Fisioterapia
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Item FISIOTERAPIA EN DISPAREUNIA: UNA REVISIÓN SISTEMÁTICA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-08-27) Calvopiña Yanez, Andrea Mishell; Bonilla Ayala, Josselyn GabrielaIntroduction: Sexual pain or dyspareunia is a common but very delicate issue for women, affecting their quality of life, associated with endometriosis due to specific or indirect factors in the dysfunction of the bladder and/or pelvic floor, causing adverse effects such as: the reduction of desire, dissatisfaction, and pain in the sexual act. The objective is to carry out a search for scientific articles that address physiotherapeutic treatments in dyspareunia and analyze the most effective methods by comparing the different techniques aimed at relieving the symptoms and improving the quality of life in these patients. Methods: A search for studies was carried out in the PubMed, ScienceDirect and Scopus databases and the inclusion and exclusion criteria were applied, selecting 11 articles focused on physiotherapy treatment for the improvement of symptoms in dyspareunia. Results: The selected articles covered various physiotherapy treatments based on muscle relaxation techniques, biofeedback, training (stretching and strengthening) of the pelvic floor muscles, manual interventions, and the use of vaginal dilators, obtaining significant results. such as: reduction of signs and symptoms, optimization of muscle function, increase in tissue elasticity and decrease in pain. Conclusion: Although there is promising evidence for the effectiveness of physical therapy in the treatment of dyspareunia, there is still much to learn about best practices, personalization of treatment, and the exact mechanisms that would decrease its signs and symptoms.Item INTERVENCIÓN FISIOTERAPÉUTICA EN CICATRICES, REVISIÓN SISTEMÁTICA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-03-18) Rivera Lascano, Estefanía Beatriz; Tello Moreno, Mónica CristinaThis systematic review examines the role of physiotherapy in the treatment of scars, pain attenuation, reduction of functional limitation, and mitigation of negative psychosocial effects. The article aims to assess the evidence of physiotherapy interventions in scar management, elucidate the features of such non-invasive treatment, and highlight its favorable effects. A database search was conducted using the terms "physical therapy" AND "scar." Following the PRISMA statement, 163 documents were identified, 109 were screened, and 25 articles were evaluated. Using inclusion and exclusion criteria, 11 studies were selected. Methodological quality was assessed using the PEDro and AMSTAR-2 scales. Numeric Pain Rating Scales (NRS), Vancouver Scar Scales (VSS), and Patient and Observer Scar Assessment Scale (POSAS) were employed to evaluate intervention effectiveness. Positive effects of physiotherapy on scar characteristics, improvements in symptoms such as pain and itching, and physical attributes like elasticity and pigmentation were observed. Modalities such as massage therapy, exercises, extracorporeal shock wave therapy, and ultrasound were studied. However, study heterogeneity limits the selection of a specific technique. Further randomized controlled trials with long-term followup are needed.Item TÉCNICAS FISIOTERAPÉUTICAS PARA MEJORAR LOS SÍNTOMAS DEL ESTREÑIMIENTO, REVISIÓN SISTEMÁTICA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-03-18) Pérez Gamboa, Génesis Abigail; Tello Moreno, Mónica CristinaPhysiotherapy, beyond its traditional use in muscle disorders, has been shown to be an effective treatment for addressing functional constipation, a common condition that affects people of all ages. The objective of this study was to analyze the scientific evidence on the most effective physiotherapy treatments to relieve constipation symptoms. The methodology involved searching databases such as PubMed, ScienceDirect and Scopus, following the PRISMA guidelines, where 12 relevant studies were selected. These showed significant improvements using various techniques such as electrotherapy, abdominal massage, biofeedback and lymphatic drainage. Improvements were seen in the reduction of pain and swelling, decreased bowel movement time, increased frequency of bowel movements, improved rectal sensation, and decreased laxative consumption. The results support the effectiveness of physical therapy in improving quality of life and reducing the severity of symptoms associated with constipation. In conclusion, physiotherapy appears to be an effective alternative in the management of the symptoms of functional constipation, with a positive impact on quality of life. These findings highlight the importance of considering physical therapy as an integral part of the therapeutic approach to constipation.Item NEUROMA DE MORTON: TRATAMIENTO FISIOTERAPEUTICO VERSUS CIRUGIA - REVISIÓN BIBLIOGRÁFICA(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2024-03-18) Llundo Chango, Dennis Santiago; Cantuña Vallejo, Paul FernandoMorton's neuroma (NM) is caused by the damage of the interdigital nerve located between the third and fourth metatarsal. Treatment is multidisciplinary and is aimed at relieving pain. Available alternatives include surgical procedures and physical therapy. Therefore, the aim of the study was to provide a comprehensive overview of the available treatments that health professionals can apply by choosing the best option and individual therapy for each patient. The methodology consisted of a search for scientific articles in the databases like PubMed, Google Scholar and Springerlink. To do this, keywords such as Morton's neuroma, surgery, physiotherapy were combined with the Boolean operators AND, OR and NOT. The results showed that physical therapy is indicated for the treatment of pain even before surgery or when patients are not candidates for surgical intervention. Its maximum effect lasts about 6 months. In contrast, surgery can reduce discomfort completely. It was concluded that according to the evidence reviewed, surgery is the treatment of choice because in the long term patients experience a total reduction of pain and the effects are sustained over time.Item Factores asociados al catastrofismo en pacientes con dolor de hombro(Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia, 2023-10-03) Guerrero Galarza, Shirley Cristina; Espín Pastor, Victoria EstefaníaCatastrophizing in the context of shoulder pain refers to an exaggerated emotional response and a negative perception of pain, where the person tends to interpret and magnify pain signals, anticipate the worst, and experience a feeling of despair or helplessness in the face of situation. This psychological factor ca n have a significant impact on pain perception, quality of life, functional disability, and response to treatment in patients with shoulder pain. This research project examined the relationship of catastrophizing in patients with shoulder pain. Data from 60 patients were collected using the Pain Catastrophizing Scale and assessments of pain type and affected area. The results were compared with scientific evidence from the last 5 years. It was found that there is a relationship between catastrophizing and shoulder pain. As pain intensity increases, people are more likely to experience more catastrophizing. Additionally, prolonged duration of shoulder pain may also be associated with higher levels of catastrophizing. However, the results did not show a direct association between catastrophizing and variables such as age, weight, height, BMI and whether they are athletes. No significant correlation was found between catastrophizing and exercise habits, diagnoses and physiotherapy treatments, job occupation and mood related to work stress. Regarding the duration and intensity of pain, no significant correlation was found with catastrophizing. This study has also shown that pain catastrophizing can have a significant impact on people's quality of life, the results indicate that pain has negative effects on multiple areas of daily life, such as mood, social relationships , sleep and the ability to enjoy life. However, the magnitude of these correlations varies, with some being stronger than others. Some studies suggest that certain psychosocial factors may be associated with catastrophizing in shoulder pain. However, results in this area are mixed and more research is required to fully understand these associations. The identification of factors associated with catas trophizing in shoulder pain is essential for the development of effective interventions. Interventions that address both the physical and psychological aspects of shoulder pain have been shown to be beneficial in reducing catastrophizing and improving patients' quality of life. In this sense, education and communication play a crucial role. Providing accurate and understandable information about shoulder pain, including its nature, possible causes, treatment options, and prognosis, can help reduce the uncertainty and fear associated with pain and promote realistic expectations.