{"id":3454,"date":"2018-04-11T21:06:51","date_gmt":"2018-04-11T21:06:51","guid":{"rendered":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/?p=3454"},"modified":"2018-10-02T15:15:25","modified_gmt":"2018-10-02T20:15:25","slug":"unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria","status":"publish","type":"post","link":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/","title":{"rendered":"Unidad did\u00e1ctica 3-B: Participaci\u00f3n de enfermer\u00eda en rehabilitaci\u00f3n dentro de las \u00e1reas: cl\u00ednica, laboral, educativa, social, personal y comunitaria"},"content":{"rendered":"<h2>INTRODUCCI\u00d3N<\/h2>\n<p>A trav\u00e9s de los a\u00f1os el personal de enfermer\u00eda ha sido pionero en la b\u00fasqueda de la atenci\u00f3n hol\u00edstica, el contar para ello con un cuerpo de conocimientos cient\u00edficos, fruto de la experiencia emp\u00edrica, del estudio, de la pr\u00e1ctica basada en evidencia y de la investigaci\u00f3n. En su \u00e1mbito es precursor de la medicina f\u00edsica y rehabilitaci\u00f3n en la administraci\u00f3n del cuidado, en su b\u00fasqueda continua de la mejor\u00eda del paciente, su impacto va desde que inicia acciones en el primer contacto con la persona aplicando sus conocimientos y habilidades para generar un proceso de atenci\u00f3n acorde a las necesidades detectadas y en sus diferentes enfoques (prevenir complicaciones, promoci\u00f3n y educaci\u00f3n para la salud, facilitar su integraci\u00f3n al medio en el que se desarrolla) encaminados al autocuidado.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9506\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/manual-release-myofascial-release-physical-therapy\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?fit=960%2C640&amp;ssl=1\" data-orig-size=\"960,640\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;https:\/\/www.maxpixel.net\/&quot;,&quot;camera&quot;:&quot;Canon EOS 6D&quot;,&quot;caption&quot;:&quot;Manual Release Myofascial Release Physical Therapy&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Copyright by MaxPixel&quot;,&quot;focal_length&quot;:&quot;34&quot;,&quot;iso&quot;:&quot;1600&quot;,&quot;shutter_speed&quot;:&quot;0.0055555555555556&quot;,&quot;title&quot;:&quot;Manual Release Myofascial Release Physical Therapy&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-01\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?fit=300%2C200&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?fit=960%2C640&amp;ssl=1\" class=\"aligncenter wp-image-9506\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg\" alt=\"\" width=\"600\" height=\"400\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9506\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/manual-release-myofascial-release-physical-therapy\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?fit=960%2C640&amp;ssl=1\" data-orig-size=\"960,640\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;4&quot;,&quot;credit&quot;:&quot;https:\/\/www.maxpixel.net\/&quot;,&quot;camera&quot;:&quot;Canon EOS 6D&quot;,&quot;caption&quot;:&quot;Manual Release Myofascial Release Physical Therapy&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;Copyright by MaxPixel&quot;,&quot;focal_length&quot;:&quot;34&quot;,&quot;iso&quot;:&quot;1600&quot;,&quot;shutter_speed&quot;:&quot;0.0055555555555556&quot;,&quot;title&quot;:&quot;Manual Release Myofascial Release Physical Therapy&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-01\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?fit=300%2C200&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?fit=960%2C640&amp;ssl=1\" class=\"aligncenter wp-image-9506\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?resize=600%2C400&#038;ssl=1\" alt=\"\" width=\"600\" height=\"400\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?w=960&amp;ssl=1 960w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Manual-Release-Myofascial-Release-Physical-Therapy-2538802.jpg?resize=272%2C182&amp;ssl=1 272w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/noscript><\/p>\n<p>Imagen 1. A trav\u00e9s de los a\u00f1os el personal de enfermer\u00eda ha sido pionero precursor de la medicina f\u00edsica y rehabilitaci\u00f3n en la administraci\u00f3n del cuidado.<\/p>\n<h2>CONTENIDO<\/h2>\n<h3>3.3 Semiolog\u00eda integral<\/h3>\n<p>La semiolog\u00eda se define como el conjunto de signos y s\u00edntomas que caracterizan a una enfermedad, dentro de la fisioterapia, est\u00e1 normada por la Clasificaci\u00f3n Internacional del Funcionamiento, de la Discapacidad y de la Salud (CIF), creada por la Organizaci\u00f3n Mundial de la Salud (OMS).<\/p>\n<p>Estos ex\u00e1menes semiol\u00f3gicos pueden realizarse en la zona que se desea tratar o de manera general y seg\u00fan Ramos V\u00e9rtiz deben de realizarse de la siguiente manera:<\/p>\n<ul>\n<li><strong>Inspecci\u00f3n<\/strong>: se valoran de manera bilateral la posici\u00f3n\/ postura, los arcos de movilidad, forma, tama\u00f1o, coloraci\u00f3n, tumefacci\u00f3n, adelgazamiento, integridad de la piel, estado de los m\u00fasculos.<\/li>\n<li><strong>Palpaci\u00f3n<\/strong>: se compara de manera bilateral y pueden medirse la temperatura, si existe edema, puntos dolorosos o las estructuras anat\u00f3micas.<\/li>\n<li><strong>Movilidad<\/strong>: se valora la movilidad de las articulaciones poniendo especial atenci\u00f3n en si es activa o requiere ser realizada de forma pasiva, si se encuentra completa o limitada, si presenta alg\u00fan signo o s\u00edntoma especial.<\/li>\n<li><strong>Ex\u00e1menes regionales<\/strong>: en este apartado pueden realizarse diferentes tipas de mediciones, ex\u00e1menes musculares, pruebas espec\u00edficas e incluso la Las mediciones longitudinales nos permitir\u00e1n conocer si existen acortamientos, las de circunferencia para el trofismo muscular, el uso del dinam\u00f3metro para valorar la potencia. El examen manual muscular nos permitir\u00e1 saber la fuerza de cada m\u00fasculo y las maniobras espec\u00edficas identificar la lesi\u00f3n.<\/li>\n<\/ul>\n<p>A continuaci\u00f3n, describiremos la semiolog\u00eda de los miembros superiores e inferiores por articulaciones.<\/p>\n<p><strong>Semiolog\u00eda de hombro<\/strong><strong>\u00a0<\/strong><\/p>\n<p>El hombro es una articulaci\u00f3n formada por los huesos h\u00famero, esc\u00e1pula y clav\u00edcula, el cual presenta tres articulaciones que son: la acromio-clavicular, escapulo-humeral y esternoclavicular.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9516\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-01\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?fit=2182%2C1701&amp;ssl=1\" data-orig-size=\"2182,1701\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-01\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?fit=300%2C234&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?fit=1024%2C798&amp;ssl=1\" class=\"aligncenter wp-image-9516\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01-1024x798.png\" alt=\"\" width=\"800\" height=\"624\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9516\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-01\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?fit=2182%2C1701&amp;ssl=1\" data-orig-size=\"2182,1701\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-01\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?fit=300%2C234&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?fit=1024%2C798&amp;ssl=1\" class=\"aligncenter wp-image-9516\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?resize=800%2C624&#038;ssl=1\" alt=\"\" width=\"800\" height=\"624\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?resize=1024%2C798&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?resize=300%2C234&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-01.png?resize=768%2C599&amp;ssl=1 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/noscript><\/p>\n<p>Diagrama 1. Semiolog\u00eda del hombro.<\/p>\n<p>Esta articulaci\u00f3n es una de las m\u00e1s m\u00f3viles de todo el cuerpo humano, por lo que se valoran los movimientos de Flexi\u00f3n (180\u00b0), Extensi\u00f3n (50\u00b0), Abducci\u00f3n (180\u00b0), Aducci\u00f3n (50\u00b0), Rotaci\u00f3n Interna (90\u00b0) y Rotaci\u00f3n externa (90\u00b0).<\/p>\n<p>Posteriormente se recomienda palpar con las yemas de los dedos la clav\u00edcula, las 3 articulaciones, la tuberosidad mayor del h\u00famero, el tend\u00f3n de la porci\u00f3n larga del b\u00edceps y el m\u00fasculo Deltoides.<\/p>\n<p>Una vez concluida la palpaci\u00f3n se realiza el examen manual muscular aplicando resistencia manual en flexi\u00f3n, extensi\u00f3n, abducci\u00f3n, aducci\u00f3n, rotaci\u00f3n interna y externa.<\/p>\n<p>Una vez concluido lo anterior se pueden realizar las pruebas espec\u00edficas de hombro como el Test de Jobe que valora el m\u00fasculo supraespinoso, la prueba de Hawkins \u2013 Kennedy que valora un compromiso subacromial, la Prueba de Speed que valora el m\u00fasculo B\u00edceps Braquial, la Prueba de Yergason que valora la inflamaci\u00f3n de la porci\u00f3n larga del B\u00edceps, la Prueba del Brazo ca\u00eddo que valora el m\u00fasculo supraespinoso, la prueba del rascado de Apley que valora el estado del mango rotador, el Signo de la Tecla del Piano que valora la inestabilidad de la articulaci\u00f3n acromio-clavicular, la prueba de Translocaci\u00f3n de Jobe que valora la inestabilidad anterior del hombro, la Prueba de Feagin que valora la inestabilidad glenohumeral anterior, la Prueba del chasquido que valora el desgarro del rodete glenoideo, la Prueba de O&#8217;Brien que valora una posible lesi\u00f3n del labrum glenoideo, la Prueba de Allen y de Adson que se utilizan para valorar el s\u00edndrome del desfiladero tor\u00e1cico, la prueba de Ludington que se utiliza para valorar la ruptura del tend\u00f3n de la porci\u00f3n larga del B\u00edceps, la prueba de aprensi\u00f3n anterior y posterior que se utilizan para valorar la estabilidad del hombro, la prueba del caj\u00f3n Posterior que se utiliza para valorar la laxitud del hombro y la Prueba de acortamiento del pectoral.<\/p>\n<p><strong>Semiolog\u00eda del codo<\/strong><strong>\u00a0<\/strong><\/p>\n<p>El codo es una articulaci\u00f3n formada por el h\u00famero, el radio y el c\u00fabito, que a su vez presenta tres articulaciones que son la h\u00famero-cubital, h\u00famero-radial y radio-cubital superior.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9526\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-02\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?fit=2021%2C1258&amp;ssl=1\" data-orig-size=\"2021,1258\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-02\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?fit=300%2C187&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?fit=1024%2C637&amp;ssl=1\" class=\"aligncenter wp-image-9526\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02-1024x637.png\" alt=\"\" width=\"800\" height=\"498\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9526\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-02\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?fit=2021%2C1258&amp;ssl=1\" data-orig-size=\"2021,1258\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-02\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?fit=300%2C187&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?fit=1024%2C637&amp;ssl=1\" class=\"aligncenter wp-image-9526\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?resize=800%2C498&#038;ssl=1\" alt=\"\" width=\"800\" height=\"498\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?resize=1024%2C637&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?resize=300%2C187&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?resize=768%2C478&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-02.png?w=2021&amp;ssl=1 2021w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/noscript><\/p>\n<p>Diagrama 2. Semiolog\u00eda del codo.<\/p>\n<p>Esta articulaci\u00f3n presenta los movimientos de flexi\u00f3n (30\u00b0), extensi\u00f3n (180\u00b0), pronaci\u00f3n y supinaci\u00f3n (180\u00b0). Se debe palpar el ol\u00e9cranon, el epic\u00f3ndilo y la epitr\u00f3clea para ver si existe dolor o alguna masa palpable, tambi\u00e9n se debe palpar la bursa y el nervio cubital.<\/p>\n<p>Posteriormente se realiza la valoraci\u00f3n de la fuerza muscular oponiendo resistencia manual a la flexo-extensi\u00f3n y a la prono-supinaci\u00f3n.<\/p>\n<p>Una vez que se termina de valorar la fuerza muscular se realizan las pruebas espec\u00edficas de codo como la de Cozen que valora la epicondilitis lateral, la prueba del codo de golfista que valora la epicondilitis medial, la Prueba de Presi\u00f3n en Varo valora la lesi\u00f3n de los ligamentos laterales y colaterales y la Prueba de Presi\u00f3n en Valgo que valora la lesi\u00f3n de en el ligamento cubital o medial.<\/p>\n<p><strong>Semiologia de mu\u00f1eca\u00a0<\/strong><\/p>\n<p>La mu\u00f1eca es una articulaci\u00f3n formada por la parte distal del radio y del c\u00fabito, los\u00a0huesos del carpo (que se componen en dos filas) y los extremos proximales de los metacarpianos. Esta articulaci\u00f3n presenta movimientos de Flexi\u00f3n extensi\u00f3n, as\u00ed como desviaci\u00f3n radial y cubital.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9528\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-03\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?fit=1721%2C1361&amp;ssl=1\" data-orig-size=\"1721,1361\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-03\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?fit=300%2C237&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?fit=1024%2C810&amp;ssl=1\" class=\"aligncenter wp-image-9528\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03-1024x810.png\" alt=\"\" width=\"600\" height=\"474\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9528\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-03\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?fit=1721%2C1361&amp;ssl=1\" data-orig-size=\"1721,1361\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-03\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?fit=300%2C237&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?fit=1024%2C810&amp;ssl=1\" class=\"aligncenter wp-image-9528\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?resize=600%2C474&#038;ssl=1\" alt=\"\" width=\"600\" height=\"474\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?resize=1024%2C810&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?resize=300%2C237&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?resize=768%2C607&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-03.png?w=1721&amp;ssl=1 1721w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/noscript><\/p>\n<p>Diagrama 3. Semiolog\u00eda de mu\u00f1eca.<\/p>\n<p>Posteriormente se valora la fuerza muscular oponiendo resistencia manual. Una vez concluido lo anterior se realizan las pruebas espec\u00edficas como el Test de Tinel que sirve para valorar el s\u00edndrome del T\u00fanel Carpiano, Test de Allen que valora la estenosis u obstrucci\u00f3n de la arteria cubital y la Maniobra en Ocho que valora la Movilidad.<\/p>\n<p><strong>Semiolog\u00eda de la mano<\/strong><strong>\u00a0<\/strong><\/p>\n<p>La mano est\u00e1 formada por los metacarpianos, as\u00ed como las falanges proximales, mediales y distales.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9551\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-04\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?fit=1850%2C982&amp;ssl=1\" data-orig-size=\"1850,982\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-04\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?fit=300%2C159&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?fit=1024%2C544&amp;ssl=1\" class=\"aligncenter wp-image-9551\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04-1024x544.png\" alt=\"\" width=\"800\" height=\"425\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9551\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-04\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?fit=1850%2C982&amp;ssl=1\" data-orig-size=\"1850,982\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-04\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?fit=300%2C159&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?fit=1024%2C544&amp;ssl=1\" class=\"aligncenter wp-image-9551\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?resize=800%2C425&#038;ssl=1\" alt=\"\" width=\"800\" height=\"425\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?resize=1024%2C544&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?resize=300%2C159&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?resize=768%2C408&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-04.png?w=1850&amp;ssl=1 1850w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/noscript><\/p>\n<p>Diagrama 4. Semiolog\u00eda de la mano.<\/p>\n<p>Se deben observar la piel y los relieves \u00f3seos de manera comparativa en ambas manos, para descartar que existan alteraciones en la coloraci\u00f3n, presencia de deformidades, tumores o n\u00f3dulos.<\/p>\n<p>El dedo presenta movimientos de flexi\u00f3n &#8211; extensi\u00f3n, as\u00ed como aducci\u00f3n \u2013 abducci\u00f3n, el dedo pulgar adem\u00e1s presenta movimiento de oposici\u00f3n.<\/p>\n<p>Posteriormente se palpan todas las articulaciones valorando la presencia de dolor y al finalizar se realiza la valoraci\u00f3n de la fuerza muscular.<\/p>\n<p>Una vez terminado lo anterior se realizan las pruebas espec\u00edficas como el Test de Froment que valora la lesi\u00f3n en el canal cubital, la Prueba de Bunnel Littler que valora la flexi\u00f3n de la articulaci\u00f3n interfal\u00e1ngica proximal y metacarpo fal\u00e1ngico de cada dedo y el Test de Varo\/ Valgo de los dedos que valora la hiperlaxitud ligamentaria o la inestabilidad de las articulaciones.<\/p>\n<p><strong>Semiolog\u00eda de cadera<\/strong><strong>\u00a0<\/strong><\/p>\n<p>La articulaci\u00f3n de la cadera est\u00e1 formada por la cavidad cotiloidea del hueso coxal y la cabeza de f\u00e9mur, que se encuentra por debajo de grandes m\u00fasculos lo que dificulta su palpaci\u00f3n.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9559\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-05\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?fit=1892%2C1892&amp;ssl=1\" data-orig-size=\"1892,1892\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-05\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?fit=300%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?fit=1024%2C1024&amp;ssl=1\" class=\"aligncenter wp-image-9559\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05-1024x1024.png\" alt=\"\" width=\"600\" height=\"600\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9559\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-05\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?fit=1892%2C1892&amp;ssl=1\" data-orig-size=\"1892,1892\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-05\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?fit=300%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?fit=1024%2C1024&amp;ssl=1\" class=\"aligncenter wp-image-9559\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?resize=600%2C600&#038;ssl=1\" alt=\"\" width=\"600\" height=\"600\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?resize=1024%2C1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-05.png?w=1892&amp;ssl=1 1892w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/noscript><\/p>\n<p>Diagrama 5. Semiolog\u00eda de la cadera.<\/p>\n<p>Esta articulaci\u00f3n es tambi\u00e9n una de las m\u00e1s m\u00f3viles del cuerpo humano y presenta movimientos de flexi\u00f3n (+ de 120\u00b0), Extensi\u00f3n (15\u00b0), Abducci\u00f3n (45\u00b0), Aducci\u00f3n (30\u00b0), Rotaci\u00f3n Interna (30\u00b0) y Rotaci\u00f3n Externa ( 40\u00b0).<\/p>\n<p>Posteriormente se valora la fuerza muscular mediante la aplicaci\u00f3n de resistencia manual en cada uno de los movimientos de la articulaci\u00f3n.<\/p>\n<p>Una vez concluido lo anterior se realizan las pruebas espec\u00edficas como la Prueba de Ober que valora el tensor de la fascia lata y la banda iliotibial, la Prueba de Thomas que valora si existe contractura de los m\u00fasculos flexores, Test de Elys que valora el recto anterior y el Test del Piramidal que eval\u00faa la contractura de este m\u00fasculo.<\/p>\n<p><strong>Semiolog\u00eda de rodilla<\/strong><\/p>\n<p>La rodilla est\u00e1 formada por la parte distal del f\u00e9mur, la r\u00f3tula y la parte proximal de la Tibia. Adem\u00e1s, posee una gran cantidad de ligamentos que dan estabilidad a esta articulaci\u00f3n como el ligamento cruzado anterior y posterior, los ligamentos colaterales laterales y mediales, y el tend\u00f3n rotuliano.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9577\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-06\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?fit=1712%2C1778&amp;ssl=1\" data-orig-size=\"1712,1778\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-06\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?fit=289%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?fit=986%2C1024&amp;ssl=1\" class=\"aligncenter wp-image-9577\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06-986x1024.png\" alt=\"\" width=\"600\" height=\"623\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9577\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-06\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?fit=1712%2C1778&amp;ssl=1\" data-orig-size=\"1712,1778\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-06\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?fit=289%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?fit=986%2C1024&amp;ssl=1\" class=\"aligncenter wp-image-9577\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?resize=600%2C623&#038;ssl=1\" alt=\"\" width=\"600\" height=\"623\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?resize=986%2C1024&amp;ssl=1 986w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?resize=289%2C300&amp;ssl=1 289w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?resize=768%2C798&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-06.png?w=1712&amp;ssl=1 1712w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/noscript><\/p>\n<p>Diagrama 6. Semiolog\u00eda de la rodilla.<\/p>\n<p>Esta articulaci\u00f3n presenta movimiento de flexi\u00f3n y extensi\u00f3n, adem\u00e1s de una leve rotaci\u00f3n interna y externa que \u00fanicamente puede valorarse en flexi\u00f3n de 90\u00b0 de rodilla.<\/p>\n<p>Posteriormente se valora la fuerza muscular oponiendo resistencia manual a la flexi\u00f3n y extensi\u00f3n.<\/p>\n<p>Una vez concluido lo anterior se realizan las pruebas espec\u00edficas de rodilla como el Signo de Clark que valora la r\u00f3tula y la corredera troclear del f\u00e9mur, la Prueba del Caj\u00f3n Anterior que valora la estabilidad del Ligamento Cruzado Anterior, la Prueba del Caj\u00f3n Posterior que valora la estabilidad del Ligamento Cruzado Posterior, la Prueba de Aprensi\u00f3n de la R\u00f3tula que valora la estabilidad de la r\u00f3tula, la Prueba de McMurray que valora los meniscos y la Prueba de Apley que valora los ligamentos mediales y laterales.<\/p>\n<p><strong>Semiolog\u00eda del tobillo\u00a0<\/strong><\/p>\n<p>Est\u00e1 formado por la parte distal de Tibia y Peron\u00e9, as\u00ed como el astr\u00e1galo. Esta articulaci\u00f3n debe de observarse de manera bilateral para checar si existen deformidades, edema, o inflamaci\u00f3n.<\/p>\n<p>Posteriormente se valora la movilidad en movimientos de Flexi\u00f3n dorsal (20\u00b0) , Flexi\u00f3n Plantar (45\u00b0), Inversi\u00f3n (45\u00b0) y Eversi\u00f3n (30\u00b0).<\/p>\n<p>Posteriormente se palpan las prominencias \u00f3seas, el pulso tibial y el reflejo rotuliano.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9586\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-07_mesa-de-trabajo-1\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?fit=1850%2C1189&amp;ssl=1\" data-orig-size=\"1850,1189\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-07_Mesa de trabajo 1\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?fit=300%2C193&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?fit=1024%2C658&amp;ssl=1\" class=\"aligncenter wp-image-9586\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1-1024x658.png\" alt=\"\" width=\"600\" height=\"386\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9586\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-07_mesa-de-trabajo-1\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?fit=1850%2C1189&amp;ssl=1\" data-orig-size=\"1850,1189\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-07_Mesa de trabajo 1\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?fit=300%2C193&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?fit=1024%2C658&amp;ssl=1\" class=\"aligncenter wp-image-9586\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?resize=600%2C386&#038;ssl=1\" alt=\"\" width=\"600\" height=\"386\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?resize=1024%2C658&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?resize=300%2C193&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?resize=768%2C494&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-07_Mesa-de-trabajo-1.png?w=1850&amp;ssl=1 1850w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/noscript><\/p>\n<p>Diagrama 7. Semiolog\u00eda de tobillo.<\/p>\n<p>Una vez concluida la palpaci\u00f3n se explora la fuerza muscular mediante la aplicaci\u00f3n de resistencia manual.<\/p>\n<p>Posteriormente se realizan las pruebas espec\u00edficas de tobillo como la Prueba de Inclinaci\u00f3n de la articulaci\u00f3n subastragalina (inversi\u00f3n) que valora los ligamentos calc\u00e1neoperoneos, la Prueba de Inclinaci\u00f3n de la articulaci\u00f3n subastragalina (eversi\u00f3n) que valora los ligamentos talocalc\u00e1neos y el Test de Thompson valora la integridad del tend\u00f3n de Aquiles.<\/p>\n<p><strong>Semiolog\u00eda del pie\u00a0<\/strong><\/p>\n<p>El pie se encuentra formado por varios huesecillos que se encuentran unidos por una gran cantidad de ligamentos potentes y que son esenciales en la marcha.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9595\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-08\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?fit=2164%2C1180&amp;ssl=1\" data-orig-size=\"2164,1180\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-08\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?fit=300%2C164&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?fit=1024%2C558&amp;ssl=1\" class=\"aligncenter wp-image-9595\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08-1024x558.png\" alt=\"\" width=\"600\" height=\"327\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9595\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-08\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?fit=2164%2C1180&amp;ssl=1\" data-orig-size=\"2164,1180\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-08\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?fit=300%2C164&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?fit=1024%2C558&amp;ssl=1\" class=\"aligncenter wp-image-9595\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?resize=600%2C327&#038;ssl=1\" alt=\"\" width=\"600\" height=\"327\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?resize=1024%2C558&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?resize=300%2C164&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-08.png?resize=768%2C419&amp;ssl=1 768w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><\/noscript><\/p>\n<p>Diagrama 8. Semiolog\u00eda del pie.<\/p>\n<p>Est\u00e1 formado por los huesos calc\u00e1neo, cuboides, escafoides, tres cu\u00f1as, los metatarsianos y las falanges de los dedos. El pie posee las siguientes articulaciones: la subastragalina, la mediotarsiana o de Chopart, tarsometarsianas y tarsianas, metatarso fal\u00e1ngicas, interfal\u00e1ngicas.<\/p>\n<p>El pie presenta una movilidad muy pobre por lo que no es necesario medirla por goniometr\u00eda, lo importante es valorar si se encuentra presente o ausente. La valoraci\u00f3n de la fuerza muscular se realiza mediante resistencia manual y posteriormente se realizan las pruebas espec\u00edficas como el Test de Tinnel que valora la compresi\u00f3n del T\u00fanel tarsiano, la Prueba del Golpeteo que eval\u00faa las fracturas y el Test del Neuroma Interdigital que valora la existencia del neuroma interdigital.<\/p>\n<h3>3.4 Evaluaci\u00f3n funcional uso de escalas<\/h3>\n<p>La evaluaci\u00f3n funcional de un paciente nos sirve para determinar la capacidad de independencia que tiene una persona para realizar sus actividades de la vida diaria.<\/p>\n<p>Estas actividades de la vida diaria se pueden dividir en tres grupos para su estudio que son:<\/p>\n<ul>\n<li>Actividades b\u00e1sicas de la vida diaria: valoran las actividades diarias como ba\u00f1arse, vestirse, ir al ba\u00f1o, alimentarse, etc.<\/li>\n<li>Actividades instrumentadas de la vida diaria: mide actividades m\u00e0s complejas que requieren del uso de instrumentos como usar el tel\u00e9fono, lavar la ropa, manejo del dinero, salir a la calle, etc.<\/li>\n<li>Actividades avanzadas de la vida diaria: miden la capacidad de una persona para realizar actividades complejas como planear y salir de viajes, pertenecer a grupos sociales y utilizar su tiempo libre.<\/li>\n<\/ul>\n<p>Todas estas actividades se miden de forma objetiva mediante el uso de escalas que ya se encuentran validadas. El \u00edndice de Barthel, de Katz y la FIM miden las actividades b\u00e1sicas de la vida diaria, mientras que el \u00cdndice de Lawton que mide las Actividades Instrumentadas.<\/p>\n<p><strong>\u00cdndice de Barthel (autonom\u00eda para las actividades de la vida diaria)<\/strong><\/p>\n<p>Consta de 10 \u00edtems. Se valora entre 0 y 100 puntos, con intervalos de 5 puntos. A menor puntuaci\u00f3n mayor dependencia y a mayor puntuaci\u00f3n mayor independencia.<\/p>\n<p>La suma de todas las puntuaciones nos arrojar\u00e1 la puntuaci\u00f3n final, que nos dir\u00e1 la dependencia\/independencia de la persona:<\/p>\n<ul>\n<li>20 puntos dependencia total.<\/li>\n<li>21-60 dependencia severa.<\/li>\n<li>61-90 dependencia moderada.<\/li>\n<li>91-99 dependencia escasa.<\/li>\n<li>100 independencia.<\/li>\n<\/ul>\n<p>Los apartados que valora esta escala son:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3466\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-6\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?fit=763%2C381&amp;ssl=1\" data-orig-size=\"763,381\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461823&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?fit=300%2C150&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?fit=763%2C381&amp;ssl=1\" class=\"aligncenter wp-image-3466\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg\" alt=\"\" width=\"614\" height=\"307\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3466\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-6\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?fit=763%2C381&amp;ssl=1\" data-orig-size=\"763,381\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461823&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?fit=300%2C150&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?fit=763%2C381&amp;ssl=1\" class=\"aligncenter wp-image-3466\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?resize=614%2C307&#038;ssl=1\" alt=\"\" width=\"614\" height=\"307\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?w=763&amp;ssl=1 763w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1-5.jpg?resize=300%2C150&amp;ssl=1 300w\" sizes=\"auto, (max-width: 614px) 100vw, 614px\" \/><\/noscript><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3467\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-1\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?fit=610%2C463&amp;ssl=1\" data-orig-size=\"610,463\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461862&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.1\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?fit=300%2C228&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?fit=610%2C463&amp;ssl=1\" class=\"aligncenter wp-image-3467\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg\" alt=\"\" width=\"615\" height=\"467\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3467\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-1\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?fit=610%2C463&amp;ssl=1\" data-orig-size=\"610,463\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461862&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.1\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?fit=300%2C228&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?fit=610%2C463&amp;ssl=1\" class=\"aligncenter wp-image-3467\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?resize=615%2C467&#038;ssl=1\" alt=\"\" width=\"615\" height=\"467\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?w=610&amp;ssl=1 610w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.1.jpg?resize=300%2C228&amp;ssl=1 300w\" sizes=\"auto, (max-width: 615px) 100vw, 615px\" \/><\/noscript><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3468\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-2-2\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?fit=607%2C281&amp;ssl=1\" data-orig-size=\"607,281\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461882&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.2\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?fit=300%2C139&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?fit=607%2C281&amp;ssl=1\" class=\"aligncenter wp-image-3468\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg\" alt=\"\" width=\"603\" height=\"279\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3468\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-2-2\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?fit=607%2C281&amp;ssl=1\" data-orig-size=\"607,281\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461882&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.2\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?fit=300%2C139&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?fit=607%2C281&amp;ssl=1\" class=\"aligncenter wp-image-3468\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?resize=603%2C279&#038;ssl=1\" alt=\"\" width=\"603\" height=\"279\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?w=607&amp;ssl=1 607w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.2.jpg?resize=300%2C139&amp;ssl=1 300w\" sizes=\"auto, (max-width: 603px) 100vw, 603px\" \/><\/noscript><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3469\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-3-2\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?fit=604%2C366&amp;ssl=1\" data-orig-size=\"604,366\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461909&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.3\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?fit=300%2C182&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?fit=604%2C366&amp;ssl=1\" class=\"aligncenter wp-image-3469\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg\" alt=\"\" width=\"619\" height=\"375\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3469\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-3-2\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?fit=604%2C366&amp;ssl=1\" data-orig-size=\"604,366\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461909&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.3\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?fit=300%2C182&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?fit=604%2C366&amp;ssl=1\" class=\"aligncenter wp-image-3469\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?resize=619%2C375&#038;ssl=1\" alt=\"\" width=\"619\" height=\"375\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?w=604&amp;ssl=1 604w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.3.jpg?resize=300%2C182&amp;ssl=1 300w\" sizes=\"auto, (max-width: 619px) 100vw, 619px\" \/><\/noscript><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3470\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-4-2\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?fit=607%2C362&amp;ssl=1\" data-orig-size=\"607,362\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461929&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.4\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?fit=300%2C179&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?fit=607%2C362&amp;ssl=1\" class=\"aligncenter wp-image-3470\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg\" alt=\"\" width=\"617\" height=\"368\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"3470\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/tabla-1-4-2\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?fit=607%2C362&amp;ssl=1\" data-orig-size=\"607,362\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;Usuario&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1523461929&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Tabla 1.4\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?fit=300%2C179&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?fit=607%2C362&amp;ssl=1\" class=\"aligncenter wp-image-3470\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?resize=617%2C368&#038;ssl=1\" alt=\"\" width=\"617\" height=\"368\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?w=607&amp;ssl=1 607w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/Tabla-1.4.jpg?resize=300%2C179&amp;ssl=1 300w\" sizes=\"auto, (max-width: 617px) 100vw, 617px\" \/><\/noscript><\/p>\n<p>Tabla 1. \u00cdndice de Barthel.<\/p>\n<p><strong>Functional Independence Measure (FIM)<\/strong><\/p>\n<p>Adem\u00e1s de evaluar la cuesti\u00f3n f\u00edsica, valora la capacidad cognitiva de la persona. Lo que le permite centrarse en la cantidad de cuidado que necesita la persona.<\/p>\n<p>Esta escala califica el nivel de asistencia que requiere la persona para realizar las actividades de la vida diaria. Esta escala consta de 18 \u00edtems, de los cuales 13 eval\u00faan el estado f\u00edsico conforme a la escala de Barthel y 5 \u00edtems la discapacidad cognitiva.<\/p>\n<p>Cada uno de los \u00edtems es puntuado de 1 a 7 de la siguiente manera:<\/p>\n<table border=\"1\" align=\"center\">\n<tbody>\n<tr>\n<td valign=\"top\" width=\"71\">NIVEL<\/td>\n<td colspan=\"2\" valign=\"top\" width=\"552\">\n<p align=\"center\">DESCRIPCI\u00d3N<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"71\">1<\/td>\n<td valign=\"top\" width=\"174\">Asistencia total<\/td>\n<td valign=\"top\" width=\"378\">Realiza menos del 25% del esfuerzo para completar la tarea o le es imposible realizarla.<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"71\">2<\/td>\n<td valign=\"top\" width=\"174\">Asistencia m\u00e1xima<\/td>\n<td valign=\"top\" width=\"378\">Subjetivamente realiza del 25 al 49% de la tarea.<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"71\">3<\/td>\n<td valign=\"top\" width=\"174\">Asistencia moderada<\/td>\n<td valign=\"top\" width=\"378\">Subjetivamente realiza del 50 al 75% de la tarea.<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"71\">4<\/td>\n<td valign=\"top\" width=\"174\">Asistencia m\u00ednima<\/td>\n<td valign=\"top\" width=\"378\">Requiere incidentalmente de ayuda manual (subjetivamente realiza 75% de la tarea)<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"71\">5<\/td>\n<td valign=\"top\" width=\"174\">Supervisi\u00f3n<\/td>\n<td valign=\"top\" width=\"378\">Requiriendo asistencia s\u00f3lo para espera, indicaciones verbales o ayuda con la instalaci\u00f3n.<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"71\">6<\/td>\n<td valign=\"top\" width=\"174\">Independencia modificada<\/td>\n<td valign=\"top\" width=\"378\">Requiere del uso de un dispositivo, pero no de ayuda f\u00edsica<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\" width=\"71\">7<\/td>\n<td valign=\"top\" width=\"174\">Independencia completa<\/td>\n<td valign=\"top\" width=\"378\">Completamente independiente<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Tabla 2. Functional Independence Measure.<\/p>\n<p>Los \u00edtems que valoran el estado de salud f\u00edsica son los siguientes:<\/p>\n<ul>\n<li>Alimentaci\u00f3n.<\/li>\n<li>Arreglo personal.<\/li>\n<li>Ba\u00f1o.<\/li>\n<li>Vestirse miembros superiores.<\/li>\n<li>Vestirse miembros inferiores.<\/li>\n<li>Aseo personal.<\/li>\n<li>Control de vejiga.<\/li>\n<li>Control intestinal.<\/li>\n<li>Transferencias cama\/silla\/silla de ruedas.<\/li>\n<li>Transferencia: ba\u00f1o.<\/li>\n<li>Transferencia: Tina\/regadera.<\/li>\n<li>Caminar\/ desplazarse en silla de ruedas.<\/li>\n<li>Subir y bajar escaleras.<\/li>\n<\/ul>\n<p>Los \u00edtems que valoran el estado de salud mental son:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9598\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-09\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?fit=2508%2C331&amp;ssl=1\" data-orig-size=\"2508,331\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-09\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?fit=300%2C40&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?fit=1024%2C135&amp;ssl=1\" class=\"aligncenter wp-image-9598\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09-1024x135.png\" alt=\"\" width=\"800\" height=\"106\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9598\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-09\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?fit=2508%2C331&amp;ssl=1\" data-orig-size=\"2508,331\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-09\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?fit=300%2C40&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?fit=1024%2C135&amp;ssl=1\" class=\"aligncenter wp-image-9598\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?resize=800%2C106&#038;ssl=1\" alt=\"\" width=\"800\" height=\"106\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?resize=1024%2C135&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?resize=300%2C40&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?resize=768%2C101&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-09.png?w=2400&amp;ssl=1 2400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/noscript><\/p>\n<p>Diagrama 9. Items &#8211; salud mental.<\/p>\n<p><strong>\u00cdndice de Katz\u00a0<\/strong><\/p>\n<p>La escala de Katz consta de seis \u00edtems que eval\u00faan las actividades de la vida diaria, proporcionando un \u00edndice de autonom\u00eda-dependencia en un breve tiempo.<\/p>\n<p>Estos seis \u00edtems est\u00e1n organizados de manera jer\u00e1rquica, seg\u00fan la forma en que los pacientes pierden o recuperan independencia.<\/p>\n<p>Valora los siguientes \u00edtems:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9600\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-10\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?fit=3000%2C1915&amp;ssl=1\" data-orig-size=\"3000,1915\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-10\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?fit=300%2C192&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?fit=1024%2C654&amp;ssl=1\" class=\"aligncenter wp-image-9600\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10-1024x654.png\" alt=\"\" width=\"800\" height=\"511\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9600\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-10\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?fit=3000%2C1915&amp;ssl=1\" data-orig-size=\"3000,1915\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-10\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?fit=300%2C192&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?fit=1024%2C654&amp;ssl=1\" class=\"aligncenter wp-image-9600\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?resize=800%2C511&#038;ssl=1\" alt=\"\" width=\"800\" height=\"511\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?resize=1024%2C654&amp;ssl=1 1024w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?resize=300%2C192&amp;ssl=1 300w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?resize=768%2C490&amp;ssl=1 768w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-10.png?w=2400&amp;ssl=1 2400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/noscript><\/p>\n<p>Tabla 3. \u00cdndice de Katz.<\/p>\n<p><strong>PUNTUACI\u00d3N\u00a0<\/strong><\/p>\n<ol>\n<li>Independiente en todas las funciones.<\/li>\n<li>Independiente en todas salvo en una de ellas.<\/li>\n<li>Independiente en todas salvo lavado y otro m\u00e1s.<\/li>\n<li>Independiente en todas salvo lavado, vestido y otro m\u00e1s.<\/li>\n<li>Independiente en todas salvo lavado, vestido, uso de retrete y otro m\u00e1s.<\/li>\n<li>Independiente en todas salvo lavado, vestido, uso de retrete, movilizaci\u00f3n y otra m\u00e1s.<\/li>\n<li>Dependiente en las seis funciones.<\/li>\n<\/ol>\n<p><strong>\u00cdndice de Lawton<\/strong><strong>\u00a0<\/strong><\/p>\n<p>Este \u00edndice se encarga de valorar las actividades instrumentadas de la vida diaria y su puntuaci\u00f3n es diferente para hombres y mujeres.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9601\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-11\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?fit=603%2C1096&amp;ssl=1\" data-orig-size=\"603,1096\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-11\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?fit=165%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?fit=563%2C1024&amp;ssl=1\" class=\"size-large wp-image-9601 aligncenter\" src=\"data:image\/gif;base64,R0lGODlhAQABAIAAAAAAAP\/\/\/yH5BAEAAAAALAAAAAABAAEAAAIBRAA7\" data-src=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11-563x1024.jpg\" alt=\"\" width=\"563\" height=\"1024\" \/><noscript><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" data-attachment-id=\"9601\" data-permalink=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/rehab-uni3b-perda-11\/#main\" data-orig-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?fit=603%2C1096&amp;ssl=1\" data-orig-size=\"603,1096\" data-comments-opened=\"0\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"REHAB-UNI3B-PERDA-11\" data-image-description=\"\" data-image-caption=\"\" data-medium-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?fit=165%2C300&amp;ssl=1\" data-large-file=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?fit=563%2C1024&amp;ssl=1\" class=\"size-large wp-image-9601 aligncenter\" src=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?resize=563%2C1024&#038;ssl=1\" alt=\"\" width=\"563\" height=\"1024\" srcset=\"https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?resize=563%2C1024&amp;ssl=1 563w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?resize=165%2C300&amp;ssl=1 165w, https:\/\/i0.wp.com\/blogs.ugto.mx\/enfermeriaenlinea\/wp-content\/uploads\/sites\/43\/2018\/04\/REHAB-UNI3B-PERDA-11.jpg?w=603&amp;ssl=1 603w\" sizes=\"auto, (max-width: 563px) 100vw, 563px\" \/><\/noscript><\/p>\n<p>Tabla 4. \u00cdndice de Lawton.<\/p>\n<p>Interpretaci\u00f3n:<strong>\u00a0<\/strong><\/p>\n<ul>\n<li>Mujeres<\/li>\n<\/ul>\n<p><strong>Dependencia<\/strong>:\u00a0\u00a0\u00a0 0-1 Total\u00a0\u00a0\u00a0\u00a0 2-3 Grave\u00a0\u00a0 4-5 Moderada\u00a0 6-7 Leve\u00a0\u00a0 8 Aut\u00f3noma.<\/p>\n<ul>\n<li>Hombres<\/li>\n<\/ul>\n<p><strong>Dependencia<\/strong>:\u00a0\u00a0\u00a0 0 Total\u00a0\u00a0\u00a0\u00a0 1 Grave\u00a0\u00a0 2-3 Moderada\u00a0 4 Leve\u00a0\u00a0 5 Aut\u00f3nomo.<\/p>\n<h2>CONCLUSIONES<\/h2>\n<h2>BIBLIOGRAF\u00cdA CONSULTADA<\/h2>\n<ul>\n<li>Proped\u00e9utica Cl\u00ednica y Semiolog\u00eda M\u00e9dica. Tomo Cap\u00edtulo 7 \u201cExamen F\u00edsico del Sistema osteomioarticular (SOMA)\u201d Pag. 61-79.<\/li>\n<li><span style=\"color: #000000\"><a style=\"color: #000000\" href=\"http:\/\/www.sld.cu\/galerias\/pdf\/sitios\/rehabilitacion-doc\/clase01.pdf\">http:\/\/www.sld.cu\/galerias\/pdf\/sitios\/rehabilitacion-doc\/clase01.pdf<\/a><\/span><\/li>\n<li><span style=\"color: #000000\">Organizaci\u00f3n Mundial de la Salud (2001) Clasificaci\u00f3n Internacional del Funcionamiento, de la Discapacidad y de la Salud (CIF)<\/span><\/li>\n<li><span style=\"color: #000000\"><a style=\"color: #000000\" href=\"http:\/\/apps.who.int\/iris\/bitstream\/10665\/43360\/1\/9241545445_spa.pdf\">http:\/\/apps.who.int\/iris\/bitstream\/10665\/43360\/1\/9241545445_spa.pdf<\/a><\/span><\/li>\n<li><span style=\"color: #000000\">Test Ortop\u00e9dicos<\/span><\/li>\n<li><span style=\"color: #000000\"><a style=\"color: #000000\" href=\"http:\/\/gonchh.wixsite.com\/fisiotest\">http:\/\/gonchh.wixsite.com\/fisiotest<\/a><\/span><\/li>\n<li><span style=\"color: #000000\"><a style=\"color: #000000\" href=\"http:\/\/salpub.uv.es\/SALPUB\/practicum12\/docs\/visidom\/Escalas%2BInstrum_valoracion_atencion_domiciliaria\/043_INDICE_LAWTON_Escala_actividades_instrumentales_vida_diaria.pdf\">http:\/\/salpub.uv.es\/SALPUB\/practicum12\/docs\/visidom\/Escalas+Instru<\/a><a style=\"color: #000000\" href=\"http:\/\/salpub.uv.es\/SALPUB\/practicum12\/docs\/visidom\/Escalas%2BInstrum_valoracion_atencion_domiciliaria\/043_INDICE_LAWTON_Escala_actividades_instrumentales_vida_diaria.pdf\"> m_valoracion_atencion_domiciliaria\/043_INDICE_LAWTON_Escala_activi<\/a><a style=\"color: #000000\" href=\"http:\/\/salpub.uv.es\/SALPUB\/practicum12\/docs\/visidom\/Escalas%2BInstrum_valoracion_atencion_domiciliaria\/043_INDICE_LAWTON_Escala_actividades_instrumentales_vida_diaria.pdf\"> pdf<\/a><\/span><\/li>\n<li><span style=\"color: #000000\"><a style=\"color: #000000\" href=\"http:\/\/www.hvn.es\/enfermeria\/ficheros\/barthel.pdf\">http:\/\/www.hvn.es\/enfermeria\/ficheros\/barthel.pdf<\/a><\/span><\/li>\n<li><span style=\"color: #000000\"><a style=\"color: #000000\" href=\"http:\/\/www.rehabmeasures.org\/lists\/rehabmeasures\/dispform.aspx?id=889\">http:\/\/www.rehabmeasures.org\/lists\/rehabmeasures\/dispform.aspx?id=889<\/a><\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>INTRODUCCI\u00d3N A trav\u00e9s de los a\u00f1os el personal de enfermer\u00eda ha sido pionero en la b\u00fasqueda de la atenci\u00f3n hol\u00edstica, el contar para ello con un cuerpo de conocimientos cient\u00edficos, fruto de la experiencia emp\u00edrica, del estudio, de la pr\u00e1ctica basada en evidencia y de la investigaci\u00f3n. En su \u00e1mbito es precursor de la medicina &#8230; <a title=\"Unidad did\u00e1ctica 3-B: Participaci\u00f3n de enfermer\u00eda en rehabilitaci\u00f3n dentro de las \u00e1reas: cl\u00ednica, laboral, educativa, social, personal y comunitaria\" class=\"read-more\" href=\"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/unidad-didactica-3-b-participacion-de-enfermeria-en-rehabilitacion-dentro-de-las-areas-clinica-laboral-educativa-social-personal-y-comunitaria\/\" aria-label=\"Leer m\u00e1s sobre Unidad did\u00e1ctica 3-B: Participaci\u00f3n de enfermer\u00eda en rehabilitaci\u00f3n dentro de las \u00e1reas: cl\u00ednica, laboral, educativa, social, personal y comunitaria\">Leer m\u00e1s<\/a><\/p>\n","protected":false},"author":111,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","episode_type":"","audio_file":"","podmotor_file_id":"","podmotor_episode_id":"","cover_image":"","cover_image_id":"","duration":"","filesize":"","filesize_raw":"","date_recorded":"","explicit":"","block":"","itunes_episode_number":"","itunes_title":"","itunes_season_number":"","itunes_episode_type":"","jetpack_post_was_ever_published":false,"footnotes":""},"categories":[32],"tags":[],"class_list":["post-3454","post","type-post","status-publish","format-standard","hentry","category-rehabilitacion"],"acf":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p9Pe0m-TI","jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/posts\/3454","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/users\/111"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/comments?post=3454"}],"version-history":[{"count":6,"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/posts\/3454\/revisions"}],"predecessor-version":[{"id":9602,"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/posts\/3454\/revisions\/9602"}],"wp:attachment":[{"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/media?parent=3454"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/categories?post=3454"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.ugto.mx\/enfermeriaenlinea\/wp-json\/wp\/v2\/tags?post=3454"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}