{"id":39503,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/la-articulacion-del-codo-en-la-artritis-reumatoide-capacidad-funcional-y-valoracion-pronostica\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"la-articulacion-del-codo-en-la-artritis-reumatoide-capacidad-funcional-y-valoracion-pronostica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/la-articulacion-del-codo-en-la-artritis-reumatoide-capacidad-funcional-y-valoracion-pronostica\/","title":{"rendered":"La articulacion del codo en la artritis reumatoide: capacidad funcional y valoracion pronostica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Matias Valverde Romera <\/strong><\/h2>\n<p>Introduccion: la articulaci\u00f3n del codo ha sido frecuentemente olvidada a la hora de evaluar la discapacidad global provocada por la ar. La sustituci\u00f3n prot\u00e9sica total y rehabilitaci\u00f3n del codo han abierto nuevas perspectivas de tratamiento en los \u00faltimos a\u00f1os.  objetivos: analizar el compromiso de la articulaci\u00f3n del codo en la ar, evaluando el grado de afectaci\u00f3n mediante el estudio del deterioro radiol\u00f3gico y biomec\u00e1nico, as\u00ed como determinar la importancia de esta articulaci\u00f3n en la capacidad funcional del enfermo.  material y metodo: se estudiaron 135 pacientes diagnosticados de ar, seg\u00fan los criterios diagn\u00f3sticos revisados de la ara de 1987. En todos ellos se determinaron datos cl\u00ednico-biol\u00f3gicos propios de su enfermedad, realiz\u00e1ndose una completa evaluaci\u00f3n biomec\u00e1nica y radiol\u00f3gica de ambos codos. La capacidad funcional se evalu\u00f3 seg\u00fan los m\u00e9todos de steinbrocker y haq modificado espa\u00f1ol. Todas las variables cl\u00ednicas fueron relacionadas con las variables respuesta radiolog\u00eda-biomec\u00e1nica-capacidad funcional, utilizando test de comparaci\u00f3n de medias con la t-student, y analizando su peso espec\u00edfico individual con estudio multivariable.  resultados: el 81.7% de los pacientes de nuestro estudio han presentado afectaci\u00f3n cl\u00ednica del codo durante la evoluci\u00f3n de la ar. la exploraci\u00f3n biomec\u00e1nica y radiolog\u00eda simple del codo presentan una alta correlaci\u00f3n en la medici\u00f3n del da\u00f1o articular, y guardan fuerte paralelismo con la capacidad funcional del paciente. La discapacidad global del enfermo se encuentra estrechamente ligada a las dimensiones biomec\u00e1nicas del codo, individual o colectivamente, siendo el codo dominante el de mayor deterioro cinem\u00e1tico. Aunque la extensi\u00f3n m\u00e1xima de ambos codos es la variable biomec\u00e1nica m\u00e1s limitada por la ar, sin embargo, es la restricci\u00f3n de la flexi\u00f3n tope la que provoca mayor incapacidad.  la afectaci\u00f3n cl\u00ednica del codo se asocia fun<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>La articulacion del codo en la artritis reumatoide: capacidad funcional y valoracion pronostica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 La articulacion del codo en la artritis reumatoide: capacidad funcional y valoracion pronostica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Matias Valverde Romera <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1999<\/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>Pilar Paule Sastre<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Rico irl\u00e9s <\/li>\n<li>Rafael Guisado barrilao (vocal)<\/li>\n<li>sergio Garcia perez (vocal)<\/li>\n<li>Manuel Rodriguez perez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Matias Valverde Romera Introduccion: la articulaci\u00f3n del codo ha sido frecuentemente olvidada a la hora de evaluar 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