Chuyên ngành: 9ұWOêNӻWKXұW 0mVӕ8520401
73+Ӗ&+Ë0,1+WKiQJQăP
Trang 2&Ð1*75Î1+ĈѬӦ&+2¬17+¬1+7Ҥ,:
75ѬӠ1*ĈҤ,+Ӑ&%È&+.+2$±Ĉ+4*-HCM
&iQEӝKѭӟQJGүQNKRDKӑF761JX\ӉQ7KӃ7KѭӡQJ &iQEӝKѭӟQJGүQNKRDKӑF3*676+XǤQK4XDQJ Linh &iQEӝFKҩPQKұQ[pW761JX\ӉQ0LQK +LӅQ
&iQEӝFKҩPQKұQ[pW761JX\ӉQ7UXQJ +ұX
/XұQYăQWKҥFVƭÿѭӧFEҧRYӋWҥL7UѭӡQJĈҥLKӑF%iFK.KRDĈ+4*7S+&0QJj\WKiQJQăP WUӵFWX\ӃQ
7KjQKSKҫQ+ӝLÿӗQJÿiQKJLiOXұQYăQWKҥFVƭJӗP 1 &KӫWӏFKKӝLÿӗQJ76/ê$QK Tú
2 7KѭNê767UҫQ7UXQJ 1JKƭD 3 3KҧQELӋQ761JX\ӉQ0LQK +LӅQ 4 3KҧQELӋQ761JX\ӉQ7UXQJ +ұX 5 8ӹYLrQ761JX\ӉQ7KӃ 7KѭӡQJ
;iFQKұQFӫD&KӫWӏFK+ӝLÿӗQJÿiQKJLi/9Yj7UѭӣQJ.KRDTXҧQOêchuyên QJjQKVDXNKLOXұQYăQÿmÿѭӧFVӱDFKӳDQӃXFy
.+2$+Ӑ&Ӭ1*'Ө1*
Trang 3ĈҤ,+Ӑ&48Ӕ&*,$73+&0
75ѬӠ1*ĈҤ,+Ӑ&%È&+.+2$
&Ӝ1*+Ñ$;+Ӝ,&+Ӫ1*+Ƭ$9,ӊ71$0
ĈӝFOұS- 7ӵGR- +ҥQKSK~F 1+,ӊ09Ө/8Ұ19Ă17+Ҥ&6Ƭ
+ӑWrQKӑFYLrQ9}7KӏÈQK7X\ӃW06+9 : 1970352 1Jj\WKiQJQăPVLQK1ѫLVLQK6{QJ%p &KX\rQQJjQK9ұWOêNӻWKXұW0mVӕ : 8520401
I 7Ç1Ĉӄ7¬,3+Æ17Ë&++,ӊ848Ҧ/8<ӊ17Ұ3&Ӫ$7+,ӂ7%ӎ/8<ӊ17Ұ375ӎ/,ӊ8352;20('ĈӔ,9Ӟ,1*ѬӠ,%ӊ1+Ĉ$8/Ѭ1*
II 1+,ӊ09Ө9¬1Ӝ,'81*
- 7әQJTXDQÿDXWKҳWOѭQJFӝWVӕQJ
- 3KѭѫQJSKiSÿLӅXWUӏÿDXWKҳWOѭQJFӝWVӕQJ
- 3KkQWtFKNӃWTXҧQKyPQJѭӡLEӋQKOX\ӋQWұSWKӇWKDRWUӏOLӋXYӟLKӋWKӕQJWKLӃWEӏSUR[RPHG
- %jQOXұQNӃWTXҧ - ӃWOXұQYjNLӃQQJKӏ
III 1*¬<*,$21+,ӊ09Ө : 22/02/2021
IV 1*¬<+2¬17+¬1+1+,ӊ09Ө: 13/06/2021
V &È1%Ӝ+ѬӞ1*'Ү1:
í TS 1JX\ӉQ7KӃ7KѭӡQJ± 9LӋQ9ұWOê<6LQKKӑF- %ӝ4XӕFSKzQJ í 3*676+XǤQK4XDQJ/LQK± KRD.KRD+ӑFӬQJ'өQJWUѭӡQJĈҥL+ӑF
%iFK.KRDĈҥL+ӑF4XӕF*LDWS+&0
Trang 5LӠI CҦ0Ѫ1
6DXTXiWUuQKKӑFWұSUqQOX\ӋQWҥLWUѭӡQJĈҥLKӑF%iFK.KRD7S+&0 NKRD.KRD+ӑFӬQJ'өQJYjWKӡLJLDQOjPOXұQYăQQJKLrQFӭXYӅÿӅWjLSKkQWtFKKLӋXTXҧOX\ӋQWұSFӫDWKLӃWEӏOX\ӋQWұSWUӏOLӋXSUR[RPHGÿӕLYӟLQJѭӡLEӋQKÿDXOѭQJ(P[LQJӱLOӡLFҧPѫQFiFWKҫ\F{JLҧQJYLrQFiQEӝFiFSKzQJEDQFKӭFQăQJ FӫDWUѭӡQJÿmJL~SHPKRjQWKjQKOXұQYăQ này
ĈһF ELӋW em xin FҧP ѫQ sâu VҳF WӟL PGS.TS +XǤQK Quang Linh và TS 1JX\ӉQ7KӃ7KѭӡQJÿmWUӵFWLӃSKѭӟQJGүQHPWURQJTXiWUuQKWKӵFKLӋQOXұQYăQYjOX{QOX{QÿӗQJKjQKQKLӋWWuQKKѭӟQJGүQHPSKѭѫQJKѭӟQJWLӃSFұQÿӅWjLFNJQJQKѭFKӍQKVӱDQKӳQJWKLӃXVyWÿӇKRjQWKjQKOXұQYăQPӝWFiFKWӕWQKҩW7URQJTXiWUuQKQJKLrQ FӭX không tránh NKӓL sai sót em mong QKұQ ÿѭӧF ý NLӃQ Wӯ các WKҫ\ cô ÿӇ HPKӑFKӓLWKrPÿѭӧFQKLӅXNLQKQJKLӋPYjKRjQWKLӋQWӕW KѫQ
(PFNJQJ[LQÿѭӧFJӱLOӡLFҧPѫQÿӃQ%DQOmQKÿҥRSKzQJNKiP0775HKD&OLQLFYj&{QJW\5HKDVRFQJFiFÿӝLQJNJQKkQYLrQÿmJL~SÿӥYjWҥRÿLӅXNLӋQWKXұQOӧLFKRHPWLӃQKjQKQJKLrQFӭX
9jFXӕLFQJHP[LQFKkQWKjQKFҧPѫQJLDÿuQKYjEҥQEqÿmOX{QÿӝQJviên, khícKOӋYjWҥRÿLӅXNLӋQJL~SÿӥHPWURQJVXӕWTXiWUuQKWKӵFKLӋQOXұQYăQ
(P[LQFҧPѫQ
73+͛&Kt0LQKWKiQJQăP 2021
+ӑFYLrQWKӵFKLӋQ
9}7KӏÈQK7X\ӃW
Trang 6TÓM 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[XҩWKLӋQӣÿӝWXәLWUXQJQLrQVRQJQJj\FjQJFy[XKѭӟQJWUҿKyD%ӋQKQj\ tuy không Jk\QJX\KLӇPÿӃQWtQKPҥQJQKѭQJOjPJLҧPFKҩWOѭӧQJFXӝFVӕQJPӝW cách nghiêm WUӑQJYuQJѭӡLEӋQKOX{QWURQJWuQKWUҥQJÿDXÿӟQPӋWPӓLYjFNJQJOjQJX\rQQKkQ
Jk\UDWjQWұWKjQJÿҫX WUrQWRjQWKӃJLӟLYjFKLSKtWӕQNpPFKRQJѭӡLEӋQK&iF
SKѭѫQJSKiSÿLӅXWUӏSKәELӃQQKѭGQJWKXӕFFDQWKLӋSQJRҥLNKRDYjYұWOêWUӏOLӋXPӛLSKѭѫQJSKiSÿӅXFyFiFѭXYjQKѭӧFÿLӇPULrQJ
/XұQYăQQj\WUuQKEj\FѫVӣOêWKX\ӃWYjSKѭѫQJSKiSOX\ӋQWұSWKӇWKDRWUӏOLӋXWUrQKӋWKӕQJPi\3UR[RPHG.ӃWTXҧFKRWKҩ\NKLOX\ӋQWұSWUrQKӋWKӕQJWKLӃWEӏQj\YӟLFiFFKӍVӕELrQÿӝYұQÿӝQJOӵFFRFѫÿҷQJWUѭӡQJYjNKӕLOѭӧQJOX\ӋQWұSWUrQPӝWEXәLÿӅXÿѭӧFFҧLWKLӋQYjÿһFELӋWOjPӭFÿӝÿDXFӫDQJѭӡLEӋQKJLҧPtrên 65%
.ӃWTXҧQJKLrQFӭXFKRWKҩ\UҵQJYLӋFOX\ӋQWұSWKӇWKDRWUӏOLӋXWUrQKӋWKӕQJWKLӃWEӏ3UR[RPHGPDQJOҥLKLӋXTXҧÿLӅXWUӏUҩWWtFKFӵFPӣUDQKӳQJKѭӟQJQJKLrQFӭXPӟLWURQJSKiWWULӇQYjӭQJGөQJFiFSKѭѫQJSKiSYjWUDQJWKLӃWEӏOX\ӋQWұSQj\WҥL9LӋW1DP
Trang 7This 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
Trang 8LӠ,&$0Ĉ2$1
7{L[LQFDPÿRDQVӕOLӋXWURQJOXұQYăQQj\OjÿѭӧFJKLQKұQQKұSOLӋXYjSKkQWtFKPӝWFiFKWUXQJWKӵF/XұQYăQ Qj\NK{QJFyEҩWNuVӕOLӋXYăQEҧQWjLOLӋXÿmÿѭӧFĈҥLKӑF%iFKNKRD73+&0KD\WUѭӡQJÿҥLKӑFNKiFFKҩSQKұQÿӇ FҩSYăQEҵQJÿҥLKӑFVDXÿҥL KӑF
/XұQYăQFNJQJNK{QJFyVӕOLӋXYăQEҧQWjLOLӋXÿmÿѭӧFF{QJEӕWUӯNKLÿmÿѭӧFF{QJNKDLWKӯDQKұQ
73+͛&Kt0LQKWKiQJQăP 2021
+ӑFYLrQWKӵFKLӋQ
9}7KӏÈQK7X\ӃW
Trang 9&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
Trang 103KѭѫQJSKiSYjF{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
Trang 11DANH MӨC BҦNG-BIӆU
Bҧng 4.1 7K{QJWLQFKXQJFӫDÿӕLWѭӧQJQJKLrQFӭX
%ҧQJ 520WUXQJEuQKYӟL.LӇPWUDWӯÿҫXQJyQWD\ÿӃQVjQQKjӣÿӕLWѭӧQJQJѭӡLWUѭӣQJWKjQKNKӓHPҥQK>@
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 bҵQJSKkQWtFKSKѭѫQJVDL$129$ÿѭӧc trích tӯ nghiên cӭu cӫD-:LOF]\ĔVNLYjFӝng sӵ [26]
Trang 12BiӇXÿӗ 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
Trang 13DANH MӨC HÌNH ҦNH
+uQK&ӝWVӕQJ>@
+uQKĈӕWVӕQJQJӵFWKӭsáu [38] +uQK&iFOӟSFѫQ{QJ>@ +uQK&iFOӟSFѫVkX>@
+uQK*ұSGXӛLQJKLrQJYj[RD\FӝWVӕQJ[56] +uQKĈƭDÿӋPKRjQWRjQPzQӣ//>@ +uQK7KRiLKyDÿӕWVӕQJ>@
Hình 2.1 Mô hình hӋ thӕng thiӃt bӏ luyӋn tұS077WURQJÿLӅu trӏ ÿDXFӝt sӕng [57] Hình 2.2 Ví dө thiӃt bӏ tұp gұSOѭQJ>@
Hình 2.3 Ví dө thiӃt bӏ tұp duӛLOѭQJ>@
Hình 2.4 Ví dө thiӃt bӏ tұSQJKLrQJOѭQJVDQJKDLErQ>@ Hình 2.5 Ví dө thiӃt bӏ tұS[RD\OѭQJVDQJKDLErQ>@
+uQK7KDQJÿDXTX\P{WѭѫQJWӵKuQKҧQKWKDQJVӕYjWKDQJÿiQKJLiEҵQJOӡLnói [55]
+uQK+ӋWKӕQJWUDQJWKLӃWEӏOX\ӋQWұS7HUJXPHG>@
+uQK*LDRGLӋQÿiQKJLiVDXWұSFӫDKӋWKӕQJPi\7HUJXPHG>@
Trang 14'$1+6È&+&È&7+8Ұ71*Ӳ9,ӂ77Ҳ7
79ĈĈ 7KRiWYӏÿƭDÿӋP 7+&67KRiLKyDFӝWVӕQJ &6+4&KӍVӕKLӋXTXҧ
520%LrQÿӝYұQÿӝQJ5DQJHRI0RWLRQ 6'ĈӝOӋFKFKXҭQ6WDQGDUG'HYLDWLRQ 9/7/9ұWOêWUӏOLӋX
077/X\ӋQWұSWKӇWKDRWUӏOLӋX
Trang 15MӢ ĈҪU
1Jj\QD\FiFEӋQKOêYӅFӝWVӕQJWKҳWOѭQJOjPӝW WURQJQKӳQJFăQEӋQKSKәELӃQWKѭӡQJ[XҩWKLӋQӣÿӝWXәLWUXQJQLrQVRQJQJj\FjQJFy[XKѭӟQJWUҿKyDEӋQKnày WX\NK{QJJk\QJX\KLӇPÿӃQWtQKPҥQJQKѭQJOjPJLҧPFKҩWOѭӧQJFXӝFVӕQJPӝWFiFKQJKLrPWUӑQJEӣLNKLӃQQJѭӡLEӋQKOX{QWURQJWuQKWUҥQJÿDX ÿӟQPӋWPӓL
YjOjQJX\rQQKkQKjQJÿҫX Jk\UDWjQWұWWUrQWRjQWKӃJLӟLYjFNJQJWӕQNpPUҩWQKLӅX
FKLSKtNKiPFKӳDEӋQK>@
WұSSKөFKӗLFKӭFQăQJYutWWiFGөQJSKө Tuy nhiên, Y̵Qÿ͡QJW̵SOX\͏QQK˱WK͇QjRFKRÿ~QJFiFKÿͯOL͉XO˱ͫQJSKKͫSYͣLP͟LP͡Wÿ͙LW˱ͫQJQJ˱ͥLE͏QKYͣLPͱFÿ͡E͏QKOêYjW̯PY̵Qÿ͡QJNKiFQKDXÿ͋ÿ̫PE̫RDQWRjQYjSKiWKX\W͙LÿDKL͏XTX̫FͯDYL͏FOX\͏QW̵SOjP͡WY̭Qÿ͉ṶWOͣQNK{QJFK͑ÿ͙LYͣLQJ˱ͥLE͏QKYjQJD\F̫ÿ͡LQJNJQKkQYLrQ\W͇
7ҥLFiFTXӕFJLDFyQӅQ\KӑFWKӇWKDR SKiWWULӇQPҥQKQKѭFKkXÆXYLӋFSKөFKӗLFKӭFQăQJYұQÿӝQJFӫDFӝWVӕQJWKҳWOѭQJÿmÿѭӧFFKӍÿӏQKEҵQJQKLӅXSKѭѫQJSKiS0ӝWWURQJVӕQKӳQJSKѭѫQJSKiSKLӋXTXҧOjOLӋXSKiSOX\ӋQWұSWKӇWKDRWUӏOLӋX0HGLFDO7UDLQLQJ7KHUDS\-077 077FҧL WKLӋQ VӭF PҥQKVӭF EӅQ FӫD FiFQKyPFѫYjQJj\FjQJÿѭӧFNKX\ӃQFiRFKRQKӳQJQJѭӡLEӋQKEӏÿDXOѭQJEiQFҩSYjPmQWtQKGӵDWUrQ\KӑFEҵQJFKӭQJ&iFQJKLrQFӭXJҫQÿk\FKRWKҩ\077OjPJLҧPÿDXYjFҧLWKLӋQFKӭFQăQJWӕWKѫQÿiQJNӇVRYӟLOLӋXSKiSFyKLӋXTXҧNK{QJFKҳFFKҳQNKiF>@Ĉk\OjSKѭѫQJSKiSWұSOX\ӋQFKӫÿӝQJӭQJGөQJFiFQJX\rQOêSKѭѫQJSKiSWURQJOX\ӋQWұSWKӇWKDRFKRFiFYұQÿӝQJYLrQÿӇWăQJVӭFPҥQKVӭFEӅQFӫDFiFQKyPFѫQKѭQJFyVӵWKD\ÿәLFKRSKKӧSYӟLWӯQJWKӇWUҥQJVӭFNKӓHFӫDQJѭӡLEӋQKFyEӋQKOêYӅFӝWVӕQJWKҳWOѭQJ&iFQJKLrQFӭXFKRWKҩ\UҵQJNKLQJѭӡLEӋQKWұSOX\ӋQWKHRSKѭѫQJSKiSQj\VӭFPҥQKYjVӭFEӅQFӫDFiFEyFѫOLrQTXDQÿӃQFӝWVӕQJWKҳWOѭQJFѫEөQJFѫOѭQJYjFѫKDLErQFҥQKVӕQJ ÿѭӧFSKiWWULӇQPӝWFiFKWӕLѭXÿӝOLQKÿӝQJFӫDFiFNKӟSÿӕWVӕQJOѭQJÿѭӧFFҧLWKLӋQ
Trang 16U}UӋWWӯÿyJLҧLSKyQJFKqQpSGүQWӟLJLҧPÿDXYjGҫQGҫQSKөFKӗLOҥLFKӭFQăQJYұQÿӝQJFӫDFӝWVӕQJWKҳWOѭQJFKRQJѭӡLEӋQK>@
ĈLNqPYӟLSKѭѫQJSKiSOX\ӋQWұSQj\OjKӋWKӕQJFKX\rQELӋWFiFWKLӃWEӏOX\ӋQWұSÿӇWұSWăQJVӭFPҥQKVӭFEӅQYjVӭFQKDQKFӫDFiFQKyPFѫOѭQJWӯÿyOҥLSKөFKӗLOҥLFKӭFQăQJYұQÿӝQJFӫDFӝWVӕQJѬXÿLӇPFӫDFiFWKLӃWEӏQj\VRYӟLFiFWKLӃWEӏYұQÿӝQJWUӏOLӋXWK{QJWKѭӡQJNKiFPjFK~QJWDWKѭӡQJWKҩ\WURQJFiFNKRDSKөFKӗLFKӭFQăQJӣFiFEӋQKYLӋQFѫVӣ\WӃNKiFOjNKҧQăQJÿRÿҥFFKtQK[iF520FӫDFӝWVӕQJOѭQJYjOӵFFRFѫÿҷQJWUѭӡQJWӕLÿDFKRQJѭӡLEӋQKÿDXOѭQJPmQWtQK>@7UrQFѫVӣÿyWҧLWұSFKRQJѭӡLEӋQKÿѭӧF[iFÿӏQKFKtQK[iF QJѭӡLEӋQKWKѭӡQJ[X\rQNLӇPWUDNӃWTXҧYjÿLӅXFKӍQKWKtFKKӧSWURQJNKLOX\ӋQWұSWUiQKWUѭӡQJKӧSQJѭӡLEӋQKWұSTXiWҧLKRһFGѭӟLQJѭӥQJNK{QJÿӫOLӅXOѭӧQJÿӇNtFKWKtFKSKiWWULӇQFѫ7KLӃWEӏÿRÿѭӧFOӵFÿҷQJWUѭӡQJYj520FӫDQJѭӡLEӋQKWӯO~FEҳWÿҫXOX\ӋQWұSÿӃQO~FNӃWWK~F
0һFGKLӋXTXҧÿLӅXWUӏFӫD077ÿmÿѭӧFFKӭQJPLQKWҥLFiFTXӕFJLDSKiWWULӇQQKѭQJWҥL9LӋW1DPQyLFKXQJYjÿӏDEjQ7S+&0QyLULrQJWKuYLӋFVӱGөQJSKѭѫQJSKiS077YүQFKѭDÿѭӧFSKәELӃQYjFNJQJFKѭDFyQJKLrQFӭXQjRÿӅFұSÿӃQKLӋXTXҧFKtQKYuQKӳQJOêGRÿyFK~QJW{LTX\ӃWÿӏQKWKӵFKLӋQÿӅWjLQj\
0өFWLrXFӫDÿӅWjL3KkQWtFKKLӋXTXҧOX\ӋQWұSFӫDWKLӃWEӏWKӇWKDRWUӏOLӋXWUrQEӋQKQKkQÿDXOѭQJ
ĈӕLWѭӧQJYjSKҥPYLQJKLrQFӭXWKӵFKLӋQ&iFQJѭӡLEӋQKÿDXOѭQJPmQWtQKWӟLSKzQJNKiP0775HKD&OLQLF&{QJW\5HKDVROX\ӋQWұS
éQJKƭDFӫDÿӅWjL
9ӅNKRDKӑF;k\GӵQJFѫVӣOêOXұQYjWKӵFWLӉQFӫDSKѭѫQJSKiS077YjWKLӃWEӏWURQJSKөFKӗLFKӭFQăQJYұQÿӝQJFӫDQJѭӡLEӋQKEӏÿDXOѭQJPmQWtQKJySpKҫQWKDPJLDSKiWWULӇQQJjQK3KөFKӗLFKӭFQăQJWKHRKѭӟQJKLӋQÿҥLSKKӧSYӟL[XWKӃFӫDQӅQF{QJQJKӋ\WӃWLrQWLӃQFӫDQѭӟFQJRjL
9ӅPһW[mKӝL7KD\ÿәLWKyLTXHQFӫDQJѭӡLEӋQKWURQJYLӋFGӵSKzQJYjÿLӅXWUӏFiFEӋQKOêYӅFӝWVӕQJWKҳWOѭQJEҵQJSKѭѫQJSKiSOX\ӋQWұSWKӇWKDR
Trang 17&+ѬѪ1*7Ә1*48$1 1.1 6ѫOѭӧFYӅJLҧLSKүXYjFKӭFQăQJFӝWVӕQJ
&ӝWVӕQJOjPӝWFӝW[ѭѫQJGjLXӕQpRWӯPһWWUѭӟF[ѭѫQJFKҭPÿӃQKӃW[ѭѫQJFQJFөW&ӝWVӕQJEDREӑFYjEҧRYӋWӫ\JDL1KuQQJKLrQJFӝWVӕQJFyÿRҥQÿRҥQFәOӗLUDWUѭӟFÿRҥQQJӵFOӗLUDVDXÿRҥQWKҳWOѭQJOӗLUDWUѭӟFYjÿRҥQFQJOӗLUDsau
1KuQQJKLrQJFӝWVӕQJFyÿRҥQFRQJWӯWUrQ[XӕQJGѭӟLJӗPFyÿRҥQFәFRQJO}PUDVDXÿRҥQQJӵFFRQJO}PUDWUѭӟFÿRҥQWKҳWOѭQJFRQJO}PUDVDXYjÿRҥQFQJFөWFRQJO}PUDWUѭӟF&ҩXWU~FFiFÿRҥQFRQJFӫDFӝWVӕQJÿӇWKtFKQJKLYӟLWѭWKӃÿӭQJWKҷQJFӫDFѫWKӇQJѭӡLĈӗQJWKӡLFNJQJÿiSӭQJÿѭӧFFiFYұQÿӝQJFӫDFѫWKӇQKѭF~LQJӱDQJKLrQJErQYj[RD\WKkQPuQK
&ӝWVӕQJFyWӯ- ÿӕWVӕQJ[ӃSFKӗQJOrQQKDX&yÿӕWVӕQJWUrQUӡLQKDXWҥRWKjQKÿӕWVӕQJFәNêKLӋXWӯ&- &ÿӕWVӕQJ OѭQJNêKLӋXWӯ7- 7ÿӕWVӕQJWKҳWOѭQJNêKLӋXWӯ/- /;ѭѫQJFQJJӗPÿӕWVӕQJGѭӟLGtQKOҥLWKjQKPӝWWҩPNêKLӋXWӯ6- 6;ѭѫQJFөWFyKRһFÿӕWFXӕLFQJUҩWQKӓFҵQFӛLFQJGtQKOҥLOjPPӝWWҥRWKjQKNêKLӋXWӯ&R- &RYjÿѭӧFGtQKYjRÿӍQK[ѭѫQJFQJ
Trang 19+uQKĈӕWVӕQJQJӵFWKӭViX [38]
&XQJÿӕWVӕQJ: /jSKҫQ[ѭѫQJÿLWӯErQUuDPһWVDXWKkQYzQJUDSKtDVDXTXk\
Oҩ\OӛÿӕWVӕQJFKLDSKҫQ3KҫQWUѭӟFGtQKYjRWKkQJӑLOjFXӕQJQӕLWӯPӓPQJDQJYjRWKkQ%ӡWUrQYjEӡGѭӟLO}PYjRJӑLOjNKX\ӃWFӫDÿӕWVӕQJ.KX\ӃWFӫDÿӕWVӕQJWUrQYjGѭӟLKӧSWKjQKOӛJLDQÿӕWÿӇFKRFiFGk\WKҫQNLQKVӕQJFKXLTXD3KҫQVDXOjPҧQKQӕLWӯFXӕQJÿӃQJDLÿӕWVӕQJWҥRQrQWKjQKVDXFӫDOӛÿӕWVӕQJ
&iFPӓPÿӕWVӕQJ: 0ӓPQJDQJFyPӓPQJDQJWӯFXQJÿӕWVӕQJFKҥ\ ngang ra 2
ErQ0ӓPJDLFyPӓPJDLKD\JDLVӕQJӣVDXGtQKYjRFXQJÿӕWVӕQJ0ӓPNKӟSFy PӓPNKӟSKDL PӓPNKӟSWUrQ Yj PӓPNKӟSGѭӟLQҵP ӣÿLӇPQӕLJLӳDFXӕQJPӓPQJDQJYjPҧQKFiFPӓPNKӟSVӁNKӟSYӟLFiFPӓPNKӟSWUrQYjGѭӟLnó)
x 7KkQÿӕWVӕQJUҩWWRYjUӝQJFKLӅXQJDQJ
Trang 20x 0ӓPJDLKuQKFKӳQKұWFKҥ\QJDQJUDVDX
x /ӛÿӕWVӕQJKuQKWDPJLiFQKӓKѫQOӛÿӕWVӕQJFәYjOӟQKѫQÿӕWVӕQJQJӵF x ĈӕWVӕQJWKҳWOѭQJ,PӓPQJDQJQJҳQQKҩWNpPSKiWWULӇQKѫQFiFÿӕW
VӕQJNKiF
x ĈӕWVӕQJWKҳWOѭQJ9FKLӅXFDRFӫDWKkQÿӕWVӕQJӣSKtDWUѭӟFGj\KѫQ
&iFFѫӣOѭQJ &iFOӟp nông:
x &ѫWKDQJ/jPӝWFѫPӓQJKuQKWDPJLiFӣSKҫQWUrQFӫDOѭQJ
x &ѫOѭQJUӝQJĈӝQJWiF.KpS[RD\FiQKWD\YjRWURQJYjQkQJWKkQPuQKkhi leo trèo
x &ѫQkQJYDLĈӝQJWiFQkQJ[ѭѫQJYDLQJKLrQJFә x &ѫWUiPĈӝQJWiFQkQJYjNpR[ѭѫQJYDLYjRtrong
x &ѫUăQJVDXWUrQ ĈӝQJWiFQkQJFiF[ѭѫQJVѭӡQOrQNKLKtWYjR
x &ѫUăQJVDXGѭӟL ĈӝQJWiFKҥFiF[ѭѫQJVѭӡQ
1KuQFKXQJFiFFѫӣOӟSQ{QJFKҥ\WӯFӝWVӕQJÿӃQ[ѭѫQJYDLKRһF[ѭѫQJFiQKWD\7iFGөQJFKӫ\ӃXOjWUӧOӵFWKrPFKRFKLWUrQÿӇWăQJ WKrPNKҧQăQJYjSKҥPYLKRҥWÿӝQJ&zQKDLFѫUăQJVDXWUrQYjGѭӟLQJRjLWiFGөQJOjFѫWKӣYjRQyFzQQKѭFiLÿDLJLӳFiFFѫFҥQKVӕQJ
Trang 21+uQK&iFOӟSFѫQ{QJ>@
/ӟSVkX
x /ӟSWKӭQKҩWOjFiFFѫGӵQJVӕQJEDRJӗPFiFFѫFKұXVѭӡQFѫGjLYjFѫJDLĈӝQJWiFQJKLrQJKRһFGXӛLFӝWVӕQJ
x /ӟSWKӭKDL/jFiFFѫQJDQJ-JDL&KӭFQăQJFiFFѫQj\Oj[RD\FӝWVӕQJ x /ӟSWKӭED JӗPKDLORҥLFѫJLDQJDLYjFѫJLDQQJDQJFyFKӭFQăQJYұQ
ÿӝQJFiFFѫFҥQKVӕQJ
Trang 22+uQK&iFOӟSFѫVkX>@
6ӵFRFѫ
6ӵFRFѫOjVӵNtFKKRҥWFiFYӏWUtWҥRUDVӭFFăQJErQWURQJFiFVӧLFѫ>@>@7URQJVLQKOêKӑFFRFѫNK{QJQKҩWWKLӃWFyQJKƭDOjFѫQJҳQOҥLYuVӭFFăQJFӫDFѫFyWKӇÿѭӧFWҥRUDPjNK{QJFyVӵWKD\ÿәLYӅFKLӅXGjLFѫ6ӵNӃWWK~FFӫDVӵFRFѫÿѭӧFWKHRVDXEӣLVӵWKѭJLmQFѫOjVӵWUӣOҥLFӫDFiFVӧLFѫYӅWUҥQJWKiLWҥRUDVӭFFăQJWKҩSFӫDFK~QJ>@
&iFFѫQFRFѫFyWKӇÿѭӧFP{WҧGӵDWUrQKDLELӃQVӕFKLӅXGjLYjÿӝ FăQJ>@
Trang 23&RFѫÿҷQJWUѭӡQJ
6ӵFRFѫÿѭӧFP{WҧOjÿҷQJWUѭӡQJQӃXÿӝFăQJFѫWKD\ÿәLQKѭQJFKLӅXGjLFѫYүQJLӳQJX\rQ
/ӵF FR Fѫ ÿҷQJ WUѭӡQJ LVRPHWULF IRUFH ÿѭӧF ÿR Gѭӟi dҥng mô-men xoҳn (Nm) vӟi chuyӇQ ÿӝng mӝt bӝ phұn và công suҩt (N) vӟi chuyӇQ ÿӝng nhiӅu bӝ phұn 9tGөWURQJNKLXӕQFRQJEҳSWD\JLӳTXҧWҥӣPӝWYӏWUtFӕÿӏQKWƭQKWKD\YuFKӫÿӝQJQkQJFDRKRһFKҥWKҩSTXҧWҥOjPӝWYtGөYӅVӵFRFѫÿҷQJWUѭӡQJ>@0һFGFiFOӵFÿѭӧFWҥRUDWURQJTXiWUuQKFRFѫÿҷQJWUѭӡQJOjFyNKҧQăQJOӟQKѫQWURQJTXiWUuQKFRWKҳWÿӗQJWkPQKѭQJFiFFѫKLӃPNKLEӏWKѭѫQJNKLFRFѫÿҷQJWUѭӡQJ%jLWұSFRFѫÿҷQJWUѭӡQJWKѭӡQJÿѭӧFVӱGөQJWURQJJLDLÿRҥQÿҫXFӫDTXiWUuQKSKөFKӗLFKҩQWKѭѫQJFѫYuFѭӡQJÿӝFRYjÿӝGjLFѫFyWKӇNLӇP[RiWÿѭӧF>@
&RFѫÿҷQJWUѭѫQJ
&RFѫÿҷQJWUѭѫQJLVRWRQLFFRQWUDFWLRQ ÿѭӧFÿӏQKQJKƭDOjVӭFFăQJFѫYүQJLӳQJX\rQWURQJNKLFKLӅXGjLFӫDFѫWKD\ÿәL&yKDLGҥQJFRFѫÿҷQJ WUѭѫQJKѭӟQJWkPYjO\WkP7URQJFRFѫKѭӟQJWkPVӭFFăQJFӫDFѫWăQJOrQÿӇJһSOӵFFҧQVDXÿyJLӳQJX\rQNKLFѫQJҳQOҥL7URQJFRFѫO\WkPFѫGjLUDGROӵFFҧQOӟQKѫQOӵFPjFѫWҥRUD>@
.LӇPWUDOӵFFRFѫÿҷQJWUѭѫQJOLrQTXDQÿӃQYLӋFGLFKX\ӇQPӝWNKӕLOѭӧQJFӕÿӏQKYӟLJLDWӕFYjJLҧPWӕFNK{QJÿәL9uJLDWӕFWKD\ÿәLWKHRJyFNKӟSWURQJTXiWUuQKFKX\ӇQÿӝQJQrQQKӳQJFKX\ӇQÿӝQJQj\FyOӁÿѭӧFP{WҧFKtQK[iFKѫQNLӇPWUDOӵFFRFѫÿҷQJWUѭӡQJ>@
&iFYұQÿӝQJYQJWKҳWOѭQJ RO0FӝWVӕQJ
1KӳQJJuFKX\ӇQÿӝQJӣÿyFKӫ\ӃXGLӉQUDJLӳD/-L5 và L5-63KҥPYL520FӫDWKҳWOѭQJUҩWKӳXtFKÿӇÿiQKJLiÿӝOLQKKRҥWWәQJWKӇYj[iFÿӏQKVӵWKD\ÿәLWURQJFiFFKѭѫQJWUuQKSKөFKӗLFKӭFQăQJ3KҥPYLFӫD520ÿѭӧFÿiQKJLiWK{QJTXDJұSGXӛL[RD\YjQJKLrQJ0һFGVӵOLQKKRҥWFӝWVӕQJFӫDQKӳQJQJѭӡL
Trang 24FKҷQJKҥQQKѭÿDXFӭQJYjFRWKҳW
ĈӝJұSYӅSKtDWUѭӟFEuQKWKѭӡQJOjWӯÿӃQÿӝEuQKWKѭӡQJGXӛLOjWӯÿӃQÿӝYjQJKLrQJErQEuQKWKѭӡQJOjWӯÿӃQÿӝ>@
'XӛLFӝWVӕQJ
&iFFѫOjPGXӛLFӝWVӕQJJӗPFiFFѫQҵPӣPһWVDXWKkQPuQKYjFә&ҩXWU~FFiFFѫӣPһWVDXFѫWKӇSKӭFWҥSYjWKD\ÿәLWKHRYQJFӫDFӝWVӕQJ7KҫQNLQKFKLSKӕLYұQÿӝQJFKRFiFFѫFKӫ\ӃXOjGRQJjQKVDXFӫDFiFGk\WKҫQNLQKWӫ\VӕQJ1JRҥLWUӯFiFFѫFyWiFGөQJFKtQKOjӣWURQJÿӝQJWiFK{KҩSKtWYjRYjWKӣUD