ABSTRACT
Introducción: Las terapias ecuestres constituyen un método de intervención para usuarios susceptibles de presentar limitaciones en el ámbito psicomotor que se lleva practicando varias décadas en todo el mundo. Objetivos: Realizar un estudio de pacientes beneficiarios de esta terapia en los logros obtenidos en la función motora gruesa en relación con el resto de las habilidades psicomotrices y cómo esta mejora influye en el estado general y en su calidad de vida. Material y métodos: Se incluyó a 11 niños (8,82 ± 3,89; 6 niños, 5 niñas) con retraso psicomotor. Las variables principales de estudio fueron la función motora gruesa (GMFM-88) y la percepción de calidad de vida (Pediatric Quality of Life Inventory; PedsQL). Se realizaron 3 mediciones, antes y después de un periodo de inactividad, y 2 meses después de la segunda valoración, tras un periodo continuado de tratamiento. Resultados: Se observó una diferencia significativa entre los resultados globales de la GMFM-88 entre las pruebas inicial-final e intermedia-final. Respecto a la escala de calidad de vida PedsQL, no se han observado resultados estadísticamente significativos. Conclusiones: A lo largo de la intervención, se han observado cambios evidentes en el control motor, por lo que parece que la terapia ecuestre puede ser una terapia adecuada para la intervención del retraso psicomotor
Introduction: Equine therapy, an intervention method that has been practiced for decades around the world, is used to treat patients susceptible to psychomotor delays. Objectives: We examine development of gross motor function compared to other psychomotor skills in patients undergoing this therapy, and analyse how this improvement affects general health status and quality of life. Material and methods: The study includes 11 children with delayed psychomotor development (aged 8.82 ± 3.89; 6 boys, 5 girls). The main study variables were gross motor function (GMFM-88) and perceived quality of life (Pediatric Quality of Life Inventory, PedsQL). Three measurements were performed: before and after a period of inactivity, and once again 2 months after the second measurement, following completion of a sustained period of therapy. Results: We observed significant differences in overall results on the GMFM-88 between the initial and final tests and between the intermediate and final tests. Regarding the PedsQL quality of life scale, no statistically significant results were recorded. Conclusions: Noticeable changes in motor control were recorded throughout the course of the intervention, which suggests that equine therapy may be appropriate treatment in cases of delayed psychomotor development
Subject(s)
Adolescent , Child , Child, Preschool , Female , Humans , Male , Child Development , Developmental Disabilities/therapy , Psychomotor Disorders/diagnosis , Equine-Assisted Therapy/trends , Postural Balance , Locomotion , Gait , Cerebral Palsy , Dandy-Walker Syndrome , Down Syndrome , Quality of Life , Psychomotor Performance , Treatment OutcomeABSTRACT
INTRODUCTION: Equine therapy, an intervention method that has been practiced for decades around the world, is used to treat patients susceptible to psychomotor delays. OBJECTIVES: We examine development of gross motor function compared to other psychomotor skills in patients undergoing this therapy, and analyse how this improvement affects general health status and quality of life. MATERIAL AND METHODS: The study includes 11 children with delayed psychomotor development (aged 8.82 ± 3.89; 6 boys, 5 girls). The main study variables were gross motor function (GMFM-88) and perceived quality of life (Pediatric Quality of Life Inventory, PedsQL). Three measurements were performed: before and after a period of inactivity, and once again 2 months after the second measurement, following completion of a sustained period of therapy. RESULTS: We observed significant differences in overall results on the GMFM-88 between the initial and final tests and between the intermediate and final tests. Regarding the PedsQL quality of life scale, no statistically significant results were recorded. CONCLUSIONS: Noticeable changes in motor control were recorded throughout the course of the intervention, which suggests that equine therapy may be appropriate treatment in cases of delayed psychomotor development.
Subject(s)
Equine-Assisted Therapy/methods , Psychomotor Disorders/rehabilitation , Adolescent , Animals , Cerebral Palsy/rehabilitation , Child , Child, Preschool , Female , Health Status , Humans , Longitudinal Studies , Male , Motor Skills/physiology , Quality of LifeABSTRACT
OBJECTIVE: The use of enteral nutrition has increased enormously over the last few years and at the same time the standard indications for parenteral nutrition, whether in hospitals or at home, have gradually been defined. The most common way to administer enteral nutrition is intermittently and using gravity, through a nasogastric catheter or through gastrostomy. In our daily practice it has been observed that there was at times a considerable delay in the administration of the diet by means of a nasogastric catheter and the tube was sometimes blocked due to its small calibre and/or the excessive viscosity of the formula. It was therefore proposed to study the viscosities of polymeric enteral diets with and without fibre at this hospital to identify the relationship with the time taken for their intermittent, gravity-driven administration through different calibres of nasogastric catheter at the maximum flow rate. RESULTS: Some of the enteral diets under study exceeded the recommended time for intermittent administration by gravity (20-40 minutes). CONCLUSIONS: We feel it is essential for the product label to provide information on the optimal calibre of the nasogastric catheter required for administration of the product.
Subject(s)
Enteral Nutrition , Intubation, Gastrointestinal/instrumentation , Drug Labeling , Humans , Time Factors , ViscosityABSTRACT
Objetivo: La utilización de la nutrición enteral se ha incrementado enormemente en los últimos años y al mismo tiempo se han ido normalizando las indicaciones de la nutrición parenteral, tanto a nivel hospitalario como domiciliario. La forma más habitual de administrar la nutrición enteral es mediante sonda nasogástrica (SNG) o por gastrostomía, de forma intermitente y por gravedad. En nuestra práctica diaria observamos que en algunas ocasiones existía un tiempo de retraso considerable en la administración de la dieta por SNG y a veces la sonda se obstruía debido a su pequeño diámetro o a la viscosidad excesiva de la fórmula. Así que nos planteamos estudiar las viscosidades de las dietas enterales poliméricas con y sin fibra de nuestro hospital y relacionarlas con el tiempo que se emplea en su administración intermitente por gravedad a través de SNG de diferentes diámetros a la máxima velocidad de flujo. Resultados: Algunas de las dietas enterales estudiadas sobrepasan el tiempo recomendado para su administración intermitente por gravedad (20-40 minutos).Conclusiones: Consideramos imprescindible que en la etiqueta del producto se aporte inforrnación sobre el calibre óptimo de la SNG necesaria para su administración (AU)
Objective: The use of enteral nutrition has increased enormously over the last few years and at the same time the standard indications for parenteral nutrition, whet-her in hospitals or at home, have gradually been defined. The most common way to administer enteral nutrition is intermittently and using gravity, through a nasogastric catheter or through gastrostomy. In our daily practice it has been observed that there was at times a considerable delay in the administration of the diet by means of a nasogastric catheter and the tube was sometimes blocked due to its small calibre and/or the excessive viscosity of the formula. It was therefore proposed to study the viscosities of polymeric enteral diets with and without fibre at this hospital to identify the relationship with the time taken for their intermittent, gravity-driven administration through different calibres of nasogastric catheter at the maximum flow rate. Results: Some of the enteral diets under study exceeded the recommended time for intermittent administration by gravity (20-40 minutes). Conclusions: We feel it is essential for the product la-bel to provide information on the optimal calibre of the nasogastric catheter required for administration of the product (AU)
Subject(s)
Humans , Enteral Nutrition , Time Factors , Viscosity , Drug Labeling , Intubation, GastrointestinalABSTRACT
A microbiological quality control study of parenteral nutrition (PN) is presented. The study was carried out in the Pharmacy and Microbiology Services of the Hospital de la Santa Creu i Sant Pau (Barcelona, Spain) from April 1991 to May 1998 and represents more than 25,000 lipid-containing PN admixtures prepared during that 7-year period. A randomized sampling procedure according to the cumulative sum control charts was performed and a 0.45-microm membrane filtration method was used as the microbiological test. Validation showed that the method is sensitive for sterility tests. Bacterial growth was observed on 59 filters (4.58% of the samples). A second control was made for these positive outcomes, and bacterial growth was found in only two cases. The patients' clinical history was reviewed and no relation between the microorganisms of the nutrition and the results obtained from blood cultures was observed. The quality control study revealed a low incidence of contamination in our PN preparation process.
