Kinesiología y enfermedad pulmonar obstructiva crónica / Physical therapy and chronic obstructive pulmonary disease

Los pacientes con Enfermedad Pulmonar Obstructiva Crónica (EPOC) junto con desarrollar las alteraciones respiratorias propias de la patología desarrollan también alteraciones multisistémicas que repercuten principalmente en la musculatura respiratoria y periférica, reduciendo la capacidad de tolerancia física del paciente a las actividades diarias, Junto al tratamiento médico, la kinesiología representa una importante herramienta terapéutica, ya que se orienta a mantener las capacidades físicas del paciente, tanto en sus condicionantes respiratorias como motoras, El objetivo de este artículo es mostrar la importancia de la kinesiología en este grupo de pacientes, tanto durante su periodo de hospitalización como en el período de rehabilitación después del alta.

The majority of patients with Chronic Obstructive Pulmonary Disease (COPD) develop the classic respiratory alterations, as well as systemic dysfunctions, by which contribute to the deterioration of the respiratory and the skeletal muscles. Consequently, all of this muscle dysfunction reduce the physical capacity in the COPD patients to develop their diary activities, The physical therapy as a complementary treatment of the medical management, is an important therapeutic tool to maintain the physical abilities of the COPD patients as much in the respiratory function as in the motor area, This paper attempts to review the importance of the physical therapy in the COPD patients, such as in the hospitalization time and in the consecutive rehabilitation time.

[Usability study of an e-learning system for CME in occupational medicine: preparatory analysis and remedial actions]. / Studio di usabilità di un sistema di e-learning per l'educazione continua in Medicina del Lavoro: analisi preliminare e azioni correttive.

This paper describes the activities carried out in order to make an e-learning system for CME be a good tool in terms of usability. The following steps are described:--the needs analysis of the potential users;--the prototype of the e-learning system that has been set up;--the usability evaluation of the prototype by a sample often users before and after the implementation of the identified remedial actions. The obtained results support the hypothesis of an effective usage of the system in the near future. The follow-up of real users' usage, through the tracing facilities of the e-learning platform, will confirm or reject our hypothesis.