Trauma raquimedular y rehabilitación cardiopulmonar

Autores/as

  • Camilo Adolfo Leal Verdugo Medicina Física y Rehabilitación, Universidad Nacional de Colombia. Unidad de Rehabilitación Cardiaca y Pulmonar, Hospital Central de la Policía. Bogotá, Colombia. http://orcid.org/0000-0002-7892-0953
  • Diego Mauricio Chaustre Ruiz Programa de Rehabilitación Cardiopulmonar, Hospital Central de la Policía, Bogotá, Colombia. http://orcid.org/0000-0002-2795-8740

DOI:

https://doi.org/10.28957/rcmfr.v30n1a5

Palabras clave:

Trauma raquimedular, rehabilitación cardiaca, rehabilitación pulmonar, fisiología, pruebas funcionales, ejercicio.

Resumen

Las personas con lesión medular presentan alteraciones cardiopulmonares y físicas más allá del compromiso motor secundario derivado de la lesión medular; ello genera desacondicionamiento, alteraciones de la dinámica respiratoria y del volumen sanguíneo circu- lante, y sedentarismo, lo cual aumenta el riesgo cardiovascular. El ejercicio es una herramienta demanejo de estas alteraciones con escasa difusión clínica. Se describe su importancia para el paciente lesionado medular, los mecanismos de evaluación funcional y la formulación del ejercicio. Los beneficios son la optimización del gasto cardiaco y el balance respiratorio muscular, así como la mejora en el desempeño de las actividades básicas cotidianas y su funcionalidad relacionada con dispositivos de marcha y movilidad. La valoración funcional tiene protocolos específicos dependientes del nivel de lesión, así como la prescripción del ejercicio. Los programas de rehabilitación cardiaca y pulmonar, así como la prescripción del ejercicio, deben ser considerados en los programas de rehabilitación y manejo del paciente con lesión medular.

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Cómo citar

1.
Leal Verdugo CA, Chaustre Ruiz DM. Trauma raquimedular y rehabilitación cardiopulmonar. Rev. Colomb. Med. Fis. Rehabil. [Internet]. 9 de septiembre de 2020 [citado 28 de marzo de 2024];30(1):54-66. Disponible en: https://revistacmfr.org/index.php/rcmfr/article/view/237

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Publicado

2020-09-09

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