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1.HNG DN CHUNG Thi gian cn hnh thnh cc mch mu nui mnh ghp l khong 8 tun Khng cn thit phi dng my tp Bn hng dn ny dnh cho bnh nhn m to hnh dy chng cho trc bng Hamstring c hoc khng c ct sn chm km theo. Thi gian eo np hoc dng nng ty theo yu cu iu tr Thi gian phc hi chc nng sau m c th ko di t 3 n 9 thng 2. CC HOT NG SINH HOT HNG NGY CA BNH NHN Tr khi c yu cu c bit khc trong qu trnh phc hi chc nng, cn li bnh nhn c th thc hin cc hot ng sinh hot hng ngy nh hng dn di y: Tm( di vi hoa sen hoc ngm mnh trong bn) khng cn eo np : sau khi ct ch Ng: lun lun eo np trong vng t nht 1 tun i li: lun eo np. S dng nng, np khi i li trong vng 6 tun nu c thay i v dng i. C th i li t chn 1 phn ngay sau m 3.CC GIAI ON CA CHNG TRNH TP LUYN Gm 4 giai on: Giai on 1: 0-6 tun khm li: 1 ln/ 1 tun Giai on 2: 7-9 tun khm li: 1 ln/ 2 tun Giai on 3: 2-6 thng khm li: 1 ln/ 3 tun Giai on 4: 6-9 thng khm li: 1 ln/ 4 tun 4. CHNG TRNH TP LUYN 4.1. Giai on 1: Tp ngay sau m cho n ht 6 tun 4.1.4. Mc tiu cn t c : Bo v mnh ghp c c nh tt. Gim thiu nh hng ca s bt ng Kim sot tnh trng vim Dui gi phi ti a Hng dn bnh nhn v quy trnh tp luyn 4.1.2. Np gi

 0-2 tun: lun eo np k c khi i li v khi ng 2-6 tun: c th b ra khi i ng 4.1.3. Vic t chn khi i li T chn c th thc hin mt phn hoc hon ton vi 2 nng mc bnh nhn chp nhn c bt u t tun th 3 sau m. eo np khi i li bt buc t nht cho n 4 tun sau phu thut, mt s trng hp bt buc phi ko di hn tu theo yu cu ca bc s. 4.1.4. Chng trnh tp luyn Tp dng khp hng, trong np, trn ging( hnh 1) Tp gp hng trong np( hnh 1) Tp ln gn c cng chn, gp dui c chn( hnh 2) Day bnh ch( hnh 5) Tp gp gi th ng( c ngi ) n 90 Tp gp dui c chn( hnh 4) 4.2. Giai on 2: t tun 7 n tun 9 Tiu chun tp giai on 2 l: C t u tt, khe. C th gp hng khi nm m khng mt dui gi Gp gi n 90 Dui gi ti a Khng c biu hin ca vim: khng c trn dch khp gi, khng au, khng sng n 4.2.1. Mc tiu Phc hi dng i bnh thng Duy tr vic dui gi ti a, c bit l dui hng Bo v mnh ghp Bt u tp cc ng tc mang tnh cht lin hon 4.2.2. eo np v t chn B np nu bnh nhn c th gp hng m khng mt dui gi Bnh nhn phi loi b ngay kiu i gim au, nu cn c th dng mt nng hoc batoong ti khi dng i bnh thng 4.2.3.Chng trnh tp luyn Tp xung tn n 45 , 2 tay vn tng, gi trong 30 giy sau ng thng, c th tp mang thm t nh khi thnh tho ng tc( hnh 7), ngy tp 3 ln, mi ln 10 - 15 lt Tp king mi chn, ngy tp 3 ln, mi ln 10 - 15 lt, khi thun thc c th tp thm vi t nh( hnh 8) Tp dui chn c lc cn( bnh nhn gp gi, t t dui ra c lc cn ca ngi hng dn tp hoc tp vi t nh), ngy tp 3 ln, mi ln 10 - 15 lt ( hnh 6) 4.3. Giai on 3: t 10 tun n 6 thng 4.3.1.Mc tiu: Bin vn ng gi bnh thng Tng cng sc mnh ca cc khi c chun b cho cc hot ng chc nng

 Trnh cc ng tc nh hng n mnh ghp Bo v khp bnh ch li cu 4.3.2. Chng trnh tp luyn Tip tc cc bi tp mm do: i xe p Tp leo cu thang, trnh dui gi qu mc Tp sc mnh cc khi c: ngi xm trn 1 chn, xung tn thp, c mang thm t nh Tp bi 4.4. Giai on 4: T 6 n 9 thng 4.4.1. Tiu chun tin hnh tp giai on 4: Bin gp dui gi bnh thng, khng au Khng c du hiu bt thng ca khp bnh ch li cu C lc v trng lc c bng khong 70% bn i din 4.4.2. Mc tiu Tng cng sc mnh c, tp cc bi tp tr li cc hot ng chc nng 4.4.3.Chng trnh tp luyn Tip tc cc bi tp mm do v tng cng sc mnh Tp cc bi h tr ty theo mc tiu c th ca bnh nhn( chi bng , bng chuyn, bng r, ) Tp cc bi chc nng m khng b hn ch: i b Chy tin, li: tc bng 1/2 -> 3/4 -> bnh thng nh trc chn thng Bt u tp cc bi tp k nng ca mn th thao 4.5. Giai on 5: bt u sau 9 thng 4.5.1. Tiu chun chuyn sang giai on 5: Khng bt thng v phn mm hoc khp bnh ch li cu Bin vn ng khp bnh thng, sc mnh c bnh thng tr li mt cch an ton i vi cc hot ng th thao 4.5.2. Mc tiu: Bnh nhn tr li vi hot ng th thao mt cch an ton Duy tr sc mnh, bn ca c bp, chi th Gii thch bnh nhn nm c nguy c v cc ng tc cn hn ch trnh nh hng n dy chng 4.5.3. Np gi Bnh nhn s dng mt bng gi chc nng bo v trong thi gian 1-2 nm sau phu thut.

Hnh 1: Tp khp hng (gp dui dng khp, c np tr gi)

Hnh 2: Tp gng c i v cng chn( gng c p gi xung st mt ging, gi trong 5-10 giy ri th lng)

Hnh 3: Tp gp gi trn ging( bnh nhn t t co gi, bn chn di chuyn trn mt ging nhng lun tip xc vi mt ging)

Hnh 4: Tp gp dui c chn

Hnh 5: Tp day bnh ch

Hnh 6: Tp dui chn c lc cn( vi t )

Hnh 7: Tp xung tn n 45 o, hai tay bm tng, gi trong 30' sau ng

thng. C th thm t nh khi thun thc ng tc

Hnh 8: Tp king chn, trong np, khi thun thc c th mang thm t nh