Fisioterapia

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Efectividad de la fisioterapia aplicada a través de la telerehabilitación durante el estado de excepción dispuesto en el ecuador por la emergencia sanitaria del sars- cov2 (covid 19)
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapia, 2021-09-01) Mendoza Rodríguez, Yuliana Lilibeth; Cobo Sevilla, Verónica de los Ángeles Lcda. Msc.
Introduction: Due to the global pandemic caused by the SARS-CoV-2 (COVID 19), health centers and providers have been obligated to adopt alternative methods to provide treatment, in order to safeguard patients and professional´s health. In Physical Therapy, telerehabilitation has been the chosen method allowing permanent contact with the patient, while satisfying social distancing requirements, maintaining the recovery process. Objectives: To determine the effectiveness of Physical Therapy interventions applied through telerehabilitation to patients of the Physical Therapy Laboratory of the Universidad Técnica de Ambato during the state of exception disposed by the government because of the sanitary emergency of the SARS CoV-2. Methods: A non-experimental and retrospective study was conducted. Initially, clinical histories were classified according to age, sex, and diagnosis. To determine the effectiveness patients responded the SF-12 questionnaire before and after the interventions, as well as the pain VISUAL ANALOGUE SCALE (VAS), whose statistical analysis was performed on SPSS software (t-test). Results: Out of the 38 participants, in 23.7% pain completely disappeared; SF-12 score also improve in at least 14 points (29.9 initial vs 43.7 final); while the t-test showed significant differences throwing a value of =0,000 being p=0.05; accepting the affirmative hypothesis. Conclusions: In general, all participants showed improvement in quality of life and pain, meaning that Physical Therapy applied through Telerehab is an effective alternative method in cases were physical contact must be avoided.
Dedependencia sensorial del control motor y la calidad de vida en los adultos mayores del instituto de atención social prioritaria sumak kawsay wasi del gobierno provincial de Napo
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Cedeño Santos, Lady Estrella; Espín Pastor, Victoria Estefanía Lcda. MSc.
Sensory deficits, whether visual, vestibular or proprioceptive, in elderly people can affect the quality of life and the degree of dependence. The main objective of this study was to determine the sensory dependence of motor control and quality of life in older adults of the Sumak Kawsay Wasi Institute of Priority Social Attention of the Provincial Government of Napo. Twenty-three older adults aged 65 years with an average of 75.9 ± 7.2 years from the Sumak Kawsay Wasi Priority Care Institute of the city of Tena participated, where 16 (70%) were women and 7 (30%) were men. Sensory dependence was evaluated with the Romberg test, Timed Up and Go and the Functional Reach test. The WHOQOL-OLD (World Health organization Quality of life-Old) questionnaire was used to assess quality of life. Participants signed the informed consent form and SPSS was used for data analysis. The mean quality of life was 73.04±10.51, 56.5% (13 patients) have high quality of life, while 43.5% (10 older adults) have medium quality of life. We conclude that the visual deficit was more compromised than the vestibular and proprioceptive areas. However, the variables were significantly influential in the quality of life of the older adult.
Valoración de la calidad de vida mediante el cuestionario Saint George en pacientes post COVID -19
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Terapia Física, 2022-03-01) Aldas Palacios, Tatiana Alexandra.; Villarroel Quispe, Andrea Elizabeth Lcda. Msc.
Introduction: Due to the state of health emergency caused by SARS-CoV-2 (Covid19), the increase in the morbidity-mortality burden and sequelae following the disease have triggered factors such as sedentary lifestyle, atrophies, fatigue, generating a decrease in functionality and activity limitations. In view of this, it is substantial to mark the influence of the disease on the quality of life in relation to health, through the application of the SAINT GEORGE questionnaire. Objective: Assessment of quality of life using the SAINT GEORGE questionnaire in post-COVID patients -19 Methods: Cross-sectional descriptive study with bibliographic-documentary modality in 24 post Covid-19 patients attending the Rehab-vital Physical Rehabilitation Center who signed the informed consent, which were evaluated by means of the Saint George questionnaire. At the end, the data obtained were synthesized in the Excel database and SPSS software, where the frequency, mean and percentage of the variables were obtained. Results: In this study, 54.2% were women with an average age of 52.4 years, who were health personnel, students and retirees the most affected with 16.7% -25.0% respectively. With respect to quality of life, 83.3% had a "Good" quality of life, 16.6% of the patients had a "Fair" quality of life, with the dimension "Impact" being the most affected with an average of 24.33 above the other dimensions. Conclusion: Most of the study population does not present limitations in relation to quality of life in health. However, the Covid -19 and its value concomitant with the sociodemographic variables have a certain negative influence on health
Método Glenn Doman, enfocado en el desarrollo de lenguaje de un paciente masculino de 2 años presenta crisis epiléptica focal, relacionado con un déficit del neuro desarrollo
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Estimulación Temprana, 2022-03-01) Galarza Santillán, Joceline Paola; Ortiz Villalba, Paola Gabriela Lcda. Mg.
The purpose of this work is to determine the importance of the Gleen Doman method for the development of language skills, through the analysis of clinical evolution, risk factors, critical points, in a 2-year-old male patient, who resides in the Cristo el Rey, with focal epilepsy that presents a deficit in his neurodevelopment, in the Type C HealthCenter of the city of Latacunga. The epilepsy in the present case is of febrile origin, since in the minor's family there is no preexisting history of it, it is considered that epilepsy is an abnormal disorder of the electrical activity of the brain, which caused a deficit in the neuro development, with a neuronal affection. In the city of Quito, the Dr. Specialist in neuropediatrics determined that said deficit in neurodevelopment is type II autism. Due to the diagnosis, the area of language that istypical in patients with Autism can be affected, for which the neurofunctional reorganization is taken into consideration, through the Glenn Doman method. The purpose of which is to rehabilitate patients with brain injuries, taking into consideration neuroplasticity at an early age, thus increasing neural pathways through the use of bits of intelligence.
Efectos de un plan de pausas activas por modalidad virtual para mejorar el rendimiento físico de escolares
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Ormaza Cepeda, Diego Alejandro; Moscoso Córdova Lic. Mg., Grace Verónica
The present research project had the unknown of determining the effects of a plan of active breaks through virtual modality in schoolchildren of the Ricardo Descalzi Educational Unit. A first socialization of the project was carried out with the representatives of the schoolchildren and with a total of 16 participants between the ages of 5 to 8 years, of which 6 were male and 10 females. With the application of the two tests (C-MAFYCS and PAQ-C), which with good validity allow us to know the physical state and sedentary habits that the participant presents in the course of a week. This plan of active breaks was applied for a month, consisting of 5 sessions per week, each one varying from 5 to 12 minutes of application, where stretching, moderate and vigorous physical activities, coordinated bilateral activities, fine motor activities and thick. The research presents a qualitative-quantitative descriptive approach, due to the methodology used in data collection and its analysis, with a longitudinal prospective design, due to the application of second evaluations in order to determine the effects of the active break plan in schoolchildren Basic Elementary. xiii The effects found in this study regarding the active break plan are related to physical performance; the schoolchildren showed an increase of 18.75% in their level of physical activity, predominantly in female participants with an average of between 5 to 8 years old; Another effect is the improvement in sedentary behavior, with a reduction in their sedentary behaviors, obtaining 43.75% of the population with moderate sedentary habits, and with a 25% improvement in their body mass index, reducing harmful weights. A positive effect of the active break plan applied on schoolchildren with low physical performance was verified, where an increase in their level of physical activity was obtained, generating a balance in the body mass indexes and moderating the sedentary behaviors that the participants presented
Evaluación funcional en estudiantes en entrenamiento pre - militar
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Álvarez Valencia, Melissa Joana; Espín Pastor, Victoria Estefanía Lic. MSc.
Students in pre-military training in their preparation as aspirants perform different types of exercises, including strength exercises, which are often performed in the wrong way and make them more prone to injury. That is why the present study has been carried out, which aims to evaluate the movement of students in military pretraining. This research is of a quantitative type, since by means of the Functional Movement Screen (FMS) and its scoring scale, we seek to obtain significant statistical data. In addition, the participants signed an informed consent form. Likewise, correlations were made between the final score of the FMS and variables such as pain during training and training time, which showed a significant relationship with the final score, giving significant scores of p=0.000 and p=0.029 respectively. In conclusion, it was possible to know that a large percentage of students have a high risk of suffering an injury, and that they should correct certain compensatory patterns, in order to avoid future injuries.
Efecto de los ejercicios de charriere en el dolor cervical en docentes
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Rivera Comina, Lisbeth Ivonne; Moscoso Córdova, Grace Verónica Lcda. Mg.
Charriere exercises are applied in patients with neck pain, these have the main purpose of reducing pain, also contributes to a better posture of the head and neck; therefore also favors the posture. The general objective of the research project is to determine the effects of the application of Charriere exercises in teachers with cervical pain, in order to reduce and prevent the symptomatology, as well as to reduce the degree of cervical disability in the personnel of the Educational Unit of the Province of Cotopaxi in relation to the working day. The population in which the Charriere exercise program was executed were 28 teachers with cervical pain, who signed an informed consent for voluntary participation in the program. To obtain the sociodemographic data and factors, a survey was used, for the initial and final assessment of pain, the VAS, NDI and NPQ scales were used, and these questionnaires also allowed determining the state of disability of the teachers in the cervical area. The time employed in the research work was 16 sessions. The effects achieved with the application of treatment was the decrease in pain intensity where 79% of people went from very severe to moderate-severe pain according to the VAS scale, also a significant reduction in the degree of cervical disability and daily activities, in the NDI and NPQ there was an improvement with xiv 21% of subjects with mild disability in both questionnaires in relation to the initial and final evaluation. It is concluded that treatment with Charriere's exercises is effective in terms of cervical pain and the degree of movement disability.
Evaluación de la actividad física del personal operativo del cuerpo de bomberos del cantón Pujilí
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Salguero Cevallos, Jessenia Fernanda; Cedeño Zamora, María Narciza Lcda. MSc.
The objective of this research is to evaluate the level of physical activity and cardiorespiratory capacity of the operative personnel of the Pujilí Fire Department. In several investigations it has been determined that maintaining high levels of physical activity, such as a VO2 max. higher than 42 ml/min/kg, an adequate weight and BMI are necessary indicators for firefighters to be able to overcome the physical demands of their profession. The methodology applied was prospective, with a qualitative-quantitative, cross-sectional approach. The study population was 20 firefighters with an age range of 20-60 years. The International Physical Activity Questionnaire IPAQ in its short version and the Quenns College Step Test were used, for the application of the evaluations the informed consent of each of the participants was obtained, the results indicated that 40% of the participants presented a moderate level of physical activity, followed by 35% with high and only 25% low, with respect to cardiorespiratory capacity was found excellent in 40% of the population, while 35% showed good, between 10% recorded superior and the other 10% of the participants had regular capacity; only 5% indicated poor, according to VO2 max. According to VO2 max, men showed a better average of 48.42 ml/kg/min, while women showed a lower average of 46.72 ml/kg/min. Therefore, the level of physical activity that predominated in most of the participants was moderate and their cardiorespiratory capacity was excellent; therefore, the levels obtained can change through the application of specific physical conditioning programs in firefighters
Método mckenzie vs fortalecimiento del core abdominal en el dolor lumbar en el personal de talento humano del GAD de Ambato
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) González Sánchez, Karla Brigitte; Peñafiel Luna, Andrea CarolinaLcda. Mg.
The present investigation had as a question to know which technique is more effective as a treatment for low back pain in the human talent personnel of the Decentralized Autonomous Government of the city of Ambato. The evaluation was carried out in a total of 20 people, divided into 2 groups of 10 patients to apply each McKenzie technique and strengthening of the abdominal CORE for an estimated time of 1 month. The evaluation began by filling out a questionnaire with questions consisting of personal data, questions elaborated to know the patient's situation and the Oswestry questionnaire was applied to know the disability index for low back pain, which is used worldwide and provides great reliability and validity to be applied in the evaluation. The study is of the prospective-longitudinal type because current data will be obtained through the survey and will be carried out before and after the application of the McKenzie exercises and strengthening of the abdominal core in patients with low back pain. In addition, participants signed an informed consent form and upon completion, the results indicated which technique was most effective in treating low back pain. In addition, a protocol was implemented based on the technique with which the best results were achieved to provide recovery in the Human Resources personnel of the Gad of Ambato.
Efecto de la aplicación del ejercicio aeróbico para mejorar el equilibrio del adulto mayor en la parroquia Huambalo
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Torres Muñoz, Oscar Vinicio; Moscoso Córdova, Grace Verónica Lcda. Mg.
Evaluación en el equilibrio de actividades específicas en adultos mayores
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Castillo Villacis, Lucía Verónica; Espín Pastor, Victoria Estefanía Lcda. Msc
As the years go by, older adults adapt to their environment by means of compensatory measures to replace the functional capacity lost when performing different activities of daily life. The objective of this study was to determine the balance in specific activities in this population with 73 participants. It is a quantitative study that oriented the investigation by means of the Activities Specific Balance Confidence to evaluate in which activities they had less balance confidence. The results of the ABC were also correlated with the predisposing risk factors for falls, and a comparison was made between this test and the dependency capacity of the elderly with the help of the Lawton and Brody scale. According to the orientation of our results, we identified the correlation between the ABC test and the level of functionality of IADL (p= 0.00), having a lower capacity for autonomy increases the risk of falling, something similar occurs with the number of days of exercise (p=0.005) which executes higher functional capacity, thus increasing the quality of life, Among the predisposing indicators of falls there was no relevance, mostly this is different with respect to the sociodemographic characteristics of the population evaluated.
Aplicación del sistema pecs (picture exchange communication system) a una paciente de 5 años, diagnosticada con trastorno del espectro autista (tea), del centro de neuroestimulación activkids
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Estimulación Temprana, 2022-03-01) Cushpa Tacuamán, Myriam Jacqueline; Lara Salazar, Mariela Cristina Psc. Inf. Mg.
The present research work aims to determine the benefits of the application of the PECS system in the language area of a patient diagnosed with Autism Spectrum Disorder, this research being of a qualitative type, it describes the characteristics of said disorder and the complications that occur. They present a level of the language area. ASD is defined as a group of developmental disorders that cause deficiencies in different degrees of skills and social interrelationships in verbal and non-verbal communication in children and adolescents. This was diagnosed in a 5-year-old female patient, with involvement of the language area, it was evaluated using the Nelson Ortiz Test, obtaining as a result a significant deficit in the four areas of development, at the same time the need is seen To find a method that allows you to enable these areas, the benefits that previous studies have had on the application of the aforementioned system are detailed, which will improve the quality of life of the patient, with each activity proposed in the treatment plan, thus working on cognitive functions such as: attention, concentration, memory
Evaluación del valgo dinámico de rodilla en personas que realizan crossfit
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapía, 2022-03-01) Fiallos Quinteros, Julio Alberto; Espín Pastor, Victoria Estefanía Lcda. Msc
In sports, dynamic knee valgus has been a risk factor to consider, where athletes have suffered from an anterior cruciate ligament (ACL) tear, especially in contact or jumping sports, especially in women, due to to the anatomical structure present in women when performing a maneuver in a sport, it can generate a medial collapse of the knee, adduction plus internal hip rotation and tibial abduction, increasing the tension of the ACL, with the probability of producing a rupture of the same. To determine the biomechanical alteration of dynamic knee valgus in people who perform CrossFit in the sports center "The Rock Cross" This research is of an observational and cross-sectional type since data will be collected that will later be analyzed in a certain time, with a quali-quantitative approach, since values of the NRS scale will be measured and the evaluation of dynamic knee valgus starting with a total of 72 people from “The Rock Cross” sports center, who agreed to sign the Informed Consent. Of the total of 72 participants, 45 people had positive for dynamic knee valgus, of which 30/35 were women and 15/37 were men, with a mean age of 26.26 with a standard deviation of ± 7.70. According to pain with training time, the relationship between the two was 0.000, in terms of pain and dynamic knee valgus, only in the female sex its relationship was found to be 0.05. By evaluating the one-leg squat performed in different people and with the Kinovea application, the presence of dynamic knee valgus was observed in 62.5% of the population, mostly in women with 85.7% and men only 40.5%.
Evaluación funcional del miembro inferior en futbolistas
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapia, 2022-09-01) López López, Freddy Israel; Espín Pastor, Victoria Estefanía, Lcda. MSc.
The present research work aims to analyze the functional strength of the lower limb of soccer players through functional tests such as the two-legged squat, single-legged squat and vertical jump, which are tests that allow knowing the functional strength as well as the explosive force of the lower limb. The research has a quantitative approach evaluating the muscle strength that is compromised in the activity of soccer players. The tests to be carried out are a standard that allows a quick evaluation in which data is obtained on functional strength as well as shortcomings presented by soccer players that are directly related to their performance both in training and in a match.
Protocolo de intervención en lesiones de hombro aplicados por fisioterapeutas de la ciudad de Ambato
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapia, 2022-09-01) Morejón Freire, Maritza Liliana; Espín Pastor, Victoria Estefanía, Lcda. Msc.
Shoulder injuries are the type of injury most frequently seen in the emergency department, suffered by the working population as well as athletes. From the medical area, patients are referred to the physiotherapy department for proper evaluation and intervention, in order to improve their quality of life. The purpose of this research project was to analyze the intervention protocol applied in shoulder injuries by physical therapists in the city of Ambato. 50 active professionals from public and private centers participated in this study. This was a quantitative-qualitative field study with a descriptive research design. Data collection was carried out by applying a cross-sectional survey composed of three questionnaires previously validated by experts in the field, that identified evaluation elements, methods and rehabilitation techniques, as well as physical therapists’ basic knowledge on this topic. Statistical processes were carried out in programs such as IBM SPSS and Microsoft Excel. The results showed that, in terms of shoulder assessment, physical therapists mostly use the correct elements for evaluation, despite this there were inconsistencies, since a high percentage responded to the distractor. However, the professionals did not use scientific evidence, clinical practice guidelines and did not apply evidence-based practice. Though they use methods and techniques backed by high quality scientific evidence for adhesive capsulitis, they did not apply them in the correct xvi rehabilitation phases, whereas for shoulder tendinopathies they used low scientific quality protocols. In relation to basic knowledge of anatomy, physiology and biomechanics, they obtained an average of 5.6/10 points, which shows a deficit in knowledge.
Análisis de la biomecánica del ordeño mecánico en ganaderos
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapia, 2022-09-01) Yanchatipan Toapanta, Stalin Alejandro; Espín Pastor, Victoria Estefanía, Lic. MSc.
The present research work aims to analyze the biomechanics of farmers who use mechanical milking through ergonomic evaluations in order to relate it to the risk of suffering musculoskeletal injuries. The research has a quantitative approach where the kinematics and muscle strength involved in the work activity of 15 cattlemen were evaluated. The kinematics were evaluated through recordings of the Pre-Milking and Post-Milking sub-activities, choosing the most uncomfortable and repetitive postures, which were scored according to the classification of the REBA method, for their degrees of mobility, loads, repetitive movements and static postures, thus identifying a low or very high risk presented by the farmers in the activity of mechanical milking. The evaluation of muscle strength was evaluated with greater emphasis on the musculature that represents a greater activity in the mechanical milking work, such as: external and internal rotators of the shoulder, anterior deltoid, elbow flexor, finger flexor and finally the deep craniocervical muscles and those that maintain the neutral lumbopelvic position. Obtaining an average ergonomic risk rating of 8-10 that represents a high risk in their activities and in the muscle strength does not present a synergy between the agonist and antagonist muscles that could damage their health that can produce musculoskeletal symptoms in the long term, limiting them to develop their activities normally in livestock farmers.
Efecto del entrenamiento del suelo pélvico con carga progresiva en población con incontinencia urinaria de esfuerzo
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapia, 2022-09-01) Mejía Ortiz, Fátima Pamela; Tello Moreno, Mónica Cristina, Lcda. Mg.
There are several factors such as age, childbirth in the case of women, constipation, obesity, among others, that increase the risk of urinary incontinence, triggering different problems in the development of activities in daily life. Therefore, the present research had the aim of demonstrating the effect of pelvic floor training with progressive load in patients attending “CIDELM Centro Integral del Movimiento”. It is a retrospective study that presents a quali-quantitative approach, of descriptive type, due to the methodology used in the data collection and the respective analysis, in which two evaluation instruments were used, the Oxford test using the PERFECT method and the Sandvik Severity Index, which, with a good validity allows us to know the state of the pelvic floor musculature and the severity of the symptoms of urinary incontinence respectively. The training consisted of 8 weeks of exercises, with a frequency of 5 times per week, divided into one guided session at the center and four autonomous sessions. The effects found in this study with respect to the main factors related to urinary incontinence such as the type of delivery and constipation, it was noted that 75% the patients who gave birth through vaginal delivery had better results than those who had a cesarean delivery. As for constipation, 55% the participants who did not suffer from this condition obtained great improvement as opposed to those who did suffer from constipation. xiv A positive effect of the training with progressive load applied in the participants was proved, where an increase of the muscular function of the pelvic floor was obtained, generating a great improvement of the symptoms and in most of the patients reaching total continence.
Análisis de la biomecánica del movimiento en trabajadores de empresas proveedoras de corte y cosido de plasticaucho industrial Ambato
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapia, 2022-09-01) Diaz Ortiz, Melanie Marisol; Espín Pastor, Victoria Estefanía, Lic. MSc.
The objective of this research project is to analyze the biomechanics of the movements in the activities carried out by the workers of the cutting and sewing supplier company of Plasticaucho industrial Ambato. The research carried out is of a prospective transverse quantitative type, carried out with a census sample of 15 factory workers from different areas. For data collection, sociodemographic data, questions about work activities, evaluation of isometric muscle strength with dynamometer and assessment of ergonomic risk level with the REBA method were used. An ergonomic risk level was obtained 11 workers had an average risk level, 2 in high and 1 in very high, so none were excluded from injury. The strength of the flexor muscles of the fingers and external rotators were related to ergonomic risk, that is to say the more strength they presented in these muscles the greater the risk of developing musculoskeletal alterations. The limitation of the study was that not all upper limb muscles were evaluated, recommending that future research if they do, likewise the company was recommended to include a program active break to improve productivity.
Kinefilaxia para promover el equilibrio en adultos mayores
(Universidad Técnica de Ambato/Facultad de Ciencias de la Salud/Carrera de Fisioterapia, 2022-09-01) Escobar Acosta, Erika Michelle; Cedeño Zamora, María Narciza, Lic. Msc.
Kinefilaxia is described as the part of physiotherapy that works on the prevention and/or improvement of pathologies through physical activity using the voluntary movement of the person. The objective of this research work was to apply kinefilaxia to promote balance in older adults at the Sacred Heart of Jesus Home for the Elderly, for which a total of 18 participants participated. It is a study with a mixed qualitative-quantitative approach, using tests such as the ABC-16 Test, Get Up and Go Test and Modified Romberg, for balance assessment, which were applied before starting and at the end of the proposed intervention, which consisted of exercises for balance, gait and proprioception. According to the results obtained, improvements were observed in terms of the risk of falling, the Romberg test was performed with open and closed eyes in which better results were obtained with open eyes (p=0.000). And significant values for the other evaluations (p=0.000) which demonstrate the efficacy of the application of kinephylactic activities.
Estrategias de movilizaciones neurales para mejorar las respuestas sensoriales y funcionales en adultos mayores con neuropatía periférica diabética
(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2023-03-01) Arias Andrade, Katherin Michelle; Ortiz Villalva, Paola Gabriela Lcda. Msc
The objective of the research was to determine the efficacy of neural m obilization strategies to improve sensory and functional response in older adults with diabetic peripheral neuropathy. The methodology was quantitative research approach because data we re collected with numerically measurable instruments, analytical prospective longitudinal type, descriptive because it had an evaluation under the parameters of: Michigan Neuropathy Screening Instrumental MNSI, sensitivity test and neural mobilization, the population consisted of 34 adults. The main conclusion, the exercise program performed to diabetic patients with peripheral neuropathy decreased the most common neuropathic symptoms such as pain and numbness in legs and feet, in turn improved the perception of thermal and tactile sensitivity in the L3-L4-S1 dermatomes which are the most affected in this population. There is also an increase in lower limb strength improving balance and gait