{"id":510,"date":"2009-08-26T12:21:09","date_gmt":"2009-08-26T13:21:09","guid":{"rendered":"https:\/\/turanuslu.net\/?p=510"},"modified":"2021-03-20T09:46:26","modified_gmt":"2021-03-20T09:46:26","slug":"durus-ve-durus-bozukluklari","status":"publish","type":"post","link":"https:\/\/turanuslu.net\/en\/durus-ve-durus-bozukluklari\/","title":{"rendered":"Duru\u015f ve Duru\u015f Bozukluklar\u0131"},"content":{"rendered":"

Duru\u015f ve Duru\u015f Bozukluklar\u0131<\/h3>\n

Duru\u015f ve Duru\u015f Bozukluklar\u0131 Duru\u015f (post\u00fcr) v\u00fccut k\u0131s\u0131mlar\u0131n\u0131n dizili\u015f ve d\u00fczenidir. Post\u00fcr statik veya dinamik olarak ikiye ayr\u0131l\u0131r. Oturma, ayakta durma, yatma s\u0131ras\u0131nda v\u00fccudun<\/strong> duru\u015f \u015fekline statik post\u00fcr (sabit duru\u015f), hareket esnas\u0131nda v\u00fccudun duru\u015f \u015fekline ise dinamik post\u00fcr (hareketli duru\u015f) denilir.<\/p>\n

Normal post\u00fcr (duru\u015f) nedir?<\/h3>\n

Kas iskelet sisteminde bir zorlanmaya<\/strong> sebep olmayan, v\u00fccudun normal e\u011friliklerinin korundu\u011fu, eklemlere uygulanan kuvvetlerin dengeli da\u011f\u0131ld\u0131\u011f\u0131 duru\u015fa normal post\u00fcr ya da normal duru\u015f denilir. \u0130yi bir post\u00fcr e\u011fitimi \u00e7ocukluk ya\u015f\u0131ndan itibaren ba\u015flar. K\u00f6t\u00fc post\u00fcr hayat\u0131n ileri d\u00f6nemlerinde kar\u015f\u0131la\u015f\u0131labilecek bir\u00e7ok a\u011fr\u0131l\u0131 kas<\/strong> iskelet sistemi problemlerinin, organ bozukluklar\u0131n\u0131n ve ruhsal bozukluklar\u0131n sebebi olabilir.<\/p>\n

\"\"\u0130deal ayakta durma pozisyonu<\/h3>\n

Ba\u015f dik ileri<\/strong> ve geri e\u011fiklik yapmaks\u0131z\u0131n yanlardan bak\u0131ld\u0131\u011f\u0131nda kulaklar tam omuzlar hizas\u0131nda olmal\u0131d\u0131r. G\u00f6\u011f\u00fcs dik durmal\u0131<\/strong> bel ve boyundaki<\/strong> \u00e7ukurluklar normalden fazla veya az olmamal\u0131d\u0131r. Kar\u0131n d\u00fcz olmal\u0131d\u0131r<\/strong>. Omuzlar dik olmal\u0131<\/strong>, \u00e7\u00f6km\u00fc\u015f gibi olmamal\u0131d\u0131r.<\/p>\n

\u0130deal yat\u0131\u015f pozisyonu<\/h3>\n

Yatak sert ve d\u00fcz olmal\u0131<\/strong>, v\u00fccut a\u011f\u0131rl\u0131\u011f\u0131 ile yaylanmamal\u0131d\u0131r. Ba\u015f ve g\u00f6vde uyum i\u00e7inde olmal\u0131d\u0131r<\/strong>. Yast\u0131k \u00e7ok al\u00e7ak veya \u00e7ok y\u00fcksek olmamal\u0131, boyundaki \u00e7ukurlu\u011fu destekleyecek kadar olmal\u0131d\u0131r. \u00c7ok yumu\u015fak yast\u0131klar zararl\u0131d\u0131r. Ayr\u0131ca \u00e7ok sert ve y\u00fcksek yast\u0131klar<\/strong> ba\u015f\u0131n ask\u0131da kalmas\u0131na ve boynun zorlanmas\u0131na sebep olur.<\/p>\n

\u0130deal oturma pozisyonu<\/h3>\n

 <\/p>\n

Oturma post\u00fcr\u00fc ayakta durma<\/strong> post\u00fcr\u00fcne g\u00f6re daha gev\u015fek bir post\u00fcrd\u00fcr. \u0130deal bir oturmada y\u00fck her iki kal\u00e7a \u00fczerine e\u015fit olarak da\u011f\u0131lmal\u0131, bel ve s\u0131rt dik olmal\u0131d\u0131r. Oturulan yer yeterli y\u00fckseklikte olmal\u0131, her iki ayak yere e\u015fit olarak temas etmelidir. \u00c7al\u0131\u015fma esnas\u0131nda \u00f6ne e\u011filmeyi \u00f6nlemek i\u00e7in masaya yak\u0131n oturulmal\u0131, araba kullan\u0131l\u0131yorsa direksiyona yak\u0131n olunmal\u0131d\u0131r.<\/p>\n

S\u0131rt ve m\u00fcmk\u00fcnse ba\u015f, e\u011fimi hafif arkaya bakan bir destekle desteklenmelidir. Otururken kollar\u0131n bir destekle desteklenmesi omuz ve boyuna binen y\u00fck\u00fc azalt\u0131r.<\/p>\n

S\u0131k rastlanan duru\u015f bozukluklar\u0131 ve sebepleri<\/h3>\n

Kifoz (kamburluk)<\/strong>: S\u0131rt omurgas\u0131n\u0131n \u00f6ne do\u011fru e\u011fik olmas\u0131d\u0131r. A\u015f\u0131r\u0131 kilolular<\/strong> And gebelerde<\/strong> g\u00f6r\u00fclebilir. D\u00fcztabanl\u0131k gibi deformiteler, ankilozan spondilit gibi romatizmal hastal\u0131klar, bel \u00e7ukurlu\u011funda artma, kar\u0131n kaslar\u0131nda zay\u0131fl\u0131k, zay\u0131f s\u0131rt kaslar\u0131, desteklenmeyen iri g\u00f6\u011f\u00fcsler vs kifozun en \u00f6nemli sebepleridir. Ayr\u0131ca g\u00f6\u011f\u00fcslerin<\/strong> \u00e7\u0131kmas\u0131 d\u00f6neminde k\u0131zlar \u00f6ne e\u011filerek otururlar bu da dorsal kifoza (kamburluk) sebep olur, bu durum daha sonraki boyun, omuz ve s\u0131rt a\u011fr\u0131lar\u0131na zemin haz\u0131rlayabilir.<\/p>\n

Kifoz k\u00fcrek kemi\u011fi<\/strong> hareketlerini etkileyerek d\u00fc\u015f\u00fck omuz, torasik \u00e7\u0131k\u0131\u015f\u0131n daralmas\u0131 (boyundan \u00e7\u0131k\u0131p kollara giden damar ve sinirlerin ge\u00e7ti\u011fi dar bir b\u00f6lge) gibi ilave problemlere yol a\u00e7abilir. Osteoporoza ba\u011fl\u0131 \u00e7\u00f6kme k\u0131r\u0131klar\u0131nda ilerlemi\u015f kifoz deformiteleri g\u00f6r\u00fcl\u00fcr.<\/p>\n

Lordoz (\u00e7ukur bel)<\/strong>: Beldeki normal \u00e7ukurlu\u011fun artmas\u0131d\u0131r. Kar\u0131n, s\u0131rt, kal\u00e7a kaslar\u0131<\/strong> ve ba\u011flar\u0131ndaki dengesizlikler ve g\u00fc\u00e7 kay\u0131plar\u0131 bel \u00e7ukurlu\u011funu art\u0131r\u0131r. Gebelikte bel \u00e7ukurlu\u011fu artar. Ayr\u0131ca kar\u0131n kaslar\u0131nda gev\u015feklik, a\u015f\u0131r\u0131 kilo lomber lordozu art\u0131r\u0131r. Lomber lordozun en \u00f6nemli sonucu bel ve bacak a\u011fr\u0131lar\u0131d\u0131r. Ayr\u0131ca omurlarda kayma (spondilolistezis) olan hastalarda lombel lordoz (bel \u00e7ukurlu\u011fu) artm\u0131\u015ft\u0131r.<\/p>\n

Kifolordoz (kamburluk ve \u00e7ukur bel)<\/strong>: Bu ki\u015filerde s\u0131rtta kamburluk, belde de \u00e7ukurluk vard\u0131r. Kal\u00e7a \u00f6ne do\u011fru e\u011fiktir. Bu hastalarda dizler arkaya e\u011fik, kal\u00e7alar ise \u00f6ne e\u011fiktir. Ba\u015f \u00f6ne do\u011frudur, ancak kamburluktan dolay\u0131 boyundaki \u00e7ukurluk artm\u0131\u015ft\u0131r. Bu hastalarda boyun, omuz, s\u0131rt, bel ve bacak a\u011fr\u0131lar\u0131 s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n

Duru\u015f Bozukluklar\u0131 Nedenleri<\/h3>\n

Arkaya e\u011fik bel<\/strong>: Bu duru\u015f bozuklu\u011funda kal\u00e7alar \u00f6nde, dizler geridedir. S\u0131rt belirginle\u015fmi\u015f, g\u00f6\u011f\u00fcs kafesi \u00f6ne \u00e7\u0131km\u0131\u015f ve v\u00fccudun a\u011f\u0131rl\u0131k merkezi aya\u011f\u0131n \u00f6n k\u0131sm\u0131na kaym\u0131\u015ft\u0131r. Bu duru\u015f bozuklu\u011funda omurga (bel, boyun, s\u0131rt) ve omuz a\u011fr\u0131lar\u0131 s\u0131k g\u00f6r\u00fcl\u00fcr. Bu tip post\u00fcrel bozuklukta arka uyluk kaslar\u0131 zay\u0131f ve uzun, tensor fasia lata kas\u0131 kuvvetli, iliotibial bant gergindir.<\/p>\n

D\u00fczle\u015fmi\u015f bel<\/strong>: Bu post\u00fcrde kar\u0131n kaslar\u0131 kuvvetli, bel ekstans\u00f6rleri (do\u011frultucu kaslar) zay\u0131ft\u0131r. Kal\u00e7a ve diz eklemi<\/strong> hiperekstansiyondad\u0131r (a\u015f\u0131r\u0131 do\u011frulmu\u015f). Kal\u00e7a fleks\u00f6rleri (b\u00fck\u00fcc\u00fc kaslar) uzun ve zay\u0131f, arka uyluk kaslar\u0131 k\u0131sa ve kuvvetlidir. D\u00fczle\u015fmi\u015f belde disklere binen y\u00fck artt\u0131\u011f\u0131 i\u00e7in bel f\u0131t\u0131\u011f\u0131 riski artar.<\/p>\n

D\u00fc\u015f\u00fck omuz<\/strong>: Uzun s\u00fcre masa ba\u015f\u0131nda \u00e7al\u0131\u015fanlar, bilgisayar ve daktilo gibi klavyeli cihaz kullananlar, borsa \u00e7al\u0131\u015fanlar\u0131 gibi s\u00fcrekli bir ekran izlemek zorunda kalanlar, \u00e7ok fazla miktarda el i\u015fi (ince i\u015f) yapanlarda s\u0131rtta kamburluk<\/strong>, omuzlarda \u00e7\u00f6kme ve yuvarlakla\u015fma ve boynun \u00f6ne do\u011fru e\u011fim yapmas\u0131 \u015feklindeki duru\u015f bozukluklar\u0131 ile \u00e7ok s\u0131k kar\u015f\u0131la\u015f\u0131rlar. Bu ki\u015filerde ayn\u0131 pozisyona maruz kalmaktan ve tekrarlayan mikro travmalardan dolay\u0131 omuz a\u011fr\u0131lar\u0131, boyun a\u011fr\u0131lar\u0131, k\u00fcrek kemikleri aras\u0131nda a\u011fr\u0131, kol ve el bile\u011fi a\u011fr\u0131lar\u0131 \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n

Bazen ciddi boyun f\u0131t\u0131klar\u0131, dejeneratif de\u011fi\u015fiklikler (boyun kire\u00e7lenmeleri), rotator man\u015fon tendinitleri, k\u00fcm\u00fclatif travma hastal\u0131\u011f\u0131, karpal t\u00fcnel sendromu ve torasik \u00e7\u0131k\u0131\u015f sendromlar\u0131 g\u00f6r\u00fclebilir. Uzun s\u00fcreli k\u00f6t\u00fc ve ayn\u0131 pozisyonda ders \u00e7al\u0131\u015fan \u00f6\u011frenci ve akademisyenlerde de benzer tablolar g\u00f6r\u00fclebilir.<\/p>\n

Ba\u015f\u0131n \u00f6ne do\u011fru e\u011fik duru\u015fu<\/strong>: Uzun s\u00fcre masa ba\u015f\u0131nda \u00e7al\u0131\u015fanlarda s\u0131k g\u00f6r\u00fclen bir duru\u015f bozuklu\u011fudur. Ba\u015f\u0131n \u00f6ne do\u011fru her 2.5 santim \u00f6ne do\u011fru e\u011fik tutulmas\u0131 boyun omurlar\u0131na binen y\u00fck\u00fc iki kat art\u0131r\u0131r. Bu duru\u015f bozuklu\u011fu uzun s\u00fcre devam ettirilirse bir\u00e7ok duru\u015f bozuklu\u011funa da sebep olur.<\/p>\n

Boyun d\u00fczle\u015fmesi, boyun kamburlu\u011fu, s\u0131rttaki kamburlu\u011fun artmas\u0131, omuzlar\u0131n \u00f6ne ve a\u015fa\u011f\u0131 do\u011fru gelmesi (d\u00fc\u015f\u00fck omuz) vs gibi. G\u00fcn\u00fcm\u00fcz olduk\u00e7a s\u0131k g\u00f6r\u00fclen bir duru\u015f bozuklu\u011fudur. Bu ki\u015filerde ba\u015f a\u011fr\u0131lar\u0131, boyun, omuz, kol ve s\u0131rt a\u011fr\u0131lar\u0131 \u00e7ok s\u0131k g\u00f6r\u00fcl\u00fcr.<\/p>\n

Duru\u015f bozukluklar\u0131n\u0131 nas\u0131l tedavi ediyoruz?<\/h3>\n

G\u00fcn\u00fcm\u00fczde \u00e7ok yayg\u0131n bir problem olan duru\u015f bozukluklar\u0131n\u0131 tedavi etmek olduk\u00e7a zordur. Klini\u011fimizde bu insanlara y\u00f6nelik egzersiz programlar\u0131, omurga esnekli\u011fini ve disklerin s\u0131v\u0131 i\u00e7eri\u011fini art\u0131rmaya y\u00f6nelik tedaviler, kendi geli\u015ftirdi\u011fimiz omurga destek aparatlar\u0131<\/strong> And korselemeler<\/strong>, paravertebral kas spazm\u0131n\u0131 ve k\u0131sal\u0131\u011f\u0131n\u0131 gidermeye y\u00f6nelik tedaviler uygulanmaktad\u0131r. Omurgan\u0131n e\u011friliklerini tedavi etmede Theraflex<\/strong> ad\u0131 verilen bir cihaz kullanmaktay\u0131z.<\/p>\n

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

Duru\u015f ve Duru\u015f Bozukluklar\u0131 Duru\u015f ve Duru\u015f Bozukluklar\u0131 Duru\u015f (post\u00fcr) […]<\/p>\n","protected":false},"author":1,"featured_media":2661,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[190,501],"tags":[506,112,218,507,123,508,509,510,511,100],"class_list":["post-510","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bel-agrilari","category-sirt-agrilari","tag-bel-agrilari","tag-bel-agrisi","tag-dogru-durus","tag-dogru-yatis","tag-durus-egzersizleri","tag-durus-pozisyonlari","tag-ideal-durus","tag-ideal-oturus","tag-ideal-yatis","tag-sirt-agrisi"],"jetpack_featured_media_url":"https:\/\/turanuslu.net\/wp-content\/uploads\/2009\/08\/durus-bozukluklari.jpg","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/510","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=510"}],"version-history":[{"count":3,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/510\/revisions"}],"predecessor-version":[{"id":10383,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/posts\/510\/revisions\/10383"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media\/2661"}],"wp:attachment":[{"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/media?parent=510"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/categories?post=510"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/turanuslu.net\/en\/wp-json\/wp\/v2\/tags?post=510"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}