Evaluación Fisioterapéutica de Columna Lumbar

Evaluación Fisioterapéutica de Columna Lumbar Alumno: JESUS ALBERTO ALBERTO CALDERON VAL VALVERDE VERDE TUTORESr: Lic. TM JESICA JE SICA LO LOY YOLA ZEV ZEVALLOS ALLOS LIC. TM. EDWIN MEZA LIC. TM JOEL LEONARDO BERAUN HOSITAL DANIEL ALCIDES CARRION

Columna lumbar •

Son l!" #$r%$&r!" m'" ($"!rroll!(!" ($ %o(!") "u" cu$r*o" #$r%$&r!l$" "on m'" m!ci+o" ,u$ lo" ($ l!" %or'cic!") "u -or!m$n #$r%$&r!l no $" %!n r!n($ como $l ($ l!" c$r#ic!l$" / $" ($ -orm! %ri!nul!r) l! ori$n%!ci0n ($ "u" c!r!" !r%icul!r$" *$rmi%$ mo#imi$n%o" ($ 1$2o3$2%$n"i0n.

A. I. 4!*!n(5i 67i"iolo8! !r%icul!r: %omo 9) %ronco / r!,ui" ;< $(ici0n) $(i%ori!l *!n!m$ric!n! =>>=

Columna lumbar •

Son l!" #$r%$&r!" m'" ($"!rroll!(!" ($ %o(!") "u" cu$r*o" #$r%$&r!l$" "on m'" m!ci+o" ,u$ lo" ($ l!" %or'cic!") "u -or!m$n #$r%$&r!l no $" %!n r!n($ como $l ($ l!" c$r#ic!l$" / $" ($ -orm! %ri!nul!r) l! ori$n%!ci0n ($ "u" c!r!" !r%icul!r$" *$rmi%$ mo#imi$n%o" ($ 1$2o3$2%$n"i0n.

A. I. 4!*!n(5i 67i"iolo8! !r%icul!r: %omo 9) %ronco / r!,ui" ;< $(ici0n) $(i%ori!l *!n!m$ric!n! =>>=

Sistema ligamentoso de la columna lumbar •

Li!m$n%o" Li!m$n%o loni%u(in!l !n%. – Li!m$n%o loni%u(in!l *o"%. – Li!m$n%o in%$r$"*ino"o – Li!m$n%o 1!#o o !m!rillo 7r!n? H. N$%%$r) MD 6A%l!" ($ !n!%om8! @um!n!) < $(ici0n. E(i%ori!l El"$#i$r M!""on =>>. Li!m$n%o –

Plexo lumbar

l$2o lum&!r L3L9 mu"culo *"o!" N$r#io 7$mor!l

N$r#io o&%ur!( or

Plexo sacro N$r#io ci'%ico N$r#io F&ul!r comGn N$r#io %i&i!l N$r#io" lG%$o" "u*$rior $ in-$rior N$r#io *u($n(o / n$r#io" *$rin$!l$"

7r!n? H. N$%%$r) MD 6A%l!" ($ !n!%om8! @um!n!) < $(ici0n. E(i%ori!l El"$#i$r

Uni(!( -uncion !l S$m$ n%o

!"i#o

Mo%or

il!r

An%$rior

o"%$rio r

Dolor lumbar •

•

El S(. D$ (olor lum&!r $" un con5un%o ($ "8n%om!" / "ino" ($ -r$cu$n%$ !%$nci0n %r!um!%ol0ic! /o ?in"ic!. Su" (i"%in%o" !$n%$" c!u"!l$" @!c$n ,u$ $2i"%!n #!rio" %i*o" ($ (olor lum&!r.

Sistema de palancas

A. I. 4!*!n(5i 67i"ioloi! !r%icul!r: %omo 9) %ronco / r!,ui" ;< $(ici0n)

Tipos de lumbago D. Sin(rom'%i co SDL uro

SDL. Lum&oci'%ic o

E"cl$ro%o$ n!

S(. ($ (olor cl!u(ic!ci0n n$ur!l in%$rmi%$n%$

R!(icul!r

Com*r$"i#o

Irri%!%i#o

SDl. !%8*ico

EVALUACIN 4INKSI

ANAENS!S Ti*o • Mo%i#o

Loc!li+!ci 0n

EVA

Dolo r 7!c%or$" A%$nu!n% $"

• Dolor • O%ro"

"8n%om!"

• An%$c$($n%$"

Irr!(i!ci0 n 7!c%or$" Ar!#!n% $"

($ con"ul%!

m0r&i(o" • HTA • DM • ECV •H'&i%o" • •

D$*or%$" Ocio Ci!rrilloAlco@ol

!NSPECC!"N • Tr!"l!(o • • •

M!rc@!

Or%$"i" 7!cili(!( ($ $5$cu%!r mo#. E#!lu!ci0n *o"%ur!l 7RONTAL) OSTERIOR) LAT. – METODO DE HUC –

• • • S@irl$/ S!@rm!nn. 6Di!n0"%ico / %r!%!mi$n%o ($ l!" !l%$r!cion$" ($l

i$l In1!m!ci0n A"im$%r8!" mu"cul!r$"

!NSPECC!"N •

•

Postu ra en seden te

•

• •

•

Aum$n%o ($ l! *r$"i0n (i"c!l L8n$! ($ r!#$(!( m'" !n%$rior Aum$n%! $l &r!+o ($ *!l!nc! "o!" Ili!co 6"$n%!r"$ $n l! orill! 6Inclin!ci0n

S@irl$/ S!@rm!nn. 6Di!n0"%ico / %r!%!mi$n%o ($ l!" !l%$r!cion$" ($l mo#imi$n%o

!NSPECC!"N ALINEACIN LUMBOELVIC A =9 !l%$r!cion$"

Cur#!%ur!

HUC

S@irl$/ S!@rm!nn. 6Di!n0"%ico / %r!%!mi$n%o ($ l!"

Anulo !r%. D$ l! c!($r!.

PALPAC!"N# ro-un(!"u*$rFci!l "$!&l!n(! Con%r!c%ur!" D$-ormi(!($" A"im$%r8!" 0"$!"  mu"cul!r$". !"im$%r8! *!r!#$r%$&r!l S%!n(l$/ Ho**$n-$l( 6E2*lor!ci0n -8"ic! ($ l! column! #$r%$&r!l / $2%r$mi(!($" E(i%ori!l El

$%!L!DAD PAS!%A & '$ Inclin0m$%ro

T$"% ($ "c@o&$r

$%!L!DAD ACT!%

7l$2i0n QE"%' l! column! lum&!r in#ir%i$n(o "u cur#!%ur! / !*l!n'n(o"$ QE"%' l! column! lum&!r 1$2ion'n(o"$ -u$r! ($ lo" l8mi%$" !n!%0mico" 0*%imo" / *or %!n%o "om$%i$n(o ! un! %$n"i0n $2c$"i#! ! lo" %$5i(o" ($ "o"%n *o"%$rior$"

6En 1$2i0n m'2im!) lo" mG"culo" $r$c%or$" ($ l! column! "on in!c%i#o") $n$r!n(o !"8 %$n"i0n "o&r$ lo" $l$m$n%o" *!"i#o" ($ lo" mG"culo" / li!m$n%o". A*ro2im!(!m$n%$ ! lo" => minu%o" ($ %r!cci0n !l l8mi%$ ($ l! 1$2i0n) l! !m*li%u( !um$n%! uno" ; r!(o") lo ,u$ "$ !%ri&u/$ ! l!" *ro*i$(!($" ($ ($-orm!ci0n *ror$"i#! ($ lo" %$5i(o" &l!n(o". A*ro2im!(!m$n%$) un ;> ($ l! con"i"%$nci! norm!l "$ r$cu*$r! ! lo" = minu%o" ($ !(o*%!r ($ nu$#o l! !lin$!ci0n norm!l. Sin $m&!ro) "$ n$c$"i%!n m'" ($

Al%$r!ci0n ($ l! 1$2i0n 6E"ol! / col!&or!(or$" in-orm!n ,u$ lo" "u5$%o" con lum&!li! mo#ili+!n m'" l! column! lum&!r ,u$ l!" c!($r!".

L!2i%u( R$l!%i#! S@irl$/ S!@rm!nn. 6Di!n0"%ico / %r!%!mi$n%o ($ l!" !l%$r!cion$" ($l

E2%$n"i0n Di"co" Aum$n%o ($ l! cur#!%ur! !n%$rior Hi*$r$2%$n"i 0n Aum$n%! -u$r+!" ($ com*r$"i0n

Limi%!n%$" A*. $"*ino"!"

Ro%!ci0n A"im$%r8! *!r!#$r%$&r!l

Ro%!ci0n *o"%ur!l @omol!%$r!l

Limi%!ci0n 7L I"*"il!%$r!l

Hi*$r%roF! unil!%$r!l ($ mG"culo" *!r!#$r%$&r!l$".

Limi%!ci0n 7L con%r!l!%$r!l

Inclin!ci0n l!%$r!l •

•

Ro%!ci0n con%r!l!%$r!l O&"$r#!r -orm! ($ l! cur#!%ur! / ($l $5$ ($ mo#imi$n%o

L$N(!T)D )SC)LA' IT T7L R7 "o!" ili!co iri-orm$ L!%8"imo ($l (or"o

F)E'*A )SC)LA'

W$n($ll Li$mo@n 6r$"cri*ci0n ($ $5$rcicio *!r! l! $"*!l(! E(i%ori!l

P')E+AS DE $%!L!DAD ESPEC,F!CA

S@irl$/ S!@rm!nn. 6Di!n0"%ico / %r!%!mi$n%o ($ l!"

P')E+AS ESPEC!ALES

S%!n(l$/ Ho**$n-$l( 6E2*lor!ci0n -8"ic! ($ l! column! #$r%$&r!l / $2%r$mi(!($" E(i%ori!l El m!nu!l mo($rno).

E%AL)AC!"N 'AD!$L"(!CA DE LA C$L)NA L)+A' A • D$cG&i%o "u*ino con ro(ill!" / c!($r!" $n 1$2i0n MMII *!r!l$lo" • ro%$cci0n

E%AL)AC!"N 'AD!$L"(!CA DE LA C$L)NA L)+A' L!%$r!l • Ro(ill! / c!($r! 1$2ion!(!". • Co5in $n%r$ ro(ill!" • ro%$cci0n on!(!l

E%AL)AC!"N 'AD!$L"(!CA DE LA C$L)NA L)+A' O&licu! • D$cG&i%o l!%$r!l ! uno" ;< • Column! $2%$n(i(! / *i$rn!" !lo $l$#!(!" *!r! com*$n"!r lor(o"i" lum&!r. • Co58n

C$NS!DE'AC!$NES PA'A EL T'ATA!ENT$


ANAL!S!S E'($N"!C$

S@irl$/ S!@rm!nn. 6Di!n0"%ico / %r!%!mi$n%o ($ l!" !l%$r!cion$" ($l mo#imi$n%o =>>= &/ Mo"&/


C$NS!DE'AC!$NES PA'A EL T'ATA!ENT$

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Evaluación Fisioterapéutica de Columna Lumbar

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