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Autor principal:	María Constanza Trillos
Formato:	Artículo científico
Lenguaje:	es
Publicado:	Universidad del Rosario 2018
Materias:	Salud dolor lumbar examen físico inestabilidad articular
Acceso en línea:	https://www.redalyc.org/articulo.oa?id=56255615007 https://www.redalyc.org/journal/562/56255615007/ https://www.redalyc.org/journal/562/56255615007/html/ https://www.redalyc.org/journal/562/56255615007/56255615007.epub https://www.redalyc.org/journal/562/56255615007/movil https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6847
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Evaluación clínica de la inestabilidad segmental lumbar en población trabajadora María Constanza Trillos Ingrid Tolosa-Guzmán Mónica Perdomo Salud dolor lumbar examen físico inestabilidad articular Introducción: en la literatura existen estudios que determinan que, al menos una vez en su vida, el 70 u 80 % de la población ha presentado dolor lumbar inespecífico. Esto ha generando un impacto en el sistema de seguridad social por su alta implicación en costos de tratamientos, incapacidades y ausentismo laboral. Debido a su comportamiento cíclico, cerca del 90 % de los diagnósticos son clasificados como inespecíficos; sin embargo no se cuenta con instrumentos evaluativos que permitan realizar diagnósticos diferenciales e identificar las deficiencias estructurales y funcionales. Objetivo: diseñar un instrumento que permita identificar las deficiencias estructurales y funcionales en inestabilidades segmentales de la columna lumbar. Materiales y Métodos: este estudio fue desarrollado mediantes cinco fases: revisión de la literatura, propuesta de la herramienta de examinación, consenso de expertos, prueba piloto y aplicación a 17 trabajadores del sector de servicios generales. Resultados: el instrumento contó con un componente subjetivo y uno objetivo. Los resultados de las pruebas de estabilidad postero-anterior determinaron que el 29 % de los trabajadores presentaron deficiencias tanto funcionales como estructurales; la prueba de estabilidad en prono fue positiva en el 18 % de los casos, aunque fueron asintomáticos en el componente subjetivo. Conclusiones: desde la ergonomía es importante contemplar evaluaciones del trabajador, que integren la valoración de deficiencias funcionales y estructurales para fines preventivos del desorden musculosqueletico y rehabilitación funcional laboral. 2018 artículo científico 1692-7273 https://www.redalyc.org/articulo.oa?id=56255615007 https://www.redalyc.org/journal/562/56255615007/ https://www.redalyc.org/journal/562/56255615007/html/ https://www.redalyc.org/journal/562/56255615007/56255615007.epub https://www.redalyc.org/journal/562/56255615007/movil https://doi.org/10.12804/revistas.urosario.edu.co/revsalud/a.6847 es http://www.redalyc.org/revista.oa?id=562 Revista Ciencias de la Salud application/pdf Universidad del Rosario Revista Ciencias de la Salud (Colombia) Vol.16

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