Mng'oma ndi Zowonongeka za Q Mu Akazi Othamanga

Phula lamtunduwu umagwirizanitsa ndi kupweteka kwa maondo ndi kuvulala m'maseŵera a amayi

Kodi ngodya ya Q ndi chiyani ndipo imathandiza bwanji kuvulaza masewera a amayi? Monga mkazi, pali kusiyana kwakukulu komwe kumayambitsa chiopsezo chachikulu cha masewera a masewera kusiyana ndi munthu amene akukumana nawo. Pepala lonse lomwe amayi amawayerekezera ndi amuna limakhala losavuta kubereka, koma ndi kusiyana ndi zotsatira pamene mukusewera masewera. Akatswiri ambiri azachipatala aphatikizapo mapepala ochulukirapo pamtunda waukulu wa "Q" (Quadriceps) Angle - pomwe mpweya (wam'mimba mwendo wa mafupa) umakumana ndi tibia (m'munsi mwa mafupa).

Mbali ya Q imayesedwa popanga mizere iwiri yokhala pakati: imodzi kuchokera pakati pa patella kupita kumtunda wapamwamba wamtali wa pelvis; ina kuchokera ku patella kupita ku tibial tubercle.

Kawirikawiri, mbaliyi ndi madigiri atatu oposa akazi (madigiri 17 madiresi poyerekeza ndi madigiri 14 a amuna). Zikuganiziridwa kuti malo owonjezereka amalowa amakhala opsinjika pambali pa mawondo, komanso akuwongolera kuwonjezeka kwa maonekedwe a amayi.

Kuvulala kwa Masewera a Akazi Kudaperekedwa ndi Angle ya Q

Ngakhale pangakhale zinthu zina zomwe zimayambitsa ngozi yowonongeka kwa othamanga akazi (mphamvu, luso, mahomoni, ndi zina zotero), chiwerengero cha Q chowonjezereka chikugwirizana ndi zotsatirazi:

• Matenda a Patellofemoral : F Q yaikulu imapangitsa quadriceps kukoka pa patella (kneecap) ndipo imayambitsa zovuta kutsatira patellar. Pakapita nthawi, izi zingayambitse kupweteka kwa bondo ndi kusalingana kwa minofu. Ululu umamveka pansi ndi kuzungulira mawondo. Othandizira ndi zitsulo zingakhale zotsimikizika.

• Chondromalacia ya Knee: Kuvala pansi pa kanyumba ka pansi pamtundu wa patella kumapangitsa kuti zifike pamtunda wa bondo. Chizindikiro chachikulu ndi ululu pansi ndi kuzungulira mawondo.
• Kuvulala kwa ACL: Azimayi ali ndi chiwerengero chokwanira cha kuvulala kwa ACL amuna . Mng'alu wa Q wowonjezereka umawoneka kuti ndi chinthu chimodzi chomwe chimachititsa kuti bondo lisakhale losasunthika komanso likhale ndi nkhawa.

Malangizo a Chithandizo kwa Akazi omwe ali ndi Mavuto Okhudzana ndi Angle

Orthotics: Mankhwala opangidwa ndi mwambo, amatha kusintha maonekedwe a Q ndi kuchepetsa kutchulidwa, osaika nkhawa paondo. Njira yosavuta yochepetsera Q pang'onopang'ono ndi kuchepetsa nkhawa pa bondo ndikuteteza katchulidwe kambiri ndi maatomu. Nsapato zowonongeka zimatha kusintha kayendetsedwe kake, koma chikhalidwe chodziwika bwino chidzaonetsetsa kuti zinthu zonse za phazi ndi miyendo ya mwendo ziwerengedwa ndikukonzedwa.

Kulimbitsa Zochita Kuchepetsa ACL Kuvulala kwa Akazi: Kuchepetsa kuvulala kwa ACL kwawonetsedwa ndi kukhazikitsidwa kwa pulogalamu ya ACL Yowononga Kuwopsa kwa amayi. Kulimbitsa vastus medialis obliquus kungathandizenso kuonjezera bata la bondo la amayi. Kulimbikitsanso kungapangitse kuganizira kwambiri za nthawi yotsutsana. Zochita zolimbitsa zamkati (monga masewera a pakhoma), zomwe zimapangidwira pang'onopang'ono madigiri 30, pakali pano akulimbikitsidwa.

Zochita Zolimbitsa : Kutambasula kwa minofu yolimba ndi kulimbikitsa malo ofooka kuyenera kuphatikizidwa. Mitundu yomwe imapezeka kuti ndi yolimba imaphatikizapo quadriceps, hamstrings, bandoti ndi bandastro.

_Zotsatira:

_{Naslund J, et al. Kuyerekezera zizindikiro ndi zofukufuku zamagulu m'magulu a anthu omwe ali ndi ululu wa patellofemoral. Physiotherapy Theory & Practice, June 2006}

_{Loudon JK, et al. Kugwirizana pakati pa kuima kwa static ndi kuvulazidwa kwa ACL kwa atsikana achikazi . Journal of Orthopedic Sports Physical Therapy 1996.}

_{Fredericson M, et al. Kuyezetsa thupi ndi matenda a patellofemoral. American Journal of Physical Medicine ndi Rehab. March 2006.}

_{Kuhn DR, et al. Kusintha kanthawi kochepa pa quadriceps femoris mbali pambuyo kuika chipangizo chamaganizo. Journal of Manpulative ndi Physiological Therapeutics. Septemba 2002}