Proipioceptive neuromuscular facilitation in hand rehabilitation
description
Transcript of Proipioceptive neuromuscular facilitation in hand rehabilitation
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Proipioceptive Neuromuscular
facilitation in hand rehabilitation
A clinical case
Disfucniones
neuromusculoesqueléticas en mano
• Microtraumatismos de repetición
• Relacionados con el estilo de vida
• Hipermobilidad
• Alineación incorrecte
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Gran boom de métodes de tractament
de la estabilitat
TRESOR
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Aplicació pràctica?
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Repòs estructural
• Inmobilització?
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FUERZAS
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Conclusion
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• Catch-up clunck
DASH
• 10/2012……………………………….
• 03/04/2013……………………………49,14
• 03/05/2013……………………………39,17
• 14/06/2013…………………………...10,34
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Facilitació neuromuscular
propioceptiva?
• Estirament? No
• Propiocepció? No
• Facilitació!!!!
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Origen de la técnica
Indicaciones en neurologia…
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Indicaciones para lesiones
neuromusculoesqueléticas
Facilitació
• Auditiva i visual
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Facilitació
• Tracció compresió?
Facilitació cutánea
• Receptors cutanis
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Localización en la piel de los
mecanoreceptores dèrmicos
Como se codifica el estímulo?
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Capacidad de adaptación de los
receptores (Werner Loewenstein)
Receptores sensitivos exteroceptivos
Profundos (sensibilidad gruesa)
• Paccini
• Ruffini
Superficiales (sensibilidad fina)
• Meisner / Piloreceptores
• Merkel
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Adaptación de los receptores
Embenat funcional
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Realitat
• Pega fantàstica