Njira yophunzitsira kukonzanso kwa Agilles, ndiye kuti pabwino kwambiri kukonzanso.
Gawo loyamba atachitidwa opaleshoni
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Chitetezo ndi nthawi yochiritsa (masabata 1-6).
Zinthu zofunika kuti chisamaliro: 1. Pewani kutuluka kwa akisaton. 2. Bondo logwira liyenera kusinthidwa pa 90 °, ndipo anker dorsitOxlexion iyenera kungokhala osalowerera ndale (0 °); 3. Pewani compress compress; 4. Pewani kusaka kwa nthawi yayitali.
Kumayambiriro koyambirira komanso kukhazikika kotetezedwa ndi zomwe zili zofunikira kwambiri nthawi yoyamba postoperative. Chifukwa kuvala kulemera kolemetsa ndi kulimbikitsa kwa atupan tendon.
Odwala adalangizidwa kuti azigwirakugwiranaKuyenda tsiku lililonse, kuphatikizapo ankere dorsitOxlexion, kusinthasinthasintha kwa varicus, qualus, ndi rogus. ATKLE AKERLE dorsitOxion iyenera kukhala yocheperako mpaka 0 ° pa 90 ° ya bondo. Kuyenda molunjika ndikusungunuka kuyenera kupewedwa kuteteza machiritso amasungunuke pamondo kapena chotupa.
Wodwalayo akayamba tsankho kuchepetsedwa, masewera olimbitsa thupi a njinga amayambitsidwa nthawi imeneyi. Wodwalayo ayenera kuphunzitsidwa kuti azigwiritsa ntchito kumbuyo kwa phazi m'malo moyang'ana kuzungulira. Kusambitsa chilonda ndi kuwala kolumikizana kumatha kulimbikitsa machiritso ndikupewa zomatira zolumikizana ndi kuuma.
Mankhwala ozizira komanso kukwera kwa miyendo yomwe yakhudzidwayo imatha kuwongolera ululu ndi edema. Odwala ayenera kulangizidwa kuti akweze miyendo yomwe yakhudzidwayo momwe angathere tsiku lonse ndikupewa kukhala ndi kulemera kwa nthawi yayitali. Wodwalayo amathanso kulangizidwa kuti azigwiritsa ntchito ma phukusi a ice kangapo kwa mphindi 20 nthawi iliyonse.
Kugwiritsa ntchito chiuno cha m'chiuno ndi bondo kuyenera kugwiritsa ntchito njira yophunzitsira yopita patsogolo. Zolimbitsa thupi zotseguka ndi makina a isotonic zitha kugwiritsidwa ntchito ndi odwala omwe ali ndi thupi loletsedwa.
Njira mankhwala: Mukamagwiritsa ntchito ndodo ya axillary kapena nzimbe motsogozedwa ndi dokotala, valani kulemera pang'onopang'ono pansi pa nsapato zokhazikika ndi gudumu; yogwira inkle dorsifulexion / prerear flexion / varus / valgus; chovala chamasamba; Kumasulira kolumikizana; proxximal minofu yolimbitsa thupi; Therapy mankhwala; mankhwala ozizira.
Masabata 0-2: Master-a LAM SIMFISISTIONS, chidendene chosalowerera ndale; Kulemera pang'ono kulipidwa ndi ndodo ngati kuloledwa; Matenda a Ice + yakomweko / kuyika magnetic mankhwala; bondo flexion ndi chotetezera cha ankle chogwira ntchito flexion, varus, ma rugus; kukana Quadriceps, gluteal, m'chiuno zophunzitsira.
Masabata atatu: Chithandizo cha miyendo yayifupi kwambiri, thonje losalowerera ndale. Kuyenda pang'ono pang'onopang'ono kuyenda ndi ndodo; Wamabe wachangu + - wothandizidwa ndi phazi lamphamvu, phazi la vargus, chitsimikiziro cham'miyendo (+ - madioni oyenera); Imathandizira mayendedwe ang'onoang'ono a ankle (inrrital, helcalar, Tibaisalar) malo osalowerera; amakana quadriceps, gluteal, ndi makutu ophunzitsira.
Masabata anayi: Kuphunzitsa kwa ankle dorsiflexion; Kukaniza wogwira ntchito yogwira ntchito, varus, ndi Eursion ndi zingwe zotanulira za mphira; Kulemera pang'ono, kubereka Gait-iskinetic ponseponse maphunziro (> madigiri 30 / sec); Kutalikirana pang'ono kukana kutsika kwa chidendene.
Masabata 5: Chotsani mtanda wa ankle, ndipo odwala ena amatha kuphunzitsidwa zakunja; mwana wam'madzi wamimba kwezani; Kulemera pang'ono-kubereka Gait-iskinatic mogwirizana ndi madigiri 20-30 / yachiwiri); mipando yotsika ya chidendene. Kuyendetsa Maphunziro (Chitetezo Pakuchira).
Masabata 6: Odwala onse adachotsa ma braces ndipo adaphunzitsira kuyenda patali kwambiri; zachilendo Achilles Tendon kuwonjezera maphunziro ophunzirira; Kutsutsa kotsika (kungokhala) Kugwiritsa ntchito minofu yolimbitsa thupi (variction kukana, ralgus kukana) magulu awiri; Kuphunzitsa kwa miyendo imodzi (kumbali yathanzi --- kusintha komwe kumachitika pang'onopang'ono); Kusanthula kusanthula.
Njira zolimbikitsa: kupweteka ndi edema kumayendetsedwa; Kulemera kumatha kuchitika motsogozedwa ndi dokotala; Ankle dorsitlexion ifika mopanda malire; Kupanga kwa minofu yamphamvu kwambiri kumafikira grade 5/5.
Gawo lachiwiri pambuyo pa opaleshoni
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Mu gawo lachiwiri, panali zosintha zodziwikiratu muyezo wolemera, kuwonjezeka kwa mtundu wa miyendo yomwe yakhudzidwa ndi kupititsa patsogolo minofu.
Cholinga Choyambirira: Kubwezeretsanso mayendedwe oyenera a masewera olimbitsa thupi komanso kukwera masitepe. Bwezeretsani ankle dorsisyaion, varus, ndi valgus mphamvu wamba 5/5. Bweretsani.
Njira mankhwala:
Pakutetezedwa, imatha kuthana ndi mavuto okwanira ochita kulemera kwathunthu, ndipo imatha kuvula mitsinje pomwe palibe zowawa; Pansi pamadzi am'madzi oyeserera; Pad-nsapato chidendene chimathandizira kubwezeretsanso bwino. yogwira ankle dorsiflexion / prerear flexion / varus / valgus zolimbitsa thupi; Kuphunzitsa Kuchitapo; Isometric / isotonic mphamvu: Kusinja kwa Ankle / Valgus.
Zochita zoyambirira za neuronuscular komanso zophatikizira zopangira zolimbitsa thupi zothandizira kubwezeretsanso kwa proprioception, neuromuscular ndi bala. Momwe mphamvu ndi zokwanira zimabwezeretsedwa, njira yolimbitsa thupi imasinthanso kuchokera kumadera onse apansi ku UNatheatries. Kusaka kwa minofu, mankhwala othandizira, ndipo olimbikitsa ang'ono apitirizebe.
Masabata 7-8: Wodwalayo ayenera kuvala phokoso pansi pa chitetezo chakuti amalize ndi zokwanira za miyendoyo, kenako ndikuchotsa ndodo ndikuvala nsapato kuti adye bwino. Pad pad ikhoza kuyikidwa mu nsapato nthawi yosintha kuchoka pamapazi kupita ku nsapato.
Kutalika kwa chidendene kuyenera kuchepa monga momwe mayendedwe osiyanasiyana amalumikizira. Pamene wodwalayo abwerera kwabwino, chidendene cha chidendene chitha kuperekedwa.
Gait yabwinobwino ndi yofunika kuyenda popanda kugwera. Mapampu anle amaphatikizapo kusinthasintha kwa Breakixion ndi kuwonjezera Dorsi. Dorsiflexion imatanthawuza kuti zala zimabwezeretsedwa molimbika momwe zingathere, ndiye kuti phazi limasinthidwanso pamalire;
Pakadali pano, oyenda ofatsa komanso ofatsa a isometric mphamvu zolimbitsa thupi zimatha kuyamba, ndipo magulu a mphira amatha kugwiritsidwa ntchito pochita pambuyo pake. Pangani mphamvu ya minofu mwa kujambula mawonekedwe a zilembo ndi chotupa chanu pazida zingapo. Mukakhala ndi mayendedwe okwanira.
Mutha kuyamba kutsatira minofu iwiri yayikulu yosinthasintha magazini ya ng'ombe. Kusakanikirana kwa Breat Frandbion ndi bondo mpaka 90 ° kungayambike milungu 6 atachitidwa opaleshoni. Zochita zolimbitsa thupi zimachita masewera olimbitsa thupi ndi bondo yotalika zimatha kuyamba ndi sabata la 8.
Blabar Frixion imathanso kuchitidwa pakadali pano pogwiritsa ntchito chida cholumikizira bondo ndi makina ometa. Pakadali pano, kuchita njinga yokhazikika kuyenera kuchitika pansi, ndipo kuchuluka kwake kumawonjezeka pang'ono. Kubwerera m'mbuyo pamtunda wowonjezera ma eccentric prophur. Odwalawa nthawi zambiri amapeza kuti akuyenda momasuka chifukwa amachepetsa kufunika kotsatira. Ndikothekanso kubweretsa zolimbitsa thupi. Kutalika kwa masitepe kungawonjezere pang'onopang'ono.
Micro-squat yokhala ndi chitetezo cha ankle (a Achilles tendon imakwezedwa pansi pa zobvurira); Magulu atatu a kukana kwathunthu (kungokhala) Kuphunzitsa minofu (vartus kukana, kukana Valgus); Toe imadzutsa (kukana kwakukulu); Toe amadzuka ndi mawondo molunjika pamalo okhala (kukana kwamphamvu kwambiri kwa gastrobyrocnemius).
Thandizani kulemera kwa thupi pa bar yabwino kuti mulimbikitse maphunziro a kudziyimira pawokha; Wonjetsani mwana wa ng'ombe + - Emg kukondoweza pakuyimirira; Chitani maphunzitsidwe a Gait pansi pa treadmill; Chitani zopambana zophunzitsira ndi kutsogoloku (pafupifupi mphindi 15); Kuphunzitsa bwino (bolodi yoyenera).
Masabata 15: Masabata Oyimitsidwa Kuphunzitsa Kukula kwa Ngypops; Ngwazi za Seaght kwezani Kuphunzitsidwa (zala zakuti zimakhudza pansi, ngati kuli kotheka, kukondoweza kwa minofu kumatha kuwonjezeredwa); Kukonzanso forboat kukonzanso Kupirira (pafupifupi mphindi 30); Kukweza phazi, Kuphunzitsidwa Kwazolowera, Gawo lirilonse ndi mainchesi 12, ndi kuwongolera kosiyanasiyana komanso kowoneka bwino; kutsogolo kukwera, kutsika kotsika; Maphunziro oyenera.
Kukonzanso Pambuyo
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Sabata 16: Kugwiritsa ntchito kusinthasintha (tai chi); Pulogalamu yoyendetsa imayamba; maphunziro a zinthu zambiri.
Miyezi 6: Kuyerekeza ndi malekezero apansi; Isokineetic masewera olimbitsa; kuphunzira kusanthula kwa Gait; mwana wamkazi m'modzi wa miyendo amakweza masekondi 30.
Sichian cah
Whatsapp / wechat: +8615682071283
Email: liuyaoyao@medtechcah.com
Post Nthawi: Nov-25-2022
