Ciencias de la Salud
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Item “Insuficiencia respiratoria a causa del sindrome de prader willi”(Carrera de Medicina, 2019-06-01) Mier González, Jonathan Fabricio; Silva Tirado, Mónica Paulina, Dra. Esp.A 22-year-old female patient, oxygen dependent, with a history of Prader Willi syndrome, morbid obesity, severe scoliosis, chronic respiratory insufficiency, primary amenorrhea, intellectual disability of 79% and paravertebral prosthesis placement. Five years ago he presented with progressive dyspnea from large to small efforts, gasometric controls showed hypoxemia, spirometry showed a severe restrictive spirometric pattern, condition associated with thoracic cavity deformation, home oxygen plus respiratory physiotherapy was established. During the evolution of his disease, his respiratory condition was re-evaluated due to worsening of symptoms, polysomnography was performed, which reported apnea-hypopnea syndrome of mild postural sleep, in addition to an echocardiogram where pulmonary hypertension and grade III tricuspid insufficiency were diagnosed. postural changes during sleep, expectant management and serial controls. 1 year ago, the patient presented with exacerbation of the respiratory symptoms, presenting oxygen desaturation of less than 60% with FiO 21%, was diagnosed with pulmonary thromboembolism by pulmonary angiography, so anticoagulant therapy was started, while at the same time, hypercoagulability of autoimmune etiology was ruled out. Without further check-ups, the patient suffers cardiorespiratory arrest at home, dying six months later.Item “Adaptación de la escala de Barthel para valorar la independencia funcional en niños con discapacidad intelectual”(Universidad Técnica de Ambato - Facultad de Ciencias de la Salud - Carrera de Terapia Física, 2018-04-01) Caguana Hernández, Paula Alejandra; Moscoso Córdova, Grace Verónica Mg Lcda. Ft.The present research work on the Adaptation of the Barthel Scale to assess functional independence in children with intellectual disabilities, proposed the goal of adapting the Barthel scale originally applied in older adults, the methodological process was first developed with a systematic adaptation of the instrument according to the motor development of the child, carrying out a review of scientific information, while for the validation of the items of the scale questionnaire was carried out with a committee of experts who reviewed the instrument, the manual and approved through of a validation form; Finally, the analysis of reliability and internal consistency of the instrument was made by calculating the Cronbach's Alpha Coefficient with the SPSS v20 statistic; of the application of the scale adapted to 50 participants, selected in a random way. Concluding that the Adapted Barthel Scale, for children with intellectual disability, is reliable and has a high internal consistency for a value of 0.83 of the alpha.Item Efectos de los Ejercicios de Equilibrio y Coordinación para mejorar la Motricidad Gruesa en personas con Discapacidad Intelectual(Universidad Técnica de Ambato-Facultad de Ciencias de la Salud-Carrera Terapia Física, 2016-05-01) Bonilla Proaño, Lidia Noemí; Córdova Velasco, Luis ErnestoDr. Mg.In the present research work it was raised aimed to determine the effects of balance and coordination exercises to improve gross motor skills in people with intellectual disabilities who attend the Center on Disabilities Inclusive "El Peral" GADMA belonging to the Municipality of Ambato. The study was shown to 34 people who meet the inclusion criteria, which have mild to moderate intellectual disability. After having the respective authorization by informed consent by parents we proceeded to collect information for our study. several data collection instruments among which are the observation sheet adapted to describe the exercises of balance and coordination made by the therapist was used instead; Tinetti test that allowed us to know the initial and final state of the subjects in the study, along with a survey questionnaire of ten questions applied to parents at the beginning and end of the investigation. These instruments were the basis of the study because the data could be verified the effectiveness of the exercises. The results of the research were positive as it was possible to improve balance and coordination in people with intellectual disabilities; that is, they managed to maintain their balance when valued as sit without support and remain stable, rising from a single attempt without losing balance, standing with eyes closed, turn 360º degrees, achieving kept in balance by pushing the sternal area.