Mokhoa o akaretsang oa koetliso ea ho tsosolosa bakeng sa ho phatloha ha tendon ea Achilles, ntlha e ka sehloohong ea ho tsosolosa ke: ts'ireletso pele, boikoetliso ba ho tsosolosa ho latela maikutlo a bona.
Mokhahlelo oa pele ka mor'a ho buuoa
...
Tšireletso le nako ea pholiso (libeke tsa 1-6).
Litaba tse hlokang ho hlokomeloa: 1. Qoba ho otlolla ho se nang letho ha mothapo oa Achilles;2. lengole le sebetsang le lokela ho tsitsisoa ho 90 °, 'me dorsiflexion ea maqaqailana e lokela ho lekanyetsoa sebakeng se se nang lehlakore (0 °);3. Qoba li-compress tse chesang;4. Qoba ho thella nako e telele .
Tsamaiso ea pele ea manonyeletso le boima ba 'mele bo sirelelitsoeng ke litaba tsa bohlokoa ka ho fetisisa nakong ea pele ea ts'ebetso.Hobane ho jara boima ba 'mele le ho tsamaea ha manonyeletso ho khothalletsa pholiso le matla a tendon ea Achilles,' me ho ka thibela liphello tse mpe tsa ho senyeha ha mesifa (mohlala, ho senyeha ha mesifa, ho satalla ha manonyeletso, ramatiki e fokolisang, ho thehoa ha adhesion, le cerebral thrombus e tebileng).
Bakuli ba ile ba laeloa ho etsa tse 'maloa tse sebetsangkopanetsoemetsamao ea letsatsi le letsatsi, ho kenyelletsa le dorsiflexion ea maqaqailana, ho phunya limela, varus le valgus.Maqaqailana a maqaqailana a maqaqailana a lokela ho lekanyetswa ho 0° ho 90° ya ho kobeha ha lengole.Ho sisinyeha ha manonyeletso le ho otlolla ho lokela ho qojoa ho sireletsa tendon ea Achilles ea pholiso ho tloha ho otlolla kapa ho phatloha.
Ha mokuli a qala ho jara boima bo sa fellang, boikoetliso ba libaesekele bo emeng bo ka hlahisoa ka nako ena.Mokuli o lokela ho laeloa hore a sebelise mokokotlo oa leoto ho e-na le leoto le ka pele ha a palama baesekele.Ho silila lebali le ho sisinyeha ha manonyeletso a bobebe ho ka khothaletsa pholiso le ho thibela ho khomarela le ho satalla ha manonyeletso.
Kalafo e batang le ho phahama ha leoto le amehileng li ka laola bohloko le ho ruruha.Bakuli ba lokela ho laeloa hore ba phahamise leoto le amehileng ka hohle kamoo ho ka khonehang letsatsi lohle le ho qoba ho tšoara boima ka nako e telele.Mokuli a ka boela a eletsoa hore a sebelise leqhoa ka makhetlo a 'maloa bakeng sa metsotso ea 20 nako le nako.
Boikoetliso ba letheka le lengole la proximal le lokela ho sebelisa mokhoa o tsoelang pele oa koetliso ea ho hanyetsa.Boikoetliso ba ketane e bulehileng le mechini ea isotonic e ka sebelisoa ke bakuli ba nang le boima bo fokolang.
Mehato ea phekolo: Ha u sebelisa thupa ea axillary kapa lehlaka tlas'a tataiso ea ngaka, roala boima bo tsoelang pele tlas'a lieta tse tsitsitseng tse nang le lebili;maqaqailana a maqaqailana a dorsiflexion/plantar flexion/varus/valgus;leqeba la ho silila;ho lokoloha ha lenonyello;boikoetliso bo matla ba mesifa;phekolo ea 'mele;phekolo e batang.
Libeke tsa 0-2: ho thibela maqhama a maoto a makhutšoane, leqaqailaneng le sa nke lehlakore;ho jara boima bo sa fellang ka lithupa haeba ho mamelloa;leqhoa + khatello ea sebakeng seo / pulse magnetic therapy;ho kobeha ha lengole le tšireletso ea maqaqailana Ho thinya ha limela ka mafolofolo, varus, valgus;ho hanyetsa li-quadriceps, gluteal, koetliso ea ho koetela letheka.
Libeke tsa 3: Tšehetso ea leoto le lekhutšoanyane le sa sisinyehe, maqaqailana a sa nke lehlakore.Ho tsamaea ka lithupa ho jara boima bo sa fellang;e sebetsang + - ho thunngoa ha limela tsa maqaqailaneng / maoto a varus, koetliso ea valgus ea maoto (+- koetliso ea boto ea ho leka-lekana);E potlakisa metsamao e nyane ea maqaqailana (intertarsal, subtalar, tibiotalar) maemong a sa nke lehlakore;e hanela koetliso ea quadriceps, gluteal, le ho koetela letheka.
Libeke tse 4: Koetliso e sebetsang ea maqaqailaneng a maqaqailana;ho hanyetsa ho sebetsa ha limela, varus, le eversion ka lithapo tsa rabara tse rekere;koetliso ea boima ba 'mele bo sa fellang-isokinetic koetliso e tlaase ea ho hanyetsa (> 30 degrees / sec);phahameng lutseng tlaase Resistance heel rehabilitation treadmill training.
Libeke tse 5: Tlosa brace ea maqaqailana, 'me bakuli ba bang ba ka ea koetlisong ea ka ntle;koetliso ea ho phahamisa namane ea maoto a mabeli;koetliso ea ho tsamaea ka boima bo sa fellang-isokinetic koetliso e itekanetseng ea ho hanyetsa (likhato tse 20-30 / motsotsoana);setulo se tlaase-tlaase rehabilitation treadmill Koetliso;Koetliso ea ho khanna (ts'ireletso nakong ea ho hlaphoheloa).
Libeke tsa 6: Bakuli bohle ba ile ba tlosa litšepe 'me ba etsa koetliso ea ho tsamaea sebakeng se ka ntle se bataletseng;koetliso e tloaelehileng ea Achilles tendon boemong ba ho lula;ho hanyetsa ho fokolang (passive) ho koetlisa matla a ho potoloha ha mesifa (varus resistance, valgus resistance) lihlopha tse peli;koetliso ea ho leka-lekanya leoto le le leng (Lehlakore le phetseng hantle --- lehlakore le amehang le fetoha butle-butle);tlhahlobo ea ho tsamaea ka maoto.
Mekhoa ea ho khothaletsa: bohloko le edema li laoloa;boima ba 'mele bo ka etsoa tlas'a tataiso ea ngaka;dorsiflexion ea maqaqailana e fihla boemong ba ho se nke lehlakore;matla a mesifa a tlase a tlase a fihla sehlopheng sa 5/5.
Mokhahlelo oa bobeli ka mor'a ho buuoa
...
Mokhahlelong oa bobeli, ho ne ho e-na le liphetoho tse totobetseng tekanyong ea boima ba 'mele, ho eketseha ha ROM ea leoto le amehileng le ho matlafatsa matla a mesifa.
Sepheo sa mantlha: Ho khutlisetsa mokhoa o lekaneng oa ho sisinyeha bakeng sa ho tsamaea ho tloaelehileng le ho hloa litepisi.Khutlisa dorsiflexion ea maqaqailana, varus, le matla a valgus ho sehlopha se tloaelehileng sa 5/5.Khutlela tseleng e tloaelehileng.
Mehato ea kalafo:
Ka tlas'a tšireletso, e khona ho mamella boima ba 'mele ho ea ho mokhoa o feletseng oa boikoetliso ba ho jara boima ba' mele, 'me e ka tlosa lithupa ha ho se na bohloko;ka tlas'a metsi treadmill tsamaiso ho tsamaea;serethe sa seeta se thusa ho tsosolosa mokhoa o tloaelehileng oa ho tsamaea;dorsiflexion ea maqaqailana a maqaqailaneng / ho phunya ha limela / varus / boikoetliso ba valgus;koetliso e loketseng;Boikoetliso ba matla a isometric / isotonic: inversion ea maqaqailana / valgus.
Mefuta ea pele ea li-neuromuscular le e kopanetsoeng ea boikoetliso ba ho sisinyeha ho khothaletsa ho khutlisa proprioception, neuromuscular le balance.Ha matla le ho leka-lekanya ho tsosolosoa, mokhoa oa ho ikoetlisa o boetse o fetoha ho tloha mahlakoreng a mabeli ho ea ho tse ling tse tlaase.Ho silila leqeba, kalafo ea 'mele, le ho bokellana ha manonyeletso ho lokela ho tsoela pele ha ho hlokahala.
Libeke tsa 7-8: Mokuli o lokela ho qala ho roala marapo tlas'a tšireletso ea lithupa ho phethahatsa boima bo feletseng ba setho se amehileng, ebe o tlosa lithupa le ho roala lieta ho jara boima ka ho feletseng.Serethe sa serethe se ka kenngoa ka seeta nakong ea phetoho ho tloha mokhoeng oa leoto ho ea ho seeta.
Bophahamo ba serethe sa serethe bo lokela ho fokotseha ha lebelo la ho sisinyeha ha lenonyeletso le ntse le eketseha.Ha ho tsamaea ha mokuli ho khutlela ho tloaelehileng, serethe se ka tsamaisoa.
Ho tsamaea ho tloaelehileng ke ntho e hlokahalang bakeng sa ho tsamaea ntle le ho koeteloa.Lipompo tsa maqaqailana li kenyelletsa ho pharalla ha plantar le dorsi extension.Dorsiflexion e bolela hore menoana e hoketsoe morao ka thata ka hohle kamoo ho ka khonehang, ke hore, leoto le qobelloa ho khutlela sebakeng se lekanyelitsoeng;
Mothating ona, boikoetliso bo bonolo ba ho feto-fetoha ha mesifa le inversion isometric matla a mesifa a ka qalisoa, 'me lihlopha tsa rabara li ka sebelisoa ho ikwetlisa qetellong.Aha matla a mesifa ka ho taka sebopeho sa litlhaku ka leqaqailaneng la hau sesebelisoa sa li-axis tse ngata.Ha motsamao o lekaneng o fihletsoe.
U ka qala ho itloaetsa mesifa e 'meli e meholo ea semela sa namane.Boikoetliso ba ho hanyetsa flexion ea Plantar ka ho otloloha ha lengole ho 90 ° ho ka qaloa libeke tse 6 ka mor'a ho buuoa.Plantar flexion resistance exercises le lengole le atolositsoeng li ka qalisoa ka beke ea 8th.
Plantar flexion e ka boela ea etsoa sethaleng sena ho sebelisa sesebelisoa sa ho roala lengole le mochine oa ho khumama ka maoto.Ka nako ena, boikoetliso bo tsitsitseng ba libaesekele bo lokela ho etsoa ka forefoot, 'me chelete e lokela ho eketseha butle-butle.Ho tsamaea ka morao holim'a treadmill ho matlafatsa taolo ea eccentric plantar flexion.Hangata bakuli bana ba fumana ho tsamaea ka morao ho phutholohile hobane ho fokotsa tlhokahalo ea priming.Hape hoa khoneha ho kenyelletsa boikoetliso ba mehato ea pele.Bophahamo ba mehato bo ka eketseha butle-butle.
Micro-squat e nang le tšireletso ea maqaqailana (tendon ea Achilles e atolosoa tlas'a moelelo oa bohloko bo mamellehang);lihlopha tse tharo tsa ho hanyetsa ka mokhoa o itekanetseng (passive) koetliso ea mesifa ea ho potoloha (varus resistance, valgus resistance);Ho phahamisa menoana (koetliso e phahameng ea ho hanyetsa soleus);monoana o phahamisa ka mangole a otlolohileng sebakeng se lutseng (koetliso e phahameng ea ho hanyetsa gastrocnemius).
Tšehetsa boima ba 'mele bareng ea ho leka-lekana ho matlafatsa koetliso ea ho tsamaea ka bolokolohi;etsa koetliso ea ho phahamisa namane + - EMG stimulation boemong ba ho ema;etsa gait re-thuto tlas'a treadmill;etsa koetliso ea "treadmill" ka forefoot (hoo e ka bang metsotso e 15);koetliso ea ho leka-lekana ( balance board).
Libeke tse 9-12: koetliso ea katoloso ea namane ea triceps;namane e emeng e phahamisa koetliso ea ho hanyetsa (menoana e ama fatše, haeba ho hlokahala, ho ka eketsoa ho susumetsa mesifa ea motlakase);koetliso ea mamello ea forefoot rehabilitation treadmill (e ka bang metsotso e 30);foot lift , Koetliso ea ho tsamaea ka maoto, mohato o mong le o mong o arohane ka lisenthimithara tse 12, ka taolo e tsepamisitsoeng le ea eccentric;ho ea pele ho theosa, ho tsamaea ka morao;koetliso ea ho leka-lekanya trampoline.
Ka mor'a ho tsosolosa
...
Beke ea 16: Koetliso ea ho feto-fetoha ha maemo (Tai Chi);ho qala lenaneo;koetliso ea isometric e nang le lintlha tse ngata.
Likhoeli tsa 6: Ho bapisa lipheletsong tse tlaase;tlhahlobo ea boikoetliso ba isokinetic;thuto ea tlhahlobo ea gait;namane ea leoto le le leng e phahamisa metsotsoana e 30.
Sichuan CAH
WhatsApp/Wechat: +8615682071283
Email: liuyaoyao@medtechcah.com
Nako ea poso: Nov-25-2022
