Maestría en Fisioterapia y Rehabilitación Mención Neuromusculoesquelético

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Efectividad de la terapia manual sobre el dolor lumbar inespecífico en personas que realizan entrenamiento de gimnasio
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Arias Córdova, Paúl Adrián Lcdo. Ft.; Espín Pastor, Victoria Estefanía Lcda. Ft. Mg.
Nonspecific low back pain is a common musculoskeletal problem that presents itself in the patient with characteristics: low back pain with more or equal to one month of evolution without a specific diagnosis, appearance of myofascial trigger points, pain located between the lower area of the ribs to the lower area of the buttocks, pain due to trauma, fractures, and no indication for surgical treatment, these factors cause frequent medical consultations, its effects on society are significant, both epidemiologically and economically important. The frequency of occurrence leads to a decrease in sports practice, functional limitation in daily activities, and absenteeism from work. Objective: To demonstrate the effectiveness of manual therapy on nonspecific low back pain in people who perform gym training, assistants at ATF - Fitness Center, Ambato. Materials and methods: tests used before and after: Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), McGill Pain Questionnaire (MPQ), Slump Test (ST), Standing Ischiotibial Extension Test (SIET) and Myofascial Trigger Point Localization. The intervention protocol was applied in 22 patients (F=13, M=9) for eight individual sessions using Manual Therapy(TM) techniques: Desensitization by Superficial and Deep Transverse Massage (MTS and MTP), Myofascial Release (LM) for PGM by progressive pressure of the PGM, Spinal Manipulation (SM), McKenzie Method and Thermotherapy by hot pack. Results: The application of the intervention protocol using manual therapy techniques was significantly effective on xv non-specific low back pain. Conclusions: The effectiveness of manual therapy was evidenced by a final evaluation that reported a significant improvement in the relief of low back pain, independently of sex, age and occupation.
Corrección postural en la reeducación biomecánica del adulto mayor para disminuir riesgo de caída
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Ocaña Guerrero Lcda. Ft., Mariela Carolina; Zavala Calahorrano, Alicia MarifernandaDra. PhD.
This project develops the theme: "Postural correction in the biomechanical reeducation of the elderly to reduce the risk of falls", the objective was: to analyze the importance of postural correction in the biomechanical reeducation in older adults of the Association "Juanitas de Oro ”Of the Atahualpa parish of the city of Ambato July - December 2020. The methodological design had a quantitative approach, it allowed obtaining data, a meticulous and extensive bibliographic review was carried out digitally and physically, with emphasis on alterations such as Scoliosis and muscular weakness in lower limbs. The type of study was quasi - experimental, the Adams test and the Tinetti and Daniels scales were applied in the evaluation at the beginning and at the end of the intervention. The intervention was carried out with home visits, due to the COVID 19 pandemic. The population consisted of 21 older adults aged 65 to 85 years. Faced with the COVID 19 pandemic, the Physiotherapeutic intervention was carried out with home visits. For the intervention, the exercises were applied progressively until reaching the maximum potential of each older adult according to their physical capacity. The results reveal that the muscle strength in the lower right limb before the intervention is good in 47.3%, that is, in 10 people. Muscle strength in the lower right limb after the intervention is normal in 57.1%, that is, in 12 people. It is concluded that the application of the Adams, Daniels and Tinetti tests evaluated gait, balance and demonstrated the need for an intervention to correct the problem. The xiv effectiveness of the intervention was established with the Daniels test, muscle strength in the lower right limb after the intervention is normal in 57.1%, that is, in 12 people
Eficacia del Método POLD como tratamiento en pacientes adultos mayores con lumbalgia
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Villota Rodríguez, Patricia Alejandra; Arellano Franco, Luis Felipe Lcdo. Ft. Mg
Low back pain is considered one of the most common health problems in primary care since a high percentage of the population may experience low back pain, which could cause functional limitations leading to disability. To evaluate efficacy of new methods for the management of low back pain, the present study determined the efficiency of the POLD method in reducing pain in elderly patients with low back pain at the Chillanes Gerontological Center during the period July-December 2020. For this, a quasi-experimental study was designed on 30 older adults from the Centro Gerontológico Del Cantón Chillanes. Before intervention, both the level of pain and the degree of disability in patients were evaluated using the VAS and Oswestry tests, respectively, and subsequently the POLD method was applied to each patient. According to the VAS test, pain levels varying from 7 to 9 were detected, with 53.3% of the cases indicating pain level 8, while only 20 and 26.7% showed pain levels of 7 and 9, respectively, while 73.3% of the patients had between 21 and 40% of disability (moderate disability) and 26.6% had disability between 41-60 and 61-80% (severe disability or disabled). The application of the POLD method shown to have a positive effect both in reducing pain and the degree of disability, even when it remained within the moderate disability range, which ranged from 21 to 40%. Finally, the prevalence of the level of pain in relation to sex, pain decreased to a scale between 7 and 8 in women, while in men the highest proportion was 7. Given the positive effects of the POLD Method, it is suggested to make a greater dissemination of the method in different geriatric centers of the country.
Efecto de la actividad física con el uso de balón terapéutico en la lumbalgia crónica
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Vallejo Chinche, Silvia del Pilar Lic.; Cárdenas Medina Dr. Mg., Jorge Humberto
The present research aims to determine the effect of physical activity with the use of therapeutic balloon in patients with chronic low back pain, in the Physical Med center of Riobamba city, during the period July – December 2020. The present study was conducted under a descriptive, longitudinal quasi-experimental quantitative approach, performed in 20 adults between men and women aged 25 to 55 years. The data obtained were analyzed through the SPSS version 21 program, for the evaluation the analogical EVA pain scale and the OWESTRY lumbar disability questionnaire were used. When applying the protocol of exercises with the therapeutic balloon, the results showed that the highest percentage of patients suffering from chronic low back pain were male with 55%. According to the occupation the majority groups were: merchants, drivers and students with 60%, the participants most often according to age were from less to 35 years with 45%. As for the results using the EVA scale were beneficial because at the beginning they presented moderate to very severe pain with 85% later after the research was achieved to reduce to 35%. When analyzing the results of the OWESTRY test it can be affirmed a notable improvement in functionality at the beginning of the research presented moderate disability in 90% and only 10% had severe disability, after applying the protocol it was possible to totally eliminate the severe disability, the moderate disability low to 50% and the level of moderate to minimal disability was changed To test the hypothesis, the parametric statistical test of comparison of T student means for related samples was used.
Aplicación de facilitación neuromuscular propioceptiva, para mejorar la condición muscular en adultos mayores con artrosis de rodilla
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Valente Anilema, Iván Patricio Lic.; Robalino Morales, Gabriela Estefanía Lic. Mg
Knee osteoarthritis is one of the most frequent diseases that affects the joint, a product of biomechanical stress causing pain, joint stiffness and decreased functional capacity in an older adult. For this reason, this research project aims to investigate the effectiveness of the application of proprioceptive neuromuscular facilitation to improve muscle condition in older adults with knee osteoarthritis, based on a prospective quasi-experimental quantitative study with a population of 26 older adults from the daytime gerontological center of the Municipal GAD of the Canton of Colta. The treatment was to apply the PNF technique such as rhythmic initiation, a combination of isotonics, inversion of antagonists, and repetition, the study began with a small survey to identify sociodemographic variables (age, sex, marital status) and evaluated with the WOMAC survey before and after the intervention. This survey helped to show whether or not there was pain, joint stiffness, functional capacity and noticeably checking alterations in them. At the end of the treatment with the PNF exercises, a new assessment was carried out to see whether conditions improved in this population. PNF exercises were very useful in significantly reducing pain, joint stiffness and functional capacity. To verify the effectiveness of PNF exercises, the Wilcoxon test was applied, which resulted in P = 0.00. This means that the null hypothesis is rejected, verifying that the PNF exercises that were carried out in this investigation were effective.
Liberación miofascial en el tratamiento del síndrome cruzado superior
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Almeida Villegas, Geovanna Cristina Lcda. Ft; Peñafiel Luna, Andrea Carolina Lcda. Ft Mg.
Neck pain can be very disabling for people who work permanently in offices in front of a computer, so the objective of this study is to determine the effectiveness of the application of the myofascial release technique in the staff working in the Cooperative Ambato Ltda. and thus establish the therapeutic effects that improve their physical pathological conditions. For this purpose, a total of 20 employees with upper crossed syndrome were taken as reference, to whom the cervical disability index questionnaire (NDI), postural test and visual analog pain scale evaluation (VAS) were applied at the beginning and end of the intervention. When analyzing the results, the cervical pain was reduced to moderate disability in a range of 15-24 points with 65% (13); by means of VAS the pain level was mild with 85% (17) and in the postural test, although a significant change was not achieved, a P= 0.001 was obtained, which indicates that the applied technique is effective after being applied twice a week with a duration of 20 minutes each session, during three months to reduce neck pain and improve some aspects of the functionality during the execution of their work.
Efectividad del ejercicio aeróbico en la disminución del dolor en población, con artrosis de rodilla grado 1
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Balda Ulloa, Rommel Fernando Lic.; Tello Moreno, Mónica CristinaLic. Magister
Plan de ejercicios de equilibrio y coordinación para evitar caídas en el adulto mayor
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Ortiz Reyes, Gabriela Maribel Lcda, Ft.; Velasco, Luis Córdova Dr. Esp. Mg.
Considering that over the years, the elderly present various health states, where falls is one of the most common causes of morbidity and mortality caused by loss of balance and decreased mobility, causing development in the elderly from disabling diseases and even death; In addition, it represents high social health expenses; that can be avoided and reduced by means of an adequate intervention, it was proposed to analyze the effects of a balance and coordination exercise plan on the frequency of falls in the elderly, and the level of dependence they present. Therefore, a quasi-experimental study was carried out in 23 Ecuadorian older adults between 65 and 85 years of age; under a longitudinal design with two measurements before and after the intervention; A systematic review was carried out in databases such as PubMed, PEDro, Scielo, Medline, Medigraphic, and Science Direct, where 50 articles were obtained from keywords and from these 20 eligible scientific articles that supported the exercise plan, to determine The effectiveness of the exercise plan was evaluated for the risk of falls with the Tinetti scale and the Times Up and Go test (TUG); while the level of dependency was evaluated with the Barthel index. The data obtained were tabulated and statistically analyzed for the verification of the hypothesis through the statistical program SPSS V22 from IBM, finding significant differences before and after the intervention in the Tinetti scale (0.001) and in the Barthel index (0.046). ; while in the TUG test there were no significant differences. Being able to conclude that coordination and balance exercises are effective in preventing the risk of falls in this group of older adults
Estimulación basal en las alteraciones de equilibrio y marcha en adultos mayores
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Carrasco Cajo, Jesenia Elizabeth; Lata, María Augusta Lcda. Ft. Mg.
This research is carried out with the objective of finding what the effects of basal stimulation are in older adults in gait and balance problems. It is quasi-experimental, the population was 26 older adults, the average age was 75 years among men and women. A somatic, visual and vestibular stimulation protocol was designed, this was applied three sessions per week with a duration of 20 minutes, for a total of 36 interventions. The initial and final evaluation was carried out with the Tinetti scale, the results generated show that basal stimulation is a helpful method for balance and gait problems and for the reduction of risk of falls in older adults.
Establecer la Efectividad de la Ritmoterapia en el Envejecimiento Activo en la Población Adulta Mayor
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Bonilla Ayala, Josselyn Gabriela Lcda. Ft.; Zavala Calahorrano, Alicia MarifernandaDra. Ph.D
Aging is a natural process that undergoes changes as age advances, in order to adapt to different life situations, where aspects such as physical and psychological functions, independence and quality of life of the elderly are affected. This progressive deterioration may depend on lifestyle, environmental and social factors; for this reason they are considered as the most vulnerable population, since deterioration not only has health implications but also social and economic ones; causing a higher risk of degenerative, chronic and even incapacitating diseases in the elderly. Active aging should be promote by implementing interesting and fun activities such as physical activities that could be combined with music considered as an integral competence, which has several elements, to achieve a successful aging as well as to improve or avoid functional deterioration. Therefore, the research aims to establish the effectiveness of rhythm therapy in active aging in the older adult population. The research has a quantitative approach and is of a quasi-experimental type, since it will be evaluate at the beginning and end of the intervention by means of scales. In addition, it was apply to the older adult population; 20 people aged 65 years and older who met the inclusion and exclusion criteria participated. The participants underwent 12 sessions of 45 minutes once a week of exercise combined with music. The post-intervention results indicate that 85% have normal cognitive functions, 35% being women and 50% men, as well as in balance and movement, 85% of the population decreased the risk of falling, where 50% are between 65-75 years of age, concluding that rhythm therapy has a positive effect on active aging.
Prevención de lesiones musculoesqueléticas en estudiantes que reciben clases en su domicilio de la carrera de Enfermería de la Universidad Estatal de Bolívar
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Pilco Toscano, Cynthia Elizabeth Lcda.; Arellano Franco, Luis Felipe Lcdo. Ft Mg.
Musculoskeletal disorders are associated with repetitive work, which lead to a series of health problems ranging from minor pain to permanent patient’s disability problems. In consideration to the high prevalence of this type of problem, the present study evaluated the effectiveness of a program for the prevention of musculoskeletal injuries in students of the fourth semester of nursing career from the State University of Bolivar receiving classes in their houses. For this, a quasi-experimental investigation was carried out including 34 students who receive classes at home to whom a survey to collect information on sociodemographic variables and the conditions of the place where they receive classes was applied. Also, presence of musculoskeletal symptoms was determined by applying the Nordic questionnaire. After that, an intervention program consisting of capacitation about ergonomics, stretching and active pause for four consecutive weeks was applied. The 90.9% of the students reported some type of musculoskeletal pain, being more frequent in the neck (94.1%), in the lumbar region (79.45%) and the shoulder (70.6%), of the which most of the interviewees described intermediate pain levels in neck (41.2%), shoulder (29.4%) and dorsal or lumbar (29.4%), while the majority did not declare discomfort in elbow and forearm and wrist and hand. After the intervention, a tendency to decrease pain levels was observed in the different parts of the body evaluated. Based on the results, the positive effect of the intervention plan on the improvement of the musculoskeletal pain of the intervened patients is demonstrated, so it is suggested to apply this type of programs in other careers.
Efectos de la pliometría en el tratamiento fisioterapéutico de pacientes con lesiones deportivas de rodilla
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Alvarez Carrión, Sonia Alexandra Lcda. Mg.; Díaz Cevallos, Ana Cristina Lcda. Mg.
Plyometrics is a physiotherapeutic treatment that seeks to increase maximum voluntary strength, reducing the coupling time, and increasing stiffness in sports injuries, based on this the main objective of this research was to determine the effects of a plyometric exercise program in the treatment of patients with knee injuries who attend the Physical-med physiotherapy center in the city of Riobamba, during the period July-December 2020. The methodology used was the application of a plyometric exercise program to 20 patients with knee injuries who are in the last stage of physical therapy, the type of research was quasi-experimental with a quantitative approach because a data analysis was performed before and after the program was applied. The data were processed in the statistical program SPSS v.21 The first type of jump was the Counter Movement Jump whose result showed a progression from 20.49±6.05 (before) to 22.47±7.2 (after), the second the Squart Jump with 23.48±7.1 (before) to 25.35±7.79 (after), and the third the Drop Jump with 21.8±8.5 (before) to 24.5±7.2 (after); showing also that statistically significant differences were registered in the Counter Movement Jump (p=0.022) and in the Drop Jump (p=0.027), the Squat Jump did not show significant changes in the jumping capacity (p=0.883), finally at the level of the total values of the Jump test instrument statistically significant differences were observed (p=0.033).
Aplicación de la técnica de liberación miofascial en puntos gatillo del trapecio para aliviar el dolor cervical
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Guamán Capito, Cecilia Natividad Lcda. Ft.; Díaz Cevallos. Lcda. Ft. Mg, Ana Cristina
Neck pain is a problem that affects a large part of the population, especially workers. Usually there are palpable pain-causing nodules called trigger points, which can be treated using the myofascial release technique. The objective of the study was to apply the myofascial release technique within the treatment protocol on the trigger point of the trapezius muscle to relieve cervical pain, in patients aged 20 to 50 years attending the Eduardo Montenegro Basic Hospital, July-December 2020. The sample consisted of 27 patients, with an average age of 33.59 ± 8.19 years, the majority residing in urban areas, with a non-university higher level, married and with work activities. The visual analog pain scale (VAS), the neck disability index questionnaire, measurements with the goniometer in the cervical region and the Daniels test were applied. The mean of the VAS evaluations went from 7.59 ± 1.37 before the therapeutic treatment to 2.22 ± 1.48 after the treatment; the neck disability index changed from 32.59 ± 4.81 at the start of the study to 14.48 ± 2.74 after therapy; while, all measurements with the goniometer increased after myofascial release therapy, indicating greater neck mobility. All changes were statistically significant (p <0.05). It is concluded that the myofascial release technique is effective for the reduction of neck pain, cervical disability and to improve range of motion.
Programa de ejercicios de estabilización del core para disminuir el dolor lumbar en madres gestantes
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Muyulema Moyolema, Delia del Rocío Lcda.; Tello Moreno, Mónica Cristina Lcda. Mg.
Low back pain in pregnancy is a common condition that affects maternal-fetal health, due to its impact on the quality of life of pregnant women, generally it appears between week 24 to 36, causing a serious functional disability and interfering with activities. work, quality of sleep and level of physical activity; Therefore, it was proposed to determine the effects of a core stabilization exercise program in reducing low back pain in pregnant mothers through a quasi-experimental longitudinal study, in 20 participants connected remotely through the zoom platform. To determine the exercise plan, a search and systematic review of scientific articles was carried out in different databases, which included PubMed, Medline, PEDro, Science Direct, and Scielo, using keywords, where more than 50 articles were obtained, of which Only 20 were selected that supported the proposal. Subsequently, they were evaluated before and after the intervention, with the numerical pain scale (NRS), to measure the intensity of pain; and the Oswestry scale to identify the level of disability associated with low back pain, the data obtained were tabulated and statistically analyzed using the IBM SPSS V22 program. The results obtained after the intervention reflected significant differences in the intensity of pain (0.000), and the level of associated disability (0.000); Concluding that core strengthening exercises are effective in reducing low back pain in pregnant women.
Efectividad de los Ejercicios de Frenkel en Adultos Mayores para Mejorar el Equilibrio
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Montero Guizado, Jazmín Micaela Lcda.; Cedeño Zamora, María Narciza Lcda. Mg.
In the present research work, a quantitative approach of a prospective type of quasiexperimental intervention was accomplished; in a population of 30 older adults from 65 years old to 75 years old belonging to the Golden Years Club of the Geriatric Hospital Doctor Bolívar Arguello P. of Riobamba city in which there were evaluations before and after the intervention; where a series of Frenkel exercises was developed. The statistical information and data collected were analyzed in IBM's SPSS-V21 statistical program, a small survey was used to identify the sociodemographic variables (age, sex and occupation) and then the state of balance of each participant was evaluated by means of the Tinetti test consisting of two scales (balance and progress); the same one that gives us as a result whether or not there is a risk of falling; evidencing notably alterations in balance and progress, based on these problems a treatment plan was structured through a series of Frenkel exercises in supine decubitus, sitting and standing that were applied to the participants of this study, after the assessment it was evaluated again to know if the current state of equilibrium improved in this population. When applying the Frenkel exercises it was evidenced that it was great utility and through this series of exercises the balance could be improved in an important percentage, to verify the effectiveness of the technique the Wilcoxon Test was applied as it was numerical categorical variables which result was that the level of significance corresponds to 0 and this means that the null hypothesis is rejected, verifying that the series of Frenkel exercises that were carried out in this investigation were effective for each older adult who participated in it.
Efectos del fortalecimiento del core en la biomecánica de miembros inferiores en deportistas.
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Campos Moposita, Angela Priscila Lic. Ft.; Espín Pastor, Victoria Estefanía Lic. Ft. Mg.
The athlete, being in a constant practice of exercise, goes through permanent changes to reach sporting perfection, which implies training sessions, preparation in the intervals for specific competitions with optimal results. The preparation influences a high level of competition which implies a series of difficulties such as: willingness to train, difficulty in the sporting tacit, lack of preparation, insecurity in the activities, possible musculoskeletal injuries, being worrying to have an optimal sporting level. The core at a sporting level maintains more effective movements to improve the direction of movement, to have a better career, to lift heavy objects, to maintain posture, to improve breathing, to reduce injuries, taking into account that a good musculature in the central zone acts as a protector for the abdominopelvic part which is weak due to the absence of bony structures. The execution of core strengthening exercises should be planned according to the needs of each person, the middle zone maintains control between the transfer of strength in the lower and upper limbs of the human body in sports practice, for the lower zone the strengthening of the trunk extension is maintained, being important to maintain functional training in the different body segments, identifying the co - contraction of the muscles of the modifying the physiological curvatures of the spine, benefiting sports performance and injury prevention
Programa de intervención fisioterapéutica con música en el rendimiento funcional de miembro inferior en estudiantes universitarios
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Moscoso Córdova, Grace Verónica Lic. Mg.; Espín Pastor, Victoria Estefanía Lic. MSc.
This research work deals with a functional performance program for the lower limb in university students with the use of music. Music in rehabilitation is a very attractive and novel alternative, it has been demonstrated that it has an implication in the physiology of the human being as well as in the psychological part, physical activity and sport contribute to have a healthy life and help us to prevent future diseases, this is how we have raised as a fundamental question if the training with music is effective to improve the functional performance of the lower limb. As a methodology to solve this question, we proposed a longitudinal, quantitative study, we evaluated the students in aspects of strength, power, balance and agility, we also applied the Perez-RojasGarcia test to measure sedentary lifestyle, then the training program was applied through the zoom platform in 12 sessions, the results show that training with music has better results, as well as that participants are more motivated and adhere to treatment, on the other hand, the impact on the level of sedentary lifestyle of students is positive, improving their levels.
Efectividad de los ejercicios kinesioterapéuticos en miembro superior para la prevención de trastornos funcionales posteriores a cirugía por cáncer de mama
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Jurado Mogollón, Mayra Daniela Lcda.; Robalino Morales, Gabriela Estefanía Mg. Lcda.
Musculoskeletal or functional disorders of the upper limb in patients with breast cancer who have undergone surgical treatment are one of the most frequent complications, affecting joint width, muscle strength; compromising the overall function of the shoulder; thus affecting the quality of life of the survivors. Early physiotherapeutic intervention in post-surgical breast cancer patients includes any type of mobility that includes active exercises; being effective in the treatment and prevention of functional disorders of the upper limb; For this reason, the research proposed to analyze the effectiveness of kinesiotherapeutic exercises in the upper limb for the prevention of functional disorders after breast cancer surgery; for which an exercise plan was structured through a review of scientific articles in databases such as PEDro, PubMed, Scielo, Science Direct and Medline; in which keywords were used where more than 50 articles were obtained, of which 20 were chosen that met the eligibility criteria, to determine the efficacy of kinesiotherapeutic exercises, 22 women were evaluated before and after the intervention from 18 to 60 years old, with the Oxford Scale to determine muscle strength, the Goniometric Test to identify joint width; and the Constant-Murley Test to measure the global function of the shoulder; The results revealed clinically and statistically significant improvement between 0.3 and 1.5 points in muscle strength (0.000) in all muscle groups, between 15 ° to 130 ° of joint mobility (0.000) was gained in most movements of the shoulder except for adduction, and the global function (0.000) went from a poor level to a medium level. Concluding that kinesiotherapeutic exercises in the upper limb are effective in preventing the appearance of functional disorders after breast cancer surgery
Aplicación de un Protocolo de Ejercicios con Facilitación Neuromuscular Propioceptiva para mejorar rango y fuerza muscular en adultos mayores con dolor de rodillas.
(2021-07-01) Manzano Vinueza, Gabriela Cristina Lcda. Ft.; Latta Sánchez, María Augusta Lcda. Ft.Mg
Knee pain is one of the main problems for the population over 65 years old and is related to degenerative diseases such as osteoarthritis. Exercises with the Proprioceptive Neuromuscular Facilitation technique (PNF) have been suggested as an alternative rehabilitation treatment to reduce the impacts of this frequent symptom. The purpose of this project was to apply an exercise protocol with the Proprioceptive Neuromuscular Facilitation technique to improve range of motion and muscle strength in older adults with knee pain. Twenty older adults with an age range between 65 and 80 years from the Atahualpa parish participated, all of them performed the protocol for 12 weeks with a frequency of 1 session per week. The patients were evaluated before and after the intervention using the numerical pain rating scale, goniometric test and Daniels test. The resistance, difficulty and number of repetitions applied in the lower limb diagonals were gradually increased. The SPSS program was used for statistical analysis. The results obtained confirm the hypothesis that the parameters tested: pain, joint mobility and muscle strength improved after the use of PNF techniques. It is concluded that the three specific techniques: Rhythmic Initiation, Dynamic Inversions and Contraction-Relaxation belonging to the concept of Proprioceptive Neuromuscular Facilitation applied in an exercise protocol increase physical capacities such as mobility and muscle strength in the older adult population aged 65 to 80 years. Future and more extensive research is necessary considering the variables or limitations that may have intervened in this study.
Estimulación Basal en problemas de equilibrio en los adultos mayores
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Pozo Martínez, Fátima Sofía Lcda; Cedeño Zamora, María Narciza Lcda. Mg.
Part of the life cycle is the physical and mental ageing of the human body that is related to the deterioration of walking and balance, presenting a high rate of falls in older adults. The presented research is a descriptive investigation which uses a quantitative approach of a quasi-experimental type and cross-sectional section. It was developed in the Gerontological Day Center "El Buen Samaritano", City of Mera, province of Pastaza. The purpose of the research was the application of Basal Stimulation on balance problems in older adults, an attempt was made to reduce medical visits as a result of falls that cause fractures, chronic ailments, psychological and family problems and even social isolation; considering that this population was part of an active group in its productive age, it is necessary to contribute to the physical, mental, familiar and social health of this ethereal group. At the beginning of the research when analyzing the basal stimulation in balance problems in older adults, it was identified that in the whole population assessed only two older adults were independent in static and dynamic balance and the remaining 80% could walk with help, having between moderate and high risk of falls, otherwise, at the end of the investigation significant results were obtained, in first place the older adults improved their balance and went from a level of being able to walk with help to being independent in static and dynamic balance and in second place reducing the risk of falls to a low level, improving their lifestyle.