A pepvirus yakawanda inobatanidzwa nemarwadzo emabvi uye kukuvara mumitambo yevakadzi
Ndeipi iyo maonero eE uye inobatsira sei kuipa kwepamuviri kwevakadzi? Semukadzi, pane maitiro ezvinyorwa zvinokonzerwa nehuwandu hwemimwe mitambo yepamitambo kupfuura munhu anotarisana naye. Izvo zvizere mapevisiti izvo vakadzi vakazvienzanisa nevarume zvinoita kuti zvive nyore kubereka, asi zvakasiyana nemigumisiro paunenge uchitamba mitambo. Nyanzvi dzakawanda dzemishonga dzemasikirwo dzakabatanidza mapepa akawanda kusvika ku "Q" yakakura (Quadriceps) Angle - iyo yakareba iyo femur (kumusoro kwegumbo bone) inosangana ne tibia (pasi petsoka refu).
Nzira yekuti Q inoyerwa nekusika miviri miviri yekupindira: imwe kubva pakati pe patella kusvika kune anterior-yakakwirira yeacac musana wemapapu; imwe yacho kubva patella kusvika kuTibbial tubercle.
Pakati pevhesi, iyi maonero madhigirii matatu evakadzi kupfuura varume (17 degrees avareji yevakadzi vachifananidza ne 14 degrees for men). Inofungidzirwa kuti iyi yakawedzera maona nzvimbo dzinowedzera kudzvinyirira pamabvi akabatanidzwa, uyewo kutungamira kuwedzera kududzirwa kwezvishoma kuvakadzi.
Kuipa Kwemitambo Yevakadzi Kumanikidzwa neC Angle
Nepo pangave kune zvimwe zvikonzero zvinoita kuti pave nehuwandu hwekukuvadzwa nevatambi vechikadzi (simba, unyanzvi, mahomoni, nezvimwewo), kuwedzera kweEng angle kwakabatanidzwa kune zvinotevera:
- Patellofemoral pain syndrome : Nhamba yepamusoro yeE Q inokonzera kuti quadriceps idonhe pa patella (kneecap) uye inotungamirira kumatambudziko ekutsvaga patellar. Nokufamba kwenguva, izvi zvinogona kukonzera marwa kurwadziwa uye kusagadzikana kwemaviri. Marwadzo anonzwika pasi uye akapoteredza bhedecapap. Orthotics uye arch zvinotsigira zvinogona kukurudzirwa.
- Chondromalacia yeKnee: Uku kuvhara pasi kwetikititi pasi pepalella kunotungamirira kukura kwezvinhu zvepamusoro zvemabvi. Chiratidzo chikuru chinorwadziwa pasi uye uye chakakomberedza bhedecap.
- Kukuvara kweAACL: Vakadzi vane zvikwereti zvakakwirira zveAlL kukuvara kwevarume . Kuwedzera kweC Q yakaonekwa sechimwe chikonzero chinoita kuti mabvi ave asina kugadzikana uye pasi pekunetseka.
Mazano Okurapwa Kwevakadzi neK Maererano Nekukuvadza kweAngle
Orthotics: Maitiro akaitwa, maitiro anogadziriswa anochera maonero eE uye achideredza kududzira, kusanyanya kudzvinyirira pamabvi. Nzira yakareruka yekuderedza Q yakakwirira uye kuderedza kushungurudzwa pamabvi ndeyokudzivirira kutaura kwakanyanya nematope. Kutevedza zvishongo zvesimba kunogona kugadzirisa kukwirira kwepamusoro, asi tsika yemitambo ichaita kuti zvose zvikamu zvegumbo nemakumbo zvine simba zviverengwe uye zvigadziriswe.
Kusimbisa Maitiro Okuderedza ACL Kukuvara Kwevakadzi: Kudzikunurwa mukukuvara kweAACL kwakaonekwa nekushandiswa kweAlL Injury Prevention program yakagadzirirwa vakadzi. Kusimbisa simba rekuruus medialis obliquus kunogonawo kubatsira kuwedzera kusimba kwemavi akabatanidzwa kuvakadzi. Kusimbisa kunogona kushanda zvakananga pamusoro penguva yezvisungo zvinopesana. Yakavharwa-ketani maitiro (akadai serusvingo squats), yakaitwa chete kusvika pamasendimita makumi matatu emaviri, ikozvino inokurudzirwa.
Kutarisa Zvidzidzo : Kutengesa kwemisungo yakasimba uye kusimbisa nzvimbo isina simba kunofanira kuiswa. Misumbu inowanikwa yakaoma inosanganisira quadriceps, hamstrings, iriotibial band uye gastrocnemius.
Sources:
Naslund J, et al. Kuenzanisa kwezviratidzo uye kuongororwa kwechiremba mune zvikamu zvevanhu vane kurwadza kwepellofemoral. Physiotherapy Theory & Practice, June 2006
Loudon JK, et al. Ukama huripo pakati pekusimudzira uye kutyiswa kweAAC muvakadzi vatambi . Nyaya yeOrpedpedic Sports Physical Therapy 1996.
Fredericson M, et al. Kuongorora mumuviri uye patellofemoral pain syndrome. American Journal of Physical Medicine uye Rehab. March 2006.
Kuhn DR, et al. Kushandurwa kwakananga mu quadriceps femoris angle mushure mekuiswa kwechigadzirwa chechimiro. Nyaya yeManpulative uye Physiological Therapeutics. Septemba 2002