Terapia Física

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Accesibilidad al medio físico para personas con discapacidad física-motora en las unidades de salud de primer nivel del Ministerio de Salud Pública en el cantón Cuenca 2014
(Universidad de Cuenca, 2015-11-11) Carabajo Marcillo, Jhonathan David; Carangui Lojano, José David; Cobos Cobos, Diego Fernando; Auquilla Díaz, Nancy Eulalia
In the city of Cuenca, according to the 2010 census of the Ecuador´s Statistics and Census Institute (INEC), there were 505,585 inhabitants. According to the Ecuadorian Register of Disabilities National Council on Disabilities (CONADIS), up to May 2013 there were 17,012 people with disabilities, including 9,302 with physical-motor disability, representing a significant segment of the population who should have access to the public buildings of health services as part of good living. The overall objective of this research was to analyze the accessibility of people with physical-motor disability to the public buildings of health units of first level that belong to the Ministry of Public Health (MSP), Cuenca 2014. This research is observational, descriptive-quantitative. For the analysis of the obtained information through the application of accessibility check sheets, the SPSS Statistics v-18 program was used; and a database was created for further processing. The results were displayed in tables. The classification of level of accessibility in 14 public buildings of health in Cuenca city evidences that 27 corridors (51.92%) offer complete accessibility, 13 stairs (86.66%) and 15 ramps (68.18%) are of moderate accessibility. While accessibility in16 bathrooms (88.89%) and 73 doors (50%) is null
Actividad físico-recreativa para mejorar la calidad de vida del adulto mayor, del grupo de diabetes e hipertensión del Área de Salud No 2, Cuenca, 2010
(Universidad de Cuenca, 2011-11-11) Montesdeoca Pinos, Cristina Elizabeth; Dután Paguay, Julio César; Zhindón Galán, Martha Dalila
We realize a qualitative investigation participative action studio, to improve the elderly people quality of life through physical & recreate activities, in the period comprise into May to November 2010, with the old people who conform the Diabetes & Hypertension Health´s area # 2 groups, in this period we measure the quality of life grade through a questionnaire of “valuation quality of life”, that be done before and after intervention, in the health´s center # 2, successive we classification the grades obtain agreement variables: age, gender, civil state, instruction and present pathology, review the Clinical Histories of each elderly people, to obtain data: height, weight, arterial pressure, glucemia, cholesterol, triglycerides, beginning and end of intervention, and apply an physical and recreate scheme activities, specially sketched for old people, The information obtain, were recollected and documented for the investigation´s authors, after that this information were processed and analyzed by means of software, SPSS, Y EXEL 2007.coincide with Neef´s, and Sen´s theory, who expose the importance to create spaces to recreate and can to satisfy the human basics, material and no material necessities, moreover whole agree with studies in other countries, that show the physical, and recreate activities benefits, although separated. We obtain a positive answer in improvement of quality life of elderly people.
Actividad físico-recreativa para mejorar la calidad de vida del adulto mayor, del grupo de diabetes e hipertensión del Area de Salud no. 2, Cuenca, 2010
(Universidad de Cuenca, 2011-11-11) Montesdeoca Pinos, Cristina Elizabeth; Dután Paguay, Julio Cesar; Zhindón Galán, Martha Dalila
Alteración del equilibrio en adultos mayores institucionalizados en la Congregación de las Hermanitas de los Ancianos Desamparados “Hogar Cristo Rey”; septiembre 2023- febrero 2024
(Universidad de Cuenca, 2024-02-26) Vera Orellana, Jéssica Victoria; Peralta Landi, Paula Doménica; Zeas Puga, Ana Lucía
Background: Aging is a natural phenomenon characterized by morphological and physical changes in the elderly population. A significant change that impacts quality of life is the loss of balance, which increases the risk of falls, injuries, and disability, leading to greater dependence in this population. The Berg Balance Scale is commonly used to quantify this impairment. Objective: To determine the prevalence of balance impairment in institutionalized older adults at the “Hogar Cristo Rey” residence in Cuenca, through the application of the Berg Balance Scale during the period of September 2023 to February 2024. Methodology: Descriptive cross-sectional study, carried out in 60 institutionalized older adults in the "Hogar Cristo Rey". The Berg balance scale was used and the analysis used the SPSS V.29 system, using descriptive statistics and Kendall's tau C statistic to evaluate the relationship between the risk of falls and the variables collected. Results: the data show a similar proportion by sex, with a predominance of those aged 80 and over, and of overweight/obese subjects. Most of them have been in the company for five years or less. 55% have a moderate risk of falling, and 30% a high risk. The subjects with less time in the institution are those with the highest risk of falls.
Análisis de accesibilidad al medio físico para personas con discapacidad física-motora en circuitos del Distrito 01d02 del Ministerio de Salud Pública de la zona rural en el cantón Cuenca - 2015
(Universidad de Cuenca, 2015-11-11) Arpi Farez, Tania Eulalia; León Palacios, Ana Belén; Zhindón Galán, Martha Dalila
Background: According to the National Institute of Statistics and Census (INEC), Cuenca had 505 585 inhabitants in 2010; the National Register of Disability through september 2014 showed 18,490 people with disabilities in the canton Cuenca; 9,996 presenting physical-motor disabilities, still significant within the population, who as part of the good life should have access to health centers.(1) General objetive: Analyze accessibility to the physical environment for people with physical-motor disability in the district circuits 01D02, the Ministry of Public Health of the countryside No. 6 belonging to the canton Cuenca - 2015. Type of research: Observational, descriptive - quantitative. Study area: Health Centers in Zone 6, Azuay Province District 01D02 rural parishes are: Baños- Cumbe- Chaucha- Molleturo- Turi- Valle- Victoria del Portete- Tarqui- Quingeo- Santa Ana. Information analysis: Data collection will through evaluations that demonstrate accessibility, developed based on the INEN standards Accessibility for People with Disabilities and Reduced Mobility the Physical Environment. The data obtained will be analyzed and processed in SPSS v-20 program; and the results will be presented in tables and graphs. Results: They may be used for people with physical-motor disabilities, and in turn contribute to research and teaching
Ángulo Q en pacientes adultos mayores con gonartrosis del centro de salud “El Valle” en el periodo de septiembre de 2022 – febrero 2023
(Universidad de Cuenca, 2023-04-05) González Morocho, Kasandra Elizabeth; Matute Torres, Juan Pablo; Méndez Sacta, Viviana Catalina
Gonarthrosis is the common degenerative process worldwide, with higher prevalence in the female sex, affecting 40% of the population over 70 years of age. A relevant risk factor for its development is joint misalignment, causing a decrease or loss of functionality and worsening the quality of life. Given this background, it is important to determine the Q angle of older adults. Objective: Describe the Q angle presented by patients with gonarthrosis at the El Valle health center in the city of Cuenca. Methodology: Quantitative study of descriptive scope, cross-sectional type, applied to 22 older adults of the Health Center in the city of Cuenca. Data were collected through semiology data and Q-angle measurement by using imaging software (Kinovea version 0.9.5). The tabulation and analysis of the results was performed with SPSS statistics 21 and the graphs were made with Excel. Results: 22 people with a mean age of 71 years were evaluated, having a sample composed of 50% of people of the female and male sex equally; a total of 9 people present a normal alignment of the Q angle, 7 people a genu varum and 6 a genu valgus. The average right Q angle in patients with gonarthrosis is 14.08º and the average left Q angle is 13.25º. Conclusion: After the data collection and analysis, it was established that, there is no a significant difference in relation to the Q angle of elderly people with gonarthrosis in El Valle health center in the city of Cuenca.
Ángulo Q y huella plantar en el equipo de fútbol Carneras, Cuenca 2017
(Universidad de Cuenca, 2017-11-11) Bermeo Chimbo, Vanessa Soledad; Monje Ñauta, Lorena Alexandra; Cobos Cobos, Diego Fernando
Background In soccer an improper alignment of knees or alterations of foot put at risk of suffering injuries to the players because in the inferior member the effort becomes excessive. Therefore, to determine alterations, it is important to carry out an evaluation of the Q angle and footprint measurement. General objective To determine the prevalence of genu valgo, genu varo, flat foot and foot cavo in the female players of the "Carneras" UPS team, Cuenca 2017. Methodology This cross - sectional descriptive study was carried out in 60 players of the Carneras team, 2017. The Arch Index method described by Cavanagh and Rodgers1, was used to measure plantar footprint, and knee alignment was assessed by measuring the Q angle described by Brattstrom2. The database was processed in the PSPP program. Results are expressed using descriptive statistics. Results In reference to the Q angle, bilateral normal knee was present in 72.22% (n= 26), a bilateral variance of 22.22% (n= 8) and a bilateral valgus of 5.56% (n= 2). As for the plantar footprint, bilateral normal foot was present in 54.05% (n= 20), in bilateral flat foot, 37.84% (n= 14) and bilateral foot in 8.11% (n= 3). Conclusions The prevalence of knee and foot alterations found in the Carneras team has a negative effect on the players putting them at risk of injury throughout the lower limb kinetic chain; hence the importance of an early evaluation.
Aplicación de la escala de wood-downes modificada por ferrés en enfermedades respiratorias asociadas a parálisis cerebral infantil, en el área de pediatría en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Cuenca, febrero - julio 2018
(Universidad de Cuenca, 2018-11-11) Mejía Cherrez, Andrea Estefanía; Tenemaza Ortega, Cristina Soledad; Méndez Sacta, Viviana Catalina
Background: Infantile cerebral palsy (PCI) is the most frequent cause of motor disability, presenting 2 to 3 cases per thousand live births. The PCI is associated with respiratory diseases due to the alteration in the effector fraction of the respiratory, cardiovascular and musculoskeletal systems, increasing the morbidity rate (2) (4). General objective: Apply the Wood-Downes scale (modified by Ferrés) in respiratory diseases associated with infantile cerebral palsy, in the area of pediatrics in the hospitals José Carrasco Arteaga and Vicente Corral Moscoso. Cuenca, February - July 2018. Methodology: observational, descriptive cross-sectional and prospective research with 36 children under 15 years of age with respiratory diseases associated with PCI. Results: 39% of women and 61% of men are identified. Predominant age: under one year old (33%). The prenatal risk factor prevails with 44%. Spastic PCI is the most frequent (44%) and the degree of moderate respiratory disease registered a 56% incidence, with pneumonia being the predominant with 75%. Conclusion: There is no significant relationship between PCI and respiratory diseases. There is a predominance of moderate respiratory crisis in children with PCI
Aplicacion de un programa de actividad física para disminuir el impacto de los factores de riesdgo en pacientes que acuden al departamento de rehabilitación del servicio de tercera edad del I.E.S.S. Cuenca. 2006. Factores de riesgo: sobrepeso,sedentarismo, tabaquismo,alcoholismo e hipertensión arterial
(Universidad de Cuenca, 2006-11-11) Reyes Cevallos, Valeria; Jachero Cisneros, Miguel; Santillán Bastidas, Ángel Estuardo
Aplicación de un programa educativo en pacientes con osteoartrosis que acuden al departamento de rehabilitación del Hospital Vicente Corral Moscoso, Cuenca noviembre 2002-abril 2003
(Universidad de Cuenca, 2003-11-11) Timbe Ortiz, María Ángeles; Ortiz Carrera, Marcia Gioconda; Zhapán Peláez, Jaime Vicente
Asociación entre dolor y contracción isométrica de la zona neutra lumbar; Hospital Homero Castanier Crespo
(Universidad de Cuenca, 2017-11-11) Illescas Ramos, José Fernando; Orellana Moscoso, Ismael Fabricio.; Méndez Sacta, Viviana Catalina; Cobos Cobos, Diego Fernando
Low back pain is considered an important public health problem and is associated with high socioeconomic costs, work absenteeism and disability (1). The lumbar spine has vertebral stabilization systems during dynamic tasks (active and control systems); however, people with low back pain show changes in their morphology and motor control that affect their stability. OBJECTIVE: Describe the association between the amount of low back pain and the level of isometric activity of the muscles which keep the stability in the neutral zone through the central stability test of Sahrmann in the patients that receive treatment in the area of physical therapy of the hospital “Homero Castanier Crespo”. METHODS: A correlational and cross-sectional study was carried out with 30 people. The scales used were the Sahrmann Central Stability Test and the Visual Analog Scale (VAS). The results are presented using frequencies, percentages and the Spearman correlation test. RESULTS: Of the sample studied a 73.3% (n=22) of the patients presented stability levels of 0 and 1. The coefficient of correlation was 0.238 which would indicate a week correlation between these variables. Based on a significance level of 0.05. An error probability of 20.5% (ρ > 0.05) was obtained. CONCLUSION: The degree of pain and the level of isometric contraction seem to be unrelated, but it was observed that people with low back pain have low levels of stability associated with changes in motor control
Asociación entre el índice de discapacidad física y el dolor en pacientes con dolor lumbar crónico - departamento de fisiatría - Hospital José Carrasco Arteaga 2017 - 2018
(Universidad de Cuenca, 2018-11-11) Álvarez Célleri, Elizabeth Alexandra; Marín Duchi, Elizabeth Vanessa; Suárez Peñafiel, Pedro Fernando
Background: Low back pain constitutes the first cause of incapacity for work and third after respiratory diseases and injuries; Therefore it is important to know their main etiologies and assess the degree of disability that this causes. General objective: Association between the physical disability grade and pain level in patients with chronic low back pain who assist to the Physiatry Department of the Hospital José Carrasco Arteaga between December 2017 and January 2018. Methodology: The present study was of observational analytical type, the universe was all the patients who attended the physical rehabilitation area of the Hospital José Carrasco Arteaga between December 2017 and January 2018. The sample comprised a total of 150 patients based on the inclusion criteria. For the analysis, the SPSS 20.0 and Office Excel 2013 programs were used for further analysis of frequencies, percentages and the Chi2 test; Finally, the results were presented through simple and compound tables. Results: The analysis of the surveys showed that 50.7% of the patients were female, the majority with an age between 55 and 65 years, 21.3% of the respondents were retired and the most frequent diagnosis was lumbar disc herniation ; In addition, it was determined that the majority had a moderate degree of disability and an intensity of pain 7. When performing the Chi2 it was observed that there is a correlation between the level of pain and the degree of disability
Calidad de movimiento y riesgo de lesiones en jugadoras de fútbol amateur Carneras UPS cuenca 2020
(Universidad de Cuenca, 2021-01-20) Arévalo Gonzales, Cristina Monserrath; Solano Minchala, Daniela Estefanía; Déleg Quichimbo, Clara Leonor
BACKGROUND: Sports injuries can occur especially at the lower limb level with repercussions at a physical, psychological, social and economic level, being transcendental to establish prophylactic intervention measures to avoid or control said risk.GENERAL OBJECTIVE: To determine the risk of suffering sports injuries through the application of the Functional Movement Screen Test in Amateur Soccer players of the Carneras UPS.METHODOLOGY:A quantitative, observational, descriptive, prospective and transversal investigation was carried out in 32 players of the Amateur Soccer players that make up the Carneras UPS team, through the application of the Functional Movement Screen Test. The information was processed in the SPSS15.0 software and decisions were made with a significance of 0.05.USE OF RESULTS:The average age of the 32 players was 20 years (SD = 2.79) with an average BMI of 18.37 kg / m2 (SD = 7.81). When applying the Functional Movement Screen Test it was found that the most difficult test was the hurdle step with a value of 9% and the least difficult test was the stability of the leg in extension with a value of 41%.CONCLUSION:It was reported that 76.92% of the participants presented risk of suffering injuries and 28% presented acceptable motor condition. Furthermore, statistically significant relationship was not found between the results obtained fromthe Functional Movement Screen Test with the variables of age, BMI and frequency of training.
Capacidad estabilizadora del Transverso abdominal en deportistas de halterofilia de la Federación Deportiva del Azuay Octubre 2022-Marzo 2023
(Universidad de Cuenca, 2023-03-30) Rodriguez Brabo, Anthony Jesús; Vivar Jiménez, Kevin Ricardo; Mendez Sacta, Viviana Catalina
In weightlifting, the transversus abdominis is a very important musculature due to its participation in free load exercises, since it accomplishes a stabilizing function. This function is compromised when subjected to submaximal loads, which is why this population uses a weightlifting belt to counter it. The information on the evaluation of this musculature in this specific group is limited. The Sahrmann test proves to be a useful tool in the evaluation of TrA. To determine the stabilizing capacity of the Transversus abdominis through the Sahrmann Central Stability Test in weightlifting athletes from the FDA. Descriptive, cross-sectional study, carried out on FDA athletes. For data collection, a registration form was used and for evaluation the Sahrmann Central Stability Test together with the Chattanooga Stabilizer Pressure Biofeedback device. The tabulation and analysis of the data required the GNU PSPP v1.6.2 and Microsoft Excel 2016 programs. The information was stored in a database and the results were expressed in tables and graphs. It was found that 66.6% of the studied population presents a deficient stabilizing capacity since they do not reach levels greater than or equal to 3 in the Sahrmann Central Stability Test, in addition, it was evidenced that athletes use the belt more than 5 times a month and their sports practice time is greater than 18 months.
Causas y consecuencias de la violencia intrafamiliar en niños de segundo a séptimo año de básica, Unidad Educativa Comunitaria Rumiñahui. Quilloac 2014
(2014) Cusco Quito, María Elsa; Déleg Aucapiña, Melva Catalina; Saeteros Saeteros, Fátima Imelda; Parra Chacha, Silvia Marianela; Naulaguari Medina, Patricia Piedad
Researches reveal several stories of abuse committed with children, since ancient times. In Latin America and the Caribbean, at least 6 million of girls and adolescents are under aggretiones, and 80,000 die annually from the violence within the family. The objective set was: to determine the causes and consequences of domestic violence on children from second to seventh year of Rumiñahui Community Education Unit. The research was quantitative and descriptive: the sample were 92 children. A family fest was applied created by bachellor . Lois Corman, an instrument that allowed us to determine the presence or absence of domestic violence; and the form was validated validated by the National Institute for Women in Mexico 2006, to identify causes and consequences of abuse. The collection of data was done in May and June 2014 and tabulation was conducted in Excel - SPSS 15.0. The results indicate: the 100% of the study population suffer some form of abuse; the most common forms are: caretakers who stop talking for several hours, 27%; of caregivers; strong pull hair: 24%, neglect of personal hygiene of children, 18.5% and 6.5% children are handled, touched or fondled their private parts without permission, abuse is directly linked to a numerous members of family.
Comparación de los resultados del test de marcha de 6 minutos con dos ecuaciones predictivas en el grupo de acondicionamiento físico de la Universidad de Cuenca. Cuenca, 2016
(Universidad de Cuenca, 2017-11-11) Bernal Román, María Isabel; Córdova Chacho, Daniela; Méndez Sacta, Viviana Catalina; Bravo Aguilar, Christian Romeo
Background: The 6-Minute Walk Test (TM6M) assesses the individual's functional ability. The most commonly used equations for interpretation are those of Enright & Sherrill and Troosters, developed abroad. In Cuenca - Ecuador, there are no investigations in this regard. General Aim: To compare the results of the Six Minute Walk Test with two Predictive Equations in the Physical Conditioning Group of the University of Cuenca. Cuenca, 2016. Methodology: Descriptive and cross-sectional study. The study population consisted of 130 people aged 18 to 25 years old, evaluated according to the variable ages, weight, height, sex, body mass index (BMI) and meters walked. The results were organized, analyzed and interpreted using the SPSS Software version 2.2, in which measures of central tendency, dispersion, student t, ANOVA and Pearson correlation test were obtained. Results: The average distance walked was 655.4 meters. When comparing this data with Enright & Sherrill and Troosters, it is evident that the participants did not reach the optimal meters to walk. However, they surpassed what was estimated by the Enright & Sherrill Low Limit of Normality (LIN) value. When correlating the meters walked with the height and sex, a degree of significance of p <0.05 was evidenced, which did not occur with age, BMI and weight. Conclusion: The equations used in this project did not allow us to accurately predict the meters to be covered in our study population. However, the results can serve as a reference to compare the meters walked by people aged 18 to 25 years old, with cardiorespiratory pathologies
Complicaciones por encamamiento prolongado en los pacientes del Área de Clínica y Cirugía del Hospital Vicente Corral Moscoso Cuenca 2014
(Universidad de Cuenca, 2015-11-11) Cobos Dumas, María Valentina; Cruz Montaño, Estefanía Catalina; Paredes Muñoz, Lilia del Carmen; Zhapán Sisalima, Elizabeth Fernanda; Freire Argudo, Marco Vinicio
The objective of this observational, descriptive and prospective study is to describe the complications due to prolonged lying times in patients who were hospitalized in the clinic and surgery area in Vicente Corral Moscoso Hospital, during the period of September 2014 to January 2015, were included all the patients found in prolonged lying times (˃ 72 hours) independently of their based pathology. To determine which patients were found in prolonged lying times the Karnofsky and Eastern Cooperative Oncology Group (ECOG) scales were used to interpret the functional state of the patients according to the World Health Organization. The data collection of each patient was made daily (annex #2) with the objective of registering the complications shown due to prolonged lying times and mortality during the hospitalization period. Of 1,369 patients admitted during our study of the surgery and clinic area, 150 were kept in prolonged bed rest, of which 81 corresponding to 54% had at least one complication. The most common complication was pressure ulcers with a percentage of 46.7%, followed by 10.7% nosocomial pneumonia and deep vein thrombosis with 4%. 69% of patients with complications from prolonged bed rest were older than 70 years. The diseases of the circulatory system CIE10 I00-I99 were more related to the presence of complications with a percentage 37.04%. 42% of bedridden patients who died were hospitalized between 3-10 days. In the results obtained from the present study we observed a high percentage of complications in patients on prolonged bed rest. This could prolong hospital stay and increase patient mortality, as well as the morbidity rate.
Conocimientos, actitudes y práctica sobre mecánica corporal en los cuidadores de personas con discapacidad física pertenecientes al Área de Salud Yanuncay, Cuenca 2014
(Universidad de Cuenca, 2015-11-11) Álvarez Lozano, Nube Estefanía; Ávila Balarezo, Miriam Alexandra; Tenezaca Dumán, Zandra Rocío; Ayavaca Tapia, Luz María; Pesántez Díaz, Tania Lorena
Carers of people with physical disabilities provide permanent care to the disabled patient, however, unaware of the proper application of body mechanics and are prone to muscle skeletal disorders. Objective: Evaluate and promote the knowledge, attitudes and practice about body mechanics in caregivers of people with physical disabilities health area "Yanuncay", 2014. Materials and Methods: There was a quasi-experimental study in 39 caregivers of people with physical disabilities, who signed the informed consent. Applied a pre-test that assessed the theoretical knowledge of body mechanics, body alignment, balance, body movement coordinated, joint mobility and arc of mobility. We also evaluated the attitude and the implementation of parameters during the daily practice. It was subsequently implemented a plan of educational intervention with the use of audiovisual material, on the implementation of the body mechanics in the management of people with physical disabilities, conducted in 4 sessions of 60 minutes each, complemented with a practical training carried out two times at the home of each caregiver. Post intervention was applied the pos-test and assessed the knowledge, attitudes and practice acquired. The data obtained were analyzed using descriptive statistics. Results: Knowledge of body mechanics in the caregivers of people with physical disabilities improved in a 44.02 %, attitudes in a 34.62 % and practice in a 67.70 % Conclusion: The educational intervention improved knowledge, attitudes, and practice on body mechanics.
Deficiencias funcionales en la ciudad de Cuenca según clasificador internacional de Funcionalidad CIF
(Universidad de Cuenca, 2006-11-11) Astudillo León, Cristian Oswaldo; Carrasco Lozano, Janeth Silvana; Espinoza, Janeth Cristina; García García, Karla Fernanda; Zhapán Peláez, Jaime Vicente; Santillán Bastidas, Ángel Estuardo
El desacondicionamiento físico en los adultos mayores de los centros gerontológicos de la ciudad, según las escalas Katz y Tinetti, Cuenca 2009
(Universidad de Cuenca, 2010-11-11) Quinteros Parra, Cecibel Alexandra; Tello Avila, María Eugenia; Santillán Bastidas, Ángel Estuardo; Zhindón Galán, Martha Dalila
We accomplished a descriptive study to determine the frequency of the physical deconditioning according to Katz's scales and Tinetti, in a sample of 491 bigger adults given shelter to in the several centers gerontology of Cuenca's city in the period October 2009 – April 2010. The physical deconditioning is more frequent in the bigger adults of 85 years. The 55.9% they were women and the 44.1% of the sample males. The single elderly people occupied the 43.4 %. The 30.4% the widowed elderly people and the 26.2% married couples. Plenitude (29.0%), Cristo the King (25.8%) and St. Anne (15.1%) were the main centers geriatric. In the 71.0% the relative time of immobilization had bigger frequency. Pathologies but you frequent were: Musculoskeletal (46.5%), neurological (25.8%), neuromuscular (11.4%) and metabolic (7.6%). It was found within Tinetti's scales that the bigger adult with some risk of falling is more frequent (67.7%), that if he had some risk (31.5%). In Katz's scale the bigger Independent adult in nutrition, continence, mobility, use of the toilet, getting dressed and taking a bath went from the 20.5%. The 19.0% had an independent for all previous the shows accept one. In the meantime than the adult bigger the independents in the six shows had an 18.1%.

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