Ðe wò hã megate ŋu da sɔ o ne èle azɔli zɔma? Mina míaƒo nu tso Romberg Dodokpɔa ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemegate ŋu le dadasɔ me o ne yele tsitrenu alo le zɔzɔm? Ðe nèsena le ɖokuiwò me be yeƒe ta le ƒoƒom alo abe ɖe yele gegem enea? Ne nenemae la, egbea míele nu ƒom tso dodokpɔ bɔbɔe aɖe si ate ŋu akpe ɖe ŋuwò nànya nusitae ŋu. Woyɔa esia be Romberg Dodokpɔ. Mègatsi dzi o, menye dodokpɔ sesẽ aɖekee o.

Ènya nusi Romberg Dodokpɔa nyea?

Kpuie ko la, Romberg Dodokpɔ nye ŋutilãmedodokpɔ kpui aɖe si léa ŋku ɖe dadasɔ ƒe nyawo ŋu, vevietɔ esiwo ku ɖe wò seselelãme ƒe seselelãme ŋu . Oo, fifia ɖewohĩ èle nusi proprioception nye ŋu bum. Mina maɖe ema hã me. Enye ŋutete si le asiwò be nàde dzesi wò ŋutilã ƒe ʋuʋu, wò nɔƒe. Ne míagblɔe tututu la, ne èmiã ŋku gɔ̃ hã la, àte ŋu ase afisi wò asiwo le, afisi wò afɔwo le, ema ŋue wòku ɖo.

Romberg Dodokpɔa koŋ léa ŋku ɖe eŋu nenye be dorsal column pathway , si nye wò ahɔhɔ̃ kple wò aklã ƒe akpa aɖe si kpɔa proprioception dzi, le dɔ wɔm nyuie hã.

Wowɔa dodokpɔa ale: Woabia tso asiwò be nàtsi tre eye nàtsɔ wò afɔwo aƒo ƒu eye wò abɔwo nanɔ axadzi alo nàbla ɖe wò akɔta. Ele be nàna wò ŋkuwo nanɔ ʋuʋu ɖi gbã, emegbe nàtu wo. Wò ɖɔkta alé ŋku ɖe ŋuwò le ɣeyiɣi sia me eye wòade dzesi dzesi ɖesiaɖe si fia be èle ʋuʋum alo mègada asɔ o.

Wotsɔ Moritz Romberg, si nye ƒe alafa 19 lia me Europa ahɔhɔ̃ŋutinunyala aɖe si to mɔnu sia vɛ zi gbãtɔ, vevietɔ be woatsɔ anya dɔléle sesẽ siwo nye tertiary/late syphilis, ƒe ŋkɔ na dodokpɔ sia.

Aleke míewɔna be míaƒe ŋutilã nada asɔ ŋutɔŋutɔ?

Dadasɔ nye ŋutete si le ame si be wòalé eƒe kpekpeme si da sɔ me ɖe asi, anɔ tsitrenu, eye wòaʋuʋu madzudzɔmadzudzɔe. Bu eŋu kpɔ, dadasɔ sia tae míedzea anyi ne míele zɔzɔm, le du ƒum, alo míetsi tre ɖe teƒe ɖeka ko gɔ̃ hã o.

Míaƒe ŋutilã léa dadasɔ sia me ɖe asi to ɖoɖo sesẽ aɖe si woyɔna be sensorimotor control systems dzi. Esiawo dometɔ aɖewoe nye:

• Sidzenuwo ƒe nyatakaka tso nukpɔkpɔ me: Míaƒe ahɔhɔ̃ ate ŋu anɔ te ɖe nusiwo míekpɔna dzi ase alesi míele kple alesi nuto si ƒo xlãe le gɔme.
• Proprioception: Abe alesi míegblɔe va yi ene la, míekpɔa míaƒe ŋutilã ƒe akpawo ƒe nɔƒe kple woƒe ʋuʋu.
• Vestibular system le to ememetɔ me: Esiae naa ahɔhɔ̃a nyatakaka tso míaƒe ʋuʋu, dadasɔ, kple teƒe si míele ŋu. Ne taɖuame le ŋuwò la, nane ate ŋu agblẽ le nuɖoanyi sia ŋu.
• Ahɔhɔ̃a ƒoa seselelãme sia nu ƒu nyuie eye wòsea egɔme.
• Le esia nu la, mɔ̃a ƒe dɔwɔwɔ nana ŋkuwo kple lãmekawo.

Míate ŋu akpɔ abi, dɔléle aɖewo, ŋku ƒe kuxiwo, atike aɖewo, eye ne míele tsitsim la, nu siawo dometɔ ɖeka alo esi wu nenema ate ŋu agbɔdzɔ. Ɣemaɣie dadasɔ ƒe kuxiwo doa mo ɖa.

Romberg Dodokpɔa kpena ɖe ŋuwò nènya nenye be wò dadasɔ ƒe kuxiwo tso kuxi aɖe si le proprioception ŋu gbɔ.

Nukae nye proprioception sia?

Mina míaƒo nu tso proprioception ŋu vie. Esiae nye míaƒe ŋutilã ƒe ŋutete be wòase eya ŋutɔ ƒe ʋuʋu kple eƒe nɔƒe le yamenutome (nutome si ƒo xlã mí) gɔme.

Dorsal column-medial lemniscus pathway (DCML) , alo dorsal column , nye seselelãmemɔ si le míaƒe titina lãmekawo me —si nye ahɔhɔ̃ kple aklã me. Mɔ sia dzie míetona dea dzesi asikaka ame ŋu, ʋuʋu, kple teƒe si míele ƒe seselelãme siwo menya kpɔna dzea sii bɔbɔe o tso lãmeka siwo le míaƒe ŋutigbalẽ, lãmekawo, kple ƒunukpeƒewo me.

Ʋuʋu ka kee míeɖawɔ o, sidzenu siwo le míaƒe ŋutigbalẽ, lãmekawo, kple ƒunukpeƒewo ɖoa nusiwo ʋãa ame ɖe ahɔhɔ̃a to akɔta ƒe sɔti sia dzi. Nyatakaka sia, tsɔ kpe ɖe nukpɔkpɔ ƒe nyatakaka kple nyatakaka siwo ku ɖe dadasɔ kple ʋuʋu tso vestibular system si le to ememetɔ me ŋu la, gblɔa afisi míaƒe ŋutilã le kple alesi ahɔhɔ̃a le.

Romberg Dodokpɔa bia be woaɖe nukpɔkpɔ ƒe kpekpeɖeŋunanu ɖa ne wotu ŋkuwo. Woate ŋu azã esia atsɔ akpɔ alesi proprioception le dɔ wɔm nyuie be woada asɔe. Esia ate ŋu akpe ɖe ame ŋu woade dzesi ahɔhɔ̃mekawo ƒe dɔléle aɖe si kpɔa ŋusẽ ɖe ame ŋutɔ ƒe dɔwɔwɔ dzi ƒe anyinɔnɔ.

Ɣekaɣie wòhiã be woawɔ Romberg Dodokpɔa?

Zi geɖe la, ɖɔktawo wɔa Romberg Dodokpɔ sia:

• Le amesiwo ƒe dadasɔ ƒe kuxiwo, taɖuame, kple anyidzedze enuenu le gome.
• Wowɔa esia hã abe ahɔhɔ̃mekawo ƒe dodokpɔ siwo wowɔna edziedzi ƒe akpa aɖe ene .

Dodokpɔ sia ɖea vi ŋutɔ le ahɔhɔ̃mekawo ƒe dɔléle vovovowo didi kple wo me dzodzro me. Kpɔɖeŋu ʋɛ aɖewoe nye esi:

• Parkinson ƒe dɔlélea
• Friedreich ƒe ataxia ƒe dɔléle
• Vitamin B12 ƒe anyimanɔmanɔ
• Aɖuɖɔtoedɔ si le etɔ̃lia/tsi megbe
• Normal pressure hydrocephalus (NPH) le ame tsitsi siwo dzea anyi enuenu ŋu
• Wernicke ƒe dɔlélea
• Ménière ƒe dɔlélea
• Brown-Sequard ƒe dɔléle si nye Brown-Sequard ƒe dɔléle
• Megbe ka ƒe dɔléle

Gake ɖo ŋku edzi be dadasɔ ƒe kuxiwo ate ŋu atso nɔnɔme bubu siwo ku ɖe wò nukpɔkpɔ kple wò ŋkume ƒe dɔwɔwɔ ŋu hã gbɔ.

Amekae wɔa Romberg Dodokpɔa?

Lãmesẽdɔwɔla ɖesiaɖe si nyae nyuie ate ŋu awɔ Romberg Dodokpɔa dedie. Gake esi wònye ahɔhɔ̃mekawo ƒe dodokpɔ ta la, ahɔhɔ̃ŋutinunyalawoe wɔa esia zi geɖe .

Aleke tututu wowɔa Romberg Dodokpɔae?

Esia nye ŋutilãmedodokpɔ. Wò ɖɔkta ana mɔfiamewo wò eye wòanɔ ŋku lém ɖe wò ewɔwɔ ŋu. Afɔɖeɖeawoe nye esi:

1. Woagblɔ na wò be nàɖe wò afɔkpawo eye nàtsi tre eye nàtsɔ wò afɔwo aƒo ƒui.

2. Wogblɔna be nàna wò abɔwo nabɔbɔ ɖe wò axawo dzi, alo nàtso wo ɖe wò akɔta.

3. Gbã la, ele be nàtsi tre dzɔdzɔe evɔ màʋuʋu o abe sɛkɛnd 30 ene eye wò ŋkuwo naʋu . Ðɔktaa alé ŋku ɖe wò ŋutilã ƒe ʋuʋu kple dadasɔ ŋu.

4. Emegbe, ele be nàtsi tre ɖe nɔnɔme ma ke me eye nàmiã ŋku . Ele be nànɔ alea abe sɛkɛnd 30 va ɖo aɖabaƒoƒo ɖeka ene. Ðɔktaa agalé ŋku ɖe wò ʋuʋu kple dadasɔ ŋu ake.

Romberg Dodokpɔa ƒe akpa vovovo siwo ŋu wotrɔ asi le li. Wozãa wo tsɔ bua dadasɔ le nɔnɔme vovovowo me kpɔna. Kpɔɖeŋu evee nye:

• Sharpened Romberg test (SRT): Wozãa esia tsɔ léa ŋku ɖe ataxia (dɔwɔwɔ ƒe ɖoɖowɔwɔ ƒe gbegblẽ) ŋu le amesiwo le hayahayam tso decompression sickness (e.g., nɔnɔme si dzɔna le tsi me ƒuƒulawo me) me. To vovo na Romberg dodokpɔ si wowɔna edziedzi la, esiawo tsɔa afɔawo dana ɖe fli me, eye afɔ ɖeka ƒe afɔkpodzi ka asi evelia ƒe afɔbidɛwo ŋu.
• Single-legged Stance Test (SLST): Wozãa esia tsɔ bua alesi ame tsitsiwo kple amesiwo ŋu Parkinson ƒe dɔlélea le ƒe nɔnɔme ƒe liƒo ŋu . Ebia be woado ɣeyiɣi didi si amea ate ŋu anɔ tsitre ɖe afɔ ɖeka dzi eye woƒe ŋkuwo ʋu. Wowua dodokpɔa nu le aɖabaƒoƒo ɖeka me. Wodoa afɔ ɖesiaɖe kpɔ zi etɔ̃.

Nukae woakpɔ mɔ na le dodokpɔa wɔɣi?

Romberg Dodokpɔ nye dodokpɔ si wowɔna kabakaba ŋutɔ eye wòle bɔbɔe ŋutɔ. Ne èwɔ esia la, ame aɖeke malé wò alo akpe ɖe ŋuwò nàda asɔ o.

Gake mègatsi dzi o! Wò ɖɔkta alo amesi le dodokpɔa wɔm la anɔ anyi ɖe axawò anɔ ŋku lém ɖe ŋuwò nyuie. Ne wokpɔ wò be yele gegem la, woalé wò kaba eye woaxe mɔ na wò be màge o. Azɔ hã, woɖe nu ɖesiaɖe si ate ŋu ana ame nadze anyi la ɖa le teƒe si ƒo xlã dodokpɔwɔƒea.

Ðe esia bia dzadzraɖo tɔxɛ aɖea?

Ao, mehiã be nàwɔ nu tɔxɛ aɖeke hafi awɔ Romberg Dodokpɔa o.

Ðe afɔku aɖewo le dodokpɔ sia mea?

Ne ɖɔkta alo lãmesẽdɔwɔla si xɔ hehee wɔ dodokpɔ sia le mɔ si le dedie nu la, womenya afɔku alo kuxi aɖeke o.

Ɣeyiɣi didi kae wòxɔna hafi woate ŋu anya dodokpɔa me tsonu?

Ne ènya wu dodokpɔa nu ko la, ɖɔkta ate ŋu agblɔ na wò nenye be wò Romberg Dodokpɔa nye be dɔlélea le ŋuwò alo menyo o.

Gake ɖo ŋku nu ɖeka dzi. Romberg Dodokpɔa ɖeɖe mate ŋu agblɔ nusi tututu gbɔ wò dadasɔ ƒe kuxia tso alo nusi gblẽ le wò akɔta ƒe sɔti ŋu o. Ahiã be wò ɖɔkta nawɔ dodokpɔ bubuwo atsɔ anya nusi tututu gbɔ wòtso.

Nukae wòfia be woawɔ dodokpɔ na Romberg be dɔlélea le ame ŋu?

Romberg dodokpɔ si me dɔlélea le enye ne èda sɔ le ŋku mimi vɔ megbe. Eyae nye be ne wò ŋutilã ʋuʋuna ŋutɔ, ne ètsɔ afɔ aɖe ɖo ŋgɔ le mɔ si dzi nèle gegem ɖo la nu, alo ne èdze anyi ŋutɔŋutɔ.

Ne wò Romberg dodokpɔa ɖee fia be dɔlélea le ŋuwò la, wò ɖɔkta aɖe gbe be woagawɔ dodokpɔ bubuwo atsɔ anya nusi na wò akɔtaƒu mele dɔ wɔm nyuie o. Romberg dodokpɔ si me wokpɔ dɔlélea le ate ŋu atso atikewɔwɔ ƒe nɔnɔme vovovowo gbɔ.

Nukae wòfia ne Romberg ƒe dodokpɔa meɖe vi aɖeke o?

Romberg dodokpɔ si me dɔléle aɖeke mele o enye ne àte ŋu anɔ te sesĩe evɔ màʋuʋu vevie le dodokpɔa wɔɣi o.

Esia fia be dzesi siwo do ƒome kple wò vestibular system alo proprioception ate ŋu medo ƒome kple dadasɔ ƒe kuxiwo tẽ o, alo ate ŋu atso nu bubu aɖe si gbɔ wòtso si womate ŋu ade dzesii to Romberg dodokpɔa me o gbɔ.

Ɣekaɣie wòle be nàkpɔ ɖɔkta ne kuxi aɖe le wò dadasɔ ŋu?

Dadasɔ ƒe kuxiwo ate ŋu anye afɔku eye woate ŋu ana ame nadze anyi. Ne dzesi siawo dometɔ aɖe le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ:

• Nusiwo meli ke o
• Taɖuame
• Tagbɔdɔ - (Sinhalagbe: Sese le ɖokuiwò me be yeƒe tagbɔ le bɔbɔe, sese le eɖokui me be yeƒe susu megale ye ŋu o)
• Nukpɔkpɔ si me mekɔ o
• Wò dadasɔ ƒe bubu kple anyidzedze
• Sese le eɖokui me be yeƒe susu tɔtɔ
• Sese le eɖokui me abe ɖe xɔa le tsatsam ene, hena ɣeyiɣi aɖe
• Sese le ɖokuiwò me abe ɖe nèle ʋuʋum ene esime nènya be yegakpɔtɔ le ʋuʋum
• Sese le ɖokuiwò me abe ɖe nèle gegem ene

Mina míasrɔ̃ nu vi aɖe tso esia ŋu: Nukae nye Modified Romberg Balance Test?

Esiae nye Modified Romberg ƒe dadasɔ dodokpɔ.Ɣeaɖewoɣi la, sedzikpɔlawo zãnɛ tsɔ nyaa nenye be ʋukula aɖe no aha kpɔ, gake esia menye dodokpɔ si wowɔ le gbeadzi si dzi Dukɔa ƒe Mɔdodowo Dzi Ʋuwo ƒe Dedienɔnɔ Dɔwɔƒe (NHTSA) da asi ɖo o .

Ne èle esia wɔm la, kpovitɔa agblɔ na wò be nàna wò afɔwo nanɔ ɖeka, nàtrɔ ta ɖe megbe vie, eye nàmiã ŋku. Emegbe le sɛkɛnd 30 megbe la, woabia tso asiwò be nàgblɔ be "dzudzɔ" ɣesiaɣi si nèdi.

Mlɔeba la, gbedasi si nàtsɔ ayi aƒemee:

Wò dadasɔ ƒe bubu kple taɖuame ate ŋu anye nuteƒekpɔkpɔ dziŋɔ aɖe. Ne èse le ɖokuiwò me be yemele te o alo mèda sɔ o esime nèle tsitrenu alo le zɔzɔm la, taflatse yi ɖɔkta gbɔ. Woate ŋu awɔ dodokpɔwo abe Romberg Dodokpɔ ene be wòakpe ɖe ŋuwò nànya nusi gbɔ wò dadasɔ ƒe kuxiwo tso. Ðo ŋku edzi be dɔlélea didi nyuie nye afɔɖeɖe gbãtɔ si ana woada dɔ nyuie.

` Romberg dodokpɔ, dadasɔ, proprioception, lãmekawo ƒe dɔwɔwɔ, taɖuame, anyidzedze, ahɔhɔ̃medɔlélewo