Ingabe uhamba kahle ukuzitholela ubuhlungu obukhulu bokubuhlungu emuva? Abantu abanezinhlungu ezibuya emuva ngokuvamile banikezwa isincomo ukuze bahlale bengasebenzi, futhi leso seluleko siyingxenye yemihlahlandlela yokusebenza emitholampilo. Ucwaningo oluthile olwenzile luye lwafakazela ebufakazini bokuthi ukuhamba kuhle kubantu abanobuhlungu obungemuva.
Hlala Uhamba
Ucwaningo olwenziwe ucwaningo lwabonisa ukuthi ukuhamba amahora amathathu noma ngaphezulu ngesonto kwasiza iziguli eziphuthumayo ezincane ezibuhlungu ezincane.
Ukuzivocavoca okucacile emuva akuzange kusebenze kahle kulolu cwaningo. Abacwaningi be-UCLA bafunde iziguli eziyizinhlungu ezingu-681 eziphansi. Iqembu elilodwa lenza izinto ezithile zokuzivocavoca phansi, elinye iqembu lahamba ngokulingana kwamahora amathathu okuhamba ngesonto ngalinye.
Iqembu elihambahamba lalingenabuhlungu obukhulu, ukukhubazeka, nokucindezeleka kwengqondo. Ngeshwa, ukuqeqeshwa okuphansi emuva kweqembu kwaba nobuhlungu obukhulu nokucindezeleka. Lokhu kungahle kube ngenxa yeziguli ezenza izivivinyo ngokungalungile. Ucwaningo lwashicilelwa encwadini kaSeptember 2005 ye- American Journal of Public Health .
Ukuhamba Kuphumelela Njengezinye Ukuzivocavoca
Ucwaningo olunyatheliswa ngo-2013 lubheke ukuthi ngabe uhlelo lokuhamba ngezinyawo lusebenza yini kanye nohlelo lokuzivocavoca emuva. Lezi zihloko zazingabantu abangu-52 abahlala emadolobheni abanobuhlungu obungapheli. Bahlukanisa ngamaqembu amabili. Iqembu elilodwa lanikezwa uhlelo lokuqinisa imisipha emasontweni ayisithupha, okwakudinga izikhathi ezintathu zokuzivocavoca ngesonto.
Elinye iqembu esikhundleni salokho lathintela ukuhamba ngomzamo omkhulu (njengokuhamba ngokusheshisa). Bahamba imizuzu engu-20 baqale futhi bafike kumaminithi angu-40 imihlangano emibili kuya kweyithathu ngesonto. Zombili amaqembu ayenokuthuthukiswa okuphawulekayo ekuvivinyeni okuhamba ngeminithi eyisithupha, ukuhlolwa kwe-muscle nokukhuthazela kwesisu nesisu se-Low Back Pain Functional Scale (LBPFS).
Umcwaningi oholayo, uDkt. Michal Katz-Leurer wabonisa izinzuzo zokuya ohlelweni lokuhamba, olungadingi isikhathi somuthi noma imishini. Kungaba ukusetshenziswa okungcono kwezinsiza kunehlelo lokuzivocavoca emuva emitholampilo futhi iziguli zingaqeqeshwa ukuzenza ekhaya.
Umthetho Wokuhamba
Odokotela kanye nezidakamizwa sekuyisikhathi eside bememezela ukuhamba ngeziguli eziphuthumayo ezincane, futhi lokho kubhalwa emihlahlandlela yokusebenza emitholampilo. Kumelwe zikhuthaze iziguli ukuba ziqhubeke zihamba naphezu kobuhlungu, njengoba umphumela ubuhlungu obuncane futhi kutholakala ngokushesha. Imiqondo endala yokuphumula kombhede kanye nomqondisi weLa-Z-Boy ngenxa yobuhlungu obuphansi emuva babufile.
Ukuthutha Kubalulekile
Labo abanezinhlungu ezibuhlungu emuva kumele basebenzise ukuhamba kahle kokuhamba ukuze banciphise ukucindezeleka okuphansi emuva. Amaphutha okuhamba okuvamile okuhamba phambili asele phambili, encike emuva, futhi ehluleka ukugcina ikhanda futhi amehlo phambili. Ukulungiswa okulula ekuhambeni kwakho okuhambayo kungavimbela ubuhlungu obukhulu emuva uma uhamba futhi usiza ekuhluphekeni kobuhlungu nokubuyisela kulabo abanezinhlungu ezibuhlungu emuva.
Ingabe Ukuhamba Kuvimbele Ngempela Ubuhlungu Bokubuyiselwa Okuphansi?
Ukubuyekezwa okuhlelekile kokucwaninga akutholanga ubufakazi bokuthi ukuhamba kuvimbela ubuhlungu obuphansi emuva. Ucwaningo olulodwa lwalandela abasebenzi basehhovisi elihlala phansi futhi bathola ukuthi ukuhamba kwehlisa ingozi yokuhlushwa kwentamo, kodwa akuzange kuncishiswe ukukhubazeka kobuhlungu obuphansi.
Ngesikhathi abacwaningi abanjengoDkt. Katz-Leurer bacabanga ukuthi ukuhamba kungase kube nomthelela wokuvikela ekuvimbeleni ama-aches nezinhlungu, lokhu kungakabonakali. Izindaba ezinhle ukuthi akubonakali ukulimaza.
Imithombo:
I-Hurwitz EL, uMorgenstern H, uCao C. "Imiphumela yokuzijabulisa ngokomzimba nokuzivocavoca emuva emuva kokucindezeleka okuphansi emuva nokucindezeleka kwengqondo: okufundwa yi-UCLA Low Back Pain Study." Am J Impilo Yomphakathi. 2005 Oct; 95 (10): 1817-24.
UShnayderman I, Katz-Leurer M. "Uhlelo oluhamba phambili lokuhamba ngezinyawo oluhambisana nokuhlushwa kwemisipha engapheliyo: ubuvivinyo obulawulwe ngokungahleliwe." I-Clin Rehabil. 2013 Mar; 27 (3): 207-14. i-doi: 10.1177 / 0269215512453353. I-Epub 2012 Jul 31.
URoger Chou, MD; U-Amir Qaseem, MD, PhD, MHA; UVincenza Snow, MD; UDonald Casey, MD, MPH, MBA; J. Thomas Cross Jr, MD, MPH; UPaul Shekelle, MD, i-PhD; UDouglas K. Owens, MD, MS, Ikomidi elincane lokuhlola ukuhlolwa kwe-Clinical E-American College of Physicians kanye ne-American College of Physicians / American Pain Society Low Back Pain Guidelines Panel. "Ukuxilongwa Nokunakekelwa Kwezinhlungu Ezibuhlungu Eziphansi: Umhlahlandlela Wokuzibandakanya Osemtholampilo we-American College of Physicians kanye ne-American Pain Society," I- Annals of Internal Medicine Clinical Guidelines, 2 Okthoba 2007
Sitthipornvorakul E1, Janwantanakul P, Purepong N, Pensri P, van der Beek AJ. "Ukuhlangana phakathi kokusebenza ngokomzimba nentamo nokuhlupheka okuphansi emuva: ukubuyekezwa okuhlelekile." I-Eur Spine J. 2011 Meyi; 20 (5): 677-89. i-doi: 10.1007 / s00586-010-1630-4. Epub 2010 Nov 27.