Resultados funcionales en hombros de pacientes con tendinopatía del manguito rotador posterior al tratamiento de rehabilitación
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Antecedentes: la integridad del miembro superior resulta de vital importancia para lograr actividades funcionales de manera óptima en cualquier grupo de edad, iniciando ésta actividad desde el adecuado posicionamiento y dirección que otorga la cintura escapular. Se estima que la incidencia de lesiones a nivel del manguito de los rotadores a nivel general oscila entre el 5 y el 33%, cifras que tienen tendencia a incrementarse con la edad. Objetivo general: correlacionar los resultados funcionales en hombros de pacientes con tendinopatía del manguito rotador posterior al tratamiento de rehabilitación. Materiales y métodos: investigación de tipo correlacional, no experimental, transversal, retrospectiva cuya muestra incluye a un total de 101 pacientes con diagnóstico de tendinopatía del manguito rotador atendidos en el Servicio de Medicina Física y Rehabilitación del hospital regional IESS “Dr. Teodoro Maldonado Carbo”, en el periodo comprendido entre enero 2016 a junio 2018. Resultados: Posterior a la aplicación de las diferentes modalidades de tratamientos, se observa resultados excelentes (1/101) y buenos (27/101), mientras que existe un descenso de resultados malos, que de 94 casos al inicio, disminuye a 31 casos después del tratamiento rehabilitador. De los 27 pacientes con resultados funcionales buenos, el 44,4% correspondió al tratamiento que incluye termoterapia, electroterapia, cinesiterapia, terapia ocupacional. Conclusiones: el programa de tratamiento fisiátrico con termoterapia, electroterapia, cinesiterapia y terapia ocupacional proporciona mejor recuperación funcional y mayor amplitud de movimientos en los pacientes con tendinopatía del maguito de los rotadores.
Background: the integrity of the upper limb is of vital importance to achieve functional activities optimally in any age group, initiating this activity from the proper positioning and direction that gives the shoulder girdle. It is estimated that the incidence of rotator cuff injuries at a general level ranges between 5 and 33%, figures that tend to increase with age. Objective: to correlate the functional results in shoulders of patients with rotator cuff tendinopathy after rehabilitation treatment. Materials and methods: correlational, non-experimental, transversal, retrospective type research whose sample includes a total of 101 patients diagnosed with rotator cuff tendinopathy treated in the Physical Medicine and Rehabilitation Service of the IESS regional hospital "Dr. Teodoro Maldonado Carbo ", in the period from January 2016 to June 2018. Results: After the application of the different treatment modalities, excellent results (1/101) and good results (27/101) are observed, while there is a decrease of bad results, that of 94 cases at the beginning, decreases to 31 cases after the rehabilitation treatment. Of the 27 patients with good functional results, 44.4% corresponded to the treatment that includes thermotherapy, electrotherapy, kinesitherapy, occupational therapy. Conclusions: the physical treatment program with thermotherapy, electrotherapy, kinesitherapy and occupational therapy provides better functional recovery and greater range of motion in patients with rotator cuff tendinopathy.
Background: the integrity of the upper limb is of vital importance to achieve functional activities optimally in any age group, initiating this activity from the proper positioning and direction that gives the shoulder girdle. It is estimated that the incidence of rotator cuff injuries at a general level ranges between 5 and 33%, figures that tend to increase with age. Objective: to correlate the functional results in shoulders of patients with rotator cuff tendinopathy after rehabilitation treatment. Materials and methods: correlational, non-experimental, transversal, retrospective type research whose sample includes a total of 101 patients diagnosed with rotator cuff tendinopathy treated in the Physical Medicine and Rehabilitation Service of the IESS regional hospital "Dr. Teodoro Maldonado Carbo ", in the period from January 2016 to June 2018. Results: After the application of the different treatment modalities, excellent results (1/101) and good results (27/101) are observed, while there is a decrease of bad results, that of 94 cases at the beginning, decreases to 31 cases after the rehabilitation treatment. Of the 27 patients with good functional results, 44.4% corresponded to the treatment that includes thermotherapy, electrotherapy, kinesitherapy, occupational therapy. Conclusions: the physical treatment program with thermotherapy, electrotherapy, kinesitherapy and occupational therapy provides better functional recovery and greater range of motion in patients with rotator cuff tendinopathy.
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Manguito de los rotadores, Hombro, Terapia física, Terapia ocupacional, Recuperación funcional, Medicina física y rehabilitación, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Tendinopatía