{"id":26713,"date":"2023-04-22T19:08:25","date_gmt":"2023-04-22T12:08:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26713"},"modified":"2023-04-22T19:08:25","modified_gmt":"2023-04-22T12:08:25","slug":"ung-dung-ky-thuat-cimt-cho-benh-nhan-liet-nua-nguoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/ung-dung-ky-thuat-cimt-cho-benh-nhan-liet-nua-nguoi\/","title":{"rendered":"\u1ee8ng d\u1ee5ng k\u1ef9 thu\u1eadt CIMT cho b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi"},"content":{"rendered":"<p><strong>K\u1ef9 thu\u1eadt t\u1eadp b\u1eaft bu\u1ed9c b\u00ean li\u1ec7t (CIMT: Constraint induced movement therapy) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p c\u1ee5 th\u1ec3 cho ph\u1ee5c h\u1ed3i chi tr\u00ean v\u00e0 b\u00e0n tay li\u1ec7t, \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean s\u1ef1 li\u00ean k\u1ebft th\u1ea7n kinh v\u00e0 nh\u1eefng gi\u1ea3 thuy\u1ebft v\u1ec1 vi\u1ec7c h\u1ecdc t\u1eadp v\u1eadn \u0111\u1ed9ng (motor learning). M\u1ee5c \u0111\u00edch ch\u00ednh c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 \u00e9p bu\u1ed9c tay li\u1ec7t ph\u1ea3i ho\u1ea1t \u0111\u1ed9ng t\u1ed1i \u0111a t\u1edbi m\u1ee9c c\u00f3 th\u1ec3 \u0111\u1ec3 ho\u1ea1t h\u00f3a v\u00e0 k\u00edch th\u00edch c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh nh\u1eb1m \u0111em l\u1ea1i cho ng\u01b0\u1eddi b\u1ec7nh k\u1ebft qu\u1ea3 ch\u1ee9c n\u0103ng t\u1ed1t h\u01a1n. K\u1ef9 thu\u1eadt n\u00e0y \u00e1p d\u1ee5ng cho ng\u01b0\u1eddi b\u1ec7nh li\u1ec7t n\u1eeda ng\u01b0\u1eddi, l\u00e0 m\u1ed9t trong nh\u1eefng di ch\u1ee9ng c\u1ee7a \u0111\u1ed9t qu\u1ef5 n\u00e3o.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26716 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/23542-hemiplegia-300x290.jpg\" alt=\"\" width=\"300\" height=\"290\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/23542-hemiplegia-300x290.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/23542-hemiplegia-768x741.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/23542-hemiplegia.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong> 1. Ch\u1ec9 \u0111\u1ecbnh c\u1ee7a k\u1ef9 thu\u1eadt CIMT\u00a0<\/strong><\/h2>\n<p>C\u00e1c giai \u0111o\u1ea1n b\u00e1n c\u1ea5p, m\u1ea1n t\u00ednh c\u1ee7a li\u1ec7t n\u1eeda ng\u01b0\u1eddi do \u0111\u1ed9t qu\u1ef5, ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o, vi\u00eam n\u00e3o, <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/viem-mang-nao-o-nguoi-lon-nguyen-nhan-trieu-chung-va-cach-dieu-tri\/\">vi\u00eam m\u00e0ng n\u00e3o<\/a>.<\/p>\n<h2><strong>2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/strong><\/h2>\n<p>Trong t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u (trong 2 tu\u1ea7n \u0111\u1ea7u).<\/p>\n<h2><strong> 3. Chu\u1ea9n b\u1ecb<\/strong><\/h2>\n<p><strong> Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/strong><\/p>\n<p>&#8211; B\u00e1c s\u0129 chuy\u00ean khoa ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n<p>&#8211; K\u1ef9 thu\u1eadt vi\u00ean ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u00e0 th\u00e0nh th\u1ea1o k\u1ef9 thu\u1eadt.<\/p>\n<p><strong> Ph\u01b0\u01a1ng ti\u1ec7n<\/strong><\/p>\n<p>G\u0103ng tay, \u0111ai \u0111eo, d\u1ee5ng c\u1ee5 t\u1eadp luy\u1ec7n&#8230;<\/p>\n<p><strong> Ng\u01b0\u1eddi b\u1ec7nh<\/strong><\/p>\n<p>\u0110\u01b0\u1ee3c th\u00f4ng b\u00e1o, gi\u1ea3i th\u00edch r\u00f5 r\u00e0ng \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh y\u00ean t\u00e2m, h\u1ee3p t\u00e1c.<\/p>\n<p><strong> H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/strong><\/p>\n<p>Ghi ch\u00e9p \u0111\u1ea7y \u0111\u1ee7.<\/p>\n<h2><strong> 4. Th\u1ef1c hi\u1ec7n<\/strong><\/h2>\n<p><strong> Ki\u1ec3m tra h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/strong><\/p>\n<p>&#8211; Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>&#8211; Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>&#8211; C\u00e1c th\u00f4ng s\u1ed1 \u0111\u00e1nh gi\u00e1 v\u1ec1 ch\u1ee9c n\u0103ng b\u00e0n tay li\u1ec7t c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><strong> Ki\u1ec3m tra ng\u01b0\u1eddi b\u1ec7nh<\/strong><\/p>\n<p>T\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi t\u1eadp.<\/p>\n<p><strong> Th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt<\/strong><\/p>\n<p>&#8211; B\u01b0\u1edbc 1: b\u1ed9c l\u1ed9 v\u00f9ng c\u1eb3ng tay b\u00e0n tay b\u00ean l\u00e0nh.<\/p>\n<p>&#8211; B\u01b0\u1edbc 2: ti\u1ebfn h\u00e0nh \u0111eo g\u0103ng tay v\u00e0o tay b\u00ean l\u00e0nh. Ho\u1eb7c d\u00f9ng b\u0103ng chun cu\u1ed1n quanh b\u00e0n tay l\u00e0nh, ch\u00fa \u00fd kh\u00f4ng cu\u1ed1n ch\u1eb7t. Ho\u1eb7c d\u00f9ng \u0111ai treo n\u00e2ng \u0111\u1ee1 c\u00e1nh, c\u1eb3ng, b\u00e0n tay l\u00e0nh.<\/p>\n<p>&#8211; B\u01b0\u1edbc 3: th\u1eddi gian \u0111eo trong 90% th\u1eddi gian th\u1ee9c trong giai \u0111o\u1ea1n 2 &#8211; 3 tu\u1ea7n, k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c c\u1ed1 g\u1eafng v\u1eadn \u0111\u1ed9ng tay li\u1ec7t trong khi luy\u1ec7n t\u1eadp c\u0169ng nh\u01b0 trong SHHN.<\/p>\n<p>&#8211; B\u01b0\u1edbc 4: d\u00f9ng danh m\u1ee5c th\u00f3i quen \u0111\u1ec3 li\u1ec7t k\u00ea chi ti\u1ebft c\u00e1c h\u00e0nh \u0111\u1ed9ng c\u1ea7n ph\u1ea3i l\u00e0m \u1edf nh\u00e0 trong khi b\u00f3 tay nh\u1eb1m m\u1ee5c \u0111\u00edch t\u0103ng c\u01b0\u1eddng s\u1eed d\u1ee5ng tay li\u1ec7t c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh khi kh\u00f4ng \u1edf b\u1ec7nh vi\u1ec7n.<\/p>\n<p>&#8211; Th\u1eddi gian th\u1ef1c hi\u1ec7n 20 &#8211; 30 ph\u00fat t\u00f9y t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h2><strong> 5. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/strong><\/h2>\n<p>&#8211; \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh sau khi t\u1eadp.<\/p>\n<p>&#8211; Theo d\u00f5i ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng \u1edf tay l\u00e0nh sau th\u1eddi gian t\u1eadp.<\/p>\n<p><strong>X\u1eed tr\u00ed tai bi\u1ebfn<\/strong><\/p>\n<p>H\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 tai bi\u1ebfn hay t\u00e1c d\u1ee5ng ph\u1ee5 trong qu\u00e1 tr\u00ecnh luy\u1ec7n t\u1eadp.<\/p>\n<h2>6. \u01afu \u0111i\u1ec3m c\u1ee7a k\u1ef9 thu\u1eadt CIMT<\/h2>\n<p>CIMT (Constraint Induced Movement Therapy) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p t\u1eadp luy\u1ec7n \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong vi\u1ec7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng cho b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u01b0u \u0111i\u1ec3m c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y:<\/p>\n<p>&#8211; T\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a b\u00ean li\u1ec7t: B\u1eb1ng c\u00e1ch b\u1eaft bu\u1ed9c s\u1eed d\u1ee5ng c\u00e1nh tay b\u00ean li\u1ec7t trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y, ph\u01b0\u01a1ng ph\u00e1p CIMT t\u1ea1o ra m\u1ed9t \u00e1p l\u1ef1c v\u00e0 k\u00edch th\u00edch \u0111\u1ec3 b\u00ean li\u1ec7t ph\u1ea3i s\u1eed d\u1ee5ng c\u00e1nh tay b\u00ean \u0111\u00f3 \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng, t\u1eeb \u0111\u00f3 t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh v\u00e0 kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u00e1nh tay b\u00ean li\u1ec7t.<\/p>\n<p>&#8211; C\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng: CIMT \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 r\u1ea5t hi\u1ec7u qu\u1ea3 trong vi\u1ec7c c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi.<\/p>\n<p>&#8211; \u0110i\u1ec1u ch\u1ec9nh ch\u1ee9c n\u0103ng th\u1ea7n kinh: Ph\u01b0\u01a1ng ph\u00e1p CIMT c\u00f3 th\u1ec3 gi\u00fap \u0111i\u1ec1u ch\u1ec9nh l\u1ea1i ch\u1ee9c n\u0103ng th\u1ea7n kinh v\u00e0 c\u1ea3i thi\u1ec7n s\u1ef1 li\u00ean k\u1ebft gi\u1eefa c\u00e1c v\u00f9ng n\u00e3o v\u00e0 c\u00e1c b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3.<\/p>\n<p>&#8211; Kh\u00f4ng c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c: Ph\u01b0\u01a1ng ph\u00e1p CIMT kh\u00f4ng y\u00eau c\u1ea7u s\u1eed d\u1ee5ng thu\u1ed1c, gi\u00fap tr\u00e1nh nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c.<\/p>\n<p>&#8211; \u00c1p d\u1ee5ng \u0111\u01a1n gi\u1ea3n: Ph\u01b0\u01a1ng ph\u00e1p CIMT c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng \u0111\u01a1n gi\u1ea3n t\u1ea1i nh\u00e0 ho\u1eb7c trong c\u00e1c trung t\u00e2m ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/p>\n<p>&#8211; T\u0103ng c\u01b0\u1eddng s\u1ef1 \u0111\u1ed9ng vi\u00ean, kh\u00edch l\u1ec7: B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u1ea3m th\u1ea5y \u0111\u1ed9ng vi\u00ean v\u00e0 kh\u00edch l\u1ec7 h\u01a1n khi th\u1ea5y ti\u1ebfn b\u1ed9 trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i.<\/p>\n<p>Tuy nhi\u00ean, \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t, ph\u01b0\u01a1ng ph\u00e1p CIMT c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a chuy\u00ean gia v\u00e0 c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n.<\/p>\n<h2>7. H\u1ea1n ch\u1ebf c\u1ee7a k\u1ef9 thu\u1eadt CIMT<\/h2>\n<p>M\u1eb7c d\u00f9 k\u1ef9 thu\u1eadt t\u1eadp b\u1eaft bu\u1ed9c b\u00ean li\u1ec7t (CIMT) \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng cho b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi, nh\u01b0ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf:<\/p>\n<p>&#8211; Kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p: CIMT kh\u00f4ng ph\u00f9 h\u1ee3p cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng v\u1ea5n \u0111\u1ec1 kh\u00e1c nh\u01b0 c\u00e1c v\u1ea5n \u0111\u1ec1 c\u01a1 kh\u1edbp, v\u1ebft th\u01b0\u01a1ng ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 th\u1ea7n kinh.<\/p>\n<p>&#8211; Kh\u00f3 kh\u0103n trong vi\u1ec7c th\u1ef1c hi\u1ec7n: Vi\u1ec7c b\u1eaft bu\u1ed9c s\u1eed d\u1ee5ng c\u00e1nh tay b\u00ean li\u1ec7t c\u00f3 th\u1ec3 g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y, khi\u1ebfn b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu v\u00e0 b\u1ea5t ti\u1ec7n.<\/p>\n<p>&#8211; Th\u1eddi gian t\u1eadp luy\u1ec7n d\u00e0i h\u1ea1n: Ph\u01b0\u01a1ng ph\u00e1p CIMT y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n t\u1eadp luy\u1ec7n th\u01b0\u1eddng xuy\u00ean trong m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u00e0i \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/p>\n<p>&#8211; T\u00e1c d\u1ee5ng ph\u1ee5: M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 \u0111au, m\u1ecfi ho\u1eb7c c\u1ee9ng c\u01a1 khi th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp CIMT.<\/p>\n<p>Do \u0111\u00f3, tr\u01b0\u1edbc khi \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p CIMT, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng v\u00e0 t\u01b0 v\u1ea5n b\u1edfi c\u00e1c chuy\u00ean gia \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 ph\u00f9 h\u1ee3p v\u00e0 an to\u00e0n.<\/p>\n<p>T\u00f3m l\u1ea1i, ph\u01b0\u01a1ng ph\u00e1p t\u1eadp b\u1eaft bu\u1ed9c b\u00ean li\u1ec7t (CIMT) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng cho b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p CIMT c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n s\u1ee9c m\u1ea1nh c\u01a1 b\u1eafp, t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng cho b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p t\u1eadp luy\u1ec7n \u0111\u01a1n gi\u1ea3n v\u00e0 kh\u00f4ng y\u00eau c\u1ea7u s\u1eed d\u1ee5ng thu\u1ed1c, gi\u00fap tr\u00e1nh nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p CIMT c\u0169ng c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf v\u00e0 kh\u00f4ng ph\u00f9 h\u1ee3p cho m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng v\u00e0 theo d\u00f5i b\u1edfi c\u00e1c chuy\u00ean gia \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>K\u1ef9 thu\u1eadt t\u1eadp b\u1eaft bu\u1ed9c b\u00ean li\u1ec7t (CIMT: Constraint induced movement therapy) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p c\u1ee5 th\u1ec3 cho ph\u1ee5c h\u1ed3i chi tr\u00ean v\u00e0 b\u00e0n tay li\u1ec7t, \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean s\u1ef1 li\u00ean k\u1ebft th\u1ea7n kinh v\u00e0 nh\u1eefng gi\u1ea3 thuy\u1ebft v\u1ec1 vi\u1ec7c h\u1ecdc t\u1eadp v\u1eadn \u0111\u1ed9ng (motor learning). M\u1ee5c \u0111\u00edch ch\u00ednh c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u1ee8ng d\u1ee5ng k\u1ef9 thu\u1eadt CIMT cho b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi - Vinmec<\/title>\n<meta name=\"description\" content=\"K\u1ef9 thu\u1eadt t\u1eadp b\u1eaft bu\u1ed9c b\u00ean li\u1ec7t (CIMT: Constraint induced movement therapy) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p c\u1ee5 th\u1ec3 cho ph\u1ee5c h\u1ed3i chi tr\u00ean v\u00e0 ...\" \/>\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=\"\u1ee8ng d\u1ee5ng k\u1ef9 thu\u1eadt CIMT cho b\u1ec7nh nh\u00e2n li\u1ec7t n\u1eeda ng\u01b0\u1eddi - 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