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Concordancia entre el análisis computarizado de la marcha y el examen físico en pacientes con anteversión femoral aumentada sin alteraciones neurológicas.

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dc.contributor.advisorEspinosa Aranzales, Ángela Fernanda
dc.contributor.advisorMartínez Del Valle, Anacaona
dc.creatorDe la Pava Cortes, Ivan Camilo
dc.creator.degreeMagíster en epidemiología
dc.date.accessioned2017-05-23T20:20:47Z
dc.date.available2017-05-23T20:20:47Z
dc.date.created2017-05-22
dc.date.issued2017
dc.descriptionIntroducción: La marcha es el punto máximo de independencia funcional de una persona y allí radica su importancia como patrón de movimiento, cuya medición ha sido desarrollada a través de los años. Objetivo: Evaluar la concordancia entre las variables de dos herramientas de medición: el análisis computarizado de la marcha (ACM) y el examen físico (EF) en pacientes con anteversión femoral aumentada (AVFA) sin alteraciones neurológicas. Metodología: Es un estudio observacional analítico de concordancia, los datos se obtuvieron de forma retrospectiva de los años 2010 al 2014 en el laboratorio de análisis de la marcha del Instituto de Ortopedia Infantil Roosevelt (IOIR) por medio de una sola aplicación del ACM y del EF. Resultados: Se observó que existen alteraciones evidentes en el EF pues a nivel de la cadera existe disminución de la rotación externa y aumento de la rotación interna. En el ACM se encontró que en la cadera existe una disminución del rango de rotación interna – externa en la fase de apoyo y balanceo; que en la rodilla hay disminución del rango flexión – extensión durante la fase de balanceo y, que en el tobillo se halló disminución del rango dorsiflexión – plantiflexión en la fase de apoyo y balanceo. Conclusión: Este estudio determinó que el EF y el ACM son pruebas que no se correlacionan, por lo tanto se puede deducir que son complementarias y aportan información con un abordaje diferencial para la toma de decisiones a nivel clínico.spa
dc.description.abstractIntroduction: Human gait is the highest point in a person’s functional independence; therefore, its importance as a movement pattern has led to the development of measuring tools. The aim of the present study is to assess the correspondence between two of those measuring tools: computerized gait analysis (CGA) and the physical examination (PE) only in patients with augmented femoral anteversión (AFA) without neurological alterations. Material and methods: This is an observational analytic study of correspondence and data was obtained retrospectively from 2010 to 2014 in the gait analysis lab from the Children Orthopedics Institute Roosevelt (IOIR) through a single application of the CGA and the PE. Results: It was observed that there are evident alterations in the PE because at hip level the internal-external rotation range decreases in the stance and swing phases. Also, in the knee there is a decrease in the flexion-extension range during the swing phase and in the ankle there is also a decrease in the dorsiflexion-plantarflexion range in the stance and swing phases. Conclusion: This study found that there is no correspondence between the PE and CGA, therefore they are complementary and contribute with information for a differential approach in the decision making at a clinical level.eng
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dc.identifier.doihttps://doi.org/10.48713/10336_13424
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/13424
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de medicinaspa
dc.publisher.programMaestría en Epidemiologíaspa
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectMarchaspa
dc.subjectExamen físicospa
dc.subjectAnteversión óseaspa
dc.subjectAnomalía Torsionalspa
dc.subjectFémurspa
dc.subjectReproducibilidad de resultados.spa
dc.subject.ddcIncidencia & prevención de la enfermedad
dc.subject.decsEpidemiologíaspa
dc.subject.decsMarchaspa
dc.subject.decsTrastornos del movimientospa
dc.subject.decsCuello femoralspa
dc.subject.keywordGaiteng
dc.subject.keywordPhysical examinationeng
dc.subject.keywordBone Anteversioneng
dc.subject.keywordTorsion Abnormalityeng
dc.subject.keywordFemureng
dc.subject.keywordReproducibility of Resultseng
dc.subject.lembEpidemiologíaspa
dc.titleConcordancia entre el análisis computarizado de la marcha y el examen físico en pacientes con anteversión femoral aumentada sin alteraciones neurológicas.spa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTesis de maestríaspa
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