Recent Submissions

  • Relación entre el tiempo de uso de smartphone y los rangos de movimiento cervical en estudiantes de una universidad particular de lima metropolitana

    Moscoso Porras, Miguel Giancarlo; Copara Moreno, Peter; Quincho Vela, Fernando André; Cruz Castillo, Adolfo Adán (Universidad Peruana de Ciencias Aplicadas (UPC), 2019-01-08)
    Objetivo: Determinar la asociación entre el tiempo de uso de Smartphone y los rangos de movimiento cervical. Metodología: Estudio transversal analítico en estudiantes universitarios de ambos sexos de una universidad de Lima Metropolitana durante el año 2017. Se excluyeron a personas que reportaron tener disfunciones cervicales o usar collarín. Se utilizó un cuestionario con preguntas sobre datos demográficos, posesión de Smartphone, tiempo de uso total y por actividades. Se midieron rangos de los 6 movimientos del cuello (flexión, extensión, inclinaciones y rotaciones a ambos lados) mediante el uso de un goniómetro universal. Resultados: Se analizaron a 233 encuestados (72,1% mujeres) con una mediana de uso de Smartphone de 332 minutos al día. Los promedios para los rangos de movimiento de cuello fueron: Flexión 48,6°±11,0; extensión 45,3°±11,5; rotación derecha 67,6°±11,1 e izquierda 68,6°±9,5; y lateralización derecha 29,1°±8,3 e izquierda 26,5°±8,4. En el análisis de regresión no se encontró asociación entre el tiempo total de uso de Smartphone y rangos de movimiento de cuello (p>0,05). Se encontró asociación entre el tiempo de uso del Smartphone para aplicaciones de chat y el movimiento de flexión (β=-0,010; p=0,035) y el movimiento de lateralización derecha (β=-0,008; p=0,020); y el movimiento de rotación derecha y juegos (β=-0,041; p=0,026). Conclusiones: No hubo asociación entre el tiempo total de uso de Smartphone y los rangos de movimiento cervical. El movimiento de flexión con las actividades de chat (p=0,035), rotación derecha con juegos (p=0,026) y lateralización izquierda con aplicaciones de chat (p=0,020) si demostraron asociación.
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  • Estudio piloto: efectos de un programa de propiocepción para aumentar el balance dinámico en deportistas universitarios

    Kosakowski, Heidi; Becerra Bravo, Giancarlo; Zamora Gonzales, Enrique Abelino; Palza Linares, Rodrigo Jesús (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-12-06)
    El balance dinámico es una habilidad con relevancia en el deporte, ya que permite una mejor evolución del performance deportivo y evita el riesgo de lesiones. Asimismo, la propiocepción tiene un rol importante para el desarrollo del balance dinámico. Diseño de estudio: Se realizó un pre-experimental para evaluar el efecto de un programa de propiocepción sobre el balance dinámico en deportistas universitarios de futsal y básquet (damas y varones) que tengan entre 18 a 25 años de edad y pertenezcan a la Universidad Peruana de Ciencias Aplicadas. Para evaluar el balance dinámico se usó la herramienta Star Excursion Balance Test (SEBT) y un programa de propioceptivo que se llevó a cabo en un periodo de 2 semanas, 3 veces por semana con una duración de 15 a 25 minutos por sesión. Resultados : Se encontró significancia (p=0.034) entre el programa de propiocepción y el balance dinámico. Sin embargo, los participantes que asistieron menos de 3 sesiones de la intervención y los que entrenaban más de 10 horas semanales no se halló significancia. Conclusión : El programa de propiocepción tuvo un incremento en el balance dinámico en un 4.4%.
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  • Dolor musculoesquelético y capacidad en el trabajo en personal administrativo de una universidad privada en Lima-Perú

    Bravo Cucci, Sergio; Fiestas Saldarriaga, Fabián; Geri Romero, Alejandra; Melgarejo Ghiggo, Jeannette (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-12-12)
    Objetivo: Evaluar la asociación entre la intensidad del dolor musculoesquelético a nivel cervical y lumbar con la capacidad para el trabajo en personal administrativo de oficina en una universidad de Lima, Perú. Materiales y Métodos: Se realizó un estudio observacional transversal analítico en 391 personas. Se recolectaron los datos a partir de un cuestionario propio y la versión larga de WAI en español, la cual fue dicotomizada en pobre- moderado: 7-36 y bueno- muy bueno: 37-49. Las variables categóricas se expresaron como proporción y las variables numéricas como medias. Se utilizó chi cuadrado para medir la asociación entre variables categóricas y suma de rangos de Wilcoxon para medir asociación entre variables numéricas. Se realizó regresión logística para valorar la asociación independiente de dolor musculoesquelético en cervical y lumbar y la capacidad en el trabajo en el último año. Se realizó un modelo ajustado a la edad, sexo y práctica deportiva. Resultados: El odd ratio (OR), intervalos de confianza al 95% y los valores de p de la asociación cruda y ajustada entre las variables de interés. Dicotomizada la variable EVA (de 0-3 y 4-10) el dolor lumbar OR de 4.45 (p ≤ 0.001) y OR ajustado a 4.15 (p ≤0.001). Para el dolor cervical a nivel crudo se obtuvo OR de 2.28 (p=0.015) y ajustado 2.15 (p= 0.025), respecto a los que no tuvieron dolor. Conclusiones: Se encontró asociación entre la intensidad dolor lumbar y cervical (EVA mayor a 3) con tener una capacidad laboral (pobre moderada).
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  • Prevalencia de trastornos musculoesqueléticos y factores asociados en fisioterapeutas y masajistas que aplican técnicas de masajes en Lima Metropolitana, 2017

    Maguiña Quispe, Jorge Luis; Gutierrez Rojas, Arturo Kalef; Cordero Zevillanos, Vilma Gabriela; Vilca Ninahuaman, Adriana Milagros (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-12-12)
    Objetivo: Estimar la prevalencia de trastornos musculoesqueléticos (TME) y sus factores asociados en fisioterapeutas manuales y masajistas que aplican la técnica de masaje. Método: Nosotros ejecutamos un estudio observacional transversal analítico en 173 sujetos (82 fisioterapeutas y 91 masajistas) que aplican la técnica de masaje sobre camilla en Lima metropolitana. Se utilizaron 4 instrumentos, el cuestionario de recolección de datos (CRD) el cual incluía el Cuestionario Internacional de actividad Física (IPAQ), el Cuestionario Específico Musculoesquelético Nórdico de Kuorinka (CEMNK) y el Cuestionario sobre Productividad Laboral y Deterioro de las Actividades por Dolor (WPAI: PAIN questionnaire). Para los análisis, se utilizaron las pruebas estadísticas de T de Student, U-Mann-Whitney y un modelo lineal generalizado con función de enlace log y familia poisson y varianzas robustas para el cálculo de Razones de Prevalencias (RP) crudas y ajustadas estratificado por profesión. Resultados: La muestra final incluyó 82 fisioterapeutas y 91 masajistas, la prevalencia total de TME fue (143/173) 82.7% [IC 95%; 76.2 – 87.6], el cual varió entre fisioterapeutas (70/82) 85.4% [IC 95%; 75.7 – 91.6] y masajistas (73/91) 80.2% [IC 95%; 70.6 – 87.3]. El mayor porcentaje de dolor o molestia se presentó en la región cervical (fisioterapeutas: 62.2% - masajistas: 53%) y lumbar (fisioterapeutas: 46% - masajistas 32%). Con relación a la productividad laboral los fisioterapeutas se ven más afectados que los masajistas (71.43% versus 65.75%) al igual que las actividades de vida diaria (AVD). En el análisis ajustado no se encontró resultados estadísticamente significativos. Conclusiones: Los fisioterapeutas presentan mayor prevalencia de TME, alto porcentaje de dolor en las zonas afectadas y una importante afección en la productividad laboral en comparación con los masajistas.
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  • Validación concurrente y de criterio del Test TEPSI en niños de 2 a 5 años

    Bravo Cucci, Sergio David; Becerra Bravo, Giancarlo; Ishisaka Yreijo, Nicole Juun; De la Cruz Corzo, Jaill (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-12-12)
    Objetivo: Establecer la validez del Test TEPSI con el Test de Denver II para la evaluación del desarrollo psicomotor en niños de 2 a 5 años. Materiales y métodos: Se realizó un estudio observacional de tipo transversal analítico en Lima, Perú. La población estuvo conformada por 124 niños de la I.E.E N° 6075 José María Arguedas, distrito de Chorrillos. Procedimientos: Se evaluó el desarrollo psicomotor de cada participante con ambos test, iniciando con el Test de Denver II, el cual se eligió como el estándar de oro y culminando con el Test TEPSI. Resultados: En un 20,16% de los niños evaluados con el Test TEPSI, y en 69,35% de evaluados con el Test Denver II, se observó sospecha de retraso en el desarrollo psicomotor. La validez del Test TEPSI con el Test Denver II en niños de 2 a 5 años en el test global fue baja, debido a su baja sensibilidad de 29,10% y valor predictivo negativo de 38,40%. Sin embargo, algunos de estos valores mejoraron al realizarse el análisis por áreas de los test. Conclusiones: Se concluyó que el Test TEPSI y Denver II son instrumentos confiables para evaluar el desarrollo psicomotor en niños de 2 a 5 años. Sin embargo, aunque se encontró una alta correlación entre ambos, el Test TEPSI en comparación con el Test Denver II, no puede identificar los casos o sospechas de retraso en el desarrollo por su baja sensibilidad y valor predictivo negativo.
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  • Ruralidad y uso de servicios informales de salud en personas con discapacidad de Perú: Análisis de una encuesta nacional

    Moscoso Porras, Miguel; Retto Tafur, Katerine Estefanny (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-12-10)
    Objetivo: Determinar la relación entre el uso de servicios informales de salud en personas con discapacidad del Perú y su relación con residir en una zona rural. Metodología: Se realizó un estudio transversal analítico de la Encuesta Nacional Especializada de Discapacidad (ENEDIS), que se ejecutó durante mayo del 2012 a marzo del 2013. En ENEDIS se reclutó a personas en Perú que reportaron algún tipo de discapacidad. Los datos fueron extraídos del Instituto Nacional de Estadística (INEI) y una serie de preguntas de la ENEDIS con relación al uso los servicios informales de salud y posibles determinantes. Se analizó el uso de los servicios informales de salud en zonas rurales con el software Stata 13.0 (StataCorp, TX, US) las variables categóricas fueron presentadas como frecuencias y porcentajes. Por último, se realizó el análisis de regresión de Poisson simple y múltiple para el cálculo de las razones de prevalencia (RP), intervalos de confianza de 95% y valores p. Resultados: Se incluyeron en el análisis a 20 601 personas con discapacidad en Perú, se halló que la probabilidad de buscar servicios informales de salud es 38% menor en personas que viven en zonas rurales (RP=0.62, p<0.001), cuando la enfermedad que presentan, las personas con discapacidad, no está relacionada a su discapacidad. Conclusiones: Se encontró que las personas con discapacidad que viven en zonas rurales usan menos servicios informales de salud en comparación a las personas que residen en zonas urbanas, cuando la enfermedad que presentan no está relacionada a su discapacidad. Objective: to determine then relationship between the use of informal health services in persons with disabilities in Peru and their relationship with residing in a rural area. Methods: An analytical study of the national survey about disability (ENEDIS), it was carried out in May 2012 to March 2013. In ENEDIS were recruited, people in Peru who reported some type of disability. The data were extracted from the national institute of statistic (INEI) and a set of specific questions from ENEDIS regarding the use of informal health services and possible determinants. The use of informal health services in rural areas was analyzed with the Stata 13.0 software (StataCorp, TX, USA). The categorical variables were presented as frequencies and percentages. finally, a simple and multiple Poisson regression analysis was performed to calculate the prevalence ratios (RP), 95% confidence intervals and values. Result: the possibilities of using informal service is 37% lower in people living in rural areas (p <0.001), when the disease they present is related to disability. Conclusions: People with disabilities living in rural areas use fewer informal health services compared to people who live in urban areas, when the disease they present is not related to their disability.
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  • Asociación entre la funcionalidad de rodilla y la práctica recreativa de patinaje en línea en personas adultas de Lima, Perú

    Moscoso Porras, Miguel Giancarlo; Gonzales Lozano, Ricardo Iván; Zagaceta Bartra, Carmen Mariana; Ramírez Plasencia, Aldair Alfonso (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-02-06)
    Objective: Assess the association between leisure inline skating practice and knee joint functionality in adults in Lima, Peru. Methods: This analytical cross-sectional study took place in Lima, Peru. The population involved 120 adults of both sexes who practiced leisure activities such as running, roller skating and cycling. The knee functionality has been evaluated by IKDC (International Knee Documentation Committee). In addition, the lower limb alignment was analyzed with PAS program (Postural Assessment software). Information like age, sex and activities features were analyze through surveys. For the analysis, it was used the T Test of Student for a mean difference and a Multiple Linear Regression Analysis for the confusing variable control. Results: There were 120 survey respondents between 36,1 years old. The 40,3% of the population did skating and the rest of population did other activities (running or cycling). After comparing the knee alignment level, the roller skaters had an average of 4,75 points less than the non-roller skaters (IC95%: -9,12 a -0,39). This difference was significant even after adapt the effects of age, sexes, lateral dominance and knee alignment. Conclusion: The roller skaters present a less knee functionality than the non-roller skaters. This could show some movements or posture adopted by roller skaters a damage for their knees.
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  • Asociación entre sobrecarga postural y dolor en la zona lumbar en choferes de una empresa de transporte público

    Alvarado Cutipa-Flores, German F.; Antay Bedregal, David Rolando; Camargo Revello, Julia Evelyn (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-02-01)
    Aim: To determine the association between postural overload and low back pain in combis’ (van) drivers of a public transport company. Materials and Methods: A cross-sectional study among 208 “combi” drivers was conducted. Nordic Kuorinka Questionnaire, Bus Drivers Job Demands Scale, Rapid Upper Limb Assessment Scale (RULA) were administered. Poisson regression with robust variance and crude and adjusted Prevalence Ratios (PR) with 95% CI were compute. Results: The prevalence of low back pain was 79.33% and postural overload was associated with low back pain according to RULA, level 3 (PR 1.44 [95% CI 1.05-1.99]) and level 4 (PR 1.72 [IC 95% 1.27-2.32]) with respect to drivers with level 2, after adjustment for body mass index (BMI), age, years of work as a driver and daily hours of work. Conclusion: Drivers who had postural overload had more probability to present low back pain
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  • Comparación de las capacidades funcionales entre pacientes que reciben hemodiálisis y diálisis peritoneal en el Hospital Nacional Edgardo Rebagliati Martins Lima- Perú

    Moscoso Porras, Miguel; Becerra Bravo, Giancarlo; Yurivilca Espinoza, Melissa; Garcia Bonilla, Miluska Estefani; Villavicencio Carranza, Mirko (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-12-13)
    Objective: To assess differences in the functional capacity score in patients receiving hemodialysis and peritoneal dialysis. Material and methods: A cross-sectional study was conducted out in Lima, Peru. Participants were patients receiving hemodialysis and peritoneal dialysis from the Nephrology Department of Hospital Nacional Edgardo Rebagliati Martins y sus redes asistenciales. The Functional capacity score was measured through a six-question survey and the application of the Short Physical Performance Battery (SPPB). Differences were identified through mean ration using a Poisson regression analysis. Results: A total of 144 patients, with a mean age of 54 years, were included in this study. Patients undergoing peritoneal dialysis had higher score that those receiving hemodialysis (mean ratio = 1.20, p <0.05). This difference remain significant even after adjusting for age, gender, work activity and comorbidities (mean ratio = 1.25, p <0.05). Conclusions: Patients receiving peritoneal dialysis present better functional capacity when compared to patients receiving hemodialysis.
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  • Factores Asociados y Alteraciones del Neurodesarrollo más frecuentes en el Recién Nacido Prematuro, registrados en el servicio de Terapia Física de un hospital público de Perú entre enero del 2015 a diciembre del 2016

    Becerra Bravo, Giancarlo; Bravo Cucci, Sergio; Ingar Romero, Renzo (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-09-26)
    Objective: To identify the associated factors and to describe the most frequent neurodevelopmental alterations in a population of premature babies in Lima. Methodology: Cross-sectional analytical study realized at the San Bartolome Hospital from January 2015 to December 2016; the data were extracted from the Clinical Histories of the Archives Service, the evaluations were done by the professionals in charge, according to the clinical practice guide. These data were age and perinatal history of the mother, gestational age, weight, APGAR score and gender of the newborn. The test we used were T Student, Chi-square, Fisher's Exact Test and the sum of wilcoxon ranges; for the Ratio of Prevalence Crude and Adjusted were based on the Generalized Linear Model of Poisson with Robust Variances. Results: 480 clinical histories were included; the gestational age was 33.97±2.43 weeks with a weight of 1.860±0.480grams. There was no statistically significant association with the diagnoses in Physical Therapy p=0.054; however, not all preterm babies were diagnosed. Conclusions: Maternal age influences on the age of birth p=0.030 and some perinatal antecedents of the mother such as previous abortion p=0.026 and pre-eclampsia p≤0.001 as associated factors for premature birth.
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  • Asociación entre el trastorno del desarrollo de la coordinación y el trastorno de déficit de atención e hiperactividad en niños entre 6 a 12 años en Lima, Perú.

    Moscoso Porras, Miguel Giancarlo; Sánchez Bardales, Isabel (Universidad Peruana de Ciencias Aplicadas (UPC), 2018-01-15)
    Introduction: Children diagnosed with attention deficit and hyperactivity disorder (ADHD) commonly present developmental coordination disorders (DCD). However, current evidence is still unclear about the relationship between having ADHD and presence of DCD. Objective: To determine the association between DCD in children and ADHD. Materials and methods: A matched retrospective cohort study was conducted in Lima, Perú. Participants were children between the ages 6 and 12 years old. The sample included 160 participants, from which 32 were previously diagnosed with ADHD. A 1:4 matching was made recruiting healthy children closely related to the one that had ADHD, such as family or friends of same age and sex. The DCDQ’07 questionnaire was used to identify DCD and the SNAP-IV behavior scale to rule out ADHD in the healthy group. Mixed regression models were used to account for matching and to control confusion. Results: Data from the 160 participants were analyzed. DCDQ’07 scores in Children with ADHD were 10.3 points lower than the children without ADHD (CI 95%: -15,3 – -5,4, p<0,001). Within DCDQ’07 specific areas, children with ADHD scored in average 4.4 points less in general coordination (IC 95%: -6.1 – -2.8, p<0.001), 3.3 points less in fine motor skill (CI 95%: -4.9, – -1.7 p<0.001) and 2.6 points less in control during movement (CI 95%: -4.6 – -0.6, p<0.001) in comparison to those without ADHD. These differences remain significant in the model after adjusting for preterm birth, low birth weight and chronological age. Through the conditional logistic regression analysis, in adjusted and unadjusted models, children had 6 times the probability of developing DCD when compared to those without ADHD (CI 95%: 2,6 – 15,5, p<0,001). Conclusions: We found that the average score for DCD in the children diagnosed with ADHD was lower than the ones without ADHD. This suggest that these children have a greater difficulty with general coordination and fine motor skills which may affect the development of their everyday activities.
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  • Prevalencia y factores asociados a la lumbalgia y discapacidad por dolor lumbar en vigilantes de Miraflores, Lima 2016

    Becerra Bravo, Giancarlo; Pereyra Elías, Reneé; Lazarte Argandoña, Graciela Alejandra; Eslava Parra, Danai Barbara (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-07-14)
    Objective: Evaluate the prevalence of low back pain, the disability caused by this and the associated factor in watchmen in a district of Lima. Methods: It has been made a cross-sectional study of watchmen in Miraflores, Lima. The sampling was performed by clusters. The low back pain was measured by the Nordic questionnaire for low back pain and lumbar disability was measured with the Oswestry questionnaire. Additionally, the physical activity was measured by the short version of the International Questionnaire of Physical Activity (IPAQ-SF) and sociodemographic data. The prevalence of low back pain was calculated and the crude and adjusted prevalence ratios were calculated with their 95% confidence intervals using Poisson regression with robust variance. Results. The study includes 335 people. 98% were men, the median age was 42 (IQR:21). The 55.8% had a minimum level of physical activity. The prevalence of low back pain was 65.3% and the disability was 26.6%. the seated time was found [RPa: 2,21; IC95%=1,45-3,38] and age [RPa: 1,58; IC95%= 1,01-2,47] as factors associated with disability. Conclusion: Two out of three watchmen had low back pain and one in four had disability for low back pain.
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  • Prevalencia de síntomas musculoesqueléticos en choferes de empresa de transporte privados

    Becerra Bravo, Giancarlo; Mayta-Tristan, Percy; Quelopana Díaz, Jazmine Andrea; Zambrano Sánchez, Carmen Givelly (Universidad Peruana de Ciencias Aplicadas (UPC), 2016-10-05)
    Objectives: To determine the frequency and factors associated with the presence of musculoskeletal symptoms (EMS) in drivers of a private transport company of Lima, Peru. Methods: Cross-sectional study was conducted on 170 male drivers had measured the frequency of EMS during the past seven days in the neck, shoulder, upper back, elbow, wrist, lumbar, hip, knee and feet with the Nordic questionnaire. It was evaluated the association with demographic factors and labor using prevalence ratios adjusted (RPa). Results: The average age was 39,73; the average hours of work was 9,56 and the average number of years of work was 4.70. The 77.7% of the population presented discomfort in any area of the body in the last year, 60.6% presented discomfort in any area of the body in the last week, the most frequent were the lumbar area (28.2%) and cervical (22.9%). The people who work as driver four or more years are more likely to have some SME (RPa: 1.54; CI95: 1,17-2,02) or low back pain (RPa: 1.73; IC95%: 1,01-2,97) in the last seven days. Conclusions: There is a high frequency of EMS in drivers of the company concerned, it will be necessary to develop strategies for the reduction and ergonomic risk prevention in the workplace and avoid the development of disabling symptoms.
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  • Prevalencia y factores asociados a la inestabilidad de tobillo en estudiantes de danza contemporánea

    Moscoso Porras, Miguel Giancarlo; Becerra Bravo, Giancarlo; Jara Trujillo, Rollindeivis; Sotelo Almanza, Nelly Anthuanet; Valencia Lupa, Ana Luz; Soto Maldonado, Rosa Stefany (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-07-05)
    Objectives: To determine the prevalence and explore factors associated with ankle instability in contemporary dance students from Peru. Materials and methodology: A cross-sectional analytical study was conducted in four higher institutions of superior artistic training in contemporary dance. Dancers were recruited through a census. A self-report questionnaire of personal and medical records was applied. To assess ankle instability, we used the Identification of Functional Ankle Instability (IdFAI) questionnaire. We calculated 95% confidence intervals (95%CI) to estimate the prevalence of instability, associated factors were analyzed with prevalence ratios (PR) using Poisson regression models. Outcome: 125 participants, mean age 22,1 years, completed all the assessments. Among the, 90, 4% were women. 47,2% (95%CI= 38,2-56,3) had at least one unstable ankle. We found an association between previous injuries in the lower limbs and the presence of instability in the left ankle (PR=1,78; 95% CI=1,09-2,93). Conclusion: 47,2% of contemporary dancers had at least an unstable ankle. Furthermore, having a previous injury in the lower limb was associated with instability in the left ankle.
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  • Valoración funcional y etapificación de la dismovilidad en adultos mayores al ingreso hospitalario a una Clínica Geriátrica especializada del Seguro Social en ESSALUD en Lima, Perú, 2013

    Becerra Bravo, Giancarlo; Retamal, Milagros; Segura, Eddy R.; Navarrete Vilca, Talia Brigitte (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-06-28)
    Background: Hospital admission in the elderly has an impact on functional capacity and quality of life. This study aimed to identify the association between the degree of functional dependence and degree of dysmobility in the elderly adult patient. Methods: We reviewed 180 medical charts of subjects admitted within the november-december 2013 period. Functionality was assessed with the Katz and Barthel Indexes while the degree of dysmobility was assessed with the etapification of the dysmobility scale. We analyzed the dichotomized dysfunction as the outcome variable in a GLM Log-Poisson regression to calculate crude and adjusted Prevalence Ratios (PR). Results: 50,6% were women and the mean age was 79,5 years with an standard deviation of 8,3. A total of 46,7% were categorized as Katz G (completely dependent), while 3,9% had an 1A or 1B dysmobility staging (biped). Subjects with Katz C/D/E stages had an aPR: 23,9 [95%CI: 3,1-185,6] to exhibit 1/2 (biped) dysmobility stage, while subjects with Katz A/B had an aPR: 100,0 [95%CI: 14,9-670,5], in both cases compared to subjects with Katz F/G stages. Conclusion: There is an association between functionality and dysmobility among elderly hospitalized patients at admission. We recommend all health professionals take into account this relationship during the comprehensive physiotherapeutic evaluation of the elderly patient in order to better individualize their assessment and treatment.
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  • Falta de adherencia en la terapia física en pacientes con dolor y transtornos músculo esqueléticos: incidencia y factores de riesgo

    Mayta-Tristan, Percy; Coello Talavera, Diana; Rojas Motta, Noelia Fernanda (Universidad Peruana de Ciencias Aplicadas (UPC), 2015-07-01)
    Objective. To determine the incidence and risk factors to the non-adherence to physiotherapy treatment in patients with pain and musculoskeletal disorders attending a Teaching Clinic in Lima, Peru. Material and Methods. Retrospective cohort study, it included all new patients seen by pain and skeletal muscle disorders in period 2012-2014. Non adherence was measure (less than 8 sessions attended) and demographic factors. We calculated crude and adjusted relative risk (aRR). Results. We included 549 patients,: 68,3% women, 37,2% had 60 or more years , the most frequent injuries were located on the legs (34,2%) and lumbar (24,6%). We found an incidence of non-adherence of 56,4% (95% CI: 52,2 to 60,7%) and was associated to reside away from the clinic (aRR:1,34; 95%CI: 1,16 to 1,57) and less than 40 years (aRR: 1,27; 95%CI:1,04 to 1,54). Conclusion. There is a high incidence of non-adherence to physiotherapy related to distance and age of patients, so it must find strategies to increase adherence.
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  • Asociación entre el ángulo de inclinación patelar y la presencia de dolor anterior de rodilla en deportistas universitarios

    Correa Morán, Pedro Martín; Mayta-Tristan, Percy; Díaz Santiago, Maythen Soledad; Mesías Bermejo, Schirley Marlene; Rospigliosi Morales, María Edit (Universidad Peruana de Ciencias Aplicadas (UPC), 2016-02-11)
    Introduction: To determine the association between patellar tendon angle (AITP) and the presence of anterior knee pain (DAR) and the prevalence of DAR in college athletes. Materials and methods: Cross-sectional study of college athletes. The presence of DAR was detected using the Anterior Knee Pain Scale by Kujala and AITP was calculated by analyzing a photograph of both legs with Kinovea program ®. Each knee was considered as a sample. The prevalence ratio between the DAR and the AITP was calculated using Poisson regression robust Results: 143 subjects were evaluated, therefore, 286 knees, where 176 (61.5%) had anterior knee pain (DAR). The AITP was ranked in quartiles. To analyze was joined second and third quartile so was obtained a midquartile (9° and 14°). It was found that AITP fewer than 9° is 1.34 (95% CI, 1.09 - 1.65) more likely to have DAR, and AITP greater than 14° is 1.35 (95% CI; 1,09- 1.69) more likely. Conclusions: Athletes with AITP fewer than 9 ° or greater than 14 ° are more likely to have DAR. It is recommended that the professional considers the inclination patellar tendon angle in the evaluation
    Acceso abierto
  • Efectos de un programa de pausa activa más folletos informativos en la disminución de molestias musculoesqueléticas en trabajadores del área administrativa de una institución pública en Lima, Perú.

    Universidad Peruana de Ciencias Aplicadas (UPC) (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-02-22)
    Purpose: To demonstrate the effect of an active pause program plus informative leaflets in reducing the perception of musculoskeletal discomfort on administrative employees from a public entity of Lima, Peru. Materials and methodology: A quasi-experimental non randomised study on administrative employees from two branches of a public institution was conducted. The initial and final measurement included frequency and intensity of musculoskeletal discomfort using Nordic Musculoskeletal Questionnaire NMQ. The intervention after the initial measurement was for eight weeks. A total of 372 individuals were invited to participate, 135 individuals in the intervention group, who received an program active pause supervised and informative leaflets and 127 in the control group, who received only informative leaflets. The program consisted on breathing, stretching and muscle warm-up exercises. Furthermore, information leaflets were handed once a week. Outcome: Average participants’ age was 38 years old. The physical anatomy structures most affected were the neck and mid-back area. During the last seven days the intervention group suffered a decreased of 20% regarding prevalence of the musculoskeletal discomfort on the neck (p<0,001), and 17% on the low-back area (p<0,001). The controlled group showed a decrease on prevalence only in the mid-back area (p=0,029). In terms of discomfort severity, in the final measurement, the intervention group experienced a greater decrease in all areas included in the NMQ (p<0,05). Conclusion: Active pause program plus leaflets decreased musculoskeletal discomfort in office employees. Therefore, it can be implemented at other public or private entities with similar characteristics.
    Acceso restringido temporalmente
  • Dolor de hombro y factores asociados en personas con discapacidad física que usan silla de ruedas en un instituto de rehabilitación en Lima, Perú

    Universidad Peruana de Ciencias Aplicadas (UPC) (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-02-22)
    Aim: To determine the shoulder pain level and associated factors among wheelchair users. Material and Methods: A cross-sectional study was conducted among wheelchair users who attend a Rehabilitation Institute, at the Amputated and Spinal Cord Injury Departments. A census was conducted through a self-administered survey including the Wheelchair Users’ Shoulder Pain Index (WUSPI) questionnaire. For data analysis, multiple linear regression was used. Results: The population comprised 351 individuals, the mean age was 43.78 ± 14.17 years, 47.58% were female; 81.48 % had spinal cord injury. Shoulder pain prevalence was 100%. The adjusted model showed that “spinal cord injury” diagnosis, manual wheelchair; time spent in the wheelchair, where the chair was acquired and the number of transfers during the weekend—were statistically associated with the presence of shoulder pain (p<0.05). Conclusions: Shoulder pain is associated with medical diagnosis, type of wheelchair, hours spent in the wheelchair, where the patient acquired the chair and the number of transfers in the previous weekend. These findings may be useful to screen at-risk sub populations.
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  • Asociación entre Tenosinovitis de Quervain y horas de uso de “Smartphone” en alumnos de la facultad de Negocios de la Universidad Peruana de Ciencias Aplicadas

    Universidad Peruana de Ciencias Aplicadas (UPC) (Universidad Peruana de Ciencias Aplicadas (UPC), 2017-02-02)
    Objectives: To determine the association between De Quervain Tenosynovitis (QT) and the hours of Smartphone usage and to explore other potential associated factors. Material and methods: We performed a cross-sectional study in university students. QT was measured through Finkelstein’s test and hours of smartphone usage were determined through a survey. Participants were Smartphone users and students from the business faculty at a local university. Those who reported having an actual injury or in the last year in their hands (fractures, neurological injury, amputation) or reported using a Smartphone for less than a year were excluded. Bivariate associations were tested with Chi squared and Student’s t tests. We calculated the Prevalence Ratio (PR) through Poisson regression models to control for potential confounders. Results: Out of the 515 recruited participants, 68, 68% were women; the average age was 20±2.4 years. Regarding QT, 58, 95% of the population presented a positive sign in Finkelstein’s test. The total mean of hours of Smartphone usage was 7.2±3.4. After adjusting for age and gender, we did not find an association between QT and hours of Smartphone usage (PR: 0.99, IC95%: 0.96-1.01). Other factors tested like age, gender, dominant hand or having a job were also not associated to QT (all PRs>1, p>0.05). Conclusions: We did not found an association between QT and hours of Smartphone usage in university students. Additionally, other factors like age, gender, dominant hand or having a job were not associated to QT.
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