Mi tam zawk tan chuan kekawrte na hi an nunah vawi khat tal an tawn thin a ni. A châng chuan, rit phurh, infiamna, mut dik loh vang pawh a ni thei. A tam zawkah chuan he natna hi ni rei lo te chhungin a reh ang a, mahse a chang chuan a awm reng thei bawk. Hetianga i ke ruh natna awm reng, tithinur thei tak awm chhan ber pakhat chu i ke ruh pawimawh tak pakhat a chhiat vang a ni. Hei hi medical lamah chuan Subscapularis tear kan ti a. Ngaihtuah buai suh, a hming hi a mak deuhin a lang thei a, mahse a awlsam zawngin sawi ila.
He Subscapularis hi eng nge ni?
A awlsam zawngin i shoulder joint hi ball leh socket joint ang mai a ni. He ruh hi a nghet reng tur leh kawng hrang hranga kal tir thei tur muscle pali a awm a. He taksa peng hrang hrangte hi `` Rotator Cuff '' an ti a.
Subscapularis hi rotator cuff chhunga muscle pali zinga pakhat a ni. A dik tak chuan, a ke ruh nena inzawm tlat tendon chak tak hi a hliam tam ber a ni.
A hnathawh ber chu i kut chu chhung lam hawia rotate (internal rotation) a ni. I hnungzang i hrual emaw, i hnunglam pocket-a i kut i luh emaw, kawr i ha emaw hian he movement hi a pawimawh zia hi han ngaihtuah teh. Chuvangin subscapularis a chhiat chuan heng thil tih pawh hi a hrehawm thei hle.
Engtin nge he mittui hi a lo awm a, hriat chhuah a ni em?
Hetianga mittui tlak chhan hi eng emaw zat a awm thei.
- Accident: He ligament hi tlu nghal emaw, kut emaw, kephah emawa vuak nasat ang chi thilin a tikehsawm thei.
- Hun kal zelah chhiatna: Mite chu infiamna lama inchei nawn fo thin (e.g. tennis, tui chawi) emaw, hna rit phur ngai hna thawk thinte emaw chuan hun kal zelah he ligament hi a chhe zauh zauh thei a, a tikehsawm thei bawk.
- Aging : Hetiang dinhmun hi kan tar chhoh zel a, taksa fiber a chak loh avangin a awm thei bawk.
A pawimawh ber chu, "Hei hi a hliam mai mai thei" tih ngaihtuah ai chuan, i ke ruh natna i neih hian doctor pan hi a ni.
Engtin nge hei hi i hmuh theih, Doctor?
Doctor i hmuh hunah i symptoms te an zawt ang che a, physical assessment an ti ang che. I kekawrte chu kawng hrang hrangah an sawn ang a, natna a awm leh awm loh, che harsa a nih leh nih loh leh khawiah nge a natna nasa ber tih an en ang. A châng chuan mittui tla chu engtiang chiahin nge a na tih hriat nân ultrasound scan emaw MRI scan emaw pawh an rawt thei bawk.
Heng mittui te hi an nihna a zirin an thliar hrang a. Ṭhenkhat chu partial tears , ṭhenkhat erawh chu complete ruptures an ni thei thung. Enkawlna chu mittui tlak danah a innghat.
Damna kawng: in lama i tih theih exercise awlsam tak tak
He natna enkawlnaah hian chawlh hahdam , natna damdawi, taksa lam enkawlna, a nih loh leh a nasat ber ṭhenkhatah chuan operation te pawh a tel thei. I doctor chuan i tana enkawlna tha ber tur a ruat ang.
Physical therapy hi a pawimawh hle a ni. I shoulder natna a reh a, i dam leh deuh hnuah (a tlangpuiin kar 4-6 hnuah) exercise i tan thei a, chu chuan shoulder vel muscle te chu a tichak a, shoulder chhunga range of motion a nei leh thei bawk.
Warning: Heng exercise te hi i doctor emaw physiotherapist emaw phalna a pek hnuah chauh i tan tur a ni. Natna hmanga exercise la tura in nawr hian natna chu a ti na zual thei a ni.
Hetah hian exercise awlsam tak tak, in lama i tih theih tur, i doctor phalna i hmuh hnua i tih theih tur te chu hetiang hi a ni.
| Insawizawi | Tih dan tur | Point pawimawh tak tak |
|---|---|---|
| Pendulum a ni | 1. Kut tha tak pakhatin dawhkan emaw ṭhutphah emaw chu chelh la, hmalam pan deuh rawh. 2. Rualbanlo kut chu zalen takin hnuai lamah innghat rawh se. 3. Tunah chuan i taksa chu hmalam leh hnunglam hawiin, a sir lehlamah swing la, i kut chu pendulum ang maiin hma leh hnung lamah swing rawh. (I kut i swing a ngai lo, i taksa i swing ang bawkin i kut chu natural takin a swing tur a ni). 4. Side khatah vawi 12-20 vel tih thin ang che. | Hei hian shoulder na a ti reh ang. Ni khatah vawi hnih ti thin ang che. |
| Passive Internal Rotation a ni | 1. Hnung lam atanga thil pakhat, broom handle, stick emaw, hrui sei emaw ang chi chu man rawh. 2. I kut rualbanlo hmangin thingpui no tawp khat chu chelh la. A tawp dang chu i kut tha tak hmangin chelh rawh. 3. Tunah chuan i kut tha tak hmangin stick chu horizontal-in hrual rawh. Chumi hnuah chuan kut rualbanlo chuan i hnungzang lamah a rawn hruai nghal ang. 4. Hetiang dinhmun hi second 10-30 vel vawng la, a bul tanna hmunah kir leh rawh. Vawi 3-5 vel tih leh tur a ni. | Natna na tak i nei tur a ni lo. I kekawr chhung lam chu mild pull chauh i hre tur a ni. |
| Internal Rotation (band nei) 1.1. | 1. Exercise atana hman tur resistance band chu waist level-a hmun, kawngkhar knob emaw table leg emaw-ah khin rawh. 2. I kut rualbanlo hmangin band chu chelh la, i elbow chu 90 degree-ah ben la, i taksaah innghat rawh. 3. I elbow te chu i taksa atanga hlat lovin i pum lam hawiin band chu hrual rawh. 4. Zawi zawiin a bul tanna hmunah kir leh rawh. Vawi 12-20 vel tih leh tur a ni. | Hei hian shoulder muscle a tichak ang. Light band hmangin tan hmasa phawt ang che. |
| Prone Horizontal Abduction hmanga rukbo a ni | 1. Khum emaw, bench emaw-ah chuan tlan phei la, mu la, rualbanlo kut chu a sir lamah hnuai lamah dah rawh. 2. Tunah chuan i kut chu a sir lamah direct-in chawi chhuak la, shoulder level a nih thlengin. 3. Second 1-3 vel chelh la, chutah chuan i hips hnuai lam pan rawh. 4. Vawi 12-20 vel tih leh tur a ni. | A tir lamah chuan weights tel lovin ti rawh. Nakinah chuan tui bottle emaw dumbbell light emaw i kutah i vawn laiin i ti thei ang. |
Safety hmasa ber! Hengte hi hre reng ang che
Heng exercise kan tih hian himna ngaihtuah a pawimawh hle. Thil tih dik loh chuan hliam chu a tizual thei a ni.
- Form dik tak: Exercise zawng zawng hi form dik tak nena tih a pawimawh hle. I chiang lo a nih chuan darthlalang hmaah tih dan practice la. A nih loh leh, i physical therapist hnenah chutiang tih dan dik zawt rawh.
- A natna chu ngaithla rawh: Exercise i tih laiinNatna nasa tak i neih chuan tih kha bansan nghal rawh. Tlemte hrehawm lo tih hi thil pangngai a ni a, taksa ruh (muscle pulling) ang maiin. Mahse hrehawmna erawh a tha lo. Natna i neih chuan i rihna tihtlem emaw, i chetna range tlem emaw tihtlem la.
- Hmanhmawh suh: Dam nan hun a duh. Zan khat thil thuah result beisei suh. Exercise mumal tak leh systematic takin tih thin ang che.
- Doctor hmu rawh: Heng exercise i tih hnuah pawh a natna a la awm reng emaw, a zual emaw a nih chuan hun khawhral suh la, i doctor emaw physical therapist emaw hmu leh la, hei hi sawipui leh rawh. Enkawlna dang i mamawh mai thei.
Take-Home Thuchah a ni
- Kawngkhar natna thlentu tlangpui chu subscapularis tendon tear a ni. Chuvangin shoulder pain hi ngaihthah suh.
- Mahni inhriatthiamna nei ngai suh. Diagnosis dik tak neih theih nan doctor thiam tak hmu fo ang che.
- Rehabilitation exercise hi doctor emaw physiotherapist emaw thurawn leh phalna an dawn hnuah chauh tan tur a ni.
- Exercise i tih laiin i taksa thu ngaithla rawh. Natna nasa tak i neih chuan titawp nghal rawh.
- Dawhtheihna leh inmilna hi dam lehna kawng pawimawh tak a ni. Results rang tak beisei suh.
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