Maestría en Fisioterapia y Rehabilitación Mención Neuromusculoesquelético

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Author: search.filters.author.Balladares López, Mishell Monserrat

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    Plan terapéutico de fuerza muscular en miembros inferiores con musicoterapia en pacientes con Diabetes Mellitus Tipo 2
    (2025-03-11) Balladares López, Mishell Monserrat; Reales Chacón, Lisbeth Josefina; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
    Diabetes mellitus type 2 (DM2) is classified as a chronic condition characterized by pathophysiological mechanisms such as insulin resistance and progressive dysfunction of beta cells, leading to inefficient glucose absorption at the musculoskeletal level. This results in alterations in muscle fibers, pain, and weakness. In the lower limbs, there is evidence of a higher prevalence of problems related to locomotion, independence, and functionality in individuals suffering from this condition. Strength exercises combined with music therapy have been shown to improve the characteristics of muscle fibers, enhance internal cellular signaling through specific muscle contractions, and promote adherence to exercise protocols. The purpose of this article was to apply a therapeutic plan focused on muscular strength in the lower limbs combined with music therapy in patients with DM2. The methodology was developed using a quantitative, analytical, prospective, and longitudinal approach with an applicative and intervention-level framework. A sample of 30 individuals from the Centro Recreacional del Adulto Mayor del GAD de Atahualpa was divided into two groups: experimental and control. The sampling design was non-probabilistic and based on convenience. Data collection involved a demographic card, dynamometry tests for lower limbs, the Chair Stand Test, and the Height and Weight items from the Senior Fitness Test battery. Statistical analysis was performed using SPSS software and Student's t-test. The primary findings indicated that at the level of ankle dorsiflexors (mean difference: 7.333) and hip abductors (mean difference: 4.667), the experimental group demonstrated significant improvements compared to the control group, which showed negative results. These findings affirm that strength exercises targeting the lower limbs, combined with music therapy, effectively benefit patients diagnosed with DM2.