Kukosha kweKuongorora Kutevera muPhysiotherapy
Mukurapa kwemuviri, kuongororwa ndiko kunonyanya kukosha pakunzwisisa mamiriro emurwere uye kuona nzira dzakakodzera dzekurapa. Zvisinei, kuongororwa hakugumiri pachikamu chekutanga. Nyaya dzakawanda dzinoda kuongororwa kwekutevera—maitiro ekuongorora akarongwa, anodzokororwa anoitwa pamisangano inotevera kuti vatarise kufambira mberi, vaongorore mhinduro yekurapa, uye vagadzirise hurongwa hwekurapa. Kuongororwa kwekutevera kunoona kana kurapwa kuchishanda, kwakachengeteka, uye kwakagadzirirwa zvinodiwa nemurwere, izvo zvinogona kuchinja nekufamba kwenguva.
Kunzwisisa pfungwa yekuongorora kwepamusoro
Kuongorora kwekutevera inzira yekuunganidza ruzivo rwekiriniki nguva nenguva mushure mekuongorora kwekutanga. Chinangwa hachisi chekungo "dzokorora kuongororwa," asi ndechekuona shanduko muchirwere nenzira chaiyo uye nenzira yekuzvifungira. Mukurapa muviri, shanduko idzi dzinogona kuitika nekukurumidza kana zvishoma nezvishoma zvichienderana nekuongororwa, zera, huwandu hwekuita, kutevedzera maekisesaizi, zvirwere zvinosangana nazvo, uye zvinhu zvepfungwa.
Ongororo yekutevera inowanzo sanganisira ongororo yenyunyuto huru, nhoroondo yezviratidzo kubva pamusangano wekupedzisira, uye ongororo yekurwadziwa, mashandiro, mafambiro emuviri, simba remhasuru, kudzora mafambiro emuviri, kuenzana, kugona kushanda, uye mhando yekufamba. Mune zvimwe zviitiko, chiremba we physiotherapist anogonawo kuongorora mamiriro ekufema, etsinga dzetsinga, kana emwoyo sezvinodiwa. Saka, ongororo yekutevera inoshanda segwara rinobatsira chiremba we physiotherapist kufamba zvakanaka uye kudzivirira matambudziko.
Pima kufambira mberi nenzira yakatwasuka uye inoyera
Chimwe chezvikonzero zvikuru zvinoita kuti kuongororwa kwekutevera kuonekwe kwakakosha zvikuru kugona kwavo kuyera kufambira mberi. Pasina kuyera kwakaringana, kurapwa kunowedzera njodzi yekuvakirwa pakufungidzira—semuenzaniso, kufungidzira kuti murwere ari kuvandudzika nekuti kurwadziwa kwake kwaderera, asi kutaura chokwadi, kufamba kwake hakuna kudzoka kana kuti mari inokuvadza yabuda.
Kuyera kufambira mberi zvakanaka kushandisa ma parameter anogona kudzokororwa uye kuenzaniswa nekufamba kwenguva, akadai se marwadzo (semuenzaniso, Numerical Rating Scale), range of motion (ROM) ne goniometer, tsandanyama dzakaongororwa, nguva yekufamba, kana mibvunzo inoshanda senge Oswestry Disability Index yekurwadziwa kwemusana uri pasi. Ruzivo urwu runobatsira kuongorora kana kupindira kuri kuunza shanduko dzine revo chaiyo, pane kungova shanduko dzisinganzwisisike mumabasa ezuva nezuva.
Gadzirisa zvirongwa zvekurapa zvine simba
Mamiriro emurwere haawanzo enderana nemamiriro ezvinhu. Pane matanho ekuvandudzika, kudzikira, uye kutowedzera kuipa nekuda kwekushanda nesimba zvakanyanya, kukuvarazve, kushushikana, kushaya hope, kana zvimwe zvinhu zviri kunze kwekiriniki. Apa ndipo panotanga kuongororwa kuti pave nechokwadi chekuti chirongwa chekurapa chinoramba chakakosha.
Semuenzaniso, muvarwere mushure mekuvhiyiwa kwemarunda emabvi, chinangwa chekutanga chingave chekuderedza kuzvimba uye kudzoreredza kufamba kwemuviri. Zvisinei, mushure memavhiki mashoma, chinangwa chinofanira kuchinjirwa pakusimbisa muviri, kudzidziswa kwepropriocept, uye maekisesaizi anoshanda anotevedzera mitambo. Pasina kuongororwa kwakawanda, chiremba wephysiotherapist anogona kuramba achiita maekisesaizi epakutanga kwenguva yakareba kana kuwedzera simba nekukurumidza, izvo zvinogona kukonzera marwadzo nekuzvimba.
Kuongororwa kwekutevera kunobatsirawo kuona kuti dzimwe nzira dzinofanira kuderedzwa kana kuregwa riini, kuti maekisesaizi anofanira kuchinjwa uye kudzoserwa mutoro riini, uye kuti murwere agadzirira chirongwa chemuviri wake kana kuti kudzokera kubasa nekuekisesaiza riini.
Chengetedza kuchengetedzeka uye ona zviratidzo zvengozi
Mukurapa kwemuviri, kuchengetedzeka kwemurwere ndiko kunonyanya kukosheswa. Kuongororwa kwekutevera kunobatsira vanachiremba vekurapa muviri kuti vaongorore zviratidzo kana matambudziko. Semuenzaniso, kurwadziwa kunowedzera kusingatsananguriki, kurwadza kunowedzera, kushaya simba kunoramba kuchiitika, dzungu rinodzokororwa panguva yekurovedza muviri, kufema kushoma, kuzvimba kwakawedzera, kana zviratidzo zvinoratidza zvirwere zvisiri zvetsandanyama.
Kuburikidza neongororo dzekutevera, vanachiremba vemuviri vanogona kugadzirisa nekukurumidza simba rekurovedza muviri, kuchinja nzira dzekurapa, kana kutumira varwere kuna chiremba kana paine imwe ongororo. Nemamwe mashoko, ongororo dzekutevera hadzingoshandi chete pakutevera kufambira mberi asiwo kudzivirira njodzi.
Kusimbisa kutaurirana nekushandira pamwe nevarwere
Kushanda zvakanaka kwekurovedza muviri kunoda kuti murwere atore chikamu. Kuongororwa kwekutevera kunopa hurukuro: kuti murwere akanzwa sei mushure mechikamu chekare, kuti ndeapi maekisesaizi aibatsira, kuti ndeapi mabasa anoramba akaoma, uye kuti ndeapi matambudziko anotadzisa maekisesaizi kumba. Ruzivo urwu rwakakosha nekuti kubudirira kwekurapa kunowanzoenderana nekutevedzera zvirongwa zveekisesaizi kumba uye kugadzirisa maekisesaizi.
Pamusoro pezvo, varwere pavanoona kufambira mberi kunooneka—semuenzaniso, kurwadziwa kuchiderera kubva pa7 kusvika pa3, kufamba kunowedzera nemadhigirii gumi nemashanu, kana nguva pagumbo rimwe ichiwedzera—kukurudzira kwavo uye kuvimba kwavo muchirongwa kunowanzowedzera. Kuongororwa kwekutevera kunoita kuti zvinangwa zvekurapa zvive pachena uye zvechokwadi, zvichibvumira varwere kunzwa vachibatanidzwa, kwete kungo "gamuchira kurapwa."
Kubatsira pakuita sarudzo dzekiriniki dzakavakirwa pauchapupu
Kuongororwa kwekutevera kunoenderana nemisimboti yekurapa kwakavakirwa pauchapupu, iyo inosanganisa humbowo hwesainzi, hunyanzvi hwekiriniki, uye zvinodiwa nemurwere. Kana chiremba wezvekurapa achitarisa mhedzisiro yekupindira kwakati, anogona kuongorora kana nzira yacho ichishanda kumurwere iyeye. Ruzivo rwemhedzisiro runopa hwaro hwekuchengetedza, kushandura, kana kuwedzera nzira dzekurapa.
Semuenzaniso, kana kurovedza muviri kwakasimba kuchiwedzera marwadzo nguva dzose, nyanzvi yekurovedza muviri inogona kuongorora nzira, chiyero, kana kusarudza imwe nzira yakakodzera yekurovedza muviri. Kusiyana neizvi, kana kufamba kwemajoini kuchiratidza kuwedzera kweROM uye kudzikira kwemarwadzo, kupindira kunogona kuenderera mberi kana kuwedzerwa zvishoma nezvishoma. Sarudzo idzi dzinonyanya kutungamirirwa nekuongorora kwakanyatsotevera.
Magwaro, pamutemo, uye mwero wemhando yebasa
Mukurapa, magwaro haasi kungonyora chete. Ongororo dzakanyorwa zvakanaka dzinoratidza kuti nyanzvi yekurapa muviri iri kutevedzera maitiro ekurapa akajairika: kuongorora, kuronga, kuita, kuongorora, uye kugadzirisa zvirongwa. Magwaro aya akakosha kuti kutarisirwa kurambe kuripo—semuenzaniso, kana murwere akaonekwa nemumwe nyanzvi yekurapa muviri, kana kana kutaurirana nachiremba, mukoti, kana nyanzvi yezvekudya kuchidikanwa.
Uyezve, zvinyorwa zvekuongorora zvinotevera zvinogona kushanda sehumbowo hwehunyanzvi uye kuzvidavirira. Munyaya dzeinishuwarenzi kana dzemari, ruzivo rwekufambira mberi runowanzo diwa kutsigira kudiwa kwekurapwa kwekutevera kana kutsigira zvirongwa zvekurapwa.
Mienzaniso yekushandiswa kweongororo yepamusoro muzviitiko zvakajairika
Kune varwere vane kurwadziwa kwemutsipa nekuda kwechimiro chebasa, kuongororwa kwekutevera kunogona kusanganisira kuchinja kwehukuru hwekurwadziwa, kuwanda kwemusoro, kushivirira kugara pakombiyuta, kuongororwa kwe ergonomic, uye kutevedzera maekisesaizi ekutambanudza. Kana murwere akavandudzika asi kurwadziwa kwacho kuchidzoka masikati ega ega, kuongororwa kwekutevera kunogona kusanganisira kugadziriswa kwebasa, maekisesaizi ekusimbisa scapular, kana kudzidza microbreak.
Muvarwere vane sitiroko, kuongororwa kwekutevera kwakakosha kuti vaongorore kugona kwavo kushanda zvakanaka kwakadai sekuchinjisa mubhedha kubva pachigaro kuenda pamubhedha, kumira zvakanaka, kufamba zvakanaka, uye kushandisa zvishandiso zvekubatsira. Kuchinja kudiki kubva vhiki kuenda vhiki kunogona kuva zviratidzo zvakakosha zvekugadzirisa maekisesaizi kana kuona chinangwa chinotevera chekupora.
Penutup
Kuongororwa kwekutevera mu physiotherapy hakusi mabasa ekusarudza, asi chinhu chikuru chekugadzirisa kwakachengeteka uye kunoshanda. Nekuongorora kwekutevera, vanachiremba ve physiotherapists vanogona kutarisa kufambira mberi, kugadzirisa zvirongwa zvekurapa zvine simba, kuchengetedza kuchengetedzeka kwemurwere, kusimbisa kutaurirana, uye kuita sarudzo dzekiriniki dzine ruzivo rwakawanda. Pakupedzisira, kuongororwa kwekutevera kunobatsira kuona kuti chidzidzo chega chega che physiotherapy chinonyatsounza varwere pedyo nezvinangwa zvavo: kuderedza marwadzo, kuvandudza mashandiro emuviri, uye kudzokera kumabasa ane hupenyu huri nani.
