{"id":631,"date":"2017-03-27T15:12:02","date_gmt":"2017-03-27T15:12:02","guid":{"rendered":"http:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/?p=631"},"modified":"2019-11-27T09:28:31","modified_gmt":"2019-11-27T09:28:31","slug":"miembro-superior-espastico","status":"publish","type":"post","link":"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/miembro-superior-espastico\/","title":{"rendered":"El miembro superior esp\u00e1stico"},"content":{"rendered":"

El miembro superior esp\u00e1stico<\/strong> es la consecuencia de la afecci\u00f3n de la neurona motora superior, es decir, una lesi\u00f3n en el cerebro por un traumatismo, enfermedad degenerativa, problema vascular (ictus) o patolog\u00edas de la m\u00e9dula espinal en la regi\u00f3n cervical. Los casos m\u00e1s comunes que se nos presentan en la pr\u00e1ctica son los miembros superiores esp\u00e1sticos despu\u00e9s de un accidente cerebro-vascular que provoca una <\/span>hemiplejia<\/b>.<\/span><\/p>\n

La espasticidad<\/b> es una alteraci\u00f3n del tono muscular normal, que obedece a la liberaci\u00f3n de un mecanismo reflejo postural anormal que introduce una funci\u00f3n est\u00e1tica exagerada a expensas del control din\u00e1mico de la postura y el movimiento.<\/span><\/p>\n

\"\"

Mano esp\u00e1stica antes del tratamiento de fisioterapia<\/p><\/div>\n

En el caso del miembro superior la espasticidad por lo general se presenta con un patr\u00f3n: Aducci\u00f3n con rotaci\u00f3n interna del hombro, flexi\u00f3n de codo, con pronaci\u00f3n de antebrazo, mu\u00f1eca flexionada con pulgar en la palma y dedos flexionados.<\/span><\/p>\n

\u00bfQU\u00c9 PUEDE HACER LA FISIOTERAPIA?<\/b><\/h3>\n

Debe emprenderse una evaluaci\u00f3n minuciosa y establecer que t\u00e9cnica se adapta al paciente as\u00ed como establecer la frecuencia y duraci\u00f3n del tratamiento.<\/span><\/p>\n

La fisioterapia cuenta con varios m\u00e9todos y t\u00e9cnicas de reeducaci\u00f3n neuromuscular, con base en la premisa que puede adiestrarse al sistema nervioso central para que recobre el control voluntario de las extremidades hemipl\u00e9jicas. (Bobath, Kabat, Vojta, Perfetti, etc)<\/span><\/p>\n

\"\"

Mano al terminar el tratamiento de fisioterapia<\/p><\/div>\n

Los ejercicios de fisioterapia son deseables en el tratamiento de la mano esp\u00e1stica. Deber\u00e1 practicarse todos los d\u00edas estiramientos repetidos, pasivos y suaves de los m\u00fasculos esp\u00e1sticos. La movilizaci\u00f3n de todas las articulaciones nos ayuda a prevenir contracturas, para esto tambi\u00e9n se pueden indicar f\u00e9rulas para el posicionamiento adecuado de la extremidad.<\/span><\/p>\n

El dolor tambi\u00e9n es un problema que se presenta en el hombro esp\u00e1stico, debido a la subluxaci\u00f3n de la articulaci\u00f3n en fases tempranas. El tratamiento de preferencia es preventivo, manteniendo el arco de movimiento del hombro y evitar posiciones que favorezcan la subluxaci\u00f3n.<\/span><\/p>\n

El pron\u00f3stico en la recuperaci\u00f3n funcional en la extremidad superior hemipl\u00e9jica es en extremo reservado \u00a0e imprevisible. Pero cualquiera sea el grado de recuperaci\u00f3n que se logre es importante.<\/span><\/p>\n

En Fisiohogar nuestro equipo de fisioterapeutas podr\u00e1 orientarte, no dudes en ponerte en contacto con nosotros<\/a> para plantearnos tus preguntas, queremos ayudarte.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

El miembro superior esp\u00e1stico es la consecuencia de la afecci\u00f3n de la neurona motora superior, es decir, una lesi\u00f3n en el cerebro por un traumatismo, enfermedad degenerativa, problema vascular (ictus) o patolog\u00edas de la […]<\/p>\n","protected":false},"author":22,"featured_media":632,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[20],"tags":[],"class_list":["post-631","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fisioterapia"],"yoast_head":"\nEl miembro superior esp\u00e1stico - San Sebasti\u00e1n de los Reyes<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/miembro-superior-espastico\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"El miembro superior esp\u00e1stico - San Sebasti\u00e1n de los Reyes\" \/>\n<meta property=\"og:description\" content=\"El miembro superior esp\u00e1stico es la consecuencia de la afecci\u00f3n de la neurona motora superior, es decir, una lesi\u00f3n en el cerebro por un traumatismo, enfermedad degenerativa, problema vascular (ictus) o patolog\u00edas de la [...]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/miembro-superior-espastico\/\" \/>\n<meta property=\"og:site_name\" content=\"San Sebasti\u00e1n de los Reyes\" \/>\n<meta property=\"article:published_time\" content=\"2017-03-27T15:12:02+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2019-11-27T09:28:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.fisiohogar.com\/sansebastiandelosreyes\/wp-content\/uploads\/sites\/37\/2017\/03\/manoesp1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"728\" \/>\n\t<meta property=\"og:image:height\" content=\"1296\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Tibisay Rodr\u00edguez G\u00f3mez\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tibisay Rodr\u00edguez G\u00f3mez\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/miembro-superior-espastico\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/miembro-superior-espastico\\\/\"},\"author\":{\"name\":\"Tibisay Rodr\u00edguez G\u00f3mez\",\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/#\\\/schema\\\/person\\\/24e01197e8cea00e64cbf72bb6907d65\"},\"headline\":\"El miembro superior esp\u00e1stico\",\"datePublished\":\"2017-03-27T15:12:02+00:00\",\"dateModified\":\"2019-11-27T09:28:31+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/miembro-superior-espastico\\\/\"},\"wordCount\":430,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/miembro-superior-espastico\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/wp-content\\\/uploads\\\/sites\\\/37\\\/2017\\\/03\\\/manoesp1.jpg\",\"articleSection\":[\"Fisioterapia\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/miembro-superior-espastico\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/miembro-superior-espastico\\\/\",\"url\":\"https:\\\/\\\/www.fisiohogar.com\\\/sansebastiandelosreyes\\\/miembro-superior-espastico\\\/\",\"name\":\"El miembro superior esp\u00e1stico - 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