Clinical Kushandisa kweMuscle Strength Training
Kudzidziswa kwesimba retsandanyama kwakakamurwa kuita Level 0, level 1, level 2, level 3, level 4 uye pamusoro.
Level 0
Level 0 mhasuru simba kudzidziswa kunosanganisira passive kudzidziswa uye electrotherapy
1. Kudzidzira kungoita
Varapi vanobata tsandanyama yekudzidzira nemaoko kuita kuti varwere vatarise chikamu chekudzidziswa.
Varwere 'zvisina kurongeka kufamba kunogona kupesvedzerwa kuburikidza nekufamba-famba, kuitira kuti vagone kunzwa mhasuru kufamba chaiko.
Usati wadzidzira rutivi rwekusagadzikana, zadzisa chiito chimwechete kune rumwe rutivi rwehutano, kuitira kuti murwere awane nzira uye chiito chakakosha chekuputika kwemisumbu.
Kufamba-famba kunogona kubatsira kuchengetedza hurefu hwemuviri wemhasuru, kunatsiridza kutenderera kweropa, kumutsa hunyanzvi hwekukurudzira kunzwa kwemota, uye mufambiro kuCNS.
2. Electrotherapy
Neuromuscular magetsi stimulation, NMES, inozivikanwawo se electro gymnastic therapy;
EMG Biofeedback: shandura myoelectric shanduko yekuputika kwemhasuru uye kuzorora kuita zviratidzo zvekunzwa uye zvinoonekwa, kuitira kuti varwere vagone "kunzwa" uye "kuona" kuderera kuduku kwemisungo.
Level 1
Level 1 kudzidziswa simba remhasuru kunosanganisira electrotherapy, kushingaira-kubatsira kufamba, kushingaira kufamba (muscle isometric contraction).
Level 2
Level 2 kudzidziswa kwesimba remhasuru kunosanganisira kushingaira-kubatsira kufamba (ruoko runobatsira kushingaira kufamba uye kumiswa kunobatsira kufamba kunoshingaira) uye kufamba kunoshingaira (kuremedza kudzidzisa uye kurapa kwemvura).
Level 3
Level 3 kudzidziswa kwesimba remhasuru kunosanganisira kushingaira kufamba uye kuramba kufamba kurwisa simba rinokwevera mitezo.
Mafambiro anopikisa simba rinokwevera maoko nemaoko ndeaya anotevera:
Gluteus maximus: varwere vakarara munzvimbo yakagadzikana, varapi vanogadzirisa pelvis yavo kuti vatambe mahudyu avo zvakanyanya sezvinobvira.
Gluteus medius: varwere vakarara nerutivi rumwe vane kusagadzikana kwegumbo rezasi pamusoro pedivi rine hutano, murapi akagadzirisa chiuno chavo uye anoita kuti vatore majoini ehudyu zvakanyanya sezvavanogona.
Anterior deltoid muscle: varwere vari munzvimbo yekugara nemakumbo avo epamusoro achingorembera uye zvanza zvavo zvakatarisana nepasi, kuchinjika kwepfudzi.
Level 4 uye Pamusoro
Tsandanyama kudzidziswa kwedanho rechina uye pamusoro kunosanganisira kudzidziswa kwemaharahand resistance inoshanda kudzidziswa, midziyo inobatsira kuramba inoshanda kudzidziswa, uye isokinetic kudzidziswa.Pakati pavo, iyo freehand resistance active training inowanzoshanda kune varwere vane tsandanyama simba level 4. Nemhaka yokuti simba remhasuru dzevarwere harina simba, varapi vanogona kugadzirisa kushorwa chero nguva zvakakodzera.
Chii Chingaitwa Kusimba Kwetsandanyama?
1) Dzivirira kusashandisa tsandanyama atrophy, kunyanya mushure mekugara kwenguva refu kwemakumbo nemakumbo.
2) Chengetedza reflex inhibition ye atrophy yepinal cord anterior nyanga masero anokonzerwa nemarwadzo panguva yekukuvara kwemakumbo uye kuzvimba.Kurudzira kudzoreredzwa kwesimba remhasuru mushure mekukuvara kwetsinga.
3) Batsira kuchengetedza basa rekuzorora kwemhasuru uye chibvumirano mu myopathy.
4) Simbisa mhasuru dzehunde, gadzirisa kuenzana kwemhasuru dzemudumbu uye musana kumashure kuti uvandudze kurongeka uye kushushikana kwemusana, kuwedzera kugadzikana kwemusana, semhedzisiro, kudzivirira cervical spondylosis uye akasiyana-siyana ezasi kurwadziwa shure.
5) Kuvandudza simba remhasuru, kuvandudza kuenzana kwemhasuru dzinopikisa, uye kusimbisa kusimba kwesimba rejoini kudzivirira kuparara kwekuchinja kwejoini inotakura mutoro.
6) Simbisa kudzidziswa kweabdominal uye pelvic pasi tsandanyama zvakakosha mukudzivirira nekurapa visceral sagging nekuvandudza kufema uye kugaya mabasa.
Chengetedzo Yekudzidziswa Kwesimba Kwetsandanyama
Sarudza nzira yekudzidzisa yakakodzera
Mhedzisiro yekusimudzira simba remhasuru inoenderana nemaitiro ekudzidzira.Ongorora huwandu hwemajoini hwekufamba uye simba remhasuru usati wadzidziswa, sarudza nzira yakakodzera yekudzidzira zvinoenderana nedanho resimba remhasuru nekuda kwekuchengetedza.
Dzora kuwanda kwekudzidziswa
Zviri nani kuti urege kunzwa kuneta uye kurwadziwa zuva rinotevera mushure mekudzidziswa.
Zvinoenderana nemurwere ruzhinji mamiriro (kusimba kwemuviri uye simba) uye mamiriro emunharaunda (joint ROM uye tsandanyama simba) kusarudza nzira yekudzidzira.Tora kurovedza 1-2 nguva pazuva, 20-30 maminitsi nguva imwe neimwe, kudzidziswa mumapoka isarudzo yakanaka, uye varwere vanogona kuzorora 1 kusvika 2 maminetsi panguva yekudzidziswa.Pamusoro pezvo, ipfungwa yehungwaru kusanganisa kudzidziswa kwesimba remhasuru nemamwe kurapa kwakazara.
Resistance application uye kugadzirisa
Aya makuru anotevera anofanirwa kucherechedzwa kana uchinyorera uye kugadzirisa kuramba:
Kupikisa kunowanzowedzerwa kunzvimbo yekubatanidza ye distal muscle inoda kusimbiswa.
Kana uchiwedzera simba re anterior deltoid muscle fiber, kuramba kunofanira kuwedzerwa kune distal humerus.
Kana simba retsandanyama risina simba, kuramba kunogonawo kuwedzerwa kumagumo ekupedzisira emusana wekubatanidza nzvimbo.
Nhungamiro yekupikisa inopesana nekutungamira kwekubatana kwekubatana kunokonzerwa nekuputika kwemhasuru.
Kupikisa kunoshandiswa nguva imwe neimwe kunofanira kugadzikana uye hakufaniri kuchinja zvakanyanya.
Nguva yekutumira: Jun-22-2020