Hiệu quả điều trị thoát vị đĩa đệm cột sống cổ bằng phương pháp vật lý trị liệu - phục hồi chức năng

TCNCYH 71 (dJ - 2010

therapy earlier 4 first weeks has better recovery than patients came after 4 weeks (p < 0.05).

Conclusion; 3 months - occupation therapy had achieved a good hand motor recovery; the younger age of

patients and the earlier intervention had been directly related to result of rehabilitation.

Keywords: Hand function, Cerebral vascular accident, Occupational therapy

HIEU QUA DIEU TR| THOAT Vj DI A DEM COT SONG CO BANG

PHUONG PHAP VAT LY TRj LIEU - PHUC HOI CHL/C NANG

Pham Van Mlnh, Phi Thiiy Linh

Trddng Dai hoe Y Ha Ngi

Thoil vj dia dem cdt sd'ng co li mdt benh ly khi pho biin d Viet Nam cung nhd tren thi gidi. Muc tieu:

nghien cifu hieu qui diiu trj thoit vj dTa dem cdt sd'ng co bing phdang phip Vit ly trj lieu - Phuc hdi chifc

nang. Ddi tugng va phuang phap nghien ctfu: nghien cdu tien cdu ddac tien hinh tren 30 benh nhan thoat

vj dia dem cdt sdng ed ddac diiu trj bang cic bien phap Vat I'y trj li$u - Phuc hoi chdc nang, ket qua duac

dinh gia theo tinh trang dau, tim van ddng va sdc manh cd vung cot sdng co. Kit qua va kit luan: cic bien

phip Vat ly tri lieu - Phuc hoi chdc nang da thdc sd dem lai hieu qua diiu trj benh nhan thoat vj dTa dem

cot sd'ng CO . Sau 15 ngay dieu trj cd 30%o sd bdnh nhin dat mde trung binh vi 70%o dat mde khi, sau 30

ngiy diiu tri cd 86,7%o dat mifc khi vi 13,3%o bdnh nhin d mde tdt.

Ttf khoa: Hieu qua diiu tri, thoat vj dia dem cot sdng cd, vat ly tri lieu - Phuc hoi chtfc nang

I. DAT VAN DE

Thoat vj dTa dem (TV.DD) cot sdng ed la mpt

benh ly kha phd bien d Viet Nam cung nhfl tren

the gidi, ty le mle benh cao dflng hang thd hai sau

FVDD cot sdng thit lifng [9]. Cae phfldng phap

dieu trj TVDD ect sdng cd hien nay bao gdm dieu

tri bao tdn, eae phfldng phl p can thiep khdng

phau thuat va dieu trj phlu thuat, trong dd dieu tri

bao tdn cho ket qua tdt va kha tfl 65 - 78% ele

1 lifdng hpp [1, 4, 5].

Trong chuyen nganh PHCN ed nhieu phfldng

phap dieu tri TVDD ect sd'ng ed da dflpe I p dung

nhfl nhiet tri lieu, dien tri lieu, xoa bdp, keo gian

cot sdng cd va tap van dpng. Tuy nhien nhflng

nghien eflu ve bleu qua dieu tri cua el c phflpng

phlp nay edn ft v l chfla day du. Do.vay, ehung

tdi tien hanh nghien edu de tai nay nham muc

tieu: Danh gia hieu qua diiu tri thoat vi dia dem

cot sdng cd bang phtfang phap Vat ly tri lieu -

Phuc hoi chtfc nang

II. DOI TaONG VA PHU'ONG PHAP

NGHIEN CLfu

1. Dd^l tupng nghien cii'u: Gdm 30 benh nhan

dflde ehan doln TVDD cot sd'ng cd dflpc dieu trj

tai Trung tam phuc hdi ehfle nang Benh vien

Bach mai trong khoing thdi gian tfl 01/10/2009

den 30/04/2010.

Tieu chuan Ifla chpn benh nhan

- Benh nhan cd dp tudi > 20.

- Thdi gian bj TVDD > 3 tuan.

- Lam sang cd hpi ehdng rd ed hoac hpi chflng rl

tuy hoac hpi chflng tuy mfle dp nhe khdng tie'n trien.

- Can lam sang cd hinh In h TVDD ept sd'ng cd

tren phim chup cpng hfldng tfl.

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