Fisioterapia
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Item FISIOTERAPIA EN ATAXIA CEREBELOSA POR ENCEFALITIS VIRAL EN NIÑOS: REVISIÓN BIBLIOGRÁFICA(2025-03-05) Segovia Díaz, Nuria Belén; Moscoso Córdova, Grace Verónica; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaIntroduction: cerebellar ataxia is a motor disorder characterized by a lack of coordination and balance, caused by damage to the cerebellum. In children, this can be a consequence of viral encephalitis, affecting motor skills. Physiotherapy plays a crucial role in stimulating motor recovery through exercises that improve postural control and mobility. This study focused on obtaining information that allows analyze the main phisiotherapeutic treatments applied to cerebellar ataxia caused by viral encephalitis in children. Methods: a bibliographic review of the literature was carried out by searching for scientific studies in the databases, PubMed and Google Schore, publications made between 2019-2024. MeSH terms were used, and the search strategy was designed following the PRISMA method guidelines. Results: 11 studies; 6 randomized clinical trials, 1 trial included children with cerebellar ataxic PC, 2 in children with cerebellar ataxia, 2 in children with ataxia in general and 1 in children with FRDA. While, systematic reviews, 1 review addressed children with ataxia in general, 2 with cerebellar ataxia, one with ADH and 1 one with AT. Improvements were found in motor coordination, gait, balance, postural control, muscle strengthening, reducing the risk of falls, control of body segments, among others. Conclusions: among the applied therapies, the combination of physiotherapy with virtual reality and advance technology can offer better results than isolated exercises in children with cerebellar ataxia.Item EVALUACIÓN DEL DOLOR A TRAVÉS DE LA PRUEBA DE BOSTON EN LA ARTICULACIÓN RADIOCARPIANA EN ODONTÓLOGOS(2025-02-28) Velarde Quintana, Samantha Nicole; Moscoso, Córdova Grace Verónica; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaCarpal Tunnel Syndrome is an inflammatory condition caused by repetitive movements, which compresses the median nerve and causes symptoms such as pain, tingling and numbness in the hand.(1) In dentists, it is associated with biomechanical demands and the use of instruments that generate vibrations.(2) The Boston questionnaire stands out as an effective tool for the early detection of this condition.(3) This study aimed to determine the evaluation of pain through the Boston test in the radiocarpal joint in dentists. Non-experimental study with a quantitative approach, used a cross-sectional design applying the Boston Questionnaire to 30 dentists, selected by convenience according to inclusion and exclusion criteria. Information was collected through medical records and the questionnaire, evaluating work and extracurricular factors related to pain in the radiocarpal joint. The data were systematized in Excel and SPSS for statistical analysis. The results showed that dentists have a low prevalence of pain, mostly brief and sporadic, with a minority reporting constant cases. Pain is associated with long work days and specialties such as surgery and oral rehabilitation. In addition, clinical tests complementary to the questionnaire are needed to determine the pathology.Item RELACIÓN DEL ÁNGULO TIBIAL DURANTE LA CARRERA EN ÁRBITROS CON Y SIN LESIÓN DE RODILLA TOBILLO Y PIE(2025-02-28) Freire Castro, Nayelly Stefania; Espín Pastor, Victoria Estefanía; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaCorrer es una actividad física común a nivel mundial, los árbitros recorren entre 10 y 13 km durante la ejecución del arbitraje. El objetivo de este estudio fue analizar la relación entre el ángulo tibial durante la carrera y las lesiones musculoesqueléticas previas y actuales en árbitros, específicamente en las articulaciones de rodilla, tobillo y pie. Se llevó a cabo un estudio transversal de tipo correlacional con 101 árbitros profesionales (87 hombres y 14 mujeres) de entre 18 y 45 años, con un índice de masa corporal promedio de 24,56 kg/m². Se evaluaron los patrones de carrera mediante grabaciones en video 2D, analizadas con el software Kinovea, para determinar el ángulo de la tibia en la fase de respuesta a la carga (ATRC). Los resultados mostraron que no existe una relación significativa entre el ATCR y las lesiones previas o actuales en las articulaciones de rodilla, tobillo y pie. Aunque estudios previos sugieren que la alineación tibial podría ser un factor de riesgo para lesiones, este análisis no evidencia correlaciones significativas. Se discutieron posibles factores de confusión como diagnósticos imprecisos o una alta variabilidad en la cinemática de la carrera entre los participantes. Se concluye que el ATRC no parece ser un factor determinante en la ocurrencia de lesiones musculoesqueléticas en esta población, Se recomienda realizar estudios adicionales con poblaciones más grandes, lesiones específicas y un enfoque más detallado sobre la cinemática de la carrera y otros factores biomecánicos asociadosItem RELACIÓN DE LA EVERSIÓN DEL PIE DURANTE LA CARRERA EN ÁRBITROS CON Y SIN LESIÓN DERODILLA TOBILLO Y PIE(2025-02-27) Cifuentes Álvarez Nathaly Jemima; Espín Pástor Victoria Estefanía; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaThis study evaluated the relationship between heel eversion (EDT) and lower extremity musculoskeletal injuries in soccer referees, a group that faces high physical demands due to the intensity and variability of their activity. With a sample of 101 professional referees (87 men and 14 women), a kinematic analysis was performed during running, finding that all participants presented EDT. The results did not reveal statistically significant relationships between WBS and previous or current knee and ankle injuries; however, a significant association was observed with current foot injuries, where a greater angle of WBS was related to a higher incidence of injury. Additional factors, such as overweight, age, and specific biomechanical characteristics of the foot, appear to influence injury risk, although not directly with WBS. These observations indicate that, although WBS is not a biomechanical determinant of musculoskeletal injury, variables such as plantar pressure and range of motion at different phases of stance during running could play an important role, especially in pathologies such as plantar fasciitis. The study also identified limitations, including heterogeneity in participant characteristics, such as age and weight. It is concluded that WBS is not an isolated predictor of injury in referees, and larger, homogeneous studies are suggested to validate these findings and delve into other risk factors.Item ENTRENAMIENTO DE RESTRICCIÓN DE FLUJO SANGUÍNEO EN LA FUERZA Y ÁREA TRANSVERSAL DEL CUÁDRICEPS EN PACIENTES CON RECONSTRUCCIÓN DEL LIGAMENTO CRUZADO ANTERIOR(2025-02-27) Maroto Amán, Luis Eduardo; Cedeño Zamora, María Narciza; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaThe anterior cruciate ligament (ACL) is one of the most important tissues that help stabilize the knee, however, it represents more than half of all injuries sustained in a sports environment, being a very important challenge in recovery. Therefore, the objective of this review is to identify articles that address the use of BFR in physiotherapy as a treatment to improve quadriceps strength and cross-sectional area in patients with ACL reconstruction and to determine its effectiveness. Methods: The search was carried out from September 5 to 16, 2024 in the main databases PubMed and ScienceDirect and the methodology was assessed using the AMSTAR-2 scale, leaving 8 articles selected for this review. Results: BFR-E increases muscle strength, significantly reduces strength deficits in isokinetic knee extension, improves muscle endurance and function, increases quadriceps muscle size, and attenuates concentric isokinetic strength losses after surgery and rehabilitation. Conclusion: Findings suggest that BFR is a valuable tool for rehabilitation after ACL reconstruction, however, outcomes may vary depending on the exercise protocol.Item ACTIVIDADES RECREATIVAS PARA MEJORAR LAS HABILIDADES MOTORAS DE MIEMBRO SUPERIOR EN NIÑOS CON SÍNDROME DE DOWN(2025-02-27) Yauli Achachi, Gissela Ivonne; Latta Sánchez María Augusta; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaDown syndrome (DS), or trisomy 21, is usually a chromosomal disorder caused at the genetic level. Epidemiological studies reveal that approximately 1 in every 700 to 800 births in the world presents this alteration. Given that this condition affects several motor areas, the present research project was carried out with the objective of determining whether recreational activities contribute to the improvement of upper limb motor skills in children aged 2 to 5 years with Down syndrome. This research was framed in a quasi-experimental design, with a longitudinal and quantitative approach. This project included the participation of 25 children with Down syndrome from Latidos Down Ambato Fundación. The psychomotor development test (TEPSI) was used to evaluate the child's motor performance in categories of normality, risk and delay, with a total of 12 sessions of 30 to 40 minutes 3 times a week. Among the results obtained, it was found that, of the total intervention population, the children initially presented a 64% deficit in motor skills, while after the intervention this increased to 84%, which indicates that the treatment applied has favorable effects on the development of motor skills. Thus, concluding that the application of play activities has proven to be effective for the improvement of motor skills in children with Down syndrome and to contribute to the strengthening of their autonomy and active participation.Item RELACIÓN DEL ÁNGULO INCLINACIÓN DE PIE DURANTE LA CARRERA EN ÁRBITROS CON Y SIN LESIÓN DE RODILLA, TOBILLO Y PIE(2025-02-27) Torres Sandoval Diana Paola; Cedeño Zamora María Narciza; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaSoccer referees face a high risk of injury due to physical demand; factors such as inadequate training, history of injuries and biomechanical alterations of the angle of inclination of the foot (AIp) can increase this risk, especially during short stance phases with high loads and changes of direction. This project aims to analyze AIp in referees, with and without injuries to the knee, ankle and foot, through kinematic analysis and identify anomalies in gait and biomechanics. Methods: A cross-sectional and observational design was used in 101 professional soccer referees, an electronic treadmill, a video motion capture system, biomechanical analysis with the KINOVEA system, a 2-minute warm-up plan and statistical analysis were required. with Spearman correlation tests. Results: The AIp is slightly lower in injured individuals, but the variability is greater in non-injured individuals. The most common contact of the foot with the ground is the rearfoot, which can increase the risk of injury. However, no strong and significant relationship was found between previous or current injury and foot tilt. Conclusion: AIp and type of contact may be risk factors for lower limb injuries, but it is important to consider the need for more research to confirm these findings and optimize decisions regarding training and rehabilitation programs.Item FISIOTERAPIA EN PACIENTES POSTOPERATORIOS CON CÁNCER DE PRÓSTATA: REVISIÓN SISTEMÁTICA(2025-02-27) Sánchez Pilapanta, John Stalin; Peñafiel Luna, Andrea CarolinaIntroduction: Prostate cancer is one of the most common pathologies in men over 50 years old, and its treatment through radical prostatectomy significantly affects quality of life, especially in the urinary domain. Postoperative physiotherapy is key to improving these aspects, promoting urinary continence and overall well-being. Objective: To analyze the effectiveness of different physiotherapy modalities in the recovery of patients undergoing radical prostatectomy, focusing on urinary continence and erectile dysfunction. Methods: A systematic review was conducted following the PRISMA methodology, searching databases such as PubMed, Google Scholar, and Cochrane Central, covering studies published between 2019 and 2024. Sixteen studies were included, examining interventions such as pelvic floor exercises, physical agents, biofeedback, acupuncture, and combined approaches. Results: A total of 572 patients participated, of whom 345 were in the intervention group. Pelvic floor exercises combined with physical agents showed the best results in improving urinary continence and sexual quality of life. Acupuncture also stood out as an effective therapy for reducing urinary incontinence. Conclusions: Physiotherapy, with a multimodal and personalized approach, is essential to improve urinary continence and quality of life after radical prostatectomy. Additional studies are needed to standardize interventions and assess their long-term effectiveness.Item SNACKS TERAPÉUTICOS PARA MEJORAR LA CONDICIÓN FÍSICA EN TRABAJADORES DEL ECU 911(2025-02-27) Rugel Garcés, Evelyn Nicole; Campos Moposita, Ángela Priscila; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaThe present research work consists of improving the physical condition of ECU 911 workers, developed in the Integral Security Service ECU 911-Zonal Center Ambato, with a population of 25 participants of both sexes. The objective of this research was to analyze if the therapeutic snacks are efficient to improve the physical condition of the workers, the same was developed 4 times per week for 4 weeks with a duration of 4 hours per session in the Integrated Security System ECU 911. The research was developed with a quasi-experimental study of longitudinal type, collecting the initial and final values of the treatment plan, which includes a population of both sexes with an age of > 35 years. In the evaluation, the 6-minute walk test was used to evaluate physical endurance and thus facilitate the development of high-intensity exercise activity, with a quasi-experimental approach, recording the values in Excel and obtaining the results using the SPSS program. The results of the research show that there was a greater significance in the systolic pressure, heart rate, distance traveled and dyspnea, demonstrating that high intensity exercises help to improve the physical condition of the workers of the ECU 911.Item TIPOS Y ZONAS DE DOLOR REFERIDO POR PACIENTES CON TENDINOPATÍAS DEL MANGUITO ROTADOR, UNA DIFERENCIACIÓN POR SEXO(2025-02-27) Rivera Acurio, Andrés Sebastian; Espín Pastor, Victoria Estefanía; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaTendinopathy is an injury that affects the tendons and is characterized by the presence of pain and dysfunction. One of the most prevalent pathologies associated with the rotator cuff occurs in the glenohumeral joint mainly due to repetitive movements. Reaching an incidence of 16%, affecting the musculoskeletal system generating significant disability, studies show gender differences in the perception and response of chronic pain in rotator cuff tendinopathies. Therefore, the objective of this research project was to determine the types and areas of pain reported by patients with rotator cuff tendinopathies, differentiating by sex. Information was collected through a survey that included a personal data sheet with names and ages, as well as graphs of the human body so that patients could identify areas of pain. It was carried out in a population of 42 participants from the province. from Cotopaxi and Tungurahua distributed equally between men and women. The research approach is quantitative since a prospective and cross-sectional observational design was adopted, carrying out a single evaluation that allowed data to be collected from the participants. Among the results, there were no statistically significant differences between sexes in the distribution of pain from a general analysis (p=909). However, females presented a greater body extent of pain in the hand area compared to males (p=0.043).