Maestría en Fisioterapia y Rehabilitación Mención Neuromusculoesquelético
Permanent URI for this collectionhttp://repositorio.uta.edu.ec/handle/123456789/33103
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Item Entrenamiento del equilibrio en la marcha del adulto mayor mediante realidad virtual(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2023-07-06) Sánchez Sánchez, Yajaira Mishell; Latta Sánchez, María AugustaThe deterioration of physical coordination, balance and falls are some of the main causes of morbidity and mortality, which can generate loss of autonomy and impair the quality of the elderly population, virtual reality provides a modern and interactive approach to physical activity and balance training. That is why this study aimed to design a program for balance training in the gait of older adults using Virtual Reality. Fifteen older adults with an age range from 65 to 84 years old belonging to the care unit "Dulce Hogar" of one of the MIES projects participated, all of them executed the program through virtual reality for 14 weeks with a frequency of 1 session per week. Participants were evaluated before and after the intervention using the Tinetti scale and the unipodal station (timed). The number of repetitions, difficulty and time were gradually increased. The SPSS program was used for statistical analysis. The results obtained confirm the hypothesis that the parameters tested: balance, gait and risk of falling improved after the application of the virtual reality program. It is concluded that Virtual Reality applied in a program for balance training in gait in the elderly is beneficial for balance, gait performance and decreases the risk of falls in the elderly. Future research on the subject is necessary to expand its application in the field of physical therapy.Item Programa de ejercicios de perturbación dirigido al entrenamiento del equilibrio en adultos mayores de la zona rural(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2023-06-28) Sánchez Villacís, Erika Yazmín; Cedeño Zamora, María NarcizaFalls represent one of the main causes of activity limitation, participation restriction and deaths due to involuntary trauma in the elderly, becoming a serious socio-sanitary problem, which requires the development of preventive and curative interventions for associated syndromes. to this phenomenon. In this way, it was proposed to establish the effect of a program of disturbance exercises aimed at balance training in older adults, through a descriptive study, longitudinal cohort and quantitative approach, on 30 older adults who actively participate in the Home Care Unit. “A New Life: Balance, gait and risk of falls were assessed with the Tinetti scale and the TUG test. Before and after applying the disturbance program reviewed and validated by expert judgment. The results reflect a clinical improvement in balance and gait of between 1 to 6 points, as well as a decrease in the risk of falls both in the Tinetti scale and in the TUG test, which were evidenced with significant differences between measures in balance, gait and risk of falls in both the Tinetti test and the TUG test. Thus, it can be concluded that a program of disturbances improves the balance and gait of the elderly, reducing the risk of falls.Item Ejercicios de Otago adaptado al equilibrio para manejar el riesgo de caídas del adulto mayor(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2023-06-28) Pacheco Guzmán, Milton Alejandro; Reales Chacón, Lisbeth JosefinaThe actual research was carried out with the aim to handle the falling risk in the elderly without disability between 65 and 85 years old who live in rural areas and belong to the care unit “Dejando huellas con oro en su corazón” of the Ministry of the Economic and Social Inclusion. A pre and post evaluation was carried out with the Timed up and go (TUG) and Single leg stance tests. The Otago Exercise Program (OEP) adapted to balance developed warm-up and flexibility exercises, an initial walking program, muscle activation exercises, strength and balance. Two sessions per week were applied, lasting approximately 45 minutes each, over a period of 12 weeks. The T-STUDENT statistical test was applied using the IBM SPSS STATISTICS 20 system, in which a p<0,001 value was obtained in both evaluations, evidencing a significant decrease in the risk of falls after the intervention. The final TUG showed that the number of participants with a high risk of falling was 0 (zero), which decreased this condition by 20%, in the slight risk there was an improvement of 12%, while 32% of older adults who no longer present a risk of falling increased. The final SLST revealed that the 64% of the total study population was no longer at risk of falls.Item Programa de ejercicios de fortalecimiento del core para el manejo de caídas en adultos mayores(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2023-06-28) Calero Arévalo, Andrea Carolina; Espín Pastor, Victoria EstefaníaThis research is descriptive with a quantitative and cross-sectional approach. It was developed in the Pilahuín parish, province of Tungurahua, in a Club for older adults directed by the Autonomous Government of the Pilahuín parish, which is made up of a population of 45 Older Adults, of which 21 participated in the investigation fulfilling all the criteria of inclusion and exclusion. who were assessed the risk of falls using the Berg and Timed Up and Go Test (TUG) scales before and after the intervention. The investigation had a total duration of 16 weeks in which the first and last weeks were used to assess the risk of falls, the remaining 14 weeks were to apply the CORE muscle strengthening exercise program which was carried out by sessions being a total of 28 sessions divided into three phases, starting with simple and low intensity exercises and increasing as the exercises were mastered, always respecting the rule of no pain and correct posture. The tabulation was carried out in the Microsoft Excel program, the T-test was used, which was processed in the SPSS Computer System, version 25.0 for Windows in Spanish. At the end of the intervention and after the final evaluations, it was possible to show that the risk of falls decreased in the older adults who participated in the intervention.