Correlación entre las pruebas clínicas y las pruebas instrumentales para la evaluación del equilibrio en los niños con parálisis cerebral

dc.contributor.advisorOrtiz Corredor, Fernandospa
dc.contributor.authorArias Suarez, Javier Mauriciospa
dc.contributor.authorPeña Angulo, Oscar Samuelspa
dc.contributor.authorD. Espinosa, Derianspa
dc.contributor.researchgroupCIFEL Centro de Investigación en Fisiatría y Electrodiagnósticospa
dc.coverage.sucursalUniversidad Nacional de Colombia - Sede Bogotáspa
dc.date.accessioned2020-02-20T15:17:52Zspa
dc.date.available2020-02-20T15:17:52Zspa
dc.date.issued2020spa
dc.date.issued2020spa
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.spa
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.spa
dc.description.additionalEspecialista en Medicina Física y Rehabilitación. Línea de Investigación: Rehabilitación en Parálisis Cerebralspa
dc.format.extent60spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/75655
dc.language.isospaspa
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotáspa
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dc.rightsDerechos reservados - Universidad Nacional de Colombiaspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseAtribución-NoComercial-SinDerivadas 4.0 Internacionalspa
dc.rights.spaAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/spa
dc.subject.ddcMedicina y saludspa
dc.subject.ddcMedicina y salud::Enfermedadesspa
dc.subject.proposalParálisis Cerebralspa
dc.subject.proposalCerebral Palsyeng
dc.subject.proposalStabilometryeng
dc.subject.proposalEstabilometríaspa
dc.subject.proposalEquilibrio estáticospa
dc.subject.proposalStatic balanceeng
dc.subject.proposalPruebas funcionalesspa
dc.subject.proposalFunctional testseng
dc.subject.proposalTest marcha 6 minutosspa
dc.subject.proposal6-minute walk testeng
dc.titleCorrelación entre las pruebas clínicas y las pruebas instrumentales para la evaluación del equilibrio en los niños con parálisis cerebralspa
dc.typeTrabajo de grado - Especialidad Médicaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdccspa
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.versioninfo:eu-repo/semantics/acceptedVersionspa
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa

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