ABSTRACT
El presente artículo tiene como objetivo plantear una guía metodológica que permita a los estudiantes de la Carrera de Fisioterapia y Kinesiología unificar criterios para desarrollar los procesos diagnósticos desde el enfoque biopsicosocial, a partir de las evidencias obtenidas en la evaluación inicial y tomando como base la Clasificación Internacional del Funcionamiento, de la Discapacidad y de la Salud (CIF). La idea surge a raíz de las dificultades que se tiene en la formulación del diagnóstico fisioterapéutico, más allá del referente “enfermedad”, asumiendo una identidad propia desde su objeto de estudio como es la función - disfunción del movimiento humano. Se propone el uso de la CIF porque incorpora en su estructura categorías desde la perspectiva corporal, individual y social, los cuales tienen relación estrecha con la naturaleza y niveles de estudio de la Fisioterapia y Kinesiología. Solo así se provee un marco inicial que dinamiza la organización de datos y opiniones clínicas facilitando un sistema de clasificación de acuerdo con las funciones y estructuras corporales, las actividades corporales y la participación en las actividades de la vida diaria, así como la identificación de barreras o facilitadores en el entorno ambiental y las características individuales que forman parte del estado de salud de las personas.
This article aims to raise a methodological guide that allows students of the School of Physiotherapy and Kinesiology unify criteria to develop diagnostic processes from the biopsychosocial approach, based on the evidence obtained in the initial evaluation and based on the ranking International of Functioning, Disability and Health (ICF). The idea stems from the difficulties you have in the formulation of physiotherapy diagnosis, beyond the reference “disease”, assuming an identity from its subject as it is the function - dysfunction of human movement. The use of ICF is proposed that incorporates in its structure categories from body, individual and societal perspective, which are closely related to the nature and levels of study of physiotherapy and kinesiology. Only then an initial framework that streamlines the organization of data and clinical opinion facilitating a classification system according to body functions and structures, bodily activities and participation in activities of daily living, as well as identifying barriers is provided or facilitators in the ambient environment and the individual characteristics that are part of the health status of people.
Subject(s)
Humans , Female , Middle Aged , Disability Evaluation , Methodology as a Subject , Psychology/instrumentation , Canes , International Classification of Functioning, Disability and Health , Health of the DisabledABSTRACT
O objetivo desta pesquisa foi analisar a efetividade do teste Slump e Lasegue no diagnóstico fisioterapêutico das síndromes dolorosas que acometem a coluna lombar. Este estudo caracteriza-se como teórico-prático, classificado como quase-experimental, de campo, de caráter quantitativo e qualitativo. A amostra abrangeu 47 indivíduos compreendidos na faixa etária de 16 a 68 anos, composta de forma aleatória, foram incluídos os portadores de síndromes dolorosas na coluna lombar, com ou sem irradiação dos sintomas para os membros inferiores. Posteriormente foram submetidos aos testes Lasegue e Slump. Utilizou-se o protocolo do teste Slump descrito por Maitland [1] e do teste de Lasegue descrito por Hoppenfeld [2]. Após a coleta de dados, realizou-se a interpretação e confrontação dos mesmos, através de análise estatística descritiva. Com base nos resultados obtidos constatou-se que o teste Slump é mais efetivo do que o teste de Lasegue na avaliação fisioterapêutica das síndromes dolorosas da coluna lombar sendo que a utilização do teste de Lasegue isoladamente não possui valor diagnóstico significativo. Portanto, a contribuição destes testes funcionais na elaboração do diagnóstico cinético-funcional e possibilitou uma reeducação funcional coerente com as necessidadesdos pacientes.
The general objective of this research was to analyze the effectiveness of the test Slump and Lasegue in thephysical therapy diagnosis of the painful syndromes that they attack the lumbar column. This study is characterized as theoretical-practical, classified as almost-experimental, of field, of quantitative and qualitative character.The sample of the referring research was composed by 47 individuais understood in the age group from 16 to 68 years, bearers of painful syndromes in the lumbar column, with or without irradiation of the symptoms forthe inferior members. The individuals were chosen in a random way and later they were submitted to the tests Lasegue and Slump during the physical therapy consultation. The protocol of the test was used Slump describedby Maitland [1] and of the test of Lasegue described by Hoppenfeld [2]. After the collection of data regarding the results of the tests, he took place the interpretation and confrontation of the same ones, through descriptive statistical analysis. With base in the obtained results was verified that the test Slump is more effective than the test of Lasegue in the physical therapy evaluation of the painful syndromes of the lumbar column and the use of the test of Lasegue separately doesn't possess value significant diagnosis. It is demonstrated this way the contribution of the functional tests in the elaboration of the kinetic-functional diagnosis allowing a coherent functional re-educate with the patients' needs.