{"id":81069,"date":"2018-03-10T00:04:53","date_gmt":"2018-03-10T00:04:53","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/evolucion-y-pronostico-de-la-discapacidad-en-el-paciente-hemiplejico\/"},"modified":"2018-03-10T00:04:53","modified_gmt":"2018-03-10T00:04:53","slug":"evolucion-y-pronostico-de-la-discapacidad-en-el-paciente-hemiplejico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/evolucion-y-pronostico-de-la-discapacidad-en-el-paciente-hemiplejico\/","title":{"rendered":"Evoluci\u00f3n y pron\u00f3stico de la discapacidad en el paciente hemipl\u00e9jico."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Susana Pinedo Otaola <\/strong><\/h2>\n<p>Se analiza la evoluci\u00f3n durante un a\u00f1o de los principales d\u00e9ficits neurol\u00f3gicos y de la discapacidad en 73 pacientes hemipl\u00e9jicos, ingresados en un servicio de rehabilitaci\u00f3n tras un accidente cerebrovascular (acv). Adem\u00e1s se estudia la influencia en la autonom\u00eda de los pacientes para realizar las actividades de la vida diaria (avd) de los siguientes factores cl\u00ednicos: edad, afasia, desorientaci\u00f3n, incontinencia urinaria, hemianopsia, trastornos sensitivos, anosognosia, paresia muscular y control de tronco.  la mayor\u00eda de los d\u00e9ficits neurol\u00f3gicos (d\u00e9ficits de fuerza, sensitivos equilibrio del troco, afasia) presentan un patr\u00f3n de recuperaci\u00f3n similar con una recuperaci\u00f3n principal al tercer mes y estabilidad hacia el sexto mes del acv. El 57% de los pacientes alcanzan un nivel de independencia elemental (indice de barthel 90) en la realizaci\u00f3n de las avd. El control de esf\u00ednteres y la alimentaci\u00f3n son las primeras avd que consiguen realizar de forma independiente.  las variables cl\u00ednicas con mayor importancia pron\u00f3stica son: el grado de paresia, los trastornos sensitivos y la inestabilidad en el control de tronco. Un d\u00e9ficit servero de fuerza en la extremidad superior o una alteraci\u00f3n en la sensibilidad profunda supone 9 y 13 veces m\u00e1s riesgo de obtener un mal resultado funcional, respectivamente, que los que no lo presentan, independientemente de otros d\u00e9ficits cl\u00ednicos asociados.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Evoluci\u00f3n y pron\u00f3stico de la discapacidad en el paciente hemipl\u00e9jico.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Evoluci\u00f3n y pron\u00f3stico de la discapacidad en el paciente hemipl\u00e9jico. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Susana Pinedo Otaola <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/10\/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>Felipe Miguel De La Villa<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jaime Mendez martin <\/li>\n<li>avelino Senra varela (vocal)<\/li>\n<li>pedro Cia gomez (vocal)<\/li>\n<li>Antonio Jim\u00e9nez l\u00f3pez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Susana Pinedo Otaola Se analiza la evoluci\u00f3n durante un a\u00f1o de los principales d\u00e9ficits neurol\u00f3gicos y de [&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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