Centro de Posgrado

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Subject: search.filters.subject.FUERZA MUSCULAR

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    Plan terapéutico de fuerza muscular en miembro superior con musicoterapia en pacientes con diabetes mellitus tipo 2
    (2025-03-11) Cajas Vargas, Diego Andrés; Reales Chacón, Lisbeth Josefina; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
    This study, conducted at Universidad Técnica de Ambato, examines the impact of an innovative therapeutic plan combining upper limb strength exercises with music therapy in patients with type 2 diabetes mellitus (T2DM). This multidimensional approach aims to enhance patients' quality of life and functionality through an accessible and tailored treatment. T2DM affects 10.5% of the global population and 1.7% in Ecuador, with a significant prevalence among older adults. Characterized by chronic hyperglycemia, this condition impacts not only metabolic health but also the musculoskeletal system, leading to muscle mass loss, insulin resistance, and functional limitations. The primary goal of this research was to implement and evaluate a therapeutic plan designed to improve upper limb strength in 28 older adults diagnosed with T2DM. The program consisted of specific exercises and music therapy sessions, totaling 48 sessions over 24 weeks. Music was selected based on participants' preferences to maximize physical and emotional benefits. The methodology included pre- and post-intervention assessments using manual dynamometry to measure muscle strength, and the results were analyzed statistically. Findings showed significant improvements in participants' muscle strength, with an average increase of 3–4 kg in key movements such as shoulder flexion, extension, abduction, and adduction, as well as elbow flexion and extension. This study validates the use of music therapy as a complementary element in physiotherapeutic programs. It also provides a replicable model for future interventions addressing chronic conditions like T2DM, emphasizing the importance of integrated approaches in managing chronic diseases.
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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.
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    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.