Iyo Yekupedzisira Nhungamiro Yekusimbisa Multifidus Muscle

Kune vanhu vane kurwadziwa kwepazasi kumashure vanogona kunzwisisa anatomy uye basa remultifidus tsandanyama rubatsiro mukudzivirira kukuvara uye mukuvandudza chirongwa chekurapa chakanyanya kushanda?

Multifidus Muscle

Iyo multifidus mhasuru dzakareba uye dzakamanikana kune rumwe rutivi rwepinini mbiru, iyo inobatsira kudzikamisa nzvimbo yakaderera yemuzongoza kana lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013) Kugara zvakanyanya, kuita maitiro asina kunaka, uye kusava nekufamba kunogona kufambira mberi kune multifidus muscle kupera simba kana atrophy, izvo zvinogona kutungamirira kumusana usina kugadzikana, vertebral compression, uye kurwadziwa shure. (Paul W. Hodges, Lieven Danneels 2019)

Anatomy

Inozivikanwa sechidzitiro chakadzika, ndiyo yemukati-kati yezvikamu zvitatu zvetsandanyama zvemusana uye inodzora kufamba kwemusana. Mamwe maviri akaturikidzana, anozivikanwa seyemukati uye epamusoro, ane mutoro weiyo thoracic cage / mbabvu cage uye kufamba kwepfudzi. (Anouk Agten et al., 2020) Iyo multifidus ine mapoinzi ekunamatira pa:

• The thoracic musana wepakati kumashure.
• The lumbar musana wezasi musana.
• The iliac spine - mujinga mebapiro-akaita mapapiro iliac bone yepelvis.
• Sacrum - nhevedzano yemapfupa ari pazasi pemusana akabatana nemuswe.
• Paunenge wakamira kana kufamba, iyo multifidus muscle inoshanda ne transversus abdominus uye pelvic floor muscles kuti igadzikane lumbar spine. (Christine Lynders 2019)

Basa retsandanyama

Basa guru nderokudzikamisa pasi kumashure, asi inobatsirawo kuwedzera musana wepasi pose paunosvika kana kutambanudza. (Jennifer Padwal et al., 2020) Nemhaka yokuti mhasuru ine mapeji akawanda ekubatanidza uye inoshandiswa neimwe bazi retsinga rinozivikanwa se posterior rami, inobvumira vertebra imwe neimwe kushanda yega uye zvakanyanya.

• Izvi zvinodzivirira kubva pakuora kwemusana uye kukura kweArthritis. (Jeffrey J Hebert et al., 2015)
• Iyo multifidus tsandanyama inoshanda nemamwe maviri akadzika mhasuru mapoka kuti agadzikane uye kufambisa musana. (Jeffrey J Hebert et al., 2015)
• Iyo rotatores tsandanyama inogonesa unilateral kutenderera, kutendeuka kubva kune rimwe divi kuenda kune rimwe divi, uye bilateral kuwedzera kana kukotama kumashure uye kumberi.
• Iyo semispinalis muscle pamusoro pe multifidus inobvumira kuwedzera uye kutenderera kwemusoro, mutsipa, uye kumusoro kumashure.
• Iyo multifidus muscle inochengetedza simba remusana nokuti ine zvakawanda zvakasungirirwa kumusana pane mamwe mapeji, izvo zvinoderedza kushanduka kwemusana uye kutenderera asi kunowedzera simba uye kugadzikana. (Anouk Agten et al., 2020)

Pasi Pasi Pain

Iyo isina simba multifidus tsandanyama inodzikamisa musana uye inopa shoma rutsigiro kune vertebra. Izvi zvinowedzera kudzvanywa pamhasuru uye matishu anobatanidza pakati uye ari padyo nepinal column, zvichiwedzera njodzi yezviratidzo zvekurwadziwa kumashure. (Paul W. Hodges, Lieven Danneels 2019) Kurasikirwa kwesimba remhasuru uye kugadzikana kunogona kukonzera atrophy kana kupera. Izvi zvinogona kukonzera compression uye mamwe matambudziko kumashure. (Paul W. Hodges et al., 2015) Matambudziko ekudzokera shure ane chokuita ne multifidus muscle deterioration anosanganisira (Paul W. Hodges, Lieven Danneels 2019)

• Herniated discs - zvakare anoputika kana akatsvedza madhisiki.
• Nerve entrapment kana compression pinched nerve.
• Sciatica
• Referred pain - kurwadziwa kwetsinga kunobva kumusana kwakanzwika kune dzimwe nzvimbo.
• Osteoarthritis - kupfeka-uye-kubvarura arthritis
• Spinal osteophytes - bone spurs
• Mudumbu usina simba kana pelvic pasi tsandanyama zvinogona kukanganisa musimboti, zvichiwedzera njodzi yekusingaperi kurwadziwa kwemusana uye kukuvara.

Vanhu vanokurudzirwa kubvunza chiremba wepanyama uye chiropractor vanogona kubatsira kukudziridza zvakakodzera mabatiro, kugadzirisa, nekusimbisa chirongwa chinobva pazera, kukuvara, mamiriro epasi, uye kugona kwemuviri.

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Ko Core Exercises Inogona Kubatsira Nekurwadza Kwekumashure?

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References

Fortin, M., & Macedo, LG (2013). Multifidus uye paraspinal muscle boka rinoyambuka-sectional nzvimbo dzevarwere vane marwadzo ekudzokera shure uye kudzora varwere: kuongorora kwakarongeka nekutarisa pakupofumadza. Physical therapy, 93 (7), 873-888. doi.org/10.2522/ptj.20120457

Hodges, PW, & Danneels, L. (2019). Shanduko muChimiro uye Basa reKumashure Muscles muLow Back Pain: Yakasiyana Nguva Mapoinzi, Observation, uye Mechanisms. The Journal of orthopedic uye mitambo yekurapa kwepanyama, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827

Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Iyo lumbar multifidus inoratidzwa nemhando yakakura I muscle fibers kana ichienzaniswa ne erector spinae. Anatomy & cell biology, 53(2), 143–150. doi.org/10.5115/acb.20.009

Lynders C. (2019). Iro Rinokosha Basa Rekuvandudza kweTransversus Abdominis mukudzivirira uye Kurapa kweLow Back Pain. HSS magazini: the musculoskeletal magazine yeChipatara cheSpecial Surgery, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8

Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Misiyano yedunhu pakati pepamusoro uye yakadzika lumbar multifidus mune varwere vane chisingaperi lumbar spine pathology. BMC musculoskeletal kusagadzikana, 21 (1), 764. doi.org/10.1186/s12891-020-03791-4

Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Kuongororwa kwe lumbar multifidus muscle basa kuburikidza ne palpation: kuvimbika uye kutendeseka kwehutano hutsva hwekliniki. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056

Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Multifidus Muscle Changes Mushure mekukuvadzwa Kwekumashure Inoratidzwa neKugadziriswa Kwemaitiro eMuscle, Adipose uye Connective Tissue, asi Kwete Muscle Atrophy: Molecular and Morphological Evidence. Muzongoza, 40(14), 1057–1071. doi.org/10.1097/BRS.0000000000000972