適當的動 才不會生鏽Appropriate move will not rust

適當的動 才不會生鏽 　退化性關節炎病患的X光片，右側髖關節看起來平滑圓滾，是健康正常的關節；左側髖關節邊緣不平整，可見軟骨增生，導致表面磨損。【台灣林口長庚醫院骨科醫師游家偉提供】 　退化性關節炎病患的X光片，右側髖關節看起來平滑圓滾，是健康正常的關節；左側髖關節邊緣不平整，可見軟骨增生，導致表面磨損。醫師為他切去壞骨（圖），裝上人工髖關節，圖左側即是人工髖關節。【台灣林口長庚醫院骨科醫師游家偉提供】 【施靜茹】「伯伯，你記得回家要多做抬腿運動！」、「歐巴桑，回去要減重，才能減輕關節負擔。」在醫院骨科、復健科診間，不時傳來醫護人員苦口婆心提醒病人，避免關節退化的「撇步」。 「不動會生鏽，過度運動又會耗損！」台北振興醫院骨科主任敖曼冠道出關節使用的兩難，他認為，避免退化性關節炎最好方法，是從改變生活型態做起，不要因為怕關節不好就不敢運動或走路。 敖曼冠指出，運動有助增加軟骨關節滑液循環及代謝，也能加強關節周圍肌肉、肌腱和韌帶結構，助關節承受重量，同時增加骨質密度，促進身體平衡和柔軟度；但是年長者最好選擇下肢負荷較少的運動，才不會讓關節過度耗損。 物理治療，則幫了退化性關節炎病人不少的忙。 中華民國物理治療學會理事長簡文仁說，當關節明顯疼痛時，電療、熱敷等物理治療，可減少疼痛，病人平常可多做一些動作，如夾臀、直腿抬高、側抬腿部、半蹲，與加強股四頭肌（平躺，腿伸直，將膝窩貼近床面，數1至10後再放鬆）等運動。 他表示，退化性關節炎初期症狀包括，早晨關節僵硬，坐、站或蹲的動作轉換困難，走路時，大腿或膝蓋疼痛，這可藉由簡單運動或物理治療減輕症狀、防止惡化。 如果症狀越來越嚴重，可能造成關節變形、肌力減退，如更嚴重而導致行走困難、日常功能受限，則須就醫。 2008-09-05 Appropriate move will not rust Patients with degenerative arthritis of the X-ray, the right hip looks smooth Yuangun is in normal health of the joint; edge of the left hip is not formed, that cartilage hyperplasia, leading to the surface wear. [Taiwan Linkou Chang Gung Memorial Hospital orthopedic physician to provide outbound Jia-wei: Patients with degenerative arthritis of the X-ray, the right hip looks smooth Yuangun is in normal health of the joint; edge of the left hip is not formed, that cartilage hyperplasia, leading to the surface wear. Doctor bad bone in his Qiequ (AP), fitted with artificial hip, that is, map the left hip. [Taiwan Linkou Chang Gung Memorial Hospital orthopedic physician to provide outbound Jia-wei: [Shi Jing-Ru: "Bobo, you have to remember to go home and do more Taitui movement" and "Ou Basang, go back to weight loss can reduce the burden on joints." Hospitals in orthopedics, rehabilitation consultation, from time to time came Medical staff well-intentioned remonstrations to remind patients to avoid degradation of the joint "Piebu." "Fixed will rust, excessive wear and tear will campaign!" Orthopaedic Hospital in Taipei, director of the revitalization of Ao Man-道出joint use of the dilemma, in his view, to avoid osteoarthritis best way is to start with changing lifestyles, Do not be afraid because the joint campaign or not will not dare to walk. Ao Man-that the campaign will help increase cartilage joint synovial fluid circulation and metabolism, but also to strengthen the muscles around the joint, tendon and ligament structure, and assist the joint bear weight, increase bone density and promote physical balance and flexibility, but most older persons Good choice of lower limb load less movement, it will not allow the joint excessive wear and tear. Physical therapy, to help the osteoarthritis patients a lot of busy. Physical Therapy Association, chairman of the ROC, Chien-jen said that when the joint obvious pain, electrotherapy, hot packs, such as physical therapy, can reduce pain, patients usually can do more moves, such as folders hip, straight-leg raising, side Taitui Department, Bandun, and strengthening the quadriceps (flat, straight legs, knees Waterloo close to the bed, a few relax after 1-10), and other sports. He said that the early symptoms of osteoarthritis, including Good morning, joint stiffness, sit, stand or squatting movements conversion difficult, walking, thigh or knee pain, this can be through simple movements or physical therapy to reduce symptoms and prevent deterioration. If more and more serious symptoms may lead to deformed joints, decreased muscle strength, as a result of more serious walking difficulties, the daily dysfunction, they seek medical treatment. 2008-09-05 For more information, see World Journal News ePaper

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