{"id":15612,"date":"2018-12-01T19:22:34","date_gmt":"2018-12-01T18:22:34","guid":{"rendered":"https:\/\/abrtherapy.com\/geen-onderdeel-van-een-categorie\/de-abr-denkwijze-2\/"},"modified":"2023-06-05T10:50:21","modified_gmt":"2023-06-05T08:50:21","slug":"de-ce-ii-plac-lui-sam","status":"publish","type":"post","link":"https:\/\/abrtherapy.com\/ro\/de-ce-ii-plac-lui-sam\/","title":{"rendered":"De ce \u00eei plac lui Sam drumurile cu h\u00e2rtoape."},"content":{"rendered":"

\"\"<\/a>
\nAutor: Roeland Vollaard, fizioterapeut \u0219i ini\u021biator al „Class on Wheels” \u00een Alkmaar, Olanda<\/p>\n

\u00cen cei 28 de ani de existen\u021b\u0103 ai lui Sam am parcurs o mul\u021bime de kilometri cu el. Sam \u00een scaunul cu rotile, eu \u00een spatele lui, \u00eemping\u00e2nd scaunul cu rotile. Am parcurs mai mult de cinci mii de kilometri. Asta \u00eenseamn\u0103 de 2 ori de la Amsterdam la Barcelona. Fitness semnificativ pentru mine, dar ce au \u00eensemnat to\u0163i ace\u015fti kilometri pentru Sam?<\/p>\n

Sam poate s\u0103 fac\u0103 foarte multe lucruri singur, at\u00e2ta timp c\u00e2t este implicat\u0103 partea de deasupra pelvisului. Umerii, bra\u021bele, g\u00e2tul \u0219i capul toate sunt sub control, \u00een timp ce tot ce se afl\u0103 \u00een partea inferioar\u0103 a corpului nu r\u0103spunde (bine) creierului s\u0103u. Picioarele lui nu se prea mi\u0219c\u0103.
\nDeci Sam are o scuz\u0103 excelent\u0103 s\u0103 r\u0103m\u00e2n\u0103 mereu a\u015fezat. Ati spune, cu c\u00e2t mai confortabil, cu at\u00e2t mai bine. Poate cu ceva pentru o absorb\u021bie a \u0219ocului sub \u015fezut sau cauciucuri extra-moi, a\u0219a ca s\u0103 nu simt\u0103 toate denivel\u0103rile? R\u0103spunsul non-verbal al lui Sam la aceast\u0103 \u00eentrebare este \u00een mod evident „NU”!<\/p>\n

C\u00e2t timp m\u0103 plimb cu Sam pe un traseu de biciclete asfaltat, neted, el „se pr\u0103bu\u0219e\u0219te”. Devine mai pu\u021bin alert, gesticuleaz\u0103 mai pu\u021bin vesel cu bra\u021bele \u0219i scoate mai pu\u021bine sunete. C\u00e2nd trec pe un drum l\u0103turalnic sau pe un drum pavat, de regul\u0103 devine mai alert, mi\u0219c\u0103rile bra\u021belor \u0219i sunetele se \u00eentorc. Prin urmare, \u00eemi aleg traseele \u00een mod corespunz\u0103tor: trotuarele slab men\u021binute \u0219i pavajele. Iar Sam nu este singurul a\u015fa. Mul\u0163i copii sau adul\u0163i \u00een scaun cu rotile experimenteaz\u0103 vibra\u0163iile datorit\u0103 denivel\u0103rilor ca ceva pozitiv.
\n\u015etiam acest lucru de mult timp \u0219i l-am observat la mul\u021bi utilizatori de scaune cu rotile. Dar, \u00een ultima vreme, cred c\u0103 \u00eencep s\u0103 \u00een\u021beleg acest fenomen. Asta pentru c\u0103 am citit multe articole despre structurile alc\u0103tuite din \u021besut conjunctiv \u00een organismul nostru. Aceste cercet\u0103ri aduc o nou\u0103 lumin\u0103 asupra structurilor corpului iar eu aplic aceste informa\u021bii (prin Reabilitarea Biomecanic\u0103 Avansat\u0103) la 8 copii din \u201cClasa pe ro\u0163i\u201d.<\/p>\n

\u021aesuturile corpului au nevoie de stimuli specifici pentru a r\u0103m\u00e2ne s\u0103n\u0103to\u0219i. Pentru c\u0103 Sam nu se mi\u0219c\u0103 sau nu se mi\u0219c\u0103 aproape deloc de la br\u00e2u \u00een jos, toate \u021besuturile din aceast\u0103 zon\u0103 sunt subdezvoltate. S\u0103 lu\u0103m ca exemplu \u0163esutul muscular: dac\u0103 nu face\u0163i exerci\u021bii \u00een mod regulat, masa voastr\u0103 muscular\u0103 va sc\u0103dea rapid. Atunci c\u00e2nd un atlet de performan\u0163\u0103 e lovit de grip\u0103 timp de o s\u0103pt\u0103m\u00e2n\u0103, poate uita de medalia lui. Sc\u0103derea \u021besutului muscular datorit\u0103 lipsei de mi\u0219care este vizibil\u0103 pe \u0219oldurile \u0219i picioarele lui Sam. Plimb\u0103rile noastre \u00eempreun\u0103 nu inverseaz\u0103 acest proces, se pare c\u0103 nu ofer\u0103 stimulul potrivit pentru cre\u0219terea muscular\u0103…<\/p>\n

Tesutul osos este, de asemenea, subdezvoltat dac\u0103 nu prime\u0219te suficient stimul. Cu mai mult de o sut\u0103 de ani \u00een urm\u0103, anatomistul \u0219i chirurgul german Julius Wolff scria c\u0103 osul se formeaz\u0103 sub influen\u021ba compresiei. Acest fapt a devenit cunoscut sub numele de „legea lui Wolff”. De exemplu: dac\u0103 nu face\u021bi pa\u0219i obi\u0219nui\u021bi \u0219i, prin urmare, nu ob\u021bine\u021bi o stimulare puternic\u0103 prin presiune pe t\u0103lpi, picioare \u0219i \u0219olduri, atunci oasele din laba piciorului, din picioare \u0219i \u0219olduri nu se vor dezvolta \u00een mod corespunz\u0103tor. C\u00e2nd m\u0103 plimb \u00een spatele scaunului cu rotile al lui Sam, eu \u00eemi construiesc oase bune. Sam \u00eens\u0103 nu, stimulii prin zg\u00e2l\u0163\u00e2ituri nu sunt, probabil, suficient de puternice pentru dezvoltarea oaselor mai bune.
\nToate \u021besuturile conjunctive din organism se deterioreaz\u0103 \u0219i ele datorit\u0103 lipsei de mi\u0219care \u0219i a stimulilor. Iar aceste \u021besuturi conjunctive sunt mult mai importante pentru func\u021bionarea corpului dec\u00e2t se presupune. \u021aesutul conjunctiv \u00eenconjoar\u0103 fiecare celul\u0103 individual\u0103, dar \u00eenconjoar\u0103 \u0219i grupuri mici de celule \u0219i, \u00een final, organe \u00eentregi, vase sanguine, nervi \u0219i grupe musculare. P\u0103streaz\u0103 totul \u00eempreun\u0103 \u0219i asigur\u0103 tuturor celulelor nutri\u021bie \u0219i eliminarea de\u0219eurilor. Un adult s\u0103n\u0103tos are aproximativ 20 kilograme de \u021besut conjunctiv.<\/p>\n

Exist\u0103 un num\u0103r mare de nervi \u00een \u021besutul conjunctiv, care pot \u00eenregistra foarte bine durerea \/ disconfortul \u0219i postura \/ mi\u0219carea. De la pelvisul lui Sam p\u00e2n\u0103 la talpa picioarelor, are loc foarte pu\u021bin din ceea ce \u00eenseamn\u0103 postur\u0103 \u0219i mi\u0219care. Acest fapt confer\u0103 cale liber\u0103 departamentului de durere \/ disconfort s\u0103 trimit\u0103 stimuli la m\u0103duva spin\u0103rii \u0219i la creier. Acesta este un risc mare pentru oameni ca Sam, \u00een cazul c\u0103rora mi\u0219carea \u00eenceteaz\u0103 datorit\u0103 lipsei controlului din partea creierului.<\/p>\n

Plimbarea pe drumurile cu h\u00e2rtoape probabil stimuleaz\u0103 \u021besutul conjunctiv. Stimularea poate fi \u00eemp\u0103r\u021bit\u0103 \u00een efecte pe termen scurt \u0219i lung.<\/p>\n

Pe termen scurt<\/strong>
\nToate vibra\u021biile sunt preluate de nervii din \u021besutul conjunctiv care sunt specializa\u021bi \u00een sesizarea anomaliilor posturale \u0219i de mi\u0219care. Aceste informa\u021bii sunt trimise apoi m\u0103duvei spin\u0103rii \u0219i creierului. Cu c\u00e2t sunt transmise mai multe semnale despre postur\u0103 \/ mi\u0219care, cu at\u00e2t mai pu\u021bin loc este pentru semnalele despre posibilele dureri \/ disconfort. Acest mecanism func\u021bioneaz\u0103 de la primul hop.<\/p>\n

Pe termen lung<\/strong>
\nVibra\u021biile cauzate de denivel\u0103ri constituie de asemenea un stimul biomecanic pentru structurile \u021besutului conjunctiv. Organismul va r\u0103spunde printr-o contrareac\u021bie, \u00een acest caz prin asigurarea unei hr\u0103niri mai bune a \u021besutului conjunctiv \u0219i prin asigurarea faptului c\u0103 \u021besutul devine mai rezistent la vibra\u021bii. Contrac\u021bia \u021besutului conjunctiv va sc\u0103dea, iar acest lucru va contribui probabil ca Sam s\u0103 se simt\u0103 mai bine \u00een pielea lui. ABR face ceva similar cu bastoanele\/be\u0163ele de cauciuc. Aplic\u0103 lovituri pe p\u0103r\u021bile corpului astfel \u00eenc\u00e2t o anumit\u0103 vibra\u021bie s\u0103 intre \u00een corp. Corpul trebuie s\u0103 reac\u021bioneze biomecanic, iar aceast\u0103 reac\u021bie este independent\u0103 de controlul creierului. Transformarea \u021besutului conjunctiv sl\u0103bit \u00eentr-o stare mai s\u0103n\u0103toas\u0103 este un proces lent. E vorba mai mult de luni dec\u00e2t de zile. \u0218i necesit\u0103 doze regulate de stimuli specifici.<\/p>\n

S\u0103 rezum\u0103m:<\/strong>
\n– Probabil c\u0103 lui Sam \u00eei plac drumurile cu h\u00e2rtopuri datorit\u0103 contribu\u0163iei directe a acelor stimul\u0103ri la transmisia nervoas\u0103. Durerea dispare \u00een fundal, deoarece stimulul provenit de la denivel\u0103ri intr\u0103 prin picioarele sale \u0219i contracareaz\u0103 semnalele de durere.
\n– Nu alege\u021bi asfaltul neted, ci c\u0103uta\u0163i drumurile denivelate.
\n– Nu folosi\u021bi prea mult\u0103 absorb\u021bie a \u0219ocurilor, prefera\u021bi anvelopele tari.
\n– \u0218i cu c\u00e2t mai des, cu at\u00e2t mai bine pentru corpul lui …<\/p>\n

Roeland Vollaard
\nroeland@roelandhelpt.nl<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

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