Proprioceptive rehabilitation strategies in posttraumatic wrist injuries. Scoping review / Estrategias de rehabilitación propioceptiva en lesiones postraumáticas de muñeca. Revisión de alcance

Abstract Background: The proprioceptive approach can effectively improve strength, mobility, edema reduction, and pain reduction, which in turn has a positive impact on functionality. Objective: To identify proprioceptive rehabilitation strategies reported in the literature in adults with traumatic wrist injuries. Methods: A scoping review was performed following the parameters of the Prisma ScR strategy. We included research with adult patients diagnosed with posttraumatic wrist injuries who used proprioceptive rehabilitation. Pain, functionality, strength, joint mobility ranges, and edema were evaluated. Results: After removing duplicates and applying the exclusion criteria, a total of 123 articles were found, which left six articles, including 125 patients. Rehabilitation protocols based on proprioceptive neuromuscular facilitation and using sensorimotor tools that promote wrist recovery have been generated. In addition, other approaches have been established, such as motor imagery, which generates a work of identification and organization of movement, improving pain and manual function. However, longer follow-ups, standardization of the instruments used during proprioceptive intervention, and increasing the observed population are needed to generate a recommendation for early intervention and cost-benefit estimates. Conclusion: Proprioceptive rehabilitation has demonstrated benefits in the recovery of the lower limb and hip or back. However, for the rehabilitation of traumatic wrist injuries, it is research pending. Well-described data and good quality designs are needed to routinely propose this strategy in the clinic.

Resumen Antecedentes: El enfoque propioceptivo puede mejorar de manera efectiva la fuerza, la movilidad, la reducción del edema y la disminución del dolor; lo que a su vez tiene un impacto positivo en la funcionalidad. Objetivo: Identificar las estrategias de rehabilitación propioceptiva reportadas en la literatura, en adultos con lesiones traumáticas de muñeca. Metódos: Se efectuó una revisión de alcance siguiendo los parámetros de la estrategia Prisma ScR. Se incluyeron investigaciones con pacientes adultos, diagnóstico de lesión postraumática de muñeca, que utilizaron rehabilitación propioceptiva. Se evaluó el dolor, la funcionalidad, la fuerza, los rangos de movilidad articular y el edema. Resultados: Se incluyeron seis artículos, que involucraron 125 pacientes al aplicar los criterios de exclusión. Se han generado protocolos de rehabilitación basados en facilitación neuromuscular propioceptiva y el uso de herramientas sensoriomotoras que promueven la recuperación de la muñeca. Además, se han establecido otros abordajes como la imaginería motora, que genera un trabajo de identificación y organización del movimiento, mejorando el dolor y la función manual. Faltan seguimientos de mayor tiempo, estandarización de los instrumentos utilizados durante la intervención propioceptiva y aumentar la población observada para generar una recomendación de intervención temprana y estimaciones entre el costo y el beneficio. Conclusión: La rehabilitación propioceptiva ha demostrado beneficios en la recuperación del miembro inferior y la cadera o espalda. Para la rehabilitación de las lesiones traumáticas de muñeca, es un pendiente de la investigación. La información bien descrita y los diseños de buena calidad son necesarios para proponer rutinariamente esta estrategia en la clínica.

NEUROCANTRIAL: study protocol for a randomised controlled trial of a pain neuroscience education programme in adults with cancer pain.

INTRODUCTION: Pain is the second most frequent symptom reported in patients with cancer among the main reasons for consultation. The incorporation of educational modalities in pain intervention processes has been suggested. This study aims to examine the efficacy of neuroscience pain education (PNE) in relation to pain, biopsychosocial variables and functional capacity in comparison with conventional treatment. It is hypothesised that an intervention based on PNE achieves better outcomes than conventional management, in terms of pain, biopsychosocial variables and functional capacity in adults with oncological pain. METHODS AND ANALYSIS: This will be a single-blind, controlled clinical trial in which two groups will be compared using changes in pain as the primary measure. The first group will receive conventional treatment in addition to PNE, and participants will undergo an intervention of nine sessions (one session per week, for a total of 9 weeks), each lasting 30-40 min. Specifically, these sessions will teach biophysiological elements using metaphors that allow the adoption of these concepts related to pain. The second group will receive conventional treatment (pharmacological treatment). For this study, a sample size calculation was made based on the background, where 80 adults with oncological pain were required. An initial evaluation will be made to establish the baseline characteristics, and then, according to the randomisation, the assignment to the PNE group or the control group will be made and the two groups will be summoned again. Ten weeks later, for the intervention evaluation, the statistical analysis plan will be established by protocol and by intention-to-treat. ETHICS AND DISSEMINATION: This protocol complies with all ethical considerations. The authors commit to presenting the study's results. This study was approved by the ethics committees of the Universidad Santiago de Cali, Clínica de Occidente/Angiografía de Occidente. The authors commit to presenting the study's results. TRIAL REGISTRATION NUMBER: NCT05581784.

Effects of a Physical Exercise Program on the Physical Capacities of Older Adults: A Quasi-Experimental Study.

Purpose: To measure the effects of an exercise program on the physical capacities of older adults such as strength, flexibility, balance, and aerobic capacity. Patients and Methods: This was a quasi-experimental study on a population of 5550 older adults and a sample of 4830 participants in an active aging program designed by the Municipal Health Secretary. The exercise program lasted 12 months, and pre-and post-program intervention measures were recorded using the senior fitness test. Results: Most participants were women (92.4%) and their mean age was 70.7 years (standard deviation, 7.3 years; range, 60-97 years). All areas showed significant differences before and after the program in terms of the participants' physical capabilities (p < 0.05), muscular strength and flexibility had a more significant mean difference and a large effect (>0.80), except for aerobic capacity, which had a small effect. Conclusion: The present study revealed that a supervised physical exercise program at the community level has positive effects on the physical capacities of coordination, balance, flexibility, strength, and aerobic capacity, which are essential components for a better functional capacity at this stage of life, with improvements that encompassed the improved self-perception of their health status, a reduction of overweight and obesity. The reinforcement of these programs is recommended, consequently, promoting pre-sport games and sports championships among the elderly population, as a public health strategy.

Proprioceptive rehabilitation strategies in posttraumatic wrist injuries. Scoping review.

Background: The proprioceptive approach can effectively improve strength, mobility, edema reduction, and pain reduction, which in turn has a positive impact on functionality. Objective: To identify proprioceptive rehabilitation strategies reported in the literature in adults with traumatic wrist injuries. Methods: A scoping review was performed following the parameters of the Prisma ScR strategy. We included research with adult patients diagnosed with posttraumatic wrist injuries who used proprioceptive rehabilitation. Pain, functionality, strength, joint mobility ranges, and edema were evaluated. Results: After removing duplicates and applying the exclusion criteria, a total of 123 articles were found, which left six articles, including 125 patients. Rehabilitation protocols based on proprioceptive neuromuscular facilitation and using sensorimotor tools that promote wrist recovery have been generated. In addition, other approaches have been established, such as motor imagery, which generates a work of identification and organization of movement, improving pain and manual function. However, longer follow-ups, standardization of the instruments used during proprioceptive intervention, and increasing the observed population are needed to generate a recommendation for early intervention and cost-benefit estimates. Conclusion: Proprioceptive rehabilitation has demonstrated benefits in the recovery of the lower limb and hip or back. However, for the rehabilitation of traumatic wrist injuries, it is research pending. Well-described data and good quality designs are needed to routinely propose this strategy in the clinic.

Antecedentes: El enfoque propioceptivo puede mejorar de manera efectiva la fuerza, la movilidad, la reducción del edema y la disminución del dolor; lo que a su vez tiene un impacto positivo en la funcionalidad. Objetivo: Identificar las estrategias de rehabilitación propioceptiva reportadas en la literatura, en adultos con lesiones traumáticas de muñeca. Metódos: Se efectuó una revisión de alcance siguiendo los parámetros de la estrategia Prisma ScR. Se incluyeron investigaciones con pacientes adultos, diagnóstico de lesión postraumática de muñeca, que utilizaron rehabilitación propioceptiva. Se evaluó el dolor, la funcionalidad, la fuerza, los rangos de movilidad articular y el edema. Resultados: Se incluyeron seis artículos, que involucraron 125 pacientes al aplicar los criterios de exclusión. Se han generado protocolos de rehabilitación basados en facilitación neuromuscular propioceptiva y el uso de herramientas sensoriomotoras que promueven la recuperación de la muñeca. Además, se han establecido otros abordajes como la imaginería motora, que genera un trabajo de identificación y organización del movimiento, mejorando el dolor y la función manual. Faltan seguimientos de mayor tiempo, estandarización de los instrumentos utilizados durante la intervención propioceptiva y aumentar la población observada para generar una recomendación de intervención temprana y estimaciones entre el costo y el beneficio. Conclusión: La rehabilitación propioceptiva ha demostrado beneficios en la recuperación del miembro inferior y la cadera o espalda. Para la rehabilitación de las lesiones traumáticas de muñeca, es un pendiente de la investigación. La información bien descrita y los diseños de buena calidad son necesarios para proponer rutinariamente esta estrategia en la clínica.

Prolonged Mechanical Ventilation Following Coronary Artery Bypass Graft in Santiago De Cali, Colombia.

Purpose: The purpose of this study was to describe factors associated with prolonged ventilatory support in subjects undergoing coronary artery bypass graft. Patients and Methods: This was an analytical retrospective case-control study. Cases were defined as subjects requiring prolonged mechanical ventilation (>48 hours) following isolated coronary artery bypass graft. Subjects older than 18 years who had undergone surgery were included, while subjects with missing clinical record data, subjects in coma or subjects with prior cardiac surgery were excluded. Variables were measured at the three time points surrounding surgery. Results: A total of 204 cases and 408 controls were included. The final logistic model showed an association between prolonged mechanical ventilation and the following presurgical variables: chronic obstructive pulmonary disease (OR 1.85; 95% CI: 1.06-3.23, p = 0.03) and chronic kidney disease (OR 1.90; 95% CI: -3.31; p = 0.02). The associated transurgical variable was the use of intra-aortic balloon pump (OR 3.63; 95% CI: 1.73-7.61, p = 0.00), and associated postsurgical variables were venous oxygen saturation <60% (OR 2.00; 95% CI: 1.18-3.40, p = 0.01), mediastinitis (OR 18.51; 95% CI: 4.06-84.40, p = 0.00), inotrope use (OR 2.82; 95% CI: 1.77-4.48, p = 0.00), pleural effusion requiring drainage (OR 3.57; 95% CI: 2.02-6.32, p = 0.00) and delirium (OR 3.45; 95% CI: 1.91-6.25, p = 0.00). Conclusion: This study identifies factors associated with prolonged mechanical ventilation in subjects subject to coronary artery bypass graft over the presurgical, transurgical and postsurgical periods, identifying a new factor, delirium, for this type of population.

Escalas de evaluación del desarrollo psicomotor en Hispanoamérica / Psychomotor development assessment scales in Latin America

Introducción: El desarrollo psicomotor comprende la apropiación de diferentes etapas del desarrollo que se logra acorde con la maduración del sistema nervioso y la influencia del entorno en el perfeccionamiento de las diferentes habilidades. Objetivo: Identificar las propiedades métricas de las escalas de evaluación validadas en Hispanoamérica para la medición de desarrollo psicomotor en niños hasta los 18 años de edad. Métodos: Revisión exploratoria a partir de un proceso de búsquedas en las bases de datos: PEDRO, Science Direct, LILACS, EBSCO y Google Scholar. La búsqueda se limitó a estudios publicados entre los años 2000 y 2019, no se plantearon otros límites. Se aplicaron filtros de forma independiente por título, abstract, texto completo y análisis crítico de la literatura. Se incluyeron 25 artículos cuyos resultados se analizan desde las correspondientes escalas que evalúan el desarrollo psicomotor. Análisis y síntesis de la información: Las escalas validadas en Hispanoamérica se presentan en dos subgrupos de edad: de 0 a 7 años, que en su mayoría miden aspectos del desarrollo psicomotor a partir de la exploración autónoma y el desarrollo de tareas acordes a la edad y subgrupo de 7 a 18 años, que hace énfasis en el perfeccionamiento de habilidades físicas. Las escalas presentan calificación dentro de límites positivos. Conclusiones: Se presentan escalas validadas que comprenden elementos del desarrollo psicomotor por periodos de vida, con énfasis en la evaluación de aspectos del desarrollo inicial y posteriormente en el perfeccionamiento de habilidades(AU)

Introduction: Psychomotor development includes the appropriation of different stages of development that is achieved according to the maturation of the nervous system and the influence of the environment in the improvement of different skills. Objective: To identify the metric properties of the evaluation scales validated in Latin America for the measurement of psychomotor development in children up to 18 years of age. Methods: Exploratory review based on a search process in the databases: PEDRO, Science Direct, LILACS, EBSCO and Google Scholar. The search was limited to studies published between 2000 and 2019, no other limits were raised. Filters were applied independently by title, abstract, full text and critical analysis of the literature. There were included 25 articles whose results are analyzed from the corresponding scales that evaluate psychomotor development. Analysis and synthesis of information: The scales validated in Latin America are presented in two age subgroups: from 0 to 7 years, which mostly measure aspects of psychomotor development from autonomous exploration and the development of tasks according to age; and the subgroup from 7 to 18 years, which emphasizes the improvement of physical skills. The scales are rated within positive limits. Conclusions: Validated scales are presented that include elements of psychomotor development by life periods, with emphasis on the evaluation of aspects of initial development and later on the improvement of skills(AU)

Effectiveness of Interventions Based on Pain Neuroscience Education on Pain and Psychosocial Variables for Osteoarthritis: A Systematic Review.

Osteoarthritis (OA) is the most common joint condition. It affects more than 300 million people worldwide, who suffer from pain and physical disability. OBJECTIVE: To determine the results of cognitive educational interventions for pain management and psychosocial variables in adults with OA. METHOD: A systematic review was conducted based on searches in MEDLINE, OVID, LILACS, Scopus, PEDro, OTseeker, The Cochrane Library, EBSCO, and Google Scholar. The search strategy included the main terms neuroscience education and osteoarthritis, without any re-strictions with regard to dates or study type (PROSPERO register CRD42021222763). RESULTS: We included four articles that implemented the intervention in 1-6 sessions, addressing concepts related to goal orientation and providing strategies for understanding pain. The results suggest that there is an improvement between the groups (PNE) when compared, but this cannot necessarily be attributed to pain neuroscience education (PNE), as small effect sizes for variables such as pain catastrophizing and kinesiophobia were observed. The response in the modulation of acute pain following the surgical procedure may produce a variation in the responses and this may be mediated by medications. CONCLUSION: The study revealed an improvement in favor of the groups managed with PNE, although more studies documenting the topic are warranted.

Relationship between Hemineglect and Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials / Relación entre heminegligencia y dolor: Una revisión sistemática y metanálisis de ensayos controlados aleatorizados

ABSTRACT Objective: To identify the relationship between hemineglect and pain. Methods: We conducted a systematic review with meta-analysis, examining the relationship between hemineglect and pain. The PRISMA criteria and the Covidence platform were used to select articles and extract data. Methodological quality was evaluated, a comparison was made using pain as an outcome measure, assessed with the visual analog scale (VAS). Results: Out of a total of 340 studies, 4 were selected, 2 of which made it possible to unify pain measured through VAS; the effects were summarized using standardized mean differences (SMD), yielding -0.65, with values of [-1.02, -0.29], with statistical significance. Conclusions: There is moderate evidence of the relationship between negligence and pain. Despite the fact that from the clinical care processes it is presented regularly, and even the little scientific information available, it was established that there are specific pathologies that carry negligence and pain.

RESUMEN Objetivo: Identificar la relación entre heminegligencia y dolor. Métodos: Realizamos una revisión sistemática con metanálisis que examina la relación entre heminegligencia y dolor. Se utilizaron los criterios PRISMA y la plataforma Covidence para seleccionar artículos y extraer datos. Se evaluó la calidad metodológica, se realizó una comparación utilizando el dolor como medida de resultado, evaluado con la escala visual analógica (EVA). Resultados: De un total de 340 estudios, se seleccionaron 4, de los cuales 2 permitieron unificar el dolor medido mediante EVA; los efectos se resumieron utilizando diferencias de medias estandarizadas (DME), obteniendo -0,65 con valores de [-1,02, -0,29] con significancia estadística. Conclusiones: Existe evidencia moderada de la relación entre negligencia y dolor. A pesar de que a partir de los procesos de atención clínica se presenta con regularidad y aún con la poca información científica disponible, se estableció que existen patologías específicas que conllevan negligencia y dolor.

Characterization of dance-based protocols used in rehabilitation - A systematic review.

OBJECTIVE: To describe the use of dance-based intervention protocols as a rehabilitation proposal. METHOD: Papers containing protocols used in adult patients and written in Spanish, English, and Portuguese were collected using the following keywords: Physical Therapy; Dance Therapy; Rehabilitation; and Clinical Trial Protocol. The PUBMED, MEDLINE, LILACS, BVS ScienceDirect, PEDro, OTseeker, The Cochrane Library (Cochrane Central Register of Controlled Trials), and Scopus databases were used for the collection of information to define the type of dance, the established protocol, pathologies, and the population involved. RESULTS: 70 studies met the eligibility criteria, all of which presented a dance protocol. This was used in the rehabilitation of pathologies covering the neuromuscular, musculoskeletal, and cardiovascular systems, as well as in a healthy population. Positive results were the main outcome measure. DISCUSSION: Dance is an innovative intervention strategy for patients with comorbidities or underlying pathologies as well as for those in good health. It offers, without limitations, a field of applicability through the use of a dancing style as a rehabilitation process, generating significant changes in the physical, mental, and social skills of the individual.

Modelo de gestión sostenible en la atención comunitaria del adulto mayor / Sustainable management model for community care of the elderly

Introducción: el envejecimiento es un proceso progresivo, heterogéneo, multisistémico, multidimensional; con tendencia al aumento a nivel global asociado a la longevidad y conversión de la pirámide poblacional, en efecto el municipio de Santiago de Cali propende por una cultura de envejecimiento contemplando acciones integrales orientadas a la promoción, protección y desarrollo de potencialidades de los adultos mayores. Objetivo: formular una propuesta de gestión en intervención integral sostenible en el tiempo, para la atención comunitaria del adulto mayor basado en la política de envejecimiento y vejez; articulado con los proyectos, planes y estrategias establecidos para el fomento de una longevidad activa y saludable. Métodos: se presenta un estudio de caso dónde se propone el diseño de un modelo de gestión integral basado en estrategias diagnosticas preliminares, desarrollo y promoción de elementos que contemplan la actividad física, deporte y recreación. Resultados: se efectúa un diagnóstico evidenciando la intervención y articulación de diferentes actores que convergen en la formulación e implementación de estrategias, a partir del análisis de acciones, basado en un modelo metodológico a corto, mediano y largo plazo; estableciendo a su vez planes y programas con procesos sostenibles en el tiempo, que proporcionen herramientas a las necesidades presentes en el contexto. Conclusiones: se deben generar modelos de gestión que estructuren procesos que optimicen el recurso territorial y continuidad de las acciones en pro del envejecimiento activo de la administración municipal(AU)

Introduction: aging is a progressive, heterogeneous, multisystemic, multidimensional process with a tendency toward a worldwide increase associated to longevity and inversion of the population pyramid. In the municipality of Santiago de Cali an aging culture is fostered which incorporates comprehensive actions aimed at the promotion, protection and development of the potential capacities of the elderly. Objective: develop a proposal for comprehensive intervention management sustainable in time for community care of the elderly based on the aging and old age policy and articulated with the projects, plans and strategies set up to promote active, healthy longevity. Methods: a case study is presented in which a design is proposed for a comprehensive management model based on preliminary diagnostic strategies and the development and promotion of elements such as physical activity, sports and recreation. Results: a diagnosis is conducted which makes evident the intervention and articulation of different actors converging on the formulation and implementation of strategies starting from the analysis of actions and based on a short-, medium- and long-term methodological model. Plans and programs are also set up which incorporate processes sustainable in time providing tools to address the current needs in this context. Conclusions: management models should be developed which structure processes optimizing the territorial resources and the continuity of actions implemented by the municipal(AU) administration to foster active aging.

Reaprendizaje motor orientado a tareas en pacientes con secuelas de enfermedad cerebro vascular: una revisión narrativa

Introducción: en personas con secuelas de enfermedad cerebro-vascular (ECV), la rehabilitación debe ser integral, con un enfoque funcional. En la actualidad, existe una técnica que lo posibilita desde un componente motriz, el reaprendizaje motor orientado a tareas (MRP). Como objetivo, se planteó establecer, a partir de la revisión de la literatura, los efectos de la técnica para miembros superiores, inferiores e independencia funcional en pacientes con secuelas de ECV. Métodos: se realizó una revisión narrativa a partir de consulta de bases de datos en línea (Pubmed, Elsevier, Lilacs, Scholar) y se incluyó literatura con información relevante acerca de fundamentación teórica. Resultados: el entrenamiento con esta técnica reporta efectos, en miembros inferiores, para mejoría de balance y marcha, y a nivel de miembros superiores, en funciones como alcances y agarres, lo que se traduce en una optimización de su independencia funcional. Conclusión: este programa puede ser una opción en la rehabilitación de la función motora en pacientes con estas secuelas.

Introduction: Rehabilitation must be comprehensive with a functional approach in people with sequels of Vascular Brain Disease VBD. There is a technique that allows this through a motor component named task-oriented motor relearning (TMR), it was established as objective to identify based on the literature review the effects of the technique for upper and lower limbs and functional independence in patients with sequels of VBD. Methods: A narrative review was carried out based on online databases (Pubmed, Elsevier, Lilacs, Scholar). Literature with relevant information about theoretical foundation was included. Results: The training with this technique reports effects on lower limbs to improve balance and gait, and for upper limbs in functions such as scopes and grips that results in an optimization of functional independence. Conclusion: This program may be an option for motor function rehabilitation in patients with these sequels.

Introdução. A reabilitação deve ser parte integrante de uma abordagem funcional em pessoas com sequelas de doença cerebrovascular DCV. Existe uma técnica que o faz possível a partir de um componente motriz chamado reaprendizagem motora orientada por tarefa (MRP). O objetivo foi estabelecer a partir da revisão da literatura os efeitos da técnica para membros superiores e inferiores e independência funcional em pacientes com sequelas de DCV. Métodos. Foi realizada uma revisão narrativa a partir da busca em bases de dados online (Pubmed, Elsevier, Lilacs, Scholar), incluindo literatura com informações relevantes sobre fundamentação teórica. Resultados. O treinamento com essa técnica relata efeitos nos membros inferiores para melhorar o equilíbrio e a marcha, no nível dos membros superiores em funções como escopos e manoplas que resultam em uma otimização da independência funcional. Conclusão. Este programa pode ser uma opção na reabilitação da função motora em pacientes com essas sequelas.

Reaprendizaje motor orientado a tareas en pacientes con secuelas de enfermedad cerebro vascular: una revisión narrativa / Task-oriented motor relearning in patients with sequelae of cerebrovascular disease: a narrative review / Reaprendizagem motora orientada para a tarefa em doentes com sequelas de doença cerebrovascular: uma revisão narrativa

Introducción: La rehabilitación debe ser integral con un enfoque funcional en personas con secuelas de Enfermedad Cerebro Vascular ECV existe una técnica que lo posibilita desde un componente motriz denominado reaprendizaje motor orientado a tareas (MRP), como objetivo se planteó establecer a partir de la revisión de la literatura los efectos de la técnica para miembros superiores, inferiores e independencia funcional en pacientes con secuelas de ECV. Métodos: Se realizó una revisión narrativa a partir de consulta de bases de datos en línea, (Pubmed, Elsevier, Lilacs, Scholar) se incluyó literatura con información relevante acerca de fundamentación teórica. Resultados: El entrenamiento con esta técnica reporta efectos en miembros inferiores para mejoría de balance y marcha, a nivel de miembros superiores en funciones como alcances y agarres que se traduce en una optimización de su independencia funcional. Conclusión: Este programa puede ser una opción en la rehabilitación de la función motora en pacientes con estas secuelas.

Introduction: Rehabilitation should be comprehensive with a functional approach in people with sequelae of Cerebrovascular Disease CVD there is a technique that makes it possible from a motor component called task-oriented motor relearning (MRP), as an objective we set out to establish from the literature review the effects of the technique for upper limbs, lower limbs and functional independence in patients with sequelae of CVD. Methods: A narrative review was carried out by consulting online databases (Pubmed, Elsevier, Lilacs, Scholar) and literature with relevant information on theoretical basis was included. Results: Training with this technique reports effects on lower limbs for improved balance and gait, and on upper limbs in functions such as reaching and grasping, which translates into an optimization of their functional independence. Conclusion: This program can be an option in the rehabilitation of motor function in patients with these sequelae.

Introdução: A reabilitação deve ser abrangente com uma abordagem funcional em pessoas com sequelas de Doença Cerebro Vascular DCV existe uma técnica que possibilita isso a partir de um componente motor denominado reaprendizagem motora orientada para a tarefa (MRP), como objetivo nos propusemos a estabelecer a partir da revisão de literatura os efeitos da técnica para membros superiores, membros inferiores e independência funcional em pacientes com sequelas de DCV. Métodos: Foi efectuada uma revisão narrativa através da consulta de bases de dados online (Pubmed, Elsevier, Lilacs, Scholar), incluindo literatura com informação relevante sobre fundamentos teóricos. Resultados: O treino com esta técnica apresenta efeitos nos membros inferiores, na melhoria do equilíbrio e da marcha, e nos membros superiores, em funções como o alcance e a preensão, o que se traduz numa otimização da sua independência funcional. Conclusão: Este programa pode ser uma opção na reabilitação da função motora em doentes com estas sequelas.

Terapia de restricción del lado sano como opción de manejo de personas con secuelas de enfermedad cerebrovascular / Constraint induced movement therapy in people with stroke

La terapia de restricción del lado sano se considera una de las alternativas actuales en neurorehabilitación, en esta se realiza un bloqueo del lado no afectado, propiciando así el desarrollo de habilidades en el lado hemipléjico, a partir de la práctica de actividades sucesivas y tareas adaptadas. Objetivo: determinar los efectos a nivel de función de la mano espástica en adultos con hemiplejia a partir de un proceso de revisión de literatura contenida en diferentes bases de datos. Métodos: se realizó una búsqueda de literatura en diferentes bases de datos como Pubmed, PeDro, OtSeeker, Scient Direct, usando como término de búsqueda "stroke" and "constraint induced movement therapy; se recopiló la información que tratara acerca de la técnica y su aplicación en personas hemipléjicas adultas. Conclusiones: la literatura revisada muestra que la terapia de restricción del lado sano genera múltiples beneficios en cuanto a función del brazo y de mano específicamente, para la función motora de miembro superior (agarres, alcances) y por ende en independencia funcional. Se recomienda la aplicación de los protocolos más difundidos en población latinoamericana al igual que establecer costo efectividad y la adopción de esta estrategia en planes de intervención clínicos...(AU)

Constraint induced movement therapy is considered a current alternatives in neurorehabilitation, in this is a lock on the unaffected side, facilitating the development of skills in the hemiplegic side, from the practice of successive task and shaping. Objective: the effects at the level of hand function in adults with spastic hemiplegia from a process of review of the literature contained in different databases. Methods: we performed a literature search in different databases such as Pubmed, PeDro, OtSeeker, Scient Direct, using as a search term "stroke" and "constraint induced movement therapy; the information was collected which will deal about the technique and its application in patients hemiplegics adults. Conclusions: the reviewed literature shows that the therapy of restriction of the healthy side generates multiple benefits in terms of arm function and specifically, to the motor function of upper limb (grips, scope), and therefore in functional independence. It is recommended that the implementation of the most widespread protocols in Latin American population as well as to establish cost-effectiveness and the adoption of this strategy in clinical intervention plans...(AU)

ETAPAS DE CAMBIO Y ACTIVIDAD FÍSICA REGULAR EN UN GRUPO DE UNIVERSITARIOS. CALI, COLOMBIA / STAGES OF CHANGE AND PHYSICAL ACTIVITY IN A GROUP OF UNIVERSITY STUDENTS. CALI, COLOMBIA

Las etapas de cambio se pueden definir como los cambios de comportamiento de la conducta en las personas, la cual sigue una serie de pasos. El presente estudio buscó determinar las etapas de cambio con relación a la práctica de actividad física de un grupo de universitarios. Su enfoque fue cuantitativo, de tipo descriptivo y diseño transversal. La muestra de 193 estudiantes del programa de fisioterapia de una universidad privada de la ciudad de Cali, seleccionados por muestreo aleatorio simple, a través del software estadístico OpenEpi Versión 3.0.1. Se utilizó el cuestionario de etapas de cambio de actividad física en su forma corta. Se hizo análisis descriptivo y de correlación con algunas variables sociodemográficas mediante la prueba de Chi2. El 89,6% de los universitarios se encuentra en las tres primeras etapas de cambio, es decir, son sedentarios y un 10,31% se categorizó como físicamente activos. La variable relacionada con las etapas de cambio fue el sexo con un valor p<0.05: la mayoría de la población participante en el estudio es joven y está en riesgo de catalogarse como inactivos físicos. Se encuentra potencial en este grupo para promover hábitos saludables a través de la práctica de actividad física.

The stages of change can be defined as changes in the behavior of the conduct of the people, which follows a series of steps. The present study sought to determine the stages of change with regard to the practice of physical activity of a group of college students. Its approach was quantitative, descriptive and cross-sectional design. The sample of 193 students of the physiotherapy program from a private university in the city of Cali, selected by simple random sampling, through the OpenEpi statistical software version 3.0.1. A questionnaire of stages of change of physical activity in its short form was used. Analysis was descriptive and correlation with some sociodemographic variables using the Chi-square test. 89.6% of the university students is in the first three stages of change, i.e. are sedentary and a 10.31% was categorized as physically active. The variable associated with the stages of change was the sex with a value p<0.05. The majority of the participants in the study population is young and is at risk of classified as inactive physical. There is potential in this group to promote healthy habits through the practice of physical activity.