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dc.rights.licenseAtribución-NoComercial-SinDerivadas 4.0 Internacional
dc.contributor.advisorOrtiz Corredor, Fernando
dc.contributor.authorArias Suarez, Javier Mauricio
dc.contributor.authorPeña Angulo, Oscar Samuel
dc.contributor.authorD. Espinosa, Derian
dc.description.abstractIntroduction: Cerebral Palsy (CP) is one of the most frequent causes of impaired static and dynamic balance in children. The assessment of static balance can be performed by clinical and instrumental tests. Stabilometry is an instrumental test that measures mobility of the Center of Pressure (CoP). Objective: Establish the correlation between clinical balance tests and gait, and the findings on the stabilometry in pediatric population with cerebral palsy. Materials and methods: A retrospective study was conducted with 301 patients with cerebral palsy. The sample included patients aged under 18, diagnosed with GMFCS level I and II, who attended our institution between 2015 and 2019 to conduct a gait analysis and a clinical assessment. We evaluated 28 stabilometric variables (ML – AP range, ML – AP displacement, ML – AP – Global speed, Sec. Área, ellipse área, etc.) and 13 clinical variables (spasticity, monopodal balance, 6-minute walk test, etc.). Comparisons and correlations between clinical and stabilometric variables were made. Results: We found significant differences (p <0.05) in all clinical variables, between the GMFCS level I and level. No significant differences were found in the stabilometric tests between the 2 functional levels. Correlation tests between clinical and instrumental tests demonstrated diverse results with weak correlations (r <-0.2 p <0.05). Stabilometric tests: Sec area, global speed, mid-lateral speed, distance with open eyes (r <-0.2 p <0.05), and the three tests for the evaluation of balance (Monopodal balance Left – Right, and 6MWT) had the best correlations. Statistically significant differences were found in the stabilometric tests between the group of patients with CP and the group without neuromuscular pathology. Conclusion: Stabilometry is an instrumental evaluation of balance that has a correlation with some clinical tests in children with cerebral palsy. In the future, this test could be useful in the assessment of balance disorders, and determination of changes associated with therapeutic interventions.
dc.description.abstractIntroducción: La parálisis cerebral (PC) es una de las causas más frecuentes de alteración del equilibrio estático y dinámico en niños. La valoración del equilibrio estático, se puede realizar con pruebas clínicas y pruebas instrumentales. La estabilometría es una prueba instrumental que evalúa la movilidad del centro de presión. Objetivo: Determinar la correlación de las pruebas clínicas del equilibrio y la marcha con los resultados de la estabilometría en niños con parálisis cerebral. Materiales y métodos: Se realizó un estudio retrospectivo con 301 pacientes menores de 18 años, con parálisis cerebral GMFCS I y II, uni y bilateral, que asistieron al Instituto Roosevelt en los años 2015 a 2019 para realización de estudio de análisis de marcha y valoración clínica. Se utilizaron 28 variables estabilométricas (rango ML-AP, desplazamiento ML-AP, velocidades ML-AP-Global, Area/Sec, Área Elipse etc.) y 13 variables clínicas (espasticidad, equilibrio monopodal, test de marcha en 6 minutos-6MWT etc.).Se realizaron comparaciones y correlaciones entre variables clínicas y estabilometricas. Resultados: Hay diferencias significativas (p<0,05) en todas las variables clínicas, entre los niveles funcionales GMFCS I y II. No se encontraron diferencias significativas en las pruebas estabilométricas entre los dos niveles funcionales. Las pruebas de correlación entre pruebas clínicas e instrumentales mostraron resultados diversos, con correlaciones débiles (r < -0,2 p< 0,05). Las pruebas estabilométricas Area/Sec, velocidad global, velocidad medio-lateral y distancia con ojos abiertos fueron las que mejor se correlacionaron (r < -0,2 p< 0,05) con las tres pruebas para la evaluación del equilibrio (Equilibrio monopodal Der-Izq y 6MWT) .Se encontraron diferencias estadísticamente significativas en las pruebas estabilométricas entre un grupo de pacientes sin patología neuromuscular respecto al grupo con PC. Conclusión: La estabilometría en una evaluación instrumental del equilibrio que se correlaciona con algunas pruebas clínicas en niños con parálisis cerebral, a futuro podría tener utilidad para valoración de las alteraciones del equilibrio, y la determinación de cambios asociados a las intervenciones terapéuticas.
dc.rightsDerechos reservados - Universidad Nacional de Colombia
dc.subject.ddcMedicina y salud
dc.subject.ddcMedicina y salud::Enfermedades
dc.titleCorrelación entre las pruebas clínicas y las pruebas instrumentales para la evaluación del equilibrio en los niños con parálisis cerebral
dc.rights.spaAcceso abierto
dc.coverage.sucursalUniversidad Nacional de Colombia - Sede Bogotá
dc.description.additionalEspecialista en Medicina Física y Rehabilitación. Línea de Investigación: Rehabilitación en Parálisis Cerebral
dc.contributor.researchgroupCIFEL Centro de Investigación en Fisiatría y Electrodiagnóstico
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotá
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dc.subject.proposalParálisis Cerebral
dc.subject.proposalCerebral Palsy
dc.subject.proposalEquilibrio estático
dc.subject.proposalStatic balance
dc.subject.proposalPruebas funcionales
dc.subject.proposalFunctional tests
dc.subject.proposalTest marcha 6 minutos
dc.subject.proposal6-minute walk test

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Atribución-NoComercial-SinDerivadas 4.0 InternacionalThis work is licensed under a Creative Commons Reconocimiento-NoComercial 4.0.This document has been deposited by the author (s) under the following certificate of deposit