Yawancin Kyautattun Da aka Sami ga ROM
Ranar motsi (ROM) shine ma'auni na nesa da jagoran haɗin gwiwa zai iya motsawa zuwa cikakkiyar damarsa. Haɗin haɗin wuri ne a cikin jiki inda kasusuwa ke haɗi. Yawancin su ana gina su don ba da damar motsi a cikin kwatattun ƙayyadaddun. Adadin motsi ta hanyar motsi na al'ada na yau da kullum ana auna su a digiri ta amfani da kayan aiki da ake kira goniometer.
Kowace haɗin gwiwa yana da nau'i daban-daban na motsi ga kowace irin motsi da zai iya yi. Akwai wasu 'yan gidajen da ba su tallafawa motsi kamar su a cikin kwanyar.
Ƙungiyoyin haɗin gwiwar sun haɗa da gyare-gyare , tsawo, haɓaka, da haɓakawa. Ƙarawa shine matsayi na jiki wanda ya rage darajar tsakanin kasusuwa na ƙananan a cikin haɗin gwiwa. Yana faruwa a lokacin da tsokoki kwangila da kasusuwa ke motsa haɗin gwiwa a cikin matsayi na matsayi. Hanya ta daban, sassaukarwa, tana kwantar da haɗin gwiwa domin haɗin haɗuwa ya rage.
Rangi na al'ada (ta haɗin gwiwa)
Kodayake akwai bambancin tsakanin mutane daban-daban, ana biyan waɗannan masu biyo baya don al'ada ta al'ada a kowane ɗayan haɗuwa kamar yadda aka auna a digiri. Masu kwantar da hankali na jiki da kuma aikin likita suna gwada iyakar motsin mutum kuma suna kwatanta shi da waɗannan dabi'un al'ada.
Hip
- Flexion 0 zuwa 125 digiri
- Ƙarawa 115 zuwa 0 digiri
- Hawan hawan hyperextension (madaidaici fiye da na al'ada) 0 zuwa 15 digiri
- Sakewa (motsawa daga tsakiya na tsakiyar jiki) 0 zuwa 45 digiri
- Adduction (motsawa zuwa tsakiyar tsakiya na jiki) 45 zuwa 0 digiri
- Hanya ta tsakiya (juyawa daga tsakiyar jiki) 0 zuwa 45 digiri
- Juyawa na juyawa (juyawa zuwa tsakiya na jiki) 0 zuwa 45 digiri
Knee
- Flexion 0 zuwa 130 digiri
- Ƙararren digiri 120 zuwa 0
Ankle
- Tsari na Plantar (motsi zuwa ƙasa) 0 zuwa digiri 50
- Dorsiflexion (motsi zuwa sama) 0 zuwa 20 digiri
Ƙafa
- Inversion (ya juya cikin ciki) 0 zuwa 35 digiri
- Ƙaura (juya waje) 0 zuwa 25 digiri
Ƙungiyar Haduwa ta Matatattun Tafa
- Flexion 0 zuwa digiri 30
- Ƙarawa 0 zuwa 80 digiri
Hadin zumunta tsakanin haɗin gwiwa
- Flexion 0 zuwa 50 digiri
- Ƙara girman digiri 50 zuwa 0
Hanya
- Flexion 0 zuwa 180 digiri
- Ƙarawa 0 zuwa 50 digiri
- Sanya 0 zuwa 90 digiri
- Sanya 90 zuwa 0 digiri
- Hanya ta tsakiya 0 zuwa 90 digiri
- Juyawa na mita 0 zuwa 90 digiri
Elbow
- Flexion 0 zuwa 160 digiri
- Ƙarawa 145 zuwa 0 digiri
- Pronation (juyawa cikin ciki) 0 zuwa 90 digiri
- Ƙara (juyawa waje) 0 zuwa digiri 90
Wrist
- Flexion 0 zuwa 90 digiri
- Ƙarawa 0 zuwa 70 digiri
- Sanya 0 zuwa 25 digiri
- Sanya 0 zuwa digiri 65
Metacarpophalangeal (MCP)
- Sanya 0 zuwa 25 digiri
- Ƙarawar digiri 20 zuwa 0
- Flexion 0 zuwa 90 digiri
- Tsawo 0 zuwa digiri 30
Ƙungiyar haɗin gwiwar juna (PIP) Haɗin gwiwa
- Flexion 0 zuwa 120 digiri
- Ƙararren digiri 120 zuwa 0
Dangantaka na Interphalangeal (DIP) Haɗin gwiwa
- Flexion 0 zuwa 80 digiri
- Ƙarawa 80 zuwa 0 digiri
Haɗin gwiwa na Mumbai na Thumb
- Sanya 0 zuwa 50 digiri
- Yawancin digiri na 40 zuwa 0
- Flexion 0 zuwa 70 digiri
- Ƙarawa 60 zuwa 0 digiri
Hadin zumunta na tarayya na Thumb
- Flexion 0 zuwa 90 digiri
- Ƙarawa 90 zuwa 0 digiri
Hanyoyin Rarraba
Akwai hanyoyi masu yawa-inherant da halin da ke ciki-wanda zai iya rinjayar da ROM naka. Wasu daga cikin abubuwan da ba za ku iya sarrafa ba kuma an haife ku tare da sun hada da:
- Nau'in haɗin gwiwa, kamar yadda wasu kayan aiki ba su nufi don motsawa mai yawa ba
- Tsarin ciki a cikin haɗin gwiwa
- Tsarin Bony wanda ya rage motsi
- Rawanin jiki na tsoka, alal misali, tsokawar tsoka wadda aka rasa saboda rauni ta baya ba matsi ba ne
- Hanyoyin muscle na iya shakatawa da kwangila don cimma burin tafiya mafi girma
Wata mahimmancin da ba za ka iya sarrafa ba shine shekarun ka. Ɗaya daga cikin binciken yayi nazarin sakamakon da shekarun tsufa da jima'i ke ciki a kan jigilar motsi tare da gano cewa mahalarta masu halartar taron sun nuna kananan ROMs fiye da 'yan takarar su. A wani hali, bambancin dake cikin ROM ya kasance kashi 44.9 cikin dari saboda girman kai da juyawa da ƙafa. Abin da ya fi haka, mazan batutuwa sun bukaci karin lokaci don isa gagarumin motsi.
Game da jinsi, an gano cewa yana da tasirin gaske akan ROM. Maza suna da kananan ROMs fiye da mata a wasu yankunan, tare da bambanci mafi girma, kashi 29.7 cikin dari.
Wadannan bambance-bambance a cikin shekarun da jima'i an samo su shafi shafuka da motsin kai tsaye, wanda za'a iya bayyana ta bambance-bambance a cikin jiki da kuma yadda ake amfani dasu cikin ayyukan tsakanin kungiyoyi.
Ƙayyadaddden Range na Gyara
Ƙayyadadden iyakar motsi yana da lokacin amfani da lokacin haɗin gwiwa yana da raguwa a iyawarta ta motsawa. Wannan zai iya zama saboda raunin da ya faru ga kayan kyakyawa da ke kewaye da haɗin gwiwa. Samun hanyoyi na motsi a cikin haɗin gwiwa shine daya daga cikin farko na raunin rauni. Magungunan jiki na likita sukan rubuta takaddama na musamman na ROM don kowane haɗin gwiwa. Hakanan za'a iya haifar da cututtuka irin su osteoarthritis , arthritis na rheumatoid , ko sauran cututtuka na arthritis .
Yin Gyara
Kowace haɗin gwiwa yana da al'ada ta al'ada, yayin da kowane mutum yana da nauyin da zai iya cimma shi. Abubuwan hulɗa suna kula da matakan motsi ta amfani ta yau da kullum da kuma shimfiɗa kayan kyakoki mai yatsawa (tsokoki, tendons, da ligaments). Kawai minti 10 na shimfida sau uku a mako zai iya taimakawa wajen inganta motsi.
Wani bincike ya gano cewa ana iya samun ƙananan riba a cikin ROM ta yin amfani da zafi yayin yadawa. A cikin mutanen da ke da lafiya, wadanda suke yin gunaguni na tsokoki na tsokoki sun ga cigaba da sauƙi a cikin motsi tare da zafi da kuma shimfiɗa idan aka kwatanta da waɗanda suka miƙa kawai.
Aiki
Magungunan jiki na likita sukan rubuta takaddama na musamman na ROM don kowane haɗin gwiwa. Wadannan aikace-aikacen suna nufin ɗaukar ƙarar motsi tare da hankali ga jin zafi, ƙyama, da kumburi wanda zai iya kasancewa. Akwai nau'i-nau'i iri-iri na zane-zane:
- Hanyoyin aiki mai aiki: Kana yin waɗannan darussan ba tare da taimako ba.
- Maganin tallafi mai aiki: Mai ilimin hanyoyin kwantar da hankali yana taimaka wa mai haƙuri yin wadannan hotunan. Ana iya yin haka idan tsoka ba su da rauni ko lokacin da motsi ya sa rashin jin daɗi.
- Magancewa mai zurfi: Mai ilimin hanyoyin kwantar da hankali ko kayan aiki yana motsa haɗin gwiwa ta hanyar jigilar motsi ba tare da wani kokari daga mai haƙuri ba.
Kalma Daga
Kuna buƙatar ku iya motsa gidajenku ta hanyar jeri na al'ada don yin ayyuka da yawa na rayuwar yau da kullum da kuma aikin aiki da kuma jin dadin jiki da wasanni. Kuna iya inganta sassaucin ku ta hanyar aikace-aikacen jeri ko kun kasance lafiya ko buƙatar gyara daga rauni.
> Sources:
> Behm DG, Blazevich AJ, Kay AD, McHugh M. Hanyoyin Mutuwar Muscle na Kwankwayo na jiki, Tsarin Motion, da Raunin Lahani a Ƙwararrun Mutane Masu Neman Lafiya: Rahoton Tsaro. Appl Physiol Nutr Metab . 2016 Jan, 41 (1): 1-11. Doi: 10.1139 / apnm-2015-0235. Afub 2015 Dec 8.
> Hwang J, Jung MC. Dangantaka na Age da Jima'i a cikin Matsayin Motion da Motion. Int J Occup Saf Ergon . 2015; 21 (2): 173-86. Doi: 10.1080 / 10803548.2015.1029301.
> Nakano J, Yamabayashi C, Scott A, Reid WD. Hanyoyin Wuta da Aka Yi amfani da Gwaninta don Ƙara Jagoran Juyin Halitta: Rahoton Tsaro. Phys Ther Sport . 2012 Aug 13 (3): 180-8. Doi: 10.1016 / j.ptsp.2011.11.003. Afub 2011 Dec 29.
> Cibiyar Harkokin Kasuwanci na Magana. Cibiyoyin Kula da Cututtuka. https://www.cdc.gov/ncbddd/jointrom/.
> Farfesa jiki (PT). Merck Manual Masu sana'a. http://www.merckmanuals.com/professional/special-subjects/rehabilitation/physical-therapy-pt.