Inqubo ejwayelekile yokuqeqeshwa kabusha kokuvuselela kabusha kwe-Achilles Tendon Quarture, isisekelo esikhulu sokuvuselela yilena: ukuphepha okokuqala, ukuvivinya umzimba ngokusho kwabo ukubonwa kwabo.
Isigaba sokuqala ngemuva kokuhlinzwa
...
Isikhathi sokuvikela nokuphulukisa (amasonto 1-6).
Izindaba ezidinga ukunakwa: 1. Gwema ukwelulwa kwezinyawo ze-Achilles; 2. Idolo elisebenzayo kufanele liguqulwe ku-90 °, futhi i-ankle dorsiflexion kufanele ikhawulelwe endaweni yokungathathi hlangothi (0 °); 3. Gwema ama-compress ashisayo; 4. Gwema ukugcwala okuhlala isikhathi eside.
Ukuhamba okuhlangene ngokuhlanganyela nokuvikelwa kwesisindo okuvikelwe kungukuqukethwe okubaluleke kakhulu esikhathini sokuqala se-postoperative. Ngoba isisindo sokuthwala kanye nokuhlangana okuhlangene kukhuthaza ukuphulukiswa namandla e-achilles tendon, futhi kungavimbela imiphumela emibi yokungasebenzi kahle (isib.
Iziguli zayalwa ukuba zenze ama-anther ambalwaindawo yokuhlanganaUkunyakaza ngosuku, kufaka phakathi i-ankle dorsiflexion, i-plantar flexion, i-varus, ne-VALGUS. I-ankle doriflexion esebenzayo kufanele ikhawulelwe ku-0 ° ku-90 ° of Flee Flexion. Ukunyakaza okuhlangene nokungenayo futhi ukwelula kufanele kugwenywe ukuvikela i-tendon yokuphulukisa ye-Achilles kusuka ku-Overstretching noma ukugqabhuka.
Lapho isiguli siqala ngokwengxenye ukuthwala isisindo esigcwele, izivivinyo zebhayisekili ezimile zingalethwa ngalesi sikhathi. Isiguli kufanele sifundiswe ukuthi sisebenzise umhlane wonyawo esikhundleni sonyawo lwangaphambili lapho luhamba ngamabhayisekili. Ukulimaza isikhafu nokukhanya okuhlangene kungakhuthaza ukwelashwa nokuvimbela ukunamathela ngokuhlanganyela nokuqina.
Ukwelashwa okubandayo nokuphakanyiswa komlenze othintekile kungalawula izinhlungu ne-edema. Iziguli kufanele ziyelwe ukuba ziphakamise umlenze othintekile ngangokunokwenzeka usuku lonke futhi zigweme ukubamba isisindo isikhathi eside. Isiguli singase selulekwe ukuthi sisebenzise amaphakethe eqhwa amahlandla ambalwa imizuzu engama-20 isikhathi ngasinye.
Ukuzivocavoca kwe-proximal hip ne-knee kufanele usebenzise irejimeni yokuqinisekiswa okuqhubekayo. Ukuzivocavoca okuvulekile kanye nemishini ye-isotonic kungasetshenziswa yiziguli ezinomkhawulo wesisindo esinqunyelwe.
Izindlela zokwelapha: Lapho usebenzisa induku ye-axillary noma umhlanga ngaphansi kokuholwa ngudokotela, thwala umthwalo oqhubekayo othwala ngaphansi kwamabhuzu amisiwe ngesondo; I-ankle dordiflexion / Flantar Flexion / Varus / Valgus; ukucula kwesisindo; Ukuhlangane okuhlangene; Ukuzivocavoca Amandla Wemikhuba Yezicubu zomzimba; ukwelashwa ngokomzimba; ukwelashwa okubandayo.
Amaviki 0-2: Ukungathathi hlangothi komzimba isisindo esiyingxenye enomshini uma kubekezelelwa; I-Ice + Compression / Pulse Therapy kazibuthe; I-Knee Flexion kanye nokuvikelwa kwe-ankle Ukuvikelwa okusebenzayo kwe-plantar, Varus, Valgus; Ukumelana Quadriceps, i-Glutal, ukuqeqeshwa kwe-hip ukuthutha.
Amaviki ama-3: Ukuxhaswa okufushane komlenze kungasebenzi, i-ankle esimweni sokungathathi hlangothi. Ukuhamba okuthuthukayo okuhambisana nokuhamba ngezinsimbi; I-Active + - I-Ankle Plantar Flexion / Foot Varus, ukuqeqeshwa kwe-Valgus Foot (+ - Ukuqeqeshwa kweBlear Board); Ukusheshisa ukunyakaza okuncane kokuhlangana kwe-ankle (okuphakathi nendawo, i-subtalar, i-tibiotalar) ngesikhundla sokungathathi hlangothi; Imelana nama-Quadriceps, ukuqeqeshwa okunephunduyo, kanye nokuqeqeshwa kwe-hip.
Amaviki 4: Ukuqeqeshwa okusebenzayo kwe-ankle dorsiflexion; Ukumelana nezitshalo ezisebenzayo zokutshala, i-varus, kanye nokushintshana ngezintambo zenjoloba zenjoloba; ukuqeqeshwa okulinganiselwe kwesisindo se-gait-i-isokinetic ukuqeqeshwa okuphansi okuphansi (> ama-30 degrees / sec); ephakeme kakhulu ukumelana nokuphikiswa okuphansi Heel Reftivation Treadmill ukuqeqeshwa.
Amaviki awu-5: Susa i-ankle brace, futhi ezinye iziguli zingaya ekuqeqeshweni kwangaphandle; I-Double Leg CACF Khuphula ukuqeqeshwa; ukuqeqeshwa okulinganiselwe kwesisindo se-gait ukuqeqeshwa okulinganiselwe ukuqeqeshwa ngokulinganisela (ama-degrees angama-20-30 / wesibili); Isithende esisezingeni eliphansi se-Heel Rec reflill ukuqeqeshwa; Ukuqeqeshwa okushayela (ukuvikela ngesikhathi sokululama).
Amaviki ayi-6: Zonke iziguli zisuse ama-brace futhi zenza ukuqeqeshwa kokuhamba endaweni yangaphandle ephansi; ukuqeqeshwa okujwayelekile kwe-achilles tendon endaweni yokuhlala; ukuqeqeshwa okuphansi (okungenamqondo) ukuguquguquka kwemisipha yokuqina kwemisipha (ukumelana kweVarus, ukumelana ne-valgus) amaqembu amabili; Ukuqeqeshwa okulinganiselwe okukodwa (uhlangothi olunempilo --- uhlangothi oluthintekile kancane kancane kancane); Ukuhamba kahle kwe-gait.
Inqubo yokukhuthaza: Ubuhlungu kanye ne-edema bayalawulwa; Ukuthwala isisindo kungenziwa ngaphansi kokuholwa ngudokotela; I-Ankle dorsiflexion ifinyelela endaweni yokungathathi hlangothi; Amandla we-Proximal aphansi wemisipha efinyelela ebangeni 5/5.
Isigaba sesibili ngemuva kokuhlinzwa
...
Esigabeni sesibili, bekukhona ushintsho olusobala ngezinga lokuthwala isisindo, ukwanda kwe-ROM yemlenzeni othintekile kanye nokuthuthukiswa kwamandla emisipha.
Umgomo Oyisisekelo: Ukubuyisa uhla olunele lokuhamba lwe-GAIT ejwayelekile nokukhuphuka kwezitebhisi. Buyisela i-ankle dorsiflexion, i-Varus, kanye namandla e-Valgus kubanga elijwayelekile le-5/5. Buyela ku-gait ejwayelekile.
Izindlela zokwelapha:
Ngaphansi kokuvikelwa, ingamelana nokuthwala okuphakathi kwe-gait ethwala isisindo esigcwele, futhi ingathatha imishini lapho kungekho buhlungu; I-Underwater Treadmill System Prakthiza GAIT; I-In-Shoe Heel Pad isiza ukubuyisela i-gait ejwayelekile; I-ankle dorle dontiflexion / Flantar Flexion / Vargus Exercises; ukuqeqeshwa kokusebenza; I-Isometric / Isotonic Amandla Exercises: I-Ankle Inversion / Valgus.
I-Neuromuscular yasekuqaleni kanye nobubanzi bokuzivocavoca okunyakazayo ukukhuthaza ukubuyiselwa kweProprioception, i-neuromuscular kanye nebhalansi. Njengamandla nokulinganisela kubuyiselwa, iphethini yokuzivocavoca nayo iguqukela kusuka emaphethelweni aphansi emikhawulweni ephansi engapheli. I-Scar Massage, ukwelashwa ngokomzimba, kanye nokuhlanganisa okuncane okuhlangene kufanele kuqhubeke njengoba kudingeka.
Amaviki angu-7-8: Isiguli kufanele siqale ukugqoka i-brace ngaphansi kokuvikelwa kwezinduku ukuqedela ukuthwala umthwalo ogcwele wesisindo esithintekile, bese ususa imigqomo futhi ugqoke izicathulo zokuthwala isisindo ngokugcwele. I-Heel Pad ingafakwa esicathulweni ngesikhathi soguquko kusuka embhalweni wezinyawo kuya esicathulweni.
Ukuphakama kwe-Heel Pad kufanele kwehle njengohlu lokuhamba kokunyuka okuhlangene. Lapho i-gait yesiguli ibuyela kokujwayelekile, i-Heel Pad ingahanjiswa.
I-gait ejwayelekile iyimfuneko yokuhamba ngaphandle kokuthathwa. Amaphampu we-ankle afaka i-plantar flexion kanye nokwandiswa kwe-dorsi. I-Dorsiflexion isho ukuthi izinzwane zibuyiswe kanzima ngangokunokwenzeka, okungukuthi, unyawo luphoqelelwa emuva esimweni somkhawulo;
Kulesi sigaba, ukuguqulwa okubucayi nokuzivocavoca umzimba kwe-isometric izivivinyo kungaqalwa, futhi amabhande enjoloba angasetshenziswa ukuzijwayeza esiteji esizayo. Yakha amandla emisipha ngokudweba ukwakheka kwezinhlamvu nge-ankle yakho kudivayisi ye-multi-axis. Lapho kufinyelelwe uhla lweminyene.
Ungaqala ukwenza imisipha emibili eyinhloko yokuguquguquka kwenkonyane. Ukuzivocavoca kokumelana kwe-Plaplar Flexion ngokuzivocavoca ngokuguquguquka kwamadolo kuya ku-90 ° kungaqalwa amasonto ayi-6 ngemuva kokuhlinzwa. Ukuzivocavoca kokumelana kwe-Plantar Flexion nge-Knee enwetshiwe kungaqalwa ngeviki le-8.
I-Plantar Flexion nayo ingayenziwa kulesi sigaba isebenzisa idivaysi eyandisiwe ye-Knee-extended pedaling kanye nomshini wokugoba umlenze. Ngalesi sikhathi, umsebenzi webhayisekili olungiselelwe kufanele wenziwe nge-forefoot, futhi inani kufanele likhuphuke kancane kancane. Ukuhamba emuva emuva ku-treadmill kuthuthukisa ukulawulwa kokulawulwa kwe-eccentric clantar. Lezi ziguli zivame ukuthola ukuhamba zibuyele emuva ngokwengeziwe ngoba kunciphisa isidingo sokuthola izimpilo. Kungenzeka futhi ukwethula izivivinyo zesinyathelo sokuqala. Ukuphakama kwezinyathelo kungakhuphuka kancane kancane.
I-Micro-squat evikelekile ye-ankle (ama-tendon anwetshwa ngaphansi kwesisekelo sobuhlungu obubekezelelekayo); Amaqembu amathathu wokuphikiswa okulinganiselwe (nje) ukuqeqeshwa kwemisipha okujikelezayo (ukumelana kwe-varus, ukumelana ne-valgus); Uzwane uphakamisa (ukuqeqeshwa okuphezulu kwe-soleus); UToe uphakamisa amadolo aqonde endaweni yokuhlala (ukumelana okuphezulu kwe-gastrocnemius).
Sekela isisindo somzimba kubha esele ukuqinisa ukuqeqeshwa kwe-gait ezizimele; Yenza ithole liphakamise ukuqeqeshwa + - ukukhuthaza kwe-EMG esikhathini sokuma; yenza i-gait refucfued ngaphansi kwe-treadmill; Yenza ukuqeqeshwa kokuvuselelwa kwe-treadmill nge-forefoot (cishe imizuzu eyi-15); ukuqeqeshwa okulinganiselwe (ibhalansi yeBhodi).
Amaviki angu-9-2: Ukuma amathole eTrufps Triceps Ukuqeqeshwa Kweselise; Ukuma ithole kuphakamisa ukuqeqeshwa kokumelana (izinzwane zithinta umhlabathi, uma kunesidingo, ukukhuthaza kwemisipha kagesi kungangezwa); Ukuqeqeshwa kwe-Forefoot Refrabilil Teredmill Ukukhuthazela (cishe imizuzu engama-30); I-Foot Lift, Ukufika Kwe-Gait Training, Isinyathelo ngasinye sihlukaniswe ngamasentimitha ayi-12, ngokulawulwa okuhlangene ne-eccentric; phambili uhambe ngezinyawo, ukubuyela emuva kokuhamba ngezinyawo; ukuqeqeshwa okulinganiselwe kwe-trampoline.
Ukuvuselelwa kabusha ngemuva
...
Isonto 16: Ukuqeqeshwa Ukuguquguquka (Tai Chi); Uhlelo lokugijima luqala; Ukuqeqeshwa kwe-Isometric ye-Multi-Point.
Izinyanga eziyi-6: Ukuqhathaniswa kwemikhawulo ephansi; ukuhlolwa kokuzivocavoca oku-isokinetic; isifundo sokuhlaziywa kwe-gait; Ithole lomlenze owodwa liphakamisa imizuzwana engama-30.
I-Sichuan Cah
I-WhatsApp / Wechat: +8615682071283
Email: liuyaoyao@medtechcah.com
Isikhathi sePosi: Nov-25-2022
