{"id":26095,"date":"2023-04-22T12:01:31","date_gmt":"2023-04-22T05:01:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26095"},"modified":"2023-04-22T12:01:31","modified_gmt":"2023-04-22T05:01:31","slug":"ky-thuat-kiem-soat-tu-the-va-van-dong-cho-nguoi-benh-parkinson","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/ky-thuat-kiem-soat-tu-the-va-van-dong-cho-nguoi-benh-parkinson\/","title":{"rendered":"K\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf v\u00e0 v\u1eadn \u0111\u1ed9ng cho ng\u01b0\u1eddi b\u1ec7nh Parkinson"},"content":{"rendered":"

R\u1ed1i lo\u1ea1n t\u01b0 th\u1ebf l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ec7nh Parkinson<\/a>, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u01b0 th\u1ebf g\u1eadp\/ng\u1ea3 ng\u01b0\u1eddi ra tr\u01b0\u1edbc, h\u1eadu qu\u1ea3 c\u1ee7a r\u1ed1i lo\u1ea1n t\u01b0 th\u1ebf \u1edf ng\u01b0\u1eddi b\u1ec7nh Parkison g\u00e2y h\u1ea1n ch\u1ebf t\u1ea7m nh\u00ecn, kh\u00f3 kh\u0103n khi \u0103n, n\u00f3i, gi\u1ea3m kh\u1ea3 n\u0103ng \u0111i l\u1ea1i v\u00e0 t\u0103ng nguy c\u01a1 ng . C\u00e1c k\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh Parkinson \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng sinh ho\u1ea1t c\u0169ng nh\u01b0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/strong><\/p>\n

\"\"
R\u1ed1i lo\u1ea1n t\u01b0 th\u1ebf l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ec7nh Parkinson<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 k\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf v\u00e0 v\u1eadn \u0111\u1ed9ng<\/h2>\n

K\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf v\u00e0 v\u1eadn \u0111\u1ed9ng cho ng\u01b0\u1eddi b\u1ec7nh Parkinson, hay c\u00f2n g\u1ecdi l\u00e0 Ph\u01b0\u01a1ng ph\u00e1p LSVT-BIG (Lee Silverman Voice Treatment – BIG) \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi hai nh\u00e0 nghi\u00ean c\u1ee9u ng\u01b0\u1eddi M\u1ef9 l\u00e0 Lorraine Ramig v\u00e0 Cynthia Fox v\u00e0o nh\u1eefng n\u0103m 1980.<\/p>\n

Ban \u0111\u1ea7u, LSVT-BIG \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n nh\u1eb1m c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng gi\u1ecdng n\u00f3i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh Parkinson th\u00f4ng qua vi\u1ec7c t\u1eadp luy\u1ec7n c\u00e1c b\u00e0i t\u1eadp gi\u1ecdng n\u00f3i v\u00e0 h\u00f4 h\u1ea5p. Tuy nhi\u00ean, sau \u0111\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng \u0111\u1ec3 t\u1eadp trung v\u00e0o c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u1ec7nh nh\u00e2n Parkinson, bao g\u1ed3m c\u1ea3 c\u00e1c kh\u00eda c\u1ea1nh nh\u01b0 t\u01b0 th\u1ebf, c\u1eed ch\u1ec9 v\u00e0 di chuy\u1ec3n.<\/p>\n

LSVT-BIG l\u00e0 m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n d\u00e0i h\u1ea1n, bao g\u1ed3m c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng chuy\u00ean s\u00e2u v\u00e0 t\u1eadp trung v\u00e0o vi\u1ec7c t\u0103ng c\u01b0\u1eddng s\u1ef1 linh ho\u1ea1t v\u00e0 \u0111i\u1ec1u khi\u1ec3n c\u01a1 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n Parkinson. C\u00e1c b\u00e0i t\u1eadp trong LSVT-BIG \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 \u0111\u1ea9y m\u1ea1nh c\u00e1c c\u1eed ch\u1ec9 l\u1edbn v\u00e0 nhanh h\u01a1n, t\u0103ng c\u01b0\u1eddng s\u1ef1 linh ho\u1ea1t v\u00e0 \u0111i\u1ec1u khi\u1ec3n c\u01a1 th\u1ec3, v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n t\u0103ng kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/p>\n

LSVT-BIG \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p t\u1eadp luy\u1ec7n v\u1eadn \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 nh\u1ea5t cho b\u1ec7nh nh\u00e2n Parkinson. N\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n c\u01b0\u1eddng \u0111\u1ed9 v\u00e0 t\u1ea7n su\u1ea5t c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng, t\u0103ng s\u1ef1 t\u1ef1 tin v\u00e0 s\u1ef1 \u0111\u1ed9ng vi\u00ean cho b\u1ec7nh nh\u00e2n Parkinson, v\u00e0 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 run ch\u00e2n v\u00e0 \u0111\u1ed9ng kinh c\u01a1.<\/p>\n

Hi\u1ec7n nay, LSVT-BIG \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean to\u00e0n th\u1ebf gi\u1edbi v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho b\u1ec7nh nh\u00e2n Parkinson \u0111\u1ec3 gi\u00fap h\u1ecd duy tr\u00ec v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a m\u00ecnh.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h2>\n

Ng\u01b0\u1eddi b\u1ec7nh Parkinson giai \u0111o\u1ea1n I \u0111\u1ebfn IV (theo Hoehn & Yahr Scale).<\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh hi\u1ec3u v\u00e0 h\u1ee3p t\u00e1c \u0111\u01b0\u1ee3c.<\/p>\n

3. Ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h2>\n

Ng\u01b0\u1eddi b\u1ec7nh Parkinson \u0111ang m\u1eafc c\u00e1c b\u1ec7nh l\u00fd n\u1ed9i khoa c\u1ea5p t\u00ednh ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/p>\n

B\u1ec7nh Parkinson giai \u0111o\u1ea1n V.<\/p>\n

4. Chu\u1ea9n b\u1ecb<\/strong><\/h2>\n

4.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n <\/strong><\/h3>\n

K\u1ef9 thu\u1eadt vi\u00ean ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, b\u00e1c s\u0129 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n

4.2. Ng\u01b0\u1eddi b\u1ec7nh <\/strong><\/h3>\n

Gi\u1ea3i th\u00edch cho ng\u01b0\u1eddi b\u1ec7nh m\u1ee5c \u0111\u00edch c\u1ee7a b\u00e0i t\u1eadp.<\/p>\n

4.3. Ph\u01b0\u01a1ng ti\u1ec7n <\/strong><\/p>\n

Gi\u01b0\u1eddng t\u1eadp, gh\u1ebf t\u1ef1a (ph\u1ea7n t\u1ef1a th\u1ea5p ngang \u0111\u1ec9nh x\u01b0\u01a1ng b\u1ea3 vai), th\u1ea3m, g\u1ed1i m\u1ecfng m\u1eadt \u0111\u1ed9 ch\u1eafc.<\/p>\n

5. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/strong><\/h2>\n

5.1. K\u1ef9 thu\u1eadt k\u00e9o c\u1eb1m ra sau <\/strong><\/h3>\n

M\u1ee5c \u0111\u00edch b\u00e0i t\u1eadp: k\u1ef9 thu\u1eadt n\u00e0y ch\u1ed1ng l\u1ea1i t\u01b0 th\u1ebf \u0111\u1ea7u c\u00fai g\u1eadp ra ph\u00eda tr\u01b0\u1edbc \u1edf ng\u01b0\u1eddi b\u1ec7nh Parkinson.<\/p>\n

B\u01b0\u1edbc 1: <\/strong><\/p>\n

K\u1ef9 thu\u1eadt vi\u00ean l\u00e0m b\u00e0i t\u1eadp m\u1eabu t\u01b0 th\u1ebf ng\u1ed3i v\u00e0 t\u01b0 th\u1ebf n\u1eb1m sau \u0111\u00f3 \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh v\u00e0o gh\u1ebf \/gi\u01b0\u1eddng t\u1eadp.<\/p>\n

B\u01b0\u1edbc 2: <\/strong><\/p>\n

Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp:<\/p>\n

T\u01b0 th\u1ebf n\u1eb1m: n\u1eb1m ng\u1eeda tr\u00ean gi\u01b0\u1eddng \u0111\u1ec7m kh\u00f4ng l\u00fan, k\u00ea g\u1ed1i \u1edf v\u1ecb tr\u00ed x\u01b0\u01a1ng ch\u1ea9m, kh\u00f4ng \u0111\u1eb7t g\u1ed1i \u1edf c\u1ed9t s\u1ed1ng c\u1ed5.<\/p>\n

Y\u00eau c\u1ea7u ng\u01b0\u1eddi b\u1ec7nh k\u00e9o \u0111\u1ea7u ra ph\u00eda sau sao cho t\u1ea1o ra 2 c\u1eb1m, l\u00fac n\u00e0y c\u00f3 c\u1ea3m gi\u00e1c \u0111\u1ea7u \u00e9p xu\u1ed1ng g\u1ed1i (th\u1ec3 hi\u1ec7n qua \u0111\u1ed9 l\u00fan g\u1ed1i), ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 t\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1eed \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u0111\u1eb7t 2 ng\u00f3n tay \u1edf tr\u01b0\u1edbc c\u1eb1m, gi\u1eef \u1edf t\u01b0 th\u1ebf 2 gi\u00e2y sau \u0111\u00f3 th\u01b0 gi n. L\u1eb7p l\u1ea1i 8 – 15 l\u1ea7n\/chu\u1ed7i t\u1eadp, m\u1ed7i bu\u1ed5i t\u1eadp 4 – 5 chu\u1ed7i.<\/p>\n

T\u01b0 th\u1ebf ng\u1ed3i: t\u1ed1t nh\u1ea5t l\u00e0 ng\u1ed3i tr\u01b0\u1edbc g\u01b0\u01a1ng, ng\u1ed3i gh\u1ebf c\u00f3 t\u1ef1a ph\u1ea7n l\u01b0ng. Ng\u01b0\u1eddi b\u1ec7nh c\u0169ng l\u00e0m th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c nh\u01b0 t\u1ea1o ra 2 c\u1eb1m b\u1eb1ng c\u00e1ch k\u00e9o \u0111\u1ea7u ra ph\u00eda sau.<\/p>\n

5.2. K\u1ef9 thu\u1eadt k\u00e9o x\u01b0\u01a1ng b\u1ea3 vai <\/strong><\/h3>\n

M\u1ee5c \u0111\u00edch: nh\u1eb1m gi\u1ea3m \u0111\u1ed9 cong\/g\u00f9 v\u00f9ng b\u1ea3 vai.<\/p>\n

B\u01b0\u1edbc 1: <\/strong><\/p>\n

K\u1ef9 thu\u1eadt vi\u00ean l\u00e0m b\u00e0i t\u1eadp m\u1eabu sau \u0111\u00f3 h\u01b0\u1edbng d\u1eabn t\u01b0 th\u1ebf \u0111\u00fang khi t\u1eadp.<\/p>\n

B\u01b0\u1edbc 2: <\/strong><\/p>\n

Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp. \u00a0<\/strong><\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh ng\u1ed3i th\u1eb3ng l\u01b0ng nh\u1ea5t c\u00f3 th\u1ec3, khu\u1ef7u tay g\u1eadp 90o<\/sup>, c\u00e1nh tay \u00e1p s\u00e1t th\u00e2n, k\u00e9o 2 khu\u1ef7u v\u1ec1 ph\u00eda sau th\u00e2n l\u00fac n\u00e0y 2 x\u01b0\u01a1ng b\u1ea3 vai k\u00e9o g\u1ea7n s\u00e1t c\u1ed9t s\u1ed1ng, c\u1ed1 g\u1eafng k\u00e9o cho vai c\u00e0ng ph\u1eb3ng c\u00e0ng t\u1ed1t, gi\u1eef \u1edf t\u01b0 th\u1ebf n\u00e0y 2 – 5 gi\u00e2y sau \u0111\u00f3 th\u01b0 gi\u00e3n. L\u1eb7p l\u1ea1i \u0111\u1ed9ng t\u00e1c t\u1eeb 8 – 15 l\u1ea7n\/chu\u1ed7i, m\u1ed7i bu\u1ed5i t\u1eadp 4 – 5 chu\u1ed7i t\u1eadp, xen k\u1ebd v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt kh\u00e1c.<\/p>\n

5.3. K\u1ef9 thu\u1eadt \u01b0\u1ee1n ng\u1ef1c <\/strong><\/h3>\n

M\u1ee5c \u0111\u00edch: nh\u1eb1m gi\u1ea3m \u0111\u1ed9 g\u00f9 v\u00f9ng l\u01b0ng cao.<\/p>\n

B\u01b0\u1edbc 1 <\/strong><\/p>\n

K\u1ef9 thu\u1eadt vi\u00ean h\u01b0\u1edbng d\u1eabn t\u01b0 th\u1ebf \u0111\u00fang khi t\u1eadp v\u00e0 th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp m\u1eabu tr\u01b0\u1edbc, sau \u0111\u00f3 s\u1ebd h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh t\u1eadp c\u1ee5 th\u1ec3.<\/p>\n

B\u01b0\u1edbc 2 : <\/strong><\/p>\n

Th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp<\/p>\n

    \n
  • Ng\u01b0\u1eddi b\u1ec7nh ng\u1ed3i d\u1ef1a l\u01b0ng tr\u00ean gh\u1ebf c\u00f3 ph\u1ea7n t\u1ef1a th\u1ea5p d\u01b0\u1edbi \u0111\u1ec9nh c\u1ee7a x\u01b0\u01a1ng b\u1ea3 vai, 2 tay ng\u01b0\u1eddi b\u1ec7nh c\u00e0i v\u00e0o nhau v\u1ec1 \u0111\u1eb7t ph\u00eda sau \u0111\u1ea7u.<\/li>\n
  • \u01af\u1ee1n ng\u1ef1c ra tr\u01b0\u1edbc \u0111\u1ed3ng th\u1eddi m\u1edf r\u1ed9ng khu\u1ef7u ra sau v\u00e0 ra 2 b\u00ean, m\u1eb7t c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh h\u01b0\u1edbng l\u00ean tr\u1ea7n nh\u00e0, gi\u1eef 3 – 5 gi\u00e2y sau \u0111\u00f3 th\u01b0 gi\u00e3n.<\/li>\n
  • L\u1eb7p l\u1ea1i \u0111\u1ed9ng t\u00e1c t\u1eeb 8 – 15 l\u1ea7n\/ 1chu\u1ed7i t\u1eadp sau \u0111\u00f3 chuy\u1ec3n sang b\u00e0i t\u1eadp kh\u00e1c, r\u1ed3i l\u1eb7p l\u1ea1i 3 – 4 chu\u1ed7i t\u1eadp nh\u01b0 tr\u00ean.<\/li>\n
  • Ch\u00fa \u00fd lu\u00f4n th\u1edf \u0111\u1ec1u trong khi t\u1eadp, tr\u00e1nh n\u00edn th\u1edf trong khi t\u1eadp.<\/li>\n<\/ul>\n

    T\u0103ng d\u1ea7n s\u1ed1 l\u1ea7n t\u1eadp v\u00e0 chu\u1ed7i t\u1eadp \u0111\u1ec3 tr\u00e1nh m\u1ec7t v\u00e0 m\u1ecfi c\u01a1.<\/p>\n

    Th\u1eddi gian t\u1eadp 1 bu\u1ed5i t\u1eeb 15 – 20 ph\u00fat t\u00f9y theo t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    6. Theo d\u00f5i k\u1ebft qu\u1ea3<\/strong><\/h2>\n

    Ti\u1ebfn b\u1ed9 v\u1ec1 ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    C\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u1ecfi c\u01a1 sau t\u1eadp.<\/p>\n

    7. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/strong><\/p>\n

    X\u1eed tr\u00ed \u0111au m\u1ecfi c\u01a1: th\u01b0 gi\u00e3n, ngh\u1ec9 ng\u01a1i, c\u00f3 th\u1ec3 xem x\u00e9t gi\u1ea3m c\u01b0\u1eddng \u0111\u1ed9 t\u1eadp (chu\u1ed7i t\u1eadp v\u00e0 s\u1ed1 l\u1ea7n t\u1eadp).<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

    R\u1ed1i lo\u1ea1n t\u01b0 th\u1ebf l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ec7nh Parkinson, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u01b0 th\u1ebf g\u1eadp\/ng\u1ea3 ng\u01b0\u1eddi ra tr\u01b0\u1edbc, h\u1eadu qu\u1ea3 c\u1ee7a r\u1ed1i lo\u1ea1n t\u01b0 th\u1ebf \u1edf ng\u01b0\u1eddi b\u1ec7nh Parkison g\u00e2y h\u1ea1n ch\u1ebf t\u1ea7m nh\u00ecn, kh\u00f3 kh\u0103n khi \u0103n, n\u00f3i, gi\u1ea3m kh\u1ea3 n\u0103ng \u0111i l\u1ea1i v\u00e0 t\u0103ng nguy c\u01a1 ng . C\u00e1c […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nK\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf v\u00e0 v\u1eadn \u0111\u1ed9ng cho ng\u01b0\u1eddi b\u1ec7nh Parkinson<\/title>\n<meta name=\"description\" content=\"C\u00e1c k\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh Parkinson \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng sinh ho\u1ea1t c\u0169ng nh\u01b0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"K\u1ef9 thu\u1eadt ki\u1ec3m so\u00e1t t\u01b0 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