ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯕꯦꯛ (ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ)ꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯪꯖꯤꯅꯁꯤ, ꯃꯁꯤ ꯇꯁꯦꯡꯅꯥ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯕꯦꯛ ꯄꯦꯟ (lower back pain) ꯂꯩꯕ꯭ꯔꯥ? ꯅꯍꯥꯛꯅꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁ꯭ꯠꯔꯦꯁ ꯂꯩꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯑꯗꯨꯅꯥ, ꯉꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯌꯥꯝꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯒꯅꯤ, ꯅꯠꯔꯒꯥ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯀꯧꯔꯤꯕꯥ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ . ꯃꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯀꯔꯤ ꯁꯔꯚꯤꯁꯁꯤꯡ ꯄꯤꯔꯤ, ꯃꯁꯤꯅꯥ ꯀꯔꯤ ꯈꯨꯗꯣꯡꯆꯥꯗꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯣꯂꯨꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯁꯨꯞꯅꯇꯒꯤ ꯈꯉꯂꯁꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯃꯉꯥ (vertebrae ꯍꯥꯌꯅꯥꯁꯨ ꯀꯧꯏ)ꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯗꯣꯛꯇꯔꯁꯤꯡꯅꯥ ꯁꯔꯨ ꯃꯉꯥ ꯑꯁꯤꯕꯨ L1, L2, L3, L4, ꯑꯃꯁꯨꯡ L5 ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ (L ꯑꯁꯤꯅꯥ ꯂꯝꯕꯔꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫) ꯂꯝꯕꯔꯒꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯂꯩꯕꯥ ꯑꯇꯩ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯗꯒꯤ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯆꯥꯎꯏ ꯑꯃꯁꯨꯡ ꯍꯦꯟꯅꯥ ꯂꯨꯝꯃꯤ, ꯃꯗꯨ ꯁ꯭ꯛꯕꯥꯔ ꯕꯣꯜꯗꯔ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫

ꯈꯟꯗꯨꯅꯥ ꯌꯦꯡꯎ, ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ 12ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩ (ꯃꯁꯤꯕꯨ ꯊꯣꯔꯥꯁꯤꯛ ꯚꯔꯇꯤꯕ꯭ꯔꯦ ꯍꯥꯌꯅꯥ ꯀꯧꯏ) ꯑꯃꯁꯨꯡ ꯃꯁꯤꯗꯒꯤꯁꯨ ꯍꯦꯟꯅꯥ ꯅꯦꯝꯅꯥ ꯂꯩꯕꯥ ꯁꯦꯛꯔꯥꯝ ꯀꯧꯕꯥ ꯇ꯭ꯔꯤꯑꯦꯉ꯭ꯒꯨꯂꯥꯔ ꯃꯑꯣꯡꯒꯤ ꯁꯔꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯂꯩ꯫

ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ꯑꯁꯤ ꯑꯆꯧꯕꯥ ꯃꯔꯝꯅꯥ, ꯃꯈꯣꯌꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯑꯐꯕꯥ ꯁ꯭ꯇꯦꯕꯤꯂꯤꯇꯤ ꯄꯤ꯫ ꯃꯁꯤꯗꯁꯨ ꯅꯠꯇꯅꯥ, ꯃꯁꯜ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯀꯌꯥ ꯂꯥꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯔꯨꯛ ꯑꯁꯤꯒꯥ ꯁꯝꯅꯩ꯫ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯗꯤ, ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯏ꯫ ꯃꯁꯤ ꯈꯛꯇꯥ ꯅꯠꯇꯅꯥ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯕꯦꯂꯦꯟꯁ ꯑꯗꯨ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯥꯟꯊꯣꯀꯄꯥ, ꯐꯃꯐꯝ ꯊꯣꯀꯄꯥ, ꯄꯣꯠꯁꯀꯁꯤꯡ ꯂꯧꯊꯣꯀꯄꯥ, ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯃꯥꯌꯀꯩ ꯄꯨꯝꯅꯃꯛꯇꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯀꯨꯄꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨꯗꯥ ꯈꯔꯥ ꯍꯦꯟꯅꯥ ꯃꯅꯨꯡ ꯍꯟꯖꯤꯅꯕꯥ ꯃꯐꯝ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤꯕꯨ ꯂꯣꯔꯗꯣꯇꯤꯛ ꯀꯔꯕ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯀꯔꯤ ꯊꯣꯀꯏ?

ꯑꯩꯈꯣꯌꯒꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯊꯧꯗꯣꯛ ꯈꯔꯗꯤ ꯌꯦꯡꯁꯤ:

• ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯍꯀꯆꯥꯡꯕꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯌꯦꯟꯊꯣꯀꯏ: ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯔꯤꯕꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨꯅꯤ, ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯀꯣꯛꯇꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯷ (ꯁꯔꯚꯤꯀꯦꯜ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦ ꯇꯔꯥ (ꯊꯣꯔꯥꯁꯤꯛ ꯁ꯭ꯄꯥꯏꯅꯦꯜ) ꯑꯁꯤꯁꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯔꯤꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯄꯨꯕꯥ ꯃꯇꯃꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯑꯗꯨ ꯂꯧꯔꯤꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯄꯦꯂꯚꯤꯁꯀꯥꯁꯨ ꯁꯝꯅꯩ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯔ ꯇꯧꯔꯤꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫
• ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯕꯨ ꯆꯠꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ: ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯐ꯭ꯂꯦꯛꯁꯤꯕꯤꯂꯤꯇꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯔꯁ ꯑꯗꯨ ꯃꯥꯌꯀꯩ ꯄꯨꯝꯅꯃꯛꯇꯥ (ꯃꯃꯥꯡꯗꯥ, ꯃꯇꯨꯡꯗꯥ) ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯃꯥꯌꯀꯩ ꯑꯃꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ, ꯃꯄꯨꯡꯐꯥꯅꯥ ꯆꯦꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯔꯣꯏꯕꯥ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯅꯤ (L4, L5) ꯑꯁꯤꯅꯥ ꯈꯣꯡꯖꯦꯂꯁꯤꯡ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯀꯥꯎꯗꯥ ꯏꯛꯌꯨꯏꯅꯥ ꯉꯥꯀꯊꯣꯀꯏ: ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯅꯔꯚ ꯀꯦꯕꯜ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯣꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯀꯣꯛ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯍꯧꯏ ꯑꯃꯁꯨꯡ ꯑꯍꯥꯅꯕꯥ ꯂꯝꯕꯔ (L1)ꯗꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯔꯣꯏꯕꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯕꯟꯗꯜ ꯑꯃꯥ ꯂꯩ꯫ ꯃꯁꯤ ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯄꯒꯨꯝꯅꯥ ꯎꯕꯥ ꯐꯪꯏ ꯃꯔꯃꯗꯤ...ꯃꯁꯤꯕꯨ ꯀꯥꯎꯗꯥ ꯏꯀꯨꯏꯅꯥ (ꯍꯥꯌꯕꯗꯤ ꯍꯨꯏꯒꯤ ꯈꯣꯡꯎꯞ ꯍꯥꯌꯕꯅꯤ) ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ, ꯀꯧꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯑꯁꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯁꯦꯝꯕꯥ ꯀꯚꯔꯤꯡ ꯑꯃꯅꯥ ꯉꯥꯀꯊꯣꯀꯏ꯫
• ꯈꯣꯡꯒꯤ ꯈꯣꯡꯖꯦꯜ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ: ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯀꯣꯗ ꯏꯀꯨꯏꯅꯥꯗꯒꯤ ꯊꯣꯀꯄꯥ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯁꯦꯟꯁꯅꯁꯤꯡ (feelings) ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯀꯔꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡ ꯂꯩꯕꯒꯦ?

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯒꯤ ꯃꯁꯂꯁꯤꯡ꯫

ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯁꯂꯁꯤꯡꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯃꯁꯂꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯇꯣꯔꯁꯣ ꯑꯃꯁꯨꯡ ꯂꯣꯌꯔꯕꯥ ꯕꯦꯛ ꯑꯗꯨ ꯆꯦꯠꯁꯤꯂꯍꯜꯂꯤ꯫ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯄꯥꯉ꯭ꯒꯜ ꯑꯃꯁꯨꯡ ꯇꯪꯗꯨ ꯂꯩꯇꯥꯕꯥ ꯄꯤ, ꯃꯗꯨꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ, ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯍꯨꯔꯥꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯁꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯒꯥ ꯁꯝꯅꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯁꯜ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

• ꯂꯦꯇꯤꯁꯤꯃꯁ ꯗꯣꯔꯁꯤ: ꯃꯁꯤ ꯑꯆꯧꯕꯥ, ꯂꯦꯡ-ꯑꯣꯠꯄꯥ, ꯇ꯭ꯔꯤ-ꯑꯦꯉ꯭ꯒꯨꯂꯥꯔ ꯃꯁꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯤꯗ ꯑꯃꯁꯨꯡ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯨꯠꯁꯥꯅꯥ ꯑꯔꯨꯝꯕꯥ ꯂꯧꯊꯣꯀꯄꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯁ꯭ꯕꯔ ꯍꯣꯅꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯋꯥꯡꯈꯠꯍꯅꯕꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯅꯥꯀꯜ ꯑꯃꯗꯥ ꯀꯨꯄꯁꯤꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯂꯤꯑꯣꯄꯁꯣꯌꯥꯁ: ꯃꯁꯤ ꯃꯁꯜ ꯑꯍꯨꯃꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ (hip joint) ꯑꯗꯨ ꯆꯠꯍꯜꯂꯤ꯫ ꯃꯁꯜ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ, ꯂꯥꯟꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯆꯦꯌꯥꯔ ꯑꯃꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯞ ꯑꯃꯁꯨꯡ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯄꯦꯔꯥꯁ꯭ꯄꯥꯏꯅꯦꯂꯁ (paraspinals): ꯃꯁꯂꯁꯤꯡꯒꯤ ꯀꯥꯡꯂꯨꯞ ꯑꯍꯨꯝ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯂꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ, ꯃꯅꯥꯛꯇꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯍꯨꯔꯥꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯈꯣꯌ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯄꯣꯁ꯭ꯇꯨꯔ ꯑꯗꯨ ꯉꯥꯛꯇꯨꯅꯥ ꯊꯝꯕꯗꯁꯨ ꯃꯔꯨꯑꯣꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯗꯥ ꯂꯩꯕꯥ ꯗꯤꯁ꯭ꯀꯁꯤꯡ꯫

ꯏꯟꯇꯔꯚꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯗꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ "ꯁꯣꯛ ꯑꯦꯕꯁꯣꯔꯕꯥꯔ ꯀꯨꯁꯟ" ꯒꯨꯝꯅꯥ ꯊꯕꯛ ꯇꯧꯕꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯁꯔꯨꯀꯁꯤꯡꯅꯤ꯫ ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯗꯤꯁ꯭ꯛ ꯃꯉꯥ ꯂꯩ꯫ ꯁꯣꯀꯄꯥ ꯊꯤꯡꯕꯇꯥ ꯅꯠꯇꯅꯥ, ꯗꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯆꯠꯂꯤꯕꯥ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ꯫

ꯃꯔꯨꯑꯣꯏꯕꯥ: ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯗꯤꯁ꯭ꯛ ꯑꯁꯤꯅꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯍꯜꯂꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯍꯔꯅꯤꯌꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕꯥ ꯗꯤꯁ꯭ꯛ ꯑꯁꯤꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯄꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯅꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯒꯤ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ꯫

ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ ꯍꯥꯌꯕꯁꯤ ꯁꯔꯨ ꯑꯃꯒꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯒꯥ ꯁꯝꯅꯍꯜꯂꯤꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯅꯤ꯫ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯂꯦꯡꯗꯅꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ, ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯏꯝꯄꯦꯛꯇ ꯑꯗꯨ ꯁꯣꯀꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯑꯦꯟꯇꯤꯔꯤꯑꯣꯔ ꯂꯣꯡꯇꯤꯆꯨꯗꯅꯦꯜ ꯂꯤꯒꯥꯃꯦꯟꯇ (anterior Longitudinal Ligament): ꯃꯁꯤꯅꯥ ꯂꯝꯕꯔꯒꯤ ꯃꯃꯥꯡꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯦꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯝꯕꯔ ꯖꯣꯅꯁꯤꯡ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯏ ꯑꯃꯁꯨꯡ ꯕꯦꯀꯋꯥꯔꯗ ꯐ꯭ꯂꯦꯛꯁꯟ (ꯑꯦꯛꯁꯇꯦꯟꯁꯟ) ꯂꯤꯃꯤꯠ ꯇꯧꯏ꯫
• ꯄꯣꯁ꯭ꯇꯦꯔꯤꯌꯥꯜ ꯂꯣꯟꯇꯤꯆꯨꯗꯅꯦꯜ ꯂꯤꯒꯥꯃꯦꯟꯇ (Posterior Longitudinal Ligament) : ꯃꯁꯤꯅꯥ ꯂꯝꯕꯔꯒꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯐꯣꯔꯋꯥꯔꯗ ꯐ꯭ꯂꯦꯛꯁꯅꯗꯥ ꯂꯤꯃꯤꯠ ꯇꯧꯏ꯫
• ꯁꯨꯞꯔꯥꯁ꯭ꯄꯤꯅꯥꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ/ ꯏꯟꯇꯔꯁ꯭ꯄꯥꯏꯅꯁ ꯂꯤꯒꯥꯃꯦꯟꯇ:ꯃꯁꯤꯒꯤ ꯕꯥꯏꯟꯗꯤꯡ ꯑꯁꯤꯅꯥ ꯐꯣꯔꯋꯥꯔꯗ ꯕꯦꯟꯗꯤꯡ ꯂꯤꯃꯤꯠ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯂꯤꯒꯥꯃꯦꯟꯇꯝ ꯐ꯭ꯂꯦꯚꯝ (Ligamentum Flavum): ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯃꯇꯨꯡꯗꯒꯤ ꯉꯥꯀꯊꯣꯀꯏ꯫
• ꯏꯟꯇꯔꯠꯔꯥꯟꯁꯕꯔꯁ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡ: ꯃꯁꯤꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯇ꯭ꯔꯥꯟꯁꯕꯔꯁ ꯄ꯭ꯔꯣꯁꯦꯁꯁꯤꯡꯒꯥ ꯁꯝꯅꯍꯜꯂꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯇꯣꯔꯁꯣꯒꯤ ꯂꯦꯇꯔꯦꯜ ꯕꯦꯟꯗꯤꯡ ꯑꯗꯨ ꯊꯤꯡꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯏꯂꯤꯑꯣꯂꯝꯕꯔ ꯂꯤꯒꯥꯃꯦꯟꯇ (Iliolumbar ligament): ꯃꯁꯤ L5 ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯗꯒꯤ ꯄꯦꯂꯚꯤꯛ ꯕꯣꯟ ꯐꯥꯎꯕꯥ ꯆꯠꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯝꯕꯣꯏꯕꯥ (lumbosacral spine) ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫

ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡ꯫

ꯑꯩꯈꯣꯌꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯈꯟꯅꯈꯤꯕꯒꯨꯝꯅꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯁꯤ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯑꯦꯜ.꯱ ꯚꯔꯇꯤꯕ꯭ꯔꯦ ꯐꯥꯑꯣꯕꯥ ꯌꯧꯕꯥ ꯅꯔꯚ ꯇꯤꯁꯨꯒꯤ ꯕꯟꯗꯜ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯕ꯭ꯔꯦꯅꯗꯒꯤ ꯃꯁꯂꯁꯤꯡꯗꯥ ꯄꯥꯎꯖꯦꯂꯁꯤꯡ ꯄꯨꯔꯀꯏ꯫ L1ꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯂꯥꯀꯄꯥ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡ ꯑꯁꯤ ꯀꯥꯎꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯍꯥꯌꯅꯥ ꯀꯧꯏ .

ꯅꯔꯚ ꯄꯦꯔꯥ ꯃꯉꯥꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ (L1ꯗꯒꯤ L5 ꯐꯥꯎꯕꯥ, ꯃꯥꯌꯀꯩ ꯑꯃꯃꯃꯗꯥ) ꯊꯣꯀꯏ꯫ ꯅꯔꯚꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯆꯠꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯅꯔꯚꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯑꯅꯥꯕꯥ, ꯁꯦꯟꯁꯟ ꯑꯃꯁꯨꯡ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯅꯦꯇꯋꯥꯔꯛ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫

• L1 ꯅꯔꯚ: ꯅꯍꯥꯛꯀꯤ ꯒ꯭ꯔꯣꯏꯟ ꯑꯦꯔꯤꯌꯥ ꯑꯃꯁꯨꯡ ꯖꯦꯅꯤꯇꯥꯂꯁꯤꯡꯗꯥ ꯁꯦꯟꯁꯟ ꯄꯤ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯀꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯗꯨ ꯆꯠꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• L2, L3, L4 ꯅꯔꯚꯁꯤꯡ (L2, L3, L4) ꯅꯔꯚꯁꯤꯡ (L2, L3, L4) ꯅꯔꯚꯁꯤꯡ (L2, L3, L4) ꯅꯔꯚꯁꯤꯡ (L2, L3, L4) ꯅꯔꯚꯁꯤꯡ (L2, L3, L4 nerves) : ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯃꯥꯡꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯦꯟꯁꯟ ꯄꯤ꯫ ꯃꯈꯣꯌꯅꯥ ꯍꯤꯄꯐꯝ ꯑꯃꯁꯨꯡ ꯈꯨꯎꯒꯤ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯅꯁꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
• L5 ꯅꯔꯚ: ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯊꯛ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯑꯅꯤꯁꯨꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁꯦꯟꯁꯟ ꯄꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯍꯤꯄꯐꯝ, ꯈꯨꯎ, ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯒꯤ ꯃꯑꯣꯡꯁꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯏ꯫
• ꯁꯥꯏꯇꯤꯛ ꯅꯔꯚ: ꯃꯁꯤ L4, L5, ꯑꯃꯁꯨꯡ ꯑꯇꯩ ꯁꯦꯛꯔꯦꯜ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯁꯦꯝꯕꯅꯤ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯍꯧꯔꯀꯏ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯣꯌꯁꯤꯜꯂꯤ꯫ ꯅꯔꯚ ꯑꯁꯤꯅꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯜꯂꯕꯥ ꯃꯇꯃꯗꯥ ꯁꯤꯌꯥꯇꯤꯀꯥ ꯄꯦꯏꯟ (sciatica pain) ꯊꯣꯀꯏ꯫

ꯕ꯭ꯂꯗ ꯚꯦꯁꯦꯂꯁꯤꯡ꯫

ꯂꯝꯕꯔ ꯔꯤꯖꯅꯗꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ, ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯥꯔꯇꯦꯔꯤ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯦꯕꯗꯣꯃꯤꯅꯦꯜ ꯑꯦꯑꯣꯔꯇꯥꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯃꯁꯥꯁꯤꯡꯗꯒꯤ ꯏ ꯑꯃꯁꯨꯡ ꯅ꯭ꯌꯨꯠꯔꯤꯑꯦꯟꯇꯁꯤꯡ ꯐꯪꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯀꯔꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯗꯤꯁꯑꯣꯔꯗꯔꯁꯤꯡꯅꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯒꯦ?

ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯁꯤꯅꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯊꯦꯡꯅꯕꯥ ꯌꯥꯏ꯫ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯒꯤ ꯔꯦꯟꯖ ꯑꯗꯨ ꯂꯤꯃꯤꯠ ꯂꯩꯍꯅꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯂꯣꯌꯔ ꯕꯦꯛ ꯄꯦꯏꯟ (lower back pain): ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯗꯤꯖꯦꯅꯦꯔꯦꯇꯤꯚ ꯂꯥꯌꯅꯥꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ , ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ ), ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ , ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ꯫ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯑꯁꯤ ꯅꯔꯚꯁꯤꯡ ꯁꯣꯀꯄꯥ, ꯁꯣꯟꯊꯕꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯇꯤꯎꯃꯔ, ꯁꯤꯁ꯭ꯇꯦꯃꯁꯤꯡ, ꯕꯣꯟ ꯁ꯭ꯄꯔꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯂꯤꯁ꯭ꯇꯦꯁꯤꯁ (vertebra) ꯑꯃꯥ ꯁꯣꯀꯄꯥ (slipping of a vertebra) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯂꯝꯕꯔ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ (lumbar Stenosis): ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯀꯨꯄꯁꯤꯅꯕꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯒꯤ ꯊꯣꯀꯄꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯃꯐꯝ ꯍꯟꯊꯍꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯔꯚ ꯀꯝꯞꯔꯦꯁꯟ, ꯑꯅꯥꯕꯥ, ꯁꯣꯟꯊꯕꯥ, ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ, ꯈꯣꯡ, ꯑꯃꯁꯨꯡ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯁꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ, ꯐꯃꯗꯨꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯈꯔꯥ ꯀꯨꯄꯁꯤꯟꯗꯨꯅꯥ ꯂꯥꯀꯁꯤꯅꯕꯥ ꯌꯥꯏ꯫
• ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯂꯤꯁ꯭ꯇꯦꯁꯤꯁ (Spondylolisthesis): ꯃꯁꯤ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯃꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯗꯨꯒꯥ ꯆꯥꯡꯗꯝꯅꯕꯗꯥ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯦꯟꯊꯈꯤꯕꯥ ꯃꯇꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯔꯚ ꯑꯃꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯥ ꯌꯥꯏ ꯑꯃꯁꯨꯡ ꯀꯣꯛ ꯅꯠꯠꯔꯒꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯀꯝꯞꯔꯦꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ (Vertebral Compression Fracture): ꯑꯣꯁ꯭ꯇꯤꯑꯣꯄꯣꯔꯣꯁꯤꯁꯒꯨꯝꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏ ꯑꯃꯅꯥ ꯑꯄꯤꯀꯄꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯒꯤ ꯐꯥꯎꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯀꯝꯞꯔꯦꯁꯟ ꯐ꯭ꯔꯦꯀꯆꯔ ꯑꯃꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯁꯥꯊꯤꯕꯥ ꯐ꯭ꯔꯦꯀꯆꯔꯁꯤꯡ ꯑꯁꯤ ꯀꯥꯔꯒꯣ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯁꯨꯡ ꯑꯋꯥꯡꯕꯥ ꯃꯐꯃꯗꯒꯤ ꯂꯥꯞꯅꯥ ꯂꯩꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯗꯒꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯁꯤꯌꯥꯇꯤꯀꯥ: ꯂꯝꯕꯔ ꯔꯦꯗꯤꯀꯨꯂꯣꯄꯦꯊꯤ ꯍꯥꯌꯅꯥ ꯈꯪꯅꯕꯥ, ꯃꯁꯤ ꯁꯤꯌꯥꯇꯤꯛ ꯅꯔꯚꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯗꯒꯤ ꯊꯣꯀꯍꯅꯕꯥ ꯅꯔꯚꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ꯫ ꯃꯁꯤ ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ, ꯁ꯭ꯄꯣꯟꯗꯤꯂꯣꯂꯤꯁ꯭ꯇꯦꯁꯤꯁ ꯅꯠꯠꯔꯒꯥ ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ (Herniated Disk): ꯃꯁꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯗꯤꯁ꯭ꯛ ꯑꯗꯨꯅꯥ ꯃꯗꯨꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯂꯤꯛ ꯑꯣꯏꯕꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ, ꯈꯣꯡꯗꯥ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯁꯜ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯂꯝꯕꯔ ꯂꯣꯔꯗꯣꯁꯤꯁ ("Swayback" ꯍꯥꯌꯅꯥ ꯈꯪꯅꯕꯥ): ꯃꯁꯤꯅꯥ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯊꯧꯑꯣꯡ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯗꯥ ꯃꯊꯧ ꯇꯥꯗꯕꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤ꯫ ꯃꯁꯤ ꯂꯥꯌꯅꯥ, ꯄꯣꯁ꯭ꯠ-ꯑꯣꯠꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯐꯠꯇꯕꯥ, ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯌꯥꯝꯅꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯁꯤꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯃꯁꯜ ꯁ꯭ꯄꯥꯝ (muscle Spasm): ꯂꯝꯕꯔꯒꯤ ꯔꯤꯖꯅꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯤꯕꯥ ꯑꯆꯧꯕꯥ ꯃꯁꯂꯁꯤꯡ ꯂꯩ꯫ ꯃꯁꯂꯁꯤꯡ ꯑꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯟꯊꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤꯁꯨ ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯝ ꯑꯃꯅꯤ꯫
• ꯗꯤꯖꯦꯅꯦꯔꯦꯇꯤꯚ ꯗꯤꯁ꯭ꯛ ꯗꯤꯖꯤꯖ (Degenerative Disk Disease): ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯂꯩꯕꯥ ꯗꯤꯁ꯭ꯀꯁꯤꯡ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯊꯣꯀꯏ꯫ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨ ꯍꯟꯊꯔꯀꯏ, ꯃꯗꯨꯅꯥ ꯅꯔꯚ ꯀꯝꯞꯔꯦꯁꯟ ꯑꯃꯁꯨꯡ ꯕꯦꯛ ꯄꯦꯏꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫
• ꯑꯦꯗꯜꯇ ꯁ꯭ꯀꯣꯂꯤꯑꯣꯁꯤꯁ (Adult Scoliosis): ꯁ꯭ꯀꯣꯂꯤꯑꯣꯁꯤꯁ ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯨꯄꯁꯤꯅꯕꯥ ꯑꯃꯅꯤ꯫ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯆꯍꯤ ꯌꯥꯃꯈꯠꯂꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯅꯠꯠꯔꯒꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯄꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯀꯥꯎꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯁꯤꯟꯗꯣꯝ (Cauda Equina Syndrome) : ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯥꯎꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯀꯧꯕꯥ ꯅꯔꯚ ꯕꯟꯗꯜ ꯑꯗꯨ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯅꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯏꯃꯔꯖꯦꯟꯁꯤ ꯑꯃꯅꯤ . ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯑꯅꯥꯕꯥ, ꯋꯥꯈꯜ ꯆꯔꯥꯡꯅꯕꯥ, ꯑꯃꯁꯨꯡ ꯕꯣꯋꯦꯜ ꯑꯃꯁꯨꯡ ꯕ꯭ꯂꯦꯗꯔ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯌꯥꯎꯏ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯂꯥꯌꯅꯥ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯑꯍꯥꯅꯕꯗꯥ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯦꯗꯤꯀꯦꯜ ꯍꯤꯁ꯭ꯇꯔꯤ, ꯅꯍꯥꯛꯅꯥ ꯂꯧꯔꯤꯕꯥ ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ, ꯃꯈꯣꯌꯅꯥ ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯝ ꯑꯃꯥ ꯄꯥꯡꯊꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ ꯇꯦꯁ꯭ꯠ ꯑꯃꯁꯨꯡ ꯁ꯭ꯀꯦꯅꯁꯤꯡ ꯑꯣꯔꯗꯔ ꯇꯧꯒꯅꯤ꯫

ꯅꯍꯥꯛꯅꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯥ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤ ꯇꯧꯕꯥ ꯌꯥꯏ:

• ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯟ (ꯀꯝꯞꯌꯨꯇꯦꯗ ꯇꯣꯃꯣꯒ꯭ꯔꯥꯐꯤ - ꯁꯤ.ꯇꯤ. ꯁ꯭ꯀꯦꯟ): ꯃꯁꯤꯅꯥ ꯑꯦꯛꯁ-ꯔꯦ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯌꯦꯡꯁꯤꯜꯂꯤꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯒꯤ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ "ꯁ꯭ꯂꯥꯏꯁ" ꯄꯤꯀꯆꯔꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯁꯥꯏꯖ, ꯑꯃꯁꯨꯡ ꯁꯔꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ (ꯕꯣꯟ ꯁ꯭ꯄꯔꯁ, ꯕꯣꯟ ꯐ꯭ꯌꯨꯖꯟ, ꯏꯅꯐꯦꯛꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯃꯥꯡꯍꯅꯕꯥ) ꯑꯁꯤꯅꯆꯤꯡꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
• ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ ꯔꯤꯖꯣꯅꯦꯟꯁ ꯏꯃꯦꯖꯤꯡ (MRI): ꯃꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯃꯦꯒ꯭ꯅꯦꯇꯤꯛ, ꯔꯦꯗꯤꯑꯣ ꯋꯦꯕ ꯑꯃꯁꯨꯡ ꯀꯝꯞꯌꯨꯇꯔ ꯁꯤꯖꯤꯟꯅꯗꯨꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯂꯧꯏ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯊꯣꯀꯄꯥ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ, ꯍꯥꯌꯕꯗꯤ ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯀꯁꯤꯡ, ꯏꯅꯐꯦꯛꯁꯅꯁꯤꯡ, ꯑꯃꯁꯨꯡ ꯇꯤꯎꯃꯔꯁꯤꯡ ꯑꯁꯤ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫ ꯑꯦꯝ.ꯑꯥꯔ.ꯑꯥꯏ.ꯅꯥ ꯁꯤ.ꯇꯤ.ꯁ꯭ꯀꯦꯅꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯅꯔꯚꯁꯤꯡꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯄꯤꯀꯆꯔ ꯑꯃꯥ ꯄꯤ꯫
• ꯑꯦꯛꯁ-ꯔꯦ: ꯁꯔꯨ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯒꯤ ꯐꯣꯇꯣ ꯂꯧꯕꯗꯥ ꯑꯄꯤꯀꯄꯥ ꯔꯦꯗꯤꯑꯦꯁꯟ ꯑꯃꯥ ꯁꯤꯖꯤꯟꯅꯩ꯫ ꯃꯈꯣꯌꯅꯥ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯗꯤꯁ꯭ꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁ꯭ꯇꯦꯅꯣꯁꯤꯁ, ꯑꯃꯁꯨꯡ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡ ꯌꯦꯡꯕꯥ ꯌꯥꯏ꯫
• ꯏꯂꯦꯛꯠꯔꯣꯃꯥꯌꯣꯒ꯭ꯔꯥꯝ (EMG) ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯀꯟꯗꯥꯛꯁꯟ ꯁ꯭ꯇꯗꯤꯁꯤꯡ: ꯏ.ꯑꯦꯝ.ꯖꯤ.ꯅꯥ ꯅꯔꯚ ꯑꯃꯁꯨꯡ ꯃꯁꯂꯁꯤꯡꯒꯤ ꯍꯀꯁꯦꯜ ꯑꯃꯁꯨꯡ ꯐꯉ꯭ꯀꯁꯟ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯅꯔꯚ ꯀꯟꯗꯥꯛꯁꯟ ꯁ꯭ꯇꯗꯤ ꯑꯃꯅꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯏꯝꯄꯂꯁ ꯑꯃꯅꯥ ꯅꯔꯚ ꯑꯃꯒꯤ ꯃꯊꯛꯇꯥ ꯀꯌꯥ ꯌꯥꯝꯅꯥ ꯊꯨꯅꯥ ꯆꯠꯂꯤꯕꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯂꯦꯄꯊꯣꯀꯏ꯫ ꯇꯦꯁ꯭ꯇꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯔꯚꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯑꯗꯨ ꯀꯗꯥꯏꯗꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯇꯧꯕꯒꯦ ꯍꯥꯌꯕꯗꯨ ꯈꯪꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ꯫
• ꯃꯥꯏꯂꯣꯒ꯭ꯔꯥꯝ: ꯇꯦꯁ꯭ꯠ ꯑꯁꯤꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯃꯁꯨꯡ ꯗꯤꯁ꯭ꯀꯁꯤꯡ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯀꯅꯦꯛꯁꯅꯁꯤꯡ ꯌꯦꯡꯁꯤꯜꯂꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚꯁꯤꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯇꯤꯎꯃꯔ, ꯕꯣꯟ ꯁ꯭ꯄꯔ ꯅꯠꯠꯔꯒꯥ ꯍꯔꯅꯤꯌꯥ ꯗꯤꯁ꯭ꯛ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯆꯦꯛ ꯇꯧꯕꯥ ꯌꯥꯏ, ꯃꯗꯨꯅꯥ ꯑꯅꯥꯕꯥ, ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯊꯣꯀꯍꯜꯂꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯍꯦꯂꯊ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯒꯦ?

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯂꯗꯥ ꯁꯣꯀꯍꯜꯂꯤꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥꯒꯤ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯅꯤꯃꯛ ꯂꯩ꯫ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯒꯗꯕꯥ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯃꯑꯣꯡ ꯑꯗꯨ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ ꯑꯗꯨꯒꯤ ꯃꯔꯝ ꯑꯃꯁꯨꯡ ꯃꯁꯤꯒꯤ ꯁꯥꯊꯤꯕꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇꯁꯤꯡ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯅꯠꯠꯔꯒꯥ ꯇꯤꯎꯃꯔ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯅꯥ ꯑꯍꯥꯅꯕꯗꯥ ꯍꯦꯟꯅꯥ ꯏꯅꯚꯦꯁꯤꯚ ꯑꯣꯏꯕꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯔꯤꯀꯃꯦꯟꯗ ꯇꯧꯕꯥ ꯌꯥꯏ꯫ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯄꯣꯊꯥꯕ.
• ꯑꯥꯏꯁ ꯅꯠꯠꯔꯒꯥ ꯍꯣꯠ ꯀꯝꯞꯔꯦꯁ ꯇꯧꯕꯥ꯫
• ꯋꯥꯈꯜ ꯇꯥꯗꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯅꯥꯕꯥ ꯍꯦꯅꯒꯠꯍꯅꯕꯥ ꯊꯕꯛ ꯇꯧꯗꯅꯕꯥ꯫
• ꯐꯤꯖꯤꯀꯦꯜ ꯊꯦꯔꯥꯄꯤ ꯇꯧꯕꯥ꯫
• ꯍꯤꯗꯥꯛ-ꯂꯥꯡꯊꯀꯁꯤꯡ: ꯃꯁꯜ ꯔꯤꯂꯦꯛꯁꯦꯟꯇꯁꯤꯡ, ꯄꯦꯟ ꯀꯤꯂꯔꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯄꯦꯔꯥꯁꯤꯇꯥꯃꯣꯜ), ꯑꯃꯁꯨꯡ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯍꯤꯗꯥꯀꯁꯤꯡ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯏꯕꯨꯞꯔꯣꯐꯦꯟ, ꯅꯦꯞꯔꯣꯛꯁꯦꯟ)꯫
• ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯅꯁꯤꯡ: ꯂꯝꯕꯔꯒꯤ ꯑꯅꯥꯕꯒꯤꯗꯃꯛ ꯈꯟꯅ-ꯅꯩꯅꯕꯥ ꯌꯥꯕꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯟ ꯃꯈꯜ ꯑꯍꯨꯝ ꯂꯩ꯫ ꯂꯝꯕꯔ ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯕ꯭ꯂꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯃꯄꯥꯟꯗꯥ ꯂꯩꯕꯥ ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯁ꯭ꯄꯦꯁꯇꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗꯁꯤꯡꯒꯤ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯅꯤ꯫ꯂꯝꯕꯔ ꯐꯦꯁꯦꯠ ꯖꯣꯟ ꯕ꯭ꯂꯣꯛ ꯍꯥꯌꯕꯁꯤ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯐꯦꯁꯦꯠ ꯖꯣꯟ ꯂꯥꯏꯅꯤꯡꯗꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯅꯤ꯫ ꯏꯟꯇꯔꯂꯦꯃꯤꯅꯥꯔ ꯏꯅꯖꯦꯀꯁꯟ ꯅꯠꯠꯔꯒꯥ ꯇ꯭ꯔꯥꯟꯁꯐꯣꯔꯥꯃꯤꯅꯦꯜ ꯏꯅꯖꯦꯀꯁꯟ ꯍꯥꯌꯕꯁꯤ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯂꯃꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯏꯅꯖꯦꯀꯁꯟ ꯑꯃꯅꯤ꯫
• ꯃꯦꯗꯤꯀꯦꯜ ꯕ꯭ꯔꯥꯟꯆ ꯕ꯭ꯂꯣꯛ ꯑꯃꯁꯨꯡ ꯔꯦꯗꯤꯑꯣꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯑꯦꯕꯂꯦꯁꯟ: ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯀ꯭ꯔꯣꯅꯤꯛ ꯂꯝꯕꯔꯒꯤ ꯑꯅꯥꯕꯥ ꯈꯔꯒꯤꯗꯃꯛ ꯈꯟꯅꯩ꯫ ꯑꯍꯥꯅꯕꯗꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯐꯦꯁꯦꯠ ꯖꯣꯅꯒꯥ ꯁꯝꯅꯕꯥ ꯅꯔꯚ ꯑꯗꯨꯗꯥ ꯂꯣꯀꯦꯜ ꯑꯦꯅꯥꯁ꯭ꯇꯦꯇꯤꯛ ꯑꯃꯥ ꯏꯅꯖꯦꯀꯁꯟ ꯇꯧꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯟꯊꯔꯛꯂꯕꯗꯤ, ꯃꯊꯪꯒꯤ ꯈꯣꯡꯊꯥꯡꯗꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯂꯧꯊꯣꯛꯅꯕꯥ ꯍꯣꯠꯅꯕꯅꯤ꯫ ꯃꯁꯤ ꯔꯦꯗꯤꯑꯣꯐ꯭ꯔꯤꯛꯕꯦꯟꯁꯤ ꯑꯦꯕꯂꯦꯁꯟ ꯀꯧꯕꯥ ꯇꯦꯛꯅꯤꯛ ꯑꯃꯅꯥ ꯅꯔꯚꯇꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯍꯟꯗꯨꯅꯥ ꯇꯧꯏ . ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯊꯥ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯍꯟꯊꯔꯛꯂꯦ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯔꯚ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯍꯦꯅꯒꯠꯂꯛꯂꯕꯗꯤ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

ꯑꯩꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯀꯔꯝꯅꯥ ꯈꯪꯒꯅꯤ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯔꯖꯔꯤ ꯃꯊꯧ ꯇꯥꯕꯥ ꯌꯥꯏ, ꯀꯔꯤꯒꯨꯝꯕꯥ:

• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯑꯇꯣꯞꯄꯥ ꯂꯥꯏꯌꯦꯡꯁꯤꯡꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯗ꯭ꯔꯕꯗꯤ꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯣꯌꯔꯕꯥ ꯕꯦꯛ, ꯍꯤꯞ ꯑꯃꯁꯨꯡ/ꯅꯠꯠꯔꯒꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯂꯕꯗꯤ (ꯃꯍꯧꯁꯥꯅꯥ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯃꯍꯨꯠꯇꯥ ꯈꯣꯡꯒꯤ ꯑꯅꯥꯕꯒꯤꯗꯃꯛ ꯇꯧꯏ)꯫
• ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯍꯀꯆꯥꯡ ꯐꯅꯥ ꯂꯩꯔꯕꯗꯤ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯦꯛꯁꯤꯗꯦꯟꯇ ꯑꯃꯗꯒꯤ (ꯀꯥꯔ ꯑꯦꯛꯁꯤꯗꯦꯟꯇꯒꯨꯝꯕꯥ), ꯀꯦꯟꯁꯔ, ꯑꯦꯄꯤꯗ꯭ꯌꯨꯔꯜ ꯑꯦꯕꯁꯦꯁ (ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯀꯚꯔꯤꯡꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯏꯅꯐꯦꯛꯁꯟ), ꯑꯣꯁ꯭ꯇꯤꯑꯣꯃꯥꯏꯂꯥꯏꯇꯤꯁ (ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯏꯅꯐꯦꯛꯁꯟ ꯑꯃꯥ), ꯀꯧꯗꯥ ꯏꯀꯨꯏꯅꯥ ꯁꯤꯟꯗꯣꯝ ꯅꯠꯠꯔꯒꯥ ꯀꯅꯁ ꯃꯦꯗꯨꯂꯥꯔꯤꯁ ꯁꯤꯟꯗ꯭ꯔꯣꯝ (ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯗꯤꯁꯑꯣꯔꯗꯔ ꯃꯈꯜ ꯑꯃꯥ)ꯗꯒꯤ ꯂꯝꯕꯔ ꯔꯤꯖꯅꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯂꯩꯔꯕꯗꯤ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯂꯥꯏꯌꯦꯡꯒꯤ ꯑꯍꯥꯅꯕꯥ ꯂꯥꯏꯅꯅꯤ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯒꯤꯗꯃꯛꯇꯥ ꯀꯔꯤ ꯁꯔꯖꯔꯤꯁꯤꯡ ꯂꯩꯕꯒꯦ?

ꯃꯌꯥꯝꯅꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯈꯔꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤ:

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯗꯤꯀꯃꯞꯔꯦꯁꯟ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯃꯁꯤ ꯖꯦꯅꯦꯔꯦꯜ ꯇꯔꯝ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯅꯠꯠꯔꯒꯥ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯅꯠꯠꯔꯒꯥ ꯀꯝꯞꯔꯦꯁꯟ ꯍꯟꯊꯍꯟꯗꯨꯅꯥ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯂꯥꯀꯁꯤꯟꯅꯕꯥ ꯄꯥꯡꯊꯣꯀꯄꯥ ꯃꯈꯜ ꯀꯌꯥꯒꯤ ꯁꯔꯖꯤꯀꯦꯜ ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔꯁꯤꯡꯕꯨ ꯈꯪꯅꯩ꯫ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯁꯔꯖꯤꯀꯦꯜ ꯇꯦꯛꯅꯤꯀꯁꯤꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤ ꯌꯥꯎꯏ:

• ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯀꯦꯛꯇꯣꯃꯤ: ꯃꯁꯤꯗꯥ ꯁꯔꯖꯔꯤꯅꯥ ꯗꯤꯁ꯭ꯛ ꯑꯃꯒꯤ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯃꯅꯥꯛ ꯅꯀꯄꯥ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯂꯝꯕꯔ ꯂꯦꯃꯤꯅꯣꯇꯣꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯂꯦꯃꯤꯅꯦꯛꯇꯣꯃꯤ: ꯄ꯭ꯔꯣꯁꯤꯗ꯭ꯌꯨꯑꯣꯔ ꯑꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯂꯒꯤ ꯕꯣꯅꯤ ꯑꯥꯔꯆ (lamina)ꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ꯫ ꯂꯦꯃꯤꯅꯣꯇꯣꯃꯤ ꯑꯃꯗꯥ, ꯂꯦꯃꯤꯅꯥꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯁꯔꯨꯛ ꯈꯛꯇꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫ ꯂꯦꯃꯤꯅꯦꯛꯇꯣꯃꯤ ꯑꯃꯗꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯊꯧ ꯇꯥꯔꯕꯗꯤ, ꯕꯣꯟ ꯁ꯭ꯄꯔꯁ, ꯗꯤꯁ꯭ꯛ ꯐ꯭ꯔꯦꯀꯆꯔ, ꯑꯃꯁꯨꯡ ꯑꯀꯅꯕꯥ ꯂꯤꯒꯥꯃꯦꯟꯇ ꯑꯃꯍꯦꯛꯇꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯂꯦꯃꯤꯅꯥ ꯄꯨꯝꯅꯃꯛ ꯂꯧꯊꯣꯀꯏ꯫ ꯂꯦꯃꯤꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯦꯅꯦꯜ ꯑꯗꯨ ꯄꯥꯀꯊꯣꯛ-ꯆꯥꯎꯊꯣꯀꯍꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯜꯂꯤ꯫
• ꯂꯝꯕꯔ ꯐꯣꯔꯥꯃꯤꯅꯣꯇꯣꯃꯤ ꯅꯠꯠꯔꯒꯥ ꯐꯣꯔꯥꯃꯤꯅꯦꯛꯇꯣꯃꯤ:ꯁꯔꯖꯔꯤ ꯑꯅꯤꯃꯛ ꯑꯁꯤ ꯅꯔꯚ ꯔꯨꯇꯁꯤꯡꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯒꯤ ꯊꯣꯀꯄꯥ ꯑꯣꯄꯅꯤꯡ (foramen) ꯑꯗꯨ ꯆꯥꯎꯊꯣꯀꯍꯟꯅꯕꯥ, ꯃꯐꯝ ꯑꯗꯨꯗꯥ ꯂꯩꯔꯤꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯈꯔꯗꯤ ꯂꯧꯊꯣꯛꯇꯨꯅꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯐꯣꯔꯥꯃꯤꯅꯦꯛꯇꯣꯃꯤ ꯑꯃꯗꯥ, ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯃꯁꯤꯡ ꯌꯥꯝꯅꯥ ꯂꯧꯊꯣꯀꯏ꯫
• ꯂꯝꯕꯔ ꯀꯣꯔꯄꯦꯛꯇꯣꯃꯤ (lumbar corpectomy): ꯁꯔꯖꯔꯤ ꯑꯁꯤꯒꯤ ꯃꯅꯨꯡꯗꯥ, ꯁꯔꯖꯔꯤꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯇꯥ ꯄ꯭ꯔꯦꯁꯔ ꯍꯟꯊꯍꯟꯅꯕꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ (vertebral body) ꯑꯃꯁꯨꯡ ꯗꯤꯁ꯭ꯛ ꯑꯗꯨꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨ ꯂꯧꯊꯣꯀꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ, ꯃꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯁꯤꯡ ꯑꯗꯨ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯁ꯭ꯇꯦꯕꯤꯂꯥꯏꯖ ꯇꯧꯅꯕꯥ ꯄꯨꯟꯅꯥ ꯐ꯭ꯌꯨꯖ ꯇꯧꯏ ( spinal fusion )꯫

ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯛ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ꯫

ꯃꯁꯤꯗꯥ ꯂꯥꯌꯅꯥ ꯅꯥꯔꯕꯥ ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯛ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯏ ꯑꯃꯁꯨꯡ ꯑꯥꯔꯇꯤꯐꯤꯁꯤꯑꯦꯜ ꯗꯤꯁ꯭ꯛ ꯑꯃꯥ ꯍꯥꯄꯆꯤꯜꯂꯤ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯂꯝꯕꯔ ꯗꯤꯁ꯭ꯛ ꯔꯤꯞꯂꯦꯁꯃꯦꯟꯇꯀꯤꯗꯃꯛꯇꯥ ꯇꯧꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯍꯧꯈꯤꯕꯥ ꯆꯍꯤ ꯈꯔꯁꯤꯗꯥ, ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯔꯛꯂꯤ, ꯃꯔꯃꯗꯤ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ꯫

ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯐ꯭ꯌꯨꯖꯟ꯫

ꯃꯁꯤ ꯂꯝꯕꯔ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯥ ꯃꯇꯝ ꯆꯨꯞꯄꯒꯤ ꯑꯣꯏꯅꯥ ꯐ꯭ꯌꯨꯖ ꯇꯧꯗꯨꯅꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯂꯒꯤ ꯃꯔꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯉꯃꯗꯕꯥ ꯁꯔꯖꯔꯤ ꯑꯃꯅꯤ꯫

ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯀꯤ ꯑꯁꯣꯛ-ꯑꯄꯅꯒꯤꯗꯃꯛ ꯐꯉ꯭ꯀꯁꯅꯦꯜ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯁ꯭ꯇꯤꯝꯌꯨꯂꯦꯁꯟ꯫

ꯃꯁꯤꯒꯤ ꯃꯦꯊꯗ ꯑꯁꯤꯗꯥ, ꯑꯄꯤꯀꯄꯥ ꯏꯂꯦꯛꯠꯔꯤꯀꯦꯜ ꯏꯝꯄꯂꯁꯁꯤꯡ ꯑꯁꯤ ꯂꯝꯕꯔ ꯅꯔꯚꯁꯤꯡꯅꯥ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯂꯣꯌꯔꯕꯥ ꯍꯀꯆꯥꯡꯒꯤ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡꯕꯨ ꯑꯦꯛꯇꯤꯚ ꯑꯣꯏꯍꯟꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯐꯉ꯭ꯀꯁꯟ ꯑꯗꯨ ꯑꯃꯨꯛ ꯍꯟꯅꯥ ꯁꯦꯃꯒꯠꯅꯕꯥ ꯍꯣꯠꯅꯩ꯫

ꯑꯩꯅꯥ ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯔꯖꯔꯤ ꯇꯧꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯃꯁꯤꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯖꯔꯤꯒꯥ ꯋꯥꯔꯤ ꯁꯥꯅꯕꯤꯌꯨ꯫ ꯀꯦꯁ ꯀꯌꯥꯗꯥ, ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯁꯔꯖꯔꯤꯅꯥ ꯇ꯭ꯔꯦꯗꯤꯁꯅꯦꯜ ꯑꯣꯄꯟ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯍꯨꯠ ꯁꯤꯜꯂꯤ꯫ ꯈꯣꯡꯗꯥ ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯁꯦꯝꯕꯒꯤ ꯃꯍꯨꯠꯇꯥ, ꯃꯤꯅꯤꯃꯝ ꯏꯅꯚꯦꯁꯤꯚ ꯁꯔꯖꯔꯤ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯃꯗꯒꯤ ꯍꯦꯅꯕꯒꯤ ꯈꯨꯠꯊꯥꯡꯗꯥ ꯄꯥꯡꯊꯣꯀꯏ꯫ ꯏꯅꯁꯤꯁꯅꯁꯤꯡ ꯑꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯑꯣꯏꯕꯅꯥ, ꯑꯆꯧꯕꯥ ꯏꯅꯁꯤꯁꯟ ꯑꯃꯗꯒꯤ ꯍꯦꯟꯅꯥ ꯃꯁꯂꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯇꯔꯨ-ꯇꯅꯥꯅꯕꯥ ꯇꯤꯁꯨꯁꯤꯡꯗꯥ ꯑꯃꯥꯡ-ꯑꯇꯥ ꯊꯣꯀꯄꯥ ꯍꯟꯊꯩ꯫

ꯅꯤꯡꯁꯤꯡꯒꯗꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ (ꯇꯦꯛ-ꯍꯣꯝ ꯃꯦꯁꯦꯖ)

ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤꯗꯥ ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ ꯃꯉꯥ (L1-L5) ꯂꯩ꯫ ꯃꯁꯤꯗꯥ ꯏꯟꯇꯔꯚꯦꯔꯤꯕ꯭ꯔꯦꯜ ꯗꯤꯁ꯭ꯀꯁꯤꯡ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯅꯔꯚꯁꯤꯡ, ꯃꯁꯂꯁꯤꯡ, ꯇꯦꯟꯗꯣꯅꯁꯤꯡ ꯑꯃꯁꯨꯡ ꯂꯤꯒꯥꯃꯦꯟꯇꯁꯤꯡꯁꯨ ꯌꯥꯎꯏ꯫ ꯃꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯔꯨꯝꯕꯥ ꯑꯗꯨ ꯁꯄꯣꯔꯠ ꯇꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯑꯌꯥꯝꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯍꯅꯒꯗꯕꯥ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗꯅꯤ꯫

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯋꯥꯐꯃꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯂꯦꯡ-ꯑꯣꯠꯄꯗꯥ ꯋꯥꯕꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯋꯥꯈꯜ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯂꯩꯔꯕꯗꯤ, ꯃꯗꯨ ꯌꯦꯡꯁꯤꯅꯕꯤꯒꯅꯨ꯫ ꯁꯣꯌꯗꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯕꯤꯌꯨ ꯑꯃꯁꯨꯡ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯤꯌꯨ꯫

ꯀꯟꯗꯤꯁꯟ ꯀꯌꯥꯒꯤ ꯅꯟ-ꯁꯔꯖꯤꯀꯦꯜ ꯑꯃꯁꯨꯡ ꯁꯔꯖꯤꯀꯦꯜ ꯇ꯭ꯔꯤꯠꯃꯦꯟꯇ ꯑꯅꯤꯃꯛ ꯂꯩ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯋꯥꯈꯜ ꯋꯥꯕꯥ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯗꯨ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯊꯃꯗꯨꯅꯥ, ꯑꯔꯨꯝꯕꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯑꯃꯁꯨꯡ ꯑꯦꯛꯁꯔꯁꯥꯏꯖ ꯇꯧꯕꯗꯁꯨ ꯃꯇꯦꯡ ꯄꯥꯡꯕꯥ ꯌꯥꯏ꯫

` ꯕꯦꯛ ꯄꯦꯏꯟ, ꯂꯝꯕꯔ ꯁ꯭ꯄꯥꯏꯅꯦꯜ, ꯚꯔꯇꯤꯕ꯭ꯔꯦꯜ, ꯗꯤꯁ꯭ꯛ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯝ, ꯁꯤꯌꯥꯇꯤꯀꯥ, ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ, ꯅꯔꯚ ꯄꯦꯏꯟ꯫