{"id":2671,"date":"2024-04-25T03:46:15","date_gmt":"2024-04-25T03:46:15","guid":{"rendered":"https:\/\/appliedneurotraining.com\/?p=2671"},"modified":"2024-05-06T07:55:18","modified_gmt":"2024-05-06T07:55:18","slug":"bai-2-co-the-chung-ta-co-xu-huong-su-dung-mot-mo-hinh-roi-loan-chuc-nang-dysfunction-pattern-tao-ra-cac-mo-hinh-roi-loan-chuc-nang-khac","status":"publish","type":"post","link":"https:\/\/appliedneurotraining.com\/en\/bai-2-co-the-chung-ta-co-xu-huong-su-dung-mot-mo-hinh-roi-loan-chuc-nang-dysfunction-pattern-tao-ra-cac-mo-hinh-roi-loan-chuc-nang-khac\/","title":{"rendered":"B\u00e0i 2: C\u01a1 th\u1ec3 ch\u00fang ta c\u00f3 xu h\u01b0\u1edbng s\u1eed d\u1ee5ng m\u1ed9t m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng (dysfunction pattern) t\u1ea1o ra c\u00e1c m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng kh\u00e1c."},"content":{"rendered":"<p><\/p>\n\n\n\n<p><strong>C\u01a1 th\u1ec3 ch\u00fang ta c\u00f3 xu h\u01b0\u1edbng s\u1eed d\u1ee5ng m\u1ed9t m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng (dysfunction pattern) t\u1ea1o ra c\u00e1c m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng kh\u00e1c.<\/strong><\/p>\n\n\n\n<p><br>M\u1ed9t kh\u00e1ch h\u00e0ng c\u1ee7a Anna c\u00f3 ti\u1ec1n s\u1eed v\u1eb9o c\u1ed9t s\u1ed1ng (cong ch\u1eef c sang tr\u00e1i), \u0111au th\u1eaft l\u01b0ng, y\u1ebfu c\u00e1nh tay v\u00e0 vai \u0111\u00e3 \u0111\u1ebfn g\u1eb7p Anna \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>S\u1eed d\u1ee5ng 1 s\u1ed1 k\u1ef9 thu\u1eadt \u0111\u00e1nh gi\u00e1 (assesments) v\u00e0 nh\u1eadn th\u1ea5y r\u1eb1ng: Intrinsic Stablization Subsystem (ISS_kh\u00f4ng bi\u1ebft d\u1ecbch ti\u1ebfng Vi\u1ec7t sao cho \u1ed5n^^), h\u1ec7 th\u1ed1ng ph\u1ee5 Ch\u00e9o tr\u01b0\u1edbc (Anterior Oblique Subsystem_AOS) v\u00e0 h\u1ec7 th\u1ed1ng ph\u1ee5 B\u00ean (Lateral Subsystem_LS) c\u1ee7a c\u00f4 \u1ea5y b\u1ecb y\u1ebfu.<br>V\u1edbi \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a t\u00ecnh tr\u1ea1ng v\u1eb9o c\u1ed9t s\u1ed1ng v\u00e0 \u0111au l\u01b0ng, t\u00f4i quy\u1ebft \u0111\u1ecbnh b\u1eaft \u0111\u1ea7u ki\u1ec3m tra k\u1ef9 t\u1ea1i ISS: test c\u01a1 ngang b\u1ee5ng (TVA), n\u00f3 y\u1ebfu. Nh\u01b0ng c\u00f4 \u1ea5y ph\u1ea3n h\u1ed3i r\u1eb1ng h\u00f4ng b\u00ean ph\u1ea3i c\u0103ng khi test TVA. C\u00f4 \u1ea5y ch\u1ec9 \u0111i\u1ec3m giao gi\u1eefa ITband &amp; Glute Max. B\u1edfi v\u00ec LS v\u00e0 AOS c\u1ee7a c\u00f4 \u1ea5y c\u0169ng y\u1ebfu, v\u00ec v\u1eady m\u00ecnh quy\u1ebft \u0111\u1ecbnh ho\u00e3n vi\u1ec7c ki\u1ec3m tra ISS v\u00e0 chuy\u1ec3n sang ki\u1ec3m tra b\u00ean ph\u1ea3i c\u1ee7a LS v\u00e0 th\u1ea5y r\u1eb1ng ITband b\u00ean ph\u1ea3i b\u00f9 (compensate) cho Glute Med &amp; bicep femoris b\u00ean ph\u1ea3i b\u1ecb \u1ee9c ch\u1ebf y\u1ebfu. Gi\u1ea3i ph\u00f3ng ITband sau \u0111\u00f3 k\u00edch ho\u1ea1t GMed &amp; bicep femoris. Kh\u00f4ng c\u00f2n c\u0103ng \u1edf h\u00f4ng b\u00ean ph\u1ea3i khi ki\u1ec3m tra TVA nh\u01b0ng TVA v\u1eabn y\u1ebfu.<br>Ti\u1ebfp t\u1ee5c v\u1edbi AOS b\u00ean ph\u1ea3i, Anna ki\u1ec3m tra c\u01a1 Kh\u00e9p d\u00e0i b\u00ean ph\u1ea3i, c\u01a1 th\u1eb3ng b\u1ee5ng b\u00ean tr\u00e1i (RA) v\u00e0 c\u01a1 ch\u00e9o b\u1ee5ng trong b\u00ean tr\u00e1i (IAO). T\u1ea5t c\u1ea3 \u0111\u1ec1u y\u1ebfu nh\u01b0ng c\u00f4 \u1ea5y l\u1ea1i c\u1ea3m th\u1ea5y \u0111au \u1edf kh\u1edbp c\u00f9ng ch\u1eadu (SI) b\u00ean tr\u00e1i trong khi m\u00ecnh test c\u01a1 Kh\u00e9p d\u00e0i. B\u1edfi v\u00ec LS b\u00ean tr\u00e1i c\u1ee7a c\u00f4 \u1ea5y y\u1ebfu v\u00e0 c\u01a1n \u0111au \u0111\u00f3 cho m\u00ecnh d\u1ea5u hi\u1ec7u r\u1eb1ng c\u00f3 \u0111i\u1ec1u g\u00ec \u0111\u00f3 \u0111\u01b0\u1ee3c gi\u1ea5u \u1edf \u0111\u00e2y. M\u00ecnh ti\u1ebfp t\u1ee5c ho\u00e3n test AOS b\u00ean ph\u1ea3i \u0111\u1ec3 ki\u1ec3m tra LS tr\u00e1i v\u00e0 h\u00f4ng tr\u00e1i. K\u1ebft qu\u1ea3 l\u00e0: C\u01a1 vu\u00f4ng l\u01b0ng (QL) b\u00ean ph\u1ea3i , c\u01a1 C\u0103ng m\u1ea1c \u0111\u00f9i (TFL) tr\u00e1i + C\u01a1 m\u00f4ng nh\u1ee1 (GMed) m\u1ea1nh c\u00f2n c\u01a1 m\u00f4ng l\u1edbn (GMax) b\u00ean tr\u00e1i l\u00e0 y\u1ebfu. N\u00e9n ho\u1eb7c gi\u1ea3i n\u00e9n kh\u1edbp SI b\u00ean tr\u00e1i kh\u00f4ng c\u00f3 g\u00ec thay \u0111\u1ed5i nh\u01b0ng n\u1ebfu c\u00f4 \u1ea5y ch\u1ea1m v\u00e0o t\u1ea5t c\u1ea3 c\u00e1c c\u01a1 m\u1ea1nh (QL, TFL, GMed) trong khi m\u00ecnh test Gmax ph\u1ea3i th\u00ec n\u00f3 s\u1ebd b\u1ecb kh\u00f3a l\u1ea1i. Anna s\u1edd n\u1eafn t\u1ea5t c\u1ea3 c\u00e1c c\u01a1 m\u1ea1nh v\u00e0 th\u1ea5y r\u1eb1ng TFL b\u1ecb c\u1ee9ng n\u00ean quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt Compenstion Test: y\u00eau c\u1ea7u c\u00f4 \u1ea5y ch\u1ea1m v\u00e0o TFL tr\u00e1i trong khi test QL v\u00e0 GMed. \u1ed2, ch\u00fang tr\u1edf n\u00ean y\u1ebfu h\u1eb3n \u0111i. Bingo, \u0111\u00e2y r\u1ed3i. GMed b\u00ean tr\u00e1i c\u1ee7a c\u00f4 \u1ea5y, v\u00e0 QL \u0111\u00e3 b\u00f9 cho TFL b\u00ean tr\u00e1i c\u1ee7a c\u00f4 \u1ea5y. Sau khi gi\u1ea3i ph\u00f3ng GMed r\u1ed3i k\u00edch ho\u1ea1t TFL th\u00ec t\u1ea5t c\u1ea3 TFL + GMax + QL c\u1ee7a c\u00f4 \u1ea5y r\u1ea5t m\u1ea1nh. Quay l\u1ea1i \u0111\u1ec3 ki\u1ec3m tra c\u01a1 Kh\u00e9p d\u00e0i b\u00ean ph\u1ea3i. N\u00f3 m\u1ea1nh m\u1ebd v\u00e0 kh\u00f4ng c\u00f2n \u0111au t\u1ea1i SI n\u1eefa.<\/p>\n\n\n\n<p>Ti\u1ebfp t\u1ee5c quay l\u1ea1i \u0111\u1ec3 ki\u1ec3m tra TVA v\u00e0 IAO ngay. Ch\u00fang \u0111\u00e3 tr\u1edf l\u1ea1i v\u1edbi ch\u1ee9c n\u0103ng t\u1ef1 nhi\u00ean c\u1ee7a ch\u00fang. C\u1ea3 Anna v\u00e0 c\u00f4 g\u00e1i \u1ea5y \u0111\u1ec1u c\u01b0\u1eddi r\u1ea5t t\u01b0\u01a1i b\u1edfi 1 bu\u1ed5i l\u00e0m vi\u1ec7c th\u1eadt th\u00fa v\u1ecb.<br>Th\u00f4ng th\u01b0\u1eddng, c\u01a1 th\u1ec3 c\u00f3 xu h\u01b0\u1edbng s\u1eed d\u1ee5ng m\u1ed9t m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u0111\u1ec3 t\u1ea1o ra m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng kh\u00e1c. Gi\u1ea3i quy\u1ebft \u0111\u00fang m\u00f4 h\u00ecnh, nh\u1eefng m\u00f4 h\u00ecnh kh\u00e1c s\u1ebd t\u1ef1 \u0111\u1ed9ng \u0111\u01b0\u1ee3c ph\u1ee5c h\u1ed3i. <\/p>\n\n\n\n<p>\u0110\u00e2y l\u00e0 1 trong nh\u1eefng l\u00ed do Anna th\u00edch s\u1eed d\u1ee5ng NKT \u0111\u1ec3 t\u00ecm ra nguy\u00ean nh\u00e2n c\u1ee7a c\u00e1c \u201cv\u1ea5n \u0111\u1ec1\u201d v\u00e0 c\u00f3 ph\u01b0\u01a1ng \u00e1n x\u1eed l\u00fd ph\u00f9 h\u1ee3p t\u1eeb g\u1ed1c.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>C\u01a1 th\u1ec3 ch\u00fang ta c\u00f3 xu h\u01b0\u1edbng s\u1eed d\u1ee5ng m\u1ed9t m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng (dysfunction pattern) t\u1ea1o ra c\u00e1c m\u00f4 h\u00ecnh r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng kh\u00e1c. M\u1ed9t kh\u00e1ch h\u00e0ng c\u1ee7a Anna c\u00f3 ti\u1ec1n s\u1eed v\u1eb9o c\u1ed9t s\u1ed1ng (cong ch\u1eef c sang tr\u00e1i), \u0111au th\u1eaft l\u01b0ng, y\u1ebfu c\u00e1nh tay v\u00e0 vai \u0111\u00e3 \u0111\u1ebfn g\u1eb7p [&hellip;]<\/p>","protected":false},"author":2,"featured_media":2672,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"pmpro_default_level":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/posts\/2671"}],"collection":[{"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/comments?post=2671"}],"version-history":[{"count":7,"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/posts\/2671\/revisions"}],"predecessor-version":[{"id":49370,"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/posts\/2671\/revisions\/49370"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/media\/2672"}],"wp:attachment":[{"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/media?parent=2671"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/categories?post=2671"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/appliedneurotraining.com\/en\/wp-json\/wp\/v2\/tags?post=2671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}