Tuhinga Tangata mo te Painui
Ko te whakamatautau a Neer he whakamātautau motuhake hei aromatawai mehemea ka taea e te panga o te pokohiwi te whakamamae i to mamae me te nekehanga o te pokohiwi. Ka taea e to tö täkuta, te kaiwhakahaere hauora ränei te whakamätau i te whakamätautau a Neer hei wähanga o tö whakamätautau whänui.
Mena kei a koe te mamae o te pokohiwi , ka mohio koe me pehea te mamae e taea ai te whakawhitinga i to kaha ki te hapai i to ringa ki runga, me te whakamahi i to ringa.
Ka mamae pea koe i te wa e piki ake ai to ringa ki te taha, he tikanga e mohiotia ana ko te pakaru mamae .
He maha nga take o te mamae o te pokohiwi . Ka taea e enei te whakauru i te pokohiwi i te tio , te pirokaro pirau, te roimata ranei, te roimata labrum , te bursitis, te aukati ranei. Ka ite pea koe i te mamae o te pokohiwi e puta mai ana i te naki whara ki tou kaki.
Ka tohua koe e to taakuta ki tetahi kaitautoko tinana hei awhina ia koe ki te whakahaere i te mamae o te pokohiwi. Ka taea e ia te mahi i nga whakamatautau motuhake i runga i to pokohiwi hei awhina i te whakatau i te take o to mamae. Ko nga hua o tana whakamatau me ana whakamatautau ka taea te awhina i to maimoatanga mo te mamae o tou pokohiwi.
Ko te whakamatautau a Neer he whakamatautau motuhake mo to pokohiwi. Ka whakatauhia e te mea kei te tohatoha te mamae o te pirau ki a rotator.
Te mahi i te whakamatau a Neer
Hei whakatutuki i te whakamatautau a Neer, me hiahia koe ki te kimi i tetahi hoa, me tetahi mema o te whanau ki te awhina ia koe. Tenei ko te pehea e mahia ana e koe:
- Noho pai i runga i te nohoanga.
- Me awhi ake to hoa ki te mamae o te pokohiwi i mua i a koe me te kape i te wa e taea ai.
- Mena ka kaha ake to ringa ki runga, kia kaha ake to hoa ki te turaki i to ringa. Me whakamahi e ia tetahi ringa i runga i to ringa me te ringa e tautoko ana i te peke o tou pokohiwi.
- A, no te whakatikatika o to ringa ki runga, ka nekehia atu ki te rohe, ko te waahi kei te noho toiorahia ai nga turi me te pokohiwi (e kiia ana ko te waahi-iti).
- Mena ka mamae te mamae i runga i to pokohiwi, ka whakaarohia he pai te whakamatautau a Neer, te tikanga ko te mamae o te pokohiwi ka puta mai ma te panga o nga turi me te pakaru i roto i to pokohiwi.
I muri i te whakamatautau o to hoa ki to pokohiwi mamae, he mea pai ki te whakamatautau i to pokohiwi kore-mamae, kia mohiohia he aha te ahua o te "whakamatautau" a Neer.
Ko te Whakatau a Neer he Mea Pai. Na He aha?
Mena kua oti ia koe te whakamatautau a Neer, ka tohuhia he panga o te pokohiwi, he pai mo koe ki te toro atu ki to taakuta. Ka taea e ia te tuku atu ki a koe ki tetahi kaitautoko hauora hei awhina i te whakatau he aha nga take o to pakihiwi e tohua ana.
Ko te whakamatautau a Neer anake e korero ana ki to PT ki te mea he putea pokohiwi koe; kaore e korerotia ana ki te kairangahau mo te ahua o te hanganga i roto i to pakihiwi. Koinei to taau putea? Ko to kaiwhakaweto? Ko to anga o te pungarehu? Ko te whakamatautau ano i to waahi pokohiwi me to kaha ka hiahiatia hei hanga i tetahi pikitia tino pai o to ahua.
Te Tikanga Aromatawai mo te Whakauru Mahi
I etahi wa ka ngaro te awhe o te nekehanga (ROM) i te panga o to pokohiwi. Ka taea e to kaiwhakawhanake hauora te whakaatu i nga mahi ROM mo to pokohiwi . Ka whai hua ano hoki koe i te whakamahi i te putea pene ki te whakaora i te awangawanga o te waahanga kore utu kore mamae.
Mena he ngoikore te ngoikore o nga uaua ki a koe, ko te take o te panga o to pokohiwi, ka tohu pea taau kaiwhakahaere i nga mahi whakaari me nga mahi whakapakari ki te whakapai ake i te pumau o to pokohiwi.
Ka taea ano e to kairangahau hauora te whiriwhiri i te whakamahi i nga tikanga hauora hei awhina i te whakahaere i to panga o te pokohiwi. Ko enei maimoatanga e whai ake ki te whakanui ake i te rehab o te pokohiwi, a ka awhina i te whakaiti i te mamae me te mumura i roto i to pokohiwi. Ko nga tikanga hauora e kore e tika hei maimoatanga anake e whakawhiwhia ana e koe i te wa o to waahi turorotanga tinana.
Mena kua kite koe i te kaitautoko tinana mo te panga o te pokohiwi, me te mamae tonu o ou mamae, ka hiahia pea koe ki nga maimoatanga ake ano kia pangia e te urupare cortisone .
Ko te pokanga tawhito, e kiia ana ko te wawaro-pitihana , ka hiahiatia kia tino nui, ka hoki mai ki roto i to pokohiwi.
Mena he mamae taau, ka whai hua koe i te mahi i nga whakamatautau motuhake i runga i tou pokohiwi hei awhina i te whakatau i te take o to mamae. Ko te whakamatautau a Neer ko tetahi o te whakamatautau ka taea e koe te kite mehemea he take o te mamae o rotator cuff. Mena, ka taea e koe te rapu i te maimoatanga tika mo to pokohiwi.
He Kupu mai i
Ka taea e koe te whakaatu i te whakamatautau a Neer i a koe ake, engari ka taea e te kaiwhakarato hauora whakangungu whakangungu tika te mohio ki te tikanga o etahi whakamatautau me nga ine mo to pokohiwi. He pai tonu te whakaaro ki te tirotiro ki to taakuta i mua i te mahi i etahi mahi motuhake me o taau pokohiwi.
> Puna: Watts, Amy etal. Te arotake whaiaro o nga Mahinga Matewhakaaro mo te Ngataha Whakauru Mahi. Nga Whakaritenga Aurora; Tihema 25, 2016.