Maestría en Fisioterapia y Rehabilitación Mención Neuromusculoesquelético

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Adaptación pictográfica de la escala de Lawton y Brody auto evaluable en el adulto mayor
(2025-03-11) Erazo Barona, Lissette Katherine; Moscoso Córdova, Grace Verónica; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
During the aging process, changes occur that affect various areas of the body, leading to a decrease in physical function and motor ability. These changes can restrict or reduce the ability to perform activities of daily living, especially the more complex ones, known as instrumental activities of daily living (IADL). These include tasks such as using the telephone, housekeeping, preparing meals, shopping, doing laundry, managing finances, taking medication, and using public transportation. Therefore, there is a need to assess functionality in the elderly population using the LawtonBrody Scale, a widely recognized instrument for measuring people's ability to perform instrumental activities of daily living (IADL). The functionality of elderly people from four cantons belonging to the province of Tungurahua was assessed, which is particularly important because this region, like many others, faces a progressive demographic aging. This implies that more and more people will reach advanced ages, and therefore, it is crucial to identify possible functional impairments early. This will allow the design and implementation of interventions aimed at improving their quality of life and maintaining their autonomy for as long as possible. The research identified the need to implement a modification of the scale to facilitate selfassessment of functionality. For this reason, it is very important to adapt the Lawton-Brody Scale pictographically, which would allow the elderly population to self-assess in a more accessible and understandable way, in this way they can know their functional status and request help in time if necessary. The use of simple visual representations of the activities to be assessed is especially beneficial for those people with cognitive difficulties or reading limitations, as it reduces comprehension barriers and promotes a more intuitive assessment. This adaptation not only facilitates the direct participation of older adults in their own assessment, but would also improve the accuracy of the results by better reflecting their personal perception of their functional abilities.
Aplicación de facilitación neuromuscular propioceptiva, para mejorar la condición muscular en adultos mayores con artrosis de rodilla
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Valente Anilema, Iván Patricio Lic.; Robalino Morales, Gabriela Estefanía Lic. Mg
Knee osteoarthritis is one of the most frequent diseases that affects the joint, a product of biomechanical stress causing pain, joint stiffness and decreased functional capacity in an older adult. For this reason, this research project aims to investigate the effectiveness of the application of proprioceptive neuromuscular facilitation to improve muscle condition in older adults with knee osteoarthritis, based on a prospective quasi-experimental quantitative study with a population of 26 older adults from the daytime gerontological center of the Municipal GAD of the Canton of Colta. The treatment was to apply the PNF technique such as rhythmic initiation, a combination of isotonics, inversion of antagonists, and repetition, the study began with a small survey to identify sociodemographic variables (age, sex, marital status) and evaluated with the WOMAC survey before and after the intervention. This survey helped to show whether or not there was pain, joint stiffness, functional capacity and noticeably checking alterations in them. At the end of the treatment with the PNF exercises, a new assessment was carried out to see whether conditions improved in this population. PNF exercises were very useful in significantly reducing pain, joint stiffness and functional capacity. To verify the effectiveness of PNF exercises, the Wilcoxon test was applied, which resulted in P = 0.00. This means that the null hypothesis is rejected, verifying that the PNF exercises that were carried out in this investigation were effective.
Aplicación de la técnica de liberación miofascial en puntos gatillo del trapecio para aliviar el dolor cervical
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Guamán Capito, Cecilia Natividad Lcda. Ft.; Díaz Cevallos. Lcda. Ft. Mg, Ana Cristina
Neck pain is a problem that affects a large part of the population, especially workers. Usually there are palpable pain-causing nodules called trigger points, which can be treated using the myofascial release technique. The objective of the study was to apply the myofascial release technique within the treatment protocol on the trigger point of the trapezius muscle to relieve cervical pain, in patients aged 20 to 50 years attending the Eduardo Montenegro Basic Hospital, July-December 2020. The sample consisted of 27 patients, with an average age of 33.59 ± 8.19 years, the majority residing in urban areas, with a non-university higher level, married and with work activities. The visual analog pain scale (VAS), the neck disability index questionnaire, measurements with the goniometer in the cervical region and the Daniels test were applied. The mean of the VAS evaluations went from 7.59 ± 1.37 before the therapeutic treatment to 2.22 ± 1.48 after the treatment; the neck disability index changed from 32.59 ± 4.81 at the start of the study to 14.48 ± 2.74 after therapy; while, all measurements with the goniometer increased after myofascial release therapy, indicating greater neck mobility. All changes were statistically significant (p <0.05). It is concluded that the myofascial release technique is effective for the reduction of neck pain, cervical disability and to improve range of motion.
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.
Aplicación del método perfetti para mejorar las capacidades funcionales y cognitivas en discapacidad intelectual grave
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2023-06-29) Sailema Sailema, Tannia Gioconda; Cárdenas Medina, Jorge Humberto
When someone lacks the ability to learn at the expected levels and perform daily tasks normally, this condition is called intellectual disability or also known as mental retardation in this condition the subject can not function independently and reaches a greater cognitive impairment due to lack of stimulation and learning. The present study included a pre and post evaluation of functional and cognitive capacities by means of the Montreal Cognitive Assessment (MoCA) and the Barthel scale together with the clinical history of the population chosen for the research in 20 people with severe intellectual disability. In addition, specific material was used to develop the activities related to the Perfetti method. The results before the intervention showed that the patients had a moderate level of dependence with 60% and a significant cognitive impairment with 85%, after the intervention the results showed significant changes in both difficulties described with a .000 of significance. It is concluded that the Perfetti method has an important influence on the development of cognitive and motor skills so that the individual acquires an adequate development.
Beneficios de la aplicación de ejercicios interválicos en el dolor lumbar de origen mecánico
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2023-07-06) Flores Farinango, Diana Verónica; Arcos Reina, Rafael Andrés
Low back pain is a health problem that affects the quality of life of the person and their economy, causing psychological disorders such as depression and anxiety, increasing absenteeism and decreasing their capacity and quality of work, affecting the performance of companies and the well-being of workers.(1) Nearly 1,710 million people have musculoskeletal disorders in the world, being low back pain the most frequent, with a prevalence of 568 million people, being the most frequent cause of disability in 160 countries (UN). It is estimated that more than 90% of the population will experience low back pain at some point in their lives. (2) of which the vast majority present deficiencies when carrying out some activity. In 90% of cases of low back pain, the cause cannot be determined, calling it mechanical low back pain (3) This is a secondary injury to activities of daily life, work, academic or professional and leisure time, which subject the muscles of the back, abdomen and thigh to repetition movements with anterior flexion, flexion with torsion, work in an environment with vibrations and maintained postures. (4) Absolute rest in low back pain prolongs the pain and increases the incapacity for work, so it is recommended to maintain as much activity as possible while respecting the pain. It has been shown that people who maintain an active state have a faster recovery. The benefits of practicing exercises in low back pain improve stability and muscle strength with it the quality of life, slows the evolution of low back pain towards a disability.
Corrección postural en la reeducación biomecánica del adulto mayor para disminuir riesgo de caída
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Ocaña Guerrero Lcda. Ft., Mariela Carolina; Zavala Calahorrano, Alicia MarifernandaDra. PhD.
This project develops the theme: "Postural correction in the biomechanical reeducation of the elderly to reduce the risk of falls", the objective was: to analyze the importance of postural correction in the biomechanical reeducation in older adults of the Association "Juanitas de Oro ”Of the Atahualpa parish of the city of Ambato July - December 2020. The methodological design had a quantitative approach, it allowed obtaining data, a meticulous and extensive bibliographic review was carried out digitally and physically, with emphasis on alterations such as Scoliosis and muscular weakness in lower limbs. The type of study was quasi - experimental, the Adams test and the Tinetti and Daniels scales were applied in the evaluation at the beginning and at the end of the intervention. The intervention was carried out with home visits, due to the COVID 19 pandemic. The population consisted of 21 older adults aged 65 to 85 years. Faced with the COVID 19 pandemic, the Physiotherapeutic intervention was carried out with home visits. For the intervention, the exercises were applied progressively until reaching the maximum potential of each older adult according to their physical capacity. The results reveal that the muscle strength in the lower right limb before the intervention is good in 47.3%, that is, in 10 people. Muscle strength in the lower right limb after the intervention is normal in 57.1%, that is, in 12 people. It is concluded that the application of the Adams, Daniels and Tinetti tests evaluated gait, balance and demonstrated the need for an intervention to correct the problem. The xiv effectiveness of the intervention was established with the Daniels test, muscle strength in the lower right limb after the intervention is normal in 57.1%, that is, in 12 people
Dieta sensorial para mejorar la cognición en los adultos mayores
(2025-03-11) Gallegos Sánchez, Gladys Aurora; Caiza Lema, Stalin Javier; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
Efectividad de la terapia manual sobre el dolor lumbar inespecífico en personas que realizan entrenamiento de gimnasio
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Arias Córdova, Paúl Adrián Lcdo. Ft.; Espín Pastor, Victoria Estefanía Lcda. Ft. Mg.
Nonspecific low back pain is a common musculoskeletal problem that presents itself in the patient with characteristics: low back pain with more or equal to one month of evolution without a specific diagnosis, appearance of myofascial trigger points, pain located between the lower area of the ribs to the lower area of the buttocks, pain due to trauma, fractures, and no indication for surgical treatment, these factors cause frequent medical consultations, its effects on society are significant, both epidemiologically and economically important. The frequency of occurrence leads to a decrease in sports practice, functional limitation in daily activities, and absenteeism from work. Objective: To demonstrate the effectiveness of manual therapy on nonspecific low back pain in people who perform gym training, assistants at ATF - Fitness Center, Ambato. Materials and methods: tests used before and after: Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), McGill Pain Questionnaire (MPQ), Slump Test (ST), Standing Ischiotibial Extension Test (SIET) and Myofascial Trigger Point Localization. The intervention protocol was applied in 22 patients (F=13, M=9) for eight individual sessions using Manual Therapy(TM) techniques: Desensitization by Superficial and Deep Transverse Massage (MTS and MTP), Myofascial Release (LM) for PGM by progressive pressure of the PGM, Spinal Manipulation (SM), McKenzie Method and Thermotherapy by hot pack. Results: The application of the intervention protocol using manual therapy techniques was significantly effective on xv non-specific low back pain. Conclusions: The effectiveness of manual therapy was evidenced by a final evaluation that reported a significant improvement in the relief of low back pain, independently of sex, age and occupation.
Efectividad de los Ejercicios de Frenkel en Adultos Mayores para Mejorar el Equilibrio
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Montero Guizado, Jazmín Micaela Lcda.; Cedeño Zamora, María Narciza Lcda. Mg.
In the present research work, a quantitative approach of a prospective type of quasiexperimental intervention was accomplished; in a population of 30 older adults from 65 years old to 75 years old belonging to the Golden Years Club of the Geriatric Hospital Doctor Bolívar Arguello P. of Riobamba city in which there were evaluations before and after the intervention; where a series of Frenkel exercises was developed. The statistical information and data collected were analyzed in IBM's SPSS-V21 statistical program, a small survey was used to identify the sociodemographic variables (age, sex and occupation) and then the state of balance of each participant was evaluated by means of the Tinetti test consisting of two scales (balance and progress); the same one that gives us as a result whether or not there is a risk of falling; evidencing notably alterations in balance and progress, based on these problems a treatment plan was structured through a series of Frenkel exercises in supine decubitus, sitting and standing that were applied to the participants of this study, after the assessment it was evaluated again to know if the current state of equilibrium improved in this population. When applying the Frenkel exercises it was evidenced that it was great utility and through this series of exercises the balance could be improved in an important percentage, to verify the effectiveness of the technique the Wilcoxon Test was applied as it was numerical categorical variables which result was that the level of significance corresponds to 0 and this means that the null hypothesis is rejected, verifying that the series of Frenkel exercises that were carried out in this investigation were effective for each older adult who participated in it.
Efectividad de los ejercicios kinesioterapéuticos en miembro superior para la prevención de trastornos funcionales posteriores a cirugía por cáncer de mama
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Jurado Mogollón, Mayra Daniela Lcda.; Robalino Morales, Gabriela Estefanía Mg. Lcda.
Musculoskeletal or functional disorders of the upper limb in patients with breast cancer who have undergone surgical treatment are one of the most frequent complications, affecting joint width, muscle strength; compromising the overall function of the shoulder; thus affecting the quality of life of the survivors. Early physiotherapeutic intervention in post-surgical breast cancer patients includes any type of mobility that includes active exercises; being effective in the treatment and prevention of functional disorders of the upper limb; For this reason, the research proposed to analyze the effectiveness of kinesiotherapeutic exercises in the upper limb for the prevention of functional disorders after breast cancer surgery; for which an exercise plan was structured through a review of scientific articles in databases such as PEDro, PubMed, Scielo, Science Direct and Medline; in which keywords were used where more than 50 articles were obtained, of which 20 were chosen that met the eligibility criteria, to determine the efficacy of kinesiotherapeutic exercises, 22 women were evaluated before and after the intervention from 18 to 60 years old, with the Oxford Scale to determine muscle strength, the Goniometric Test to identify joint width; and the Constant-Murley Test to measure the global function of the shoulder; The results revealed clinically and statistically significant improvement between 0.3 and 1.5 points in muscle strength (0.000) in all muscle groups, between 15 ° to 130 ° of joint mobility (0.000) was gained in most movements of the shoulder except for adduction, and the global function (0.000) went from a poor level to a medium level. Concluding that kinesiotherapeutic exercises in the upper limb are effective in preventing the appearance of functional disorders after breast cancer surgery
Efectividad de un plan de entrenamiento HIIT sobre las personas con prediabetes
(2025-03-11) Puruncajas Rodríguez, Cristina Isabel; Tello Moreno, Mónica Cristina; Universidad Técnica de Ambato / Facultad de Ciencias de Salud / Centro de Posgrados
Prediabetes is characterized by having blood glucose levels that are higher than normal, but not high enough to meet the diagnostic criteria for type 2 diabetes mellitus. This intermediate state predisposes people who suffer from it to precede diabetes. This research proposes a HIIT training plan as a method to reduce high glucose levels in people suffering from prediabetes, with the aim of testing the effectiveness of this training type prescribed and dosed by health personnel. This proposal was originated from the interest in improving the health conditions of the study population and at the same time providing an alternative, timely and effective treatment; and that it does not represent a high cost for the institution where it is developed. The research focuses on determining the effectiveness of the HIIT training plan in the treatment of people with prediabetes, in addition to the behavior of other physiological parameters during its execution. This analytical intervention project, with a quantitative, prospective, longitudinal and application-level approach. It was carried out at the Latacunga Type C Health Center with a 13-week intervention: the first week after the evaluation, the participant was adapted to the exercise, then the training plan was applied for 12 weeks and finally the effects after it were evaluated. The parameters evaluated are: VO2peak (6-minute step test), fasting glucose and risk of diabetes mellitus (FINDRISC). At last, the research findings reveal that HIIT training combined with a low-calorie diet is an effective intervention to improve several health indicators in people with prediabetes, such as: fasting glucose, VO2peak, HRsubmax and consequently the risk of developing diabetes.
Efectividad del ejercicio aeróbico en la disminución del dolor en población, con artrosis de rodilla grado 1
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Balda Ulloa, Rommel Fernando Lic.; Tello Moreno, Mónica CristinaLic. Magister
Efectividad del ejercicio físico para prevenir el deterioro cognitivo en adultos mayores
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Rivera Quinatoa, Jessica Alexandra Lcda. Ft.; Robalino Morales, Gabriela EstefaníaLcda. Ft. Mg.
Introduction: The Cognitive deterioration affects to elderly people in a transcendental way. That’s why, it is essential to search treatment's strategies in order to prevent this pathology's kind with the help of the physical activity it is evident that all these affectations can be controlled or can be maintained to improve mental functions such as orientation, attention, language among others. Objective: The objective of the study is to establish the effectiveness that physical exercise has in relation to cognitive impairment. Method: The application of an adapted exercise routine for the elderly people it was carried out, which consisted of 12 sessions from 45 minutes which included stretching, warm-ups, exercises, a cooling phase and finally stretching, the assessment the patient's cognitive state was carried out with the Mini-mental test and the Pfeiffer test before and after the intervention with the participation from 20 people. Results: After the final assessment, the effectiveness of physical exercise to prevent cognitive deterioration in the older adult population was evidenced, with the improvement of cognitive functions and lifestyle. Conclusions: Through research, the effectiveness of regular physical exercise in relation to the cognitive functions of the elderly people is verified in order to improve their physical and cognitive state through the activation from new neural connections within the brain.
Efectividad del método Kaltenborn en el síndrome de manguito rotador.
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Mullo Manovanda, Ana Victoria Lcda. Ft.; Díaz Cevallos, Ana Cristina Lcda. Ft. Mg.
Rotator cuff syndrome is a condition that involves several tendons, either together or in isolation, the most affected tendon is usually the supraspinatus. The present research project aimed to determine the effectiveness of the Kaltenborn method in the treatment of rotator cuff syndrome in 30 adult patients between 40 and 59 years of age. The intervention plan was developed in the Physical Rehabilitation Service of the Hospital del Día IESS Sangolquí in the period July - December 2020. It is a research with prospective design, quasi-experimental, longitudinal intervention, since the intervention was carried out with the Kaltenborn method and the impact of this development project was measured through the comparison of results obtained for pain (VAS test), joint amplitude (Goniometric test) and shoulder joint disability (Spadi test). An intervention protocol was performed, which consists of the application of the Kaltenborn method in the glenohumeral joint, short lever traction techniques, anterior gliding, posterior gliding and inferior gliding. The values obtained before and after the application of the OMT Kaltenborn-Evjenth method with the EVA tests, give a significance level with the Wilcoxon test P=0.01, goniometric test in student's t-test P=0.01 and Spadi test, in student's t-test P=0.01. Concluding that OMT Kaltenborn-Evjenth manual therapy is effective in reducing pain intensity, improving joint range of motion and decreasing shoulder joint disability.
Efecto de la actividad física con el uso de balón terapéutico en la lumbalgia crónica
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Vallejo Chinche, Silvia del Pilar Lic.; Cárdenas Medina Dr. Mg., Jorge Humberto
The present research aims to determine the effect of physical activity with the use of therapeutic balloon in patients with chronic low back pain, in the Physical Med center of Riobamba city, during the period July – December 2020. The present study was conducted under a descriptive, longitudinal quasi-experimental quantitative approach, performed in 20 adults between men and women aged 25 to 55 years. The data obtained were analyzed through the SPSS version 21 program, for the evaluation the analogical EVA pain scale and the OWESTRY lumbar disability questionnaire were used. When applying the protocol of exercises with the therapeutic balloon, the results showed that the highest percentage of patients suffering from chronic low back pain were male with 55%. According to the occupation the majority groups were: merchants, drivers and students with 60%, the participants most often according to age were from less to 35 years with 45%. As for the results using the EVA scale were beneficial because at the beginning they presented moderate to very severe pain with 85% later after the research was achieved to reduce to 35%. When analyzing the results of the OWESTRY test it can be affirmed a notable improvement in functionality at the beginning of the research presented moderate disability in 90% and only 10% had severe disability, after applying the protocol it was possible to totally eliminate the severe disability, the moderate disability low to 50% and the level of moderate to minimal disability was changed To test the hypothesis, the parametric statistical test of comparison of T student means for related samples was used.
Efectos de la pliometría en el tratamiento fisioterapéutico de pacientes con lesiones deportivas de rodilla
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Alvarez Carrión, Sonia Alexandra Lcda. Mg.; Díaz Cevallos, Ana Cristina Lcda. Mg.
Plyometrics is a physiotherapeutic treatment that seeks to increase maximum voluntary strength, reducing the coupling time, and increasing stiffness in sports injuries, based on this the main objective of this research was to determine the effects of a plyometric exercise program in the treatment of patients with knee injuries who attend the Physical-med physiotherapy center in the city of Riobamba, during the period July-December 2020. The methodology used was the application of a plyometric exercise program to 20 patients with knee injuries who are in the last stage of physical therapy, the type of research was quasi-experimental with a quantitative approach because a data analysis was performed before and after the program was applied. The data were processed in the statistical program SPSS v.21 The first type of jump was the Counter Movement Jump whose result showed a progression from 20.49±6.05 (before) to 22.47±7.2 (after), the second the Squart Jump with 23.48±7.1 (before) to 25.35±7.79 (after), and the third the Drop Jump with 21.8±8.5 (before) to 24.5±7.2 (after); showing also that statistically significant differences were registered in the Counter Movement Jump (p=0.022) and in the Drop Jump (p=0.027), the Squat Jump did not show significant changes in the jumping capacity (p=0.883), finally at the level of the total values of the Jump test instrument statistically significant differences were observed (p=0.033).
Efectos del fortalecimiento del core en la biomecánica de miembros inferiores en deportistas.
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Campos Moposita, Angela Priscila Lic. Ft.; Espín Pastor, Victoria Estefanía Lic. Ft. Mg.
The athlete, being in a constant practice of exercise, goes through permanent changes to reach sporting perfection, which implies training sessions, preparation in the intervals for specific competitions with optimal results. The preparation influences a high level of competition which implies a series of difficulties such as: willingness to train, difficulty in the sporting tacit, lack of preparation, insecurity in the activities, possible musculoskeletal injuries, being worrying to have an optimal sporting level. The core at a sporting level maintains more effective movements to improve the direction of movement, to have a better career, to lift heavy objects, to maintain posture, to improve breathing, to reduce injuries, taking into account that a good musculature in the central zone acts as a protector for the abdominopelvic part which is weak due to the absence of bony structures. The execution of core strengthening exercises should be planned according to the needs of each person, the middle zone maintains control between the transfer of strength in the lower and upper limbs of the human body in sports practice, for the lower zone the strengthening of the trunk extension is maintained, being important to maintain functional training in the different body segments, identifying the co - contraction of the muscles of the modifying the physiological curvatures of the spine, benefiting sports performance and injury prevention
Eficacia del Método POLD como tratamiento en pacientes adultos mayores con lumbalgia
(Universdidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de posgrados, 2021-07-01) Villota Rodríguez, Patricia Alejandra; Arellano Franco, Luis Felipe Lcdo. Ft. Mg
Low back pain is considered one of the most common health problems in primary care since a high percentage of the population may experience low back pain, which could cause functional limitations leading to disability. To evaluate efficacy of new methods for the management of low back pain, the present study determined the efficiency of the POLD method in reducing pain in elderly patients with low back pain at the Chillanes Gerontological Center during the period July-December 2020. For this, a quasi-experimental study was designed on 30 older adults from the Centro Gerontológico Del Cantón Chillanes. Before intervention, both the level of pain and the degree of disability in patients were evaluated using the VAS and Oswestry tests, respectively, and subsequently the POLD method was applied to each patient. According to the VAS test, pain levels varying from 7 to 9 were detected, with 53.3% of the cases indicating pain level 8, while only 20 and 26.7% showed pain levels of 7 and 9, respectively, while 73.3% of the patients had between 21 and 40% of disability (moderate disability) and 26.6% had disability between 41-60 and 61-80% (severe disability or disabled). The application of the POLD method shown to have a positive effect both in reducing pain and the degree of disability, even when it remained within the moderate disability range, which ranged from 21 to 40%. Finally, the prevalence of the level of pain in relation to sex, pain decreased to a scale between 7 and 8 in women, while in men the highest proportion was 7. Given the positive effects of the POLD Method, it is suggested to make a greater dissemination of the method in different geriatric centers of the country.
Ejercicio de fuerza en el adulto mayor y su relación con la velocidad de la marcha
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Centro de Posgrados, 2023-06-28) Villacís Villacís, Richard Ismael; Moscoso Córdova, Grace Verónica
Aging is a universal biological process, which is related to the loss of functionality, there is decrease muscle strength and gait changes. The research was of an observational, descriptive, and quantitative type, with the objective of determine the effects of strength exercise on the gait speed in elderly adults. In this way, 25 older adults, whom attend the Club del Adulto Mayor Picaihua Centro, were evaluated for muscle strength in hip flexion, extension, and knee flexion, by means of isometric dynamometry, and gait speed was also evaluated through the 10 meter test. The participants executed in a program of strength training, during a period of 12 weeks. The results show that strength training increased walking speed by 0.19 m/s, there was also an increase in strength in all muscle groups evaluated. In addition, the significant relationship of the knee extension force in the gait speed was evidenced.