{"id":41453,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/validacion-del-indice-tension-tiempo-de-los-musculos-inspiratorios-en-pacientes-con-enfermedades-neuromusculares\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"validacion-del-indice-tension-tiempo-de-los-musculos-inspiratorios-en-pacientes-con-enfermedades-neuromusculares","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/validacion-del-indice-tension-tiempo-de-los-musculos-inspiratorios-en-pacientes-con-enfermedades-neuromusculares\/","title":{"rendered":"Validacion del indice tension tiempo de los musculos inspiratorios en pacientes con enfermedades neuromusculares."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angeles Ruiz Cobos <\/strong><\/h2>\n<p>Bajo el t\u00e9rmino enfermedades neuromusculares se incluyen todas aquellas entidades en las que se afecta alg\u00fan sector de la unidad motora, entendiendo como tal las unidades funcionales compuestas por el sistema nervioso perif\u00e9rico y el m\u00fasculo esquel\u00e9tico.  los m\u00fasculos respiratorios, fundamentalmente el diafragma, se afectan en la mayor\u00eda de las enfermedades neuromusculares, comprometi\u00e9ndose una funci\u00f3n vital como es la respiraci\u00f3n. La alteraci\u00f3n de esta funci\u00f3n puede, por tanto, conducir al fracaso de la bomba ventilatoria y a la insuficiencia respiratoria grave.  los mecanismos fisiopatol\u00f3gicos implicados en el desarrollo de la insuficiencia respiratoria en las enfermedades neuromusculares son complejos y controvertidos. Entre ellos es fundamental el papel que juega la fatiga muscular. Probablemente, el procedimiento de estudio m\u00e1s empleado para valorar fatiga muscular es la determinaci\u00f3n del \u00edndice tensi\u00f3n-tiempo del diafragma (ttidi). El inconveniente fundamental de esta t\u00e9cnica radica en su car\u00e1cter invasivo, ya que, para medir la presi\u00f3n transdiafragm\u00e1tica media (pdi) y m\u00e1xima (pdim\u00e1x), es preciso la colocaci\u00f3n de un cat\u00e9ter nasog\u00e1strico. Recientemente se ha descrito un \u00edndice no invasivo el \u00edndice tensi\u00f3n-tiempo de los m\u00fasculos inspiratorios (ttmu), que viene determinado por la expresi\u00f3n (ttmu = pim\u00e1x x ti\/ttot). la validaci\u00f3n del ttmu ha sido realizada en sujetos normales y en pacientes con epoc, pero creemos necesario validar el ttmu en los pacientes con enfermedades neuromusculares, ya que para su c\u00e1lculo es preciso determinar la p0,1 y este par\u00e1metro puede resultar alterado cuando existe una afectaci\u00f3n neuromuscular. para ello estudiamos el \u00edndice tensi\u00f3n-tiempo de los m\u00fasculos inspiratorios en pacientes afectos de enfermedades neuromusculares y en un grupo control de sujetos sanos, analizamos la correlaci\u00f3n y la concordancia entre este \u00edndice, obtenido de una forma no invasiv<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Validacion del indice tension tiempo de los musculos inspiratorios en pacientes con enfermedades neuromusculares.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Validacion del indice tension tiempo de los musculos inspiratorios en pacientes con enfermedades neuromusculares. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angeles Ruiz Cobos <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de Madrid<\/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> Villamor Gomez Rio Jos\u00e9 Francisco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Luis Alvarez sala walther <\/li>\n<li>Fernando S\u00e1nchez gasc\u00f3n (vocal)<\/li>\n<li> Gomez de terreros Javier (vocal)<\/li>\n<li>julio Anloechea bermudez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angeles Ruiz Cobos Bajo el t\u00e9rmino enfermedades neuromusculares se incluyen todas aquellas entidades en las que se [&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 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