Inzira rusange yo guhugura ku bijyanye no kuvunika kw'imitsi yo mu bwonko ya Achilles, intego nyamukuru yo kuvugurura ni: umutekano mbere ya byose, imyitozo yo kuvugurura hakurikijwe uburyo bwo kuvura.
Icyiciro cya mbere nyuma yo kubagwa
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Igihe cyo kurindwa no gukira (ibyumweru 1-6).
Ibintu bikeneye kwitabwaho: 1. Irinde kunanura umutsi w'ikibuno wa Achilles; 2. Ivi rikora rigomba gukonja kuri dogere 90, kandi gukonja kw'ikirenge bigomba kugarukira ku mwanya utagira aho ubogamiye (0°); 3. Irinde gukandagira gushyushye; 4. Irinde kuremba igihe kirekire.
Kugenda mu ngingo hakiri kare no kwitwara neza birinzwe ni byo bintu by'ingenzi mu gihe cya mbere nyuma yo kubagwa. Kubera ko kwitwara neza no kwitwara neza kw'ingingo bifasha gukira no gukomera kw'imitsi ya Achilles, kandi bishobora gukumira ingaruka mbi zo kudakora neza (urugero: gutakaza imitsi, gukomera kw'ingingo, rubagimpande yononekara, kwirema kw'ingingo, no kuzura kw'imitsi mu bwonko).
Abarwayi basabwe gukora ibikorwa byinshi bigamijeingingoGukora ingendo ku munsi, harimo no gukora dorsiflexion ku kaguru, plantar flexion, varus, na valgus. Gukora dorsiflexion ku kaguru bigomba kugarukira kuri 0° kuri 90° yo gucurama kw'ivi. Gukora imikorere idakora no kunanura ingingo bigomba kwirindwa kugira ngo hirindwe umutsi wa Achilles ukira kunanura cyangwa gucika.
Iyo umurwayi atangiye gutwara ibiro bike kugeza ku buremere bwose, imyitozo ngororamubiri yo ku igare ihoraho ishobora gutangira muri iki gihe. Umurwayi agomba gutegekwa gukoresha inyuma y'ikirenge aho gukoresha ikirenge cy'imbere mu gihe agendera ku igare. Gusiga inkovu n'ingingo zoroheje bishobora gutuma ingingo zikira kandi bikarinda ingingo gukomera no gufatana.
Uburyo bwo kuvura ibicurane no kuzamura urwego rw'umubiri rwafashwe n'ibicurane bishobora kugabanya ububabare no kubyimba. Abarwayi bagomba guhabwa amabwiriza yo kuzamura urwego rw'umubiri rwafashwe n'ibicurane uko bishoboka kose umunsi wose no kwirinda gufata uburemere igihe kirekire. Umurwayi ashobora kandi kugirwa inama yo gushyiramo ibicapo by'urubura inshuro nyinshi mu minota 20 buri gihe.
Imyitozo yo mu kibuno no mu ivi ryo hafi igomba gukoresha gahunda yo kwitoza kwirinda indwara. Imyitozo ngororamubiri ifunguye hamwe n'imashini za isotonic zishobora gukoreshwa n'abarwayi bafite ibiro bike.
Ingamba zo kuvura: Mu gihe ukoresha inkoni cyangwa inkoni yo mu gatuza uyobowe na muganga, ambara inkweto zihamye zifite umugozi; kora dorsiflexion/plantar flexion/varus/valgus; massage inkovu; kurekura ingingo; imyitozo ngororamubiri yo gukomera kw'imitsi; ubuvuzi bw'umubiri; ubuvuzi bw'ibicurane.
Icyumweru cya 0-2: Guhagarika amaguru magufi, ku kaguru kari mu mwanya wabyo; uburebure bw'igice cy'umubyimba hamwe n'imbago iyo byihanganiwe; urubura + gukandamizwa/gukanda imitsi; gukanda amavi no kurinda akaguru Gukanda imitsi, varus, valgus; imyitozo yo kwirinda amaguru magufi, imyitozo yo gukurura amaguru, imyitozo yo kwimura ikibuno.
Ibyumweru 3: Gushyigikira amaguru magufi bidakora, akaguru kari mu mwanya wa koga. Gutembera buhoro buhoro ukoresheje inkoni; gukoresha +- gufasha mu gukanguka kw'akaguru/gukanura ibirenge, imyitozo yo kugabanya amaguru (+- imyitozo yo kuringaniza ibirenge); Kwihutisha ingendo nto z'akaguru (intertarsal, subtalar, tibiotalar) mu mwanya wa koga; kurwanya imyitozo yo gukamura amaguru ku kibuno, gukamura amaguru ku kibuno no kugabanya amaguru ku kibuno.
Ibyumweru 4: Imyitozo yo gusimbuka ku kaguru ikora neza; gusimbuka ku ruti rw'umugongo, varus, no gusimbuka hakoreshejwe imigozi ya elastic ya rubber; imyitozo yo kugenda buhoro buhoro itwara ibiro - imyitozo yo gusimbuka ku ruti rw'umugongo ruciriritse (> dogere 30 ku masegonda); imyitozo yo kuvura agatsinsino gakomeye.
Ibyumweru 5: Kuramo icyuma gikingira akaguru, maze bamwe mu barwayi bashobora kujya mu myitozo yo hanze; imyitozo yo kuzamura amaguru abiri; imyitozo yo kugenda buhoro buhoro itwara ibiro - imyitozo yo kwirinda indwara ishingiye kuri isokinetic (dogere 20-30 ku isegonda); imyitozo yo kuvura agatsinsino ku ntebe nto; imyitozo yo kuyobya (kwirinda mu gihe cyo gukira).
Ibyumweru 6: Abarwayi bose bakuyemo imishumi y'amaguru maze bakora imyitozo yo kugenda ku buso bwo hanze burambuye; imyitozo isanzwe yo kwagura imitsi ya Achilles bicaye; imyitozo yo gukomera kw'imitsi ihindagurika buhoro (idakora) (imyitozo yo kwirinda kwandura kwa varus, imyitozo yo kwirinda kwa valgus) amatsinda abiri; imyitozo yo kuringaniza amaguru rimwe (Uruhande rwiza --- uruhande rwagize ikibazo rugenda ruhinduka buhoro buhoro); isesengura ry'ingendo zo kugenda.
Ibipimo byo kuzamurwa mu ntera: ububabare no kubyimba biragenzurwa; gutwara ibiro bishobora gukorwa hifashishijwe ubuyobozi bwa muganga; guhagarara kw'akaguru kugera ku mwanya utari wo hasi; imbaraga z'imitsi yo hasi zigera ku rwego rwa 5/5.
Icyiciro cya kabiri nyuma yo kubagwa
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Mu cyiciro cya kabiri, habayeho impinduka zigaragara mu rugero rw'uburemere, kwiyongera kwa ROM y'urugingo rwagize ikibazo ndetse no kongera imbaraga z'imitsi.
Intego y'ibanze: Kugarura imikorere ihagije yo kugenda neza no kuzamuka ingazi. Kugarura imbaraga zo guhagarara kw'akaguru, varus, na valgus ku rwego rusanzwe rwa 5/5. Kugaruka ku rwego rusanzwe.
Ingamba zo kuvura:
Ifite uburinzi, ishobora kwihanganira kugenda neza mu gihe ikora imyitozo yo kwikorera ibiro, kandi ishobora gukuraho inkoni iyo nta bubabare ihari; imyitozo yo kugenda mu mazi yo mu bwoko bwa "treadmill"; agapira k'inkweto gafasha kugarura ingendo isanzwe; imyitozo yo gusimbuka ku kaguru/gusimbuka ku kirenge / imyitozo yo gusimbuka ku kirenge / varus / valgus; imyitozo yo kwimenyereza; imyitozo yo gusimbuka ku kirenge / isotonic: guhindura amaguru ku kirenge / valgus.
Imyitozo yo mu buryo bw'imitsi n'ingingo itangira kare kugira ngo ifashe mu kugarura ubushobozi bwo kumenya neza ingingo, imitsi n'ingingo. Uko imbaraga n'uburinganire bigaruka, imyitozo nayo ihinduka kuva ku ngingo zombi zo hasi ikagera ku ngingo zo hasi zo ku ruhande rumwe. Massage y'inkovu, ubuvuzi bw'umubiri, no gukora imyitozo ngororamubiri mito bigomba gukomeza uko bikenewe.
Ibyumweru 7-8: Umurwayi agomba kubanza kwambara igitsinsino kirinzwe n'ingofero kugira ngo arangize uburemere bwose bw'urugingo rwangiritse, hanyuma akureho imbago kandi yambare inkweto kugira ngo yihanganire uburemere bwose. Agatsinsino gashobora gushyirwa mu nkweto mu gihe cyo kuva ku gitsinsino cy'ibirenge ujya ku nkweto.
Uburebure bw'agatsinsino bugomba kugabanuka uko urugero rw'ingendo z'ingingo rugenda rwiyongera. Iyo amaguru y'umurwayi asubiye ku buryo busanzwe, agatsinsino gashobora kuvaho.
Kugenda bisanzwe ni ngombwa kugira ngo umuntu agende adafashwe. Pompe zo ku kaguru zirimo guhindagurika kw'ibimera no kwagura dorsi. Guhindura ibirenge bivuze ko ibirenge bifatwa inyuma cyane uko bishoboka kose, ni ukuvuga ko ikirenge gisubizwa inyuma ku mwanya ntarengwa;
Muri iki cyiciro, imyitozo yo gukamura imitsi yoroshye no kuyihinduramo imbaraga ishobora gutangira, kandi imigozi ya rubber ishobora gukoreshwa mu myitozo mu cyiciro cya nyuma. Kongera imbaraga z'imitsi ushushanya imiterere y'inyuguti ukoresheje akaguru kawe ku gikoresho gifite imiterere myinshi. Iyo umaze kugera ku rugero ruhagije rwo kugenda.
Ushobora gutangira gukora imyitozo y’imitsi ibiri y’ingenzi yo gukamura ivi ry’inyana. Imyitozo yo gukamura ivi ry’inyuma hamwe no gukamura ivi kugeza kuri dogere 90 ishobora gutangira ibyumweru 6 nyuma yo kubagwa. Imyitozo yo gukamura ivi ry’inyuma hamwe no kugabanya ivi ishobora gutangira mu cyumweru cya 8.
Gusimbuka kw'ibimera bishobora kandi gukorwa muri iki cyiciro hakoreshejwe icyuma gipima ivi n'imashini ipfundika amaguru. Muri iki gihe, imyitozo ngororamubiri y'igare igomba gukorwa hakoreshejwe ikirenge cy'imbere, kandi ingano yayo ikagenda yiyongera buhoro buhoro. Gusimbuka inyuma ukoresheje icyuma gipima igare byongera uburyo bwo kugenzura amaguru y'ibimera. Aba barwayi bakunze kubona ko kugenda inyuma byoroshye kuko bigabanya gukenera kwitegura. Birashoboka kandi gutangiza imyitozo yo gutera intambwe imbere. Uburebure bw'intambwe bushobora kongerwa buhoro buhoro.
Kurambura imitsi mito hamwe n’uburinzi bw’akaguru (tendon ya Achilles irakura bitewe n’ububabare bushobora kwihanganirwa); amatsinda atatu y’imyitozo yo kuzenguruka imitsi irinda kugabanuka (idakora neza) (imyitozo yo kugabanya imitsi mu mitsi, imyitozo yo kugabanya imitsi mu mitsi); kuzamura amaguru (imyitozo yo kugabanya imitsi mu mitsi irinda kugabanuka); kuzamura amaguru ukoresheje amavi wicaye (imyitozo yo kugabanya imitsi mu mitsi irinda kugabanuka).
Shyigikira ibiro by'umubiri ku murongo kugira ngo wongere imyitozo yo kugenda; kora imyitozo yo kuzamura inyana + - EMG mu gihe uhagaze; kora imyitozo yo gusubiramo intambwe munsi y'umurongo wo kugenda; kora imyitozo yo gusubiramo imbaraga ukoresheje ikirenge (iminota 15); imyitozo yo kuringaniza (ikibaho cyo kuringaniza).
Ibyumweru 9-12: imyitozo yo kongera imbaraga mu gusimbuza inyana ihagaze; imyitozo yo kuzamura imbaraga mu gusimbuza inyana ihagaze (amano akora hasi, nibiba ngombwa, imitsi ishobora kongerwamo ingufu z'amashanyarazi); imyitozo yo kwiyumanganya mu gusimbuza amaguru mu gihe cyo kuruhuka (iminota 30); guterura ibirenge, imyitozo yo gusimbuza amaguru, buri ntambwe iri hagati ya santimetero 32, hamwe no kugenzura imiterere y'umubiri; kugenda imbere uzamuka umusozi, kugenda usubira inyuma umanuka umusozi; imyitozo yo kuringaniza trampoline.
Nyuma yo kugororwa
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Icyumweru cya 16: Imyitozo yo koroshya imikorere (Tai Chi); gahunda yo gukoresha imyitozo iratangira; imyitozo ya isometric y'ingingo nyinshi.
Amezi 6: Kugereranya amaguru yo hasi; ikizamini cy'imyitozo ngororamubiri ya isokinetic; inyigo yo gusesengura intambwe; kuzamura inyana y'ukuguru kumwe mu masegonda 30.
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Igihe cyo kohereza: Ugushyingo-25-2022
