{"id":9943,"date":"2023-02-16T00:18:49","date_gmt":"2023-02-16T00:18:49","guid":{"rendered":"https:\/\/4pal.net\/?p=9943"},"modified":"2023-02-16T03:32:58","modified_gmt":"2023-02-16T03:32:58","slug":"bong-gan-co-chan-va-phong-ngua-chan-thuong-bang-bang-ep","status":"publish","type":"post","link":"https:\/\/4pal.net\/bong-gan-co-chan-va-phong-ngua-chan-thuong-bang-bang-ep\/","title":{"rendered":"BONG G\u00c2N C\u1ed4 CH\u00c2N V\u00c0 PH\u00d2NG NG\u1eeaA CH\u1ea4N TH\u01af\u01a0NG B\u1eb0NG B\u0102NG \u00c9P"},"content":{"rendered":"

\u00a0\u00a0 Bong g\u00e2n l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ecb k\u00e9o gi\u00e3n, r\u00e1ch to\u00e0n ph\u1ea7n ho\u1eb7c m\u1ed9t ph\u1ea7n d\u00e2y ch\u1eb1ng \u2013 m\u1ed9t d\u1ea3i m\u00f4 s\u1ee3i ch\u1eafc kh\u1ecfe n\u1ed1i hai x\u01b0\u01a1ng v\u1edbi nhau. Bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n l\u00e0 ch\u1ea5n th\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao v\u00e0 gi\u1ea3i tr\u00ed. Theo nh\u01b0 c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y, t\u1ef7 l\u1ec7 ch\u1ea5n th\u01b0\u01a1ng do bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n l\u00e0 17-20% 1)2)3)<\/sup>. \u00a0M\u1eb7c d\u00f9 c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t nh\u1ecf v\u1ec1 s\u1ed1 li\u1ec7u gi\u1eefa c\u00e1c nghi\u00ean c\u1ee9u, nh\u01b0ng t\u1ef7 l\u1ec7 ch\u1ea5n th\u01b0\u01a1ng do bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n v\u1eabn l\u00e0 cao nh\u1ea5t trong s\u1ed1 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao. Bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i: bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n ph\u00eda trong v\u00e0 bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n ph\u00eda ngo\u00e0i. Trong s\u1ed1 \u0111\u00f3, bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n ph\u00eda ngo\u00e0i ph\u1ed5 bi\u1ebfn h\u01a1n. \u00a0T\u1ec9 l\u1ec7 bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n ngo\u00e0i chi\u1ebfm 77-80% 3)4)<\/sup> trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n. Bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n th\u01b0\u1eddng b\u1ecb xem nh\u1eb9, kh\u00f4ng \u0111\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7y \u0111\u1ee7, \u0111\u00e2y c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn t\u00e1i bong g\u00e2n m\u1eaft c\u00e1 ch\u00e2n th\u01b0\u1eddng xuy\u00ean khi ch\u01a1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao 5)<\/sup>. S\u1ef1 l\u1ecfng l\u1ebbo c\u1ee7a kh\u1edbp c\u1ed5 ch\u00e2n v\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u00e1i bong g\u00e2n di\u1ec5n ra g\u00e2y l\u00ean t\u00ecnh tr\u1ea1ng m\u1ea5t \u1ed5n \u0111\u1ecbnh kh\u1edbp c\u1ed5 ch\u00e2n m\u00e3n t\u00ednh (CAI: chronic ankle instability) 5)<\/sup>. C\u00f3 nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng \u1edf nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng CAI n\u00e0y b\u1ecb gi\u1ea3m kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf, d\u1eabn \u0111\u1ebfn gi\u1ea3m kh\u1ea3 n\u0103ng th\u0103ng b\u1eb1ng, t\u0103ng nguy c\u01a1 t\u00e1i bong g\u00e2n. \u0110\u1ec3 \u0111o \u0111\u1ea1c \u0111\u01b0\u1ee3c s\u1ef1 suy gi\u1ea3m kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t t\u01b0 th\u1ebf n\u00e0y ng\u01b0\u1eddi ta s\u1eed d\u1ee5ng c\u00e1c m\u00e1y \u0111o \u0111\u1ea1c chuy\u00ean d\u1ee5ng hi\u1ec7n \u0111\u1ea1i, trong s\u1ed1 \u0111\u00f3 c\u00f3 m\u00e1y \u0111o \u0111\u1ed9 dao \u0111\u1ed9ng tr\u1ecdng t\u00e2m c\u01a1 th\u1ec3, hi\u1ec7n nay t\u1ea1i Khoa ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y khoa Tokyo Vi\u1ec7t Nam l\u00e0 tr\u01b0\u1eddng \u0111\u1ea7u ti\u00ean \u1edf mi\u1ec1n b\u1eafc c\u00f3 s\u1edf h\u1eefu m\u00e1y \u0111o \u0111\u1ed9 dao \u0111\u1ed9ng tr\u1ecdng t\u00e2m n\u00e0y v\u00e0 \u1ee9ng d\u1ee5ng cho sinh vi\u00ean th\u1ef1c h\u00e0nh \u0111\u1ec3 quan s\u00e1t c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng ho\u1eb7c m\u1eb7t b\u1ec7nh c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ecdng t\u00e2m c\u01a1 th\u1ec3:<\/p>\n

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M\u00e1y \u0111o \u0111\u1ed9 giao \u0111\u1ed9ng tr\u1ecdng t\u00e2m GP \u2013 5000 t\u1ea1i Tr\u01b0\u1eddng \u0110H Y khoa Tokyo Vi\u1ec7t Nam<\/p><\/div>\n

\u00a0 V\u00ec v\u1eady vi\u1ec7c \u0111\u01b0a ra b\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed bong g\u00e2n v\u00e0 vi\u1ec7c ph\u00f2ng tr\u00e1nh bong g\u00e2n cho t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng th\u01b0\u1eddng xuy\u00ean tham gia ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c th\u1ec3 thao l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft. M\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p ph\u00f2ng tr\u00e1nh bong g\u00e2n \u0111\u01a1n gi\u1ea3n, hi\u1ec7u qu\u1ea3 cao \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 b\u00e1o c\u00e1o \u0111\u00f3 l\u00e0 d\u00f9ng b\u0103ng thun b\u0103ng \u00e9p kh\u1edbp c\u1ed5 ch\u00e2n. Sau \u0111\u00e2y l\u00e0 h\u01b0\u1edbng d\u1eabn c\u00e1ch b\u0103ng \u00e9p kh\u1edbp c\u1ed5 ch\u00e2n b\u1eb1ng b\u0103ng thun \u0111\u1ec3 ph\u00f2ng tr\u00e1nh nguy c\u01a1 bong g\u00e2n kh\u1edbp c\u1ed5 ch\u00e2n hi\u1ec7u qu\u1ea3:<\/p>\n\n\n\n\n\n\n\n\n
B\u01b0\u1edbc 1: Gi\u1eef g\u00f3c m\u1eaft c\u00e1 ch\u00e2n \u1edf 90 \u0111\u1ed9.<\/p>\n

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B\u01b0\u1edbc 2: \u0110o chi\u1ec1u cao g\u1ea7n \u0111\u00fang c\u1ee7a b\u0103ng l\u00e0 kho\u1ea3ng m\u1ed9t n\u1eafm tay.<\/p>\n

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B\u01b0\u1edbc 3: \u0110\u1eb7t b\u0103ng \u1edf ph\u1ea7n m\u1eb7t d\u01b0\u1edbi g\u00f3t ch\u00e2n, n\u01a1i gi\u00f3ng th\u1eb3ng t\u1eeb m\u1eaft c\u00e1 ch\u00e2n b\u00ean trong v\u00e0 b\u00ean ngo\u00e0i xu\u1ed1ng<\/p>\n

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B\u01b0\u1edbc 4: d\u00f9ng g\u00f3t ch\u00e2n l\u00e0m \u0111i\u1ec3m t\u1ef1a k\u00e9o m\u1ea1nh 2 \u0111\u1ea7u c\u1ee7a b\u0103ng l\u00ean tr\u00ean<\/p>\n

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B\u01b0\u1edbc 5: D\u00e1n qua ch\u00ednh gi\u1eefa m\u1eaft c\u00e1 ch\u00e2n trong v\u00e0 m\u1eaft c\u00e1 ch\u00e2n ngo\u00e0i, \u01b0\u1edbc l\u01b0\u1ee3ng c\u1eaft \u0111o\u1ea1n b\u0103ng v\u1eeba v\u1edbi kho\u1ea3ng c\u00e1ch \u0111\u00e3 \u0111o \u1edf c\u1ed5 ch\u00e2n.<\/p>\n

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B\u01b0\u1edbc 6: D\u00e1n \u0111o\u1ea1n b\u0103ng th\u1ee9 hai ch\u00e8n l\u00ean \u00bd \u0111o\u1ea1n b\u0103ng \u0111\u1ea7u ti\u00ean v\u1ec1 ph\u00eda ng\u00f3n ch\u00e2n, \u00e1p d\u1ee5ng h\u01b0\u1edbng k\u00e9o l\u00ean tr\u00ean theo c\u00e1ch t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1i \u0111\u1ea7u ti\u00ean.<\/p>\n

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B\u01b0\u1edbc 7: V\u1eabn \u0111o\u1ea1n b\u0103ng \u0111\u00f3 ti\u1ebfp t\u1ee5c t\u1eeb b\u00ean ngo\u00e0i ph\u00eda ng\u00f3n \u00fat \u0111i qua trung t\u00e2m, m\u1eb7t tr\u01b0\u1edbc c\u1ee7a kh\u1edbp c\u1ed5 ch\u00e2n.<\/p>\n

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B\u01b0\u1edbc 8: V\u00f2ng qua m\u1eaft c\u00e1 ch\u00e2n ph\u00eda trong<\/p>\n

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B\u01b0\u1edbc 9: Qu\u1ea5n v\u00f2ng l\u00ean ph\u00eda tr\u00ean kh\u1edbp c\u1ed5 ch\u00e2n<\/p>\n

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B\u01b0\u1edbc 10: \u0111\u1ebfn v\u1ecb tr\u00ed \u0111\u1ed9 cao c\u1ee7a \u0111o\u1ea1n b\u0103ng \u0111\u1ea7u ti\u00ean \u0111\u1ec3 tr\u00e1nh bong tr\u00f3c<\/p>\n

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B\u01b0\u1edbc 11: Ho\u00e0n th\u00e0nh<\/p>\n

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\u00a0Tr\u00ean \u0111\u00e2y l\u00e0 c\u00e1ch h\u01b0\u1edbng d\u1eabn b\u0103ng \u00e9p kh\u1edbp c\u1ed5 ch\u00e2n b\u1eb1ng b\u0103ng thun \u0111\u1ec3 ph\u00f2ng tr\u00e1nh nguy c\u01a1 bong g\u00e2n c\u0169ng nh\u01b0 nguy c\u01a1 t\u00e1i ch\u1ea5n th\u01b0\u01a1ng. Ch\u00fac c\u00e1c b\u1ea1n c\u00f3 \u0111\u00f4i ch\u00e2n kh\u1ecfe m\u1ea1nh \u0111\u1ec3 tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c th\u1ec3 thao, n\u00e2ng cao s\u1ee9c kh\u1ecfe.<\/p>\n

T\u00e0i li\u1ec7u v\u00e0 website tham kh\u1ea3o<\/strong><\/p>\n

1) Ivins D: Acute ankle sprain: an update. Am Fam Physician 74: 1714-20, 2006.<\/p>\n

2) Ekstrand J,\u00a0Gillquist J: Soccer injuries and their mechanisms: a prospective study. Med Sci Sports Exerc<\/a> 15\uff083\uff09: 267-70, 1983.<\/p>\n

3) Hawkins RD, Hulse MA, Wilkinson C: The association football medical research programme: an audit of injuries in professional football. Br J Sports Med 34:0\u20134, 2000.<\/p>\n

4) Woods C, Hawkins R, Hulse M, Hodson A: The Football Association Medical Research Programme: an audit of injuries in professional football: an analysis of ankle sprains. Br J Sports Med 37\uff083\uff09: 233-8, 2003.<\/p>\n

5) Hertel<\/a> J: Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability. J Athl Train 37\uff084\uff09: 364\u2013375, 2002.<\/p>\n

6) Battlewin, \u8db3\u9996\u306e\u637b\u632b\uff08\u306d\u3093\u3056\uff09\u30bb\u30eb\u30d5\u30c6\u30fc\u30d4\u30f3\u30b0\u5f37\u3081, 2023, https:\/\/www.battlewin.com\/howto_taping\/ankle_06\/index.<\/a><\/p>\n

Ths. Nguy\u1ec5n \u0110\u0103ng Khoa – Khoa Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/strong><\/p>\n

\ud83c\uddef\ud83c\uddf5\u00a0\ud83c\uddfe\u00a0\ud83c\uddf0\u00a0\ud83c\udded\u2b55\ud83c\udde6\u00a0\ud83c\uddf9\u2b55\ud83c\uddf0\u00a0\ud83c\uddfe\u2b55\ud83c\uddfb\u00a0\ud83c\uddee\u00a0\ud83c\uddea\u00a0\ud83c\uddf9\u00a0\ud83c\uddf3\u00a0\ud83c\udde6\u00a0\ud83c\uddf2\u00a0\ud83c\uddfb\ud83c\uddf3\u00a0\ud83c\uddfb\ud83c\uddf3\ud83d\udd348\ufe0f\u20e36\ufe0f\u20e39\ufe0f\u20e38\ufe0f\u20e3\ud83d\udd359\ufe0f\u20e3\ud83d\udd348\ufe0f\u20e38\ufe0f\u20e3\ud83c\uddef\ud83c\uddf5\u00a0\ud83c\uddef\ud83c\uddf5<\/p>\n

Ng\u00e0nh K\u1ef9 thu\u1eadt ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/a><\/p><\/blockquote>\n

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TUY\u1ec2N SINH 2024<\/h1>
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H\u00e3y li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 - t\u01b0 v\u1ea5n.\r
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TH\u00d4NG TIN CHI TI\u1ebeT T\u1ea0I \u0110\u00c2Y<\/a><\/div><\/div><\/section>