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

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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

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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.

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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!!

Distonia del Escribiente (Writer's Cramp)

Es una condición poco frecuente, que se trata de una distonia focal que afecta principalmente al miembro superior y cintura escapular.

Mientras estuve en CETRAM, me tocó ver a 3 personas con este problema por lo que decidí realizar una búsqueda de la mejor evidencia disponible con respecto al tratamiento de dicha patología.

Aquí les subo 2 papers: uno de fisiopatología para comprender la enfermedad y otro de tratamiento. Como siempre, evidencia de la más alta.

Saludos!

Fisiopatología

Tratamiento

Effects of task-oriented circuit class training on walking competency after stroke: a systematic review

Wevers L, van de Port I, Vermue M, Mead G, Kwakkel G.Effects of task-oriented circuit class training on walking competency after stroke: a systematic review Stroke.2009;40:2450-2459

Center of Excellence for Rehabilitation Medicine Utrecht, Rehabilitation Center De Hoogstraat, Utrecht, The Netherlands.

BACKGROUND AND PURPOSE: There is increasing interest in the potential benefits of circuit class training after stroke, but its effectiveness is uncertain. Our aim was to systematically review randomized, controlled trials of task-oriented circuit class training on gait and gait-related activities in patients with stroke. METHODS: A computer-aided literature search was performed to identify randomized, controlled trials in which the experimental group received task-oriented circuit class training focusing on the lower limb. Studies published up to March 2008 were included. The methodological quality of each study was assessed and studies with the same outcome variable were pooled by calculating the summary effect sizes using fixed or random effects models. RESULTS: Six of the 445 studies screened, comprising 307 participants, were included. Physiotherapy Evidence Database scores ranged from 4 to 8 points with a median of 7.5 points. The meta-analysis demonstrated significant homogeneous summary effect sizes in favor of task-oriented circuit class training for walking distance (0.43; 95% CI, 0.17 to 0.68; P<0.001), gait speed (0.35; 95% CI, 0.08 to 0.62; P=0.012), and a timed up-and-go test (0.26; 95% CI, 0.00 to 0.51; P=0.047). Nonsignificant summary effect sizes in favor of task-oriented circuit class training were found for the step test and balance control. CONCLUSIONS: This meta-analysis supports the use of task-oriented circuit class training to improve gait and gait-related activities in patients with chronic stroke. Further research is needed to investigate the cost-effectiveness and its effects in the subacute phase after stroke, taking comorbidity into account, and to investigate how to help people maintain and improve their physical abilities after their rehabilitation program ends.

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Professionalism in Physiotherapy

Product Description
As the role of the physical therapist widens to include more primary care and diagnostic responsibilities, there is a greater need for a single, up-to-date resource that explores professional roles and developments in this changing field. This new book is the definitive reference on this important topic.

This concise book provides information on every vital area important to professionalism: documentation, law and ethics, and leadership - all in the context of the five roles of the physical therapist as defined by the APTA's Guide to Physical Therapist Practice, 2nd Edition. Readers will find information on the history of professionalism in physical therapy, the five roles of the physical therapist (Patient/Client Manager, Consultant, Critical Inquirer, Educator, and Administrator), the role of the physical therapist in today's health care system, and professional leadership and development. Case studies, "how to lists" and "tips from the field" encourage critical thinking and provide strategies for various issues. The book also offers tips on preparing a portfolio, determining leadership style, and preparing a professional development plan based on the APTA's five roles.

Table of Contents
I. Historical Perspective and Professional Practice Issues
1. The Physical Therapist as Professional
2. The History of the Profession
3. Contemporary Practice Issues
II. The Five Roles of the Physical Therapist
4. Physical Therapist as Patient /Client Manager
5. Physical Therapist as Consultant
6. Physical Therapist as Critical Inquirer
7. Physical Therapist as Educator
8. Physical Therapist as Administrator
III. The Complex Environment of Health Care and Professional Development
9. The Organizational, Political, and Cultural Context of Professionalism in the U.S. Health Care System
10. Professional Development, Leadership, and Exemplary Practice
11. The Future

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