Inzira rusange yamahugurwa yo gusubiza mu buzima busanzwe kuri ACHLELES RUPTure, icyerekezo nyamukuru cyo gusubiza mu buzima busanzwe ni: umutekano wa mbere, gusana imyitozo ngororamubiri ukurikije proprioception yabo.
Icyiciro cya mbere nyuma yo kubagwa
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Kurinda nigihe cyo gukiza (ibyumweru 1-6).
Ibintu bikeneye kwitabwaho: 1. Irinde kurambuye kuri pausiti ya Achilles; 2. Ivi rikomeye rigomba guhinduka kuri 90 °, kandi dorsiflexion igomba kugarukira kumwanya utabogamye (0 °); 3. Irinde guhagarika umutima; 4. Irinde kugabanuka igihe kirekire.
Ikiruhuko cyo hakiri kare kandi gifite uburemere buremereye nicyo cyingenzi mugihe cyambere cyamaposita. Kuberako uburemere no kugendana uburemere buteza imbere gukira n'imbaraga za Achillendon, kandi birashobora gukumira ingaruka mbi zo kwimuka (urugero, guta imitsi, gukomera kwa artfuti, gukomera kwa arthritis, hamwe na thicebral thimplebus).
Abarwayi basabwe gukora ibintu byinshiingingoIngendo ku munsi, zirimo umuyoboro wa Ankle, Floxion, irarika, na valus, na valgus. Ikora Akle Dorsiflexion igomba kugarukira kuri 0 ° kuri 90 ° yo guhindagurika. Passive icyerekezo hamwe no kurambura bigomba kwirindwa kugirango urinde gukiza achilles ya Achilles yo hejuru yo gukabya cyangwa guturika.
Iyo umurwayi atangiye igice cyo kwikorera ibiro byuzuye, imyitozo ihagaze irashobora gutangizwa muri iki gihe. Umurwayi agomba gusabwa gukoresha inyuma yikirenge aho kuba ikirenge cyimbere mugihe cyamagare. Gukandagura urutare n'umucyo bihuriweho birashobora guteza imbere gukira no gukumira ingufu no gukomera.
Ubukonje nubukure bwintangiriro yibasiwe irashobora kugenzura ububabare na Edema. Abarwayi bagomba gutegekwa kuzamura ingingo zanduye bishoboka umunsi wose no kwirinda gufata uburemere mugihe kinini. Umurwayi arashobora kandi kubazwa gushyira mu bikorwa ice ice inshuro nyinshi muminota 20 buri gihe.
Imyitozo yo mu kibuno cyo hejuru n'ivi igomba gukoresha imyitozo yo kurwanya iterambere. Gufungura-urunigi imyitozo hamwe nimashini za Isononic birashobora gukoreshwa nabarwayi bafite ibiro bibujijwe.
Ingamba zo kuvura: Iyo ukoresheje inkoni cyangwa inkoni ziyobowe na muganga, wambare ibiro bitera imbere munsi yinzogera ihamye ifite uruziga; Ackle Ankle Dorsiflexion / Plaixin Flexion / VARUS / Valtus; inkovu ya massage; guhumura; imyitozo yuzuye imitsi; Kuvura umubiri; Ubukonje.
Ibyumweru 0-2: Amaguru magufi adashira, ankle mumwanya utabogamye; uburemere igice hamwe ninkoni iyo yihanganirwa; urubura + compression yaho / kuvura magnetic magnetic; Kugabanuka kw'ivi no kurengera amaguru neza guhindagurika, valus, valgus; Kurwanya Quadriceps, imyitozo ya GLUTEAL, GUSHYIRA MU BIKORWA.
Ibyumweru 3: Inkunga ndende-yamaguru idahingwa, ankle mumwanya utabogamye. Gutera imbere igice cyo gutwara cyane kugendana na clatches; Bikora + - Afashishijwe Ankle Plain Flexion / Ibirenge biratandukanye, amahugurwa ya Valgus ya Valgus (+ - Amahugurwa yinama); Kwihutisha imigendekere ntoya ya Ankle (Intertental, Subtarelar, Tibiotalar) mumwanya utabogamye; Irwanya Quadriceps, imyitozo ya giteleya, na hip ishimusi.
Ibyumweru 4: Amahugurwa ya Ankle Dorsiffeion; Kurwanya Umushinga ukora igihingwa, vaturu, no kwizirika hamwe n'umugozi wa reberi; Ibipimo by'igice bitwara amahugurwa-Isokinetic imyitozo yo kurwanya hasi (> dogere 30 / sec); Amahugurwa yo kurwanya Heel yo gusubiza inyuma.
Ibyumweru 5: Kuraho akarenge, kandi abarwayi bamwe barashobora kujya mumahugurwa yo hanze; Amahugurwa yinyana yimodoka; Ibipimo by'igice bitwara amahugurwa-Isokinetic Amahugurwa yo kurwanya urugero (dogere 20-30 / kabiri); Amahugurwa yo gusubiza inyuma gato yo gusubiza inyuma. Imyitozo yo gutembera (kurinda mugihe cyo gukira).
Ibyumweru 6: Abarwayi bose bakuyeho imirongo bagakora imyitozo yo kugenda hejuru yubusa; Amahugurwa asanzwe ya Achilles Tendon mu mwanya wo kwicara; Kurwanya hasi (Passive) Amahugurwa Yuzuye Yimitsi (Ivanguramoko, kurwanya Valgus) amatsinda abiri; Amahugurwa yo kuringaniza amaguru amwe (uruhande rwiza --- uruhande rwibasiwe buhoro buhoro); Kugenda musesengura.
Gutezimbere Ibipimo ngereraza: Ububabare na Edema bigenzurwa; Kwitwara ibiro birashobora gukorwa duyobowe na muganga; Umuyoboro wa Ankle ugera kumwanya utabogamye; Imbaraga zo hepfo yimitsi igera ku cyiciro cya 5/5.
Icyiciro cya kabiri nyuma yo kubagwa
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Mu cyiciro cya kabiri, habaye impinduka bigaragara murwego rwo kubyara ibiro, kwiyongera kwa Rom yingingo zagize ingaruka no kuzamura imbaraga zumutsi.
Intego yibanze: Kugarura uburyo buhagije bwo kugenda kubijyanye no kuzamuka bisanzwe hamwe nintambwe. Kugarura Ankle Dorsiflexion, VARUS, na Valgus imbaraga kurwego rusanzwe 5/5. Garuka mumodoka isanzwe.
Ingamba zo kuvura:
Mu rwego rwo kurinda, irashobora kwihanganira uburemere-buremereye bwo gutwara ibiremereye, kandi birashobora gukuraho inkoni mugihe nta bubabare; Sisitemu yo mu mazi ya STEDERMILL Yitoza Gait; in-inkweto hel pad ifasha kugarura urugendo rusanzwe; Ackle Akle Dorsiflexion / Plaxion Flexion / Imyitozo ya VILUS / Valtus; Amahugurwa ya propiyoceptive; Isometric / Isotonic Imyitozo ngororamubiri: Ankle inversion / valgus.
Hakiri kare na neuromuscular hamwe nimyitozo yimyitozo yo gutembera kugirango atere imbere kugarura proprioception, neuromuscular na kuringaniza. Nkimbaraga nuburinganire byagarutsweho, Imyitozo yimyitozo kandi ninzibacyuho kuva kumpera zombi hasi kugirango urenganure hasi. Massage yinka, imivurungano yumubiri, no gukangurirato duto bigomba gukomeza nkuko bikenewe.
Ibyumweru 7-8: Umurwayi agomba kubanza kwambara isabune mu rwego rwo kurinda inkoni yo kurangiza ibiro byuzuye, hanyuma ukureho inkoni kandi wambare inkweto zitunganye byuzuye uburemere. Agatsinsino gashobora gushyirwa mu nkweto mugihe cyinzibacyuho kuva mumaguru kanda inkweto.
Uburebure bwa podi yatsindiye igabanuka nkuko urwego rwibintu byiyongera. Iyo umurwayi agenda asubiye bisanzwe, agace katsinsino karashobora gutangwa.
Kugenda bisanzwe nicyo gisabwa kugirango ugende udashimuta. Pumps ya Ankle irimo Flexion Flexion na Dorsi kwaguka. Dorsiflexion bivuze ko amano yafatiwe neza bishoboka, ni ukuvuga ikirenge gihatirwa gusubira inyuma;
Kuri iki cyiciro, kwandura no guhinduranya imitsi itometrike imbaraga zuzuye zirashobora gutangira, hamwe na reberi zirashobora gukoreshwa mugukora imyitozo nyuma. Kubaka imbaraga zimisha ukoresheje imiterere yinyuguti hamwe namaguru yawe kubikoresho byinshi. Iyo ikintu gihagije cyo kugenda cyagezweho.
Urashobora gutangira kwitoza imitsi ibiri yingenzi yo guhindagurika k'inyana. Imyitozo yo kurwanya plaixion irwanya hamwe na ivi kugeza kuri 90 ° irashobora gutangira ibyumweru 6 nyuma yo kubagwa. Imyitozo yo kurwanya plaixon imyitozo hamwe nivi ryagutse birashobora gutangirwa icyumweru cya 8.
Flexion Flexion irashobora kandi gukoreshwa kuri iki cyiciro ukoresheje igikoresho cyanduye gipfumu hamwe nimashini imaze kunyerera. Muri iki gihe, imyitozo ihamye igomba gukorerwa ibirenge, kandi amafaranga agomba kwiyongera buhoro buhoro. Gusubira inyuma ku gikambo cyoroshye kugenzura eccentrion igenzura. Aba barwayi akenshi basanga bagenda basubira inyuma neza kuko bigabanya gukenera kwicwa. Birashoboka kandi kumenyekanisha imyitozo yintambwe. Uburebure bwintambwe burashobora kwiyongera buhoro buhoro.
Micro-squat irinda hejuru (Tendon ya Achilles yongerewe mbere yububabare bwo kwihanganira); Amatsinda atatu yo kurwanya (Passive) Amahugurwa Yumuziki Kubora (Zitandukana, kurwanya Valgus); Toe arazamura (kurwanya amahugurwa menshi ya somer); Toe azamura amavi mumwanya wicaye (amahugurwa yo kurwanya gastrocnemius).
Shyigikira uburemere bwumubiri kumurongo uringaniza kugirango ushimangire imyitozo yo kugabura kwigenga; Kora imyitozo yo kuzamura inyana + - EMG gukangurira umwanya uhagaze; kora gait- re-uburezi munsi ya podiyumu; kora imyitozo yo gusubiza inyuma no kwisubiraho hamwe nibirenge (hafi iminota 15); Amahugurwa asigaye (Ikibaho kiringaniye).
Ibyumweru 9-12: Inyana zihagaze amahugurwa yo kwagura; Amahugurwa yo kurwanya inyana yo kurwanya (amano akora ku butaka, nibiba ngombwa, gukangura amashanyarazi birashobora kongerwa); Amahugurwa yimbere yo gusubiza inyuma kwihangana (iminota igera kuri 30); kuzamura ibirenge, amahugurwa yo kugwa, buri ntambwe ni santimetero 12 zitandukanye, hamwe no kugenzura ibitekerezo kandi eccentric; Imbere uzamuka, uhindure ugenda; Trampoline Amahugurwa.
Nyuma yo gusubiza mu buzima busanzwe
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Icyumweru cya 16: Amahugurwa yoroheje (Tai Chi); Porogaramu ikora itangira; Amahugurwa menshi ya isometric.
Amezi 6: Kugereranya impera yo hepfo; Ikizamini cya Isokinetic; Kwiga Isesengura rya Gait; Inyana imwe yokuza kumasegonda 30.
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Email: liuyaoyao@medtechcah.com
Igihe cyo kohereza: Nov-25-2022
