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E faavae i luga o faʻamaumauga faʻafuainumera, e tusa ma le tolu miliona tagata i le Iunaite Setete ua manuʻa i se faalavelave tau taavale i tausaga taʻitasi. O le mea moni, o faalavelave faʻafuaseʻi o le taavale ua manatu o se tasi lea o mafuaʻaga sili ona taatele mo le faʻaleagaina poʻo le manuʻa. O aʻa i le ogaumu, e pei o le tui, e masani lava ona tupu ona o le toe faʻafuasei o le gaioiga o le ulu ma le ua mai le malosi o le aʻafiaga. O le masini lava e tasi o le manua e mafai foi ona afaina ai manu i isi vaega o le tino, e aofia ai le pito i lalo ma pito pito i lalo. Tupa, pulou, suʻu ma le tulivae o manua masani o manua e mafua mai faalavelave faʻafuaseʻi.

 

lē faʻatino

 

  • sini: O le faʻamoemoega o lenei iloiloga faʻaletausaga o le fuafuaina lea o le aoga o faamalositino mo le puleaina o manuʻa vaivai o le suilapalapa, ogavae, ma tulivae.
  • Metotia: Na faʻatautaia le suʻesuʻega ma suʻesuʻeina MEDLINE, EMBASE, PsycINFO, le Cochrane Central Register of Trials Controlled, ma le CINAHL Plus ma le Faʻamatalaga atoa mai Ianuari 1, 1990, Aperila 8, 2015, mo tofotofoga faʻavaomaloina (RCTs) ma suʻesuʻega faʻataʻitaʻiga e iloilo ai le aʻafiaga o le faʻamalositino i luga o le malosi o le tiga, toe faʻaleleia e le tagata lava ia, toe faʻafoʻi galuega, soifua maloloina o le soifua maloloina, taunuuga o le mafaufau, ma mea leaga. O vaega eseese o tagata suʻesuʻe tutoʻatasi na faʻamaonia ulutala ma faʻamavaega ma suʻesuʻeina le ono aʻafiaina o le faʻaaogaina o le Taiala i le Gagana Scottish Intercollegiate Guidelines. Faʻamatalaga sili ona faʻamaonia faʻamaoniga.
  • Tali: Na matou siakiina faʻamatalaga tusitusia e 9494. E valu RCTs na faitioina faʻamasaniina, ma le 3 na maualalo le lamatiaga o le faʻaituau ma na aofia ai i le matou faʻamatalaga. Tasi RCT maua faʻamaumauga taua faʻaleleia i tiga ma gaioiga fiafia i falemaʻi faʻavae alualu i luma faʻamalositino faʻamalositino luga o le 'faʻatali ma vaʻai' auala mo patellofemoral tiga syndrome. O le lona lua o le RCT o loʻo fautua mai ai, o le vaʻavaʻaia o faʻataʻitaʻiga o faʻamalositino, e mafai ona mafua ai le faʻaleleia atili o faʻailoga nai lo le tatala o filifili filifili mo le patellofemoral pain syndrome. Tasi RCT fautua mai o falemaʻi-faʻavae faʻamalositino faʻamalositino e ono sili atu le aoga nai lo multimodal physiotherapy i tama afeleti ma tumau tiga oona.
  • Faaiuga: Sa matou mauaina ni molimau maualuga e sili ona maualuga e lagolago ai le faʻaaogaina o faamalositino mo le puleaina o manuʻa vaivai o le tino pito i lalo. O le faʻamaoniga o loʻo taʻu mai ai o polokalama faʻavae e faʻaaogaina i falemaʻi e mafai ona faʻamanuiaina ai tagata o loʻo maua i le tiga o le patellofemoral ma tumau pea le tiga. E manaʻomia foʻi isi suʻesuʻega maualuga. (J Manipulative Physiol Ther 2016; 39: 110-120.e1)
  • Faʻamatalaga Faasino Igoa: Kino; Tinoina Manuaga; Hip; Lavaga o le Tino; Tolu; Thigh Pain; Faamalositino

 

O manuʻa mama o le tino vaivai e taatele. I totonu o le Iunaite Setete, o 36% o manuaga uma o loo tuuina atu i matagaluega o faalavelave tutupu faafuasei o ni pupuʻu ma / poʻo ni faʻalavelave o le pito i lalo. Faatasi ai ma le aufaigaluega i Ontario, e tusa ma le 19% o faʻamaonia uma o taimi ua leiloloa ua leiloloa, e fesoʻotaʻi ma pito i lalo o manuʻa. E le gata i lea, o 27.5% o tagata matutua o Saskatchewan na manunuʻa i le tiga o lipoti o felauaiga i le pito i lalo. O manuʻa mama o le suilapalapa, thivae, ma tulivae e taugata ma tuʻuina se avega mamafa tau le tamaoaiga ma le le atoatoa i luga o fale faigaluega ma faʻaaogaina taui. E tusa ai ma le US Department of Labor Bureau o Fuainumera Faamauina, o le tele o le taimi mai le galuega mo le sili atu ona leaga na afaina ai 12 aso i le 2013. O manua o le manua na fesoʻotaʻi ma le taimi aupito umi o le toesea (median, 16 aso).

 

O le tele o manuʻa vaivai o manuʻa o le vaega pito i lalo e pulea lelei, ma o le masani e faʻaaogaina e togafitia nei manua. O le faʻamalositino e faʻamoemoe e faʻaleleia le lelei o le soifua maloloina faaletino ma toe faʻafoʻisia le masani masani o sooga ma mea vavalalata faʻamalosi e ala i mataupu e aofia ai le tele o le lafo, faʻalauteleina, faʻamalosia, tutumau, agavaʻa, ma le faʻalelei. Ae ui i lea, o molimau e uiga i le aoga o faamalositino mo le puleaina o manuʻa mama o le vaega pito i lalo e le manino.

 

O iloiloga muamua ua maeʻa ona suʻesuʻeina le aoga o faamalositino mo le puleaina o manuʻa vaivai o le tino pito i lalo. O fautuaga e fautuaina ai o le faamalositino e aoga mo le puleaina o le tiga o le patellofemoral ma le afaina o manuʻa ae le mo patellar tendinopathy. I lo matou silafia, na o le pau lava le toe iloiloga o le aoga o le faamalositino mo manuʻa tuga tigaina na maua ai ni molimau itiiti e lagolago ai le faʻalauteleina, faʻamalosi, ma le faʻamautuina o ogalaau.

 

Ata o le faiaoga o loʻo faʻaalia galuega toe faʻaleleia.

 

O le faʻamoemoe o la tatou iloiloga faʻaletausaga o le suʻesuʻeina lea o le lelei o le faʻatinoina pe a faatusatusa i isi faʻasalalauga, placebo / sham interventions, poʻo le leai o se fesoasoani i le faʻaleleia o le toe faʻaleleia o le tagata lava ia, toe faʻafoʻi galuega (eg, toe foʻi i gaoioiga, galuega, poʻo le aʻoga) o taunuʻuga (faʻataʻitaʻiga, tiga, soifua maloloina o le soifuaga, faʻavauvau) o tagata gasegase ma manuʻa vaivai o le failapalapa ,vaevae, ma tulivae.

 

Metotia

 

faamauina

 

O lenei faiga o iloiloga faʻapitoa na faʻamaumauina i le Tusi Taʻiala Faʻavaomalo mo Iloiloga Faʻavaomalo o Iloiloga Faʻavae i Mati 28, 2014 (CRD42014009140).

 

Agavaʻa Taʻiala

 

Faitau aofai. O le matou iloiloga faʻatulagaina suʻesuʻega o tagata matutua (? 18 tausaga) ma / poʻo tamaiti e maua i manuʻa vaivai manuʻa o le suilapalapa, ogavae, poʻo tulivae. Manuʻa manuʻa manuʻa aofia ai ae le gata i le vasega I i le II sprain / faigata; tendonitis; tendinopathy; tendinosis; tiga patellofemoral (syndrome); iliotibial band syndrome; nonspecific suilapalapa, suilapalapa, poʻo tulivae tiga (le aofia ai tele pathology); ma isi manuʻa vaivai manuʻa pei ona faʻailoa mai e molimau talafeagai. Na matou faʻauigaina vasega o sprains ma ituaiga e tusa ai ma le faʻavasegaga na faʻatuina e le American Academy of Orthopedic Surgeons (Laulau 1 ma le 2). O mea malulu ua afaina i le suilapalapa e aofia ai maʻa lagolago ma maso o loʻo sopoia le suilapalapa i totonu o le suilapalapa (e aofia ai ma hamstrings, quadriceps, ma adductor maso vaega). O vailaʻau malulu o le tulivae e aofia ai le lagolago o loʻomatua-faʻaopoopo ma faʻaopoopo-faʻapitoa ligamini ma maso kolosi le tulivae soʻoga mai le oga e aofia ai le patellar tendon. Na matou faʻateʻaina suʻesuʻega o le vasega III sprains poʻo ni faʻamaʻi, loimata o le acetabular labral, loimata meniscal, osteoarthritis, gau, motusia, ma faʻamaʻi faʻafitauli (eg, faʻamaʻi pipisi, neoplasm, faʻafitauli o le mumu).

 

Faʻamatalaga 1 Faʻamatalaina o Sprains

 

Faʻataʻotoga 2 Faʻamatalaina o Taʻo

 

Faʻatonu. Matou te faatapulaa la matou iloiloga i suʻesuʻega na tofotofoina ai le aoga o le faamalositino (ie, e le o se vaega o le polokalama multimode). Matou te faʻamalamalamaina faʻamalositino e pei o soʻo se faasologa o gaioiga e faʻamoemoe i aʻoaʻoga poʻo le atinaʻeina o le tino e ala i masaniga faʻapitoa poʻo aʻoga faʻapitoa e faʻaleleia ai le soifua maloloina lelei faaletino.

 

Faatusatusaga o Vaega. Matou te aofia ai suʻesuʻega e faʻatusatusa i le 1 poʻo le sili atu faʻamalositino faʻamalositino i le isi poʻo le tasi le gaioiga e fai ai isi mea faʻalavelave, faʻatali mo le lisi, placebo / sham interventions, poʻo le leai foi o se mea e fai.

 

O taunuʻuga. Ina ia agavaa, o aʻoga e tatau ona aofia ai se tasi o taunuuga nei: (1) toe faʻaleleia e le tagata lava ia; (2) toe faʻafoioina galuega (faʻataʻitaʻiga, le atoatoa, toe foʻi i gaoioiga, galuega, aʻoga, poʻo le taʻaloga); (3) tiga tele; (4) soifua maloloina o le olaga; (5) taunuʻuga o mafaufauga e pei o le atuatuvale poʻo le fefe; ma (6) faʻalavelave leaga.

 

Suesue ia Uiga. O suʻesuʻega talafeagai na ausia ai taʻiala nei: (1) Igilisi; (2) suʻesuʻega na lomia i le va o Ianuari 1, 1990, ma Aperila 8, 2015; (3) faʻataʻitaʻiga faʻataʻitaʻiina (RCTs), suʻesuʻega faʻapitoa, poʻo suʻesuʻega faʻataʻitaʻiga lea ua fuafua e iloilo le aoga ma le saogalemu o faʻasalalauga; ma (4) e aofia ai se kulupu amataina o se vaega itiiti o 30 sui auai mo togafitiga faʻamaʻi ma le tulaga faʻamaonia mo le RCTs poʻo le 100 tagata auai mo le kulupu ma le tulaga faʻamaonia i suʻesuʻega o kulupu poʻo suʻesuʻega faʻataʻitaʻiga. O suʻesuʻega e aofia ai isi togi o vaʻavaʻa poʻo ni mea e faʻavaivaia i totonu o le tauala, thivae, poʻo le tulivae e tatau ona maua ai faʻasesega eseese mo tagata auai ma togi I poʻo II faʻapipiʻi / togi e aofia ai.

 

Matou te vaʻavaʻaia suʻesuʻega ma uiga nei: (1) tusi, faʻamatalaga, faʻamatalaga, tusiga e lei faʻasalalau, faʻasalalauga, lipoti a le malo, tusi ma tusi mataupu, taualumaga o fonotaga, fonotaga faʻapitoa, tautalaga ma tuatusi, faʻamatalaga o le faʻatalanoaga, poʻo faʻamatalaga taʻiala; (2) suʻesuʻega faʻataʻitaʻiga e aofia ai suʻesuʻega pailate, suʻesuʻega faʻasalalauga, lipoti o mataupu, faʻasalalauga mataupu, suʻesuʻega agavaʻa, iloiloga faʻataʻitaʻiga, iloiloga faʻapitoa (faʻatasi ma le leai foi o ni faʻataʻitaʻiga), faʻataʻitaʻiga faʻataʻitaʻiga, suʻesuʻega biomechanical, suʻesuʻega suʻesuʻe, ma suʻesuʻega lipotia e uiga i auala; (3) faʻataʻitaʻiga poʻo suʻesuʻega manu; ma (4) suʻesuʻega e uiga i tagata mamaʻi ma manuaga tuga (eg, vasega III o loʻo faʻapipiʻi / afaina, fusi, solo, faʻamaʻaloga atoa, faʻamaʻi pipisi, maʻi, gasegase, ma faʻamaʻi pipisi).

 

Faamatalaga Punaoa

 

Na matou atiina ae la matou taʻiala suʻesuʻe ma se tagata tausi potopotoga o le soifua maloloina faʻapitoa (Faʻaopoopoga 1). Le Iloiloina a le Peer Review o Strategies Search Strategies (PRESS) O le lisi o lisi na faʻaaogaina e se isi tagata potutusi e toe iloilo ai le fuafuaga mo suʻesuʻega mo le atoatoa ma le saʻo. Na matou suʻesuʻeina MEDLINE ma EMBASE, ua avea ma matai autu autu, ma le PsycINFO, mo suʻesuʻega faʻapitoa e ala i le Ovid Technologies, Inc; CINAHL Plus faʻatasi ma le Faʻamatalaga atoa mo le tausiga o le soifua maloloina ma le soifua maloloina e ala i le EBSCOhost; ma le Cochrane Central Register of Trials Faʻataʻitaʻiina e ala i le Ovid Technologies, Inc, mo soʻo se suʻesuʻega e leʻi maua e isi nofoaga faʻamaumauga. O le fuafuaga mo suʻesuʻega na muamua faʻavaeina i le MEDLINE ma mulimuli ane suia i isi faʻamaumauga faʻamaumauga. O a matou fuafuaga suʻesuʻe e tuʻufaʻatasia ai gagana e talafeagai ma faʻamaumauga taʻitasi (faʻataʻitaʻiga, MeSH mo le MEDLINE) ma upu e talafeagai i le faʻamalositino ma gasegase o le suilapalapa, thivae, poʻo le tulivae e aofia ai le vasega I i le II ma faʻaleagaina ai (Manua 1). Na matou saʻili foʻi suʻesuʻega lisi o lisi o iloiloga muamua mo soʻo se suʻesuʻega talafeagai.

 

Suʻesuʻega Suesue

 

Na faʻaaogaina se laʻasaga o le suʻega o le phase 2 e faʻaaoga ai suʻesuʻega talafeagai. Faʻasologa faʻatasi o iloiloga tutoʻatasi na faʻamaonia ai igoa ma faʻamaumauga e iloa ai le agavaʻa o suʻesuʻega i le laʻasaga 1. O suʻesuʻega na mafua ai ona faʻavasegaina suʻesuʻega e talafeagai, atonu e talafeagai, pe le talafeagai. I le laʻasaga 2, e tutusa lava vaega o tagata suʻesuʻe na faʻataʻitaʻiina le suʻesuʻega talafeagai e fuafua ai le agavaa. Na feiloai le aufaasalalau e ausia se maliega autasi i luga o le agavaʻa o suʻesuʻega ma foia feeseeseaiga. E tolu le tagata suʻesuʻe na faʻaaogaina pe afai e le mafai ona ausia le maliega.

 

Ata o le tagata matua matua o loʻo galue i luga o le toe faʻaleleia o le tino ma se tagata aʻoga.

 

Iloiloga o le lamatiaga o le faʻafitauli

 

O tagata tutoatasi na latou fefaʻasoaʻi tutusa i le faitioina o le aoga atoatoa o suʻesuʻega agavaa e faʻaaogaina ai le Sisigisa Sini a le Scottish Intercollegiate Guidelines Network (SIGN). O le aʻafiaga o le faʻailoga filifilia, faʻasalalauga faʻamatalaga, ma le faʻafeteina o taunuuga o se suʻesuʻega na iloiloina lelei le faʻaaogaina o le SIGN. O nei taʻiala na faʻaaogaina e taʻitaʻia ai tagata suʻesuʻe i le faia o se faʻamatalaga lautele o le faʻamasinoga i luga o le aoga o suʻesuʻega. O lenei faiga ua uma ona faamatalaina muamua. O se fuainumera po o se mea e faʻasolo ai le suʻesuʻeina o le aoga o suʻesuʻega sa leʻi faʻaogaina mo lenei iloiloga.

 

O le SIGN taʻiala mo RCTs na faʻaaogaina e iloilo ai ma le faʻaeteete vaega nei: (1) manino o le suʻesuʻe fesili, (2) faʻasolosolo metotia, (3) nanaina o togafitiga faʻasoaga, (4) tauaso o togafitiga ma taunuʻuga, (5) tutusa o faʻavae'ʻiga uiga i le va / faʻatasi ai ma togafitiga lima, (6) faʻatasi ai faʻaleagaina, (7) faʻamaonia ma le faʻatuatuaina o taunuʻuga faiga, (8) faʻasologa mulimuli, (9) auiliiliga tusa ai ma le faʻamoemoe-e-togafiti faʻavae, ma ( 10) faʻatusatusaina o faʻaiʻuga i luga o nofoaga suesue (pe a talafeagai). Na maua le finagalo autasi e ala i talanoaga talanoaina. O feeseeseaiga na foia e se tutoatasi tutoatasi iloiloina ina ua le mafai ona maua se maliega autasi. O le aʻafiaga o le faʻaituʻau o suʻesuʻega suʻesuʻe na iloiloina foi e le tagata matua o le epidemiologist (PC). Sa faʻafesoʻotaʻia tusitala pe a manaʻomia nisi faʻamatalaga e faʻamaeʻaina ai le iloiloga ogaoga. Naʻo suʻesuʻega e maualalo le lamatiaga o le faʻaitu na aofia ai i le matou molimau faʻapitoa.

 

Faʻatauga o Faʻamatalaga ma le Faʻailoga o Taunuuga

 

Faʻamaumauga na maua mai i suʻesuʻega (DS) ma maualalo le lamatiaga e faia ai ni laulau molimau. Na siakiina e le tagata suʻesuʻe lona toʻalua ia faʻamaumauga na maua mai. Matou faʻamaonia taunuuga e faʻavae i luga o le umi o le tulaga (toe amata talu ai nei [0-3 masina], tumau [N3 masina], poʻo le taimi fesuisuiaʻi [faatoa amata ma amata faʻatasi faʻatasi]).

 

Na matou faʻaogaina ni fua faʻasalalau e fuafua ai le taua o le suiga o lipoti na lipotia mai i suʻega taʻitasi mo fua masani o fuataga. O nei mea e aofia ai le eseesega o vaeluaga o le 2 / 10 i luga o le fuainumera o fuainumera numera (NRS), 2 / 10 cm ese i le Visual Analog Scale (VAS), ma le 10 / 100 i le eseesega o Kujala Patellofemoral, le Fua o le Tino o le Tino o le Tino.

 

Iloiloga Faʻamaumauga

 

Maliega i le va o tagata iloiloina mo le siakiina o tusitusiga na fuafuaina ma lipotia le faʻaaogaina o le? fuainumera ma 95% vaʻaia talitonuina (CI). I nofoaga e avanoa ai, na matou faʻaaogaina faʻamaumauga tuʻuina mai i suʻesuʻega ma le maualalo le lamatiaga o le faʻaituau e fua ai le faʻafesoʻotaʻiga i le va o faʻataʻitaʻiga faʻataʻitaʻiina ma taunuʻuga e ala i le faʻavasegaina o le lamatiaga ono (RR) ma lana 95% CI. E faʻapena foi, matou faʻatusatusaina eseesega i le va o suiga i le va o kulupu ma le 95% CI e fua ai le aoga o faʻalavelave. O le faʻatusatusaga o le 95% CIs na faʻavae i luga o le manatu o faʻavae o le amataga ma le mulimuli mai o taunuʻuga na matua felagolagomaʻi (r = 0.80).

 

lipoti

 

O lenei iloiloga faʻaletausaga na faʻatulagaina ma lipotia e faʻavae i luga o Faʻamatalaga o Lipoti Faʻaalia mo Faiga Faʻavae ma Faʻamatalaga Mete-Analytics.

 

Dr. Alex Jimenez's Insight

I le avea ai o se fomaʻi o le mafaufau, taʻavale faʻalavelave faʻafuaseʻi manuʻa o se tasi o sili ona taatele mafuaʻaga tagata saili togafitiga faʻafomaʻi. Mai le ua manuʻa, e pei o le sasa, i le tiga o le ulu ma tua, tiga e mafai ona faʻaaogaina e faʻamalosia ma toe faʻaleleia ai le saʻo o le tuasivi ina ua uma se taʻavale. O se fomai e pei o aʻu o le a masani ona ia faʻaaogaina le tuʻufaʻatasiga o tuasivi ma togafiti faʻatonutonu, faʻapea foi ma le tele o isi togafitiga e le faʻaleagaina, e faʻasaʻosaʻo lemu ai soʻo se mea e faʻaleagaina e ala i se faʻalavelave tau taʻavale. Whiplash ma isi ituaiga o manuʻa manuʻa o le ua e tupu pe a fai o mea faigata i luga o le faʻaʻautagata e tosoina i talaatu o latou tulaga masani o gaioiga ona o le faʻafuaseʻi o tua-ma-luma o le ulu ma le ua mai le malosi o le aʻafiaga. Tua le manuʻa i tua, aemaise i le pito i lalo, e masani foi ona o se faʻalavelave tau taʻavale. A faʻaleagaina pe manunuʻa ia faʻafitauli faigata i le itu o le tuasivi, e mafai ona susulu atu i lalo le pito i lalo, i tapuvae, suilapalapa, ogavae, vae ma lalo i vae. E mafai foʻi ona tupu manuʻa o tulivae i le taimi o se faʻalavelave tau taʻavale. Faʻamalositino e masani ona faʻaaogaina ile togafitiga o le fomaʻi e fesoasoani e faʻamalosia le toe faʻaleleia faʻapea foi ma le faʻaleleia atili o le malosi, fetuʻutuʻunaʻi ma fealuaʻi. O faʻamalositino faʻamalositino e ofoina atu i tagata mamaʻi e toe faʻaleleia le faʻamaoni o latou tino. O suʻesuʻega nei o suʻesuʻega o loʻo faʻaalia ai o le faʻamalositino, pe a faʻatusatusa i le le faʻaosoina o togafitiga, o se auala saogalemu ma aoga mo tagata taʻitoʻatasi o loʻo tigaina ile ua ma le pito i lalo o manuʻaga mai le lavea ole taʻavale.

 

i'uga

 

Suʻesuʻega Suesue

 

Na matou suʻesuʻeina faʻaiuga 9494 faʻavae i luga o le ulutala ma le faʻavasega (Ata 1). Mai ia mea, e 60 tusitusiga atoa na lolomiina, ae 9 tusitusiga na matua faitioina. O mafuaʻaga autu mo le le agavaʻa i le taimi atoa o tusitusiga tusitusiga o le (1) le talafeagai suʻesuʻega mamanu, (2) laʻititi faʻataʻitaʻiga tele (nb 30 i le togafitiga lima), (3) faʻateleina multimodal faʻatagaina le faʻatagaina le tuʻuʻeseina o le aoga o faʻamalositino, (4) le agavaʻa suʻesuʻega faitau aofai, ma le (5) faʻalavelave e leʻi ausia la matou faʻauigaina o le faʻamalositino (Ata 1). I latou na faitio iloiloina, 3 suʻesuʻega (lipotia i le 4 tusitusiga) sa i ai maualalo lamatiaga o le faʻaituau ma sa aofia ai i la matou synthesise. Le maliega faʻafuaseʻi mo le siakiina o tala sa? = 0.82 (95% CI, 0.69-0.95). O le pasene maliega mo le faitioga ogaoga o suʻesuʻega e 75% (6/8 suʻesuʻega). O le le maliega na foia e ala i talanoaga mo 2 suʻesuʻega. Na matou faʻafesoʻotaʻia tusitala mai 5 suʻesuʻega i le taimi o le iloiloina o faʻamatalaga taua e talosagaina ni faʻamatalaga faʻaopopo ae 3 na tali mai

 

Ata Siata 1 Flowchart Faʻaaoga mo le Suesuega

 

Suesue ia Uiga

 

O suʻesuʻega ma maualalo le lamatiaga o le faʻaituau o le RCTs. Tasi le suʻesuʻega, faia i Netherlands, suesueina le aoga o se faʻamalositino polokalama faʻamalositino faʻatusatusa i se 'faʻatali ma vaʻaia' auala i tagata auai ma patellofemoral tiga syndrome o fesuiaʻi vaitaimi. O le suʻesuʻega lona lua, faʻatasi ai ma taunuʻuga na lipotia mai i tusitusiga e 2, faʻatusatusa le aoga o le tapunia ma le tatalaina o le kinetic chain i totonu o tagata taʻitoʻatasi e le mafaatusalia le umi o le patellofemoral pain syndrome i Peleseuma. O le suʻesuʻega mulimuli, na faia i Tenimaka, na suʻesuʻe ai i ni toleniga malosi pe a faatusatusa i le multimodal physiotherapy intervensional mo le puleaina o le tumau pea o le adductor-related groin pain.

 

E lua RCT na faʻaaogaina polokalame faʻamalositino na tuʻufaʻatasia le faʻamalosia o faʻamalositino ma le paleni poʻo le agility toleniga mo le pito i lalo. Faʻapitoa, o le faʻamalosi tino faʻamalositino aofia ai uma tuʻusaʻo isometric ma concentric o le quadriceps, suilapalapa adductor, ma maso maso mo le puleaina o patellofemoral tiga46 ma suilapalapa adductors ma maso o le ogalaau ma pelvis mo adductor-fesoʻotaʻi tiga tiga. O polokalame faʻamalositino na amata mai le 646 i le 1243 vaiaso le umi ma na vaʻavaʻaia ma falemaʻi faʻavaeina faʻatasi ai ma faʻaopoopoga faʻamalositino i fale i aso uma. O faʻamalositino polokalama na faʻatusatusa i se faʻatali ma vaʻai 'auala pe i multimodal physiotherapy. O le lona tolu RCT faʻatusatusa 2 eseʻese 5-vaiaso faʻataʻitaʻiga na tuʻufaʻatasi a tapunia pe matala kinetic filifili faʻamalosia ma faʻalauteleina faʻamalositino mo le pito i lalo maualalo musculature.

 

E leʻi faia ni suʻesuʻega faʻataʻitaʻiga ona o le tele o suʻesuʻega ua taliaina e tusa ai ma tagata maʻi, faʻalavelave, faʻatusatusa, ma taunuʻuga. O mataupu faavae o faʻamatalaga sili ona lelei e faʻaaogaina e atiaʻe ai faʻamatalaga faʻamaoniga ma faia ai se faʻasalaga agavaa o mea na maua mai i suʻesuʻega ma le maualalo o le faʻaituau.

 

Tulaga lamatia o le Toto i totonu o suesuega

 

O suʻesuʻega e maualalo le lamatiaga o le faʻaituau, o loʻo i ai se faʻamatalaga manino o suʻesuʻega, faʻaaogaina metotia tauaso pe a talafeagai, lipotia lipoti talafeagai i le va o togafiti togafitiga, ma faia se iloiloga-i-togafitiga pe a talafeagai (Table 3). O le RCTs na sili atu nai lo le 85%. Ae peitai, o nei suʻesuʻega sa i ai foi ni tapulaa faʻapitoa: e le lava le auiliiliga o faʻamatalaga mo le faʻasaoina o faʻamaumauga (1 / 3), e le lava le auiliiliga e faamatalaina ai auala o le faʻataunuʻuina (1 / 3), le faʻaogaina o fuataga o fuataga e leʻi faʻamaonia pe faʻamaoni ( ie, umi ole maso ma togafitiga manuia) (2 / 3), ma eseesega taua ile aoga i uiga faavae (1 / 3).

 

Faʻamaumauga 3 o le Faʻafitauli mo le Taliaina o Faʻataʻitaʻiga Faʻatonuina o Faʻasologa Faʻatulagaina Faʻavae i luga o Faailoga Sini

 

Mai le 9 tusiga talafeagai, o le 5 na faʻatatauina e iai le maualuga o le faʻaituau. O nei suʻesuʻega na i ai tapulaa nei: (1) auala matitiva poʻo le le iloa (3 / 5); (2) auala matai le lelei poʻo le le iloa (5 / 5); (3) e le tauaso (4 / 5); (4) faʻafitauli ogaoga i le aoga ma le taua i uiga masani (3 / 5); (5) e le o lipotia, le lava le faʻamatalaga e uiga i dropouts i vaega poʻo eseʻesega tele i fua o le solo i le va o togafiti togafitiga (N15%) (3 / 5); ma le (6) le leai o se faʻamatalaga e uiga i le leai o se suʻesuʻega (5 / 5).

 

Aotelega o Molimau

 

Patellofemoral Pain Syndrome of Variable Duration. Faʻamaoniga mai le 1 RCT fautua mai o se falemaʻi-faʻasolosolo alualu i luma polokalama e mafai ona maua ai se puʻupuʻu ma se taimi umi penefiti i luga o masani tausiga mo le puleaina o patellofemoral tiga syndrome o fesuiaʻiga umi. van Linschoten et al randomized tagata auai ma le faʻamaonia faʻamaʻi o patellofemoral tiga syndrome o 2 masina i le 2 tausaga umi i (1) se falemaʻi-faʻamalositino polokalame (9 asiasiga i luga o 6 vaiaso) aofia ai o alualu i luma, tumau, ma malosi faamalosi tino faʻamalositino mo le quadriceps, adductor, ma gluteal maso ma paleni ma faʻamalositino faʻamalositino, poʻo le (2) o le masani ona vaʻai ma faʻatali ile auala. O vaega uma e lua na mauaina faʻamatalaga faʻapitoa, fautuaga, ma faʻataʻitaʻiga isometric fale-faʻavae mo quadriceps faʻavae i luga o fautuaga mai Dutch General Practitioner taiala (Laulau 4). E i ai fuainumera taua eseesega fiafia i le faʻamalositino kulupu mo (1) tiga (NRS) i le malologa i le 3 masina (o lona uiga suia eseesega 1.1 / 10 [95% CI, 0.2-1.9]) ma 6 masina (o lona uiga suia eseesega 1.3 / 10 [95% CI, 0.4-2.2]); (2) tiga (NRS) ma gaioiga i le 3 masina (o lona uiga suia eseesega 1.0 / 10 [95% CI, 0.1-1.9]) ma 6 masina (o lona uiga suia eseesega 1.2 / 10 [95% CI, 0.2-2.2]); ma le (3) galuega (Kujala Patellofemoral Scale [KPS]) i le 3 masina (o lona uiga o le suiga o le 4.9 / 100 [95% CI, 0.1-9.7]). Peitai, leai se tasi o nei eseesega na taua falemaʻi. E le gata i lea, e leai ni eseesega taua i le vaevaega o tagata na lipotia le toe faʻaleleia (maeʻa atoatoa, malosi malosi), ae o le faʻamalositino kulupu na sili atu ona lipotia le faʻaleleia i le 3-masina tulitatao (odds ratio [OR], 4.1 [95% CI, 1.9-8.9]).

 

Ata o le onosai e auai i le toe faʻaleleia o le tino.

 

Faʻamaoniga mai le lona lua RCT taʻu mai ai o le physiotherapist- vaʻavaʻaia tapunia kinetic filifili vae vae (pe a fai o le vae tumau i le fesoʻotaʻiga faifai pea ma luga) e mafai ona maua ai se taimi puʻupuʻu penefiti faʻatusatusa i vaʻavaʻaia vaʻaia tatala matataʻu gaioiga faʻamalositino (lea o le vae gaioi saoloto) mo nisi patellofemoral tiga o le tiga o le tiga (Laulau 4). Tagata auai uma na aʻoaʻoina mo le 30 i le 45 minute, 3 taimi i le vaiaso mo le 5 vaiaso. O vaega uma e lua na faatonuina e faʻatino le maeʻaina o le vae i lalo pe a maeʻa sauniga taʻitasi. O na faʻasolosolo i tapunia filifili faʻamalositino faia vaʻavaʻaia (1) vae fetaomi, (2) tootuli tulivae, (3) tiʻetiʻe uila, (4) aloalo, (5) sitepu i luga ma laʻasaga-lalo faʻamalositino, ma (6) alualu i luma osooso . Tatala filifili filifili tagata auai faia (1) maualuga quad maso faʻatapulaʻaina, (2) saʻo vae vae, (3) puʻupuʻu gaioiga gaioiga mai le 10 i le atoa tulivae faʻalauteleina, ma le (4) vae faʻaopoopoga. Aʻafiaga tele e leʻi lipotia, ae na lipotia e tusitala le tele o eseesega taua e fiafia i le tapunia o le kinetic chain faamalositino i le 3 masina mo (1) taimi o le loka (P = .03), (2) kiliki lagona (P = .04), (3) tiga ma isokinetic tofotofoga (P = .03), ma le (4) tiga i le po (P = .02). O le taua falemaʻi o nei iʻuga e le iloa. E leai ni fuainumera taua eseesega i le va o kulupu mo nisi lava tiga poʻo gaioiga faʻagaioiga i soʻo se taimi tulitatao.

 

Pusa Ata 4 Faʻataoniga mo le taliaina o le Faʻatonuina o Faʻasologa Faʻateʻaina Tofotofoga i le Mataalia o le Faatinoina o Suʻega Manua o le Hip, Thigh, poʻo le Knee

 

Pusa Ata 4 Faʻataoniga mo le taliaina o le Faʻatonuina o Faʻasologa Faʻateʻaina Tofotofoga i le Mataalia o le Faatinoina o Suʻega Manua o le Hip, Thigh, poʻo le Knee

 

Faʻaauau pea le Faʻasalaga Faʻatasi

 

Faʻamaoniga mai le 1 RCT fautua mai o se falemaʻi-faʻavae kulupu faʻamalositino polokalama e sili atu le aoga nai lo le multimodal polokalama o le tausiga mo faifai pea adductor-fesoʻotaʻi tiga. H'lmich et al na suʻesuʻeina se vaega o tama taʻalo afeleti ma faʻamaʻi o le tiga o le tiga o loʻo tiga ai le sili atu i le 2 masina umi (vaitaimi umi, 38-41 vaiaso; laina, 14-572 vaiaso) i ai pe leai foi le osteitis pubis. Tagata na auai na faʻafesoʻotaʻiina i (1) se polokalame faʻamalositino kulupu faʻavae i vasega (3 sauniga i le vaiaso mo 8-12 vaiaso) e aofia ai isometric ma concentric teteʻe faʻamalositino faʻamalositino mo le adductors, ogalaau, ma pelvis; paleni ma gaioi faamalositino mo le pito i lalo pito; ma faʻaloaloa mo manava, tua, ma pito i lalo (sei vagana ai maso adductor) poʻo (2) se multimodal physiotherapy polokalama (2 asiasiga i le vaiaso mo 8-12 vaiaso) e aofia ai leisa; fofō solo feʻaveaʻi; transcutane eletise faʻaosofia neura (TENS); ma fālōlōina mo mea faʻaopopo, hamstrings, ma suilapalapa flexors (Laulau 4). Fa masina talu ona maeʻa le faʻalavelave, e foliga mai na lipotia mai e le vaega faʻamalositino o latou tulaga e sili atu ona lelei (RR, 1.7 [95% CI, 1.0-2.8]).

 

Mea leaga na tutupu

 

E leai se suʻesuʻega na aofia ai na faʻamatala i le taimi poʻo le natura o mea leaga.

 

Talanoaga

 

Aotelega o Molimau

 

O la tatou iloiloga faʻaletausaga na suʻesuʻeina ai le aoga o faamalositino mo le puleaina o manuʻa vaivai o le failapalapa, ogavae, poʻo le tulivae. O faʻamaoniga mai le 1 RCT o loʻo faʻaalia ai e mafai e se falemaʻi faʻavae polokalame faʻapitoa ona tuʻuina atu se faʻamanuiaga puupuu pe umi-taimi e faʻatusatusa i le tuʻuina atu o faʻamatalaga ma fautuaga mo le puleaina o le maʻi o le patellofemoral i le umi o le vaitaimi. O loʻo i ai foʻi faʻamaoniga e mafai ona aoga le faʻaogaina o faʻataʻitaʻiga faʻasologa faʻasolosolo mo nisi o faʻamaʻi pipisi o le maʻi patellofemoral pe a faʻatusatusa i faʻataʻitaʻiga o le faasologa o kosi. Mo le tigaina o faʻataʻitaʻiga, o faʻamaoniga mai le 1 RCT e taʻu mai ai e sili atu ona lelei le polokalama o le faamalositino i le falemaʻi nai lo se polokalama o le tausiga o multimodal. E ui lava i le taatele ma masani ona faʻaaogaina le faʻamalositino, e le lava le faʻamaoniga e maua ai le faʻaaogaina o faamalositino mo le puleaina o manua vaivai o le tino pito i lalo. Aemaise lava, matou te leʻi mauaina ni suʻesuʻega maualuga i le faamalositino mo le puleaina o nisi o tulaga e masani ona maua e aofia ai le patellar tendinopathy, faʻamaʻapeʻapeʻa ma manuʻa manuʻa, hamstring tendinopathy, gasegase gasegase, poʻo le manua o le suilapalapa.

 

Ata o Dr Jimenez o loʻo faʻaalia galuega toe faʻaleleia i le maʻi.

 

Faʻamatalaga Faʻamatalaga Faʻamaumauga

 

O matou iʻuga e ogatasi ma faʻamaumauga mai iloiloga faʻatulagaina talu ai, faʻaiʻuina o le faʻamalositino e aoga mo le puleaina o le patellofemoral tiga syndrome ma tiga tiga. Ae ui i lea, o faʻaiuga mai muamua faʻavasega iloiloga suʻesuʻega o le faʻaaogaina o faʻamalositino mo le puleaina o le patellar tendinopathy ma ogaoga hamstring manuʻa e le talitonuina. O le tasi iloiloga na maitauina ai le malosi o faʻamaoniga mo le faʻaaogaina o toleniga masani, ae o isi na lipotia le le mautinoa pe aoga tuʻufaʻatasiga faʻamalositino aoga mo tendinopathy faʻatusatusa i isi ituaiga o faʻamalositino. E le gata i lea, o loʻo iai le faʻatapulaʻaina o faʻamaoniga lelei mai le faʻalauteleina, gaioi ma faʻamalosi tino o le tino, poʻo le faʻasolosolo mo le puleaina o manuʻa tuga. Eseesega faʻaiʻuga i le va o faʻavasega iloiloga ma le faʻatapulaʻa numera o suʻesuʻega ua taliaina e taliaina i la matou galuega ono mafua mai i eseesega i metotia. Na matou suʻesuʻeina lisi o lisi o iloiloga faʻatulagaina talu ai, ma o le tele o suʻesuʻega na aofia i iloiloga e leʻi ausia la matou aiaiga na aofia ai. Tele suʻesuʻega taliaina i isi iloiloga sa i ai laʻititi faataʻitaʻiga lapoʻa (b30 i le togafitiga lima). Lenei faʻateleina le aʻafiaga o totoe faʻamamaina faʻapena foi faʻaititia le aʻafiaga lapoʻa atoatoa. E le gata i lea, o le numera o faʻavasega iloiloga aofia ai mataupu faʻasologa ma mataupu suʻesuʻega. O nei ituaiga o suʻesuʻega e le fuafuaina e iloilo le aoga o faʻalavelave. I le faʻaiuga, o iloiloga talu ai na aofia ai suʻesuʻega peʻafai o le faʻamalositino o se vaega o le multimodal fesoʻotaʻiga, ma o se faʻaiuga, o le tuʻusaʻo aʻafiaga o faʻamalositino e le mafai ona mautinoa. O suʻesuʻega na faʻamalieina a matou filifiliga filifilia, na faitioina uma i le matou iloiloga, ma naʻo le 3 na maualalo le lamatiaga o le faʻaituau ma na aofia ai i le matou faʻamatalaga.

 

Malosiaga

 

O la tatou iloiloga e tele malosi. Muamua, na matou atiina ae se fuafuaga faʻatautaia suʻesuʻega lea na tutoatasi e se isi tagata tausi potutusi. Lona lua, matou te faʻamalamalama manino le aofia ai ma le faʻaaogaina o taiala mo le filifilia o suʻesuʻega talafeagai ma naʻo le suʻesuʻeina o suʻesuʻega ma ni faʻataʻitaʻiga talafeagai. Tolu, o vaega taitoalua o tagata suʻesuʻe na faʻamaonia ma iloiloina lelei suʻesuʻega talafeagai. Fa, tatou faʻaaogaina se seti o faʻamaumauga (SAINI) faʻamaonia mo le suʻesuʻeina o suʻesuʻega. Mulimuli ane, matou te faʻatapulaaina la matou faʻasinomaga i suʻesuʻega ma maualalo le lamatiaga o le faʻaituau.

 

Tapulaa ma Fautuaga mo Suesuega i Lumanai

 

O la tatou iloiloga e iai foi mea e gata ai. Muamua, o la matou suʻesuʻega sa gata lava i suʻesuʻega na lomia i le Igilisi. Ae ui i lea, o iloiloga talu ai na maua ai le faʻasaina o iloiloga faʻaletausaga ile suʻesuʻeina ole gagana Igilisi e leʻi oʻo i se faʻaituau i taunuʻuga lipotia. Lona lua, e ui lava i la tatou faʻamatalaga lautele o manuʻa vaivai o le sulu, thivae, poʻo le tulivae, e ono le mafai ona maua uma suʻesuʻega talafeagai i le tatou suʻesuʻega. Lona tolu, o la tatou toe iloiloga na ono misia ni aoga talafeagai e lolomiina i luma ole 1990. Matou te faʻamoemoe e faʻaitiʻitia lenei mea e ala i le suʻeina o lisi lisi o iloiloga faʻapipiʻi muamua. Ma le mea mulimuli, o iloiloga taua e manaʻomia ai le faasaienisi faasaienisi e ono eseese i le va o tagata suʻesuʻe. Matou te faʻaitiitia lenei faʻafitauli e ono aʻafia ai e tagata aʻoga aʻoaʻo i le faʻaogaina o le meafaigaluega SIGN ma faʻaaogaina se faiga faʻalagolago e fuafua ai le taliaina o tusi. I le aotelega, o la tatou iloiloga faʻaletausaga o loʻo faʻaalia ai se paʻu o le malosi o suʻesuʻega i lenei vaega.

 

O suʻesuʻega aupito maualuga i le aoga o faamalositino mo le puleaina o manuʻa vaivai o le pito i lalo e manaʻomia. O le tele o suʻesuʻega na aofia ai i la tatou iloiloga (63%) na i ai le maualuga o le faʻaituau ma e le mafai ona aofia i totonu o la tatou faʻasologa. O la matou iloiloga na iloagofie ai le vavalalata i tusitusiga. Aemaise lava, o suʻesuʻega e manaʻomia ina ia faʻamalamalamaina ai aʻafiaga patino o faʻatinoga, o latou aʻafiaga i taimi uumi, ma le sili ona lelei o tui o le faʻalavelave. E le gata i lea, o suʻesuʻega e manaʻomia e faʻamaonia ai le aoga lelei o polokalame eseese o faamalositino ma pe afai o le aoga e eseese mo manuʻa vaivai o le sulu, thivae, ma tulivae.

 

iʻuga

 

E le lava le faʻamaoniga e maua ai le faʻaaogaina o faamalositino mo le puleaina o manuʻa vaivai o le suilapalapa, ogavae, ma tulivae. O le faʻamaoniga o loʻo i ai nei e faʻaalia ai o se polokalame faʻamalosi faʻatasi e faʻatautaia le falemaʻi e mafai ona taʻitaʻia ai le toe faʻaleleia pe a faʻaopopo i faʻamatalaga ma fautuaga e uiga i le malolo ma aloese mai mea e faʻaosofia ai le tiga mo le puleaina o le tiga o le patellofemoral syndrome. Mo le tigaina o faʻataʻitaʻiga, e sili atu le lelei o le polokalame o le faamalositinoina o falemaʻi nai lo tausiga faʻapitoa i le faʻaleleia o le toe faʻaleleia.

 

Faʻamaumauga o Tupe ma Malosiaga Faʻasalaga o Tului

 

O lenei suʻesuʻega na faʻatupeina e le Matagaluega o Tupe a Ontario ma le Komisi o Tupe a Ontario (RFP Nu. OSS_00267175). E leʻi aofia le ofisa faʻatupe ile faʻaputuputuina o faʻamaumauga, auiliiliga o faʻamatalaga, faʻamatalaina o faʻamatalaga, poʻo le tusiaina o tusitusiga. O le suʻesuʻega na faia, i se vaega, faʻafetai i le faʻatupeina mai le Canada Research Chairs program. Pierre C`t na mauaina muamua faʻatupega mai le Grant mai le Ontario Matagaluega o Tupe; faufautua mo le Kanata Chiropractic Protective Association; tautalaga ma / poʻo faʻatonuga aʻoaʻoga mo le National Judicial Institute ma Soci t des M decins Experts du Quebec; malaga / malaga, Europa Spine Society; komiti faatonu, European Spine Society; fesoasoani: Aviva Kanata; Fesoasoani vavalalata, Polokalame Suʻesuʻe a Kanata Kanata '' Kanata Inisitituti o le Soifua Maloloina Suesuega. Leai ni isi feteʻenaʻiga fiafia na lipotia mai mo lenei suʻesuʻega.

 

Failautusi Fesoasoani

 

  • Atinaʻeina o mafaufauga (tuʻuina atu manatu mo suʻesuʻega): DS, CB, PC, JW, HY, SV
  • Fuafuaga (fuafuaina auala e gaosia ai taunuuga): DS, CB, PC, HS, JW, HY, SV
  • Vaavaaiga (tuʻuina atu le vaavaaia, tali atu mo le faʻatulagaga ma le faʻatinoga, tusiga o tusitusiga): DS, PC
  • Faʻamaumauga / aoina o faʻamatalaga (tali atu mo suʻega, puleaina o maʻi, faʻatulagaina, poʻo le lipotia o faʻamatalaga): DS, CB, HS, JW, DeS, RG, HY, KR, JC, KD, PC, PS, RM, SD, SV
  • Fuainumera / faʻamatalaga (e faʻatatau i suʻesuʻega fuainumera, iloiloga, ma le tuʻuina atu o taunuʻuga): DS, CB, PC, HS, MS, KR, LC
  • Tusitusiga suʻesuʻe (faia sailiga suʻesuʻega): ATV
  • Tusitusi (nafa mo le tusiaina o se vaega taua o tusitusiga): DS, CB, PC, HS
  • Ole iloiloga sili (kopi ua toe teuteu mo mea o le atamai, e le fesootai i le sipelaga ma le kalama siaki): DS, PC, HS, JW, DeS, RG, MS, ATV, HY, KR, JC, KD, LC, PS, SD, RM, SV

 

Talosaga faʻatino

 

  • O loʻo i ai faʻamaoniga e fautua mai ai o faʻataʻitaʻiga e faʻaaogaina ile falemaʻi e mafai ona faʻamanuiaina ai tagata gasegase o le tiga o le patellofemoral poʻo le faʻatoʻa afaina ai le tiga.
  • Faʻaauau le vaavaaia o faʻatinoga alualu i luma e mafai ona aoga mo le tiga o le patellofemoral i le fesuiaiga o le taimi e faʻatusatusa i faʻamatalaga / fautuaga.
  • Vaʻaia le tapunia o kosi faʻataʻitaʻiga e mafai ona maua ai le tele o faʻamanuiaga pe a faʻatusatusa i faʻataʻitaʻiga o kosi faʻataʻitaʻiga mo nisi o faʻaʻailoga o le tiga o le patellofemoral syndrome.
  • Faʻaleleia le faʻaleleia e le tagata lava ia i le tigaina o le tigaina o le tiga e sili atu pe a maeʻa se polokalama faʻavae faʻavae-faʻavae e faʻatusatusa i le physiotherapy multimodal.

 

E le o ni faʻalavelave faʻalavelave faʻaleagaina mo le puleaina o le ulu o loʻo faʻatasi ma le Neck Pain?

 

gata i lea,O isi faʻalavelave e le faʻaleagaina, faʻapea foi ma togafitiga e leʻo faʻaaoga i vailaʻau, e masani ona faʻaaoga e fesoasoani ai i le togafitia o faʻailoga o le ua ma tiga o le ulu e fesoʻotaʻi ma manuʻa o le ua, e pei o le sasa, mafua mai i faʻalavelave tau taʻavale. E pei ona taʻua muamua, o le sasaina o se tasi o ituaiga masani o manua manuʻa o le ua e mafua mai faalavelave tau taavale. Tausiga o le mafaufau, togafitiga faʻamalositino ma faʻamalositino, e mafai ona faʻaaoga e faʻaleleia atili ai faʻailoga o le ua, e tusa ai ma suʻesuʻega o suʻesuʻega.

 

lē faʻatino

 

faʻamoemoe

 

Faʻafouina sailiiliga o le 2000--2010 Bone ma Joint Decade Task Force i le Neck Pain ma ona Associated Disorder ma iloilo le aoga o le le-osofaʻi ma le-o vailaʻau faʻalavelave mo le puleaina o tagata mamaʻi ma ulu e fesoʻotaʻi ma ua tiga (ie, feteʻenaʻi- ituaiga, cervicogenic, poʻo le sasa tuʻi-fesoʻotaʻi tiga).

 

Metotia

 

Na matou suʻesuʻeina faʻamatalaga e lima mai le 1990 i le 2015 mo faʻataʻitaʻiga o faʻataʻitaʻiga (RCTs), suʻesuʻega faʻatasi, ma suʻesuʻega faʻapitoa i le faʻatusatusaina o faʻalavelave e leʻi faʻaaoga faʻatasi ma isi faʻalavelave, placebo / sham, pe leai ni faʻalavelave. Faʻatusatusaga paga o tutoʻatasi iloiloina iloiloina iloiloina agavaʻa suʻesuʻega faʻaaogaina le Scottish Intercollegiate Tusitusiga Taiala aiaiga e fuafua ai faʻasaienisi taliaina. O suʻesuʻega ma le maualalo le lamatiaga o le faʻaituau na tuʻufaʻatasia e mulimuli i le sili atu faʻamaoniga faʻavae mataupu silisili.

 

i'uga

 

Na matou faʻataʻitaʻiina 17,236 faʻasologa, o aʻoaʻoga a 15 e talafeagai, ma o le 10 na maualalo le lamatiaga o le faʻaituau. O le faʻamaoniga e taʻu mai ai o le faʻafitauli o le episodic-o ituaiga ulu o le ulu e tatau ona pulea i le mamafa o le tutoatasi o le craniocervical ma le cervicoscapular exercises. O faʻamaʻi faʻasauā masani-o le ulu o le ulu e mafai foi ona manuia mai le mamafa o le tutoatasi o le craniocervical ma le cervicoscapular exercises; faʻamalositino toleniga ma le faʻalavelave mamafa togafitiga; poʻo togafitiga faʻapitoa e aofia ai le faʻamautuina o le vaeluaina, faʻataʻitaʻiga o le kenera, ma le faʻasologa o le fale. Mo le ulu o le ulu o le cervicogenic, o le mamafa o le tutoʻu o le craniocervical ma le cervicoscapular exercises; poʻo togafitiga faʻasolosolo (togafiti faʻatasi ma le aunoa ma le faʻamaopoopoina) i le vailaʻau o le tino ma le thoracic e mafai foi ona aoga.

 

Ata o ulugalii matutua o loʻo auai i ni faʻafitauli faʻalelei mo le faʻaleleia o aʻafiaga.

 

faaiuga

 

O le puleaina o ulu tiga e aofia ai le tiga o le ua tatau ona aofia ai le faamalositino. O maʻi e mafatia i le masani ai o le ita-o le ulu o le ulu e mafai foi ona aoga mai le aʻoga malolo ma le popole i le togafitia o le togafiti poʻo togafitiga multimodal. O maʻi e maua i le maʻi tiga o le cervicogenic e mafai foi ona manuia mai se gasologa o togafitiga faafomaʻi.

 

uputatala

 

Faʻalavelave faʻaleagaina, Tigā o le ituaiga o le tino, Cervicogenic tiga o le ulu, Manua na mafua i le manua o le sasa, Iloiloga faʻaleleia

 

Faamatalaga

 

tautinoga

 

Matou te fia faʻafeiloaʻi ma faʻafetai atu i tagata uma na faia ni sao taua i lenei iloiloga: Robert Brison, Poonam Cardoso, J. David Cassidy, Laura Chang, Douglas Gross, Murray Krahn, Michel Lacerte, Gail Lindsay, Patrick Loisel, Mike Paulden, Roger Salhany, John Stapleton, Angela Verven, ma Leslie Verville. Matou te fia faafetai atu foi ia Trish Johns-Wilson i le Iunivesite o Ontario Institute of Technology mo lana iloiloga o le fuafuaga mo sailiiliga.

 

Tausisia o Tulaga Faatauaina

 

Feeseeseaiga o Tului

 

Ua maua e Dr. Pierre C t se tupe faʻameaalofa mai le malo o Ontario, le Matagaluega o Tupe, faʻatupeina mai le Canada Research Chairs program, pili totino mai le National Judicial Institute mo le aʻoaʻoga, ma pili totino a le European Spine Society mo aʻoaʻoga. Fai mai Dr. Ua maua e Silvano Mior ma Margareta Nordin se tupe toe totogi mo tupe malaga e auai ai i fonotaga mo le suesuega. O tusitala totoe lipoti mai leai tautinoga o aia.

 

faatupeina

 

O lenei galuega na lagolagoina e le Matagaluega o Tupe a Ontario ma le Komisi o Tautua tau Tupe a Ontario [RFP # OSS_00267175]. O le faʻalapotopotoga e faʻatupeina e leai sona sao i le suʻesuʻeina o tusitusiga, aoina, auiliiliga, faʻamatalaina o faʻamatalaga, tusitusiga o tusitusiga poʻo le filifiliga e tuʻuina atu tusitusiga mo le lolomiina. O le suʻesuʻega na faia, i se vaega, faʻafetai i le faʻatupeina mai le Canada Research Chairs program ia Dr. Pierre C t, Canada Research Chair in Disability Prevention and Rehabilitation at the University of Ontario Institute of Technology.

 

I le faaiuga,Faʻataʻitaʻiga aofia i le togafitiga faʻafomaʻi ma isi faʻalavelave e le tatau ona faʻaaoga e tatau ona faʻaaoga e avea o se vaega taua o togafitiga e fesoasoani atili faʻaleleia atili ai faʻailoga o le ua o manuʻa faʻapea foi ma manuʻa o le suilapalapa, ogavae ma tulivae. E tusa ai ma suʻesuʻega o loʻo i luga, faʻamalositino, poʻo le faʻamalositino, e aoga tele i le faʻavavevave o le taimi e toe faʻaleleia ai tagata mamaʻi na lavea i taʻavale faʻafuaseʻi ma mo le toe faʻaleleia o le malosi, fetuʻutuʻunaʻi ma fealuaʻi i vaega ua afaina o le tuasivi. Faʻamatalaga na taʻua mai le National Center for Biotechnology Information (NCBI). O le lautele o a matou faʻamatalaga e faʻatapulaʻaina i le fomaʻi faʻapea foi ma manuaga tuga ma tulaga. Ina ia talanoaina le mataupu, faʻamolemole lagona le saoloto e fesili ia Dr. Jimenez pe faʻafesoʻotaʻi mai matou 915-850-0900 .

 

Faʻailoina e Dr. Alex Jimenez

 

Green-Call-Now-Button-24H-150x150-2-3.png

 

Autu Autu: Sciatica

 

Sciatica e taua o se tuufaatasiga o faailoga nai lo le tasi ituaiga manua poʻo se tulaga. O faʻamaoniga o loʻo faʻaalia e pei o le susuluina o le tiga, faʻalavelave ma le tingling sensations mai le nusi sciatic i le pito i lalo, i lalo o papa ma ogavae ma i le tasi poʻo itu uma e lua ma totonu o vae. O le Sciatica e masani lava ona mafua mai i le ita, afaina poʻo le faʻalavelaveina o le nerve tele i le tino o le tagata, e masani lava ona mafua mai i le faʻamaʻi solo poo le ponaivi.

 

blog blog ataata pepa lapopoa

 

TULAGA FAATINO: TUʻUʻUGA FAʻATASI: Tausia Sciatica Pain

 

 

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Tapuni Faʻatasiga

Faʻataʻitaʻiga Tomai o Faʻataʻitaʻiga

O faʻamatalaga o loʻo i luga "Lelei o le Faatinoga: Tino, Hip & Kenee Manua mai Aafiaga Faʻafuaseʻi"E le o fa'amoemoe e sui ai se mafutaga ta'ito'atasi ma se fa'apolofesa fa'alesoifua maloloina agava'a po'o se foma'i laiseneina ma e le o se fautuaga fa'afoma'i. Matou te fa'amalosia oe e fai fa'ai'uga fa'alesoifua maloloina e fa'atatau i au su'esu'ega ma faiga fa'apaaga ma se tagata tomai fa'apitoa tau soifua maloloina.

Blog Fa'amatalaga & Va'aiga Talanoaga

O matou fa'amatalaga lautele e fa'atapula'a ile Chiropractic, musculoskeletal, vaila'au fa'aletino, soifua maloloina, fa'asoa etiological fa'alavelave viscerosomatic i totonu o fa'ata'ita'iga fa'apitoa, somatovisceral reflex fa'ata'ita'iga fa'amanino, fa'alavelave fa'aletonu, fa'afitauli ma'ale'ale o le soifua maloloina, ma/po'o tala fa'afoma'i aoga, autu, ma talanoaga.

Matou te tuuina atu ma tuuina atu felagolagomai falema'i faatasi ai ma tagata tomai faapitoa mai matata eseese. O fa'apitoa ta'ito'atasi e fa'atonutonuina e la latou fa'apolofesa lautele o fa'ata'ita'iga ma a latou pulega fa'atulafonoina. Matou te fa'aogaina tulafono fa'alesoifua maloloina ma le soifua manuia e togafitia ma lagolago ai le tausiga o manu'a po'o fa'aletonu o le musculoskeletal system.

O a matou vitiō, pou, mataupu, mataupu, ma malamalamaga e aofia ai mataupu tau falemaʻi, mataupu, ma mataupu e fesoʻotaʻi ma tuusaʻo pe le tuusaʻo le lagolagoina o la matou faʻataʻitaʻiga masani.*

O lo matou ofisa sa taumafai lava e tu'uina atu fa'amatalaga lagolago ma ua fa'ailoa mai su'esu'ega su'esu'ega talafeagai po'o su'esu'ega e lagolagoina a matou pou. Matou te saunia ni kopi o lagolagoina suʻesuʻega suʻesuʻega avanoa i tulafono faʻatonutonu laupapa ma tagata lautele pe a talosagaina.

Matou te malamalama o matou aofia ai mataupu e manaʻomia se faʻaopopo faʻamatalaga o le auala e ono fesoasoani ai i se faʻapitoa tausiga fuafuaga poʻo togafitiga togafitiga; o lea, ia toe talanoaina le mataupu mataupu i luga, faʻamolemole lagona le saoloto e fesili Dr. Alex Jimenez, DC, pe faʻafesoʻotaʻi i matou 915-850-0900.

Ua matou o mai e fesoasoani ia oe ma lou aiga.

faamanuiaga

Dr. Alex Jimenez D.C., MSACP, RN*, CCST, IFMCP*, CIFM*, atn*

imeli: faiaoga@elpasofunctionalmedicine.com

Laisene o se Fomaʻi o Chiropractic (DC) i Texas & New Mexico*
Texas DC Laisene # TX5807, New Mexico DC Laisene # NM-DC2182

Laisene ose Tausima'i Resitala (RN*) in Florida
Florida Laisene RN Laisene # RN9617241 ( Pule Nu. 3558029)
Tulaga Fa'atasi: Laisene Tele-Setete: Fa'atagaina e Fa'ata'ita'i i totonu 40 States*

Dr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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