sábado, 27 de febrero de 2010

Ayudémonos todos!!

Estimados,

La situación del país en estos momentos es difícil, el terremoto ha sido devastador para el 80% del país, hay mas de 1.500.000 de hogares con daños estructurales, hay una cifra aumentando de muertos y una cifra incalculable aún de desaparecidos.

Quiero manifestar mi completo apoyo a la comunidad afectada y decirles que si necesitan ayuda tanto de mi como de este grupo, cuenten con disponibilidad completa y voluntaria. Creo que como profesionales de la salud debemos ayudar en todo lo que podamos.

Vamos Chile!! hemos superado catátrofes mayores que esta:

Quiero terminar con una cita bíblica que creo será de bendición para todos aquellos que esten sufriendo por esta causa:

"Antes, en todas estas cosas hacemos más que vencer por medio de aquel que nos amó. Romanos 8:37"

Saludos y bendiciones!

Francisco Pavez
Kinesiología Basada en Evidencia

jueves, 11 de febrero de 2010

Termoterapia profunda y evidencia científica

Effect of diathermy on muscle temperature,electromyography, and mechanomyography. Muscle Nerve 38: 992–1004, 2008

Randomized Controlled Laboratory Trial

Diathermy treatments may decrease musculotendinous stiffness, but not
absolute strength or motor control strategies that influence force production.

http://www.mediafire.com/?z4nzltyhmz5

An evaluation of pulsed shortwave on knee osteoarthritis using radioleucoscintigraphy: a randomised, double blind, controlled trial. Joint Bone Spine 72 (2005) 150–155

Joint inflammation in knee osteoarthritis, measured using radioleucoscintigraphy, was not altered significantly by pulsed shortwave, therefore this therapeutic modality has little or no anti-inflammatory effect on conditions such as osteoarthritis of the knee.

http://www.mediafire.com/?zwin2dzj4zw

Shortwave Diathermy and Prolonged Stretching Increase Hamstring Flexibility
More Than Prolonged Stretching Alone.J Orthop Sports Phys Ther 2004;34:13-20.


randomized, counterbalanced 2×3×5 repeated-measures design

These results suggest that hamstring flexibility can be greatly improved when shortwave diathermy is used in conjunction with prolonged stretching

http://www.mediafire.com/?4nnj0ncyzan

Short-term Effectiveness of Hyperthermia for Supraspinatus Tendinopathy in Athletes: A Short-term Randomized Controlled Study. Am. J. Sports Med. 2006; 34; 1247

Hyperthermia at 434 MHz appears safe and effective in the short term for the management of supraspinatus tendinopathy.

http://www.mediafire.com/?ojmnfvjzty3


Therapeutic eVect of spa therapy and short wave therapy in knee osteoarthritis: a randomized, single blind, controlled trial. Rheumatol Int (2007) 27:523–529

Our study demonstrated the superiority of arsenical ferruginous spa therapy compared to short wave therapy in the treatment of osteoarthritis

http://www.mediafire.com/?mkfzz2jwugd

A placebo controlled double blind trial to evaluate the effectiviness of pulsed short wave therapy for osteoarthritic hip and knee pain. Pain 1996 (67) 121-127

Any treatment effect on this patient population appears to have been largely placebo-mediated. No evidence was found therefore the specific effectiveness of pulsed short wave for treatment of osteoarthritic hip or knee pain.

http://www.mediafire.com/?jmmhr3ynjmy


Effectiveness of Manual Therapy or Pulsed Shortwave Diathermy in Addition to Advice and Exercise for Neck Disorders: A Pragmatic Randomized Controlled Trial in Physical Therapy Clinics. Arthritis & Rheumatism (Arthritis Care & Research) Vol. 53, No. 2, April 15, 2005, pp 214–222

multicenter, 3-arm randomized controlled trial

The addition of pulsed shortwave or manual therapy to advice and exercise did not provide any additional benefits in the physical therapy treatment of neck disorders.

http://www.mediafire.com/?wujnr2izkjj

lunes, 8 de febrero de 2010

Curso IRA 2005 - Ministerio de Salud

Este sin duda es un aporte de antología. Lejos uno de los mejores.

sin mas preambulos

BAJAR AQUÍ

miércoles, 3 de febrero de 2010

A propósito de querer ser de primera consulta


Volviendo ya de mis vacaciones, y volcándome de lleno a lo que es la búsqueda de trabajo, aún así seguiré actualizando esta página.

A propósito de ser profesionales de primera consulta, uno de los principios básicos para ejecutar esta tarea es saber discriminar cuando un paciente es de nuestras competencias o no; es decir, cuando un dolor lumbar es de origen mecánico y no infeccioso, renal, menstrual, etc.. por ello les subo este libro que anduve buscando por bastante tiempo y unos amigos de USA lo escanearon al fin.

Differential Diagnosis for Physical Therapists: Screening for Referral

ISBN: 0721606199
Author: Catherine C. Goodman & Teresa Kelly Snyder
Publisher: Saunders
Edition: 4th Edition
Format: PDF
Size: 23.3 MB

Product Description:
Written by a leading expert in the field, this comprehensive reference text enables users to properly screen for medical disease to make an informed diagnosis. The goal of this proven text is to teach the Physical Therapist how to determine if the patient has a true neuromuscular or musculoskeletal problem and to determine the specific dysfunction or impairment. Now with a new title that reflects a better understanding of the screening process as the first step in making a diagnosis, this text provides students, physical therapy clinicians and physical therapist assistants with a step-by-step approach to client evaluation, which follows the standards of competency established by the American Physical Therapy Association (APTA) related to conducting a screening examination.

Table of Contents

Section One: Introduction to the Screening Process
1. Introduction to Screening for Referral in Physical Therapy
2. Interviewing As a Screening Tool
3. Pain Types and Viscerogenic Pain Patterns
4. Physical Assessment as a Screening Tool

Section Two: Viscerogenic Causes of Neuromusculoskeletal Pain and Dysfunction
5. Screening for Hematologic Disease
6. Screening for Cardiovascular Disease
7. Screening for Pulmonary Disease
8. Screening for Gastrointestinal Disease
9. Screening for Hepatic and Biliary Disease
10. Screening for Urogenital Disease
11. Screening for Endocrine and Metabolic Disease
12. Screening for Immunologic Disease
13. Screening for Cancer

Section Three: Systemic Origins of Neuromusculoskeletal Pain and Dysfunction
14. Screening in the Head, Neck, and Back
15. Screening in the Sacrum, Sacroiliac, and Pelvis
16. Screening in the Lower Quadrant: Buttock, Hip, Thigh, Groin, and Leg
17. Screening in the Chest, Breast, and Ribs
18. Screening in the Shoulder and Upper Extremity

Appendices
A. Screening Summary
B. Special Questions to Ask
C. Special Forms to Use
D. Special Tests to Perform

Scanned PDF optimized and OCR'ed BOOK ONLY

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viernes, 15 de enero de 2010

Joint Range of Motion and Muscle Length Testing



ISBN: 0721689426
Author: Nancy Berryman Reese & William D. Bandy
Publisher: Saunders
Format: PDF
Size: 25 MB

Product Description
This practical guide provides explanations of the techniques for measuring both joint range of motion and muscle length testing. In addition to the comprehensive coverage of the measurement techniques, this text provides valuable information on measuring norms and a critical review on the reliability of specific tests. It demonstrates the use of the goniometer, inclinometer, and tape measure for the examination of the upper and lower extremities, spine, and temporomandibular joint. Readers will find the most complete information available to date on measurement of joint ROM of the spine, as well as muscle length of the upper and lower extremities.

Table of Contents
Section I: Introduction
Chapter 1. Measurement of Range of Motion and Muscle Length: Background, History and Basic Principles
Chapter 2. Measurement of Range of Motion and Muscle Length: Clinical Relevance

Section II: Upper Extremity
Chapter 3. Measurement of Range of Motion of the Shoulder
Chapter 4. Measurement of Range of Motion of the Elbow and Forearm
Chapter 5. Measurement of Range of Motion of the Wrist and Hand
Chapter 6. Muscle Length Testing of the Upper Extremity
Chapter 7. Reliability and Validity of Measurement of Range of Motion and Muscle Length Testing of the Upper Extremity

Section III: Head, Neck and Trunk
Chapter 8. Measurement of Range of Motion of the Thoracic and Lumbar Spine
Chapter 9. Measurement of Range of Motion of the Cervical Spine and Temporomandibular Joint
Chapter 10. Reliability and Validity of Measurement of Range of Motion for the Spine and Temporomandibular Joint

Section IV: Lower Extremity
Chapter 11. Measurement of Range of Motion of the Hip
Chapter 12. Measurement of Range of Motion of the Knee
Chapter 13. Measurement of Range of Motion of the Ankle and Foot
Chapter 14. Muscle Length Testing of the Lower Extremity
Chapter 15. Reliability and Validity of Measurements of Range of Motion and Muscle Length Testing of the Lower Extremity

Appendices
A. Capsular Patterns Defined
B. Sample Data Recording Forms
C. Normative Range of Motion for the Extremities and Spine in Adults

Scanned PDF Using OCR with Bookmarks

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martes, 5 de enero de 2010

Evidence Based Review of Stroke Rehabilitation: Painful Hemiplegic Shoulder


Shoulder pain resulting from hemiplegia is a common clinical consequence of a focal cerebral insult resulting from a vascular lesion (ie. hemorrhagic or ischemic stroke). Spasticity and hemiplegic shoulder pain are related. Further research is needed before conclusions regarding positioning of the hemiplegic shoulder can be made. There is limited evidence that shoulder slings influence clinical outcomes.

BAJAR AQUÍ

BAJAR AQUI 2

jueves, 24 de diciembre de 2009

Dos papers interesantes de la revista Fisioterapia Española

Estimados, subo dos papers interesantes de la revista Fisioterapia Española. Uno de neurokinesiología y otro de kinesiología traumatológica.


Espasticidad después de la lesión medular: revisión de los mecanismos fisiopatológicos, técnicas de diagnóstico y tratamientos fisioterapéuticos actuales

Revisión interesante acerca de un tema que es bastante complejo en la clínica.

Efecto del Kinesio taping sobre la respuesta refleja de los músculos bíceps femoral y gemelo externo

Es un estudio de laboratorio interesante que mide los efectos reflejos del k-tape en la musculatura de MMII con EMG de superficie. Los resultados sorpresivamente apoyan lo contrario a lo que dice el creador de la técnica, sin embargo las diferencias no son estadísticamente significativas.

Que sea de provecho!!

Visitante, tu eres...

¿Crees que estamos capacitados para ser profesionales de primera consulta?