Eficacia de la terapia manual ortopédico en pacientes con reconstrucción del ligamento cruzado anterior para recuperar la extensión de rodilla
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Archivos
Fecha
2016
Autores
Profesor/a Guía
Facultad/escuela
Idioma
es
Título de la revista
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Título del volumen
Editor
Universidad Andrés Bello
Nombre de Curso
Licencia CC
Licencia CC
Resumen
Con el objetivo de medir la eficacia de la Terapia Manual Ortopédica (TMO) para recuperar la extensión de rodilla en pacientes entre 18 y 35 años con reemplazo de Ligamento Cruzado Anterior (LCA) se hizo un estudio cuantitativo, cuasi experimental con pre y post prueba en un grupo de 17 pacientes, cuya media de edad fue de 25.5 ± 4.1 años y el 65% fueron masculinos. Se valoró la goniometría, test de AKE, test sit and reach y el test de soporte de peso con extensión de rodilla pre y post protocolo. Se aplicó estadística descriptiva y analítica con un nivel de confianza del 95% usando el SPSS V23. El 53 % de los pacientes practicaba futbol, un 71 % su injerto fue de HTH e iniciaron el protocolo 6±1.9 días posterior a la cirugía. Se encontraron diferencias significativas en la primera y cuarta semana en EVA en movimiento pasivo tuvo una media 3 ±1 vs .5± .6. EVA movimiento activo fue de 4.5± 1.4 vs .5 ±.5. Goniometría en extensión la media fue 27. 3º vs 1º. Test de AKE déficit mayor a 35º vs menor a 35 º. En Sit and reach 8 pacientes tuvieron baja flexibilidad de cadena posterior vs O pacientes. Se concluye que los resultados en la l ª y 4ª semana son diferentes; en el dolor, la extensión de rodilla, flexibilidad de la cadena posterior y esta misma con descarga de peso. Se acepta que el programa de TMO predice el tiempo en que los pacientes con reconstrucción de LCA extienden la rodilla.
A quantitative study was done in order to measure the effectiveness of Orthopedic Manual Therapy (OMT) to recuperate the knee extension in patients between age 18-35 years old with replacement of Anterior Cruciate Ligament (ACL). The studied included pre and post-test in groups of 17 patients, averaging age 25.5 (± 4.1). Sixty-seven percent were male. The following goniometry was evaluated: Sit and reach test, AKE test and weight bearing test with pre and post extension protocol knee. The descriptive and analytic statistics were applied with a confidence level of 95% using SPSS V23. Fifty-three percent of patients play soccer, 71 % have a HTH graft and initiated the protocol 6 ± 1.9 days after surgery. We found significant differences in the first and fourth week. In VAS passive motion, we had a median of 3 ± 1 vs. 5 ± 6. VAS active motion was from 4.5 ± 1.4 vs. 5 ± 5. The average in Goniometry extension was 27.3º vs. 1 º. AKE test deficient was greater than 35º vs. less than 35º. Meanwhile, eight patients in sit and reach test had a low flexibility in posterior chain vs. cero patients. The study concluded that the results in the first and fourth week were different in pain, knee extension, flexibility in posterior chain, and weight loading. It is accepted that the TMO program predicts the time in which the patients, with ACL reconstruction, extend the knee.
A quantitative study was done in order to measure the effectiveness of Orthopedic Manual Therapy (OMT) to recuperate the knee extension in patients between age 18-35 years old with replacement of Anterior Cruciate Ligament (ACL). The studied included pre and post-test in groups of 17 patients, averaging age 25.5 (± 4.1). Sixty-seven percent were male. The following goniometry was evaluated: Sit and reach test, AKE test and weight bearing test with pre and post extension protocol knee. The descriptive and analytic statistics were applied with a confidence level of 95% using SPSS V23. Fifty-three percent of patients play soccer, 71 % have a HTH graft and initiated the protocol 6 ± 1.9 days after surgery. We found significant differences in the first and fourth week. In VAS passive motion, we had a median of 3 ± 1 vs. 5 ± 6. VAS active motion was from 4.5 ± 1.4 vs. 5 ± 5. The average in Goniometry extension was 27.3º vs. 1 º. AKE test deficient was greater than 35º vs. less than 35º. Meanwhile, eight patients in sit and reach test had a low flexibility in posterior chain vs. cero patients. The study concluded that the results in the first and fourth week were different in pain, knee extension, flexibility in posterior chain, and weight loading. It is accepted that the TMO program predicts the time in which the patients, with ACL reconstruction, extend the knee.
Notas
Tesis (Magíster en Terapia Manual Ortopédica)
Palabras clave
Traumatismos de la Rodilla, Terapia