{"id":33556,"date":"2018-03-09T09:30:44","date_gmt":"2018-03-09T09:30:44","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/alteraciones-de-nivel-superior-de-la-marcha-en-el-anciano\/"},"modified":"2018-03-09T09:30:44","modified_gmt":"2018-03-09T09:30:44","slug":"alteraciones-de-nivel-superior-de-la-marcha-en-el-anciano","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/alteraciones-de-nivel-superior-de-la-marcha-en-el-anciano\/","title":{"rendered":"Alteraciones de nivel superior de la marcha en el anciano."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Oriol Franch Ubia <\/strong><\/h2>\n<p>Introducci\u00f3n. Las alteraciones de la marcha tienen una preValencia del 15-25 % entre los mayores de 65 a\u00f1os. En el 10-20 % de los pacientes no se encontrado una causa.  en estos casos, se evidencian alteraciones de la marcha que no pueden ser explicados por los signos acompa\u00f1antes.  material. Treinta pacientes mayores de 65 a\u00f1os con alteraciones de la marcha de causa desconocida, excluy\u00e9ndose s\u00edndromes musculoesquel\u00e9ticos, neuromusculares, vestibulares, piramidales, cerebelosos o extrapiramidales, y 27 controles mayores de 65 a\u00f1os sin alteraci\u00f3n de la marcha.  m\u00e9todos. Se cuantificaron diversos indicadores cl\u00ednicos del equilibrio y de la marcha, e im\u00e1genes por resonancia magn\u00e9tica (rm) aplicando una escala especialmente dise\u00f1ada para la gradaci\u00f3n de lesiones de sustancia blanca. Mediante an\u00e1lisis estad\u00edstico intergrupos e intragrupos se determin\u00f3 la influencia de los diferentes factores de riesgo vascular sobre la aparici\u00f3n y desarrollo de las alteraciones del equilibrio y de la marcha, as\u00ed como las caracter\u00edsticas cl\u00ednicas de cada tipo de alteraci\u00f3n de la marcha, y el grado y distribuci\u00f3n de las lesiones de sustancia blanca del enc\u00e9falo.  resultados. Los pacientes tienen una edad media de 79.63 a\u00f1os. Los patrones de marcha evidenciados han sido cautelosa (14), desequilibrio (12), insuficiencia aislada del inicio (1), frontal (1) y otros (2). La hipertension arterial (hta) es mas frecuente en los pacientes (60%) que en los controles (30.8%) (p=0.029). Es mayor la proporci\u00f3n de las personas que se ha ca\u00eddo alguna vez entre los pacientes (70.4%) que entre los controles (29.6%) (p=0.001). Las puntuaciones medias de la escala de scheltens, en la puntuaci\u00f3n total (p=0.000) y en cada uno de los apartados, son superiores en los pacientes.  conclusiones. Los patrones de marcha cautelosa y desequilibrio son los patrones de alteraci\u00f3n de nivel superior de la marcha m\u00e1s frecuentes en el anciano. Estos pat<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Alteraciones de nivel superior de la marcha en el anciano.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Alteraciones de nivel superior de la marcha en el anciano. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Oriol Franch Ubia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 17\/12\/1997<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>F\u00e9lix Bermejo Pareja<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Martinez lopez de letona <\/li>\n<li>Juan  Jos\u00e9 Zarranz imirizaldu (vocal)<\/li>\n<li>Jos\u00e9 alfonso Rodr\u00edguez vallejo (vocal)<\/li>\n<li>angel Ruiz de aguiar gonzalez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Oriol Franch Ubia Introducci\u00f3n. Las alteraciones de la marcha tienen una preValencia del 15-25 % entre los [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[155,9,139,1880],"tags":[91436,19628,91435,13452,91434,91433],"class_list":["post-33556","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-medicina-interna","category-neurologia","tag-angel-ruiz-de-aguiar-gonzalez","tag-felix-bermejo-pareja","tag-jose-alfonso-rodriguez-vallejo","tag-juan-jose-zarranz-imirizaldu","tag-juan-Martinez-lopez-de-letona","tag-oriol-franch-ubia"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/33556","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=33556"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/33556\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=33556"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=33556"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=33556"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}