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%ӊ1+Ĉ$8/Ѭ1*
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IV. 1*¬<+2¬17+¬1+1+,ӊ09Ө: 13/06/2021
V. &È1%Ӝ+ѬӞ1*'Ү1:
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CÁN BӜ +ѬӞNG DҮN 1
CÁN BӜ +ѬӞNG DҮN 2
CHӪ NHIӊM BӜ MÔN
(Hӑ tên và chӳ ký)
(Hӑ tên và chӳ ký)
(Hӑ tên và chӳ ký)
TS. 1JX\ӉQ7KӃ7KѭӡQJ
PGS. TS. +XǤQK4XDQJ Linh
75ѬӢ1*.+2$.+2$+Ӑ&Ӭ1*'Ө1*
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iii
LӠI CҦ0Ѫ1
6DXTXiWUuQKKӑFWұSUqQOX\ӋQWҥLWUѭӡQJĈҥLKӑF%iFK.KRD7S+&0
NKRD.KRD+ӑFӬQJ'өQJYjWKӡLJLDQOjPOXұQYăQQJKLrQFӭXYӅÿӅWjLSKkQ
WtFKKLӋXTXҧOX\ӋQWұSFӫDWKLӃWEӏOX\ӋQWұSWUӏOLӋXSUR[RPHGÿӕLYӟLQJѭӡL
EӋQKÿDXOѭQJ(P[LQJӱLOӡLFҧPѫQFiFWKҫ\F{JLҧQJYLrQFiQEӝFiFSKzQJ
EDQFKӭFQăQJ FӫDWUѭӡQJÿmJL~SHPKRjQWKjQKOXұQYăQ này.
ĈһF ELӋW em xin FҧP ѫQ sâu VҳF WӟL PGS.TS +XǤQK Quang Linh và TS.
1JX\ӉQ7KӃ7KѭӡQJÿmWUӵFWLӃSKѭӟQJGүQHPWURQJTXiWUuQKWKӵFKLӋQOXұQ
YăQYjOX{QOX{QÿӗQJKjQKQKLӋWWuQKKѭӟQJGүQHPSKѭѫQJKѭӟQJWLӃSFұQ
ÿӅWjLFNJQJQKѭFKӍQKVӱDQKӳQJWKLӃXVyWÿӇKRjQWKjQKOXұQYăQPӝWFiFKWӕW
QKҩW7URQJTXiWUuQKQJKLrQ FӭX không tránh NKӓL sai sót em mong QKұQ ÿѭӧF
ý NLӃQ Wӯ các WKҫ\ cô ÿӇ HPKӑFKӓLWKrPÿѭӧFQKLӅXNLQKQJKLӋPYjKRjQWKLӋQ
WӕW KѫQ
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5HKD&OLQLFYj&{QJW\5HKDVRFQJFiFÿӝLQJNJQKkQYLrQÿmJL~SÿӥYjWҥR
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9}7KӏÈQK7X\ӃW
iv
TÓM TҲT LUҰ19Ă1
PHÂN TÍCH HIӊU QUҦ LUYӊN TҰP CӪA THIӂT Bӎ LUYӊN TҰP TRӎ
LIӊU PROXOMED ĈӔI VӞ,1*ѬӠI Bӊ1+Ĉ$8/Ѭ1*
%ӋQKOêYӅFӝWVӕQJWKҳWOѭQJOjPӝWWURQJQKӳQJFăQEӋQKSKәELӃQWKѭӡQJ[XҩW
KLӋQӣÿӝWXәLWUXQJQLrQVRQJQJj\FjQJFy[XKѭӟQJWUҿKyD%ӋQKQj\ tuy không
Jk\QJX\KLӇPÿӃQWtQKPҥQJQKѭQJOjPJLҧPFKҩWOѭӧQJFXӝFVӕQJPӝW cách nghiêm
WUӑQJYuQJѭӡLEӋQKOX{QWURQJWuQKWUҥQJÿDXÿӟQPӋWPӓL YjFNJQJOjQJX\rQQKkQ
Jk\UDWjQWұWKjQJÿҫX WUrQWRjQWKӃJLӟLYjFKLSKtWӕQNpPFKRQJѭӡLEӋQK&iF
SKѭѫQJSKiSÿLӅXWUӏSKәELӃQQKѭGQJWKXӕFFDQWKLӋSQJRҥLNKRDYjYұWOêWUӏOLӋX
PӛLSKѭѫQJSKiSÿӅXFyFiFѭXYjQKѭӧFÿLӇPULrQJ
/XұQYăQQj\WUuQKEj\FѫVӣOêWKX\ӃWYjSKѭѫQJSKiSOX\ӋQWұSWKӇWKDRWUӏ
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WұSWUrQPӝWEXәLÿӅXÿѭӧFFҧLWKLӋQYjÿһFELӋWOjPӭFÿӝÿDXFӫDQJѭӡLEӋQKJLҧP
trên 65%.
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WҥL9LӋW1DP
v
ABSTRACT
STUDY ON THE TRAINING EFFECT OF PROXOMED
THERAPEUTIC TRAINING EQUIPMENT FOR BACK PAIN PATIENTS
Lumbar spine disease is one of the common diseases that often appear in middle
age, but it tends to be younger. Although this disease is not life-threatening, it
seriously reduces the quality of life because the patient is always in a state of pain
and fatigue and is the leading cause of disability worldwide and costly for patients as
well. Common treatment methods for mentioned disease such as medication, surgical
intervention, and physical therapy have their own pros and cons points.
This thesis presents the theoretical basis and methods of medical training
therapy of lumbar spine disease on the Proxomed machine system. The results show
that when patient exercises on this device system with proper range index of motion,
maximum isometric strength and exercise volume per session are considerably
improved, and especially the pain level of the patient decreases over 65%.
Research results show that the practice of therapeutic sports on the Proxomed
device system brings very positive therapeutic effects, opening new research
directions in the development and application of mentioned methods and equipment
in Vietnam.
vi
LӠ,&$0Ĉ2$1
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MӨC LӨC
&+ѬѪ1* 7ӘNG QUAN .................................................................................... 1
1.1 6ѫOѭӧc vӅ giҧi phүu và chӭFQăQJFӝt sӕng .................................................. 1
ĈһFÿLӇPFKXQJFӫDFiFÿӕWVӕQJ ............................................................ 2
ĈһFÿLӇPULrQJFӫDÿӕWVӕQJWKҳWOѭQJ ..................................................... 3
&iFFѫӣOѭQJ............................................................................................ 4
&iFYұQÿӝQJYQJWKҳWOѭQJ .................................................................... 7
ĈDXOѭQJ ....................................................................................................... 10
ĈӏQKQJKƭD .............................................................................................. 10
1.2.2 Dӏch tӉ hӑc.............................................................................................. 10
1.2.3 Nguyên nhân........................................................................................... 11
1.2.4 TriӋu chӭng bӋnh lý................................................................................ 13
1.2.5 Hұu quҧ................................................................................................... 15
&+ѬѪ1* &È&3+ѬѪ1*3+È3Ĉ,ӄU TRӎ .................................................. 17
2.1 Nӝi khoa ........................................................................................................ 17
2.2 Ngoҥi khoa .................................................................................................... 18
2.3 Vұt lý trӏ liӋu ................................................................................................. 18
2.4 LuyӋn tұp ThӇ thao trӏ liӋu............................................................................ 19
2.4.1 Khái niӋm ............................................................................................... 19
2.4.2 Quy trình luyӋn tұp MTT ....................................................................... 24
2.4.3 Cách kiӇm tra sӭc mҥnh cӫDFiFQKyPFѫFKX\ӇQÿӝng cӫa cӝt sӕng và
WKDQJÿDX ......................................................................................................... 24
&iFEѭӟc cӫa 1 buәi huҩn luyӋn ............................................................ 26
2.4.5 HӋ thӕng trang thiӃt bӏ Tergumed 700 3UR[RPHGĈӭc) ...................... 26
2.4.6 Quy trình thӵc hiӋn luyӋn tұp trên thiӃt bӏ Tergumed ............................ 28
2.4.7 Các minh chӭng lâm sàng cӫDSKѭѫQJSKiS.......................................... 29
&+ѬѪ1* 3+ѬѪ1*3+È31*+,Ç1&ӬU ................................................... 31
3KѭѫQJSKiSQJKLrQFӭu .............................................................................. 31
ĈӕLWѭӧng nghiên cӭu ................................................................................... 31
3.2.1 Tiêu chuҭn lӵa chӑn ............................................................................... 31
3.2.2 Tiêu chuҭn loҥi trӯ ................................................................................. 31
3.2.3 Các biӃn sӕ nghiên cӭu thӕng kӃ............................................................ 31
3KѭѫQJSKiSYjF{QJFө ÿROѭӡng ......................................................... 35
&+ѬѪ1*4: PHÂN TÍCH KӂT QUҦ.................................................................. 37
4.1 Thӕng kê mô tҧ các biӃn ............................................................................... 37
3KkQWtFKÿiQKJLiKLӋu quҧ tұp luyӋn và các yӃu tӕ ҧQKKѭӣng .................. 47
4.2.1 3KkQWtFKYjÿiQKJLi520WUѭӟc và sau tұp ......................................... 47
4.2.2 3KkQWtFKYjÿiQKJLiFiFJLiWUӏ lӵFFRFѫÿҷQJWUѭӡQJWUѭӟc và sau tұp50
4.2.3 3KkQWtFKYjÿiQKJLiWҧi tұSWѭѫQJÿӕLWUѭӟc và sau tұp ....................... 57
3KkQWtFKYjÿiQKJLiPӭFÿӝ ÿDXWUѭӟc và sau tұp ............................... 58
3KkQWtFKYjÿánh giá ҧQKKѭӣng cӫa giӟLWtQKÿӃn hiӋu quҧ luyӋn tұp . 60
&+ѬѪ1*5: BÀN LUҰN .................................................................................... 66
&+ѬѪ1*: KӂT LUҰN 9¬+ѬӞNG PHÁT TRIӆN ....................................... 68
ĈһFÿLӇm chung ӣ QKyPQJѭӡi bӋnh nghiên cӭu ......................................... 68
6.2 HiӋu quҧ cӫa MTT ........................................................................................ 68
6.3 Mӝt sӕ yӃu tӕ FKtQKOLrQTXDQÿӃn các giá trӏ khi luyӋn tұp theo MTT........ 68
6.4 +ѭӟng phát triӇn ........................................................................................... 69
TÀI LIӊU THAM KHҦO ...................................................................................... 70
PHӨ LӨC ............................................................................................................... 76
DANH MӨC BҦNG-BIӆU
Bҧng 4.1 7K{QJWLQFKXQJFӫDÿӕLWѭӧQJQJKLrQFӭX
%ҧQJ 520WUXQJEuQKYӟL.LӇPWUDWӯÿҫXQJyQWD\ÿӃQVjQQKjӣÿӕLWѭӧQJ
QJѭӡLWUѭӣQJWKjQKNKӓHPҥQK>@
Bҧng 4.3 Giá trӏ lӵFFRFѫÿҷQJWUѭӡng tuyӋWÿӕi gұp/duӛi
Bҧng 4.4 Giá trӏ trung bình tҧi tұp cӫDQJѭӡi bӋnh
BҧQJ7KDQJÿLӇPÿDXWUѭӟc và sau luyӋn tұp
%ҧQJ6ӵWKD\ÿәLFiFELӃQJLiWUӏ
Bҧng 4.7 Sӵ WKD\ÿәi ROM cӫDQJѭӡi bӋQKWUѭӟc và sau khi luyӋn tұp
Bҧng 4.8 So sánh sӵ cҧi thiӋn tҫm vұQÿӝng cӝt sӕng thҳWOѭQJVDXÿLӅu trӏ giӳa 2
nhóm bҵQJSKѭѫQJSKiSWiFÿӝQJÿӃn cӝt sӕng phӕi hӧp vӟLWUkPÿLӋn trích dүn tӯ
nghiên cӭu Trҫn ThiӋn Ân và cӝng sӵ [ 44]
Bҧng 4.9 Sӵ WKD\ÿәi lӵFFRFѫÿҷQJWUѭӡng tuyӋWÿӕi cӫDQJѭӡi bӋQKWUѭӟc và sau
khi luyӋn tұp
Bҧng 4.10 Sӵ khác biӋt vӅ sӭc mҥQKFѫYjVӵ mҩt cân bҵQJWUѭӟc và sau 6 tuҫQÿLӅu
trӏ ӣ nhóm nghiên cӭu (A) và nhóm chӭQJ % ÿѭӧc chӭng minh bҵQJSKkQWtFKSKѭѫQJ
VDL$129$ÿѭӧc trích tӯ nghiên cӭu cӫD-:LOF]\ĔVNLYjFӝng sӵ [26]
Bҧng 4.11 Sӵ WKD\ÿәi lӵFFRFѫÿҷQJWUѭӡQJWѭѫQJÿӕi
Bҧng 4.12 Sӵ WKD\ÿәi lӵFFRFѫÿҵQJWUѭӡng tuyӋWÿӕi gұp so vӟi duӛi cӫDQJѭӡi
bӋQKWUѭӟc và sau khi luyӋn tұp
Bҧng 4.13 Sӵ WKD\ÿәi tҧi tұp cӫDQJѭӡi bӋQKWUѭӟc và sau khi luyӋn tұp
Bҧng 4.14 Sӵ WKD\ÿәi mӭFÿӝ ÿDXFӫDQJѭӡi bӋQKWUѭӟc và sau khi luyӋn tұp
BҧQJ6RViQKQKyPÿӕLWѭӧng ӣ nhóm tұp bҵQJÿDLYjWұp trên thҧm, trích dүn
nghiên cӭu cӫa Yoo và cӝng sӵ [46]
Bҧng 4.16 Sӵ ҧQKKѭӣng cӫa giӟi tính lên hiӋu quҧ luyӋn tұp
BiӇXÿӗ 4.1 Thông tin giӟLWtQKQKyPÿӕLWѭӧng nghiên cӭu
BiӇXÿӗ 4.2 Tӹ lӋ ÿDXWKҳWOѭQJWUXQJEuQKYӟi khoҧng cách biӋt, theo
giӟi tính và truQJÿLӇm cӫa nhóm tuәLÿѭӧc sao chép tӯ Hoy và cӝng sӵ [21]
BiӇXÿӗ 7K{QJWLQÿӝ tuәLQKyPÿӕLWѭӧng nghiên cӭu
BiӇXÿӗ 4.4 Giá trӏ ROM trung bình cӫDQJѭӡi bӋnh
BiӇXÿӗ 4.5 Giá trӏ lӵFFRFѫÿҷQJWUѭӡng tuyӋWÿӕi
BiӇXÿӗ 4.6 Giá trӏ lӵFFRFѫÿҷng trѭӡQJWѭѫQJÿӕi
BiӇXÿӗ 4.7 Sӵ WKD\ÿәL520WUѭӟc sau tұp
BiӇXÿӗ 4.8 Sӵ WKD\ÿәi lӵFFRFѫÿҷQJWUѭӡng tuyӋWÿӕLWUѭӟc sau tұp
BiӇXÿӗ 4.9 Sӵ thay lӵFFRFѫÿҷQJWUѭӡQJWѭѫQJÿӕi
BiӇXÿӗ 4.10 Sӵ WKD\ÿәi tҧi buәLÿҫu tiên và các buәi cuӕi cùng
BiӇXÿӗ 4.11 Sӵ WKD\ÿәLÿLӇPÿDXWUѭӟc và sau tұp
BiӇXÿӗ 4.12 Sӵ khác nhau vӅ ÿӝ WăQJOӵFFRFѫÿҷQJWUѭӡng giӳa nam và nӳ
BiӇXÿӗ 4.13 Sӵ khác nhau vӅ ÿӝ WăQJOӵFFRFѫÿҷQJWUѭӡQJWѭѫQJÿӕi giӳa nam và
nӳ
DANH MӨC HÌNH ҦNH
+uQK&ӝWVӕQJ>@
+uQKĈӕWVӕQJQJӵFWKӭsáu [38]
+uQK&iFOӟSFѫQ{QJ>@
+uQK&iFOӟSFѫVkX>@
+uQK*ұSGXӛLQJKLrQJYj[RD\FӝWVӕQJ[56]
+uQKĈƭDÿӋPKRjQWRjQPzQӣ//>@
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