No ke aha iʻoi aku ka nui o nā maʻiʻeleʻele o ka poʻe wāhine i ka ACL (koʻi hui)
Hiki i nā poʻe kelepa wahine ke nui aʻe ka pilikia o kaʻeha o ke kuli,ʻo ka wīwī liʻiliʻi paha o ka crugate (ACL), ma mua o nā kāne'ōnele.
He nui nā manaʻo o nā kānaka noiʻi e pili ana i nā kumu kūikawā ma hope o ka nui o ka hopena o ka wahine, akāʻo kēia mau kumumanaʻo ka mea wale nō - - nā manaʻo. Me kaʻikeʻoleʻole i ke kumu o ka pilikia o nā wāhine i ka loaʻaʻana o nā pōʻino ACL, ua hoʻokumu nā papa hana hāpai a nā wāhine i nā polokalamu palekana ACL no kā lākou mau wāhine wahine.
I kēia manawa, ua hōʻikeʻia kēia mau papa hana hopena i nā hopena kūpono a uaʻikeʻia e kōkua i nā mea hoʻolimalima e hoʻoemi i ka nui o nāʻeha o ke kuli.
He aha ke kumu e hoʻolālā ai i ACL?
Loaʻa nā poho ACL i nā hāmeʻa e hoʻokomo koke i nā loli o ke kuhikuhiʻana, e like me ka pāʻani a me ka soccer. ʻO ka nui o nāʻeha o ke kuliʻaʻole i hanaʻia ma keʻano o ka trauma pololei a iʻole ke kuhikuhiʻana; Ke hāpai nei lākou i ka neʻeʻana o ka wāwae, e like me ka wā e hoʻokūpaʻaʻia ai nā wāwae o ka mea'aleʻawa a'ālala ke kuli a me ka lama i kahiʻaoʻao. Hana pinepine kēia i ka paeʻana mai kahi haʻuki, palekana a eʻole paha i kahi paepae.
No ke aha i loaʻa ai i nā wāhine ke kūlana kiʻekiʻe o ka makeʻana o ACL?
ʻO nā mea noiʻi i hana i nā hoʻonaʻauao ma nā kumuhana e hāʻule ai i ka hōʻeha ACL i nā wāhine hāpai wahine, ua hāpai i kekahi mau manaʻo e pili ana i ke kumu o ka mālamaʻana o nā wāhine i kaʻumi mau helu o nā pōʻino o ACL ma keʻano he mau kāne'ōleʻa. ʻO nā manaʻo nui o kēia mau mea:
- ʻO ka Q-angle
ʻO kaʻokoʻa maʻamau ma waena o nā kāne a me nā wahine e hiki ai ke alakaʻi i nā maʻiʻeha ACL he pelvis nuiʻoi aku i nā wāhine ma mua o nā kāne. Hiki i kēiaʻokoʻa kahi kikowaena "Q-angle," aiʻole quadriceps. ʻO kēia ka hōʻailona kahi e hālāwai ai ka femur (iwi poʻohiwi wāwae) i ka tibia (lalo o ka iwi'ē). Ke manaʻoʻia nei ua hoʻonuiʻia ka'ākau o ka'eneke i ka piko o ka wahine, a ua lilo ia i mea kūpaʻa ma mua o ka huiʻana o ke kāne.
- ʻO Anatomia o ka Hui Hui
Hiki i nā wahine ke loaʻa nā'āpana'āpana liʻiliʻi liʻiliʻi i loko o ka hui hui pū me nā wēlauʻelua o ka'ūhā'ūhā i kapaʻia ka condyles femoral. ʻO ka mokuahi ma waena o kēia mau condyles, ka manaʻo male,ʻo ia ka manawa e hui ai ka ACL i ke femur i ka tibia. Wahi a kekahi poʻe noiʻi e hiki paha i ka liʻiliʻi o ka wahine ke hāpai i ka loga o ka ligament a me ka hopena o ka loka ACL.
- Nā Biomechanics a me nā Hiʻi Hua
Ua hōʻike pinepineʻia nā haʻawina i keʻano, he nui nāʻano likeʻole o nā wāhine i ka hui kekiko ma mua o nā kāne. Ke paeʻana mai ka'ōhūʻana, ka pāʻani a me ka pihoihoi,ʻo nā wahine e hāʻule i lalo ke kuli i lalo a mākaukau i ka wāwae, aʻo ia hoʻi ka hopena i kahi pōʻino ACL. - Nā Neuromuscular Factors
Ua hōʻike kekahi mau mea noiʻi noiʻi i kaʻokoʻa ma keʻano neuromuscular control i nā wāhine i ka wā e lele ai ka pae. Ke hōʻike nei kēia mau haʻawina i ka liʻiliʻi o ka wahine wahine heʻokoʻa ka liʻiliʻi a me ka piko ka piko ma mua o ka mīkini kanaka kāne maʻamau, aʻo ia ka hopena o ke kaumaha o ka ACL.
ʻO kekahi kumu i haʻiʻia i kekahi manawa,ʻo ka loli kaumaha a me ka ikaika ligament. I ka wā e hiki ai i ka luhi ke hoʻopilikia i kekahi, manaʻo kekahi kekahi e hiki i nā wāhine keʻeha i ka luhi kaumaha ma mua o nā kāne. Ke hiki i nāʻokoʻa e hoʻoulu ai i ka luhi o ke kuli, ua hoʻololiʻia ka haunaele, a me ka ikaika o ka neʻeʻana i nā liga. Ma muli o nā ligaments o nā wāhine eʻano liʻiliʻi a nāwaliwali paha i ka hoʻohālikelikeʻana i kahi kāne, uaʻoi aku ka lōʻihi o nā wāhine i ka hōʻeha o ke ligament.- Hormones
ʻO kaʻikepili e pili ana i kaʻokoʻa likeʻole o nā kāne a me nā wahine,ʻaʻole i kūlike, akā aia kekahi manaʻo e hiki ke hoʻoikaika i ka ikaika o ka ligament a me ke koʻikoʻi i nā hana likeʻole o ka wahine. Pono nui nāʻike e pono ai e hana i kēia me ka maopopo.
Me kēia mau manaʻo,ʻaʻole hiki iā mākou ke'ōlelo me kaʻoiaʻiʻo i ke kumu o ka nui o ka pilikia o ka waimaka o ka ACL i nā wāhine. He mea hui pū paha ia o kēia mau mea a iʻole kekahi mea i hōʻikeʻoleʻia.
Nā ACL Hoʻokae Kūlohelohe
Ua hōʻikeʻia he mau polokalamu hana āpau ACL e hōʻemi i ka hopena o nā pōʻino ACL i nā poʻe'anikā wahine. ʻO ia mau papahana nā papa hana hoʻonaʻauao e pono ai ka palekana, ka mana, a me ka ponoʻole. ʻO nā hana plyometric, e like me ka leleʻana a me nā pale palekana, e kōkua i ka hoʻonuiʻana i ka neuromuscular conditioning a me ka hopena o ka muscular. Ua hōʻikeʻia kēia mau mea e hōʻemi i ka hōʻehaʻana o nā wāhine no ka hōʻeha ACL i kahi kūlana like me ke kāne.
ʻO ka laina lalo no nā kāne a me nā wāhine e komo i nā haʻuki hoʻomaka a me ka hoʻolālā a me nā māla hoʻolālā e hoʻolālā i nā hoʻonaʻauao kūpono i mea e pale ai i nāʻeha, a me nā waimaka o ACL.
Nā kumuhana
American Academy of Orthopedic Surgeons, Hoʻopiʻiʻekolu i ka hopena o nā kumu, ka paleʻana i nāʻeha ACL i loko o nā wahine, News Item, Feb. 26, 2005.
Griffin LY, et al. "Noncontact Nā'Aiho Ligamenti Ma muli o nāʻanuʻu: Hoʻomākaukau i nā Hua a me nā Hoʻomākaukauʻana" J. Am. ʻO Akad. ʻO Ortho. ʻO Surg., Mei / Iune 2000; 8: 141 - 150.
Hewett TE, et al. "Ka hopena o ka neuromuscular aʻo i ka hopena o kaʻeha o ke kuli i nā mea'anikani wahine: He mea e hoʻomanaʻoʻia." Am J Sports Med 1999; 27: 699-706.
ʻO Santa Monica Orthopedic a me Sports Medicine Research Foundation, ACL Injury Prevention Project.
Slauterbeck J, et al. "ʻAuhaʻo ACL i nā wāhine: no ke aha keʻano o keʻano o ke kāne a me ka pehea e hoʻohaʻahaʻa ai ia?" Orthopedics I kēia lā 23: 1, Iulai 2003.