Babban tsarin horo na gyaran gyare-gyare don tsagewar tendon Achilles, babban jigon gyaran shine: aminci na farko, motsa jiki na gyaran fuska bisa ga nasu ra'ayi.
Mataki na farko bayan tiyata
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Kariya da lokacin warkarwa (makonni 1-6).
Abubuwan da ke buƙatar kulawa: 1. Guji shimfiɗar jijiyar Achilles;2. Ya kamata a karkatar da gwiwa mai aiki a 90 °, kuma dorsiflexion idon idon ya kamata a iyakance zuwa matsayi mai tsaka-tsaki (0 °);3. Ka guje wa matsi mai zafi;4. Guji tsawaita sagging .
Motsin haɗin gwiwa na farko da ɗaukar nauyi mai kariya shine mafi mahimmancin abun ciki a farkon lokacin aiki.Domin ɗaukar nauyi da motsin haɗin gwiwa yana haɓaka warkarwa da ƙarfin jijiyar Achilles, kuma yana iya hana mummunan tasirin rashin motsi (misali, ɓarnawar tsoka, taurin haɗin gwiwa, cututtukan cututtukan cututtukan fata, samuwar adhesion, da zurfin thrombus na cerebral).
An umurci marasa lafiya da su yi aiki da yawahadin gwiwamotsi a kowace rana, gami da ƙwanƙolin idon sawu, jujjuyawar shuka, varus, da valgus.Ya kamata a iyakance ƙwanƙarar idon idon sawu zuwa 0° a 90° na jujjuyawar gwiwa.Ya kamata a guji motsin haɗin gwiwa mai wucewa da mikewa don kare jijiyar Achilles mai warkarwa daga wuce gona da iri ko tsagewa.
Lokacin da majiyyaci ya fara juzu'i zuwa cikakken ɗaukar nauyi, ana iya gabatar da atisayen bike na tsaye a wannan lokacin.Ya kamata a umurci majiyyaci ya yi amfani da bayan kafa maimakon ƙafar gaba lokacin hawan keke.Yin tausa da tabo da motsi na haɗin gwiwa na haske na iya inganta warkarwa da kuma hana haɗin haɗin gwiwa da taurin kai.
Maganin sanyi da haɓakar ƙwayar da aka shafa na iya sarrafa ciwo da edema.Ya kamata a umurci marasa lafiya da su ɗaga gaɓoɓin da abin ya shafa kamar yadda zai yiwu a cikin yini kuma su guji riƙe nauyin na tsawon lokaci.Hakanan ana iya ba majinyacin shawarar ya shafa fakitin kankara sau da yawa na mintuna 20 kowane lokaci.
Ayyukan motsa jiki na kusa da hip da gwiwa yakamata suyi amfani da tsarin horon juriya na ci gaba.Marasa lafiya tare da ƙuntataccen nauyi na iya amfani da motsa jiki na buɗaɗɗen sarkar da injunan isotonic.
Matakan jiyya: Lokacin amfani da sandar axillary ko sanda a ƙarƙashin jagorancin likita, sanya nauyin ci gaba a ƙarƙashin kafaffen takalma tare da dabaran;ƙwanƙwasawa mai aiki / jujjuyawar shuka / varus / valgus;tabo ta tausa;sassauta haɗin gwiwa;ayyukan ƙarfin tsoka na kusa;gyaran jiki ;maganin sanyi.
Makonni 0-2: Ƙunƙarar takalmin gyaran kafa na gajere, idon kafa a matsayi na tsaka tsaki;juzu'i mai ɗaukar nauyi tare da ƙugiya idan an jure;kankara + matsawa na gida / bugun jini magnetic far;ƙwanƙwasa gwiwa da kariyar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafa) Ƙwararrun tsire-tsire masu aiki, ɓarna, valgus;juriya quadriceps, gluteal, horo na sace hip.
Makonni 3: Taimakon gajeriyar ƙafa ba ya motsa, idon kafa a cikin tsaka tsaki.Tafiya mai ɗaukar nauyi na ci gaba tare da sanduna;mai aiki +- taimakon ƙafar ƙafar ƙafar ƙafar ƙafar ƙafar ƙafa, horo na valgus na ƙafa (+- horar da ma'auni);Yana haɓaka ƙananan ƙungiyoyin haɗin gwiwa (intertarsal, subtalar, tibiotalar) a cikin tsaka tsaki;yana tsayayya da quadriceps, gluteal, da horon satar hip.
Makonni 4: Horon dorsiflexion idon sawu mai aiki;juriya aiki juriya juriya na shuke-shuke, varus, da eversion tare da roba roba igiyoyi;wani ɓangare na horar da gait mai ɗaukar nauyi-isokinetic ƙananan horo na juriya (> 30 digiri / sec);babban zama low Resistance diddige gyara treadmill horo.
Makonni 5: Cire takalmin gyaran kafa, kuma wasu marasa lafiya na iya zuwa horo na waje;Kafa biyu maraƙi tada horo;wani ɓangare na horar da gait mai ɗaukar nauyi-isokinetic matsakaicin juriya horo (digiri 20-30 / na biyu);Ƙarƙashin wurin zama na gyaran ƙafar ƙafar ƙafa Horarwa;Koyarwar tuƙi (kariya lokacin dawowa).
Makonni 6: Duk marasa lafiya sun cire takalmin gyaran kafa kuma sun yi horo na tafiya a kan shimfidar wuri na waje;na al'ada Achilles tsawo horo a cikin wurin zama;ƙananan juriya (m) jujjuya ƙarfin ƙarfin tsoka (juriya na varus, juriya na valgus) ƙungiyoyi biyu;Horon daidaita ma'auni na ƙafa ɗaya (Ganin lafiya --- gefen da abin ya shafa a hankali yana canzawa);tafiya tafiya bincike.
Sharuɗɗan haɓakawa: ana sarrafa zafi da edema;Za a iya ɗaukar nauyin nauyi a ƙarƙashin jagorancin likita;ƙwanƙwasa idon ƙafa ya kai matsayi na tsaka tsaki;Ƙarfin tsokar ƙanƙara na kusa ya kai matsayi 5/5.
Mataki na biyu bayan tiyata
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A mataki na biyu, akwai canje-canje a bayyane a cikin nauyin nauyin nauyi, haɓakar ROM na ɓangaren da ya shafa da haɓaka ƙarfin tsoka.
Manufar farko: Don dawo da isassun kewayon motsi na aiki don tafiya ta al'ada da hawan matakala.Mayar da ƙwanƙarar idon idon sawu, ɓarna, da ƙarfin valgus zuwa matakin al'ada 5/5.Komawa tafiya al'ada.
Matakan jiyya:
Ƙarƙashin kariya, zai iya jure wa nauyin nauyi zuwa cikakken aikin motsa jiki, kuma zai iya cire kullun lokacin da babu ciwo;Ƙarƙashin ruwa tsarin motsa jiki yana yin tafiya;in-takalmi kushin diddige yana taimakawa wajen dawo da tafiya ta al'ada;ƙwanƙwasa idon sawu mai aiki / jujjuyawar shuka / ƙwayar cuta / valgus motsa jiki;horarwar da ta dace;Isometric / isotonic ƙarfin motsa jiki: jujjuyawar idon kafa / valgus.
Na farko neuromuscular da haɗin gwiwa kewayon motsa jiki na motsa jiki don haɓaka maido da ka'ida, neuromuscular da daidaituwa.Yayin da aka dawo da ƙarfi da ma'auni, tsarin motsa jiki kuma yana jujjuyawa daga ƙananan ƙafa biyu zuwa ƙananan ƙananan gefe.Tausar tabo, jiyya na jiki, da ƙananan haɗin gwiwa yakamata su ci gaba kamar yadda ake buƙata.
Makonni 7-8: Ya kamata majiyyaci ya fara sanya takalmin gyare-gyare a ƙarƙashin kariya na ƙugiya don kammala cikakken nauyin abin da ya shafa, sannan kuma ya kawar da kullun da kuma sanya takalma don ɗaukar nauyin nauyin.Za a iya sanya takalmin diddige a cikin takalmin yayin sauyawa daga takalmin ƙafar ƙafa zuwa takalmin.
Ya kamata tsayin takalmin diddige ya ragu yayin da kewayon motsi na haɗin gwiwa ya karu.Lokacin da tafiyar mai haƙuri ya dawo daidai, ana iya ba da kushin diddige da shi.
Tafiya ta al'ada shine sharadi don tafiya ba tare da sacewa ba.Famfunan ƙafar ƙafa sun haɗa da jujjuyawar ciyayi da tsawo na dorsi.Dorsiflexion yana nufin cewa yatsun kafa suna kama da baya kamar yadda zai yiwu, wato, an tilasta ƙafar komawa zuwa matsayi mai iyaka;
A wannan mataki, ana iya fara motsa jiki mai sauƙi da jujjuyawar ƙarfin tsoka na isometric, kuma ana iya amfani da igiyoyin roba don yin aiki a mataki na gaba.Gina ƙarfin tsoka ta hanyar zana siffar haruffa tare da idon sawun ku akan na'urar axis da yawa.Lokacin da isassun kewayon motsi ya samu.
Kuna iya fara aiwatar da manyan tsokoki guda biyu na jujjuyawar shuka na maraƙi.Ayyukan juriya na juriya na shuka tare da ƙwanƙwasa gwiwa zuwa 90 ° za a iya farawa makonni 6 bayan tiyata.Ana iya farawa da motsa jiki juriya juriya tare da mika gwiwa zuwa mako na 8.
Hakanan za'a iya aiwatar da jujjuyawar shuka a wannan matakin ta amfani da na'urar feda mai tsayin gwiwa da na'urar lankwasa ƙafafu.A wannan lokacin, ya kamata a gudanar da aikin motsa jiki da aka kafa tare da ƙafar ƙafar gaba, kuma a hankali ƙara yawan adadin.Tafiya na baya akan injin tuƙi yana haɓaka sarrafa jujjuyawar ciyayi.Wadannan marasa lafiya sukan sami tafiya a baya don jin dadi saboda yana rage buƙatar priming.Hakanan yana yiwuwa a gabatar da darussan mataki na gaba.Ana iya ƙara tsayin matakai a hankali.
Micro-squat tare da kariyar idon sawun (an shimfiɗa tendon Achilles a ƙarƙashin yanayin jin zafi mai jurewa);ƙungiyoyi uku na matsakaicin juriya (m) horar da tsoka na juyawa (juriya na varus, juriya na valgus);Yatsan ƙafa yana ɗagawa (babban juriya horo na tafin hannu);yatsan yatsa yana ɗaga gwiwa tare da gwiwoyi madaidaiciya a cikin wurin zama (koyan gastrocnemius mai girma juriya).
Taimakawa nauyin jiki akan ma'aunin ma'auni don ƙarfafa horon gait mai cin gashin kansa;yin horo na ɗamarar maraƙi + - Ƙarfafawar EMG a matsayi na tsaye;yi sake karatun tafiya a ƙarƙashin injin tuƙi;yi horon gyaran ƙafar ƙafar ƙafar ƙafa (kimanin mintuna 15);horar da ma'auni ( balance board).
9-12 makonni: tsaye maraƙi triceps tsawo horo;maraƙi na tsaye yana haɓaka horo na juriya (yatsun ƙafa suna taɓa ƙasa, idan ya cancanta, ana iya ƙara ƙarfin tsoka na lantarki);horon juriya na gyaran ƙafar ƙafar ƙafa (kimanin mintuna 30);ɗaga ƙafar ƙafa , Koyarwar gait ɗin saukarwa, kowane mataki yana da inci 12, tare da kulawa mai mahimmanci da eccentric;tafiya ta gaba zuwa sama, baya tafiya ƙasa;trampoline balance horo.
Bayan gyarawa
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Mako na 16: Koyarwar sassauci (Tai Chi);shirin farawa;Multi-point isometric horo.
Watanni 6: Kwatanta ƙananan ƙafafu;gwajin motsa jiki na isokinetic;nazarin nazarin gait;Maraƙin ƙafa ɗaya ya ɗaga don 30 seconds.
Sichuan CAH
WhatsApp/Wechat: +8615682071283
Email: liuyaoyao@medtechcah.com
Lokacin aikawa: Nuwamba-25-2022
