{"id":26243,"date":"2023-04-22T21:24:12","date_gmt":"2023-04-22T14:24:12","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26243"},"modified":"2023-04-22T21:24:12","modified_gmt":"2023-04-22T14:24:12","slug":"bai-nao-cac-cong-cu-phan-loai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/","title":{"rendered":"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o"},"content":{"rendered":"

Ba\u0323i na\u0303o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng do nh\u1eefng r\u1ed1i lo\u1ea1n kh\u00f4ng ti\u1ebfn tri\u1ec3n x\u1ea3y ra trong n\u00e3o b\u00e0o thai ho\u1eb7c n\u00e3o \u1edf tr\u1ebb nh\u1ecf \u0111ang ph\u00e1t tri\u1ec3n. C\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u1ea1i n\u00e3o th\u01b0\u1eddng k\u00e8m theo nh\u1eefng r\u1ed1i lo\u1ea1n v\u1ec1 c\u1ea3m gi\u00e1c, nh\u1eadn c\u1ea3m, nh\u1eadn th\u1ee9c, giao ti\u1ebfp v\u00e0 h\u00e0nh vi, \u0111\u1ed9ng kinh v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 c\u01a1 x\u01b0\u01a1ng th\u1ee9 ph\u00e1t.\u201d (Rosenbaum v\u00e0 c\u1ed9ng s\u1ef1, 2007).<\/p>\n

T\u1ef7 l\u1ec7 m\u1edbi m\u1eafc b\u1ea1i n\u00e3o \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n l\u00e0 1,4-2,1 tr\u00ean 1.000 tr\u1ebb sinh ra s\u1ed1ng (ACPR, 2016, Sellier v\u00e0 c\u1ed9ng s\u1ef1, n\u0103m 2015). T\u1ef7 l\u1ec7 m\u1edbi m\u1eafc b\u1ea1i n\u00e3o \u1edf Vi\u1ec7t Nam v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 tuy nhi\u00ean c\u00f3 th\u1ec3 cao h\u01a1n m\u1ee9c n\u00e0y.<\/p>\n

\u0110\u1ec3 ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ba\u0323i na\u0303o, vi\u1ec7c ph\u00e2n lo\u1ea1i v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh l\u00e0 r\u1ea5t quan tr\u1ecdng. Hi\u1ec7n nay, c\u00f3 nhi\u1ec1u c\u00f4ng c\u1ee5 ph\u00e2n lo\u1ea1i ba\u0323i na\u0303o hi\u1ec7n \u0111\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ba\u0323i na\u0303o. Ba\u0300i vi\u00ea\u0301t sau se\u0303 cung c\u00e2\u0301p th\u00f4ng tin v\u00ea\u0300 ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i ba\u0323i na\u0303o tham kha\u0309o t\u01b0\u0300 Quy\u1ebft \u0111\u1ecbnh s\u1ed1 5623 \/Q\u0110-BYT ng\u00e0y 21\/9\/2018 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u00ea\u0301.<\/p>\n

\"Ba\u0323i
Ba\u0323i na\u0303o<\/figcaption><\/figure>\n

1. Kh\u1ea3 n\u0103ng di chuy\u1ec3n ch\u1ee9c n\u0103ng \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o<\/strong><\/h2>\n

1.1. H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Ch\u1ee9c n\u0103ng V\u1eadn \u0111\u1ed9ng Th\u00f4 \u1edf tr\u1ebb b\u1ea1i n\u00e3o (GMFCS)<\/strong><\/h3>\n

(Palisano, Rosenbaum, Walters, Russell, Wood & Galuppi, 1997; Palisano, Rosenbaum, Bartlett & Livingston, 2008).<\/p>\n

H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Ch\u1ee9c n\u0103ng V\u1eadn \u0111\u1ed9ng Th\u00f4 (GMFCS) l\u00e0 m\u1ed9t ph\u00e2n lo\u1ea1i g\u1ed3m 5 m\u1ee9c \u0111\u1ed9, m\u00f4 t\u1ea3 ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng th\u00f4 c\u1ee7a tr\u1ebb b\u1ea1i n\u00e3o d\u1ef1a tr\u00ean v\u1eadn \u0111\u1ed9ng tr\u1ebb t\u1ef1 kh\u1edfi ph\u00e1t, ch\u00fa tr\u1ecdng \u0111\u1eb7c bi\u1ec7t \u0111\u1ebfn kh\u1ea3 n\u0103ng ng\u1ed3i v\u00e0 \u0111i. Ph\u00e2n bi\u1ec7t gi\u1eefa c\u00e1c m\u1ee9c \u0111\u1ed9 d\u1ef1a tr\u00ean c\u00e1c kh\u1ea3 n\u0103ng ch\u1ee9c n\u0103ng, nhu c\u1ea7u v\u1ec1 k\u1ef9 thu\u1eadt tr\u1ee3 gi\u00fap (bao g\u1ed3m c\u00e1c thi\u1ebft b\u1ecb di chuy\u1ec3n c\u1ea7m tay nh\u01b0 khung \u0111i, n\u1ea1ng ho\u1eb7c g\u1eady ho\u1eb7c di chuy\u1ec3n c\u00f3 b\u00e1nh xe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a v\u1eadn \u0111\u1ed9ng.<\/p>\n

V\u1ea5n \u0111\u1ec1 tr\u1ecdng t\u00e2m l\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 n\u00e0o \u0111\u1ea1i di\u1ec7n \u0111\u00fang nh\u1ea5t c\u00e1c kh\u1ea3 n\u0103ng v\u00e0 c\u00e1c h\u1ea1n ch\u1ebf hi\u1ec7n t\u1ea1i c\u1ee7a tr\u1ebb trong ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng th\u00f4. Nh\u1ea5n m\u1ea1nh v\u00e0o kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n b\u00ecnh th\u01b0\u1eddng \u1edf nh\u00e0, t\u1ea1i tr\u01b0\u1eddng h\u1ecdc v\u00e0 trong c\u1ed9ng \u0111\u1ed3ng (t\u1ee9c l\u00e0 nh\u1eefng g\u00ec tr\u1ebb th\u1ef1c s\u1ef1 l\u00e0m), ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 nh\u1eefng g\u00ec tr\u1ebb \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c \u1edf m\u1ee9c t\u1ed1t nh\u1ea5t (n\u0103ng l\u1ef1c). Do \u0111\u00f3, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u00e2n lo\u1ea1i kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n hi\u1ec7n t\u1ea1i v\u1ec1 ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng th\u00f4 v\u00e0 kh\u00f4ng bao g\u1ed3m c\u00e1c \u0111\u00e1nh gi\u00e1 v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a v\u1eadn \u0111\u1ed9ng ho\u1eb7c ti\u00ean l\u01b0\u1ee3ng c\u1ea3i thi\u1ec7n. M\u1ee9c GMFCS n\u00ean \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u1edbi s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a tr\u1ebb v\u00e0 gia \u0111\u00ecnh, ch\u1ee9 kh\u00f4ng ph\u1ea3i ch\u1ec9 b\u1edfi m\u1ed9t chuy\u00ean gia.<\/p>\n

Trang web CanChild cung c\u1ea5p c\u00e1c m\u00f4 t\u1ea3 c\u1ee7a 5 m\u1ee9c \u0111\u1ed9 GMFCS cho c\u00e1c nh\u00f3m tu\u1ed5i kh\u00e1c nhau: Tr\u01b0\u1edbc 2 tu\u1ed5i; T\u1eeb 2 \u0111\u1ebfn 4 tu\u1ed5i; T\u1eeb 4 \u0111\u1ebfn 6 tu\u1ed5i; v\u00e0 t\u1eeb 6 \u0111\u1ebfn 12 tu\u1ed5i. GMFCS – E & R (GMFCS Ch\u1ec9nh s\u1eeda v\u00e0 M\u1edf r\u1ed9ng) m\u00f4 t\u1ea3 ph\u00e2n lo\u1ea1i v\u1eadn \u0111\u1ed9ng th\u00f4 tr\u00ean c\u00e1c \u0111\u1ed9 tu\u1ed5i sau: 0-2 tu\u1ed5i; 2-4 tu\u1ed5i; 4-6 tu\u1ed5i; 6-12 tu\u1ed5i; v\u00e0 12-18 tu\u1ed5i. GMFCS nh\u1ea5n m\u1ea1nh c\u00e1c kh\u00e1i ni\u1ec7m v\u1ed1n c\u00f3 trong Khung Ph\u00e2n lo\u1ea1i Qu\u1ed1c t\u1ebf v\u1ec1 Ho\u1ea1t \u0111\u1ed9ng Ch\u1ee9c n\u0103ng, Khuy\u1ebft t\u1eadt v\u00e0 S\u1ee9c kho\u1ebb (ICF) c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi. C\u00e1c m\u00f4 t\u1ea3 cho c\u00e1c nh\u00f3m tu\u1ed5i t\u1eeb 6 \u0111\u1ebfn 12 tu\u1ed5i v\u00e0 12 \u0111\u1ebfn 18 tu\u1ed5i ph\u1ea3n \u00e1nh t\u00e1c \u0111\u1ed9ng c\u00f3 th\u1ec3 c\u00f3 c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng (v\u00ed d\u1ee5: c\u00e1c kho\u1ea3ng c\u00e1ch \u1edf tr\u01b0\u1eddng h\u1ecdc v\u00e0 c\u1ed9ng \u0111\u1ed3ng) v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 c\u00e1 nh\u00e2n v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p di chuy\u1ec3n.<\/p>\n

Ti\u1ebfn h\u00e0nh<\/strong><\/p>\n

Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1<\/u>: B\u00e1c s\u0129, k\u1ef9 thu\u1eadt vi\u00ean VLTL, k\u1ef9 thu\u1eadt vi\u00ean H\u0110TL, \u0111i\u1ec1u d\u01b0\u1ee1ng quen thu\u1ed9c v\u1edbi ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng th\u00f4 c\u1ee7a tr\u1ebb c\u00f9ng v\u1edbi m\u1ed9t ph\u1ee5 huynh ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c.<\/p>\n

C\u00e1ch th\u1ef1c hi\u1ec7n<\/u>: Nh\u00e2n vi\u00ean y t\u1ebf h\u1ecfi c\u00e1c c\u00e2u h\u1ecfi v\u1edbi tr\u1ebb, ph\u1ee5 huynh ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u1ec1 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 di chuy\u1ec3n ch\u1ee9c n\u0103ng. L\u01b0\u1ee3ng gi\u00e1 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua b\u00e1o c\u00e1o c\u1ee7a b\u1ed1 m\u1eb9\/ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u00e0\/ho\u1eb7c quan s\u00e1t trong bu\u1ed5i h\u1eb9n th\u00f4ng th\u01b0\u1eddng.<\/p>\n

Th\u1eddi gian<\/u>: Kh\u00f4ng \u00e1p d\u1ee5ng<\/p>\n

T\u00ednh s\u1eb5n c\u00f3<\/u>: B\u1ea3n GMFCS \u2013 ER (2007) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u1ea3i mi\u1ec5n ph\u00ed qua website: CanChild t\u1ea1i \u0111\u1ecba ch\u1ec9<\/p>\n

https:\/\/www.canchild.ca\/en\/resources\/42-gross-motor-function-classification-system-<\/a> expanded-revised-gmfcs-e-r<\/a><\/p>\n

1.2. Thang \u0111i\u1ec3m Di chuy\u1ec3n Ch\u1ee9c n\u0103ng \u1edf tr\u1ebb b\u1ea1i n\u00e3o (FMS)<\/h3>\n

(Graham, Harvey, Rodda, Nattras & Piripis, 2004)<\/p>\n

Thang \u0111i\u1ec3m Di chuy\u1ec3n Ch\u1ee9c n\u0103ng (FMS) (phi\u00ean b\u1ea3n 2) \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng \u0111\u1ec3 ph\u00e2n lo\u1ea1i di chuy\u1ec3n ch\u1ee9c n\u0103ng \u1edf tr\u1ebb t\u1eeb 4 \u0111\u1ebfn 18 tu\u1ed5i, c\u00f3 x\u00e9t \u0111\u1ebfn c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 m\u00e0 tr\u1ebb c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng qua ba kho\u1ea3ng c\u00e1ch: 5 m\u00e9t (trong v\u00e0 xung quanh nh\u00e0), 50 m\u00e9t (trong v\u00e0 xung quanh tr\u01b0\u1eddng h\u1ecdc\/tr\u01b0\u1eddng m\u1eabu gi\u00e1o) v\u00e0 500 m\u00e9t (trong c\u1ed9ng \u0111\u1ed3ng). FMS c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1ef1 thay \u0111\u1ed5i sau can thi\u1ec7p ph\u1eabu thu\u1eadt.<\/p>\n

Ti\u1ebfn h\u00e0nh<\/strong><\/p>\n

Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1:<\/u> B\u00e1c s\u0129, k\u1ef9 thu\u1eadt vi\u00ean VLTL, k\u1ef9 thu\u1eadt vi\u00ean H\u0110TL, \u0111i\u1ec1u d\u01b0\u1ee1ng.<\/p>\n

C\u00e1ch th\u1ef1c hi\u1ec7n: <\/u>Nh\u00e2n vi\u00ean y t\u1ebf h\u1ecfi tr\u1ebb, ph\u1ee5 huynh ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c quen thu\u1ed9c v\u1edbi s\u1ef1 di chuy\u1ec3n c\u1ee7a tr\u1ebb (kh\u00f4ng c\u1ea7n quan s\u00e1t tr\u1ef1c ti\u1ebfp). C\u00e1c c\u00e2u h\u1ecfi \u0111\u01b0\u1ee3c \u0111\u1eb7t ra trong cu\u1ed9c h\u1eb9n th\u00f4ng th\u01b0\u1eddng.<\/p>\n

Th\u1eddi gian:<\/u> Kh\u00f4ng \u00e1p d\u1ee5ng<\/p>\n

T\u00ednh s\u1eb5n c\u00f3:<\/u> C\u00e1c m\u1eabu n\u00e0y c\u00f3 s\u1eb5n t\u1ea1i: http:\/\/ww2.rch.org.au\/emplibrary\/ortho\/MOBILITYSCALE.pdf<\/a><\/p>\n

2. C\u00e1c Ph\u00e2n lo\u1ea1i D\u00e1ng \u0111i <\/strong>\u01a1\u0309 tre\u0309 ba\u0323i na\u0303o<\/strong><\/h2>\n

C\u00e1c ph\u00e2n lo\u1ea1i v\u1ec1 c\u00e1c m\u1eabu d\u00e1ng \u0111i th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb b\u1ea1i n\u00e3o li\u1ec7t n\u1eeda ng\u01b0\u1eddi v\u00e0 li\u1ec7t hai chi d\u01b0\u1edbi \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng. Ph\u00e2n lo\u1ea1i c\u00e1c m\u1eabu d\u00e1ng \u0111i c\u00f3 vai tr\u00f2 quan tr\u1ecdng khi c\u00e2n nh\u1eafc c\u00e1c can thi\u1ec7p b\u1eb1ng thu\u1ed1c v\u00e0 ph\u1eabu thu\u1eadt nh\u1eb1m c\u1ea3i thi\u1ec7n d\u00e1ng \u0111i v\u00e0 ch\u1ee9c n\u0103ng di chuy\u1ec3n.<\/p>\n

Ti\u1ebfn h\u00e0nh\u00a0<\/em><\/strong><\/p>\n

Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1:<\/u> C\u00e1c b\u00e1c s\u0129 quen thu\u1ed9c v\u1edbi l\u01b0\u1ee3ng gi\u00e1 d\u00e1ng \u0111i qua quan s\u00e1t, k\u1ef9 thu\u1eadt vi\u00ean VLTL.<\/p>\n

C\u00e1ch th\u1ef1c hi\u1ec7n:<\/u> C\u00e1c m\u1eabu d\u00e1ng \u0111i \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i qua l\u01b0\u1ee3ng gi\u00e1 d\u00e1ng \u0111i b\u1eb1ng quan s\u00e1t k\u1ef9 v\u00e0 l\u01b0\u1ee3ng gi\u00e1 th\u1ec3 ch\u1ea5t.<\/p>\n

Th\u1eddi gian:<\/u> 15-45 ph\u00fat t\u00f9y thu\u1ed9c v\u00e0o s\u1ef1 ph\u1ee9c t\u1ea1p c\u1ee7a m\u1eabu d\u00e1ng \u0111i, l\u01b0\u1ee3ng gi\u00e1 th\u1ec3 ch\u1ea5t v\u00e0 kinh nghi\u1ec7m c\u1ee7a ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1.<\/p>\n

2.1. C\u00e1c ph\u00e2n lo\u1ea1i v\u1ec1 C\u00e1c m\u1eabu d\u00e1ng \u0111i \u1edf tr\u1ebb b\u1ea1i n\u00e3o: D\u00e1ng \u0111i Li\u1ec7t n\u1eeda ng\u01b0\u1eddi<\/strong><\/h3>\n

(Winters, Gage & Hicks, 1987)<\/p>\n

Ph\u00e2n lo\u1ea1i d\u00e1ng \u0111i li\u1ec7t n\u1eeda ng\u01b0\u1eddi c\u1ee7a Winters, Gage v\u00e0 Hicks (1987) m\u00f4 t\u1ea3 b\u1ed1n lo\u1ea1i m\u1eabu d\u00e1ng \u0111i d\u1ef1a tr\u00ean chuy\u1ec3n \u0111\u1ed9ng h\u1ecdc \u1edf m\u1eb7t ph\u1eb3ng \u0111\u1ee9ng d\u1ecdc c\u1ee7a x\u01b0\u01a1ng ch\u1eadu, h\u00e1ng, g\u1ed1i v\u00e0 c\u1ed5 ch\u00e2n:<\/p>\n\n\n\n\n\n\n\n
Lo\u1ea1i 1 – B\u00e0n ch\u00e2n r\u1ee7<\/strong><\/td>\nB\u00e0n ch\u00e2n r\u1ee7 trong th\u00ec \u0111u c\u1ee7a d\u00e1ng \u0111i, t\u1ea7m v\u1eadn \u0111\u1ed9ng g\u1ea5p mu c\u1ed5 ch\u00e2n b\u00ecnh th\u01b0\u1eddng trong th\u00ec t\u1ef1a\/ch\u1ed1ng<\/td>\n<\/tr>\n
Lo\u1ea1i 2A – B\u00e0n ch\u00e2n<\/strong><\/p>\n

ng\u1ef1a Th\u1eadt s\u1ef1<\/strong><\/td>\n

G\u1ea5p l\u00f2ng c\u1ed5 ch\u00e2n qu\u00e1 m\u1ee9c \u1edf c\u1ea3 th\u00ec t\u1ef1a\/ch\u1ed1ng v\u00e0 th\u00ec \u0111u c\u1ee7a d\u00e1ng \u0111i<\/td>\n<\/tr>\n
Lo\u1ea1i 2B – B\u00e0n ch\u00e2n ng\u1ef1a Th\u1eadt s\u1ef1\/\u01af\u1ee1n<\/strong><\/p>\n

g\u1ed1i<\/strong><\/td>\n

C\u00e1c sai l\u1ec7ch tr\u00ean k\u00e8m theo h\u1ea1n ch\u1ebf t\u1ea7m v\u1eadn \u0111\u1ed9ng g\u1ea5p\/du\u1ed7i g\u1ed1i trong c\u00e1c th\u00ec t\u1ef1a\/ch\u1ed1ng v\u00e0 th\u00ec \u0111u c\u1ee7a d\u00e1ng \u0111i<\/td>\n<\/tr>\n
Lo\u1ea1i 3 – B\u00e0n ch\u00e2n ng\u1ef1a Th\u1eadt s\u1ef1\/Nh\u1ea3y<\/strong><\/p>\n

g\u1ed1i<\/strong><\/td>\n

C\u00e1c sai l\u1ec7ch tr\u00ean k\u00e8m theo h\u1ea1n ch\u1ebf t\u1ea7m v\u1eadn \u0111\u1ed9ng g\u1ea5p\/du\u1ed7i kh\u1edbp h\u00e1ng trong th\u00ec t\u1ef1a\/ch\u1ed1ng v\u00e0 th\u00ec \u0111u c\u1ee7a d\u00e1ng \u0111i<\/td>\n<\/tr>\n
Lo\u1ea1i 4 – B\u00e0n ch\u00e2n<\/strong><\/p>\n

ng\u1ef1a\/ Nh\u1ea3y g\u1ed1i<\/strong><\/td>\n

B\u00e0n ch\u00e2n ng\u1ef1a v\u1edbi g\u1ed1i g\u1eadp, c\u1ee9ng, h\u00e1ng g\u1ea5p, kh\u00e9p v\u00e0 xoay trong k\u00e8m theo nghi\u00eang x\u01b0\u01a1ng ch\u1eadu ra tr\u01b0\u1edbc.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

2.2. Ph\u00e2n lo\u1ea1i c\u00e1c m\u1eabu d\u00e1ng \u0111i: D\u00e1ng \u0111i li\u1ec7t hai ch\u00e2n<\/strong><\/h3>\n

(Rodda & Graham, 2001)<\/p>\n

Ph\u00e2n lo\u1ea1i c\u00e1c m\u1eabu d\u00e1ng \u0111i th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb li\u1ec7t hai chi d\u01b0\u1edbi th\u1ec3 co c\u1ee9ng \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng b\u1edfi Rodda & Graham (2001) v\u00e0 Rodda v\u00e0 c\u1ed9ng s\u1ef1 (2004). C\u00e1c m\u1eabu d\u00e1ng \u0111i li\u1ec7t hai ch\u00e2n bao g\u1ed3m:<\/p>\n\n\n\n\n\n\n\n
Nh\u00f3m I – B\u00e0n ch\u00e2n<\/strong> Ng\u1ef1a Th\u1eadt<\/strong><\/td>\nG\u1ea5p l\u00f2ng c\u1ed5 ch\u00e2n su\u1ed1t th\u00ec t\u1ef1a v\u1edbi h\u00e1ng v\u00e0 g\u1ed1i du\u1ed7i.<\/td>\n<\/tr>\n
Nh\u00f3m II – D\u00e1ng \u0111i nh\u00fan nh\u1ea3y<\/strong><\/td>\nC\u1ed5 ch\u00e2n g\u1ea5p l\u00f2ng, h\u00e1ng v\u00e0 g\u1ed1i g\u1ea5p, nghi\u00eang ch\u1eadu ra tr\u01b0\u1edbc v\u00e0 t\u0103ng\u00a0\u0111\u1ed9 \u01b0\u1ee1n th\u1eaft l\u01b0ng. Th\u01b0\u1eddng g\u1ed1i b\u1ecb c\u1ee9ng do ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1eb3ng \u0111\u00f9i trong th\u00ec \u0111u c\u1ee7a d\u00e1ng \u0111i<\/td>\n<\/tr>\n
 <\/p>\n

Nh\u00f3m III – B\u00e0n ch\u00e2n ng\u1ef1a t\u01b0\u01a1ng \u0111\u1ed1i (bi\u1ec3u ki\u1ebfn)<\/strong><\/td>\n

\u0110i v\u1edbi \u0111\u1ea7u c\u00e1c ng\u00f3n ch\u00e2n, tuy nhi\u00ean b\u00e0n ch\u00e2n ng\u1ef1a l\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i (bi\u1ec3u ki\u1ebfn) ch\u1ee9 kh\u00f4ng th\u1eadt s\u1ef1, khi quan s\u00e1t chuy\u1ec3n \u0111\u1ed9ng h\u1ecdc \u1edf m\u1eb7t ph\u1eb3ng \u0111\u1ee9ng d\u1ecdc cho th\u1ea5y c\u1ed5 ch\u00e2n c\u00f3 t\u1ea7m v\u1eadn \u0111\u1ed9ng g\u1ea5p mu b\u00ecnh th\u01b0\u1eddng nh\u01b0ng h\u00e1ng v\u00e0 g\u1ed1i g\u1ea5p qu\u00e1 m\u1ee9c su\u1ed1t th\u00ec t\u1ef1a\/ch\u1ed1ng c\u1ee7a\u00a0d\u00e1ng \u0111i<\/td>\n<\/tr>\n
Nh\u00f3m IV – D\u00e1ng \u0111i<\/strong><\/p>\n

g\u1eadp (khom)<\/strong><\/td>\n

G\u1ea5p mu c\u1ed5 ch\u00e2n qu\u00e1 m\u1ee9c k\u1ebft h\u1ee3p v\u1edbi g\u1ea5p g\u1ed1i v\u00e0 h\u00e1ng qu\u00e1 m\u1ee9c.<\/td>\n<\/tr>\n
Nh\u00f3m V – D\u00e1ng \u0111i<\/strong><\/p>\n

kh\u00f4ng \u0111\u1ed1i x\u1ee9ng<\/strong><\/td>\n

K\u1ebft h\u1ee3p b\u1ea5t k\u1ef3 hai m\u1eabu d\u00e1ng \u0111i k\u1ec3 tr\u00ean.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

3. Kh\u1ea3 n\u0103ng c\u1ee7a tay <\/strong>\u01a1\u0309 tre\u0309 ba\u0323i na\u0303o<\/strong><\/h2>\n

3.1. H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng tay (MACS& Mini-MACS)<\/strong><\/h3>\n

(Eliasson, Krumlinde Sundholm, R\u00f6sblad, Beckung, Arner, \u00d6hrvall & Rosenbaum, 2005)<\/p>\n

H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Kh\u1ea3 n\u0103ng S\u1eed d\u1ee5ng tay (MACS) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p c\u00f3 h\u1ec7 th\u1ed1ng \u0111\u1ec3 ph\u00e2n lo\u1ea1i kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng tay khi thao t\u00e1c c\u00e1c \u0111\u1ed3 v\u1eadt trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y \u1edf tr\u1ebb b\u1ea1i n\u00e3o trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 4 \u0111\u1ebfn 18 tu\u1ed5i. MACS d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng tay do tr\u1ebb t\u1ef1 kh\u1edfi ph\u00e1t, \u0111\u1eb7c bi\u1ec7t ch\u00fa tr\u1ecdng \u0111\u1ebfn kh\u1ea3 n\u0103ng thao t\u00e1c c\u00e1c \u0111\u1ed3 v\u1eadt trong kh\u00f4ng gian c\u00e1 nh\u00e2n c\u1ee7a tr\u1ebb (kh\u00f4ng gian g\u1ea7n ngay c\u01a1 th\u1ec3 tr\u1ebb), kh\u00e1c v\u1edbi c\u00e1c \u0111\u1ed3 v\u1eadt kh\u00f4ng n\u1eb1m trong t\u1ea7m v\u1edbi. Tr\u1ecdng t\u00e2m c\u1ee7a MACS l\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ee9c n\u00e0o \u0111\u1ea1i di\u1ec7n cho kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n b\u00ecnh th\u01b0\u1eddng c\u1ee7a tr\u1ebb \u1edf\u00a0 nh\u00e0, \u1edf tr\u01b0\u1eddng h\u1ecdc v\u00e0 t\u1ea1i c\u1ed9ng \u0111\u1ed3ng. Ph\u00e2n bi\u1ec7t gi\u1eefa c\u00e1c m\u1ee9c \u0111\u1ed9 d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng thao t\u00e1c c\u1ee7a tr\u1ebb, nhu c\u1ea7u c\u1ea7n tr\u1ee3 gi\u00fap c\u1ee7a tr\u1ebb ho\u1eb7c c\u00e1c thay \u0111\u1ed5i th\u00edch \u1ee9ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c c\u00f4ng vi\u1ec7c b\u1eb1ng tay trong cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y. MACS kh\u00f4ng nh\u1eb1m m\u1ee5c \u0111\u00edch ph\u00e2n lo\u1ea1i n\u0103ng l\u1ef1c t\u1ed1t nh\u1ea5t v\u00e0 kh\u00f4ng h\u00e0m \u00fd ph\u00e2n bi\u1ec7t n\u0103ng l\u1ef1c kh\u00e1c nhau gi\u1eefa hai tay. MACS kh\u00f4ng c\u00f3 \u00fd \u0111\u1ecbnh gi\u1ea3i th\u00edch c\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a nh\u1eefng h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n ho\u1eb7c \u0111\u1ec3 ph\u00e2n lo\u1ea1i c\u00e1c th\u1ec3 b\u1ea1i n\u00e3o.<\/p>\n

Mini-MACS <\/strong>l\u00e0 m\u1ed9t thay \u0111\u1ed5i \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a MACS \u0111\u1ec3 ph\u00e2n lo\u1ea1i cho tr\u1ebb t\u1eeb 1-4 tu\u1ed5i. Mini- MACS ph\u00e2n lo\u1ea1i kh\u1ea3 n\u0103ng c\u1ea7m n\u1eafm x\u1eed l\u00fd c\u00e1c \u0111\u1ed3 v\u1eadt ph\u00f9 h\u1ee3p v\u1edbi l\u1ee9a tu\u1ed5i v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a tr\u1ebb c\u0169ng nh\u01b0 nhu c\u1ea7u n\u00e2ng \u0111\u1ee1 v\u00e0 tr\u1ee3 gi\u00fap c\u1ee7a ch\u00fang trong c\u00e1c t\u00ecnh hu\u1ed1ng nh\u01b0 v\u1eady.<\/p>\n

Ti\u1ebfn h\u00e0nh<\/strong><\/p>\n

Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1: <\/u>Ph\u1ee5 huynh, ng\u01b0\u1eddi ch\u0103m s\u00f3c ho\u1eb7c nh\u00e2n vi\u00ean y t\u1ebf quen thu\u1ed9c v\u1edbi ch\u1ee9c n\u0103ng s\u1eed d\u1ee5ng tay c\u1ee7a tr\u1ebb.<\/p>\n

C\u00e1ch th\u1ef1c hi\u1ec7n<\/u>: M\u1ee9c MACS ph\u1ea3i \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u00e1ch h\u1ecfi m\u1ed9t ng\u01b0\u1eddi bi\u1ebft r\u00f5 v\u1ec1 tr\u1ebb ch\u1ee9 kh\u00f4ng ph\u1ea3i th\u00f4ng qua m\u1ed9t l\u01b0\u1ee3ng gi\u00e1 c\u1ee5 th\u1ec3 (Eliasson, v\u00e0 c\u1ed9ng s\u1ef1, 2005). Th\u1ef1c hi\u1ec7n qua b\u00e1o c\u00e1o c\u1ee7a ph\u1ee5 huynh\/ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u00e0\/ho\u1eb7c quan s\u00e1t trong bu\u1ed5i h\u1eb9n th\u00f4ng th\u01b0\u1eddng.<\/p>\n

Th\u1eddi gian:<\/u> Kh\u00f4ng \u00e1p d\u1ee5ng<\/p>\n

T\u00ednh s\u1eb5n c\u00f3: <\/u>C\u00f3 s\u1eb5n m\u1ed9t video hu\u1ea5n luy\u1ec7n \u00e1p d\u1ee5ng MACS c\u0169ng nh\u01b0 ‘S\u01a1 \u0111\u1ed3 nh\u1eadn d\u1ea1ng m\u1ee9c MACS b\u1ed5 sung” \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u00e8m v\u1edbi MACS. C\u00e1c m\u1eabu \u0111\u00e1nh gi\u00e1 c\u00f3 s\u1eb5n \u0111\u1ec3 t\u1ea3i xu\u1ed1ng t\u1eeb: http:\/\/www.macs.nu\/<\/a><\/p>\n

4. Kh\u1ea3 n\u0103ng Giao ti\u1ebfp <\/strong>\u01a1\u0309 tre\u0309 ba\u0323i na\u0303o<\/strong><\/h2>\n

4.1. H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Ch\u1ee9c n\u0103ng Giao ti\u1ebfp \u1edf tr\u1ebb b\u1ea1i n\u00e3o (CFCS)<\/strong><\/h3>\n

(Hidecker, Paneth, Rosenbaum, Kent, Lillie, Eulenberg, Chester, Johnson, Michalsen, Evatt & Taylor, 2011)<\/p>\n

H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Ch\u1ee9c n\u0103ng Giao ti\u1ebfp (CFCS) ph\u00e2n lo\u1ea1i kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n giao ti\u1ebfp h\u00e0ng ng\u00e0y th\u00e0nh m\u1ed9t trong n\u0103m m\u1ee9c \u0111\u1ed9 m\u00f4 t\u1ea3. Ph\u00e2n lo\u1ea1i giao ti\u1ebfp d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u1ee7a tr\u1ebb v\u1edbi vai tr\u00f2 l\u00e0 ng\u01b0\u1eddi g\u1eedi v\u00e0 ng\u01b0\u1eddi nh\u1eadn m\u1ed9t th\u00f4ng \u0111i\u1ec7p giao ti\u1ebfp, nh\u1ecbp \u0111\u1ed9 giao ti\u1ebfp v\u00e0 s\u1ef1 th\u00e2n quen c\u1ee7a \u0111\u1ed1i t\u00e1c giao ti\u1ebfp v\u1edbi tr\u1ebb. T\u1ea5t c\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p giao ti\u1ebfp \u0111\u01b0\u1ee3c xem x\u00e9t bao g\u1ed3m l\u1eddi n\u00f3i, c\u00e1c c\u1eed ch\u1ec9, c\u00e1c h\u00e0nh vi, \u00e1nh m\u1eaft, n\u00e9t m\u1eb7t v\u00e0 c\u00e1c h\u1ec7 th\u1ed1ng giao ti\u1ebfp t\u0103ng c\u01b0\u1eddng v\u00e0 thay th\u1ebf (AAC). \u0110\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a giao ti\u1ebfp d\u1ef1a tr\u00ean k\u1ef9 n\u0103ng hi\u1ec7n t\u1ea1i c\u1ee7a tr\u1ebb trong c\u00e1c t\u00ecnh hu\u1ed1ng giao ti\u1ebfp h\u00e0ng ng\u00e0y ch\u1ee9 kh\u00f4ng ph\u1ea3i kh\u1ea3 n\u0103ng h\u1ecdc k\u1ef9 n\u0103ng m\u1edbi.<\/p>\n\n\n\n\n\n\n\n
M\u1ee9c 1<\/strong><\/td>\nTr\u1ebb giao ti\u1ebfp hi\u1ec7u qu\u1ea3 v\u1edbi ng\u01b0\u1eddi l\u1ea1 v\u00e0 ng\u01b0\u1eddi quen<\/td>\n<\/tr>\n
M\u1ee9c 2<\/strong><\/td>\nTr\u1ebb giao ti\u1ebfp hi\u1ec7u qu\u1ea3, nh\u1ecbp \u0111\u1ed9 ch\u1eadm v\u1edbi ng\u01b0\u1eddi l\u1ea1 v\u00e0 ng\u01b0\u1eddi quen<\/td>\n<\/tr>\n
M\u1ee9c 3<\/strong><\/td>\nTr\u1ebb ch\u1ec9 giao ti\u1ebfp hi\u1ec7u qu\u1ea3 v\u1edbi ng\u01b0\u1eddi quen<\/td>\n<\/tr>\n
M\u1ee9c 4<\/strong><\/td>\nTr\u1ebb ch\u1ec9 th\u1ec9nh tho\u1ea3ng giao ti\u1ebfp hi\u1ec7u qu\u1ea3 v\u1edbi ng\u01b0\u1eddi quen<\/td>\n<\/tr>\n
M\u1ee9c 5<\/strong><\/td>\nTr\u1ebb hi\u1ebfm khi giao ti\u1ebfp hi\u1ec7u qu\u1ea3 k\u1ec3 c\u1ea3 v\u1edbi ng\u01b0\u1eddi quen<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Ti\u1ebfn h\u00e0nh<\/strong><\/p>\n

Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1<\/u>: Ph\u1ee5 huynh, ng\u01b0\u1eddi ch\u0103m s\u00f3c ho\u1eb7c nh\u00e2n vi\u00ean y t\u1ebf quen thu\u1ed9c v\u1edbi kh\u1ea3 n\u0103ng giao ti\u1ebfp c\u1ee7a tr\u1ebb.<\/p>\n

C\u00e1c th\u1ef1c hi\u1ec7n: <\/u>\u0110\u01b0\u1ee3c ho\u00e0n th\u00e0nh ho\u1eb7c qua b\u00e1o c\u00e1o c\u1ee7a ph\u1ee5 huynh\/ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u00e0\/ho\u1eb7c quan s\u00e1t trong bu\u1ed5i h\u1eb9n th\u00f4ng th\u01b0\u1eddng<\/p>\n

Th\u1eddi gian:<\/u> Kh\u00f4ng \u00e1p d\u1ee5ng<\/p>\n

T\u00ednh s\u1eb5n c\u00f3:<\/u> C\u00f3 th\u1ec3 truy c\u1eadp t\u1ea1i: http:\/\/www.therapybc.ca\/eLibrary\/docs\/Resources\/CFCS_2008_11_03.pdf<\/a><\/p>\n

5. Kh\u1ea3 n\u0103ng \u0102n u\u1ed1ng <\/strong>\u01a1\u0309 tre\u0309 ba\u0323i na\u0303o<\/strong><\/h2>\n

5.1. <\/strong>H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Kh\u1ea3 n\u0103ng \u0102n U\u1ed1ng \u1edf tr\u1ebb b\u1ea1i n\u00e3o (EDACS)<\/strong><\/p>\n

(Sellers, Mandy, Pennington, Hankins & Morris, 2014)<\/p>\n

H\u1ec7 th\u1ed1ng Ph\u00e2n lo\u1ea1i Kh\u1ea3 n\u0103ng \u0102n U\u1ed1ng (EDACS) l\u00e0 m\u1ed9t h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i kh\u1ea3 n\u0103ng \u0103n v\u00e0 u\u1ed1ng c\u1ee7a tr\u1ebb b\u1ea1i n\u00e3o t\u1eeb 3 tu\u1ed5i tr\u1edf l\u00ean. Ph\u00e2n lo\u1ea1i n\u00e0y b\u1ed5 t\u00fac cho GMFCS, MACS v\u00e0 CFCS v\u00e0 c\u00f3 m\u1ee5c \u0111\u00edch s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c tr\u00ean l\u00e2m s\u00e0ng l\u1eabn trong nghi\u00ean c\u1ee9u. EDACS t\u1eadp trung v\u00e0o c\u00e1c kh\u00eda c\u1ea1nh c\u1ee7a \u0103n u\u1ed1ng nh\u01b0 nhai, nu\u1ed1t, m\u00fat, c\u1eafn v\u00e0 gi\u1eef th\u1ee9c \u0103n v\u00e0 ch\u1ea5t l\u1ecfng trong mi\u1ec7ng. Ph\u00e2n bi\u1ec7t gi\u1eefa n\u0103m m\u1ee9c d\u1ef1a v\u00e0o kh\u1ea3 n\u0103ng v\u1ec1 ch\u1ee9c n\u0103ng, y\u00eau c\u1ea7u ph\u1ea3i thay \u0111\u1ed5i th\u00edch \u1ee9ng trong k\u1ebft c\u1ea5u th\u1ee9c \u0103n, c\u00e1c k\u1ef9 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00e0 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ea7n thi\u1ebft.<\/p>\n\n\n\n\n\n\n\n
M\u1ee9c I<\/strong><\/td>\n\u0102n v\u00e0 u\u1ed1ng an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3<\/td>\n<\/tr>\n
M\u1ee9c II<\/strong><\/td>\n\u0102n v\u00e0 u\u1ed1ng an to\u00e0n nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf v\u1ec1 t\u00ednh hi\u1ec7u qu\u1ea3<\/td>\n<\/tr>\n
M\u1ee9c III<\/strong><\/td>\n\u0102n v\u00e0 u\u1ed1ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf v\u1ec1 t\u00ednh an to\u00e0n; c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf v\u1ec1 t\u00ednh hi\u1ec7u qu\u1ea3<\/td>\n<\/tr>\n
M\u1ee9c IV<\/strong><\/td>\n\u0102n v\u00e0 u\u1ed1ng c\u00f3 h\u1ea1n ch\u1ebf \u0111\u00e1ng k\u1ec3 v\u1ec1 t\u00ednh an to\u00e0n<\/td>\n<\/tr>\n
M\u1ee9c V<\/strong><\/td>\nKh\u00f4ng th\u1ec3 \u0103n ho\u1eb7c u\u1ed1ng an to\u00e0n – c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc dinh d\u01b0\u1ee1ng qua \u1ed1ng th\u00f4ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng m\u1ed9t ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 tr\u1ee3 gi\u00fap \u0111\u00f2i h\u1ecfi trong b\u1eefa \u0103n \u0111\u1ec3 b\u1ed5 sung cho EDACS. C\u00e1c m\u1ee9c \u0111\u1ed9 bao g\u1ed3m: \u0110\u1ed9c l\u1eadp (Ind), \u0110\u00f2i h\u1ecfi tr\u1ee3 gi\u00fap (RA) ho\u1eb7c ph\u1ee5 thu\u1ed9c ho\u00e0n to\u00e0n (TD). Ph\u00e2n lo\u1ea1i n\u00e0y l\u01b0\u1ee3ng gi\u00e1 m\u1ee9c \u0111\u1ed9 th\u1ef1c hi\u1ec7n b\u00ecnh th\u01b0\u1eddng thay v\u00ec kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng t\u1ed1t nh\u1ea5t.<\/p>\n

Ti\u1ebfn h\u00e0nh<\/strong><\/p>\n

Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1<\/u>: Ph\u1ee5 huynh, ng\u01b0\u1eddi ch\u0103m s\u00f3c ho\u1eb7c nh\u00e2n vi\u00ean y t\u1ebf quen thu\u1ed9c v\u1edbi kh\u1ea3 n\u0103ng \u0103n v\u00e0 u\u1ed1ng c\u1ee7a tr\u1ebb.<\/p>\n

C\u00e1c th\u1ef1c hi\u1ec7n: <\/u>\u0110\u01b0\u1ee3c ho\u00e0n th\u00e0nh ho\u1eb7c qua b\u00e1o c\u00e1o c\u1ee7a ph\u1ee5 huynh\/ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u00e0\/ho\u1eb7c quan s\u00e1t<\/p>\n

Th\u1eddi gian: <\/u>Kh\u00f4ng \u00e1p d\u1ee5ng<\/p>\n

T\u00ednh s\u1eb5n c\u00f3:<\/u> C\u00f3 th\u1ec3 truy c\u1eadp t\u1ea1i: www.EDACS.org<\/a><\/p>\n

C\u00e1c khuy\u1ebfn c\u00e1o:<\/h3>\n

C\u00e1c h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i d\u00e0nh cho tr\u1ebb b\u1ea1i n\u00e3o c\u1ea7n \u0111\u01b0\u1ee3c th\u00f4ng qua \u0111\u1ec3 s\u1eed d\u1ee5ng \u1edf Vi\u1ec7t Nam.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Ba\u0323i na\u0303o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng do nh\u1eefng r\u1ed1i lo\u1ea1n kh\u00f4ng ti\u1ebfn tri\u1ec3n x\u1ea3y ra trong n\u00e3o b\u00e0o thai ho\u1eb7c n\u00e3o \u1edf tr\u1ebb nh\u1ecf \u0111ang ph\u00e1t tri\u1ec3n. C\u00e1c r\u1ed1i […]<\/p>\n","protected":false},"author":42,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nCa\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ea1i n\u00e3o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng.\" \/>\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=\"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ea1i n\u00e3o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-22T14:24:12+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191029_062942_685500_bai-nao.max-800x800-1-300x200.png\" \/>\n<meta name=\"author\" content=\"Minh Nguyen Phuong Hong\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Minh Nguyen Phuong Hong\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/\",\"name\":\"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-22T14:24:12+00:00\",\"dateModified\":\"2023-04-22T14:24:12+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5\"},\"description\":\"B\u1ea1i n\u00e3o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5\",\"name\":\"Minh Nguyen Phuong Hong\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g\",\"caption\":\"Minh Nguyen Phuong Hong\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/helennguyen24062002gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o - Vinmec","description":"B\u1ea1i n\u00e3o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o - Vinmec","og_description":"B\u1ea1i n\u00e3o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/","og_site_name":"Vinmec","article_published_time":"2023-04-22T14:24:12+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20191029_062942_685500_bai-nao.max-800x800-1-300x200.png"}],"author":"Minh Nguyen Phuong Hong","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Minh Nguyen Phuong Hong","Est. reading time":"12 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/","name":"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-22T14:24:12+00:00","dateModified":"2023-04-22T14:24:12+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5"},"description":"B\u1ea1i n\u00e3o l\u00e0 m\u1ed9t thu\u1eadt ng\u1eef chung m\u00f4 t\u1ea3 \u201cm\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n v\u0129nh vi\u1ec5n v\u1ec1 ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf, g\u00e2y ra c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/bai-nao-cac-cong-cu-phan-loai\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ca\u0301c c\u00f4ng cu\u0323 ph\u00e2n loa\u0323i b\u1ea1i n\u00e3o"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5","name":"Minh Nguyen Phuong Hong","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g","caption":"Minh Nguyen Phuong Hong"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/helennguyen24062002gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26243"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/42"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=26243"}],"version-history":[{"count":5,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26243\/revisions"}],"predecessor-version":[{"id":26948,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/26243\/revisions\/26948"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=26243"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=26243"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=26243"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}