Anyɛ yiye koraa no, nnipa dodow no ara ahu akyi yaw pɛnkoro wɔ wɔn asetra mu. Ɛtɔ mmere bi a, ɛnyɛ akyi nkutoo na ɛyaw yi ba, na mmom ebetumi ahyerɛn akɔ fam, nan no ase, anaa nan no ase, na ama obi ayɛ mmerɛw anaasɛ wate nka sɛ ne ho ayɛ no yaw. Sɛ wokɔ oduruyɛfo nkyɛn wɔ bere a ɛte sɛɛ mu a, sɔhwɛ bi a ɛyɛ mmerɛw yiye na ɛho hia yiye wɔ hɔ a wobetumi ayɛ de ahu nea ɛde eyi ba ankasa. Ɛnnɛ yɛrebɛka Straight Leg Raise (SLR) Test ho asɛm . Ɛtɔ da bi a wɔfrɛ eyi `Lasegue sɔhwɛ`.
Sɛ yɛbɛka no tiawa a, dɛn ne Straight Leg Raise (SLR) Test?
Fa ntini a efi w’akyi kɔ wo nan ase no sɛ anyinam ahoɔden nhama. Saa ntini ahorow yi fa w’akyi berɛmo mu. Ɛtɔ da bi a, esiane herniated disc a ɛwɔ w’akyi berɛmo mu (`Lumbar disc herniation`) anaa nneɛma afoforo nti, saa ntini yi betumi ayɛ den. Ɛno ne bere a ɛyaw no fi ase fa wo nan ase, sɛnea yɛadi kan aka no. Yɛsan frɛ saa tebea yi `Sciatica`.
Enti, SLR sɔhwɛ no yɛ sɔhwɛ a wo duruyɛfo de bedi dwuma de ahu sɛ ebia ntini a ɛyɛ mmerɛw anaasɛ mfiri mu ɔhaw bi a ɛwɔ wo ntini anaa wo nkwaa mu na ɛde wo yaw no ba . Nea ebefi sɔhwɛ yi mu aba no na ɛbɛkyerɛ ayaresa a eye sen biara ma wo.
Oduruyɛfo no bebisa wo nsɛm kakraa bi ansa na wayɛ nhwehwɛmu yi. Nhwɛsoɔ:
- Bere bɛn na akisikuru no fii ase?
- Bere tenten ahe na adi?
- Ɛyaw no te dɛn? (e.g., ɔhyew, sekan, tingling?)
- So ɛyaw no renya nkɔanim anaasɛ ɛretew?
Ɛho hia paa sɛ wubebua nsɛmmisa yi wɔ nokwaredi ne pefeeyɛ mu sɛnea yebetumi biara. Eyi bɛboa oduruyɛfo no ma wate wo tebea no ase yiye.
Woyɛ dɛn yɛ sɔhwɛ yi?
Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye. Worente nka sɛ wo ho yeraw wo. Mpɛn pii no, oduruyɛfo no bɛyɛ eyi bere a woda nhwehwɛmu pon no so no.
1. Nea edi kan no, wɔbɛka akyerɛ wo sɛ fa w’anim da mpa no so.
2. Afei, sɛ oduruyɛfo no ma wo kotodwe teɛ a, ɔde nkakrankakra bɛma nan a ɛyɛ yaw no so akɔ soro.
3. Sɛ woma wo nan so saa kwan yi so a, ɛsɛ sɛ woka baabi a wufi ase te ɛyaw a ɛtaa ba (ɛyaw wɔ w’akyi anaa wo nan ase) no bio kyerɛ wo duruyɛfo .
4. Ɛtɔ mmere bi a, sɛnea ɛbɛyɛ a oduruyɛfo no bɛma ntini no ayɛ den kakra no, ebia ɔbɛka akyerɛ wo sɛ fa wo nan no abɔ wo nkyɛn, anaasɛ wobɛkotow wo kɔn akɔ w’anim.
Wɔ sɔhwɛ titiriw yi akyi no, akwan foforo pii wɔ hɔ a ɛte sɛ eyi.
| Sɔhwɛ no din | Ɔkwan a wɔfa so yɛ no yɛ mmerɛw. |
|---|---|
| Crossed Straight Nan a Wɔma So Sɔhwɛ | Wɔ eyi mu no, oduruyɛfo no ma nan a ɛte apɔw a ɛyaw biara nni mu no so . Nanso sɛ, sɛ woma saa nan no so a, wote ɛyaw nka wɔ wo nan foforo no mu a ɛyɛ yaw a, eyi yɛ adanse a emu yɛ den a ɛkyerɛ sɛ ntini no mu ayɛ den. |
| Seated Straight Leg Raise Sɔhwɛ | Wɔbɛma woasɔre atra mpa so, abɔ wo nkotodwe akodu digrii 90, na afei woateɛteɛ wo kotodwe biako. Wɔbɛhwɛ sɛ eyi nso de ɛyaw ba anaa. |
| Nkotodwe a Wɔkotow Sɔhwɛ (Reversed SLR) . | Wɔde wo bɛto wo yafunu so, wo nkotodwe akɔto w’akyi, na wɔaka wo nan ase akɔsi sɛ ɛbɛka w’asen. Sɛ wote ɛyaw wɔ w’asen mu a, eyi betumi akyerɛ sɛ ntini bi a ɛyɛ pintinn wɔ w’akyi atifi (`L2-L3 ntini ntini`). |
Dɛn na ɛkyerɛ bere a sɔhwɛ bi yɛ "Positive" ne "Negative"?
Afei ma yɛnhwɛ nea nea efii sɔhwɛ yi mu bae no ka.
Sɛ SLR sɔhwɛ no yɛ papa a...
Nsuro bere a wote "positive" no. Wɔ aduruyɛ mu no, ɛkyerɛ sɛ wɔagye sɛnkyerɛnne pɔtee bi atom.
SLR nhwehwɛmu bi yɛ papa bere a:
- Sɛ ɛyaw a wotaa te (ɛyaw a efi w’akyi kɔ wo nan ase) san ba bere a woama wo nan so wɔ digrii 30 kosi 70 ntam no a.
- Titiriw sɛ ɛyaw yi hyerɛn kɔ kotodwe no so a ɛyɛ sɛnkyerɛnne a emu yɛ den a ɛkyerɛ sɛ ntini bi ayɛ mmerɛw .
Nea ɛho hia: Ɛyɛ ade a ɛfata sɛ wobɛte nka sɛ wo nan akyi ntini a ɛwɔ wo nan akyi no retwe bere a woama wo nan so no. Eyi nyɛ nea enti a nhwehwɛmu no da adi sɛ ɛyɛ papa. Sɛ wunya ɛyaw a woanya fi w'akyi kosi wo nan so no nkutoo a .
Ɛda adi kɛse sɛ nea efi mu ba pa no kyerɛ sɛ nea ɛde wo yaw no ba ne ntini a ɛtwetwe te sɛ sciatica, akyi berɛmo mu akisikuru, anaa disc herniation.
Sɛ SLR sɔhwɛ no yɛ negative a...
Sɔhwɛ "negative" kyerɛ sɛ woannya ɛyaw a ɛtaa ba bere a womaa wo nan so no.
- Sɛ nhwɛso no, sɛ w’akyi yɛ wo yaw nkutoo, a ɛyaw ntumi nkɔ wo nan ase a, ebia nhwehwɛmu yi nyɛ papa.
- Afei nso, sɛ ɛyaw biara nni hɔ kosi sɛ wɔbɛma nan no so aboro digrii 70 a, wobu ɛno nso sɛ ɛnyɛ papa.
Nea enye a efi mu ba no nkyerɛ sɛ wunni yare biara. Ɛkyerɛ sɛ ɛda adi kɛse sɛ ɛnyɛ ntini a ɛyɛ mmerɛw na ɛde wo yaw no ba. Ebetumi ayɛ ɛyaw a ɛba wo ntini, wo nkwaa, anaa biribi foforo mu. Afei wo duruyɛfo no de wo bɛkɔ akɔyɛ nhwehwɛmu afoforo de ahu nea ɛde ba.
Sɛ nhwehwɛmu no da adi a, dɛn na woyɛ akyi?
Sɛ SLR nhwehwɛmu no yɛ papa, a ɛkyerɛ sɛ adwenem naayɛ bi wɔ hɔ sɛ ntini mu nhyɛso bi wɔ hɔ a, mma wo ho nnyɛ wo hu. Ayaresa pii wɔ hɔ a wobetumi de adi eyi ho dwuma.
Ade a ɛho hia sen biara ne sɛ wubedi wo duruyɛfo akwankyerɛ akyi pɛpɛɛpɛ .
Mpɛn pii no, oduruyɛfo no betumi akamfo nneɛma te sɛ:
- Ahomegye: Wɔbɛtu wo fo sɛ twe wo ho fi dwumadi ahorow a ɛma ɛyaw yɛ kɛse (te sɛ wo kotow kɔ w’anim, nneɛma a emu yɛ duru a wobɛma so) ho kakra.
- Apɔw-mu-teɛteɛ: Eyi ho hia yiye. Apɔw-mu-teɛteɛ ho ɔbenfo bɛkyerɛ wo apɔw-mu-teɛteɛ titiriw bi a ɛbɛma w’akyi ne yafunu mu ntini ahorow ayɛ den na ama nhyɛso a ɛba ntini no so no so atew.
- Nnuru: Wo duruyɛfo bɛkyerɛw nnuru a ɛbɛma ɛyaw ne ɔfe so atew.
- Akyi berɛmo mu Nnuru: Wɔ nnipa binom fam no, sɛ ɛyaw no mu yɛ den yiye a, wɔde nnuru soronko gu akyi berɛmo mu.
- Oprehyɛn: Oprehyɛn ho hia ma nnipa kakraa bi pɛ, kyerɛ sɛ, sɛ ɛyaw a emu yɛ den bi wɔ hɔ a wontumi mfa nnuru nni dwuma, anaasɛ sɛ sɛnkyerɛnne ahorow a emu yɛ den te sɛ nsakrae a ɛba dwensɔtwaa ne akisikuru mu wɔ hɔ a.
Mpɛn pii no, tebea horow te sɛ sciatica befi hɔ wɔ bɛyɛ adapɛn 6 mu bere a wɔagye wɔn ahome yiye, apɔw-mu-teɛteɛ, ne nnuru a wɔde sa yare no.
Nkrasɛm a Wɔde Kɔ Fie
- Straight Leg Raise (SLR) Test yɛ sɔhwɛ a ɛnyɛ den a ɛyaw nnim a ɛhwɛ sɛ ntini a ɛyɛ den no na ɛde akyi yaw ba, titiriw ɛyaw a ɛhyerɛn kɔ nan no ase.
- "positive" sɔhwɛ kyerɛ sɛ ɛyaw a ɛtaa ba no ba bere a wɔama nan no so. Eyi kyerɛ sɛ ntini bi ayɛ mmerɛw.
- "Negative" sɔhwɛ kyerɛ sɛ nea ɛde ɛyaw no ba no nyɛ ntini mu nhyɛso, na mmom biribi foforo.
- Ɛmfa ho nea ebefi mu aba no, mma wo ho nnpopo, wo ne wo duruyɛfo nkasa, na di n’akwankyerɛ ne n’ayaresa akyi pɛpɛɛpɛ.
- Nnipa pii betumi anya ahoɔden ntɛm denam nipadua mu ayaresa ne ahomegye so.
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