Fisioterapia
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Item FORTALECIMIENTO DEL CUÁDRICEPS PARA MEJORAR LA MARCHA EN ADULTOS MAYORES(2025-02-27) Cueva Molina, Karen Mayeli; Bonilla Ayala, Josselyn Gabriela; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de FisioterapiaStrengthening the quadriceps in older adults is essential to improve gait, as this muscle group plays a key role in stability and mobility. Through specific exercises that increase muscle strength, postural control can be improved, reducing the risk of falls and optimizing walking functionality. This type of intervention contributes to a safer and more efficient gait, promoting independence and quality of life. Therefore, the objective of this research project was to determine the effects of quadriceps strengthening to improve gait in older adults. The quadriceps strength was measured using the dynamometer, the Tinetti scale and Timed Up and Go (TUG) to evaluate gait, accompanied by an intervention for strengthening, which were applied to 20 participants belonging to the GAD Parroquial 11 de Noviembre. This is an observational research, with a quantitative approach, the T test was used for normality analysis, in the sample reflected a value of p >0.05 giving a result of non-parametric data. Among the results, it was obtained that there were clinical improvements, but not statistical improvements in the post-intervention of dynamometry and TUG, except for Tinetti, whose values remained constant in the initial and final evaluation.Item LUDOTERAPIA PARA MEJORAR MARCHA Y EQUILIBRIO EN LOS ADULTOS MAYORES DE LA PARROQUIA PASA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-09-02) Pérez Paredes, Génesis Del Cisne; Latta Sánchez, María AugustaThe deterioration of the functional capacity, the alteration in gait and balance are the main factors that can generate risk of falls in the elderly, as well as alter their independence to perform activities of daily living, the play therapy has a traditional and fun approach to motivate the elderly to perform physical activity and through this to train gait and balanc e . Twenty-five older adults with an age range from 65 years old belonging to the Parroqui a Pasa participated in this research project, with a duration of 6 weeks with a frequency of 2 times per week, the participants executed the designed protocol of play therapy. Older adults were assessed pre and post intervention using the Timed Up and Go and Timed Unipodal Station tests. The approach of this research is quantitative in terms of data collection, non-experim ental and longitudinal. SPSS software used for statisti c a l analysis. The repetitions, completion time and difficulty of each game were gradual l y increased. The results obtained indicate that after the application of a play therapy program, gait and balance improved, reducing the risk of falls in the participants. In conclusion, inactiv i t y in the elderly deteriorates their motor functions, including balance and gait, so that the application of play therapy can be part of the routine in the elderly to reduce the risk of falls and future injuries.Item Estimulación auditiva rítmica para mejorar el equilibrio y marcha en el adulto mayor de la parroquia Atahualpa(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2023-03-01) Zambrano Villarroel, María José; Moscoso Córdova Lcda. MSc., Grace VerónicaThe research project was developed with the objective of determining whether rhythmic auditory stimulation helps to improve the balance and gait of older adults in the parish of Atahualpa, for which a group of 20 older adults, 18 women and 2 men, were evaluated using the Berg scale and the Time Up and Go (TUG) test to assess the state of balance and gait of the participants. The intervention lasted 8 weeks, two days a week for 30 minutes where participants performed a series of exercises to the rhythm of a metronome ranging from 90 bpm to 120 bpm, the rhythm was increasing as thexiii weeks went by, at the end of the intervention was re-evaluated to compare the results and see if there was an improvement in adults. The research was developed under a quantitative approach since data was collected from the Berg scale and the TUG test from which numerical values were obtained and the results were analyzed with the T test for related samples, it is an observational study with intervention because a comparison of the results of the evaluations was made and to verify if there was an improvement, finally the research design is longitudinal because the assessments were conducted at different times, it is prospective considering that the assessments and the intervention was applied directly to the participants. The results of the research show that there was a greater significance in the results of balance with a value of p= 0.00, demonstrating that rhythmic auditory stimulation is effective in improving balance.Item Estrategia de estimulación oculomotora con luces led para mejorar el equilibrio del adulto mayor en la parroquia Atahualpa(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2023-03-01) Quimbita Cadena, Sharon Nicole; Robalino Morales, Gabriela Estefanía Lic. Mg.The older adult, as he ages, his balance deteriorates, thus having a greater risk of falls, in addition, the older adult trusts more in external signals when walking. Therefore, the objective of this study was to determine the effects of oculom otor stimulation with led lights to improve balance in the elderly. The investigation was carried out with a qualitative-quantitative approach, of a descriptive type and with a longitudinal design. At the beginning of the investigation, an initial evaluation of both balance and gait was carried out in the Atahualpa and Santa Fe Parish through the scale of Berg and the Timed Up and Go Test, which resulted in 92 participants having deficits in balance or gait or both, but only 20 participants were selected according to the inclusion and exclusion criteria. The intervention lasted eight weeks in which we formed a path of three-meter white led lights, and we worked with the older adults on different exercises in different stages without light, medium intensity and high intensity, then the final evaluation wasxiv carried out, in where it resulted that the oculomotor strategy with led lights improved the balance and gait of the participants since the significance was less than 0.005.Item Método perfetti como estrategia de estimulación sensorio-visual para mejorar el equilibrio en los adultos mayores de la parroquia de Quisapincha(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2023-03-01) Chasag Guananga, Tatiana Alexandra; Cedeño Zamora, María Narciza Lic. MScThe objective of this project is to determine the effect of the application of the visual sensory stimulation strategy based on the Perfetti method on balance in older adults of the Quisapincha parish. This research has a qualitative-quantitative research approach of longitudinal descriptive type with the participation of 20 older adults, 3 of them were male and 17 were female. In this study, balance and gait evaluations were performed before and after the Perfetti Method intervention. This evaluation allowed us to know the level of risk of falling and the level of independence capacity to which the older adults belonged. The evaluation scales applied were the TUG test and the Berg balance scale and the intervention was based on the Perfetti Method with visual sensory stimulation, in which 8 weeks of intervention were worked. According to the Perfetti Method intervention in older adults, it was possible to see a change according to the established tests, a large percentage that belonged to the group of medium risk of falls went on to belong to a group of low risk of falls, implying a better quality of life. In conclusion, the Perfetti method allows us to recover through the central nervous system by means of sensory stimulation. Movement, attention and visualization are part of the process of recognition of the environment to the body, which is the means for the reception of information through the body surface and it is possible to obtain a response for the functional recovery of the participant