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Evaluación del cambio del dolor y la funcionalidad con la aplicación de terapia de ondas de choque radiales en pacientes con diagnóstico de fascitis plantar en una IPS de la ciudad de Bogotá
dc.rights.license | Atribución-NoComercial-SinDerivadas 4.0 Internacional |
dc.contributor.advisor | Díaz Ruiz, Jorge Arturo |
dc.contributor.author | González Alvarado, Nathali Carolina |
dc.date.accessioned | 2021-02-09T15:44:32Z |
dc.date.available | 2021-02-09T15:44:32Z |
dc.date.issued | 2020-12-06 |
dc.identifier.citation | González Alvarado, N. C. (2020). Evaluación del cambio del dolor y la funcionalidad con la aplicación de terapia de ondas de choque radiales en pacientes con diagnóstico de fascitis plantar en una IPS de la ciudad de Bogotá [Tesis de especialidad, Universidad Nacional de Colombia]. Repositorio Institucional. |
dc.identifier.uri | https://repositorio.unal.edu.co/handle/unal/79158 |
dc.description.abstract | Objetivo: Evaluar el cambio en el dolor y la funcionalidad con la aplicación de TOCRE en pacientes con diagnóstico de FP en una IPS de la ciudad de Bogotá. Materiales y metodología: Estudio retrospectivo, observacional y descriptivo. Se seleccionaron 105 pacientes con diagnóstico de Fascitis Plantar remitidos a CIFEL para terapias con ondas de choque. Se determinió intensidad de dolor utilizando la Escala Numérica de dolor y cambios en la funcionalidad con la escala AOFAS. Resultados: El promedio de de sesiones por paciente fue de 3,6; protocolo inicial: número de ondas 2120, frecuencia 10,7 Hz e intensidad 3,4 Bar. El protocolo en sesión final fue: número de ondas 2274, frecuencia 9,6 Hz e intensidad 3,5 Bar. En la valoración inicial se encontró un promedio en la AOFAS de 51,3 e intensidad del dolor END de 8,1 y en la final la puntuación en AOFAS fue 67,2 con intensidad de dolor de 4,9. Se determinó que los cambios fueron estadísticamente significativas en las dos medidas. Conclusiones: El uso de la TOCRE en pacientes con fascitis plantar de curso crónico es efectiva, produciendo disminución significativa de la intensidad del dolor además de cambios favorables en la funcionalidad. Se considera que es una buena opción de manejo no quirúrgico en pacientes con síntomas crónicos sin respuesta al manejo conservador. |
dc.description.abstract | Objective: To evaluate the change in pain and functionality with the application of TOCRE in patients diagnosed with PF in an medical center in Bogotá. Metodology: Retrospective, observational and descriptive study. 105 patients with a diagnosis of Plantar Fasciitis were selected and referred to CIFEL for radial shock wave therapy. Pain intensity was determined using the Numerical Pain Scale and changes in functionality with the AOFAS scale before and after the intervention. Results: The average number of sessions per patient was 3.6; in the initial protocol the means of the following data were: waves number 2120, frequency 10.7 Hz and intensity 3.4 Bar. In the final evaluation the average for these parameters were: number of waves 2274, frequency 9.6 Hz and intensity 3.5 Bar. In the first session we obtain an average of AOFAS score: 51.3 and END pain intensity of 8.1. After the intervention the AOFAS score was 67.2 with a pain intensity of 4.9. The changes were statistically significant in the two measurements. Conclusions: The use of TOCRE in patients with chronic plantar fasciitis is effective, producing a significant decrease in pain intensity as well as favorable changes in functionality. It is considered to be a good nonsurgical management option in patients with chronic symptoms that do not respond to conservative management. |
dc.format.extent | 41 |
dc.format.mimetype | application/pdf |
dc.language.iso | spa |
dc.rights | Derechos reservados - Universidad Nacional de Colombia |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ |
dc.subject.ddc | 616 - Enfermedades |
dc.title | Evaluación del cambio del dolor y la funcionalidad con la aplicación de terapia de ondas de choque radiales en pacientes con diagnóstico de fascitis plantar en una IPS de la ciudad de Bogotá |
dc.title.alternative | Evaluation of change in pain and functionality with the application of radial shock wave therapy in patients with plantar fasciitis in an IPS in Bogotá |
dc.type | Otro |
dc.rights.spa | Acceso abierto |
dc.description.additional | Línea de investigación: Rehabilitación Laboral. |
dc.type.driver | info:eu-repo/semantics/other |
dc.type.version | info:eu-repo/semantics/acceptedVersion |
dc.publisher.program | Bogotá - Medicina - Especialidad en Medicina Física y Rehabilitación |
dc.contributor.researchgroup | CIFEL Centro de Investigación en Fisiatría y Electrodiagnóstico |
dc.description.degreelevel | Especialidades Médicas |
dc.publisher.branch | Universidad Nacional de Colombia - Sede Bogotá |
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dc.rights.accessrights | info:eu-repo/semantics/openAccess |
dc.subject.proposal | Plantar fasciitis |
dc.subject.proposal | Fascitis plantar |
dc.subject.proposal | Shock waves therapy |
dc.subject.proposal | Terapia de ondas de choque |
dc.subject.proposal | Escala numérica del dolor |
dc.subject.proposal | AOFAS |
dc.subject.proposal | Numerical pain scale |
dc.subject.proposal | AOFAS |
dc.type.coar | http://purl.org/coar/resource_type/c_1843 |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa |
dc.type.content | Text |
oaire.accessrights | http://purl.org/coar/access_right/c_abf2 |
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