Cov txheej txheem dav dav ntawm kev rov kho dua rau Achilles tupture yog: kev nyab xeeb ua ntej, kev kho kom rov zoo raws li lawv tus kheej cov lus hais.
Thawj theem tom qab phais tas
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Kev tiv thaiv thiab kho lub sijhawm kho (lub lis piam 1-6).
Cov teeb meem xav tau kev saib xyuas: 1. Zam kom muaj ncab ntawm cov achilles mate; 2. Lub hauv caug nquag yuav tsum tau yoog raws ntawm 90 °, thiab pob luj taws dorsiflexion yuav tsum tau txwv rau qhov chaw nruab nrab (0 °); 3. Zam kev kub siab kub; 4. Zam kev nyob ntev sagging.
Cov kabmob sib koom ua ke ntawm kev mus sib koom ua ke thiab tiv thaiv cov hnyav yog cov ntsiab lus tseem ceeb tshaj plaws nyob rau lub sijhawm thawj zaug. Vim tias cov kabmob hnyav thiab kev sib koom ua ke ntawm lub cev tsis zoo, thiab muaj zog, ua kom muaj mob pob txha, thiab tawv nqaij tawv, thiab kev sib tw ua kom sib txawv, thiab cerabral sib sib zog nqus
Cov neeg mob tau raug qhia kom ua ntau yamlub tsibkev txav mus ib hnub, suav nrog pob taws dorsiflexion, cog flexion, varus, thiab valgus. Muaj pob luj taws dorsiflexion yuav tsum tau txwv rau 0 ° ntawm 90 ° ntawm lub hauv caug flexion. Yuav tsum tsis txhob muaj kev tawm tsam sib koom ua ke thiab ncab yuav tsum zam kev tiv thaiv kom tiv thaiv Achilling Achill zoo los ntawm kev sib tsoo lossis tawg.
Thaum tus neeg mob pib ib nrab rau tag nrho cov kabmob hnyav, nyob ruaj ruaj rau kev tawm dag zog yuav tuaj yeem qhia rau lub sijhawm no. Tus neeg mob yuav tsum tau qhia kom siv sab nraum qab ntawm ko taw hloov ntawm sab xub ntiag thaum caij tsheb kauj vab. Massaging caj dab caj dab thiab lub teeb sib koom ua ke tuaj yeem txhawb kho kom zoo thiab tiv thaiv cov khoom ua ke ua ke thiab txhav.
Kev kho mob khaub thuas kho cua thiab nce ntawm cov ceg tawv muaj peev xwm tswj tau mob thiab edema. Cov neeg mob yuav tsum tau qhia kom tsa cov ceg uas cuam tshuam ntau npaum li ntau tau rau ib hnub thiab kom tsis txhob tuav qhov hnyav rau ncua sijhawm. Tus neeg mob kuj tseem yuav raug qhia kom tau cov khoom ntim dej khov ntau zaus rau 20 feeb txhua zaus.
Kev tawm dag zog ntawm lub ntsag ntawm lub ntsag thiab hauv caug yuav tsum siv kev xyaum ua kom muaj kev sib txawv. Qhib-cov yeeb yaj kiab tawm thiab cov tshuab isotonic tuaj yeem siv los ntawm cov neeg mob uas muaj kev txwv tsis pub muaj.
Kev Kho Mob: Thaum siv Axillary lo los yog pas nrig nyob rau hauv tus kws kho mob, hnav cov kabmob hnyav hnyav hauv lub log tsheb; nquag pob taws dorsiflexion / Cog Freeion / varus / valgus; zaws caws pliav; sib koom tes xoob; Cov leeg cov leeg ua kom muaj zog; Kev kho lub cev; Kev kho txias.
Lub lis piam 0-2: short-ceg tawv txhuam immobilization, pob taws hauv nruab nrab txoj haujlwm; Qee lub cev cov kabmob nrog cov pas txheem yog zam rau; Ice + Hauv Zos Paus Kev Siv / Pulse Sib Nqus Kev Kho; Lub hauv caug flexion thiab pob taws tiv thaiv nquag plias cog green, varus, valgus; Kuj Quadriceps, gluteal, hip bonditioned kev kawm.
3 lub lis piam: luv-seg txhawb nqa immobilized, pob taws hauv nruab nrab txoj hauj lwm. Kev nce qib ib nrab ntawm cov kab mob taug kev nrog cov nqaj; Nquag + - Pab pob luj taws cog flexation / ko taw varus, kev cob qhia ko taw ko taw (sib npaug ntawm kev qhia board); Ua kom muaj pob taws me me me me sib koom ua ke (cuam tshuam, subtalar, tibioLar) hauv txoj haujlwm nruab nrab; Tsis kam ua quadriceps, gluteal, thiab hip kev cob qhia kev cob qhia.
4 lub lis piam: Action pob luj taws dorsiflexion; Kuj muaj lub zog cog qoob loo ib nrab phaus - cov kabmob gait cov kev cob qhia-isokinetic qis kev kawm (> 30 degrees / sec); Siab zaum qis tiv taus Lel Requabilitation kev cob qhia kev cob qhia.
5 lub lis piam: Tshem tawm pob luj taws caj dab, thiab qee cov neeg mob tuaj yeem mus rau kev kawm sab nraum zoov; Ob chav txhais ceg nyuj nce qib kev cob qhia; ib nrab phaus - cov kabmob gait cov kev cob qhia-isokinetic pib tawm tsam kev kawm (20-30 degrees / thib ob); Low-lub rooj zaum Heel Requabilitation Treadmill Kev Kawm; Drifting kev cob qhia (kev tiv thaiv thaum rov qab).
6 lub lis piam: Txhua tus neeg mob tshem tawm lub braces thiab ua kev cob qhia taug kev ntawm sab nraum zoov tiaj tiaj; Cov pa taws ua yeeb yam mus rau qhov kev kawm txuas ntxiv hauv qhov chaw zaum; Kev tiv thaiv qis (passive) cov leeg hloov dag zog (varus tsis kam, valgus tsis kam) ob pawg; Ib leeg-ceg sib npaug kev cob qhia (lub sab muaj kev noj qab nyob zoo li kev hloov pauv maj mam hloov); Taug kev gaiting tsom xam.
Cov txheej txheem nce qib: Kev mob thiab Edema raug tswj hwm; Cov kabmob hnyav tuaj yeem nqa tawm hauv cov kws kho mob thiab; pob luj taws dorseflexion mus txog nruab nrab txoj hauj lwm; Qhov sib npaug ntawm cov leeg qis qis dua cov leeg kom ncav cuag qib 5/5.
Theem thib ob tom qab phais tas
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Hauv theem ob, muaj qhov tseeb hloov pauv hauv qib hnyav, qhov nce ntawm cov rom ntawm cov leeg tuag thiab ua kom zoo ntawm cov leeg muaj zog.
Lub hom phiaj tseem ceeb: los kho cov kev ua haujlwm tsis txaus ntawm cov lus tsa suab rau cov khoom siv gait thiab stair. Restore pob luj taws dorsiflexion, varus, thiab valgus lub zog rau ib txwm muaj qib 5/5. Rov qab mus rau hauv ib txwm gait.
Kev Ntsuas Kev Ntsuas:
Nyob rau hauv kev tiv thaiv, nws tuaj yeem tiv taus qhov hnyav-cov kabmob mus rau tag nrho cov kev coj ua kom hnyav, thiab tuaj yeem nqa tawm cov txheej txheem thaum tsis muaj qhov mob; Underwater cos system xyaum gait gait; hauv-khau heel ncoo; nquag pob luj taws dorsiflexion / cog hlua / varus / VPGUS ce; proprioceptive kev cob qhia; isometric / isotonic lub zog qoj ib ce: pob taws inversion / valgus.
Kev tawm dag zog thaum ntxov thiab sib koom ua ke ntawm cov kev tawm dag zog tawm los txhawb kev kho kom rov kho dua ntawm cov txiaj ntsig, neuromuscular thiab sib npaug. Raws li lub zog thiab kev sib npaug tau rov qab, tus qauv ib qho ntxiv kuj hloov pauv ntawm ob qho qis dua qhov tsis muaj kev nyob qis dua. Scarg. Kev kho lub cev, thiab sib koom ua ke tsawg yuav tsum muaj raws li xav tau.
7-8 lub lis piam: Tus neeg mob yuav tsum xub hnav ib lub pob txha ntawm kev tiv thaiv kom tiav cov ceg ntoo uas muaj qhov hnyav thiab hnav cov khau kom yuag yuag. Ib pob luj taws tuaj yeem muab tso rau hauv cov khau thaum lub sijhawm hloov ntawm ko taw sib cam sib xyaws mus rau khau.
Qhov siab ntawm pob luj taws yuav tsum ua kom tsawg dua li cov lus tsa suab ntawm kev sib koom ua ke. Thaum tus neeg mob lub gait rau ib txwm ua, pob luj taws tuaj yeem faib nrog.
Ib qho gait yog qhov yuav tsum tau ua ua ntej rau kev taug kev tsis muaj kev tshem tawm. Pob luj taws muaj xws li cog flexion thiab dorsi txuas ntxiv. Dorsiflexion txhais tau tias cov ntiv taw yog hooked rov qab li sai tau, uas yog, tus taw yog yuam rov qab mus rau qhov txwv txoj haujlwm;
Nyob rau theem no, me ntsis inversion thiab inversion yog lub zog isometric lub zog tuaj yeem pib, thiab cov hlua khau tuaj yeem siv coj los xyaum tom qab. Tsim cov leeg nqaij muaj zog los ntawm kev kos duab cov duab ntawm cov tsiaj ntawv nrog koj lub pob taws ntawm ntau cov cuab yeej. Thaum muaj cov lus tsa suab txaus tau tiav lawm.
Koj tuaj yeem pib xyaum ua ob tus leeg loj ntawm cog grineion ntawm lub plab hlaub. PLANAR FLEXIONION DESISTIONS DRISTS NROG KINEE Flexion rau 90 ° tuaj yeem pib 6 lub lis piam tom qab phais tas. PLANAR FLEXIONION DESORTANCE ce nrog lub hauv caug txuas tau tuaj yeem pib los ntawm lub hnub 8.
Kev siv hluav taws xob plantar kuj tseem tuaj yeem siv nyob rau theem no siv lub hauv caug-txuas cov khoom siv thiab cov ceg khoov. Nyob rau lub sijhawm no, kev tawm tsam lub tsheb kauj vab tas yuav tsum tau nqa nrog lub forefoot, thiab tus nqi yuav tsum nce maj mam nce. Rov qab taug kev ntawm caj dab txhim kho eccentric cog flexion tswj. Cov neeg mob no feem ntau pom taug kev rov qab zoo dua vim tias nws txo qhov xav tau ntawm kev ua tiav. Nws tseem muaj peev xwm los ua kom pom cov kauj ruam tom ntej. Qhov siab ntawm cov kauj ruam tuaj yeem nce zuj zus.
Micro-squat nrog pob taws tiv thaiv (cov Achilles tendon yog txuas ntxiv nyob rau hauv lub premise ntawm tolerable mob); Peb pawg ntawm kev tiv thaiv hnyav (passive) kev cob qhia kev sib hloov (varus tsis kam, valgus tsis kam); Ntiv taw tsa (siab Kuj Kev Kawm Soleus); Toot nrog lub hauv caug ncaj ncaj nyob rau hauv lub rooj zaum rooj (siab ua pa gastrocnius kev kawm).
Txhawb nqa lub cev hnyav ntawm qhov sib npaug bar kom ntxiv dag zog rau ntawm kev kawm gaion; Ua Yeeb Yam Puv Thiaj Qhia Kev Kawm Tawm Tsam + - EMG Stimulation Hauv Chaw Sawv; Ua tus gait rov qab kawm nyob hauv qab tsuj; Ua kev cob qhia kev cob qhia treadmill nrog forefoot (li 15 feeb); Sib npaug kev kawm (sib npaug Board).
9-12 lub lis piam: Sawv ruaj pob huam kwv yees txuas ntxiv kev kawm; Sawv ntsug cov roj av liab ua kev cob qhia (ntiv taw kov cov av, yog tias tsim nyog, hluav taws xob ua haujlwm tuaj yeem muab ntxiv); Forefoot Reashabilitation Treadmill Kev Kawm Kev Ua Haujlwm (txog 30 feeb); ko taw nqa, tsaws kev cob qhia, txhua kauj ruam yog 12 nti sib nrug, nrog kev tswj thiab eccentric thiab eccentric; Tom qab nce toj taug kev, thim rov qab taug kev; trrammine sib npaug kev cob qhia.
Tom qab rov zoo
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Lub lim tiam 16: kev qhia hloov pauv (Tai chi); Kev ua haujlwm pib; Ntau-kis tau kawm ometric kev cob qhia.
6 lub hlis: sib piv ntawm qis dua qub; Isokinetic kev tawm dag zog; gait tsom xam txoj kev kawm; Ib txhais ceg calf nce rau 30 feeb.
Sichuan Cah
WhatsApp / WeChat: +8615682071283
Email: liuyaoyao@medtechcah.com
Lub Sijhawm Post: Nov-25-2022
