{"id":4893,"date":"2018-01-23T19:17:37","date_gmt":"2018-01-23T19:17:37","guid":{"rendered":"https:\/\/www.fisiohogar.com\/valencia\/?p=4893"},"modified":"2019-07-12T10:38:22","modified_gmt":"2019-07-12T10:38:22","slug":"doler-ejercicio-terapeutico","status":"publish","type":"post","link":"https:\/\/www.fisiohogar.com\/valencia\/doler-ejercicio-terapeutico\/","title":{"rendered":"\u00bfdebe doler el ejercicio terap\u00e9utico?"},"content":{"rendered":"<h4><span style=\"font-weight: 400;\">\u00bfHa de ser el ejercicio doloroso en dolencias de dolor cr\u00f3nico?<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Las afecciones musculoesquel\u00e9ticas cr\u00f3nicas son una dolencia habitual, y resultan un problema sanitario a nivel global. En los \u00faltimos tiempos, se han desarrollado formas de ejercicio terap\u00e9utico enfocadas a la carga o resistencia que han de ser propuestas en los planes de ejercicio terap\u00e9utico, y en algunos de estos programas, se recomienda que se supere el umbral del dolor.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">\u00bfSon acaso los ejercicios que se realizan superando estos umbrales m\u00e1s beneficiosos para el objetivo terap\u00e9utico que esos mismos ejercicios realizados dentro de un rango no doloroso? <\/span><\/h4>\n<p><span style=\"font-weight: 400;\">Un reciente art\u00edculo en el cual se juntan m\u00e1s de 9000 art\u00edculos potenciales, se plantea esta duda.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Las propuestas modernas de tratamiento hacen hincapi\u00e9 en que ese dolor reproducido durante el ejercicio (si es el dolor familiar y se reproduce \u00fanicamente cuando se expone) no tiene porqu\u00e9 relacionarse con aumento de lesi\u00f3n en el tejido. Aseguran que se ha de tener muy en cuenta que los factores psicosociales, la predisposici\u00f3n del paciente a \u201csufrir\u201d ese dolor y el contexto en el que se desarrolla. De este modo, tratan de separar el habitual binomio \u00a0de dolor con lesi\u00f3n y centrarnos en educar al paciente.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">La Efectividad de los resultados se midi\u00f3 a corto plazo (menos de 3 meses), plazo medio (3-12 meses) y largo plazo (m\u00e1s de 12 meses) desde el comienzo del tratamiento.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><img decoding=\"async\" class=\"aligncenter size-full wp-image-4894\" src=\"https:\/\/www.fisiohogar.com\/valencia\/wp-content\/uploads\/sites\/16\/2018\/01\/children-310223_960_720.png\" alt=\"\" width=\"960\" height=\"480\" srcset=\"https:\/\/www.fisiohogar.com\/valencia\/wp-content\/uploads\/sites\/16\/2018\/01\/children-310223_960_720-300x150.png 300w, https:\/\/www.fisiohogar.com\/valencia\/wp-content\/uploads\/sites\/16\/2018\/01\/children-310223_960_720-768x384.png 768w, https:\/\/www.fisiohogar.com\/valencia\/wp-content\/uploads\/sites\/16\/2018\/01\/children-310223_960_720-940x470.png 940w, https:\/\/www.fisiohogar.com\/valencia\/wp-content\/uploads\/sites\/16\/2018\/01\/children-310223_960_720.png 960w\" sizes=\"(max-width: 960px) 100vw, 960px\" \/>Los resultados indican que hay un beneficio significante con los ejercicios que provocan dolor, pero \u00fanicamente a corto plazo, pero estas diferencias son peque\u00f1as. Lo que s\u00ed han deducido es que en seguimientos a medio y largo plazo, las diferencias son insignificantes.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">\u00bfQu\u00e9 conclusiones se deducen de esta revisi\u00f3n?<\/span><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\"> Se aprecian muy pocos beneficios a medio y largo plazo\u2026 por lo que tiene poco sentido excederse. <\/span><\/li>\n<li><span style=\"font-weight: 400;\"> A medida que se avanza en el tiempo, resulta hasta dif\u00edcil encontrar el dolor, y se somete al paciente a cargas y repeticiones que pueden ser da\u00f1inas<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> En los principios de los tratamientos, no hemos de ver el dolor como algo negativo, si no como parte de un proceso normal y de la progresi\u00f3n del tratamiento<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Bibliograf\u00eda:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">1. <\/span> <span style=\"font-weight: 400;\">Smith BE, Hendrick P, Smith TO, Bateman M, Moffatt F, Rathleff MS, et al. Should exercises be painful in the management of chronic musculoskeletal pain? A systematic review and meta-analysis. Br J Sports Med. 2017 Dec;51(23):1679\u201387. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00bfHa de ser el ejercicio doloroso en dolencias de dolor cr\u00f3nico? Las afecciones musculoesquel\u00e9ticas cr\u00f3nicas son una dolencia habitual, y resultan un problema sanitario a nivel global. En los \u00faltimos tiempos, se han desarrollado  [&#8230;]<\/p>\n","protected":false},"author":21,"featured_media":4895,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_joinchat":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-4893","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dolores-articulares-y-musculares"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u00bfdebe doler el ejercicio terap\u00e9utico? - Valencia<\/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\/valencia\/doler-ejercicio-terapeutico\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00bfdebe doler el ejercicio terap\u00e9utico? - Valencia\" \/>\n<meta property=\"og:description\" content=\"\u00bfHa de ser el ejercicio doloroso en dolencias de dolor cr\u00f3nico? 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