{"id":2501,"date":"2019-07-03T09:59:54","date_gmt":"2019-07-03T10:59:54","guid":{"rendered":"https:\/\/turanuslu.net\/?p=2501"},"modified":"2021-03-20T08:58:13","modified_gmt":"2021-03-20T08:58:13","slug":"intramuskuler-stimilasyon-ims","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/intramuskuler-stimilasyon-ims\/","title":{"rendered":"Intramuscular Stimulation (IMS)"},"content":{"rendered":"

Intramuscular Stimulation (IMS)<\/h3>\n

\u0130ntram\u00fcsk\u00fcler Stimilasyon (\u0130MS) Kas-iskelet sistemi a\u011fr\u0131lar\u0131n\u0131n en \u00f6nemli sebebi kas spazm\u0131d\u0131r. Kas spazm\u0131 bir\u00e7ok a\u011fr\u0131 sendromu olarak kendini g\u00f6sterir. Bunlar; ba\u015f a\u011fr\u0131s\u0131, boyun a\u011fr\u0131s\u0131, omuz a\u011fr\u0131s\u0131, s\u0131rt a\u011fr\u0131s\u0131, bel a\u011fr\u0131s\u0131, tendinitler, entesopatiler, ligamentitler vs. Kaslardaki a\u011fr\u0131l\u0131 spazmlar kaslara ve tendonlara, eklem aral\u0131\u011f\u0131n\u0131 daraltarak eklemlere binen y\u00fck\u00fc art\u0131r\u0131r. Disklere bask\u0131 yaparak f\u0131t\u0131kla\u015fmalara, a\u011fr\u0131l\u0131 omurga sendromlar\u0131na yol a\u00e7ar. Spazm damarsal yap\u0131lar\u0131 da s\u0131k\u0131\u015ft\u0131rarak ekstremitelerde so\u011fukluk, \u00fc\u015f\u00fcme, a\u011fr\u0131, \u00f6dem gibi belirtilere yol a\u00e7ar. Ayr\u0131ca sinirlere olan bask\u0131lar sonucu siyatalji (bacak a\u011fr\u0131s\u0131), brakialji (kol a\u011fr\u0131s\u0131)<\/strong> gibi radik\u00fclopatiler olu\u015fturur.<\/p>\n

\u0130ntramusk\u00fcler stim\u00fclasyon (IMS) a\u011fr\u0131l\u0131 kas spazmlar\u0131n\u0131n tedavisinde kullan\u0131lan \u00f6nemli bir tedavi metodudur. Kuru i\u011fneleme<\/strong> metodu olarakta adland\u0131r\u0131l\u0131r. \u0130MS \u00e7e\u015fitli
\nuzunluklardaki \u00e7ok ince i\u011fnelerin spazm olan kaslara bat\u0131r\u0131larak spazm\u0131n \u00e7\u00f6z\u00fclmesi esas\u0131na dayan\u0131r. \u0130MS; tek ba\u015f\u0131na bir \u00e7ok a\u011fr\u0131l\u0131 hastal\u0131\u011f\u0131 tedavi etmede yeterlidir. \u0130MS; ila\u00e7 tedavisi, fizik tedavi, kapl\u0131ca tedavileri<\/strong>, kinezyoterapi (hastal\u0131klar\u0131n egzersizle tedavisi) gibi tedavi metodlar\u0131 ile kombine edilebilir.<\/p>\n

Miyofasial a\u011fr\u0131 sendromu<\/h3>\n

Miyofasial a\u011fr\u0131 sendromu<\/strong> (MAS) sebebi bilinmeksizin herhangi bir b\u00f6lgesel kas- iskelet sistemi a\u011fr\u0131s\u0131n\u0131 tan\u0131mlamak i\u00e7in kullan\u0131lan bir terimdir. Kaslar ve onunla ili\u015fkili yumu\u015fak dokularda a\u011fr\u0131, hareket k\u0131s\u0131tl\u0131\u011f\u0131, hassasiyet gibi belirtiler vard\u0131r. Miyofasial a\u011fr\u0131lar\u0131n en \u00f6nemli sebepleri travmalar, duru\u015f bozukluklar\u0131, tekrarlayan hareketler, stres, a\u015f\u0131r\u0131 kullan\u0131m, do\u011fumsal bozukluklar vs.<\/p>\n

Miyofasial<\/strong> a\u011fr\u0131lar\u0131n\u0131n tan\u0131s\u0131 i\u00e7in herhangi bir test, r\u00f6ntgen, laboratuar bulgusu yoktur. Te\u015fhis genellikle hastan\u0131n ifadesine ve hekimin muayenesine g\u00f6re konulur. Bel ve
\nboyun a\u011fr\u0131lar\u0131<\/strong> gibi a\u011fr\u0131 sendromlar\u0131 ile hekime ba\u015fvuran bir \u00e7ok hastada tomografi, MRI<\/strong> gibi ileri g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemlerinde g\u00f6r\u00fclen patolojik de\u011fi\u015fiklikler a\u011fr\u0131n\u0131n ger\u00e7ek sebebi
\nolmayabilir.
\nMiyofasial a\u011fr\u0131larda tedavi olduk\u00e7a zordur. Sebebi ortaya \u00e7\u0131karmak her zaman kolay de\u011fildir. \u0130la\u00e7lar genellikle \u00e7ok az i\u015fe yarar. Kapl\u0131ca ve fizik tedavi<\/strong> vs. k\u0131smen fayda sa\u011flar. Egzersizler \u00e7ok \u00f6nemli olmakla birlikte, hastalar\u0131n bu egzersizleri d\u00fczenli yapt\u0131\u011f\u0131n\u0131 s\u00f6ylemek \u00e7o\u011fu zaman m\u00fcmk\u00fcn de\u011fildir.<\/p>\n

Miyofasial a\u011fr\u0131 sendromlu<\/strong> hastalarda, spazm olur. Spazm olan kaslar k\u0131sal\u0131r ve kal\u0131nla\u015f\u0131r, ayn\u0131 zamanda kas i\u00e7indeki mikrosirk\u00fclasyon (dola\u015f\u0131m) bozularak kas iskemisi (oksijensizlik) olu\u015fturur. Kaslarda dokunmaya, s\u0131kmaya ve hareketlere kar\u015f\u0131 bir hassasiyet vard\u0131r.
\nAyr\u0131ca; kas\u0131lan kas tendonlar\u0131 ve tendon yap\u0131\u015fma yerlerini (enthesis) gererek, tendopati ve entesopatiye yol a\u00e7ar. Olay kronikle\u015ftik\u00e7e eklemlerde yozla\u015fmalar, disk y\u0131pranmalar\u0131, tendinitler, n\u00f6ropati (sinir harabiyeti) gibi patolojiler ortaya \u00e7\u0131kar.<\/p>\n

IMS; ABD li Dr Gunn taraf\u0131ndan geli\u015ftirilmi\u015f bir a\u011fr\u0131 tedavi metodudur.<\/strong><\/p>\n

IMS<\/strong> de kas\u0131lm\u0131\u015f ve k\u0131salm\u0131\u015f kasa bir i\u011fne bat\u0131r\u0131larak bu spazm \u00e7\u00f6z\u00fclmeye \u00e7al\u0131\u015f\u0131l\u0131r. Bir kasta \u00e7o\u011fu zaman \u00e7ok say\u0131da a\u011fr\u0131l\u0131 kas\u0131lm\u0131\u015f kas demetleri oldu\u011fundan \u00e7o\u011fu kez, \u00e7ok say\u0131da i\u011fneleme yapmak gerekir. Tekrarlayan veya kronikle\u015fmi\u015f a\u011fr\u0131da spazmla birlikte fibroz doku geli\u015fimi de varsa i\u011fne say\u0131s\u0131n\u0131n ve i\u011fneleme s\u0131kl\u0131\u011f\u0131n\u0131n artt\u0131r\u0131lmas\u0131 gerekir. Ancak fibrotik kaslarda olumlu sonu\u00e7 her zaman m\u00fcmk\u00fcn de\u011fildir.<\/p>\n

IMS bir akupunktur y\u00f6ntemi midir?<\/h3>\n

IMS<\/strong> ile akupunkturun benzerli\u011fi, ikisinde de i\u011fne kullan\u0131lmas\u0131d\u0131r. Akupunkturda<\/strong> i\u011fne belli noktalara yap\u0131l\u0131r ve 20 dk kadar beklenir. IMS de ise i\u011fne spazm olan ve olmas\u0131 muhtemel kaslara yap\u0131l\u0131r ve hemen \u00e7\u0131kar\u0131l\u0131r. Etkisini hemen g\u00f6sterir. \u0130MS de i\u011fne n\u00f6roanatomik yap\u0131ya g\u00f6re \u00e7e\u015fitli doku derinliklerine yap\u0131l\u0131r. Kronik kas iskelet sistemi bozukluklar\u0131 ve bu bozukluklara ba\u011fl\u0131 a\u011fr\u0131lar\u0131n tedavisinde \u0130MS olduk\u00e7a etkili bir y\u00f6ntemdir.<\/p>\n

Uygulama hangi aral\u0131klarla yap\u0131lmal\u0131d\u0131r ?<\/h3>\n

Genellikle haftada 1 veya 2 defa, 6-10 seans aras\u0131nda yap\u0131l\u0131r. \u0130MS a\u011fr\u0131l\u0131 bir y\u00f6ntem olmas\u0131na ra\u011fmen sonu\u00e7lar olduk\u00e7a iyidir.<\/p>\n

\"\"<\/a>\"\"<\/a><\/p>","protected":false},"excerpt":{"rendered":"

\u0130ntram\u00fcsk\u00fcler Stimilasyon (\u0130MS) \u0130ntram\u00fcsk\u00fcler Stimilasyon (\u0130MS) Kas-iskelet sistemi a\u011fr\u0131lar\u0131n\u0131n en […]<\/p>\n","protected":false},"author":1,"featured_media":2502,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[787,888],"tags":[769,913,779,957,84,174,788],"class_list":["post-2501","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kuru-igne-tedavisi-ims","category-agri","tag-akupunktur","tag-igneleme","tag-ims","tag-kadikoy-agri-merkezi","tag-kas-spazmi","tag-kuru-igne","tag-kuru-igneleme"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2019\/07\/intramu\u0308sku\u0308ler-stimilasyon.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2501","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/comments?post=2501"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2501\/revisions"}],"predecessor-version":[{"id":10187,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/2501\/revisions\/10187"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media\/2502"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=2501"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=2501"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=2501"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}