Migraine Physical Therapy: Kubvisa Marwadzo uye Kudzorera Kufamba

Kune vanhu vanorwara nemusoro wemigraine, kubatanidza kurapwa kwemuviri kunogona kubatsira kuderedza marwadzo, kunatsiridza kufamba, uye kubata kurwiswa mune ramangwana?

Migraine Physical Therapy

Cervicogenic migraine misoro inogona kukonzera marwadzo, zvishoma kufamba, kana kuvhiringidza zviratidzo senge chizuru kana kusvotwa. Vanogona kubva kumutsipa kana cervical spine uye kunzi cervicogenic misoro. A chiropractic physical therapy team inogona kuongorora musana uye kupa marapirwo anobatsira kuvandudza kufamba uye kuderedza marwadzo. Vanhu vanogona kubatsirwa nekushanda nemigraine physiotherapy timu kuti vaite marapirwo emamwe mamiriro, nekukurumidza uye zvakachengeteka kubvisa marwadzo uye kudzokera kune yavo yapfuura nhanho yebasa.

Cervical Spine Anatomy

Mutsipa unoumbwa neanomwe akaturikidzana ecervical vertebrae. Iyo cervical vertebrae inodzivirira musana uye inobvumira mutsipa kufamba nepakati:

• Kufungidzirwa
• Extension
• Kuchinja
• Rutivi rwakakotama

Iyo yepamusoro yekervical vertebrae inobatsira kutsigira dehenya. Kune majoini kumativi ese echikamu chechibereko. Imwe inobatanidza kuseri kwedehenya uye inobvumira kufamba. Iyi suboccipital nzvimbo inogara kune akati wandei mamhasuru anotsigira uye anofambisa musoro, aine tsinga dzinofamba kubva mumutsipa kuburikidza neiyo suboccipital nzvimbo ichipinda mumusoro. Mitsipa uye tsandanyama munzvimbo ino zvinogona kukonzera kurwadziwa kwemutsipa uye / kana misoro.

zviratidzo

Kamwe kamwe mafambiro anogona kukonzera zviratidzo zve cervicogenic migraine, kana kuti vanogona kuuya panguva yakaramba iripo yemutsipa. (Peji P. 2011) Zviratidzo zvacho zvinogara zvisingaite uye hazvibatike uye zvinogona kutora maawa akawanda kusvika mazuva. Zviratidzo zve cervicogenic migraine musoro zvinogona kusanganisira:

• Marwadzo kumativi maviri kumashure kwemusoro.
• Marwadzo kumashure kwemusoro anopenya kune rimwe bendekete.
• Marwadzo kune rumwe rutivi rwemutsipa wepamusoro unopenya kutemberi, huma, kana ziso.
• Marwadzo mune rumwe rutivi rwechiso kana dama.
• Yakaderedzwa huwandu hwekufamba mumutsipa.
• Kunzwisisa kuedza kana kurira
• Nausea
• Dzungu kana vertigo

kuongorora chirwere

Zvishandiso izvo chiremba angashandisa zvinogona kusanganisira:

• X-ray
• MRI
• CT scan
• Kuongororwa kwepanyama kunosanganisira mitsipa yekufamba uye palpation yemutsipa uye dehenya.
• Diagnostic nerve blocks uye majekiseni.
• Neck imaging zvidzidzo zvinogonawo kuratidza:
• Chironda
• Kuputika kana herniated disc
• Disc kuora
• Arthritis kuchinja

Cervicogenic headache diagnosis inowanzoitwa ne-side-side, kwete-throbbing headache pain uye kurasikirwa kwemutsipa wekufamba. (Headache Classification Committee yeInternational Headache Society. 2013) Mutariri wehutano anogona kutumira munhu wacho kuhutano hwepanyama kurapa cervicogenic misoro kana yaonekwa. (Rana MV 2013)

Therapy Therapy

Paunotanga kushanyira chiremba wepanyama, vachapfuura nenhoroondo yezvokurapa uye mamiriro ezvinhu, uye mibvunzo ichabvunzwa pamusoro pekutanga kwemarwadzo, maitiro ezviratidzo, mishonga, uye zvidzidzo zvekuongorora. Murapi anozobvunzawo nezve kurapwa kwakapfuura uye kuongorora nhoroondo yekurapa uye yekuvhiya. Zvikamu zvekuongorora zvinogona kusanganisira:

• Palpation yemutsipa nedehenya
• Zviyero zvemutsipa wekufamba
• Kuyera kwesimba
• Postural assessment

Kana kuongororwa kwapera, murapi anozoshanda nemunhu kugadzira chirongwa chemunhu chekurapa uye zvinangwa zvekuvandudza. Mishonga yakasiyana-siyana iripo.

kusimbisa muviri

Kudzidzira kuvandudza kufamba kwemutsipa uye kuderedza kudzvinyirira pamutsipa wekervical kunogona kurongerwa uye kunogona kusanganisira. (Park, SK et al., 2017)

• Cervical kutenderera
• Cervical flexion
• Cervical side kukotama
• Cervical retraction

Murapi anodzidzisa munhu wacho kufamba zvishoma nezvishoma uye zvakatsiga uye kudzivirira kufamba kamwe kamwe kana jerky.

Postural Kururamiswa

Kana kumberi kwemusoro kuripo, iyo yekumusoro cervical musana uye suboccipital nzvimbo inogona kumanikidza tsinga dzinofamba kuseri kwedehenya. Kugadzirisa chimiro chinogona kunge chiri nzira inoshanda yekurapa uye inogona kusanganisira:

• Kuita zvakanangwa postural exercises.
• Kushandisa mutsago wemutsipa unotsigira kurara.
• Kushandisa chitsigiro chechiuno kana wakagara.
• Kinesiology taping inogona kubatsira kuwedzera tactile kuziva kwemashure uye mutsipa chinzvimbo uye kuvandudza kwese postural kuziva.

Kupisa / Ice

• Kupisa kana chando chinogona kuiswa pamutsipa uye dehenya kubatsira kuderedza marwadzo uye kuzvimba.
• Kupisa kunogona kubatsira kuzorodza tsandanyama dzakasimba uye kuvandudza kutenderera uye inogona kushandiswa isati yaita mitsipa yakatambanudzwa.

masaja

• Kana mhasuru dzakasimba dzichidzikamisa kufamba kwemutsipa uye kukonzera kurwadziwa kwemusoro, masaja inogona kubatsira kuvandudza kufamba.
• Imwe nzira yakakosha inonzi suboccipital release inosunungura mhasuru dzinosungirira dehenya pamutsipa kuitira kufambisa zvakanaka uye kuderedza kushatirwa kwetsinga.

Manual uye Mechanical Traction

• Chikamu chemigraine chirongwa chekurapa muviri chinogona kusanganisira mechanical kana manual traction kuti decompress mitsipa discs uye majoini, kunatsiridza kufamba mumutsipa, uye kuderedza marwadzo.
• Joint mobilizations inogona kushandiswa kuvandudza kufamba kwemutsipa uye kugadzirisa marwadzo. (Paquin, JP 2021)

Kukurudzira kweMagetsi

• Kukurudzira kwemagetsi, kufanana electro-acupuncture kana transcutaneous neuromuscular magetsi stimulation, inogona kushandiswa pamitsipa yemutsipa kuderedza marwadzo nekuvandudza zviratidzo zvemusoro.

Therapy Duration

Yakawanda migraine physiology therapy sessions yecervicogenic headaches inotora mavhiki mana kusvika matanhatu. Vanhu vanogona kuwana zororo mukati memazuva mashoma ekutanga kurapwa, kana zviratidzo zvinogona kuuya nekuenda muzvikamu zvakasiyana kwemavhiki. Chimwe chiitiko chakaenderera mberi migraine musoro kurwadziwa kwemwedzi mushure mekutanga kurapwa uye kushandisa maitiro avakadzidza kubatsira kudzora zviratidzo.

Injury Medical Chiropractic uye Functional Medicine Clinic inyanzvi mukufambira mberi kwekurapa uye maitiro ekugadzirisa ekugadzirisa akatarisana nekudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwematishu akapfava. Isu tinoshandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility uye mobility Fitness Training, uye Rehabilitation Systems kune mazera ose. Zvirongwa zvedu zvechisikigo zvinoshandisa kugona kwemuviri kuzadzisa zvakayerwa zvinangwa. Takabatana nevakuru veguta vanachiremba, varapi, uye varairidzi kuti vape marapiro emhando yepamusoro anopa varwere vedu simba rekuchengetedza mararamiro ane hutano uye kurarama hupenyu hunoshanda hune simba rakawanda, mafungiro akanaka, kurara zviri nani, uye kurwadziwa kushoma. .

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Chiropractic Kuchengeta Kune Migraines

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References

Peji P. (2011). Cervicogenic misoro: humbowo-inotungamirwa nzira yekiriniki manejimendi. International Journal of sports Physical Therapy, 6(3), 254–266.

Headache Classification Committee yeInternational Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia: bhuku repasi rose remusoro, 33 (9), 629-808. doi.org/10.1177/0333102413485658

Rana MV (2013). Kutarisira uye kubata musoro wecervicogenic mavambo. Makiriniki ekurapa eNorth America, 97 (2), 267-280. doi.org/10.1016/j.mcna.2012.11.003

Park, SK, Yang, DJ, Kim, JH, Kang, DH, Park, SH, & Yoon, JH (2017). Migumisiro yekutambanudza kwekervical uye cranio-cervical flexion exercises pahutano hwemutsipa wemutsipa uye kumira kwevarwere vane cervicogenic headache. Nyaya yePhysical Therapy Sayenzi, 29 (10), 1836-1840. doi.org/10.1589/jpts.29.1836

Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). Migumisiro yeSNAG yekuunganidza yakasanganiswa ne-self-SNAG kumba-kurovedza muviri kwekurapa cervicogenic headache: chidzidzo chemutyairi. The Journal of manual & manipulative therapy, 29 (4), 244–254. doi.org/10.1080/10669817.2020.1864960