tratm hemipl ag y sub agu
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Tratm Hemipl Ag y Sub AguTRANSCRIPT
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HEMIPLEJÍA:HEMIPLEJÍA:
ABORDAJE FISIOTERAPEUTICOABORDAJE FISIOTERAPEUTICOEGÚN ENFOQUE BOBATH - TNDEGÚN ENFOQUE BOBATH - TND
Mg. Lily C. Palacios NovellaMg. Lily C. Palacios NovellaHospital Nacional Hipólito UnanueHospital Nacional Hipólito Unanue
CURSO:CURSO:
METODOS DE REEDUCACIONMETODOS DE REEDUCACION
NEUROLOGICA
EN ADULTOSNEUROLOGICA EN ADULTOS
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ETA
RESTAURAR EN EL
PACIENTE LA MAXIMACAPACIDAD FUNCIONAL,ALCANZANDO SU MAYOR
INDEPENDENCIA SOCIO -ECONOMICO - LABORAL
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ETAPA AGUDA
OBJETIVOS ESPECIFICOS
1. MINIMIZAR CUADRO
DISCAPACITANTE. REDUCIR ESTANCIA HOSPITALARIA!. MANTENER Y"O MEJORAR FUNCI#N
RESPIRATORIO
$. P%&'&()% *&+&))/%)0+ 2+30-&+&45)30+.
6. I(*&7&(*&(3)8 *& 783)&(5& &( 388
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ETAPA
AGUDAOBJETI9OS ESPECIFICOS
6. M8(5&(&% "0 &;0%8% 50(0 5%0<+0.
=. R&&*38% 8 )(5&>%83)?( M2+30-+&(+)5)'0-7&%3&75)'0.@. E')58% "0 *)+)()% *00%.. E*38% 8 8))8% 783)&(5&
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INADECUADOCONTROLPOSTURAL
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TRATAMIENTO EN ETAPA AGUDATRATAMIENTO EN ETAPA AGUDA
ISQUMICO '+. HEMORRGICOISQUMICO '+. HEMORRGICO
M0'))83)0(&+ 78+)'8+. E0(>83)0(&+ 5&(*)(0+8+.
M0'))83)0(&+ 835)'8+-8+)+5)*8+.
M8+05&%87)8.
R&3%+0+ 543()30+ *&
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ADECUADO
CONTROL
POSTURAL
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INADECUADO
CONTROL
POSTURAL
ADECUADO CONTROL
POSTURAL
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MOVILIZACIONES PASIVAS,
ELONGACIONES,
MASOTERAPIA
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TRATA IENTO EN ETAPA AGUDA
RATA IENTO EN ETAPA AGUDA
E;&%3)3)0+ %&+7)%850%)0+ "0E;&%3)3)0+ %&+7)%850%)0+ "0M8()0/%8+ )(4+)38+M8()0/%8+ )(4+)38+%&+7)%850%)8+.%&+7)%850%)8+.
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TRATAMIENTO EN ETAPA AGUDAE;&%3)3)0+ 5&%8745)30+ 78%8 %&&*383)?(
N&%0-M05%)-S&(+)5)'8:
• M450*0 B%((+5%0
• C0(3&750 B0/85.• C0(3&750 F.N.P.
•
T43()38 *& R00*.• E;&%3)3)0+ F%&(&.
• C8*&(8+ M+38%&+ " 05%0+.
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TRATAMIENTO EN ETAPATRATAMIENTO EN ETAPA
AGUDAAGUDA
0 A35)'83)?( *& MS: A/*-F-R.E.A35)'83)?( *& MS: A/*-F-R.E.
0/%0.0/%0.MI: F A/* *& 38*&%8, F *& %0*)8,MI: F A/* *& 38*&%8, F *& %0*)8,*0%+).*0%+).
0 NO USO DE PESAS.NO USO DE PESAS.0 P858+ *& 8(&;0P858+ *& 8(&;0
8 8))8% 7835&.8 8))8% 7835&.
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ACTIVACIÓN SEGÚN ENFOQUEBRUNNSTROM
Brunnstrom 1, conexión con el
entorno, activación. 6 días evolución
Brunnstrom 2, activación. 6
días de evolución
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ACTIVACIÓN SEGÚN ENFOQUEBRUNNSTROM
Nery + modificac de rpta motora
+ movim voluntaria
Becheterew + FNP + rpta
semivoluntaria
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ETAPA SUB-AGUDAOBJETI9OS ESPECIFICOS
1. INDEPENDENCIA DEL PACIENTE ENCAMA.
. REEDUCACI#N MÚSCULO-SENSITI9O-PERCEPTI9O, ENFASIS A INTEGRACI#N.!. E))/%8% 50(0.$. M8(5&(&% "0 &;0%8% 835)')*8*
%&+7)%850%)8.6. E')58% "0 *)+)()% *00%.=. M)+0+ *& 8 &5878 8(5&%)0%
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TRATAMIENTO ETAPA SUB-
AGUDA
1. P%&')0 30(5%0 *& 8 7%&+)?(
8%5&%)8.. T0*0 0 8(5&%)0%&(5& &(3)0(8*0.!. E+5)83)?( *& 50*8+ 8+ 'K8+
+&(+0%)0-05%)3&+, & 8*&( 8)(5&>%8%, %&0%8% &;0%8% 0838(8*0.
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TRATAMIENTO ETAPA SUB-
AGUDA
$.- M&38(05&%87)8:
E+38&%8 +&38 *&*0+,8%38*0% 78+0+, 78%8&8+,3030(&58, /)3)3&58
&+583)0(8%)8, 7&058 B0/85,/88(3K(, %&*8 0/%0, &53.
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AUTOINHIBICI#N
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AU
TOINHIB
ICI#N
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PREVENIR ES MEJORQUE CURAR
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4 PUNTOS
CON RULO
DE RODILLAS
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MARATON Y
VARIANTES
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MARATON
CON
APOYO
Y VARIANTE
S
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UNIPODAL
DE
RODILLA
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TRABAJO
EN
PELOTA
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TRABAJO
ENPELOTA
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ETAPA MANTENIMIENTO:
OBJETI9O ESPECIFICO
M8(5&(&% "0 &;0%8% 0838(8*0.
TRATAMIENTO
1-T0*0 0 8(5&%)0%.
- E(8+)+: *&+5%&8,300%*)(83)?(, '&03)*8* &)(5&>%83)?(.
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TRATAMIENTO ETAPAMANTENIMIENTO
!.C0(5)(8% &;0%8(*0 785%?( *& 8%3830( 8*&38*0 30(5%0 050%, 85&%(8(3)8300%*)(83)?(, 38*&(3)8 &(
*&+788)&(50+.
$. F0%58&3))&(50 +38% 7%0>%&+)'0
+&&35)'0.
6. F%&3&(3)8: 1 ? '&3&+ 70% +&8(8.A58+ 5&70%8&+
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EQUIPOMULTIDISCIPLINARIO
M4*)30+ &+7&3)8)+58+ .F)+)05&%87&58.T&%87&58 O3783)0(8.T&%87&58 *& &(>8;&.T43()30 &( %&8/))583)?(S)3?0>0.S&%')3)0 S03)8.N5%)3)0()+58.