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Evaluación de métodos para el monitoreo del nivel de fatiga basado en variables cinemáticas y fisiológicas durante entrenamiento en banda sin fin

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dc.contributor.advisorMúnera Ramirez, Marcela Cristina
dc.contributor.advisorCifuentes García, Carlos Andrés
dc.creatorOchoa Salamanca, María Alejandra
dc.creator.degreeIngeniero Biomédicospa
dc.creator.degreetypeFull timespa
dc.date.accessioned2020-03-16T19:13:34Z
dc.date.available2020-03-16T19:13:34Z
dc.date.created2019
dc.descriptionLas enfermedades cardiovasculares (ECV) son la principal causa de muerte en el mundo. Estudios disponibles apoyan el papel de la rehabilitación cardiaca (RC) integral en pacientes con enfermedades cardíacas, disminuyendo la tasa de mortalidad, morbilidad, discapacidad, mejorando la calidad de vida de los pacientes, siendo definida como un programa guiado a la capacitación sobre la importancia del cuidado de la salud, incluyendo dietas, medicación y rutinas de ejercicio. Para los ejercicios empleados en rehabilitación cardiaca es necesario evitar un sobre entrenamiento en los pacientes, él cual es medido según el nivel de fatiga. La medición de la fatiga durante el ejercicio es un proceso altamente usado en rehabilitación física. Actualmente, la forma de cuantificar la fatiga se realiza mediante la escala de Borg (esfuerzo percibido por el paciente), la cual depende ampliamente del criterio del paciente. Por otro lado, un método más exacto es la medición del nivel de lactato en sangre, lo que implica una medida invasiva. El objetivo de este proyecto es implementar un nuevo método portable y de bajo costo para monitorear pacientes durante la terapia física evitando el sobreentrenamiento de los mismos. El proyecto se divide en 5 etapas: la primera se basa en la revisión bibliográfica para el desarrollo del estado del arte, el cual está enfocado en métodos de estimación de fatiga, en la segunda etapa se llevará a cabo el desarrollo del protocolo necesario para la puesta en marcha que es la tercera etapa. Para la cuarta etapa con la información recopilada de las pruebas es necesario un procesamiento de los datos a los cuales se le hará un análisis estadístico, siendo esta la última etapa. En este documento se presenta el desarrollo de nuevos métodos de monitorización de parámetros relacionados con la fatiga, como un apoyo en las sesiones de rehabilitación física, en este trabajo se realiza una evaluación preliminar de parámetros de marcha, como: velocidad de paso, ángulo de movimiento de cadera y rodilla, las cuales muestran una disminución progresiva a medida que medidas fisiológicas y subjetivas como el lactato sanguíneo y la escala de Borg incrementan, demostrando su relación con la fatiga provocada por un ejercicio físico que aumenta gradualmente de intensidad. Como resultado, el protocolo final mostró una alta funcionalidad, donde al monitorear los parámetros fisiológicos, estos presentaron un comportamiento promedio lineal creciente de la escala de Borg y lactato sanguíneo, además de tener una disminución en la actividad eléctrica muscular de los músculos más implicados en la marcha, especialmente del músculo tibial anterior y gastrocnemio. En cuanto a los parámetros cinemáticos, la posición del centro de masa mostró una mayor variación a medida que la intensidad del ejercicio aumenta, teniendo un p valor de 0,17 verificando la hipótesis nula que dicta que, a mayor fatiga, el movimiento del centro de masa aumenta.spa
dc.description.abstractCardiovascular disease (CVD) is the leading cause of death in the world. Available studies support the role of comprehensive cardiac rehabilitation (CR) in patients with heart disease, reducing the mortality rate, morbidity, disability, improving the quality of life of patients, being defined as a program guided to training on the importance health care, including diet, medication, and exercise routines. For the exercises used in cardiac rehabilitation, it is necessary to avoid overtraining in patients, which is measured according to the level of fatigue. Measuring fatigue during exercise is a highly used process in physical rehabilitation. Currently, the way to quantify fatigue is performed using the Borg scale (effort perceived by the patient), which largely depends on the patient's criteria. On the other hand, a more accurate method is the measurement of the blood lactate level, which implies an invasive measurement. The objective of this project is to implement a new, low-cost and portable method to monitor patients during physical therapy, avoiding their overtraining. The project is divided into 5 stages: the first is based on the bibliographic review for the development of the state of the art, which is focused on methods of estimating fatigue, in the second stage the development of the protocol necessary for the start-up which is the third stage. For the fourth stage, with the information collected from the tests, it is necessary to process the data, which will be statistically analyzed, this being the last stage. This document presents the development of new methods of monitoring parameters related to fatigue, as a support in physical rehabilitation sessions, in this work a preliminary evaluation of walking parameters is made, such as: walking speed, angle of hip and knee movement, which show a progressive decrease as physiological and subjective measures such as blood lactate and the Borg scale increase, demonstrating its relationship with fatigue caused by physical exercise that gradually increases in intensity. As a result, the final protocol showed high functionality, where when monitoring the physiological parameters, they presented an increasing linear average behavior of the Borg scale and blood lactate, in addition to having a decrease in the muscular electrical activity of the muscles most involved in gait, especially of the anterior tibial muscle and gastrocnemius. Regarding the kinematic parameters, the position of the center of mass showed a greater variation as the intensity of the exercise increases, having a p value of 0.17, verifying the null hypothesis that, with greater fatigue, the movement of the center mass increases.spa
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_21015
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/21015
dc.language.isospaspa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentEscuela de Medicina y Ciencias de la Saludspa
dc.publisher.programIngeniería Biomédicaspa
dc.rightsAtribución-NoComercial-CompartirIgual 2.5 Colombiaspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
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dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/2.5/co/
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dc.source.instnameinstname:Universidad del Rosariospa
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectBanda sin finspa
dc.subjectCentro de masaspa
dc.subjectFatigaspa
dc.subjectSensor inercialspa
dc.subjectKinectspa
dc.subjectLactato en sangrespa
dc.subjectParámetros de marchaspa
dc.subject.ddcPromoción de saludspa
dc.subject.ddcGinecología & otras especialidades médicasspa
dc.subject.keywordEndless bandspa
dc.subject.keywordCenter of massspa
dc.subject.keywordFatiguespa
dc.subject.keywordInertial sensorspa
dc.subject.keywordKinectspa
dc.subject.keywordBlood lactatespa
dc.subject.keywordRunning parametersspa
dc.subject.lembTecnología medicaspa
dc.subject.lembEnfermedades cardiovasculares - Terapéuticaspa
dc.subject.lembMétodos de cuantificación de fatigaspa
dc.subject.lembRehabilitación cardíaca - Análisis metodológicospa
dc.titleEvaluación de métodos para el monitoreo del nivel de fatiga basado en variables cinemáticas y fisiológicas durante entrenamiento en banda sin finspa
dc.title.TranslatedTitleEvaluation of methods for monitoring the level of fatigue based on kinematic and physiological variables during treadmill trainingeng
dc.typebachelorThesiseng
dc.type.documentAnálisis de casospa
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTrabajo de gradospa
local.department.reportEscuela de Medicina y Ciencias de la Saludspa
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