{"id":4043,"date":"2024-11-28T16:40:27","date_gmt":"2024-11-28T09:40:27","guid":{"rendered":"https:\/\/benhvienthaihoa.vn\/?p=4043"},"modified":"2025-06-22T22:32:44","modified_gmt":"2025-06-22T15:32:44","slug":"phuc-hoi-chuc-nang-sau-chan-thuong-day-chang-cheo-acl","status":"publish","type":"post","link":"https:\/\/benhvienthaihoa.vn\/en\/phuc-hoi-chuc-nang-sau-chan-thuong-day-chang-cheo-acl\/","title":{"rendered":"Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o (ACL)"},"content":{"rendered":"
    \n
  1. Gi\u1edbi thi\u1ec7u<\/b><\/li>\n<\/ol>\n

    Ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (ACL)<\/b> l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea1ng ch\u1ea5n th\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf kh\u1edbp g\u1ed1i, \u0111\u1eb7c bi\u1ec7t th\u01b0\u1eddng g\u1eb7p trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao nh\u01b0 b\u00f3ng \u0111\u00e1, b\u00f3ng r\u1ed5, v\u00e0 tr\u01b0\u1ee3t tuy\u1ebft. D\u00e2y ch\u1eb1ng ACL \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c gi\u1eef v\u1eefng kh\u1edbp g\u1ed1i, gi\u00fap duy tr\u00ec s\u1ef1 \u1ed5n \u0111\u1ecbnh trong c\u00e1c chuy\u1ec3n \u0111\u1ed9ng ph\u1ee9c t\u1ea1p.<\/span><\/p>\n

    Theo nghi\u00ean c\u1ee9u c\u1ee7a Micheo v\u00e0 c\u1ed9ng s\u1ef1 (2021), ch\u1ea5n th\u01b0\u01a1ng ACL chi\u1ebfm kho\u1ea3ng 50% t\u1ed5ng s\u1ed1 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng kh\u1edbp g\u1ed1i, v\u1edbi nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt v\u00e0 quy tr\u00ecnh ph\u1ee5c h\u1ed3i k\u00e9o d\u00e0i ti\u00eau c\u1ee7a b\u00e0i nghi\u00ean c\u1ee9u** l\u00e0 ph\u00e2n t\u00edch hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ph\u1eabu thu\u1eadt ACL, v\u1edbi minh ch\u1ee9ng t\u1eeb c\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u1ef1c hi\u1ec7n t\u1ea1i Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i Ho\u00e0.<\/span><\/p>\n

      \n
    1. T\u1ed5ng quan v\u1ec1 ch\u1ea5n th\u01b0\u01a1ng ACL<\/b><\/li>\n<\/ol>\n

      C\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a d\u00e2y ch\u1eb1ng ACL<\/b>: D\u00e2y ch\u1eb1ng n\u00e0y n\u1eb1m \u1edf trung t\u00e2m c\u1ee7a kh\u1edbp g\u1ed1i, gi\u00fap h\u1ea1n ch\u1ebf c\u00e1c chuy\u1ec3n \u0111\u1ed9ng tr\u01b0\u1ee3t tr\u01b0\u1edbc v\u00e0 gi\u1eef v\u1eefng kh\u1edbp khi c\u00f3 t\u00e1c \u0111\u1ed9ng t\u1eeb b\u00ean ngo\u00e0i.<\/span>\u00a0<\/span><\/p>\n

      C\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng<\/b>: Ch\u1ea5n th\u01b0\u01a1ng ACL th\u01b0\u1eddng x\u1ea3y ra khi g\u1ed1i ch\u1ecbu l\u1ef1c xo\u1eafn m\u1ea1nh ho\u1eb7c trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p ng\u00e3 ho\u1eb7c va ch\u1ea1m \u0111\u1ed9t ng\u1ed9t.<\/span><\/p>\n

      Theo Baker v\u00e0 c\u1ed9ng s\u1ef1 (2020), ch\u1ea5n th\u01b0\u01a1ng ACL c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ea5t \u1ed5n \u0111\u1ecbnh kh\u1edbp g\u1ed1i, v\u00e0 n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, c\u00f3 th\u1ec3 g\u00e2y ra tho\u00e1i h\u00f3a kh\u1edbp s\u1edbm.<\/span><\/p>\n

      \"\"<\/p>\n

        \n
      1. Ch\u1ee9c n\u0103ng sau ch\u1ea5n th\u01b0\u01a1ng ACL<\/b><\/li>\n<\/ol>\n

        M\u1ee5c ti\u00eau c\u1ee7a ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/b>: Gi\u00fap b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng, s\u1ee9c m\u1ea1nh v\u00e0 s\u1ef1 linh ho\u1ea1t, ng\u0103n ng\u1eeba t\u00e1i ch\u1ea5n th\u01b0\u01a1ng.<\/span><\/p>\n

        C\u00e1c giai \u0111o\u1ea1n ph\u1ee5c h\u1ed3i<\/b> sau ph\u1eabu thu\u1eadt:<\/span><\/p>\n

          \n
        • Giai \u0111o\u1ea1n \u0111\u1ea7u (0-4 tu\u1ea7n)<\/b>: c\u00e1c \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd:<\/span><\/li>\n
        • k\u00ea cao ch\u00e2n m\u1ed5 khi n\u1eb1m ngh\u1ec9 ng\u01a1i<\/span><\/li>\n
        • s\u1eed d\u1ee5ng n\u1eb9p \u0111\u00f9i c\u1eb3ng ch\u00e2n c\u1ed1 \u0111\u1ecbnh g\u1ed1i, m\u1ed7i ng\u00e0y th\u00e1o n\u1eb9p 2 – 3 l\u1ea7n \u0111\u1ec3 t\u1eadp luy\u1ec7n.<\/span><\/li>\n
        • luy\u1ec7n t\u1eadp di \u0111\u1ed9ng x\u01b0\u01a1ng b\u00e1nh ch\u00e8 theo chi\u1ec1u l\u00ean xu\u1ed1ng, tr\u00e1i sang ph\u1ea3i<\/span><\/li>\n
        • th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp g\u1eadp du\u1ed7i, c\u1ed5 ch\u00e2n<\/span><\/li>\n
        • th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp co c\u01a1 t\u0129nh, t\u1eadp g\u1ed3ng c\u01a1 \u0111\u00f9i v\u00e0 c\u01a1 c\u1eb3ng b\u00e0n ch\u00e2n<\/span><\/li>\n
        • th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp d\u1ea1ng v\u00e0 kh\u00e9p ch\u00e2n, n\u00e2ng to\u00e0n b\u1ed9 ch\u00e2n l\u00ean kh\u1ecfi m\u1eb7t gi\u01b0\u1eddng.<\/span><\/li>\n
        • c\u00e1c ng\u00e0y ti\u1ebfp theo ti\u1ebfp t\u1ee5c t\u1eadp luy\u1ec7n nh\u01b0 tr\u00ean<\/span><\/li>\n
        • l\u01b0u \u00fd: ch\u01b0\u1eddm l\u1ea1nh\u00a0 sau t\u1eadp luy\u1ec7n n\u1ebfu c\u00f3 s\u01b0ng, \u0111au<\/span><\/li>\n
        • khi di chuy\u1ec3n c\u1ea7n h\u1ed9 tr\u1ee3 b\u1eb1ng\u00a0 n\u1ea1n.<\/span><\/li>\n
        • sau 1 tu\u1ea7n ph\u1eabu thu\u1eadt ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 t\u1eadp g\u1eadp du\u1ed7i g\u1ed1i 90 \u0111\u1ed9<\/span><\/li>\n
        • tu\u1ea7n th\u1ee9 2, kh\u1edbp g\u1ed1i g\u1eadp \u0111\u01b0\u1ee3c 90 \u0111\u1ed9,\u00a0 g\u1ed1i du\u1ed7i \u0111\u01b0\u1ee3c ho\u00e0n to\u00e0n, y\u00eau c\u1ea7u s\u1ee9c c\u01a1 \u0111\u00f9i kh\u1ecfe.<\/span><\/li>\n
        • tu\u1ea7n 03-04. d\u00e2y m\u1ec1m m\u00f4 s\u1eb9o, t\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng th\u1ee7 \u0111\u1ed9ng g\u1ed1i g\u1eadp d\u1ea7n cho \u0111\u1ebfn 120 \u0111\u1ed9, t\u1eadp s\u1ee9c m\u1ea1nh c\u01a1 \u0111\u00f9i.<\/span><\/li>\n
        • Giai \u0111o\u1ea1n trung gian (4-12 tu\u1ea7n)<\/b>:<\/span><\/li>\n
        • ti\u1ebfp t\u1ee5c t\u1eadp c\u00e1c b\u00e0i t\u1eadp tr\u00ean<\/span><\/li>\n
        • \u00a0T\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh v\u00e0 kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng c\u1ee7a c\u00e1c nh\u00f3m c\u01a1 quanh g\u1ed1i, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i\u2026<\/span><\/li>\n
        • Giai \u0111o\u1ea1n cu\u1ed1i (12 tu\u1ea7n tr\u1edf \u0111i)<\/b>: T\u1eadp luy\u1ec7n ch\u1ee9c n\u0103ng \u0111\u1ec3 chu\u1ea9n b\u1ecb cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u0111\u00f2i h\u1ecfi c\u01b0\u1eddng \u0111\u1ed9 cao v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t c\u01a1 h\u1ecdc c\u1ee7a kh\u1edbp.<\/span><\/li>\n
        • ti\u1ebfp t\u1ee5c t\u1eadp c\u00e1c b\u00e0i t\u1eadp tr\u00ean<\/span><\/li>\n
        • t\u1eadp t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u00e1c nh\u00f3m c\u01a1 t\u1ee9 \u0111\u1ea7u \u0111\u00f9i<\/span><\/li>\n
        • t\u1eadp g\u1eadp du\u1ed7i kh\u1edbp g\u1ed1i ch\u1ee7 \u0111\u1ed9ng\u00a0<\/span><\/li>\n<\/ul>\n

          Theo Fahkry v\u00e0 c\u1ed9ng s\u1ef1 (2019), ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng gi\u00fap gi\u1ea3m thi\u1ec3u t\u1ef7 l\u1ec7 t\u00e1i ch\u1ea5n th\u01b0\u01a1ng t\u1edbi 30% v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng quay l\u1ea1i ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao t\u1edbi 85% .<\/span><\/p>\n

            \n
          1. Ph\u01b0\u01a1ng tr\u1ecb t\u1ea1i Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i Ho\u00e0<\/b><\/li>\n<\/ol>\n

            Thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i v\u00e0 \u0111\u1ed9i ng\u0169 chuy\u00ean gia<\/b>: Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i Ho\u00e0, t\u1ecda l\u1ea1c t\u1ea1i \u0111\u1ecba ch\u1ec9 93-95 Ng\u00f4 Gia T\u1ef1, Ph\u01b0\u1eddng Thanh S\u01a1n, TP. Phan Rang – Th\u00e1p Ch\u00e0m, t\u1ec9nh Ninh Thu\u1eadn, n\u1ed5i ti\u1ebfng v\u1edbi c\u00e1c trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i v\u00e0 quy tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ti\u00ean ti\u1ebfn.<\/span><\/p>\n

            Li\u1ec7u ph\u00e1p c\u00e1 nh\u00e2n h\u00f3a<\/b>: \u0110\u1ed1i v\u1edbi m\u1ed7i b\u1ec7nh nh\u00e2n, Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i Ho\u00e0 \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u00e1 nh\u00e2n h\u00f3a theo m\u1ee9c \u0111\u1ed9 ch\u1ea5n th\u01b0\u01a1ng, gi\u00fap \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 ph\u1ee5c h\u1ed3i t\u1ed1t nh\u1ea5t.<\/span><\/p>\n

            \u0110\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i \u0111\u1ecbnh k\u1ef3<\/b>: Th\u0103m kh\u00e1m \u0111\u1ecbnh k\u1ef3 t\u1ea1i ph\u00f2ng kh\u00e1m gi\u00fap c\u00e1c chuy\u00ean gia theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb, mang l\u1ea1i hi\u1ec7u qu\u1ea3 cao trong vi\u1ec7c ph\u00f2ng ng\u1eeba t\u00e1i ch\u1ea5n th\u01b0\u01a1ng.\u00a0<\/span><\/p>\n

            Ngu\u1ed3n: YHCT_PHCN BS NGUY\u1ec4N TH\u1eca MINH CH\u00c2U<\/p>\n

              \n
            1. K\u1ebft lu\u1eadn<\/b><\/li>\n<\/ol>\n

              Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau ch\u1ea5n th\u01b0\u01a1ng ACL \u0111\u00f3ng vai tr\u00f2 v\u00f4 c\u00f9ng quan tr\u1ecdng trong vi\u1ec7c \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 quay l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, \u0111\u1ed3ng th\u1eddi gi\u1ea3m nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng t\u00e1i ph\u00e1t.<\/span><\/p>\n

              Vi\u1ec7c th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn nh\u01b0 Ph\u00f2ng kh\u00e1m \u0110a khoa Th\u00e1i Ho\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n an t\u00e2m v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng d\u1ecbch v\u1ee5, t\u1eeb \u0111\u00f3 th\u00fac \u0111\u1ea9y hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

              T\u00e0i li\u1ec7u tham kh\u1ea3o<\/b><\/p>\n

                \n
              1. Micheo, W., et al. (2021). <\/span>ACL injuries in athletes<\/span><\/i>. Journal of Sports Medicine, 35(2), 234-240.<\/span><\/li>\n
              2. Baker, L., et al. (2020). <\/span>Mechanisms and outcomes of ACL injuries<\/span><\/i>. Clinical Orthopaedics, 28(5), 456-460.<\/span><\/li>\n
              3. Fahkry, M., et al. (2019). <\/span>Effectiveness of rehabilitation post ACL reconstruction<\/span><\/i>. Journal of Orthopaedic Rehabilitation, 14(1), 102-107.<\/span><\/li>\n<\/ol>\n

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

                Gi\u1edbi thi\u1ec7u Ch\u1ea5n th\u01b0\u01a1ng d\u00e2y ch\u1eb1ng ch\u00e9o tr\u01b0\u1edbc (ACL) l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea1ng ch\u1ea5n th\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf kh\u1edbp g\u1ed1i, \u0111\u1eb7c bi\u1ec7t th\u01b0\u1eddng g\u1eb7p trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao nh\u01b0 b\u00f3ng \u0111\u00e1, b\u00f3ng r\u1ed5, v\u00e0 tr\u01b0\u1ee3t tuy\u1ebft. D\u00e2y ch\u1eb1ng ACL \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c gi\u1eef v\u1eefng kh\u1edbp g\u1ed1i, gi\u00fapLeer M\u00e1s<\/p>","protected":false},"author":1,"featured_media":4044,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[33],"tags":[],"class_list":["post-4043","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thong-tin-y-khoa"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4043","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/comments?post=4043"}],"version-history":[{"count":3,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4043\/revisions"}],"predecessor-version":[{"id":4286,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/4043\/revisions\/4286"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media\/4044"}],"wp:attachment":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media?parent=4043"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/categories?post=4043"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/tags?post=4043"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}