Palesa e kholo e amana le bohloko ba mangole le ho lematsa lipapaling tsa basali
Sepheo sa Q ke eng, hona se kenya letsoho joang likotsing tsa basali tsa likotsi tsa lipapali? Joaloka mosali, ho na le phapang ea limela tse fanang ka kotsi e kholo ea likotsi tse ling tsa lipapali ho feta ha motho a talimane le eena. Lephephe le lengata leo basali ba le bapisitseng le banna le etsa hore ho be le bonolo ho beleha, empa ke phapang le liphello ha le bapala lipapali. Litsebi tse mengata tsa meriana ea lipapali li kopantsitse karolo e khōlō ea pelvis le "Ang" ea "Q" (Quadriceps) e khōloanyane-e leng sekhahla seo femur (leoto le ka holimo la leoto) le kopanang le tibia (lesoba le ka tlaase la leoto).
Phapang ea Q e lekantsoe ka ho theha mela e 'meli ea li-intersecting: e' ngoe ho tloha bohareng ba patella ho ea ka mokokotlo-o moholo oa mokokotlo oa lekhalo oa pelvis; e 'ngoe ho tloha patella ho ea ho tibial tubercle.
Ka karolelano, lebelo lena ke likhato tse tharo tse kholo ho basali ho feta banna (basali ba 17 likarolo tsa basali ba bapisoa le likhato tse 14 tsa banna). Ho nahanoa hore sebaka sena se ntseng se eketseha sa libaka se imetsoe kelellong, mme se lebisa tlhokomelong ea basali ho feta.
Likotsi Tsa Lipapali tsa Basali Li entsoe ke Angle ea Q
Le hoja e ka 'na eaba ho na le mabaka a mang a lebisang kotsing e eketsehileng ea kotsi ho baatlelete ba basali (matla, bokhoni, lihomone, joalo-joalo), sekhahla se eketsehileng sa Q se kopantsoe le tse latelang:
- Matšoao a bohloko a Patellofemoror : Phase e kholo ea Q e etsa hore quadriceps e hulele patella (kneecap) mme e lebisa leratleng la patellar le futsanehileng. Ha nako e ntse e feta, sena se ka baka bohloko ba mangole le ho se leka-lekana ha mesifa. Bohloko bo utloahala tlase le ho pota-potile kneecap. Litšehetso tsa Orthotics le li-arch li ka buelloa.
- Chondromalacia ea Knee: Ho robala ha lefuba ka tlaase ho patella ho lebisa tlholehong ea libaka tsa mangole tsa lengole. Letšoao le ka sehloohong ke bohloko tlas'a 'meleng le ho pota-potile kneecap.
- Likotsi tsa ACL: Basali ba na le litekanyetso tse phahameng tsa banna ba nang le likotsi tsa ACL . Nako e kholo ea Q e bonahala e le ntho e le 'ngoe e etsang hore lengole le se ke la tsitsa le tlas'a khatello e matla.
Litlhahiso tsa Phekolo Bakeng sa Basali ba nang le Mathata a Amanang le Angle-Q
Orthotics: Methati e entsoeng ka mokhoa o tloaelehileng, e feto-fetoha, e fokotseha lehlakoreng la Q le ho fokotsa lipolelo, ho beha khatello e matla tlas'a lengole. Tsela e bonolo ka ho fetisisa ea ho fokotsa boemo bo phahameng ba Q le ho fokotsa khatello ka mangole ke ho thibela mantsoe a feteletseng ka li-orthotics. Lieta tsa motion li ka lokisa ho feta, empa mokhoa o tloaelehileng o tla etsa bonnete ba hore likarolo tsohle tsa leoto le maoto a maoto li tlalehoa le ho lokisoa.
Ho matlafatsa ho ikoetlisetsa ho fokotsa likotsi tsa ACL ho Basali: Ho fokotseha likotsing tsa ACL ho bonoe ka ts'ebetsong ea lenane la thibelo ea kotsi ea ACL e etselitsoeng basali. Ho matlafatsa the vastus medialis obliquus ho ka boela ha thusa ho eketsa botsitso ba lengole le basali. Ho matlafatsa ho ka 'na ha hloka tlhokomelo e ikhethang ka nako ea mekhoa ea mesifa. Lesebelisoa tsa ketane tse koetsoeng (tse kang li-square squats), tse entsoeng ka lebelo la likhato tse 30 feela, hona joale li khothalletsoa.
Ho ikoetlisa : Ho otlolla mesifa e thata le ho matlafatsa libaka tse fokolang ho lokela ho kenngoa. Matšoao ao hangata a fumanoang a le thata a kenyelletsa li-quadriceps, hamstrings, bandini le li-gastrocnemius.
Lisebelisoa:
Naslund J, et al. Ho bapisa matšoao le ho fumanoa ka litsebo liketselaneng tsa batho ba nang le bohloko ba patellofemoral. Physiotherapy Theory & Practice, June 2006
Loudon JK, et al. Kamano pakeng tsa boemo bo tsitsitseng le boima ba ACL ho baatlelete ba basali . Leqephe la Lipapali tsa Ma-Orthopedic Therapy Therapy 1996.
Fredericson M, et al. Ho hlahloba 'mele le lefu la lefu la patellofemoral. Journal ea Amerika ea Meriana ea 'mele le Rehab. March 2006.
Kuhn DR, et al. Liphetoho ka potlako ho quadriceps femoris ka lehlakoreng kamora ho kenngoa ha sesebelisoa sa methapo. Journal of Manipulative le Physiological Therapeutics. Sept 2002