Maestría en Fisioterapia y Rehabilitación Mención Neuromusculoesquelético

Permanent URI for this collectionhttp://repositorio.uta.edu.ec/handle/123456789/33103

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Subject: search.filters.subject.DOLOR LUMBAR

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    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.
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    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.