata nekuzvimba kwematumbo.
Acupuncture Kuderedza Ura Kuzvimba
Mishonga yakasiyana-siyana isiri-yekuvhiya inogona kubva kubva kune traction therapy kusvika kune chiropractic kuchengetedza, zvichienderana nekuoma kwemarwadzo uye zvakatipoteredza zvinokonzera nyaya. Nekuzvimba kwematumbo, vanhu vazhinji vanogona kuyedza acupuncture, imwe yemhando dzekare dzekusavhiya kurapwa izvo zvinogona kubatsira kuderedza kuzvimba cytokines. Acupuncture yakatanga kubva kuChina uye inoshandiswa nenyanzvi dzekurapa dzakanyatsodzidziswa dzinoshandisa tsono dzakanaka, dzakasimba, dzakatetepa kuti dziiswe pane dzakasiyana-siyana dzemuviri acupoints kudzorera simba remuviri. Acupuncture inogonawo kushanda seyakawanda yakasarudzika yekurapa iyo inosanganisira akawanda ekurapa maitiro ekugadzirisa iyo HPA axis uye kuderedza pro-inflammatory cytokines mazinga. ( Landgraaf et al., 2023 ) Panguva imwecheteyo, acupuncture inogona kubatsira kudzoreredza kusashanda zvakanaka kwegastrointestinal kubva kune kwakasiyana-siyana kwehuturu nekuvharira masaini europi neuron izvo zviri kukonzera kuzvimba mhinduro kune ura uye musculoskeletal system. ( Jang et al., 2020 ) Acupuncture inogonawo kusanganiswa nemamwe maitiro asiri ekuvhiya kuti abatsire kuvandudza kushanda kwemuviri, sezvo acupuncturists vanowana acupoints mukati memuviri kudzora intestinal microbiota uye kuzvimba, nokudaro kugadzirisa iyo yepakati tsinga hurongwa kusimudzira hupenyu hwemunhu. ( Bao et al., 2022 ) Nekubatanidza acupuncture sechikamu chehutano hwemunhu uye kugara zvakanaka, vanhu vazhinji vanogona kuita shanduko diki mumaitiro avo ezuva nezuva kuti vaderedze kuzvimba kwematumbo kubva mukuwanda uye kudzivirira macomorbidities avo akabatanidzwa kubva kudzoka.
References
Amoroso, C., Perillo, F., Strati, F., Fantini, MC, Caprioli, F., & Facciotti, F. (2020). Basa reGut Microbiota Biomodulators paMucosal Immunity uye Intestinal Inflammation. Masero , 9 (5). doi.org/10.3390/cells9051234
Bao, C., Wu, L., Wang, D., Chen, L., Jin, X., Shi, Y., Li, G., Zhang, J., Zeng, X., Chen, J., Liu, H., & Wu, H. (2022). Acupuncture inovandudza zviratidzo, intestinal microbiota, uye kuzvimba kwevarwere vane chirwere cheCrohn chakapfava kusvika pakati: A randomized controlled trial. EClinicalMedicine , 45 , 101300. doi.org/10.1016/j.eclinm.2022.101300
Jang, JH, Yeom, MJ, Ahn, S., Oh, JY, Ji, S., Kim, TH, & Park, HJ (2020). Acupuncture inhibits neuroinflammation uye gut microbial dysbiosis mune mbeva modhi yechirwere cheParkinson. Ubongo Behav Immun , 89 , 641-655. doi.org/10.1016/j.bbi.2020.08.015
Landgraaf, RG, Bloem, MN, Fumagalli, M., Benninga, MA, de Lorijn, F., & Nieuwdorp, M. (2023). Acupuncture seyakawanda-inotarirwa kurapwa kweiyo yakawanda-yakawanda chirwere kufutisa: yakaoma neuro-endocrine-immune interplay. Front Endocrinol (Lausanne) , 14 , 1236370. doi.org/10.3389/fendo.2023.1236370
Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Dysbiotic Gut ndiyo Chikonzero cheKurwadza Kwekudzokera? Cureus , 15 (7), e42496. doi.org/10.7759/cureus.42496
Scheithauer, TPM, Rampanelli, E., Nieuwdorp, M., Vallance, BA, Verchere, CB, van Raalte, DH, & Herrema, H. (2020). Gut Microbiota seTrigger yeMetabolic Inflammation muKufutisa uye Type 2 Chirwere cheshuga. Pamberi Immunol , 11 , 571731. doi.org/10.3389/fimmu.2020.571731
Disclaimer
by Dr Alex Jimenez Pasi Pasi Pain , Musoro
Kune vanhu vanorwara nekurwadziwa kwemusana, inogona kunge iri quadricep tsandanyama tightness zvichikonzera zviratidzo uye matambudziko ekumira. Kuziva zviratidzo zve quadricep tightness kunogona kubatsira kudzivirira marwadzo uye kudzivirira kukuvara?
Quadriceps Kusimba
Quadriceps tsandanyama dziri pamberi pehudyu. Masimba anogona kunge achigadzira kurwadziwa kusingaperi uye matambudziko ekumira anogona kunge ari kuitika panguva imwe chete ndeaya:
Quadricep tightness inokonzeresa kurwadza kwemusana sezvo pelvis inodhonzwa pasi.
Tight quadriceps inotungamira kune isina simba hamstring tsandanyama.
Aya ndiwo mhasuru dzinopikisa kuseri kwechidya.
Kushungurudzika uye kudzvinyirira pane hamstrings kunogona kukonzera kurwadziwa shure uye matambudziko.
Pelvic alignment inokanganisika, zvichikonzera matambudziko ekumira uye kuwedzera zviratidzo zvinorwadza. (Sai Kripa, Harmanpreet Kaur, 2021 )
Quadriceps Kusimba Inodhonza Pelvis Pasi
Imwe yemamhasuru mana muboka re quadriceps:
Iyo rectus femoris inonamira pachiuno pane anterior superior iliac spine, inova chikamu chepamberi chepfupa rehudyu.
Iyo rectus femoris ndiyo yega tsandanyama muboka rinoyambuka pamusoro pejojo rehudyu, iro rinokanganisawo kufamba.
Kana quadriceps, kunyanya rectus femoris, yakasimba, inokwevera pasi pahudyu.
Mboro inorerekera pasi kana kumberi, zvichinzi kurerekera kwemberi kwechiuno. (Anita Król et al., 2017 )
Muzongoza uri pakati pechiuno, uye kana pelvis yakarerekera kumberi, musana wechiuno unobhadhara nekukoira.
A arch yakakura muzasi kumashure inonzi yakanyanyisa lordosis uye inowanzokonzera kuoma uye kurwadziwa mumasuru emusana. (Sean G. Sadler et al., 2017 )
Hamstring Compensation
Kana quadriceps yaomesa uye pelvis ichibva yadhonzwa pasi, kumashure kune kusimudzwa kusina kujairika. Izvi zvinoisa hamstring pane imwe nguva yakatambanudzwa inogona kukonzera zviratidzo zvinorwadza.
Hutano humiro uye hamstring tsandanyama toni inobatsira kuchengetedza chaiyo pelvic chinzvimbo kumusana.
Izvi ndezvechokwadi nekuti zvinobatsira kuchengetedza nzvimbo yakasununguka.
Quadricep tightness inogona kumisa kuita sezvo pelvis inonyura pasi pamberi uye kumusoro kumashure uku ichinyanya kutambanudza hamstrings.
Marwadzo uye kurwadza ndiwo mugumisiro wenguva dzose
Kushaikwa kwesimba rehamstring uye kutambanudza quadriceps kunogona kuita kuti hamstrings irasikirwe nekukwanisa kutsigira nzvimbo dzepelvic uye musana. (Sangano reAmerican Council on Exercise. 2015 )
Kuziva Kana Quads Ari Kuomesa
Vanhu kazhinji havazive kuti quadriceps yavo yakaoma, kunyanya avo vanopedza nguva zhinji yezuva vakagara.
Iyo yakawanda nguva inopedzwa pachigaro inogona kuita kuti quadriceps uye pasi kumashure tsandanyama dzisimbise zvishoma nezvishoma.
Vanhu vanogona kuedza bvunzo shoma kumba:
Kusimuka
Sunda chiuno kumberi.
Sunda kubva pamapfupa akagara kuti uve padanho chairo.
Mahudyu anoenda kure zvakadii?
Chii chinonzwika?
Marwadzo anogona kuratidza tight quadriceps.
In A Lunge Position
Negumbo rimwe kumberi uye rakakotama pamberi perimwe.
Gumbo rekumashure rakatwasuka.
Gumbo rinoenda kure zvakadii?
Chii chinonzwika?
Kumberi kwehudyu pagumbo rekumashure kunonzwa sei?
Akamira Akabhenda Gumbo
Mira negumbo remberi rakakotama uye gumbo rekumashure rakananga.
Kusagadzikana mugumbo rekumashure kunogona kureva tight quadriceps.
In A Kneeling Position
Arch kumashure
Bata zvitsitsinho
Shandura chinzvimbo kuti ugadzirise chero kurwadziwa kana majoini nyaya.
Kana iwe uchifanira kuzvisimudzira kumusoro kana kugadzirisa pose kuti uderedze marwadzo, inogona kunge iri tight quadriceps.
Kubatsira kunzwisisa mamiriro acho kunogona kubatsira mukutaurirana nemupi wehutano.
Mupi wehutano uye / kana murapi wepanyama anogona kuitisa ongororo yekuongorora maitiro kuti aedze iyo quadriceps .
Kunzwisisa Academic Low Back Pain: Impact uye Chiropractic Solutions
VIDEO
References
Kripa, S., Kaur, H. (2021). Kuziva hukama pakati pechimiro uye marwadzo muvarwere vanorwadziwa kumashure: ongororo yekurondedzera. Bulletin yeFaculty yePhysical Therapy, 26(34). doi.org/doi : 10.1186/s43161-021-00052-w
Król, A., Polak, M., Szczygieł, E., Wójcik, P., & Gleb, K. (2017). Hukama pakati pema mechanical factor uye pelvic tilt muvakuru vane uye vasina kurwadza kwemusana. Nyaya yekudzokera shure uye musculoskeletal rehabilitation, 30 (4), 699-705. doi.org/10.3233/BMR-140177
Sadler, SG, Spink, MJ, Ho, A., De Jonge, XJ, & Chuter, VH (2017). Kurambidzwa mu lateral bending range yekufamba, lumbar lordosis, uye hamstring flexibility inofanotaura kukura kwemarwadzo ekudzokera shure: kuongororwa kwakarongeka kwevanotarisira zvidzidzo zveboka. BMC musculoskeletal kusagadzikana, 18 (1), 179. doi.org/10.1186/s12891-017-1534-0
Sangano reAmerican Council on Exercise. (2015). 3 Kutambanudza Kwekuvhura Hudyu Dzakasimba (Kusimba, Nyaya. www.acefitness.org/resources/everyone/blog/5681/3-stretches-for-opening-up-tight-hips/
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Nzira dzekurapa dzisina kuvhiyiwa dzinogona kubatsira vanhu vane kurwadziwa kwakanyanya kwemusana kuwana zororo ravari kutsvaga kudzorera kushanda kwemuviri?
ziviso
Pakati pepamusoro, yepakati, uye yakaderera kumashure zvikamu zvemusculoskeletal system, vanhu vazhinji vakakundwa nekukuvadzwa kunorwadza, kudzokorora mafambiro, uye kupindirana kwenjodzi yezvakatipoteredza izvo zvinokonzeresa kurwadziwa nekuremara, zvichikanganisa maitiro avo ezuva nezuva. Seimwe yemamiriro ezvinhu akajairika ebasa, kurwadziwa shure kunogona kuita kuti vanhu vatarise mitoro yemagariro nehupfumi uye inogona kubva kubva kune yakaoma kusvika kune isingaperi, zvichienderana nekukuvara uye zvinhu zvinoenderana nenyaya iyi. Sechikamu chemusculoskeletal system, musana une misumbu yakasiyana-siyana mumatatu matatu anotsigira kumusoro uye pasi uye ane hukama hunoshamisa nemusana sezvo boka rega rega remhasuru rinokomberedza musana uye rinodzivirira musana. Kana zvinhu zvakatipoteredza uye kukuvadzwa kunotyisa kunotanga kukonzera kurwadziwa-kufanana nezviratidzo kumashure, zvinogona kuisa munhu mukurwadziwa kwakanyanya, saka nei vazhinji vachitsvaga kurapwa kusina kuvhiyiwa kuderedza marwadzo-semigumisiro yemarwadzo ekudzokera shure uye kuwana zororo ravari. kutsvaka. Chinyorwa chemazuva ano chinotarisa kukanganiswa kwemarwadzo asingagumi emusana uye kuti kurapa kusina kuvhiyiwa kunogona kukanganisa sei vanhu vane chirwere chisingaperi chisingarware shure. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vape nzira dzakawanda dzekurapa dzisiri dzekuvhiya kuti kuderedze kurwadziwa kusingaperi kwemusana kunobata migumo yavo. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei hutano hwavo uye kugara zvakanaka sezvo vachigona kubatsira kuderedza musculoskeletal mamiriro senge kusingaperi kurwadziwa kwemusana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo avo asingagumi ekudzokera shure uye kuti ndezvipi shanduko duku dzavanogona kubatanidza kuderedza zviratidzo zvayo zvinorwadza. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Mhedzisiro Yechisingaperi Low Back Pain
Iwe unogara uchinzwa zvakakomba tsandanyama aches kana marwadzo kumashure kwako mushure menguva yakaoma yezuva rekushanda? Unonzwa kuneta kwetsandanyama kubva kumusana kusvika kumakumbo ako mushure mekutakura chinhu chinorema here? Kana kuti wakamboona here kuti kumonyorora kana kutenderedza mafambiro kunorerutsa musana wako kwenguva pfupi, wotowedzera kuipa mushure mechinguva? Kazhinji, mazhinji ezviitiko izvi zvinorwadza-sezvinoita zvine chekuita nekurwadziwa kusingaperi kwemusana, uye zvinogona kuve nekuda kwezvikonzero zvakasiyana-siyana zvinoenderana neichi chinowanzoitika musculoskeletal mamiriro. Kana zvasvika kune mamiriro emusculoskeletal ane chekuita nekusingaperi kuderera kwemarwadzo ekudzokera shure, iwo akapararira apo maitiro avo ari kupararira. Kusvika ipapo, vanobata vanhu vazhinji sezvo vari ivo nhamba yekutanga inonyanya kukonzera kurwadziwa kwakanyanya kwenguva refu uye kuremara kwemuviri. ( Woolf naPfleger, 2003 ) Sezvo marwadzo ekudzokera shure achigona kunge akanyanya kana asingaperi, anogona kuve akawanda semamwe akawanda zviratidzo zvinorwadza zvinowanzokonzera kupindirana kwengozi profiles mumuviri. Mhedzisiro yemarwadzo asingagumi ekudzokera shure ane zvikonzero zvinokonzera pathological izvo zvisina kunyatsotsanangurwa asi zvinogona kuenderana nekusagadzikana kwepfungwa. ( Andersson, 1999 )
Uyezve, kuchinja kunopera mukati memusana kunogonawo kukonzera kukanganisa pakukura kwemarwadzo asingagumi emusana. Zvinhu zvine njodzi izvo zvinokonzeresa kuwanda kwengozi profiles zvinogona kubva pakuputa uye kufutisa kuenda kumabasa akasiyana siyana anoda mafambiro akawandisa. ( Atkinson, 2004 ) Kana izvozvo zvikaitika, zvinoita kuti vanhu vazvidye mwoyo zvisina basa izvo zvinokanganisa upenyu hwavo uye zvinovashungurudza. Apa ndipo apo vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze mhedzisiro yekusingaperi marwadzo emusana uye kuderedza mikana yekutsvaga kupindira kwekuvhiya.
Basa ReChiropractic Care Pakuvandudza Utano Hwako- Vhidhiyo
VIDEO
Kurapa Kusina Kuvhiya Kwekurwara Kwemusana Kusingaperi
Kana vanhu vachibata nemarwadzo asingagumi emusana, vazhinji havawanzozivi kuti kufamba kwakasiyana-siyana, makore, uye pathologies zvinogona kushandura musana, zvichiita kuti spinal discs iende kuburikidza nekuchinja kunopera kunoenderana nekuvandudzwa kwekusingaperi kunorwadza shure. ( Benoist, 2003 ) Kana shanduko dzakaipa dzichitanga kukonzera marwadzo-sezviratidzo kumashure, vazhinji vanozotanga kutsvaga kurapwa kunokwanisika uye kunoshanda. Nokudaro, ichi ndicho chikonzero kurapa kusiri kwekuvhiya kunogona kubatsira kuderedza marwadzo-sezviratidzo zvekusingaperi marwadzo emusana uye kubatsira kudzorera kufamba kwemuviri. Mishonga isiri-yekuvhiya inoitirwa marwadzo emunhu uye inotangira paacupuncture kuenda ku massage therapy uye spinal decompression. Mishonga isiri-yekuvhiya zvakare inokwanisika uye inobatsira kudzikisa kupindirana kwenjodzi profiles yekusingaperi kurwadza kwemusana uku ichideredza mamiriro ayo akabatana.
Spinal Decompression Effects Pane Chronic Low Back Pain
Spinal decompression, sezvakambotaurwa, inzira yekurapa kusiri kwekuvhiya kunosanganisira mechanical zvinyoro traction pamusana kuti uderedze kusingaperi marwadzo ekudzokera shure uye anogona kuderedza marwadzo-sezviratidzo zvinosangana nazvo. Spinal decompression inobatsira kuderedza kukweshera kwemhasuru dzemudumbu, zvichikanganisa lumbar spine asi inopawo marwadzo uye basa remuviri. ( Choi et al., 2022 ) Spinal decompression yakachengeteka uchiri munyoro pamuzongoza, wakasanganiswa nekudzikamisa maekisesaizi ekusimudzira intra-abdominal pressure uye musana wemuzongoza kune lumbar. ( Hlaing et al., 2021 ) Kana munhu achibatanidza kuora kwepelinha sechikamu cherwendo rwavo rwehutano uye hutano hwakanaka, kurwadziwa kwavo nekuremara kunoderera nekufamba kwenguva apo kusimbisa mhasuru dzisina simba dzakabatwa nekusingaperi kunorwadza shure. Kubatanidza kurapa kusina kuvhiyiwa uku kunogona kubatsira munhu kuti anyatsofunga nezvezvakatipoteredza zvaari kuita pamisana yavo uye kurarama hupenyu huri nani uye hune hutano.
References
Andersson, GB (1999). Epidemiological features of chronic low-back pain. Lancet , 354 (9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4
Atkinson, JH (2004). Kurwara kwemusana kusingagumi: kutsvaga zvikonzero uye kurapa. J Rheumatol , 31 (12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628
www.jrheum.org/content/jrheum/31/12/2323.full.pdf
Benoist, M. (2003). Natural nhoroondo yekukwegura musana. Eur Spine J , 12 Suppl 2 (Zviwedzerwa 2), S86-89. doi.org/10.1007/s00586-003-0593-0
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Migumisiro ye core stabilization exercise uye kusimbisa kurovedza muviri pa proprioception, kuenzanisa, mhasuru uye marwadzo ane chokuita nemigumisiro kune varwere vane subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord , 22 (1), 998. doi.org/10.1186/s12891-021-04858-6
Woolf, AD, & Pfleger, B. (2003). Mutoro wemamiriro makuru emusculoskeletal. Bull World Health Organ , 81 (9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506
www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Vanhu vane gumbo nemarwadzo ekumusana vanogona kuwana zororo nekubatanidza decompression kuderedza kurwadziwa-kufanana nezviratidzo zvinosangana here?
ziviso
Migumo yepasi inobatsira kudzikamisa huremu hwepamusoro uye inopa mafambiro kumunhu. Zvikamu zvemuviri zvepazasi zvinosanganisira pasi kumashure, pelvis, mahudyu, zvidya, makumbo, uye tsoka, sezvo vese vane mabasa chaiwo ekuita uye vane hukama hwakatanhamara kune mumwe nemumwe. Zvisinei, kuzasi kwavo kumashure uye makumbo vanogona kukuvara. Kana zvakatipoteredza kana kukuvara kwatanga kukonzera nyaya musculoskeletal system, zvinogona kutungamira kumarwadzo anorehwa uye kuwanda kwengozi profiles izvo zvinogona kuita kuti munhu ave nekufamba uye kugadzikana nyaya. Iyo mhasuru dzakakanganisika, matishu, ligaments, uye nerve midzi inogona kushatirwa, kushaya simba, uye kusimba apo zvakatipoteredza zvinotanga kumanikidza musana uye kutungamirira kumarwadzo nekufamba kwenguva. Nyaya yanhasi inotarisa kuti musana nemakumbo zvinoshanda sei pamwe chete mumuviri, kuti zvinokanganiswa sei nekurwadziwa kubva kune zvakatipoteredza, uye kuti kuparara kwemusana kunogona kuderedza gumbo uye kurwadziwa shure. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vape marapirwo mazhinji kuti kuderedze kurwadziwa kwemusana nemakumbo kunokanganisa kufamba kwavo. Isu tinozivisawo uye kutungamira varwere kuti marapirwo akaita sedecompression anogona kubatsira sei kuderedza marwadzo-sezviratidzo mukati memakumbo nekumusana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo anotaurwa-sezviratidzo zvavari kuona kubva mumakumbo avo uye sezvo izvo zviri kukanganisa maitiro avo ezuva nezuva. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Iyo Kumashure & Makumbo Kushanda Pamwe Chete?
Iwe unonzwa kupenya kunorwadza kumashure kwako izvo zvinokanganisa kugona kwako kufamba? Unonzwa tsandanyama aches kana kuneta mumakumbo ako mushure mekushanda kwenguva refu? Kana kuti unonzwa kuoma mumusana wako nemakumbo mushure mokumuka? Zvizhinji zvezviitiko izvi zvine chekuita nekurwadziwa kwegumbo uye kumashure izvo zvinogona kukanganisa kufamba kwemunhu uye zvinotungamira kune zvine chekuita nemarwadzo-sezviratidzo. Kumashure uye mhasuru dzemakumbo dzinoshanda pamwe chete kuburikidza ne sciatic nerve, tsinga refu kubva ku lumbar spinal region, kupfuura gluteal muscles, inofamba ichidzika kumashure kwemakumbo uye kumira pamabvi. Kumashure kunosanganisira mhasuru dzepakati uye nharaunda yemuzongoza, zvichibvumira munhu kukotama, kumonyoroka, uye kutambanudza.
Zvichakadaro, tsandanyama dzemakumbo dzinobatsira munhu kuti afambe achidzikamisa huremu hwemunhu. Aya mapoka maviri emhasuru ane hukama hwakatanhamara mumigumo yepasi, sezvo vanhu vachifanira kufambisa pakuita mabasa. Nekudaro, ivo vanogona zvakare kuve panjodzi yekukuvara uye kurwadziwa izvo zvinogona kukonzera kuremara nyaya.
Marwadzo Akabatanidzwa Sei Nekumashure & Makumbo?
Kana zvasvika kune yakaderera kumashure uye makumbo, zvakatipoteredza uye kukuvadzwa kwekukuvara kunogona kukanganisa maronda akapoterera, tendon, ligaments, uye nerve midzi. Semuenzaniso, kana vanhu vanoshanda vachigara vachisimudza zvinhu zvinorema, zvinogona kuwedzera njodzi yekuva nemarwadzo ekumusana uku zvichikonzera kudengenyeka kwemuviri wese mumakumbo. ( Becker & Childress, 2019 ) Izvi zvinodaro nekuti izvo zvinoremerwa zvinotakura kuzasi ndezvekuti zvinokonzeresa kuti musana udzvinyirirwe uye chibvumirano chemhasuru yakatenderedza. Kana ichidzokororwa nguva dzose, inogona kukonzera kuti spinal disc iite herniate uye kuwedzera nerve midzi. Kana iyi midzi yetsinga ikawedzera, inogona kutungamira mukusungwa kwetsinga uye kuzvimba, nekudaro zvichiita kuti vanhu vanzwe kurwadziwa kwegumbo kusingaperi, kudonha kwetsoka, kana kugadzikana kwechidzitiro kunokanganisa kufamba kwavo. ( Fortier et al., 2021 )
Uyezve, kurwadziwa kwemusana nemakumbo kunogona kuitika kana musana unotanga kuona kuora, maitiro echisikigo apo spinal disc inoderera nekufamba kwenguva. Kana iyo spinal disc mu lumbar spinal region inopera nekufamba kwenguva, chikafu chinopa uye kuchinja muhutano hwekunze hunoita kuti ma discs asakwanise kuchengetedza basa ravo rekugovera mutoro muzasi. ( Kim et al., 2020 ) Zvisinei, vanhu vakawanda vari kurwadziwa nemakumbo uye musana vanogona kutsvaga kurapwa kuti vaderedze marwadzo-sezviratidzo.
Chiropractic Kuchengeta Kwegumbo Kusagadzikana- Vhidhiyo
VIDEO
Spinal Decompression Kuderedza Marwadzo Pamakumbo & Kumusana
Kana zvasvika pakurapa gumbo uye kurwadziwa shure, vanhu vazhinji vanozotanga kutsvaga kurapwa kunokwanisika kunogona kuderedza marwadzo-senge zviratidzo. Mazhinji marapirwo asiri ekuvhiya senge spinal decompression akanakira kuderedza marwadzo ari kukanganisa musana nemakumbo. Spinal decompression inoshandisa traction machine inogona kubatsira kutambanudza mhasuru dzakaomarara kubva kuzasi kumashure uye kupa kudzvanya kwakashata kune yakakanganiswa disc nekuwedzera iyo yeropa inoyerera ichidzokera ku disc uku ichideredza kudzvanywa kubva kune aggravated nerve root. ( Choi et al., 2022 ) Kuparara kwemusana kunogona kusanganiswa ne core stabilizing exercises zvinogona kubatsira kuderedza marwadzo nekuremara uye kugadzirisa kugadzikana mumakumbo uye pasi. ( Hlaing et al., 2021 ) Nekuora kwemusana kuderedza marwadzo ekudzokera shure nemakumbo, vanhu vakawanda vanogona kuona migumisiro yakanaka mushure mekurapa kwakatevedzana, uye kufamba kwavo kunovandudzwa. ( Vanti et al., 2021 ) Kana vanhu vari kurwadziwa nemakumbo uye musana uye vari kutsvaga kurapwa vanogona kuwana mabhenefiti ekuora kwemusana kuti abatanidzwe mumaitiro avo ezuva nezuva sezvo achigona kugadzirwa uye achivabatsira kuti vanyatso funga nezve izvo mafambiro uye zvakatipoteredza zviri kuvakonzera kurwadziwa. . Kuita shanduko diki idzi nekufamba kwenguva kunogona kuvandudza hutano hwavo uye kuvabatsira kurarama hupenyu hune hutano.
References
Becker, BA, & Childress, MA (2019). Nonspecific Low Back Pain uye Dzokera Kubasa. American Family Physician , 100 (11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Fortier, LM, Markel, M., Thomas, BG, Sherman, WF, Thomas, BH, & Kaye, AD (2021). Kuwedzeredza paPeroneal Nerve Entrapment uye Neuropathy. Orthop Rev (Pavia) , 13 (2), 24937. doi.org/10.52965/001c.24937
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Migumisiro ye core stabilization exercise uye kusimbisa kurovedza muviri pa proprioception, kuenzanisa, mhasuru uye marwadzo ane chokuita nemigumisiro kune varwere vane subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord , 22 (1), 998. doi.org/10.1186/s12891-021-04858-6
Kim, HS, Wu, PH, & Jang, IT (2020). Lumbar Degenerative Disease Chikamu 1: Anatomy uye Pathophysiology yeIntervertebral Discogenic Pain uye Radiofrequency Ablation yeBasvertebral uye Sinuvertebral Nerve Treatment yeChronic Discogenic Back Pain: A Prospective Case Series uye Ongororo yeMabhuku. Int J Mol Sci , 21 (4). doi.org/10.3390/ijms21041483
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Vertical traction ye lumbar radiculopathy: kuongorora kwakarongeka. Arch Physiother , 11 (1), 7. doi.org/10.1186/s40945-021-00102-5
Disclaimer
by Dr Alex Jimenez Kugadzirira Therap , Kudzorera Pain , chisingaperi Pain , Pasi Pasi Pain , Mishonga , Viscerosomatic Reflex
Vanhu vari kubata nekurwadziwa kwemusana vanogona kuwana zororo ravari kutsvaga nekubatanidza acupuncture kuderedza tsandanyama spasms?
ziviso
Munyika yose, vanhu vakawanda, vaduku nevakuru, vakabata nemarwadzo emusana, izvo zvine simba pahupenyu hwavo uye zvinokanganisa maitiro avo. Sezvo marwadzo ekudzokera shure ari multifactorial musculoskeletal issue, inogona kubva kune yakaoma kusvika kune isingaperi, zvichienderana nekuoma uye zvakatipoteredza izvo zviri kutamba. Kuzasi kwemusana kana lumbar spinal region ine makobvu majoini uye inobatsira kudzikamisa huremu hwepamusoro pemuviri. Zvisinei, inonyanya kukuvadzwa, uye inokonzera kuti mitsipa yakakomberedza, matishu akapfava, uye tsandanyama zviwedzere, zvakasimba, uye zvisina simba. Kana munhu ari mukurwadziwa kunorwadza kubva pamhedzisiro yekurwadziwa kwakadzika kumashure, zvinogona kukanganisa zuva ravo uye kuita kuti vashungurudzike. Chinyorwa chanhasi chinotarisa kuti marwadzo ekumusana akabatana sei nemarwadzo-senge matsimba etsandanyama uye kuti marapiro akaita seacupuncture anogona kubatsira sei kuderedza tsandanyama dzine chekuita nekurwadziwa kwemusana. Isu tinotaura nevarapi vane hunyanzvi vanobatanidza ruzivo rwevarwere vedu kuti vape marapirwo akawanda ekubvisa marwadzo ekumusana ane chekuita nemamhasuru. Isu tinozivisawo uye kutungamira varwere kuti marapirwo akaita seacupuncture anogona kubatsira kuderedza marwadzo ekuzasi kwavo. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo anotaurwa-sezviratidzo zvavari kusangana nazvo kubva kumarwadzo emusana ari kukanganisa maitiro avo ezuva nezuva. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Kurwadziwa Kwepazasi Kunobatanidzwa NeMuscle Spasms
Iwe unonzwa kupenya kana marwadzo emunharaunda muzasi kwako kumashure mushure mekushanda kwenguva refu? Iwe unonzwa kuoma munzvimbo yako yepasi shure mushure mekutambanudza mangwanani? Kana kuti wakamboona kuti wakanyanya kunetseka munzvimbo dzakasiyana dzemusana wako uye uchitsvaga zororo? Kunyange zvazvo iri dambudziko rinowanzoonekwa nevanhu vakawanda, kurwadziwa kwepashure kunogona kuitika kune vanhu vakawanda pasi rose uye kunogona kukanganisa munhu zvakanyanya. Sehutano hukuru hwehutano hwevanhu, kurwadziwa kwepashure pasi rose kunopfuura kuburikidza nezera, mabasa, uye mamiriro ehupfumi hwevanhu, zvichiita kuti zviratidzo zvinorwadza zvinokura nekufamba kwenguva. ( Emorinken et al., 2023 ) Zvinhu zvakawanda zvinogona kutungamirira kumarwadzo ekudzokera shure uye zviratidzo zvinogona kuitika munharaunda yelumbar. Sezvo kurwadziwa kwepashure kunogona kukanganisa vanhu vazhinji pasi rese, iyi musculoskeletal mamiriro anogona kukonzera kusakwana kwekuita muvanhu. Inogona kuwedzera zvishoma nezvishoma kupera kwemusana, kukanganisa majoini, mapfupa, uye discs. (Hauser et al., 2022) Zvimwe zvezviratidzo zvinoenderana nekurwadziwa kwemusana zvinosanganisira:
Kushushikana Gait kusagadzikana Kunzwa chiveve kana kurira mumakumbo Myofascial inorwadza kurwadziwa Tsvina dzemuviri
Izvo zvinorwadza zvinokonzerwa nekurwadziwa kwepashure zvinogona kukonzera tsandanyama munzvimbo yelumbar sezvo vanhu vazhinji vachiramba vachiita kudzokorora mafambiro anoita kuti tsandanyama dzakatenderedza dzishande zvakawandisa uye kukudziridza mapoinzi ekutanga kukonzera tsandanyama spasms. Kana munhu achienda kuna chiremba kuti arape kurwadziwa kwavo kwepazasi, vanoongororwa nemuviri kuti vaongorore simba ravo rezasi, manzwiro, uye mafungiro. Ongororo idzi dzinobatsira vanachiremba kuona nzira yakakodzera yekurwadziwa kwemusana kuburikidza nekuongorora, palpation, uye huwandu hwekufamba kwe lumbosacral musculature kuti vaone kunyorova, kurambidzwa, uye tsandanyama spasms. ( Will et al., 2018 ) Izvi zvitupa zvinobvumira vanachiremba kuronga hurongwa hwemunhu kuti vaderedze mhedzisiro yekurwadziwa kwemusana uye kubatsira vanhu kuti vadzore hutano hwavo.
Kuongorora Inobatanidza Mushonga- Vhidhiyo
VIDEO
Acupuncture Effects PaLow Back Pain
Apo vanhu vane marwadzo ekudzokera shure vari kutsvaga kurapwa, vari kutsvaga chimwe chinhu chinodhura uye vanogona kushanda nehurongwa hwavo hwakabatikana. Nekudaro, kurapwa kusiri kwekuvhiya kunogona kuve mhinduro yekudzikisa kurwadza kwemusana. Mishonga yakawanda isiri yekuvhiya inogona kubatsira vanhu vane marwadzo-senge zviratidzo zvinoenderana nezvinhu zvakasiyana. Kurapa kwega kwega, kubva kuchiropractic kuchengetedza kune traction therapy, yakasarudzika kune munhu. Ikozvino, imwe yemhando dzekare dzekusavhiya kurapwa ndeye acupuncture. Kubva kuChina, acupuncture inosanganisa tsono dzakasimba dzakatetepa panzvimbo dzakati dzemuviri kuenzanisa kuyerera kwesimba mumuviri unoitwa nenyanzvi dzakadzidziswa zvakanyanya. Mhedzisiro yeacupuncture inogona kubatsira kukurudzira kuburitswa kweadenosine pakuona kwekukurudzira tsono uku uchiwedzera kubuda kweropa kunharaunda yakakanganisika kukurudzira kuporeswa kwechisikigo. ( Mu et al., 2020 ) Saka, acupuncture inobatsira sei vanhu kuderedza marwadzo ekumusana?
Sezvo kurwadziwa kwepashure kunogona kukonzera mutoro wemagariro nehupfumi vanhu vazhinji vanobatwa nazvo, acupuncture inogona kubatsira kuderedza marwadzo nekuremara munzvimbo dzakakanganiswa tsandanyama uku uchivandudza hupenyu hwemunhu. ( Baroncini et al., 2022 ) Acupuncture yekurwadziwa kwakadzika kunobatsira vanhu nekusunungura endorphins uye zvimwe neurohumoral zvinhu zvinoshandura uropi uye musana wemuzongoza. Panguva imwecheteyo, acupuncture inogonawo kuwedzera microcirculation uye kuderedza kuzvimba mhedzisiro yekurwadziwa kwemusana. ( Sudhakaran, 2021 ) Acupuncture inogonawo kuve chikamu cheurongwa hwemunhu hwekurapa, sezvo kurapwa kwemuviri uye masaja kunogona kubatsira kusimbisa tsandanyama dzakakanganisika dzinokonzerwa nekurwadziwa kwemusana. Kana vanhu vari kubata nekurwadziwa kwemusana vachipedzisira vawana zororo ravanoda, vanogona kudzoreredza hupenyu hwavo kuburikidza nekuchinja kudiki kuti vazvive nani. Izvi zvinovabvumira kuti vanyatsofunga nezvezvinhu zvakasiyana-siyana zvinogona kukonzera miviri yavo kurwadziwa uye kuvadzivisa kudzoka nekufamba kwenguva.
References
Baroncini, A., Maffulli, N., Eschweiler, J., Molsberger, F., Klimuch, A., & Migliorini, F. (2022). Acupuncture mukusingaperi aspecific low back pain: a Bayesian network meta-analysis. J Orthop Surg Res , 17 (1), 319. doi.org/10.1186/s13018-022-03212-3
Emorinken, A., Erameh, CO, Akpasubi, BO, Dic-Ijiewere, MO, & Ugheoke, AJ (2023). Epidemiology yekurwadziwa kwepashure: kuwanda, njodzi, uye mapatani muSouth-South Nigeria. Rheumatology , 61 (5), 360-367. doi.org/10.5114/reum/173377
Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Kusagadzikana kweLumbar se etiology yemarwadzo ekudzokera shure uye kurapwa kwayo neprolotherapy: Ongororo. J Back Musculoskelet Rehabil , 35 (4), 701-712. doi.org/10.3233/BMR-210097
Mu, J., Furlan, AD, Lam, WY, Hsu, MY, Ning, Z., & Lao, L. (2020). Acupuncture ye chronic nonspecific low back pain. Cochrane Database Syst Rev , 12 (12), CD013814. doi.org/10.1002/14651858.CD013814
Sudhakaran, P. (2021). Acupuncture yeLow-Back Pain. Med Acupunct , 33 (3), 219-225. doi.org/10.1089/acu.2020.1499
Will, JS, Bury, DC, & Miller, JA (2018). Mechanical Low Back Pain. American Family Physician , 98 (7), 421-428. www.ncbi.nlm.nih.gov/pubmed/30252425
www.aafp.org/pubs/afp/issues/2018/1001/p421.pdf
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Vanhu vanoshanda vane kurwadziwa kwepashure vanogona here kubatanidza marapirwo asina kuvhiyiwa kuderedza kufamba uye kupa zororo?
ziviso
Vanhu vazhinji vanoshanda vanozoita zvishoma nezvishoma kurwadziwa kwemusana nekuda kwekunyanya kumira kana kugara, zvido zvemuviri zvinoita kuti vasimudze zvinhu zvinorema, kana shangu dzisina kunaka dzinoita kuti dzive dzisina kuenzana. Sezvo musana uri chikamu chemusculoskeletal system, spinal discs munharaunda yelumbar ndiyo inonyanya kunetseka kumanikidzirwa. Dzinogona kuva imwe yenyaya dzinoita kuti vanhu vakawanda vawedzere kurwadziwa shure. Kurwadziwa kwepashure kunowanzo kune vanhu vanoshanda uye ndeye multifactorial musculoskeletal disorder inoita kuti vanhu vazhinji vanoshanda vashaye basa. Zvisinei, vanhu vazhinji vane marwadzo ekudzokera shure vanowanzotsvaka kurapwa kuderedza marwadzo uye kuvabatsira kudzokera kubasa. Nyaya yemazuva ano inotarisa zvikonzero zvekurwadziwa kwepashure uye kuti kurapa kusina kuvhiyiwa kunogona kubatsira sei kuderedza marwadzo ekudzokera shure uye kudzorera kufamba kumuviri. Isu tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vape marapirwo akasiyana siyana kuti aderedze marwadzo ekudzokera shure. Isu tinozivisawo varwere kuti kurapwa kusiri kwekuvhiya kunogona kubatsira sei kudzoreredza kufamba kumuviri uku tichipa akawanda matekiniki ekudzikisa mikana yekudzika kumashure kurwadziwa kudzoka. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakaoma kune vatinosanganisirwa varapi vezvehutano nezvemarwadzo-sezviratidzo zvavari kuona zvichienderana nemisana yavo. Dr. Alex Jimenez, D.C., anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Zvinokonzera Kurwadziwa Kwekumashure
Iwe unonzwa kuoma mumusana wako wepasi mushure mezuva rekushanda rakaoma here? Iwe unonzwa tsandanyama aches kana kurwadziwa kuzasi kwako kumashure mushure mekutora chinhu chinorema? Kana kuti iwe unoona kufamba kushoma uye kuomarara nekufamba kwenguva mushure mekunyanya kumira kana kugara pabasa rako? Vanhu vazhinji vari muzviitiko zvakadai sekurwadziwa vakambonzwa kurwadziwa kwakadzika kumashure pane imwe nguva muhupenyu hwavo, uye zvakavakanganisa kurovha basa. Sezvo vanhu vakawanda pasi rose vakambonzwa kurwadziwa kwakaderera shure pane imwe nguva muupenyu hwavo, yava dambudziko rinowanzoitika iro rava chikonzero chikuru chekuremara uye rinowanzobatanidzwa nemari yakakwirira. ( Chou, 2021 ) Marwadzo ekudzokera kumashure ndeye multifactorial condition iyo yakananga kana kuti isiri-yakananga zvichienderana nekuoma kwechiitiko chemunhu. Zvisiri-zvakananga kurwadza kwemusana kunowanzoreva kana pasina chimwe chirwere kana chikonzero chechimiro chekurwadziwa kuitika. Izvi zvinoita kuti vanhu vakawanda vatange vaenda pamudyandigere nekuda kwekusakwanisa kushanda uye kuve mutoro wemagariro nehupfumi pakutsvaga kurapwa. ( Chenot et al., 2017 ) Kunyanya kurwadziwa kwepashure kunokonzerwa nekudzokorora kushungurudza uye kushandisa zvakanyanya misumbu yakapoteredza iyo inogona kuita kuti musana uye spinal disc igare yakamanikidzwa. Izvi zvinokonzeresa zviratidzo zvekurwadziwa kwemusculoskeletal uye zvinokanganisa mamwe ese ezasi. ( Will et al., 2018 )
Zvimwe zvezvikonzero izvo marwadzo ekudzokera shure akabatanidzwa anogona kubva kubva kune zvakajairwa zvakatipoteredza kusvika kukukuvara kunorwadza kwakatsungirirwa nevanhu vazhinji vanoshanda. Sezvo kurwadziwa kwepashure kuri chimwe chezvikonzero zvinokonzeresa kupera kwemazuva ekushanda pasirese, zvimwe zvezvikonzero zvinowanzoitika zvinokonzeresa kurwadza kwemusana zvinosanganisira:
Mechanical kunetsa kufutisa Murombo muviri makanika Trauma Kudzokorora mafambiro (kumonyorora, kukotama, kana kusimudza) Herniated disc Spinal stenosis
Izvi zvinorwadza-sezvinokonzeresa zvinogona kukanganisa kumusoro uye kuzasi migumo uye, kana isingarapwe, inotungamirira kumarwadzo-sezviratidzo kubva kumarwadzo ekupenya kusvika kune zvishoma kufamba. Zvisinei, kana vanhu vakawanda vakasarudza kuti zvakakwana zvakakwana uye vachida kuwana kurapwa kwavanoda, vachatsvaka chimwe chinhu chisingagoneki chete asi chinogona kuderedza marwadzo panguva yekudzorera kufamba.
Simba ReChiropractic Care-Vhidhiyo
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Nonsurgical Treatments For Low Back Pain
Kana zvasvika pakutsvaga kurapwa kwekurwadziwa kwemusana, vanhu vazhinji vari kutsvaga chimwe chinhu chisingadhure chete asi chinogona kubatsira kuderedza marwadzo-sezviratidzo zvine chekuita nechepazasi. Mishonga isina kuvhiyiwa inogona kubatsira kuderedza marwadzo ekudzokera shure uye inodhura-inoshanda kune vanhu vazhinji kusanganisira vanoshanda vanhu. Mishonga yakaita seacupuncture, chiropractic care, uye spinal decompression ine nzira dzakasiyana siyana uye nzira dzekupa zororo kune vanhu vazhinji vanorwara nekurwadziwa kwemusana. Kuziva kuwanda kwehuwandu hwehutachiona hwemarwadzo ekudzokera shure, nhoroondo yakadzama, uye maitiro ekuongorora kwepanyama anobvumira vanachiremba kuti vanyatsoronga uye nekukurumidza kurongedza zvikonzero zvinowanzokonzera kurwadziwa kwepashure. ( Kinkade, 2007 ) Izvi zvichavapa kunzwisisa zviri nani kuti ndeupi rudzi rwekurapa kwemarwadzo ekudzokera shure kwavanoda kudzorera kufamba kumiviri yavo.
Chiropractic Care
Chiropractic kuchengetedza kurapwa kusiri kwekuvhiya kunosanganisira manyorero uye mechanical manipulation kugadzirisa muviri kubva ku subluxation kubva kunorwadza kumashure. Chiropractic kuchengetedza inogona kuiswa muhutano hwemunhu uye hutano hwehutano hwehutano sezvo hunogona kubatsira kuvandudza marwadzo nekuremara kunobatanidza nekurwadziwa kwepashure. ( Bussieres et al., 2018 ) Chiropractors inobatanidza maitiro akasiyana-siyana ekutambanudza uye kusimbisa mhasuru dzisina simba dzakapoteredza pasi uye kuderedza marwadzo ekudzokera shure uye kuremara. ( Vining et al., 2020 ) Chiropractic kuchengetedza inogonawo kushanda nemamwe maitiro ekurapa kuderedza mikana yekurwadziwa kwepashure kubva pakudzoka.
Kugadzikana kwepamuviri
Spinal decompression ndiyo imwe nzira yekusavhiya kurapwa iyo inogona kubatsira lumbar musana kuburikidza neanyoro traction uye kubatsira decompress yakakanganiswa spinal discs kubva mukukonzera mechanical back pain. Spinal decompression inogonawo kuderedza zvinorehwa marwadzo-sezviratidzo kubva mutsinga midzi inosanganisirwa munharaunda yelumbar ichidzoreredza herniated discs. Spinal decompression inogonawo kubatsira vanhu vazhinji kuve ne lumbar yavo yekufamba kumashure uye kuvandudza marwadzo avo nekutsungirira ivo vachidzoreredza hupenyu hwavo. ( Amjad et al., 2022 ) Kungofanana nechiropractic kuchengetedza, kupera kwepelinha kunogona kusanganiswa nemamwe marapirwo kusimbisa mhasuru dzakapoteredza uye ligaments.
Acupuncture
Nekurwadza kwemusana kuve dambudziko rakajairika kune vanhu vazhinji, dzimwe nguva zvinogona kunge zvichikonzerwa nekuwedzera kwetsinga midzi pamwe netsandanyama dzakatenderedza izvo zviri kukonzera marwadzo ekutanga anoenderana nekurwadziwa kwemusana. Kana izvozvo zvikaitika, vanhu vazhinji vanozotsvaga acupuncture kuderedza marwadzo uye kugadzirisa hupenyu hwavo. ( Baroncini et al., 2022 ) Acupuncture inogona kuderedza zvinokonzerwa nekuputika kunokonzerwa nekuputika kunobatanidza nekurwadziwa kwepamusoro uye kunogona kuwedzera kufamba mujojo ye sacroiliac kuvandudza kufamba. ( Sudhakaran, 2021 ) Zvichienderana nekwakabva marwadzo kumashure, acupuncture inogona kubatsira kuderedza marwadzo uye kupa zororo. Vanhu vazhinji vanotsvaga kurapwa kumusana kwavo vanogona kubatanidza marapiro aya kuti vavandudze hutano hwavo uye kudzoreredza hupenyu hwavo.
References
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Migumisiro yekusavhiyiwa kwekugadzirisa kurapa mukuwedzera kune nguva dzose kurapwa kwepanyama pamarwadzo, mararamiro ekufamba, kutsungirira, kuremara kwekushanda uye hupenyu hwehupenyu hunopesana nemaitiro ekugadzirisa muviri chete kune varwere vane lumbar radiculopathy; muedzo unodzorwa zvisina mwero. BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
Baroncini, A., Maffulli, N., Eschweiler, J., Molsberger, F., Klimuch, A., & Migliorini, F. (2022). Acupuncture mukusingaperi aspecific low back pain: a Bayesian network meta-analysis. J Orthop Surg Res , 17 (1), 319. doi.org/10.1186/s13018-022-03212-3
Bussieres, A. E., Stewart, G., Al-Zoubi, F., Decina, P., Descarreaux, M., Haskett, D., Hincapie, C., Peji, I., Passmore, S., Srbely, J. , Stupar, M., Weisberg, J., & Ornelas, J. (2018). Spinal Manipulative Therapy uye Zvimwe Zvishongo Zvokuchengetedza zvePain Back Pain: Nhungamiro Kubva kuCanada Chiropractic Guideline Initiative. J Manipulative Physiol Ther , 41 (4), 265-293. doi.org/10.1016/j.jmpt.2017.12.004
Chenot, JF, Greitemann, B., Kladny, B., Petzke, F., Pfingsten, M., & Schorr, SG (2017). Non-Specific Low Back Pain. Dtsch Arztebl Int , 114 (51-52), 883-890. doi.org/10.3238/arztebl.2017.0883
Chou, R. (2021). Low Back Pain. Ann Intern Med , 174 (8), ITC113-ITC128. doi.org/10.7326/AITC202108170
Kinkade, S. (2007). Kuongorora uye kurapwa kweacute low back pain. American Family Physician , 75 (8), 1181-1188. www.ncbi.nlm.nih.gov/pubmed/17477101
www.aafp.org/pubs/afp/issues/2007/0415/p1181.pdf
Sudhakaran, P. (2021). Acupuncture yeLow-Back Pain. Med Acupunct , 33 (3), 219-225. doi.org/10.1089/acu.2020.1499
Vining, R., Long, C. R., Minkalis, A., Gudavalli, M. R., Xia, T., Walter, J., Coulter, I., & Goertz, C. M. (2020). Migumisiro yeChiropractic Care pamusoro peSimba, Balance, uye Endurance muActive-Duty US Military Vashandi vane Low Back Pain: A Randomized Controlled Trial. J Zvimwe Kuzadzisa Med , 26 (7), 592-601. doi.org/10.1089/acm.2020.0107
Will, JS, Bury, DC, & Miller, JA (2018). Mechanical Low Back Pain. American Family Physician , 98 (7), 421-428. www.ncbi.nlm.nih.gov/pubmed/30252425
www.aafp.org/pubs/afp/issues/2018/1001/p421.pdf
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by Dr Alex Jimenez Chiropractic , Pasi Pasi Pain , Neck Pain , Spinal Decompression Treatments , Pamuviri Utano , Mishonga , Viscerosomatic Reflex
Vanhu vari kubata nemutsipa uye kurwadziwa kumashure vanogona kuwana zororo ravanoda kubva pamhedzisiro yepinal decompression therapy?
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Munyika yose, vanhu vazhinji vanobata nemutsipa kana kurwadziwa shure kubva pakugara zvakanyanya kana kumira, kusamira zvakanaka, kana kusimudza zvinhu zvinorema izvo zvinoita kuti musana wavo uye tsandanyama dzirambe dzichirwadza. Sezvo muviri uchigara uchifamba, musana uri kumanikidzwa kuburikidza nekudzokorora kufamba kunogona kuita kuti spinal discs ibude kubva panzvimbo yavo yepakutanga uye kuwedzera mitsipa yakakomberedza kuti iite zviratidzo zvinorwadza mumutsipa uye kumashure. Vanhu vazhinji vanotanga kugunun'una pamusoro pemitsipa yavo uye misana yavo ichikuvadza uye kunzwa marwadzo anotumirwa munzvimbo dzakasiyana-siyana muzvikamu zvepamusoro uye nechepasi. Izvi zvinogona kubva kune yakaoma kusvika kune isingaperi, zvichienderana nekuoma kwemarwadzo. Kana vanhu vachisangana nemarwadzo aya emusculoskeletal mumiviri yavo, vazhinji vachatsvaga kurapwa kuti vaderedze marwadzo ari mumitsipa yavo uye kumashure kuti vadzokere kumaitiro avo ezuva nezuva. Saka nei, marapirwo akaita semusana decompression anogona kuita zvakanaka pakupa zororo rakakodzerwa nevanhu vazhinji. Nyaya yemazuva ano inotarisa kuti nei mutsipa uye kumashure mumuviri wemunhu ndiyo nzvimbo dzinorwadza dzinowanzobatwa nevanhu vakawanda uye kuti kuora kwepelinha kunogona kuderedza sei mutsipa uye kurwadziwa shure. Isu tinotaura nevarapi vane ruzivo rwekurapa vanobatanidza ruzivo rwevarwere vedu kuti vape maitiro akasiyana-siyana ekubvisa marwadzo emutsipa uye kumashure kubva mumuviri. Isu tinozivisawo varwere kuti marapirwo senge decompression anogona sei kuderedza musculoskeletal kurwadziwa kusagadzikana kubva mumutsipa uye kumashure. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakaoma kune vatinobata navo vezvokurapa nezvemarwadzo-sezviratidzo zvavari kusangana nazvo zvinoenderana nemutsipa wavo uye kumashure. Dr. Alex Jimenez, D.C., anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Sei Iri Mutsipa & Kudzoka Kwakajairwa Marwadzo Nzvimbo?
Iwe unonzwa kushushikana kwemhasuru mumutsipa wako mushure mekuvhima pakombuta kana foni yako kwenguva yakareba? Unonzwa kurwadziwa shure mushure mekutakura kana kusimudza chinhu chinorema here? Kana kuti unonzwa kurira kana kuti chiveve mumaoko ako kana makumbo? Zvizhinji zveizvi zvinorwadza-sezviratidzo zvinowanzoenderana nemarwadzo emutsipa uye kumashure izvo zvinogona kushungurudza vanhu vazhinji. Saka nei zvakadaro kuti mutsipa uye kumashure kwemuviri wemunhu ndiyo inonyanya kurwadziwa nzvimbo iyo vanhu vakawanda pasi rose vanotsungirira? Vanhu vazhinji vane mabasa anodiwa zvakanyanya vanowanzoita mafambiro akajairwa achidzokororwa, izvo zvinokonzeresa kushushikana pamhasuru dzakatenderedza, ligaments, uye majoini, uye mhasuru dzinowanikwa dzinotanga kushanda zvakanyanya uye dzakasimba. Marwadzo emutsipa uye kumashure ndezvimwe zvezvichemo zvinowanzoitika zvine chekuita nezviratidzo izvo zvinoita kuti pave nepamusoro pemazuva ekushanda akarasika, kuremara, uye kushandiswa kwehutano. ( Corwell naDavis, 2020 ) Izvi zvinoita kuti vanhu vazhinji vave nekushushikana kwezvemagariro nehupfumi vasingadiwe pavanoshanyira vanachiremba vavo vekutanga. Uyezve, kurwadziwa kwemutsipa uye kumashure hazvisi-neurologic zvinokonzera musculoskeletal system; izvi zvinogona kuunza marwadzo mumasuru, tendon, ligaments, spinal discs, articular cartilage, uye bone. ( Meleger naKrivickas, 2007 ) Kusvika panguva iyoyo, kana mutsipa uye marwadzo ekudzokera shure zvisingabatanidzwi pakarepo, zvinogona kutungamirira kukubatanidza zviratidzo zvinorwadza zvinogona kutungamirira kuhupenyu hwekuremara. Sezvo musana une zvivako zvakawanda, kubva pamutsipa kusvika kumucheto kumashure, kana munhu ari kurwadziwa, zvinogona kutungamirira kumarwadzo akasiyana-siyana emagetsi anogona kukonzera mamwe marwadzo e-visceral. ( Patel et al., 2015 ) Saka nei, kurwadziwa kwemutsipa uye kumashure kune-multi-factorial uye kunotungamirira kumatambudziko akawanda.
Kana zvasvika pakudzikisa kurwadziwa kwemutsipa uye kumashure kubva mumuviri, vanhu vazhinji vanozotsvaga kurapwa kuti vazvisunungure kubva pakurwadziwa. Zvisinei, vanachiremba vakawanda vekutanga vanozoongorora varwere vavo kuti vaone kuti chii chinokonzera marwadzo avo nekunyora zvinyorwa zvemaitiro avo ezuva nezuva. Zvakawanda zvinokonzeresa zvemutsipa uye kurwadziwa shure zvinogona kuve nekuda kwe:
Kushatisa Kwakashata kushushikana Kusakwana kwemuviri Kukuvara/Kukuvara Kugara/kumira zvakanyanya Kusimudza/kutakura zvinhu zvinorema
Izvi zvinokonzera zvinogona kutungamirira kuhupenyu hwekuremara uye kukanganisa hupenyu hwehupenyu hwomunhu; zvisinei, zvinofadza, vanhu vakawanda vakatsvakurudza uye vakatsvaga kurapwa kusingadhuri uye kunogona kubatsira kuderedza marwadzo avari kusangana nawo.
Kunzwisisa Academic Low Back Pain- Vhidhiyo
VIDEO
Iwe unonzwa kurwadziwa uye marwadzo mumutsipa wako uye musana here? Unonzwa kushushikana mumhasuru dzako izvo zvinoita kuti unzwe kusuwa? Kana kuti unonzwa kurwadziwa muzvikamu zvako zvepamusoro kana zvepasi zvemuviri zvinokanganisa maitiro ako ezuva nezuva? Zvizhinji zvezviitiko izvi zvinoenderana nemarwadzo emutsipa uye kumashure, nyaya inowanzoitika vanhu vazhinji. Kana isina kurapwa pakarepo, inogona kutungamirira kuhupenyu hwekuremara uye, kune vanhu vanoshanda, vanorasikirwa nezuva rebasa. Nekudaro, vanhu vazhinji vanotsvaga marapirwo anodhura anogona kubatsira kuderedza marwadzo anobata mitsipa yavo nemusana. Mishonga yakaita sechiropractic kuchengetedza, traction therapy, massage therapy, uye spinal decompression zvese zvisiri zvekuvhiya, zvinokwanisika, uye zvinogona kubatsira kuderedza marwadzo-senge zviratidzo zvine chekuita nemutsipa uye musana. Vhidhiyo iri pamusoro inotsanangura zvinokonzeresa marwadzo ekudzokera shure uye kuti kurapa kusiri kwekuvhiya senge chiropractic kuchengetedza kunogona kushanda pamwe nekuwedzera marapirwo ekudzivirira kurwadza kwemusana nemutsipa kudzoka. Panguva imwecheteyo, apo vanhu vanotanga kuderedza basa ravo uye kuzvidzidzisa ivo pachavo pamusoro pezvavanofanira kuita kuti vadzivise marwadzo emutsipa uye kumashure kubva pakudzoka, vanogona kutanga kunzwa zviri nani. ( Tyrdal et al., 2022 )
Mhedzisiro yeDecompression Pamutsipa & Kurwadza Kwemusana
Sechikamu cheasina-kuvhiya marapirwo, spinal decompression inogona kubatsira vanhu vazhinji vanobata nemutsipa uye musana. Zvinoitwa nepinal decompression zvinosanganisira kupfava kwemuzongoza kuti decompress iyo yakakanganiswa spinal disc iyo inogona kubatanidzwa nemutsipa uye kumashure kurwadziwa. Kana musana uri kurapwa nemusana decompression, simba rinokwevera rinokwevera rinobatsira kuburitsa nzvimbo yakakura yediski pamuzongoza kuderedza intradiscal pressure uye kurwadziwa. ( Vanti et al., 2021 ) Izvi zvinobvumira zvose zvinovaka muviri uye zvinwiwa kuti zvidzoke kumusana uye spinal discs apo uchikurudzira kupora kwepanyama kwemuviri.
Pamusoro pezvo, vanhu vazhinji vane kurwadziwa kwemutsipa uye kumashure vanozotanga kuona kudzikiswa kukuru mukurwadziwa kwavo nekuremara kuburikidza nekurapa kwakatevedzana. ( Vanti et al., 2023 ) Nokubatanidza maitiro ane hutano kuderedza mikana yemutsipa uye kurwadziwa shure kubva pakudzoka, vanhu vakawanda vanogona kuita shanduko duku kumararamiro avo ezuva nezuva. Izvi zvinovabvumira kuti vave nemaonero akanaka uye kuenderera mberi nehutano hwavo uye rwendo rwehutano.
References
Corwell, B. N., & Davis, N. L. (2020). The Emergent Evaluation uye Kurapa kweNeck uye Back Pain. Emerg Med Clin North Am , 38 (1), 167-191. doi.org/10.1016/j.emc.2019.09.007
Meleger, A. L., & Krivickas, L. S. (2007). Mutsipa uye kurwadziwa shure: musculoskeletal disorders. Neurol Clin , 25 (2), 419-438. doi.org/10.1016/j.ncl.2007.01.006
Patel, V. B., Wasserman, R., & Imani, F. (2015). Kupindira Kurapa Kwekusagadzikana Kwekudzokera Kunorwadza: Ongororo Yakatarisana (Kubudirira uye Migumisiro). Anesth Pain Med , 5 (4), e29716. doi.org/10.5812/aapm.29716
Tyrdal, M. K., Veierod, M. B., Roe, C., Natvig, B., Wahl, A. K., & Stendal Robinson, H. (2022). Mutsipa uye kurwadziwa shure: Misiyano pakati pevarwere vanobatwa mukutanga uye nyanzvi yehutano hwehutano. J Rehabil Med , 54 , jrm00300. doi.org/10.2340/jrm.v54.363
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Mhedzisiro yekuwedzera kwe mechanical traction kune kurapa kwepanyama pamarwadzo ekudzokera shure? Ongororo yakarongeka ine meta-analysis. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Vertical traction ye lumbar radiculopathy: kuongorora kwakarongeka. Arch Physiother , 11 (1), 7. doi.org/10.1186/s40945-021-00102-5
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