Gwajin Jirgin Shouldaurin erafa: Toolarin Muhimmanci don forididdige Painarfin Shouldafarka

Wadatacce

• A tare tare da hoton bincike
• Menene daidai ƙwanƙwasa kafaɗa?
• Me yasa kuke buƙatar cikakken gwaji na jiki?
• Waɗanne nau'ikan gwaje-gwajen ɗaukar hoto ne, kuma menene ya faru a kowane ɗayansu?
• Neer test ko alamar Neer
• Hawkins-Kennedy gwajin
• Gwajin gwajin Coracoid
• Yocum gwajin
• Giciye-hannu gwajin
• Gwajin Jobe
• Me suke nema?
• Zafi
• Yanayin ciwo
• Ayyukan tsoka
• Motsi da haɗin kwanciyar hankali
• Layin kasa

Idan kuna tsammanin kuna da cututtukan ƙwaƙwalwar kafaɗa, likita na iya tura ku zuwa ga likitan kwantar da hankali na jiki (PT) wanda zai yi gwaje-gwaje don taimakawa gano ainihin inda ƙofar take da kuma mafi kyawun shirin magani.

Gwaje-gwaje na yau da kullun sun haɗa da Neer, Hawkins-Kennedy, coracoid impingement, da gwaje-gwajen ƙwanƙwasa hannu, tare da wasu da yawa. A yayin waɗannan kimantawar, PT zai buƙaci ka matsar da hannunka zuwa hanyoyi daban-daban don bincika ciwo da matsalolin motsi.

goyi bayan amfani da kimomi daban-daban don ganin iyakokin da kake fuskanta da kuma abin da ke haifar da ciwo.

“Magungunan kwantar da hankali na jiki ba sa rataye hulunan su a gwaji ɗaya. Gwaje-gwajen da yawa sun kai mu ga ganewar asali, ”in ji Steve Vighetti, wani] an wasan daga Kwalejin Koyarwar Kwararrun Kwararrun Kwararrun Likitocin Amurka.

A tare tare da hoton bincike

Yawancin likitoci suna amfani da hasken rana, sikanin CT, sikanin MRI, da gwajin duban dan tayi don bayyanawa da tabbatar da sakamakon binciken jiki.

Nazarin ya nuna cewa gwaje-gwajen hotunan suna da matukar tasiri wajen nuna ainihin wurin da rauni yake. Duban dan tayi yana da fa'idar zama mai sauƙin aiwatarwa kuma bashi da tsada fiye da sauran gwajin hoto.

Idan akwai hawaye, ko raunuka, a cikin abin juyawa, gwajin hoto na iya nuna girman raunin kuma ya taimaka wa likitoci su tantance ko ana buƙatar gyara don dawo da iyawar ku.

Menene daidai ƙwanƙwasa kafaɗa?

Sanya kafaɗun yanayi yanayi ne mai raɗaɗi. Hakan na faruwa ne lokacin da jijiyoyi da laushin laushi da ke kusa da kafadar kafadar ku suka kasance a makale tsakanin saman kashin hannu na sama (humerus) da kuma acromion, wani tsinkaye ne wanda yake zuwa sama daga sipel dinka (wuyar kafaɗa).

Lokacin da aka matse kyallen takarda, zasu iya zama masu haushi ko ma su tsage, su haifar maka da ciwo da iyakance iyawar ka don motsa hannun ka yadda ya kamata.

Me yasa kuke buƙatar cikakken gwaji na jiki?

Kalmar "cututtukan ƙwaƙwalwar ƙwaƙwalwa" shine kawai farawa zuwa daidaitaccen ganewar asali da kuma tsarin kulawa.

"Yana da kama-duka magana," in ji Vighetti. “Kawai yana gaya muku cewa jijiya ta baci. Abin da likita mai kyau na jiki zai yi shi ne ƙayyadewa wanne jijiyoyi da tsokoki sun shiga ciki. ”

Waɗanne nau'ikan gwaje-gwajen ɗaukar hoto ne, kuma menene ya faru a kowane ɗayansu?

Neer test ko alamar Neer

A gwajin Neer, PT yana tsaye a bayanku, yana danna ƙasa a saman kafadarku. Bayan haka, suna juya hannunka zuwa ciki zuwa kirjinka kuma suna ɗaga hannunka har zuwa inda zai tafi.

Wasu suna nuna cewa gwajin Neer da aka gyara yana da ƙimar ganewar asali na kashi 90.59.

Hawkins-Kennedy gwajin

Yayin gwajin Hawkins-Kennedy, kuna zaune yayin da PT ke tsaye kusa da ku. Suna lanƙwasa gwiwar gwiwar ka zuwa kusurwa 90-digiri kuma suna ɗaga shi zuwa matakin kafaɗa. Hannun su yana aiki kamar abin takalmi a ƙarƙashin gwiwar ku yayin da suke latsawa a wuyan ku don juya kafada.

Gwajin gwajin Coracoid

Gwajin gwajin coracoid yana aiki kamar haka: PT yana tsaye kusa da kai kuma yana ɗaga hannunka zuwa matakin kafaɗa tare da gwiwar hannu a kusurwa 90-degree. Tallafa gwiwar ku, suna latsawa a hankali a wuyan ku.

Yocum gwajin

A gwajin Yocum, kun sanya hannu ɗaya a kan kafaɗarku ta gaba kuma ɗaga gwiwar hannu ba tare da ɗaga kafaɗarku ba.

Giciye-hannu gwajin

A gwajin giciye, ka daga hannunka zuwa kafada daidai da gwiwar gwiwar da aka lankwasa a kusurwa 90-degree. Bayan haka, kiyaye hannunka a cikin jirgin sama ɗaya, za ka matsar da shi ko'ina cikin jikinka a ƙirar kirji.

PT na iya danna hannunka a hankali yayin da kake isa ƙarshen motsi.

Gwajin Jobe

Yayin gwajin Jobe, PT yana tsaye a gefenka kuma a ɗan bayan ka. Suna daga hannunka zuwa gefe. Bayan haka, suna matsar da hannun zuwa gaban jikinka kuma suna tambayar ka ka ɗaga shi a wannan matsayin yayin da suke danna shi.

Duk waɗannan gwaje-gwajen suna nufin rage girman sarari tsakanin kayan laushi da ƙashi. Gwajin na iya zama da hankali sannu a hankali yayin da gwajin PT ke tafiya tare.

"Za mu bar gwaje-gwaje mafi raɗaɗi don ƙarshen ƙididdigar don haka kafada ba ta da damuwa a duk tsawon lokacin," in ji Vighetti."Idan kun yi gwaji mai raɗaɗi da wuri, to sakamakon duk gwajin zai bayyana da kyau."

Me suke nema?

Zafi

Gwaji ana ɗauka tabbatacce idan ya haifar da irin ciwo da kuka sha wahala a kafaɗarku. Gwajin Neer, Vighetti ya ce, sau da yawa zai sami sakamako mai kyau, saboda yana tilasta hannu ya zama cikakke.

"Kuna a ƙarshen kewayon motsi tare da gwajin Neer," in ji shi. "Kusan duk wanda ya shigo asibitin da batun kafada da kafada zai fuskanci matsalar tsinkewa a karshen wannan zangon."

Yanayin ciwo

Yayin kowane gwaji, PT yana mai da hankali sosai ga inda ciwonku yake faruwa. Wannan yana nuna wane sashi na hadaddiyar kafadar ku mai yuwuwa ne mai rauni ko rauni.

Jin zafi a bayan kafaɗa, alal misali, na iya zama wata alama ce ta ɗaukar ciki. Da zarar masu ilimin kwantar da hankali suka san ko wane tsokoki ne suke da hannu, za su iya zama takamaiman magani a cikin jiyyarsu.

Ayyukan tsoka

Ko da idan ba ku fuskantar ciwo a lokacin gwaji, ƙwayoyin da ke cikin ƙuƙwalwar kafaɗa suna da ɗan bambanci kaɗan don gwajin matsa lamba.

"Muna amfani da haske, juriya mai yatsu biyu don gwada takamaiman motsi a cikin abin juyawa," in ji Vighetti. "Idan wani yana da matsala game da abin da yake juyawa, har ma wannan tsayin daka da gaske zai haifar da alamu."

Motsi da haɗin kwanciyar hankali

"Pain shine abin da ke kawo marasa lafiya," Vighetti ya nuna. “Amma akwai wata matsalar da ke haifar da ciwon. Wani lokaci matsalar tana da alaƙa da motsi na haɗin gwiwa. Haɗin gwiwa yana motsi da yawa ko bai isa ba. Idan mahaɗin ba ya da karko, kullun yana juyawa da wuya don gwadawa da samar da kwanciyar hankali mai ƙarfi. ”

Lokacin da tsokoki ke aiki da wannan wahala, matsaloli na iya tashi - ba lallai ba ne saboda an yi amfani da tsokoki sosai amma saboda ana amfani da su ba daidai ba.

Saboda wannan dalili, PT mai kyau yana kallon ayyukan da kuke yi don ganin ko kuna motsawa cikin hanyar da zata haifar da rauni. Ayyukan bidiyo na Vighetti kamar gudu don gano duk wani matsala a cikin motsi.

Layin kasa

Doctors da PTs suna amfani da hotunan bincike da kuma nazarin jiki don gano inda kuma zuwa wane matakin ƙafarka zai iya ji rauni.

Yayin gwajin jiki, PT zai ɗauke ka ta hanyar jerin motsa jiki don ƙoƙarin maimaita irin zafin da kake ji yayin da kake motsa hannunka a hanyoyi daban-daban. Wadannan gwaje-gwajen suna taimaka wa PT gano inda kuka ji rauni.

Manyan manufofin magani shine rage raunin ka, kara yawan motsin ka, kara maka karfi da kuma hadin gwiwa, kuma ka horas da tsokoki don motsawa ta hanyar da zata sa raunin da ke zuwa a gaba ya zama mai yiwuwa.

"Yana da game da ilimi," in ji Vighetti. "Kwararrun masu ilimin kwantar da hankali na jiki suna koyar da marasa lafiya yadda za su iya sarrafa kansu."