{"id":26326,"date":"2023-05-13T16:23:42","date_gmt":"2023-05-13T09:23:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26326"},"modified":"2023-05-13T16:23:42","modified_gmt":"2023-05-13T09:23:42","slug":"luong-gia-roi-loan-van-dong-o-tre-bai-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/luong-gia-roi-loan-van-dong-o-tre-bai-nao\/","title":{"rendered":"L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o"},"content":{"rendered":"
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L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng<\/strong> \u1edf tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd hi\u1ec7u qu\u1ea3 nh\u1eb1m c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb. R\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em b\u1ecb b\u1ea1i n\u00e3o<\/a> (cerebral palsy), \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0 ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a tr\u1ebb.<\/p>\n

Th\u00f4ng qua vi\u1ec7c \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh l\u01b0\u1ee3ng c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng, c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd ph\u00f9 h\u1ee3p nh\u1ea5t cho tr\u1ebb, t\u1eeb \u0111\u00f3 gi\u00fap tr\u1ebb ph\u00e1t tri\u1ec3n t\u1ed1i \u0111a ti\u1ec1m n\u0103ng c\u1ee7a m\u00ecnh v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, t\u1eadp th\u1ec3 d\u1ee5c, s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 v\u00e0 thu\u1ed1c, ho\u1eb7c th\u1eadm ch\u00ed ph\u1eabu thu\u1eadt.<\/p>\n

Ngo\u00e0i ra, vi\u1ec7c \u0111\u1ecbnh l\u01b0\u1ee3ng c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng c\u0169ng h\u1ed7 tr\u1ee3 cho vi\u1ec7c nghi\u00ean c\u1ee9u v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd m\u1edbi, gi\u00fap c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0 ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o.<\/p>\n

T\u00f3m l\u1ea1i, \u0111\u1ecbnh l\u01b0\u1ee3ng v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng \u1edf tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd hi\u1ec7u qu\u1ea3 nh\u1eb1m c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb. Vi\u1ec7c n\u00e0y c\u0169ng h\u1ed7 tr\u1ee3 cho vi\u1ec7c nghi\u00ean c\u1ee9u v\u00e0 ph\u00e1t tri\u1ec3n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd m\u1edbi \u0111\u1ec3 gi\u00fap tr\u1ebb ph\u00e1t tri\u1ec3n t\u1ed1i \u0111a ti\u1ec1m n\u0103ng c\u1ee7a m\u00ecnh.<\/p>\n

Ba\u0300i vi\u00ea\u0301t d\u01b0\u0323a tr\u00ean 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.<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

\"L\u01b0\u01a1\u0323ng
L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o<\/figcaption><\/figure>\n

C\u00e1c th\u1ec3 v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u1ea1i n\u00e3o \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng l\u01b0\u1ee3ng gi\u00e1 th\u1ec3 ch\u1ea5t v\u00e0 quan s\u00e1t l\u00e2m s\u00e0ng. Nh\u1eefng \u0111i\u1ec3m c\u1ea7n nh\u1edb:<\/p>\n

    \n
  • T\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u00f3 th\u1ec3 v\u1eabn \u0111ang ti\u1ebfn tri\u1ec3n trong hai n\u0103m \u0111\u1ea7u \u0111\u1eddi c\u00f9ng qu\u00e1 tr\u00ecnh myelin ho\u00e1<\/li>\n
  • C\u00e1c th\u1ec3 ph\u1ed1i h\u1ee3p th\u01b0\u1eddng g\u1eb7p (co c\u1ee9ng\/ lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c, lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c\/m\u00faa gi\u1eadt- v\u1eddn)<\/li>\n<\/ul>\n

    1. L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng: co c\u01b0\u0301ng<\/h2>\n

    Thang \u0111i\u1ec3m Tardieu c\u00f3 Ch\u1ec9nh s\u1eeda (MTS)<\/u><\/em><\/p>\n

    Thang \u0111i\u1ec3m Tardieu c\u00f3 ch\u1ec9nh s\u1eeda (MTS) l\u00e0 m\u1ed9t thang \u0111i\u1ec3m \u0111\u1ec3 \u0111o l\u01b0\u1eddng s\u1ef1 co c\u1ee9ng, \u0111\u00e1nh gi\u00e1 s\u1ee9c c\u1ea3n v\u1edbi v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng c\u1ea3 \u1edf t\u1ed1c \u0111\u1ed9 ch\u1eadm v\u00e0 \u1edf t\u1ed1c \u0111\u1ed9 nhanh. Thang \u0111i\u1ec3m n\u00e0y ban \u0111\u1ea7u h\u00ecnh th\u00e0nh t\u1eeb nh\u1eefng n\u0103m 1950 v\u00e0 \u0111\u00e3 qua nhi\u1ec1u l\u1ea7n ch\u1ec9nh s\u1eeda (\u0111\u01b0\u1ee3c ki\u1ec3m l\u1ea1i trong Haugh 2006). Thang \u0111i\u1ec3m Tardieu c\u00f3 ch\u1ec9nh s\u1eeda \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh cho ph\u00f9 h\u1ee3p t\u1eeb l\u01b0\u1ee3ng gi\u00e1 nguy\u00ean b\u1ea3n ph\u1ee9c t\u1ea1p v\u00e0 t\u1ed1n nhi\u1ec1u th\u1eddi gian h\u01a1n (Thang \u0111i\u1ec3m Tardieu).<\/p>\n

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

    Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1: <\/u>Thang \u0111i\u1ec3m Tardieu c\u00f3 ch\u1ec9nh s\u1eeda \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi m\u1ed9t k\u1ef9 thu\u1eadt vi\u00ean VLTL, k\u1ef9 thu\u1eadt vi\u00ean H\u0110TL, b\u00e1c s\u0129 chuy\u00ean khoa th\u1ea7n kinh ho\u1eb7c b\u00e1c s\u0129 PHCN.<\/p>\n

    C\u00e1ch th\u1ef1c hi\u1ec7n<\/u>: L\u01b0\u1ee3ng gi\u00e1 chia l\u00e0m hai b\u01b0\u1edbc cho m\u1ed7i nh\u00f3m c\u01a1 \u0111\u01b0\u1ee3c kh\u00e1m. B\u01b0\u1edbc \u0111\u1ea7u ti\u00ean, ng\u01b0\u1eddi kh\u00e1m t\u1eeb t\u1eeb di chuy\u1ec3n chi th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 quan s\u00e1t to\u00e0n b\u1ed9 t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u00f3 s\u1eb5n c\u1ee7a h\u1ecd (R2). B\u01b0\u1edbc th\u1ee9 hai, chi th\u1ec3 \u0111\u01b0\u1ee3c di chuy\u1ec3n v\u1edbi t\u1ed1c \u0111\u1ed9 nhanh (R1).<\/p>\n

    C\u00e1c gi\u00e1 tr\u1ecb t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a R1 v\u00e0 R2 \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng m\u1ed9t th\u01b0\u1edbc \u0111o g\u00f3c.<\/p>\n

    Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1edf t\u01b0 th\u1ebf ng\u1ed3i \u0111\u00e1nh gi\u00e1 chi tr\u00ean v\u00e0 n\u1eb1m ng\u1eeda \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c chi theo c\u00e1c quy tr\u00ecnh chu\u1ea9n.<\/p>\n

    R2 sau \u0111\u00f3 tr\u1eeb v\u1edbi R1 v\u00e0 k\u1ebft qu\u1ea3 n\u00e0y (R2-R1) th\u1ec3 hi\u1ec7n th\u00e0nh ph\u1ea7n tr\u01b0\u01a1ng l\u1ef1c \u0111\u1ed9ng c\u1ee7a c\u01a1. C\u00e1c c\u01a1 th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 trong b\u1ea1i n\u00e3o g\u1ed3m:<\/p>\n\n\n\n\n\n\n\n\n\n\n
    Chi tr\u00ean<\/strong><\/td>\nChi d\u01b0\u1edbi<\/strong><\/td>\n<\/tr>\n
    C\u00e1c c\u01a1 g\u1ea5p vai<\/td>\nC\u00e1c c\u01a1 g\u1ea5p h\u00e1ng<\/td>\n<\/tr>\n
    C\u00e1c c\u01a1 xoay trong vai<\/td>\nC\u00e1c c\u01a1 du\u1ed7i h\u00e1ng<\/td>\n<\/tr>\n
    C\u00e1c c\u01a1 g\u1ea5p khu\u1ef7u<\/td>\nC\u00e1c c\u01a1 d\u1ea1ng h\u00e1ng<\/td>\n<\/tr>\n
    C\u00e1c c\u01a1 du\u1ed7i khu\u1ef7u<\/td>\nC\u00e1c c\u01a1 g\u1ea5p g\u1ed1i<\/td>\n<\/tr>\n
    C\u00e1 c\u01a1 g\u1ea5p c\u1ed5 tay<\/td>\nC\u00e1c c\u01a1 du\u1ed7i g\u1ed1i<\/td>\n<\/tr>\n
    C\u00e1c c\u01a1 du\u1ed7i c\u1ed5 tay<\/td>\nC\u00e1c c\u01a1 g\u1eadp l\u00f2ng b\u00e0n ch\u00e2n (c\u01a1 d\u00e9p) (v\u1edbi kh\u1edbp g\u1ed1i g\u1ea5p)<\/td>\n<\/tr>\n
    <\/td>\nC\u00e1c c\u01a1 g\u1eadp l\u00f2ng b\u00e0n ch\u00e2n (c\u01a1 b\u1ee5ng ch\u00e2n) (v\u1edbi kh\u1edbp g\u1ed1i du\u1ed7i h\u1ebft m\u1ee9c)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    Th\u1eddi gian:<\/u> Thay \u0111\u1ed5i tu\u1ef3 theo s\u1ed1 nh\u00f3m c\u01a1 \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1.<\/p>\n

    Thang \u0111i\u1ec3m Ashworth v\u00e0 Thang \u0111i\u1ec3m Ashworth c\u00f3 ch\u1ec9nh s\u1eeda<\/u><\/em><\/p>\n

    (Ashworth, 1964; Bohannon & Smith, 1987)<\/p>\n

    Thang \u0111i\u1ec3m Ashworth c\u00f3 ch\u1ec9nh s\u1eeda (MAS) l\u00e0 m\u1ed9t thay \u0111\u1ed5i \u0111\u1ec3 t\u0103ng \u0111\u1ed9 nh\u1ea1y c\u1ee7a Thang \u0111i\u1ec3m Ashworth (AS, Ashworth Scale) nguy\u00ean b\u1ea3n, \u0111o l\u01b0\u1eddng co c\u1ee9ng b\u1eb1ng tay ng\u01b0\u1eddi kh\u00e1m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ee9c c\u1ea3n c\u1ee7a c\u00e1c c\u01a1 v\u1edbi v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng. Thang \u0111i\u1ec3m n\u00e0y kh\u00f4ng tham chi\u1ebfu v\u1edbi t\u1ed1c \u0111\u1ed9 c\u1ee7a v\u1eadn \u0111\u1ed9ng do \u0111\u00f3 kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng c\u1ee7a ph\u1ea3n x\u1ea1 k\u00e9o c\u0103ng v\u1edbi t\u0103ng t\u1ed1c \u0111\u1ed9. Thang \u0111i\u1ec3m n\u00e0y c\u00f3 \u0111\u1ed9 tin c\u1eady k\u00e9m v\u00e0 y v\u0103n khuy\u1ebfn c\u00e1o r\u1eb1ng vi\u1ec7c gi\u1ea3i th\u00edch c\u00e1c m\u1ee9c \u0111i\u1ec3m ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi c\u1ea9n tr\u1ecdng..<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
    <\/td>\nThang \u0111i\u1ec3m Ashworth<\/strong><\/td>\n<\/tr>\n
    0<\/td>\nKh\u00f4ng t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1<\/td>\n<\/tr>\n
    1<\/td>\nT\u0103ng nh\u1eb9 tr\u01b0\u01a1ng l\u1ef1c c\u01a1 t\u1ea1o gi\u1eef l\u1ea1i khi chi th\u1ec3 \u0111\u01b0\u1ee3c di chuy\u1ec3n sang t\u01b0 th\u1ebf g\u1ea5p v\u00e0 du\u1ed7i<\/td>\n<\/tr>\n
    2<\/td>\nT\u0103ng \u0111\u00e1ng k\u1ec3 tr\u01b0\u01a1ng l\u1ef1c c\u01a1, nh\u01b0ng chi th\u1ec3 \u0111\u01b0\u1ee3c di chuy\u1ec3n d\u1ec5 d\u00e0ng<\/td>\n<\/tr>\n
    3<\/td>\nT\u0103ng \u0111\u00e1ng k\u1ec3 tr\u01b0\u01a1ng l\u1ef1c c\u01a1, v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng kh\u00f3 kh\u0103n<\/td>\n<\/tr>\n
    4<\/td>\nChi th\u1ec3 c\u1ee9ng \u1edf t\u01b0 th\u1ebf du\u1ed7i ho\u1eb7c g\u1ea5p<\/td>\n<\/tr>\n
    <\/td>\nThang \u0111i\u1ec3m Ashworth c\u00f3 ch\u1ec9nh s\u1eeda<\/strong><\/td>\n<\/tr>\n
    0<\/td>\nKh\u00f4ng t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1<\/td>\n<\/tr>\n
    1<\/td>\nT\u0103ng nh\u1eb9 tr\u01b0\u01a1ng l\u1ef1c c\u01a1, bi\u1ec3u hi\u1ec7n b\u1eb1ng gi\u1eef l\u1ea1i v\u00e0 th\u1ea3 ra ho\u1eb7c b\u1edfi s\u1ee9c c\u1ea3n t\u1ed1i thi\u1ec3u \u1edf cu\u1ed1i t\u1ea7m v\u1eadn \u0111\u1ed9ng khi di chuy\u1ec3n ph\u1ea7n chi th\u1ec3 sang t\u01b0 th\u1ebf g\u1ea5p ho\u1eb7c du\u1ed7i.<\/td>\n<\/tr>\n
    1+<\/td>\nT\u0103ng nh\u1eb9 tr\u01b0\u01a1ng l\u1ef1c c\u01a1, bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 gi\u1eef l\u1ea1i theo sau b\u1eb1ng s\u1ee9c c\u1ea3n t\u1ed1i thi\u1ec3u su\u1ed1t ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a t\u1ea7m v\u1eadn \u0111\u1ed9ng nh\u01b0ng ph\u1ea7n chi th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u01b0\u1ee3c di chuy\u1ec3n d\u1ec5 d\u00e0ng.<\/td>\n<\/tr>\n
    2<\/td>\nT\u0103ng r\u00f5 h\u01a1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 su\u1ed1t h\u1ea7u h\u1ebft t\u1ea7m v\u1eadn \u0111\u1ed9ng, nh\u01b0ng ph\u1ea7n chi th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u01b0\u1ee3c di chuy\u1ec3n d\u1ec5 d\u00e0ng<\/td>\n<\/tr>\n
    3<\/td>\nT\u0103ng \u0111\u00e1ng k\u1ec3 tr\u01b0\u01a1ng l\u1ef1c c\u01a1, v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng kh\u00f3 kh\u0103n<\/td>\n<\/tr>\n
    4<\/td>\nC\u00e1c ph\u1ea7n b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1ecb c\u1ee9ng \u1edf t\u01b0 th\u1ebf g\u1ea5p ho\u1eb7c du\u1ed7i.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

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

    Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1:<\/u> L\u01b0\u1ee3ng gi\u00e1 n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi m\u1ed9t k\u1ef9 thu\u1eadt vi\u00ean VLTL, k\u1ef9 thu\u1eadt vi\u00ean H\u0110TL, b\u00e1c s\u0129 chuy\u00ean khoa th\u1ea7n kinh ho\u1eb7c b\u00e1c s\u0129 PHCN, l\u01b0\u1ee3ng gi\u00e1 c\u00e1c c\u01a1 chi tr\u00ean v\u00e0 chi d\u01b0\u1edbi hai b\u00ean theo quy tr\u00ecnh chu\u1ea9n v\u1ec1 l\u01b0\u1ee3ng gi\u00e1 th\u1ec3 ch\u1ea5t.<\/p>\n

    C\u00e1ch th\u1ef1c hi\u1ec7n<\/u>: \u0110\u1eb7t ng\u01b0\u1eddi b\u1ec7nh \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda. N\u1ebfu \u0111\u00e1nh gi\u00e1 m\u1ed9t c\u01a1 g\u1ea5p ch\u00ednh c\u1ee7a m\u1ed9t kh\u1edbp, h\u00e3y \u0111\u1eb7t kh\u1edbp \u1edf m\u1ed9t t\u01b0 th\u1ebf g\u1ea5p t\u1ed1i \u0111a v\u00e0 di chuy\u1ec3n \u0111\u1ebfn t\u01b0 th\u1ebf du\u1ed7i t\u1ed1i \u0111a trong m\u1ed9t gi\u00e2y (nh\u1ea9m “m\u1ed9t hai ba”). N\u1ebfu \u0111\u00e1nh gi\u00e1 m\u1ed9t c\u01a1 du\u1ed7i ch\u00ednh c\u1ee7a m\u1ed9t kh\u1edbp, h\u00e3y \u0111\u1eb7t kh\u1edbp \u1edf t\u01b0 th\u1ebf du\u1ed7i t\u1ed1i \u0111a v\u00e0 di chuy\u1ec3n \u0111\u1ebfn t\u01b0 th\u1ebf g\u1ea5p t\u1ed1i \u0111a trong m\u1ed9t gi\u00e2y (nh\u1ea9m “m\u1ed9t hai ba”). T\u00ednh \u0111i\u1ec3m d\u1ef1a tr\u00ean ph\u00e2n lo\u1ea1i \u1edf b\u1ea3ng.<\/p>\n

    Th\u1eddi gian: <\/u>Thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o s\u1ed1 c\u00e1c nh\u00f3m c\u01a1 \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1<\/p>\n

    C\u00f4ng c\u1ee5 L\u01b0\u1ee3ng gi\u00e1 T\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (HAT)<\/em><\/span><\/p>\n

    (Jethwa v\u00e0 c\u1ed9ng s\u1ef1, 2010)<\/p>\n

    C\u00f4ng c\u1ee5 L\u01b0\u1ee3ng gi\u00e1 T\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (HAT) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111o l\u01b0\u1eddng ph\u00e2n bi\u1ec7t gi\u00fap ng\u01b0\u1eddi \u0111i\u1ec1u tr\u1ecb x\u00e1c \u0111\u1ecbnh c\u00e1c lo\u1ea1i t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1 kh\u00e1c nhau v\u00e0 c\u00e1ch \u0111\u1ec3 x\u1eed tr\u00ed t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1 t\u1ed1t nh\u1ea5t. C\u00f4ng c\u1ee5 n\u00e0y g\u1ed3m 6 m\u1ee5c (Knights, v\u00e0 c\u1ed9ng s\u1ef1, 2013) \u0111\u01b0\u1ee3c x\u00e2y\u00a0 d\u1ef1ng cho tr\u1ebb t\u1eeb 4 \u0111\u1ebfn 19 tu\u1ed5i. Trong qu\u00e1 tr\u00ecnh l\u01b0\u1ee3ng gi\u00e1, ng\u01b0\u1eddi kh\u00e1m di chuy\u1ec3n ph\u1ea7n chi th\u1ec3 c\u1ee7a tr\u1ebb theo m\u1ed9t tr\u00ecnh t\u1ef1 nh\u1ea5t \u0111\u1ecbnh nh\u1eb1m quan s\u00e1t v\u1eadn \u0111\u1ed9ng, s\u1ef1 t\u0103ng c\u1ee7a tr\u01b0\u01a1ng l\u1ef1c v\u00e0\/ho\u1eb7c s\u1ee9c c\u1ea3n. S\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a \u00edt nh\u1ea5t m\u1ed9t m\u1ee5c HAT tr\u00ean m\u1ed7i ph\u00e2n nh\u00f3m t\u0103ng tr\u01b0\u01a1ng l\u1ef1c (ngh\u0129a l\u00e0 co c\u1ee9ng, lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c, v\u00e0 c\u1ee9ng \u0111\u1edd), kh\u1eb3ng \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a ph\u00e2n nh\u00f3m \u0111\u00f3 v\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c m\u1ee5c t\u1eeb nhi\u1ec1u h\u01a1n m\u1ed9t ph\u00e2n nh\u00f3m x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u00ecnh tr\u1ea1ng tr\u01b0\u01a1ng l\u1ef1c h\u1ed7n h\u1ee3p. HAT c\u00f3 kh\u1ea3 n\u0103ng ph\u00e2n bi\u1ec7t c\u00e1c ph\u00e2n nh\u00f3m t\u0103ng tr\u01b0\u01a1ng l\u1ef1c cho c\u1ea3 chi tr\u00ean v\u00e0 chi d\u01b0\u1edbi.<\/p>\n

    HAT c\u00f3 \u0111\u1ed9 tin c\u1eady v\u00e0 gi\u00e1 tr\u1ecb t\u1ed1t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh co c\u1ee9ng v\u00e0 kh\u00f4ng c\u00f3 c\u1ee9ng \u0111\u1edd (c\u1ee9ng \u0111\u1edd hi\u1ebfm khi th\u1ea5y \u1edf tr\u1ebb em) v\u00e0 gi\u00e1 tr\u1ecb t\u01b0\u01a1ng \u0111\u1ed1i v\u1edbi lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c do b\u1ea3n ch\u1ea5t thay \u0111\u1ed5i c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c. HAT c\u00f3 gi\u00e1 tr\u1ecb trong vi\u1ec7c nh\u1eadn bi\u1ebft s\u1ef1 xu\u1ea5t hi\u1ec7n, h\u01a1n l\u00e0 s\u1ef1 kh\u00f4ng xu\u1ea5t hi\u1ec7n c\u1ee7a co c\u1ee9ng ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c v\u00e0 m\u1eabu \u0111\u1ea3o ngh\u1ecbch \u0111\u01b0\u1ee3c th\u1ea5y trong c\u1ee9ng \u0111\u1edd.<\/p>\n

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

    Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1: <\/u>\u0110\u00e1nh gi\u00e1 n\u00e0y \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh b\u1edfi m\u1ed9t k\u1ef9 thu\u1eadt vi\u00ean VLTL, k\u1ef9 thu\u1eadt vi\u00ean H\u0110TL, b\u00e1c s\u0129 chuy\u00ean khoa th\u1ea7n kinh ho\u1eb7c b\u00e1c s\u0129 PHCN<\/p>\n

    C\u00e1ch th\u1ef1c hi\u1ec7n: <\/u>Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1 ho\u00e0n th\u00e0nh t\u1ea5t 6 m\u1ee5c \u1edf m\u1ed9t chi tr\u01b0\u1edbc khi chuy\u1ec3n sang chi ti\u1ebfp theo. N\u00ean l\u01b0\u1ee3ng gi\u00e1 c\u1ea3 t\u1ee9 chi. C\u00e1c m\u1ee5c \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea theo th\u1ee9 t\u1ef1 th\u1ef1c hi\u1ec7n g\u1ee3i \u00fd trong h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng HAT.<\/p>\n

    Th\u1eddi gian<\/u>: kho\u1ea3ng 5 ph\u00fat \u0111\u1ec3 ti\u1ebfn h\u00e0nh l\u01b0\u1ee3ng gi\u00e1 v\u1edbi m\u1ed9t chi<\/p>\n

    2. L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng: loa\u0323n tr\u01b0\u01a1ng l\u01b0\u0323c<\/strong><\/h2>\n

    \u0110\u1ec3 l\u01b0\u1ee3ng gi\u00e1 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ea7n quan s\u00e1t l\u00fac ngh\u1ec9 v\u00e0 v\u1edbi c\u00e1c v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u00fd c\u0169ng nh\u01b0 \u0111o l\u01b0\u1eddng v\u00e0 c\u1ea3m nh\u1eadn. S\u1ee9c c\u1ea3n th\u01b0\u1eddng thay \u0111\u1ed5i v\u1edbi v\u1eadn \u0111\u1ed9ng, th\u01b0\u1eddng \u1edf c\u00e1c nh\u00f3m c\u01a1 du\u1ed7i nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0 c\u1ea3 hai h\u01b0\u1edbng.<\/p>\n

    C\u00f4ng c\u1ee5 L\u01b0\u1ee3ng gi\u00e1 T\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (HAT)<\/em><\/span><\/p>\n

    Xem \u1edf tr\u00ean.<\/p>\n

    Thang \u0111i\u1ec3m Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 Barry Albright (BAD)<\/em><\/span><\/p>\n

    (Barry v\u00e0 c\u1ed9ng s\u1ef1, 1999)<\/p>\n

    Thang \u0111i\u1ec3m Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c Barry Albright (BAD) l\u00e0 m\u1ed9t thang \u0111o th\u1ee9 h\u1ea1ng d\u1ef1a tr\u00ean c\u00e1c ti\u00eau chu\u1ea9n n\u0103m \u0111i\u1ec3m, nh\u1ea1y v\u00e0 \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng ch\u1ee9ng lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c th\u1ee9 ph\u00e1t. Thang \u0111i\u1ec3m n\u00e0y \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 tr\u1ea7m tr\u1ecdng c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u1edf t\u00e1m v\u00f9ng c\u1ee7a c\u01a1 th\u1ec3, bao g\u1ed3m m\u1eaft, c\u1ed5, mi\u1ec7ng, th\u00e2n m\u00ecnh, chi tr\u00ean v\u00e0 chi d\u01b0\u1edbi<\/p>\n

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

    Ng\u01b0\u1eddi l\u01b0\u1ee3ng gi\u00e1:<\/u> L\u01b0\u1ee3ng gi\u00e1 n\u00e0y \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh b\u1edfi m\u1ed9t k\u1ef9 thu\u1eadt vi\u00ean VLTL, k\u1ef9 thu\u1eadt vi\u00ean H\u0110TL ho\u1eb7c b\u00e1c s\u0129 c\u00f3 kinh nghi\u1ec7m trong ch\u1ee9ng lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c th\u1ee9 ph\u00e1t v\u00e0 b\u1ea1i n\u00e3o.<\/p>\n

    C\u00e1ch th\u1ef1c hi\u1ec7n: <\/u>L\u01b0\u1ee3ng gi\u00e1 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u1edf v\u00f9ng sau: m\u1eaft, mi\u1ec7ng, c\u1ed5, th\u00e2n m\u00ecnh, m\u1ed7i chi tr\u00ean v\u00e0 m\u1ed7i chi d\u01b0\u1edbi. \u0110\u00e1nh gi\u00e1 \u0111\u1ed9 tr\u1ea7m tr\u1ecdng ch\u1ec9 d\u1ef1a tr\u00ean lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e0 c\u00e1c c\u1eed \u0111\u1ed9ng ho\u1eb7c t\u01b0 th\u1ebf b\u1ea5t th\u01b0\u1eddng. Khi \u0111\u00e1nh gi\u00e1 nh\u1eefng h\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng, kh\u00f4ng t\u00ednh \u0111i\u1ec3m l\u00e0 h\u1ea1n ch\u1ebf ch\u1ee9c n\u0103ng do lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c g\u00e2y ra n\u1ebfu c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c, nh\u01b0 y\u1ebfu c\u01a1, m\u1ea5t ki\u1ec3m so\u00e1t v\u1eadn \u0111\u1ed9ng, khi\u1ebfm khuy\u1ebft nh\u1eadn th\u1ee9c, ph\u1ea3n x\u1ea1 nguy\u00ean th\u1ee7y k\u00e9o d\u00e0i, v\u00e0\/ho\u1eb7c c\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng kh\u00e1c g\u00f3p ph\u1ea7n g\u00e2y gi\u1edbi h\u1ea1n ch\u1ee9c n\u0103ng.<\/p>\n

    M\u1eaft: <\/strong>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ee7a m\u1eaft bao g\u1ed3m: co th\u1eaft m\u00ed m\u1eaft k\u00e9o d\u00e0i v\u00e0\/ho\u1eb7c k\u00e9o l\u1ec7ch m\u1eaft<\/p>\n\n\n\n\n\n\n\n\n
    0<\/strong><\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/tr>\n
    1<\/strong><\/td>\nR\u1ea5t nh\u1eb9: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u00edt h\u01a1n 10% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf theo d\u00f5i m\u1eaft<\/td>\n<\/tr>\n
    2<\/strong><\/td>\nNh\u1eb9: ch\u1edbp m\u1eaft th\u01b0\u1eddng xuy\u00ean m\u00e0 kh\u00f4ng b\u1ecb co th\u1eaft c\u01a1 kh\u00e9p m\u1eaft k\u00e9o d\u00e0i, v\u00e0\/ho\u1eb7c c\u00e1c v\u1eadn \u0111\u1ed9ng m\u1eaft \u00edt h\u01a1n 50% th\u1eddi gian<\/td>\n<\/tr>\n
    3<\/strong><\/td>\nV\u1eeba: co th\u1eaft c\u00e1c c\u01a1 kh\u00e9p m\u1eaft k\u00e9o d\u00e0i, nh\u01b0ng m\u1eaft v\u1eabn m\u1edf h\u1ea7u h\u1ebft th\u1eddi gian v\u00e0\/ho\u1eb7c c\u00e1c v\u1eadn \u0111\u1ed9ng m\u1eaft nhi\u1ec1u h\u01a1n 50% th\u1eddi gian g\u00e2y c\u1ea3n tr\u1edf theo d\u00f5i m\u1eaft, nh\u01b0ng c\u00f3 th\u1ec3 theo d\u00f5i m\u1eaft tr\u1edf l\u1ea1i<\/td>\n<\/tr>\n
    4<\/strong><\/td>\nN\u1eb7ng: co th\u1eaft c\u00e1c c\u01a1 kh\u00e9p m\u1eaft k\u00e9o d\u00e0i, v\u00e0 m\u1eaft nh\u1eafm \u00edt nh\u1ea5t 30% th\u1eddi gian, v\u00e0\/ho\u1eb7c c\u00e1c v\u1eadn \u0111\u1ed9ng m\u1eaft nhi\u1ec1u h\u01a1n 50% th\u1eddi gian ng\u0103n c\u1ea3n theo d\u00f5i m\u1eaft.<\/td>\n<\/tr>\n
    \u00a0<\/strong><\/td>\nKh\u00f4ng th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1eadn \u0111\u1ed9ng m\u1eaft<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    Mi\u1ec7ng: <\/strong>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ee7a mi\u1ec7ng bao g\u1ed3m nh\u0103n m\u1eb7t, gi\u1eadt ho\u1eb7c l\u1ec7ch c\u1eb1m, h\u00e1 mi\u1ec7ng th\u00e1i qu\u00e1 v\u00e0\/ho\u1eb7c \u0111\u1ea9y m\u1ea1nh l\u01b0\u1ee1i.<\/p>\n\n\n\n\n\n\n\n\n
    0<\/strong><\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/tr>\n
    1<\/strong><\/td>\nR\u1ea5t nh\u1eb9: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u00edt h\u01a1n 10% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf l\u1eddi n\u00f3i v\u00e0\/ho\u1eb7c \u0103n u\u1ed1ng<\/td>\n<\/tr>\n
    2<\/strong><\/td>\nNh\u1eb9: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u00edt h\u01a1n 50% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf l\u1eddi n\u00f3i v\u00e0\/ho\u1eb7c \u0103n u\u1ed1ng<\/td>\n<\/tr>\n
    3<\/strong><\/td>\nV\u1eeba: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0\/ho\u1eb7c c\u1ea3n tr\u1edf l\u1eddi n\u00f3i v\u00e0\/ho\u1eb7c \u0103n u\u1ed1ng<\/td>\n<\/tr>\n
    4<\/strong><\/td>\nN\u1eb7ng: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c ng\u0103n c\u1ea3n l\u1eddi n\u00f3i v\u00e0\/ho\u1eb7c \u0103n u\u1ed1ng<\/td>\n<\/tr>\n
    <\/td>\nKh\u00f4ng th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1eadn \u0111\u1ed9ng mi\u1ec7ng<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    C\u1ed5: <\/strong>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ed5 bao g\u1ed3m k\u00e9o c\u1ed5 sang b\u1ea5t k\u1ef3 m\u1eb7t ph\u1eb3ng v\u1eadn \u0111\u1ed9ng n\u00e0o: g\u1ea5p, du\u1ed7i, nghi\u00eang v\u00e0 xoay.<\/p>\n\n\n\n\n\n\n\n\n
    0<\/strong><\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/tr>\n
    1<\/strong><\/td>\nR\u1ea5t nh\u1eb9: k\u00e9o c\u1ed5 \u00edt h\u01a1n 10% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf n\u1eb1m, ng\u1ed3i, v\u00e0 \u0111\u1ee9ng<\/p>\n

    v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n

    2<\/strong><\/td>\nNh\u1eb9: k\u00e9o c\u1ed5 \u00edt h\u01a1n 50% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf n\u1eb1m, ng\u1ed3i, v\u00e0 \u0111\u1ee9ng v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n
    3<\/strong><\/td>\nV\u1eeba: k\u00e9o c\u1ed5 nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0\/ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ea3n tr\u1edf n\u1eb1m, ng\u1ed3i, v\u00e0 \u0111\u1ee9ng v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n
    4<\/strong><\/td>\nN\u1eb7ng: k\u00e9o c\u1ed5 nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c ng\u0103n c\u1ea3n ng\u1ed3i trong m\u1ed9t xe l\u0103n ti\u00eau chu\u1ea9n (ch\u1eb3ng h\u1ea1n c\u1ea7n m\u1ed9t t\u1ea5m \u0111\u1ee1 \u0111\u1ea7u \u0111\u1eb7c bi\u1ec7t), \u0111\u1ee9ng\u00a0 v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n
    <\/td>\nKh\u00f4ng th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1eadn \u0111\u1ed9ng c\u1ed5<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    Th\u00e2n m\u00ecnh: <\/strong>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c th\u00e2n m\u00ecnh bao g\u1ed3m k\u00e9o th\u00e2n m\u00ecnh sang b\u1ea5t k\u1ef3 m\u1eb7t ph\u1eb3ng v\u1eadn \u0111\u1ed9ng n\u00e0o: g\u1ea5p, du\u1ed7i, nghi\u00eang v\u00e0 xoay<\/p>\n\n\n\n\n\n\n\n
    0<\/strong><\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/tr>\n
    1<\/strong><\/td>\nR\u1ea5t nh\u1eb9: k\u00e9o th\u00e2n \u00edt h\u01a1n 10% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf n\u1eb1m, ng\u1ed3i, v\u00e0 \u0111\u1ee9ng v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n
    2<\/strong><\/td>\nNh\u1eb9: k\u00e9o th\u00e2n \u00edt h\u01a1n 50% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf n\u1eb1m, ng\u1ed3i, v\u00e0 \u0111\u1ee9ng v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n
    3<\/strong><\/td>\nV\u1eeba: k\u00e9o th\u00e2n nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0\/ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ea3n tr\u1edf n\u1eb1m, ng\u1ed3i, v\u00e0 \u0111\u1ee9ng v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n
    4<\/strong><\/td>\nN\u1eb7ng: k\u00e9o th\u00e2n nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c ng\u0103n c\u1ea3n ng\u1ed3i trong m\u1ed9t xe l\u0103n ti\u00eau chu\u1ea9n (ch\u1eb3ng h\u1ea1n c\u1ea7n m\u1ed9t h\u1ec7 th\u1ed1ng ng\u1ed3i th\u00edch \u1ee9ng), \u0111\u1ee9ng v\u00e0\/ho\u1eb7c \u0111i<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    * Kh\u00f4ng th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1eadn \u0111\u1ed9ng th\u00e2n m\u00ecnh<\/p>\n

    Chi tr\u00ean: <\/strong>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ee7a chi tr\u00ean bao g\u1ed3m co th\u1eaft c\u01a1 k\u00e9o d\u00e0i g\u00e2y n\u00ean c\u00e1c t\u01b0 th\u1ebf b\u1ea5t th\u01b0\u1eddng, h\u00e3y t\u00ednh \u0111i\u1ec3m ri\u00eang cho m\u1ed7i chi.<\/p>\n\n\n\n\n\n\n\n\n
    0<\/strong><\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/tr>\n
    1<\/strong><\/td>\nR\u1ea5t nh\u1eb9: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u00edt h\u01a1n 10% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng<\/td>\n<\/tr>\n
    2<\/strong><\/td>\nNh\u1eb9: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u00edt h\u01a1n 50% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng<\/td>\n<\/tr>\n
    3<\/strong><\/td>\nV\u1eeba: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0\/ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c l\u00e0m c\u1ea3n tr\u1edf \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a chi tr\u00ean<\/td>\n<\/tr>\n
    4<\/strong><\/td>\nN\u1eb7ng: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0\/ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c ng\u0103n c\u1ea3n \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a chi tr\u00ean (v\u00ed d\u1ee5 hai tay r\u00fat l\u1ea1i \u0111\u1ec3 ng\u0103n ng\u1eeba ch\u1ea5n th\u01b0\u01a1ng).<\/td>\n<\/tr>\n
    <\/td>\nKh\u00f4ng th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1eadn \u0111\u1ed9ng chi tr\u00ean<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    Chi d\u01b0\u1edbi: <\/strong>C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ee7a chi d\u01b0\u1edbi bao g\u1ed3m co th\u1eaft c\u01a1 k\u00e9o d\u00e0i g\u00e2y n\u00ean c\u00e1c t\u01b0 th\u1ebf b\u1ea5t th\u01b0\u1eddng, h\u00e3y t\u00ednh \u0111i\u1ec3m ri\u00eang cho m\u1ed7i chi.<\/p>\n\n\n\n\n\n\n\n\n
    0<\/strong><\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/tr>\n
    1<\/strong><\/td>\nR\u1ea5t nh\u1eb9: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u00edt h\u01a1n 10% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng<\/td>\n<\/tr>\n
    2<\/strong><\/td>\nNh\u1eb9: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c \u00edt h\u01a1n 50% th\u1eddi gian v\u00e0 kh\u00f4ng c\u1ea3n tr\u1edf \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng<\/td>\n<\/tr>\n
    3<\/strong><\/td>\nV\u1eeba: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0\/ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u1ea3n tr\u1edf \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng v\u00e0\/ho\u1eb7c ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a chi d\u01b0\u1edbi<\/td>\n<\/tr>\n
    4<\/strong><\/td>\nN\u1eb7ng: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c nhi\u1ec1u h\u01a1n 50% th\u1eddi gian v\u00e0\/ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c ng\u0103n c\u1ea3n \u0111\u1eb7t t\u01b0 th\u1ebf v\u00e0\/ho\u1eb7c ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng v\u00e0\/ho\u1eb7c ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a chi d\u01b0\u1edbi<\/td>\n<\/tr>\n
    <\/td>\nKh\u00f4ng th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c v\u1eadn \u0111\u1ed9ng chi d\u01b0\u1edbi<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    Th\u1eddi gian:<\/u> Kho\u1ea3ng 8 ph\u00fat quay video (n\u1ebfu s\u1eed d\u1ee5ng) c\u1ed9ng th\u00eam th\u1eddi gian t\u00ednh \u0111i\u1ec3m v\u1eadn \u0111\u1ed9ng c\u00e1c ph\u1ea7n chi th\u1ec3.<\/p>\n

    3. L\u01b0\u1ee3ng gi\u00e1 m\u00faa v\u1eddn\/ m\u00faa gi\u1eadt-v\u1eddn<\/h2>\n

    L\u01b0\u1ee3ng gi\u00e1 m\u00faa gi\u1eadt, m\u00faa v\u1eddn, v\u00e0 m\u00faa gi\u1eadt-v\u1eddn qua quan s\u00e1t c\u00e1c v\u1eadn \u0111\u1ed9ng kh\u00f4ng t\u1ef1 \u00fd \u0111\u1eb7c tr\u01b0ng b\u1edfi:<\/p>\n

      \n
    • C\u00e1c v\u1eadn \u0111\u1ed9ng kh\u00f4ng ki\u1ec3m so\u00e1t, ch\u1eadm, u\u1ed1n v\u1eb7n (m\u00faa v\u1eddn)<\/li>\n
    • M\u1ed9t chu\u1ed7i c\u00e1c v\u1eadn \u0111\u1ed9ng kh\u00f4ng t\u1ef1 \u00fd r\u1eddi r\u1ea1c ho\u1eb7c c\u00e1c m\u1ea3nh v\u1eadn \u0111\u1ed9ng x\u1ea3y ra ng\u1eabu nhi\u00ean li\u00ean t\u1ee5c (m\u00faa gi\u1eadt)<\/li>\n
    • K\u1ebft h\u1ee3p c\u1ea3 hai (m\u00faa gi\u1eadt-v\u1eddn)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

      L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng \u1edf tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd hi\u1ec7u qu\u1ea3 nh\u1eb1m c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb. R\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em b\u1ecb b\u1ea1i n\u00e3o (cerebral palsy), \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn […]<\/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":"\nL\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o - Vinmec<\/title>\n<meta name=\"description\" content=\"L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng \u1edf tr\u1ebb b\u1ea1i n\u00e3o go\u0301p ph\u00e2\u0300n \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd hi\u1ec7u qu\u1ea3 nh\u1eb1m c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb.\" \/>\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=\"L\u01b0\u01a1\u0323ng gia\u0301 r\u00f4\u0301i loa\u0323n v\u00e2\u0323n \u0111\u00f4\u0323ng \u01a1\u0309 tre\u0309 ba\u0323i na\u0303o - 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