ClickCease
+ 1-915-850-0900 spinedoctors@gmail.com
Select Page

Kuvandudza Hwakanaka Hwendo Hwakakuvara

Kana uchidzokera kumutambo wemunhu chaiwo, njodzi yekukuvara zvakare inowanzokwira mukati memavhiki maviri ekutanga. Izvi zvinoitika nekuda kwekutanga hamstring kushaya simba, kuneta, kushaikwa kwekuchinja, uye kusaenzana kwesimba pakati pe eccentric hamstrings uye concentric quadriceps. Chinhu chepamusoro chinobatsira kunyangwe ichitendwa kuti chakabatana nechirongwa chekuvandudza chisina kukwana, icho chinogona kuenderana nekukurumidza kudzoka kumitambo yemuviri. Humbowo hutsva hwakaratidza mabhenefiti ekutanga kushandisa eccentric kusimbisa maekisesaizi mu hamstring rehabilitation yakaitwa nekuwedzera mitoro kwenguva refu musculotendinous kureba.
Semitendinosus, kana ST, semimembranosus, kana SM, uye biceps femoris refu uye misoro mipfupi (BFLH neBFSH) inhengo yeboka remasumbu. Ivo vanonyanya kushanda pamwe nekuwedzerwa kwehudyu uye kuchinjika kwebvi pamwe nekupa kugadzikana kwakawanda-kune mativi etibia uye pelvis. Aya mamhasuru matatu anoumba hamstring tsandanyama boka, anoyambuka kumashure kwehudyu uye majoini emabvi, achiita bi-articular. Nekuda kweizvozvo, ivo vari kuramba vachipindura kune makuru emagetsi masimba akagadzirwa nepamusoro nhengo, trunk, uye yakaderera makumbo emakumbo senzira yekusimbisa uye eccentric mobilization. Panguva yemitambo yemitambo, masimba aya anowanzo kuwedzera, kuwedzera kuwanda kwekukuvara.

Mune chidzidzo chakaitwa paYunivhesiti yeMelbourne, biomechanical analysts vakayera musculotendinous strain, velocity, simba, simba, basa, uye mamwe mitoro yebiomechanical inowanikwa nemakumbo mukati mekufamba kwepamusoro-pasi uye kuenzanisa mutoro webiomechanical pane imwe neimwe hamstring. tsandanyama.

Chaizvoizvo, hamstrings inoiswa pasi pekupfupisa-kupfupika kutenderera paunenge uchimhanya, nechikamu chekurebesa chinoitika panguva yekuzungunuka kwekupedzisira uye chikamu chekupfupisa chinotanga nguva imwe neimwe tsoka isati yarova, ichienderera mukati mese. Zvadaro, iyo biomechanical load pa-bi-articular hamstring muscles yakatsunga kuva yakasimba panguva yekutenderera kwekupedzisira.

BFLH yakanga ine simba guru musculotendinous, ST yakaratidza musculotendinous lengthening velocity yakawanda, uye SM yakabudisa simba guru re musculotendinous uye zvose zvakabatwa uye zvakagadzira simba guru re musculotendinous. Utsvakurudzo yakafanana hwakaratidzawo nheyo yemusumbutendinous yepamusoro sechirongwa chakakura chekudzivirira kwemisungo yekukuvara kana kukuvadza, kazhinji kacho kunonyanya kunetseka kukuvadza, panzvimbo pekusimudza musimba simba. Ichi ndicho chikonzero kusimbisa kusimbiswa kunowanzowanzogadziriswa kwekugadzirisa hutachiona hwekukuvadza kwakanyanya.

blog mufananidzo wevakadzi vachimhanya

Nzvimbo uye Kuoma Kwekukuvadza

Mune mhando yakasarudzwa uye yakarongedzwa pamusoro pevashandi veSweden football player, 69 muzana yekukuvadzwa kwakanyanya kuwanikwa muBFLH. Kusiyana neizvi, 21 muzana yevatambi vakaona kukuvara kwavo kukuru mukati me SM. Kunyange zvazvo yakanyanya kunyanya, inenge ye80 yepakati, yakabatwa nechipiri kune ST uye BFLH kana SM, zvakajeka 94 muzana yekukuvadzwa kwekutanga zvakaratidzwa kuva yeprint-type uye yaiva muBFLH, asi SM iyo nzvimbo yakajairika yekutambanudza- rudzi rwekukuvadzwa, kuverenga kune anenge 76 muzana. Izvi zvakawanikwa zvakatsigirwa pane imwe nyaya yakafanana.

Kuronga kukuvara kwenyama yakapfava, kusanganisira kukuvadzwa kwakanyanya kwenyundo, kunoenderana zvakanyanya negiredhi system kubva: Ini, munyoro; II, pakati nepakati; uye III, yakaoma. Izvo zvakasiyana-siyana zvinopa tsananguro inobatsira yerudzi rwega rwega rwekukuvara kwenyama pakati pevashandi vehutano panguva yekuongororwa kwekiriniki uye kufungidzira kunotevera kukuvara kwakanyanya. Kuyera kwakapfava kunotsanangura kukuvara uko nhamba shoma yemhasuru fibers inobatanidzwa nekuzvimba kudiki, kusagadzikana, kushoma kana kusarasikirwa kwesimba, kana kurambidzwa kufamba. Magiredhi ari pakati nepakati anotsanangura kukuvara nekubvaruka kwakakura kwemhasuru dzakati wandei, kurwadziwa nekuzvimba, kuderedzwa simba, uye kushomeka kwekufamba. Kugadzika kwakasimba kunotsanangura kukuvara uko kubvarura kwakaitika kumativi ose-chikamu chemhasuru, kazhinji kacho tendinous avulsion, uye pfungwa yekuvhiya inogona kudiwa. Yakashandiswawo sechikamu chehurongwa hweradiological nzira, senge magineti resonance imaging, kana MRI, kana ultrasound kana ichidikanwa kuti iwedzere kusimbiswa kwekuongororwa.

Bhuku reBritain Athletics Medical Team rakaronga hutsva hwekukuvadza hutachiona hwehutano hwakanaka hwekutsvaga kutsvaga uye kufungidzira kunobva maitiro eMRI

Kuona kwakaringana kudzoka-ku-kutamba timescales zvichitevera akawanda acute hamstring kukuvara kwakaratidza kuve kwakaoma. Semuyenzaniso, kukuvara kunosanganisira intramuscular tendon kana aponeurosis ine pedyo netsandanyama fiber kazhinji inoda nguva shoma yekupora pane iyo inosanganisira proximal free tendon uye/kana MTJ.

Pakave zvakare nekubatana pakati pezviwanikwa zveMRI zvinoenderana nenharaunda yekukuvara uye kudzoka-ku-kutamba. Kunyanya, zvave zvichifungidzirwa kuti kupfupika kwepakati pakati peproximal pole yekukuvara uye ischial tuberosity inowanikwa paMRI kuongororwa kwakafanana nekuvapo kwe edema, nguva yakareba yekudzoka ichave. Nenzira imwecheteyo, kureba kwe edema kunoratidza maitiro akafanana panguva yekudzorera. Iyo yakareba kureba, iyo yakareba kupora. Uyezve, nzvimbo yekurwadziwa kwepamusoro panguva imwe chete inotevera kukuvara kwakanyanya kwe hamstring inosanganiswawo nekuwedzera kupora nguva.

Uyezve, kwakave nekuedza kujekesa kuwirirana pakati pekuiswa kwekukuvara kwakanyanya uye kudzoka-kutamba. Mune hutungamiri hwekutsvaga mauto pamusoro pevashandi veC207 yebhola nehutachiona hwekukuvadza, huwandu hwe57 hwakaratidzwa segiredhi I, 27 muzana yakaonekwa segorosi II, uye chete 3 muzana yakaonekwa segorosi III. Vakatambi vakukuvadzwa kweghikisi I vakadzokera kunotamba mukati mekuvhara kwemazuva 17. Vakatambi vacho vane chirwere chegore rechipiri vakadzoka mukati mezuva re22 uye avo vane kukuvara kwegorosi vakadzoka mukati mazuva gumi nemaviri. Maererano nekudzidza, 73 muzana yekukuvara uku kwakabata BF, 84 muzana SM, uye 11 muzana ye ST. Zvisinei, kwakanga kusina kusiyana kwakakosha munguva yekuisa-cheka kwekukuvara kumatatu matatu akasiyana. Izvi zvakafananidzwa nemazuva 5-5 nekukuvara kwegirasi I-II, uye 23-28 mazuva ekirasi I-III kune dzimwe dzidzo maererano.

Blog mufananidzo wemukadzi mumhanyi achiyambuka mutsara

Kuvandudzwa kweHamily Hamstring Injuries

Vatsvakurudzi vakasiyana-siyana vakambotaura nezvekubatsira kwekusimbiswa kwekusimudzira mushure mekukuvadza kwakanyanya kwechimbichimbi kurwisana nekusimudzira zvakanyanya pachinotarisa kuderedza nguva dzekudzoka-kutamba. Chinhu chinokosha chekukakavadzana uku ndechekuti nehuwandu hwekukuvadza kunokonzerwa nekukuvara kunowanikwa panguva yekugadzirisa kwekunamata, kuvandudzwa kunofanirwa kunge kwakafanana nemamiriro ezvinhu chaiwo akakonzera kukuvadzwa munzvimbo yekutanga. Chimwe chidzidzo chakaratidza kusiyana kwakakura pakati pegadziriro yekunamatira uye yakanyanya kugadziriswa shure kwekukuvadza kwakanyanyisa kunowanikwa mumakwikwi evanhu nevasina mashoma.

Muedzo wekiriniki wakasarudzika uye wakadzorwa wakaitwa pavatambi venhabvu ve75 muSweden, wakaratidza kuti kushandisa eccentric kusimbisa zvirongwa panzvimbo yekusimbisa zvirongwa, zvakaderedza nguva yekudzoka-kutamba nemazuva 23, zvisinei nerudzi rwekukuvara kana nzvimbo yekukuvara. . Mhedzisiro yacho yakaratidza huwandu hwemazuva ekudzokera kune yakazara timu kudzidziswa uye kuwanikwa kwemutambo wekusarudza.

Uyezve, maitiro maviri ekugadzirisa akashandiswa mazuva mashanu mushure mekukuvara. Vatambi vose vakanga vatsigira kukuvara kwemhando yesprinting semugumisiro wekukurumidza kumhanya kana kutambanudza-mhando yekukuvara semugumisiro wekukanda kwepamusoro, kupatsanurana nzvimbo, uye glide tackling. Mimwe miitiro yakange isingabatanidzwe pachidzidzo ichi, kusanganisira kukuvara kwekare kwehambure, kushungurudzika kune posterior chidya, nhoroondo inoenderera yekuderera kumashure, uye kubata pamuviri.

Vatambi vose vakaiswa pasi peMRI tsvina 5 mazuva mushure mekukuvara, kuitira kuti aise pachena kusimba uye nzvimbo yekukuvara. Mumwe mutambi aifungidzirwa akakodzera zvakakwana kuti adzokere kuchikwata chakazara chechikwata achishandisa muedzo unozivikanwa seAkushama H-test. Muedzo wakanaka ndeye apo mutambi anoona kusachengeteka kana kutyisidzira paanenge achiedza. Muedzo unofanirwa kupedzeredzwa pasina kunyatsorongedzwa kwechikwata.

Inenge 72 muzana yevatambi vakakuvara, nepo 28 muzana vakakuvara. Pakati peizvi, 69 muzana yakatambura kukuvadzwa kuBFLH, asi 21 muzana yakanga iri mu SM. Kukuvara ku ST kwakangotsigirwa sekukuvara kwechipiri, inenge 48 muzana neBFLH uye 44 muzana ne SM. Mukuwedzera, 94 muzana yekukuvara kwe-sprinting-type yaiva muBFLH apo SM yaiva nzvimbo yakajairika yekukuvara kwerudzi rwekutambanudza, kuverenga nezve 76 muzana yekukuvara.

Mitemo miviri yekuvandudza yakashandiswa yakanyorwa kuti L-protocol uye C-protocol. I-L-protocol yakatarisa kurodha hamstrings panguva yekurebesa uye C-protocol yaisanganisira maekisesaizi pasina kusimbisa pakureba. Protocol yega yega yaishandisa maekisesaizi matatu anogona kuitwa chero kupi uye aisaenderana nemidziyo yepamusoro. Ivo zvakare vane chinangwa chekunongedza kuchinjika, kuunganidza, trunk, uye pelvic uye / kana kugadzikana kwemhasuru pamwe chete nekudzidziswa kwesimba kune hamstrings. Zvese zvakaitwa mundege yesagittal nekukurumidza uye kufambira mberi kwemutoro.

Mhedziso yeChidzidzo

Nguva yekudzoka yakatemerwa kuve yakanyanya kupfupika muL-protocol kana ichienzaniswa neC-protocol, avhareji yemazuva 28 uye mazuva 51 zvakakodzera. Nguva yekudzoka yakanga yakanyanya kupfupika mu-L-protocol kupfuura muC-protocol yekukuvara kwakanyanya kwe hamstring yezvose zviri zviviri sprinting-type uye kutambanudza-rudzi pamwe chete nekukuvadzwa kwemhando dzakasiyana dzekukuvara. Zvisinei, kuchine mubvunzo pamusoro pekuti C-protocol yakanyatsokwana kuti hamstring activation igadzire kuenzanisa kwepamutemo.

 

Zviri nyore Kuve Mwoyo Murefu!

Just Click The Red Button!

Tarisa Wedu BlogNezve Kukuvara Kwemitambo

Professional Makuriro Ekudzidzira *

Ruzivo rwuri pano pa "Mitambo Injodzi"Hazvina kuitirwa kutsiva hukama hwemunhu nemunhu ane ruzivo nezvehutano kana chiremba ane rezinesi uye haisi zano rekurapa. Tinokukurudzira kuti uite sarudzo dzehutano maererano netsvakiridzo yako uye kudyidzana nenyanzvi yezvehutano inokwanisa.

Ruzivo rweBlog & Hurukuro dzeKukura

Nzvimbo yedu yeruzivo inogumira kuChiropractic, musculoskeletal, mishonga yemuviri, hutano, inopa etiological viscerosomatic kusagadzikana mukati mezviratidzo zvekiriniki, yakabatana somatovisceral reflex Clinical dynamics, subluxation complexes, nyaya dzehutano dzakaoma, uye / kana zvinyorwa zvemishonga zvinoshanda, misoro, uye nhaurirano.

Isu tinopa uye tinopa kubatirana kwekiriniki nenyanzvi dzakasiyana-siyana. Imwe neimwe nyanzvi inotongwa nehunyanzvi hwavo chiyero chekudzidzira uye kutonga kwavo kwerezinesi. Isu tinoshandisa inoshanda yehutano & hutano mapuroteni kurapa uye kutsigira kuchengetedza kwekukuvadzwa kana kusagadzikana kwemusculoskeletal system.

Mavhidhiyo edu, zvakatumirwa, misoro, zvidzidzo, uye ruzivo rwunobata nyaya dzekiriniki, nyaya, uye misoro ine chekuita uye zvakananga kana zvisina kunanga kutsigira kwedu kwekiriniki yekudzidzira.

Hofisi yedu yakaedza zvine mutsindo kupa zvinyorwa zvinotsigira uye yaona tsvakiridzo yakakodzera kana zvidzidzo zvinotsigira zvatakatumira. Isu tinopa makopi ekutsigira ekutsvagisa zvidzidzo zvinowanikwa kumatare edzimhosva uye kuruzhinji pachikumbiro.

Isu tinonzwisisa kuti tinofukidza zvinhu zvinoda imwe tsananguro yekuti ingabatsire sei mune imwe chirongwa chekutarisira kana yekurapa protocol; Naizvozvo, kuti uenderere mberi nekukurukura nyaya iri pamusoro, ndapota inzwa wakasununguka kubvunza Dr. Alex Jimenez, DC, kana taura nesu isu 915-850-0900.

Tiri pano kuzokubatsira iwe nemhuri yako.

zvikomborero

Dr. Alex Jimenez DC, Msacp, RN*, CCST, IFMCP*, CIFM*, atn*

email: qeqeshi@elpasofunctionalmedicine.com

Akapihwa rezenisi saChiremba weChiropractic (DC) mu Texas & New Mexico*
Texas DC License # TX5807, New Mexico DC License # NM-DC2182

Akapihwa Rezenisi seMukoti Akanyoreswa (RN*) in Florida
Florida License RN License # RN9617241 (Kudzora Nha. 3558029)
Compact Status: Multi-State License: Wakatenderwa Kudzidzira mukati 40 States*

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Yangu Digital Bhizinesi Kadhi