Ciencias de la Salud

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    ENTRENAMIENTO DE RESTRICCIÓN DE FLUJO SANGUÍNEO EN LA FUERZA Y ÁREA TRANSVERSAL DEL CUÁDRICEPS EN PACIENTES CON RECONSTRUCCIÓN DEL LIGAMENTO CRUZADO ANTERIOR
    (2025-02-27) Maroto Amán, Luis Eduardo; Cedeño Zamora, María Narciza; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia
    The anterior cruciate ligament (ACL) is one of the most important tissues that help stabilize the knee, however, it represents more than half of all injuries sustained in a sports environment, being a very important challenge in recovery. Therefore, the objective of this review is to identify articles that address the use of BFR in physiotherapy as a treatment to improve quadriceps strength and cross-sectional area in patients with ACL reconstruction and to determine its effectiveness. Methods: The search was carried out from September 5 to 16, 2024 in the main databases PubMed and ScienceDirect and the methodology was assessed using the AMSTAR-2 scale, leaving 8 articles selected for this review. Results: BFR-E increases muscle strength, significantly reduces strength deficits in isokinetic knee extension, improves muscle endurance and function, increases quadriceps muscle size, and attenuates concentric isokinetic strength losses after surgery and rehabilitation. Conclusion: Findings suggest that BFR is a valuable tool for rehabilitation after ACL reconstruction, however, outcomes may vary depending on the exercise protocol.
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    FORTALECIMIENTO DEL CUÁDRICEPS PARA MEJORAR LA MARCHA EN ADULTOS MAYORES
    (2025-02-27) Cueva Molina, Karen Mayeli; Bonilla Ayala, Josselyn Gabriela; Universidad Técnica de Ambato/ Facultad de Ciencias de Salud /Carrera de Fisioterapia
    Strengthening the quadriceps in older adults is essential to improve gait, as this muscle group plays a key role in stability and mobility. Through specific exercises that increase muscle strength, postural control can be improved, reducing the risk of falls and optimizing walking functionality. This type of intervention contributes to a safer and more efficient gait, promoting independence and quality of life. Therefore, the objective of this research project was to determine the effects of quadriceps strengthening to improve gait in older adults. The quadriceps strength was measured using the dynamometer, the Tinetti scale and Timed Up and Go (TUG) to evaluate gait, accompanied by an intervention for strengthening, which were applied to 20 participants belonging to the GAD Parroquial 11 de Noviembre. This is an observational research, with a quantitative approach, the T test was used for normality analysis, in the sample reflected a value of p >0.05 giving a result of non-parametric data. Among the results, it was obtained that there were clinical improvements, but not statistical improvements in the post-intervention of dynamometry and TUG, except for Tinetti, whose values remained constant in the initial and final evaluation.