Isku xirka laf-dhabarka, ama ACL, waa mid ka mid ah afar xidid oo waaweyn oo jilibka ah. Dhaawacyada ACL waa dhaawacyo isboorti oo caadi ah waxayna noqon karaan dhaawacyo xilli-ciyaareed ah. Cilmi-baaris cusub ayaa baaraya siyaabaha looga hortago dhaawacyada ACL si looga fogaado wakhtiga ka lumay isboortiska iyo tartanka.
Xasilinta jilibka ayaa ku xiran arrimo kala duwan. Labada ugu muhiimsani waa kuwa xasiloonida iyo nabadeeyaha firfircoon ee jilibka.
- Stabilizers Static
Isticmaalayaasha xasaasiga ah waa afar xidid oo waaweyn oo jilibka ah: jilibka hore (ACL), xiriirka dambe ee jilicsan (PCL), lafdhabarta dhexdhexaadka ah (MCL), iyo lafaha dahabka ah (LCL). - Isticmaalayaasha xasiloonida
Dhibbanayaasha firfircoon ee jilibka ayaa ah murqaha iyo jilicyada ku wareegsan wadajirka. Muruqyada iyo curiyahan waxaa lagu xakameynayaa waxa loo yaqaano talaalka neuromuscular, miyir la'aanta habdhaqanka dhismayaasha si loo xakameeyo booska wadajirka.
Tababbarka neuromuscular waxaa loo isticmaalaa in lagu baro caadooyinkaaga habdhaqanka wanaagsan ee jilibka. Adigoo tababaraya sida jilibkaagu u socdo, gaar ahaan marka boodboodka, soo degidda iyo is-beddelka, waxaad sii wadi kartaa booska xasilloon ee jilibka. Daraasado dhowr ah ayaa muujiyey in barnaamijyada tababbarka neuromuscular ay yareyn karaan fursada dhaawaca ACL.
Daraasado ayaa lagu ogaaday in barnaamijyo dhamaystiran oo ay ka mid yihiin plyometrics, xoojinta, jimicsiga iyo dheelitirka tababarada ayaa ahaa kuwa ugu fiican ee looga hortago dhaawacyada ACL, gaar ahaan dumarka dhalinyarada ah ee ciyaaraha fudud.
Plyometrics waxaa ka mid ah jimicsiga boodboodka ee soo noqnoqda kuwaas oo dhisaya awood iyo awoodba.
Akadamiyadda Mareykanka ee Cilmi-nafsiga ayaa ku boorisay Barnaamijyada Tababarada Neerarka
Iyadoo carruur badan oo ka qeyb qaadanaya ciyaaraha isboortiga oo ay ku jiraan tababbarro xoogan muddo dheer, dhaawacyada ACL waxay noqdeen kuwo aad u badan.
Kuwani waa gaar ahaan kor u kaca gabdhaha ciyaaraha kubada cagta, kubadda laliska, kubbadda koleyga, iyo jimicsiga. Isboortiga oo ku lug leh socodka, isbarbardhigga iyo boodada ayaa gaar ahaan khatar ugu jira xayawaanka yaryar. Akadamiyadda Mareykanka ee Aer-haqaatiirta Carruurta (AAP) ayaa kugula talineysa barnaamijyada tababarka nuur-nuujinta si loo yareeyo khatarta dhaawaca ACL, iyada oo cilmi-baadhis ku sameeyneysa inuu yarayn karo khatarta ilaa 72 boqolkiiba dumarka da'da yar.
AAP waxay liistaa barnaamijyada tababarka ee ay ku taliyaan tababarayaasha iyo barnaamijyada isboortiska dugsiga. Kuwaas waxaa ka mid ah layliska iyo xoojinta jimicsiga.
Barnaamijyada Tababarka Nuuromuskus
Barnaamijka PEP : Mid ka mid ah barnaamijyada tababarka nöromuscular ee si fiican loo yaqaan, Dhaawaca Ka Hortagga, iyo Hagaajinta Barnaamijka Waxqabadka (oo sida badan loo yaqaan barnaamijka PEP) ayaa lagu horumariyey Santa Monica Orthopedics iyo Cilmi-baarista Cilmi-baarista Caafimaadka. Waxaa loo heli karaa sida PDF-ka oo bilaash ah iyo fiidiyoow ayaa loo heli karaa deeqid. Waxaa lagu dhisi karaa berriga leh khadad ama shub. Barnaamijku wuxuu qaataa 15-20 daqiiqo si uu u dhamaystiro waana in la sameeyaa saddex jeer toddobaadkii. Waxaa ka mid ah kulaylinta, fidinta, xoojinta, plyometrics iyo jimicsiyada dhaqdhaqaaqa cayaaraha gaar ahaaneed.
KIPP for Coaches: Tani waa waxbarasho bilaash ah oo bilaash ah oo leh sawirro iyo fiidiyo jimicsi loogu talagalay cayaaraha gabdhaha yar yar.
Waxaa loo isticmaalaa sida 15-daqiiqo habka diirimaad ee neuromuscular oo leh jimicsi lagu xoojiyo, plyometrics, dheelitirnaanta, dhaqdhaqaaqa, iyo fidinta. Waxaa loo sameeyay dugsiyada sare ee dadweynaha ee Chicago sanadkii 2006 oo ay soo saareen Ann & Robert H. Lurie Children's Hospital ee Machadka Chicago ee Isboortiga Isboortiga.
Ilaha:
Griffin LY, iyo al. "Dhibaatooyinka La Xiriira Cudurka Dabeecadda ee aan Xidhiidhka Laheyn: Ciladaha Khatarta ah iyo Istaraatiijiyada Ka Hortagga" J. Am. Acad. Ortho. Surg., May / June 2000; 8: 141 - 150.
Alentorn-Geli E, Myer GD, Silvers HJ, Samitier G, Romero D, Lázaro-Haro C, Cugat R. "Ka-hortagga dhaawacyada aan la xariirneyn ee kudhaca ciyaartoyda kubada cagta Qeybta 2aad: Dib-u-eegista barnaamijyada ka hortagga ah ee loogu talagalay wax ka beddelidda khatarta halista ah iyo in la yareeyo heerarka dhaawaca. " Knee Surg Sports Traumatol Arthrosc. 2009 Aug 17 (8): 859-79. doi: 10.1007 / s00167-009-0823-z. Epub 2009 Jun 9.
Cynthia R. LaBella, William Hennrikus, Timothy E. Hewett, XILDHIBAANKA DAWLADDA DARYEELKA CAAFIMAADKA IYO FITNESS, iyo QAYBTA OO DHALINYARADA. "Warbixinta Rugta: Dabeecadda Dhibaatooyinka Dhibaatada ah: Ciladeynta, Daaweynta, iyo Kahortagga," Pediatrics May 2014, VOLUME 133 / ISSUE 5