<div id="pf1" class="pf w0 h0" data-page-no="1"><div class="pc pc1 w0 h0"><img class="bi x0 y0 w1 h1" alt="" src="https://files.passeidireto.com/8527e9d8-f185-4b2a-9177-afded311a0f0/bg1.png"><div class="t m0 x1 h2 y1 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x1 h2 y2 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x1 h2 y3 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x1 h2 y4 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h2 y5 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h2 y6 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h2 y7 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h2 y8 ff2 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x0 h3 y9 ff3 fs1 fc0 sc0 ls0 ws2">EFECTIVIDAD DE LA HIDROTERAPIA EN </div><div class="t m0 x3 h3 ya ff3 fs1 fc0 sc0 ls1 ws2">COMPARACIÓN CON <span class="blank _0"> </span>LA FISIOTERAPIA </div><div class="t m0 x4 h3 yb ff3 fs1 fc0 sc0 ls2 ws0">CONVENCIONAL<span class="ls1 ws2"> EN <span class="blank _0"> </span>LA RUPTURA DEL </span></div><div class="t m0 x5 h3 yc ff3 fs1 fc0 sc0 ls1 ws2">LCA. <span class="ls0">ESTUDIO PROSPECTIVO </span></div><div class="t m0 x6 h3 yd ff3 fs1 fc0 sc0 ls2 ws1">ALEATORIZADO<span class="blank"> </span><span class="ls1 ws2"> </span></div><div class="t m0 x2 h3 ye ff3 fs1 fc0 sc0 ls1 ws2"> </div><div class="t m0 x7 h4 yf ff4 fs2 fc0 sc0 ls1 ws2">MEMORIA CIENTÍ<span class="blank _1"></span>F<span class="blank _0"> </span>ICA TRAB<span class="blank _1"></span>AJO FINAL DE GRADO<span class="blank _0"> </span> </div><div class="t m0 x8 h4 y10 ff4 fs2 fc0 sc0 ls1 ws2">4º FISIOTERAPIA </div><div class="t m0 x9 h4 y11 ff4 fs2 fc0 sc0 ls1 ws2">AÑO 2014-2015 </div><div class="t m0 xa h4 y12 ff4 fs2 fc0 sc0 ls1 ws2"> </div><div class="t m0 xa h5 y13 ff5 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 xb h5 y14 ff5 fs0 fc0 sc0 ls1 ws2">A<span class="blank _1"></span>UTO<span class="blank _0"> </span>RES </div><div class="t m0 xc h5 y15 ff5 fs0 fc0 sc0 ls1 ws2">DA<span class="blank _1"></span>NIEL MORENO<span class="blank _0"> </span> MA<span class="blank _1"></span>RTOS<span class="blank _0"> </span> </div><div class="t m0 xd h5 y16 ff5 fs0 fc0 sc0 ls1 ws2">A<span class="blank _1"></span>LBERT<span class="blank _0"> </span>O RODRÍGUEZ A<span class="blank _1"></span>LONSO<span class="blank _0"> </span> </div><div class="t m0 xa h5 y17 ff5 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 xe h5 y18 ff5 fs0 fc0 sc0 ls1 ws2">TUTOR </div><div class="t m0 xf h5 y19 ff5 fs0 fc0 sc0 ls1 ws2">RA<span class="blank _1"></span>UL T<span class="blank _0"> </span>ORRES CL<span class="blank _0"> </span>A<span class="blank _2"></span>RAMUNT<span class="blank _0"> </span> </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf2" class="pf w0 h0" data-page-no="2"><div class="pc pc2 w0 h0"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">2 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x11 h8 y20 ff6 fs2 fc0 sc0 ls1 ws2">Agradecimient<span class="blank _2"></span>o<span class="blank _0"> </span>s a Raúl Torres Claramunt por su colaboración y </div><div class="t m0 x12 h8 y21 ff6 fs2 fc0 sc0 ls1 ws2">seguimiento de<span class="blank _1"></span> este proyecto y a nuestras familias por su apoyo.<span class="blank _0"> </span> </div><div class="t m0 xa h4 y22 ff4 fs2 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y23 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y24 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y25 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y26 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y27 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y28 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y29 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y2a ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y2b ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y2c ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y2d ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y2e ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y2f ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y30 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y31 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y32 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y33 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y34 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y35 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y36 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y37 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y38 ff1 fs5 fc0 sc0 ls1 ws2"> </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf3" class="pf w0 h0" data-page-no="3"><div class="pc pc3 w0 h0"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">3 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 ha y20 ff2 fs2 fc0 sc0 ls1 ws2">ÍNDICE </div><div class="t m0 x2 h2 y39 ff1 fs0 fc0 sc0 ls4 ws3">1.<span class="ls1 ws2"> <span class="blank _4"> </span>RESUMEN <span class="blank _5"></span><span class="ls3 ws4">.............................................................................................................................<span class="ls1 ws2">5 </span></span></span></div><div class="t m0 x2 h2 y3a ff1 fs0 fc0 sc0 ls4 ws3">2.<span class="ls1 ws2"> <span class="blank _4"> </span>ANTECEDENTES DEL TEMA Y ESTADO ACTU<span class="blank _1"></span>AL DEL TEMA<span class="blank _0"> </span> <span class="blank _0"> </span><span class="ls3 ws4">...................................................</span>6 </span></div><div class="t m0 x13 h2 y3b ff1 fs0 fc0 sc0 ls1 ws2">2.1 Historia de <span class="blank _2"></span>l<span class="blank _0"> </span>a hidroterapia <span class="blank _6"></span><span class="ls3 ws4">..................................................................................................<span class="ls1 ws2">6 </span></span></div><div class="t m0 x13 h2 y3c ff1 fs0 fc0 sc0 ls4">2.2<span class="ls1 ws2"> Bases anat<span class="blank _2"></span>ómi<span class="blank _0"> </span>cas y patológicas<span class="blank _0"> </span> <span class="ls3 ws4">.........................................................................................</span>7 </span></div><div class="t m0 x13 h2 y3d ff1 fs0 fc0 sc0 ls1 ws2">2.3 Abordaje <span class="blank _6"></span><span class="ls3 ws4">.............................................................................................................................<span class="ls1 ws2">8 </span></span></div><div class="t m0 x3 h2 y3e ff1 fs0 fc0 sc0 ls1 ws2">2.3.1 Tratamient<span class="blank _1"></span>o conservador<span class="blank _0"> </span> <span class="blank _7"></span><span class="ls3 ws4">............................................................................................<span class="ls1 ws2">8 </span></span></div><div class="t m0 x3 h2 y3f ff1 fs0 fc0 sc0 ls1 ws2">2.3.2 Tratamient<span class="blank _1"></span>o quirúrgico<span class="blank _0"> </span> <span class="ls3 ws4">...............................................................................................</span>8 </div><div class="t m0 x13 h2 y40 ff1 fs0 fc0 sc0 ls1 ws2">2.4 Hidrotera<span class="blank _2"></span>pi<span class="blank _0"> </span>a <span class="blank _2"></span><span class="ls3 ws4">.......................................................................................................................<span class="ls1 ws2">9 </span></span></div><div class="t m0 x13 h2 y41 ff1 fs0 fc0 sc0 ls1 ws2">2.5 Que puede aportar el e<span class="blank _1"></span>studio a los conocimientos actuale<span class="blank _1"></span>s<span class="blank _8"> </span> <span class="blank _6"></span><span class="ls3 ws4">..............................................<span class="ls1 ws2">9 </span></span></div><div class="t m0 x2 h2 y42 ff1 fs0 fc0 sc0 ls1 ws2">3. HIPÓTESIS <span class="blank _6"></span><span class="ls3 ws4">................................................................................................<span class="blank _0"> </span>...............................<span class="ls4">10<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y43 ff1 fs0 fc0 sc0 ls1 ws2">3.1 Hipótesis nula <span class="blank _9"></span><span class="ls3 ws4">...................................................................................................................<span class="ls4">10<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y44 ff1 fs0 fc0 sc0 ls1 ws2">3.2 Hipótesis alterna<span class="blank _1"></span>tiva<span class="blank _0"> </span><span class="ls3 ws4">.........................................................................................................<span class="ls4">10</span></span> </div><div class="t m0 x2 h2 y45 ff1 fs0 fc0 sc0 ls1 ws2">4. OBJETIVOS <span class="blank _9"></span><span class="ls3 ws4">..............................................................................................................................<span class="ls4">10<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y46 ff1 fs0 fc0 sc0 ls1 ws2">4.1 Objet<span class="blank _1"></span>ivo principal<span class="blank _0"> </span> <span class="blank _5"></span><span class="ls3 ws4">.............................................................................................................<span class="ls4">10<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y47 ff1 fs0 fc0 sc0 ls1 ws2">4.2 Objet<span class="blank _1"></span>ivos específicos<span class="blank _0"> </span> <span class="blank _9"></span><span class="ls3 ws4">........................................................................................................<span class="ls4">10<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x2 h2 y48 ff1 fs0 fc0 sc0 ls1 ws2">5. METODOLOGÍA<span class="ls3 ws4">.......................................................................................................................<span class="ls4">11</span></span> </div><div class="t m0 x13 h2 y49 ff1 fs0 fc0 sc0 ls1 ws2">5.1 Diseño del estudio <span class="blank _9"></span><span class="ls3 ws4">............................................................................................................<span class="ls4">11<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y4a ff1 fs0 fc0 sc0 ls1 ws2">5.2 Pa<span class="blank _1"></span>rticipantes<span class="blank _0"> </span> <span class="blank _a"></span><span class="ls3 ws4">....................................................................................................................<span class="ls4">11<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y4b ff1 fs0 fc0 sc0 ls1 ws2">5.3 Variables <span class="blank _a"></span><span class="ls3 ws4">...........................................................................................................................<span class="blank _0"> </span><span class="ls4">12<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y4c ff1 fs0 fc0 sc0 ls1 ws2">5.4 Proce<span class="blank _2"></span>di<span class="blank _0"> </span>miento e intervención<span class="blank _0"> </span> <span class="blank _7"></span><span class="ls3 ws4">................................................................<span class="blank _0"> </span>..........................<span class="ls4">13<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y4d ff1 fs0 fc0 sc0 ls1 ws2">5.5 Recogida y <span class="blank _1"></span>anális<span class="blank _0"> </span>is de datos <span class="blank _7"></span><span class="ls3 ws4">................................<span class="blank _0"> </span>.............................................................<span class="ls4">16<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y4e ff1 fs0 fc0 sc0 ls4 ws2">5.6. <span class="ls1">Cronogra<span class="blank _1"></span>ma del estudio<span class="blank _0"> </span> <span class="blank _7"></span><span class="ls3 ws4">..................................................................................................<span class="ls4">17<span class="ls1 ws2"> </span></span></span></span></div><div class="t m0 x2 h2 y4f ff1 fs0 fc0 sc0 ls4 ws3">6.<span class="ls1 ws2"> PLAN DE TRABAJO <span class="blank _5"></span><span class="ls3 ws4">..................................................................................................................<span class="ls4">18<span class="ls1 ws2"> </span></span></span></span></div><div class="t m0 x13 h2 y50 ff1 fs0 fc0 sc0 ls1 ws2">6.1 Etapas del estudio <span class="blank _5"></span><span class="ls3 ws4">................................................................................................<span class="blank _0"> </span>............<span class="ls4">18<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y51 ff1 fs0 fc0 sc0 ls1 ws2">6.2 Distribución del traba<span class="blank _1"></span>jo<span class="blank _0"> </span> <span class="blank _9"></span><span class="ls3 ws4">....................................................................................................<span class="ls4">18<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x13 h2 y52 ff1 fs0 fc0 sc0 ls1 ws2">6.3 Pote<span class="blank _1"></span>nciales limitaciones del estudio<span class="blank _0"> </span> <span class="ls3 ws4">................................................................................<span class="ls4">19</span></span> </div><a class="l" data-dest-detail="[5,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:701.960000px;width:429.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[6,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:676.510000px;width:429.200000px;height:25.450000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[6,"XYZ",82,723,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:651.070000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[7,"XYZ",82,696,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:625.630000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[8,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:600.190000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[8,"XYZ",82,725,null]"><div class="d m1" style="border-style:none;position:absolute;left:104.800000px;bottom:574.750000px;width:407.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[8,"XYZ",82,609,null]"><div class="d m1" style="border-style:none;position:absolute;left:104.800000px;bottom:549.300000px;width:407.200000px;height:25.450000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[9,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:523.860000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[9,"XYZ",82,308,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:498.420000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[10,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:472.980000px;width:429.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[10,"XYZ",82,723,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:447.540000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[10,"XYZ",82,601,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:422.100000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[10,"XYZ",82,474,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:396.650000px;width:429.200000px;height:25.450000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[10,"XYZ",82,438,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:371.210000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[10,"XYZ",82,333,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:345.770000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[11,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:320.330000px;width:429.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[11,"XYZ",82,723,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:294.890000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[11,"XYZ",82,662,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:269.440000px;width:418.200000px;height:25.450000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[12,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:244.000000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[13,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:218.560000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[16,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:193.120000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[17,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:167.680000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[17,"XYZ",524,711,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:142.230000px;width:429.200000px;height:25.450000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[18,"XYZ",82,721,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:116.790000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[18,"XYZ",82,404,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:91.351000px;width:418.200000px;height:25.439000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[19,"XYZ",82,453,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:65.909000px;width:418.200000px;height:25.442000px;background-color:rgba(255,255,255,0.000001);"></div></a></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf4" class="pf w0 h0" data-page-no="4"><div class="pc pc4 w0 h0"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">4 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x13 h2 y53 ff1 fs0 fc0 sc0 ls1 ws2">6.4 Aspectos ét<span class="blank _1"></span>icos <span class="blank _6"></span><span class="ls3 ws4">.................................................................................................................<span class="ls4">19<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x2 h2 y54 ff1 fs0 fc0 sc0 ls4 ws3">7.<span class="ls1 ws2"> RELEVANCIA DEL PRO<span class="blank _1"></span>YECTO<span class="blank _0"> </span> <span class="blank _1"></span><span class="ls3 ws4">..................................................................................................<span class="ls4">20<span class="ls1 ws2"> </span></span></span></span></div><div class="t m0 x2 h2 y55 ff1 fs0 fc0 sc0 ls4 ws2">8. <span class="ls1">JUSTIFICACIÓN DE <span class="blank _1"></span>LA AYUDA SOLICITADA <span class="blank _1"></span><span class="ls3 ws4">.............................................................................<span class="ls4">20<span class="ls1 ws2"> </span></span></span></span></div><div class="t m0 x2 h2 y56 ff1 fs0 fc0 sc0 ls1 ws2">9. PRESUPUESTO <span class="blank _5"></span><span class="ls3 ws4">........................................................................................................................<span class="ls4">21<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x2 h2 y57 ff1 fs0 fc0 sc0 ls1 ws2">10. BIBLIOGRAFÍA <span class="blank _9"></span><span class="ls3 ws4">.......................................................................................................................<span class="ls4">22<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x2 h2 y58 ff1 fs0 fc0 sc0 ls1 ws2">11. ANEXOS <span class="blank _5"></span><span class="ls3 ws4">................................................................................................................................<span class="ls4">24<span class="ls1 ws2"> </span></span></span></div><div class="t m0 x2 h2 y59 ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h2 y5a ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h2 y5b ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y5c ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y5d ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y5e ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y5f ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y60 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y61 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y62 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y63 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y64 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y2e ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y65 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y66 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y67 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y68 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y69 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y6a ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y6b ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y6c ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y6d ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y6e ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y6f ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y70 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y71 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y72 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h9 y73 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y74 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y75 ff1 fs5 fc0 sc0 ls1 ws2"> </div><a class="l" data-dest-detail="[19,"XYZ",82,219,null]"><div class="d m1" style="border-style:none;position:absolute;left:93.800000px;bottom:731.610000px;width:418.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[20,"XYZ",82,702,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:706.170000px;width:429.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[20,"XYZ",82,499,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:680.730000px;width:429.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[21,"XYZ",82,651,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:655.280000px;width:429.200000px;height:25.450000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[22,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:629.840000px;width:429.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a><a class="l" data-dest-detail="[24,"XYZ",82,757,null]"><div class="d m1" style="border-style:none;position:absolute;left:82.800000px;bottom:604.400000px;width:429.200000px;height:25.440000px;background-color:rgba(255,255,255,0.000001);"></div></a></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf5" class="pf w0 h0" data-page-no="5"><div class="pc pc5 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x0 y76 w2 hb" alt="" src="https://files.passeidireto.com/8527e9d8-f185-4b2a-9177-afded311a0f0/bg5.png"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">5 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 hc y20 ff2 fs2 fc0 sc0 ls6 ws5">1.<span class="ff5 ls5 ws2"> <span class="ff2 ls1">RESUMEN </span></span></div><div class="t m0 x14 hd y77 ff2 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 he y78 ff2 fs3 fc0 sc0 ls1 ws2">Introducción: <span class="blank"> </span><span class="ff1">Existe <span class="blank"> </span>una <span class="blank _b"> </span>prevalenci<span class="blank _2"></span>a <span class="blank"> </span>de <span class="blank"> </span>0,30/ <span class="blank"> </span>10000 <span class="blank"> </span>habi<span class="blank _2"></span>tantes<span class="blank _0"> </span> <span class="blank"> </span>que <span class="blank"> </span>pad<span class="blank _1"></span>ezcan <span class="blank"> </span>una <span class="blank"> </span>ruptura <span class="blank _b"> </span>del </span></div><div class="t m0 x14 he y79 ff1 fs3 fc0 sc0 ls1 ws2">ligamento <span class="blank _c"> </span>cruzado <span class="blank _d"> </span>anterior <span class="blank _d"> </span>(LCA). <span class="blank _d"> </span>La <span class="blank _c"> </span>hi<span class="blank _0"> </span>droterapia <span class="blank _c"> </span>ofrece <span class="blank _d"> </span>unos <span class="blank _d"> </span>beneficio<span class="blank _1"></span>s <span class="blank _d"> </span>terapéuticos <span class="blank _d"> </span>que <span class="blank _d"> </span>otros </div><div class="t m0 x14 he y7a ff1 fs3 fc0 sc0 ls1 ws2">tratamientos con<span class="blank _1"></span>vencionales no tienen.<span class="blank _0"> </span> </div><div class="t m0 x14 he y7b ff2 fs3 fc0 sc0 ls1 ws2">Objetivo: <span class="blank _8"> </span><span class="ff1">El <span class="blank _0"> </span>objetivo <span class="blank _0"> </span>pr<span class="blank _0"> </span>incipal<span class="blank _1"></span> <span class="blank _0"> </span>de <span class="blank _8"> </span>es<span class="blank _0"> </span>te <span class="blank _8"> </span>estudio <span class="blank _0"> </span>es <span class="blank _8"> </span>comprobar <span class="blank _0"> </span>si <span class="blank _8"> </span>la <span class="blank _0"> </span>ap<span class="blank _0"> </span>licación <span class="blank _0"> </span>de <span class="blank _8"> </span>la <span class="blank _0"> </span>hi<span class="blank _0"> </span>droterapia <span class="blank _0"> </span>a <span class="blank _8"> </span>un </span></div><div class="t m0 x14 he y7c ff1 fs3 fc0 sc0 ls1 ws2">protocolo <span class="blank _b"> </span>convencional <span class="blank"> </span>de <span class="blank _b"> </span>rehabilitación <span class="blank"> </span>en <span class="blank"> </span>el <span class="blank"> </span>postoper<span class="blank _2"></span>at<span class="blank _0"> </span>orio <span class="blank _b"> </span>de <span class="blank"> </span>la <span class="blank"> </span>reconstrucc<span class="blank _1"></span>ión <span class="blank"> </span>de <span class="blank _b"> </span>un <span class="blank"> </span>LCA<span class="blank _0"> </span>, </div><div class="t m0 x14 he y7d ff1 fs3 fc0 sc0 ls1 ws2">ofrece un mejor control del dolor. </div><div class="t m0 x14 he y7e ff2 fs3 fc0 sc0 ls1 ws6">Diseño<span class="ff1 ls7 ws2">: <span class="ls1">Estudio prospectivo, controlado y aleatorizado. </span></span></div><div class="t m0 x14 he y7f ff2 fs3 fc0 sc0 ls1 ws2">Participantes: <span class="blank _8"> </span><span class="ff1">Se <span class="blank _8"> </span>seleccionar<span class="blank _1"></span>án <span class="blank _0"> </span>u<span class="blank _0"> </span>n <span class="blank _0"> </span>t<span class="blank _0"> </span>otal <span class="blank _0"> </span>de <span class="blank _8"> </span>40 <span class="blank _8"> </span>pacientes <span class="blank _8"> </span>post<span class="blank _0"> </span>-interveni<span class="blank _2"></span>d<span class="blank _0"> </span>os <span class="blank _8"> </span>quirúrgicamente <span class="blank _0"> </span>de <span class="blank _e"> </span>LCA </span></div><div class="t m0 x14 he y80 ff1 fs3 fc0 sc0 ls1 ws2">con edad<span class="blank _1"></span>es comprendi<span class="blank _0"> </span>das entre 18 y 5<span class="blank _1"></span>0 años.<span class="blank _0"> </span> </div><div class="t m0 x14 he y81 ff2 fs3 fc0 sc0 ls1 ws2">Método: <span class="blank _f"> </span><span class="ff1">Se <span class="blank _f"> </span>distribuye <span class="blank _f"> </span>l<span class="blank _2"></span>a<span class="blank _0"> </span> <span class="blank _f"> </span>muestra <span class="blank _f"> </span>en <span class="blank _f"> </span>dos <span class="blank _f"> </span>grupos <span class="blank _f"> </span>al<span class="blank _2"></span>ea<span class="blank _0"> </span>torizados<span class="blank _0"> </span>, <span class="blank _f"> </span>el <span class="blank _f"> </span>grupo <span class="blank _f"> </span>control <span class="blank _10"> </span>y <span class="blank _10"> </span>g<span class="blank _0"> </span>rupo </span></div><div class="t m0 x14 he y82 ff1 fs3 fc0 sc0 ls1 ws2">experimental. <span class="blank _c"> </span>El <span class="blank _c"> </span>grupo <span class="blank _c"> </span>co<span class="blank _2"></span>nt<span class="blank _0"> </span>rol <span class="blank _c"> </span>(n=20) <span class="blank _c"> </span>realizará <span class="blank _d"> </span>fisioterapia <span class="blank _c"> </span>convencional <span class="blank _c"> </span>y <span class="blank _c"> </span>el <span class="blank _c"> </span>grupo <span class="blank _e"> </span>ex<span class="blank _0"> </span>perimental </div><div class="t m0 x14 he y83 ff1 fs3 fc0 sc0 ls1 ws2">(n=20) realizará hidroterapia. Ambos grupos <span class="blank _0"> </span>serán <span class="blank _0"> </span>evaluados mediante dos es<span class="blank _0"> </span>calas (EVA y <span class="blank _0"> </span>LEFS) que<span class="blank _1"></span> </div><div class="t m0 x14 he y84 ff1 fs3 fc0 sc0 ls1 ws2">valoran <span class="blank _0"> </span>el <span class="blank _e"> </span>dolor <span class="blank _8"> </span>y <span class="blank _e"> </span>la <span class="blank _8"> </span>funcion<span class="blank _2"></span>a<span class="blank _0"> </span>lidad <span class="blank _8"> </span>de <span class="blank _e"> </span>la <span class="blank _8"> </span>rodilla <span class="blank _8"> </span>res<span class="blank _0"> </span>pectivamente. <span class="blank _8"> </span>También <span class="blank _8"> </span>se <span class="blank _8"> </span>ev<span class="blank _0"> </span>alúan <span class="blank _0"> </span>los <span class="blank _e"> </span>p<span class="blank _0"> </span>lazos <span class="blank _8"> </span>de </div><div class="t m0 x14 he y85 ff1 fs3 fc0 sc0 ls1 ws2">baja deportiva. </div><div class="t m0 x14 he y86 ff2 fs3 fc0 sc0 ls1 ws2">Resultados <span class="blank _8"> </span>esperados<span class="blank _0"> </span>: <span class="blank _8"> </span><span class="ff1">Se <span class="blank _8"> </span>espera <span class="blank _8"> </span>que <span class="blank _8"> </span>la <span class="blank _e"> </span>hidr<span class="blank _2"></span>oter<span class="blank _0"> </span>apia <span class="blank _8"> </span>sea <span class="blank _e"> </span>más <span class="blank _8"> </span>eficaz <span class="blank _e"> </span>actuando <span class="blank _8"> </span>con <span class="blank _8"> </span>más <span class="blank _8"> </span>precocidad </span></div><div class="t m0 x14 he y87 ff1 fs3 fc0 sc0 ls1 ws2">en el control d<span class="blank _1"></span>el dolor.<span class="blank _0"> </span> </div><div class="t m0 x14 he y88 ff2 fs3 fc0 sc0 ls1 ws2">Palabras clave: <span class="ff1">Hidroter<span class="blank _1"></span>apia, f<span class="blank _0"> </span>isioterapia c<span class="blank _1"></span>onvencional<span class="blank _0"> </span>, LCA. </span></div><div class="t m0 x14 he y89 ff1 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 ha y8a ff2 fs2 fc0 sc0 ls1 ws2">ABSTRA<span class="blank _1"></span>CT<span class="blank _0"> </span> </div><div class="t m0 x14 he y8b ff2 fs3 fc0 sc0 ls1 ws7">Introduction<span class="ff1 ws2">: <span class="blank"> </span>There <span class="blank"> </span>is <span class="blank"> </span>a <span class="blank"> </span>prevalence <span class="blank"> </span>of <span class="blank _3"> </span>0.30 <span class="blank"> </span>/ <span class="blank _3"> </span>10,000 <span class="blank"> </span>inhabitants <span class="blank"> </span>s<span class="blank _0"> </span>ufferi<span class="blank _2"></span>ng<span class="blank _0"> </span> <span class="blank"> </span>a <span class="blank"> </span>ruptured <span class="blank"> </span>a<span class="blank _0"> </span>nterior </span></div><div class="t m0 x14 he y8c ff1 fs3 fc0 sc0 ls1 ws2">cruci<span class="blank _2"></span>at<span class="blank _0"> </span>e <span class="blank _11"> </span>ligament <span class="blank _11"> </span>(ACL). <span class="blank _11"> </span>Hydrotherapy <span class="blank _11"> </span>off<span class="blank _1"></span>ers <span class="blank _11"> </span>s<span class="blank _0"> </span>ome <span class="blank _11"> </span>more <span class="blank _11"> </span>therapeutic <span class="blank _11"> </span>ben<span class="blank _1"></span>efits <span class="blank _11"> </span>than <span class="blank _11"> </span>other </div><div class="t m0 x14 he y8d ff1 fs3 fc0 sc0 ls1 ws2">convention<span class="blank _2"></span>a<span class="blank _0"> </span>l treatments.<span class="blank _0"> </span> </div><div class="t m0 x14 he y8e ff2 fs3 fc0 sc0 ls1 ws6">Objective<span class="ff1 ws2">: The aim of th<span class="blank _0"> </span>is s<span class="blank _0"> </span>tudy is to verify whether t<span class="blank _0"> </span>he applic<span class="blank _1"></span>at<span class="blank _0"> </span>ion<span class="blank _1"></span> o<span class="blank _0"> </span>f hydrotherapy into a s<span class="blank _0"> </span>tandard </span></div><div class="t m0 x14 he y8f ff1 fs3 fc0 sc0 ls1 ws2">rehabili<span class="blank _1"></span>tation protocol after surgery for the reconstruction of a LCA provides better pain c<span class="blank _0"> </span>ontrol. </div><div class="t m0 x14 he y90 ff2 fs3 fc0 sc0 ls1 ws6">Design<span class="ff1 ls7 ws2">: <span class="ls1">Prospective, randomized and controlled study<span class="ls8">. </span> </span></span></div><div class="t m0 x14 he y91 ff2 fs3 fc0 sc0 ls1 ws6">Participants<span class="ff1 ws2">: A total of 40 patients aged between 18 <span class="blank _1"></span>and 50 with ACL pos<span class="blank _0"> </span>t-surgery will be selected. </span></div><div class="t m0 x14 he y92 ff2 fs3 fc0 sc0 ls1 ws6">Method<span class="ff1 ws2">: <span class="blank _0"> </span>The <span class="blank _8"> </span>sample <span class="blank _8"> </span>will <span class="blank _0"> </span>be <span class="blank _8"> </span>divided <span class="blank _0"> </span>into <span class="blank _0"> </span>tw<span class="blank _0"> </span>o <span class="blank _0"> </span>randomized <span class="blank _0"> </span>g<span class="blank _0"> </span>roups; <span class="blank _8"> </span>control <span class="blank _0"> </span>g<span class="blank _0"> </span>roup <span class="blank _0"> </span>(n <span class="blank _8"> </span>= <span class="blank _0"> </span>20) <span class="blank _8"> </span>which <span class="blank _8"> </span>will </span></div><div class="t m0 x14 he y93 ff1 fs3 fc0 sc0 ls1 ws2">perform <span class="blank _10"> </span>conventional <span class="blank _f"> </span>phys<span class="blank _0"> </span>iother<span class="blank _1"></span>apy <span class="blank _f"> </span>and <span class="blank _10"> </span>ex<span class="blank _0"> </span>perimental <span class="blank _10"> </span>gr<span class="blank _0"> </span>oup <span class="blank _f"> </span>(n <span class="blank _10"> </span>=<span class="blank _0"> </span> <span class="blank _10"> </span>20), <span class="blank _f"> </span>which <span class="blank _f"> </span>will <span class="blank _f"> </span>perform </div><div class="t m0 x14 he y94 ff1 fs3 fc0 sc0 ls1 ws2">hydrother<span class="blank _1"></span>apy.<span class="blank _0"> </span> <span class="blank _c"> </span>Both <span class="blank _c"> </span>gro<span class="blank _1"></span>ups <span class="blank _c"> </span>will <span class="blank _c"> </span>be <span class="blank _c"> </span>evalu<span class="blank _1"></span>ated <span class="blank _c"> </span>using <span class="blank _c"> </span>two <span class="blank _c"> </span>scales <span class="blank _c"> </span>(VAS <span class="blank _c"> </span>and <span class="blank _c"> </span>LEFS) <span class="blank _c"> </span>to <span class="blank _e"> </span>as<span class="blank _0"> </span>sess <span class="blank _c"> </span>pain <span class="blank _c"> </span>and<span class="blank _1"></span> </div><div class="t m0 x14 he y95 ff1 fs3 fc0 sc0 ls1 ws2">functionality of <span class="blank _2"></span>t<span class="blank _0"> </span>he knee respectively. Sports sick lea<span class="blank _0"> </span>ve reducti<span class="blank _1"></span>on will <span class="ls9 ws8">be<span class="blank"> </span></span> also evaluated. </div><div class="t m0 x14 he y96 ff2 fs3 fc0 sc0 ls1 ws2">Expected <span class="blank _e"> </span>results<span class="ff1 ls7">: <span class="blank _c"> </span><span class="ls1">Hydrotherapy <span class="blank _c"> </span>is <span class="blank _e"> </span>ex<span class="blank _0"> </span>pected <span class="blank _e"> </span>to <span class="blank _c"> </span>be <span class="blank _c"> </span>mor<span class="blank _1"></span>e <span class="blank _c"> </span>eff<span class="blank _1"></span>ective <span class="blank _c"> </span>by <span class="blank _e"> </span>acting <span class="blank _c"> </span>with <span class="blank _e"> </span>m<span class="blank _0"> </span>ore <span class="blank _e"> </span>p<span class="blank _0"> </span>recocious </span></span></div><div class="t m0 x14 he y97 ff1 fs3 fc0 sc0 ls1 ws2">pain control. </div><div class="t m0 x14 he y98 ff2 fs3 fc0 sc0 ls1 ws6">Keywords<span class="ff1 ws2">: Hydro<span class="blank _1"></span>therapy, conventional phys<span class="blank _0"> </span>iotherapy, LCA. </span></div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf6" class="pf w0 h0" data-page-no="6"><div class="pc pc6 w0 h0"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">6 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x15 hc y20 ff2 fs2 fc0 sc0 ls6 ws5">2.<span class="ff5 lsa ws2"> <span class="ff2 ls1">ANTECEDENTES DEL TEMA Y ESTADO ACTUAL DEL TEMA </span></span></div><div class="t m0 x2 hd y77 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y99 ff2 fs5 fc0 sc0 ls1 ws2">2.1 Historia de la hidroterapia </div><div class="t m0 x2 hf y9a ff1 fs7 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y9b ff1 fs5 fc0 sc0 ls1 ws2">La <span class="blank _0"> </span>hidroterapia es <span class="blank _0"> </span>un <span class="blank _0"> </span>término qu<span class="blank _0"> </span>e<span class="blank _0"> </span> <span class="blank _0"> </span>se utilizaba <span class="blank _0"> </span>desde <span class="blank _0"> </span>las antigua<span class="blank _0"> </span>s civilizaciones como <span class="blank _0"> </span>la </div><div class="t m0 x2 h9 y9c ff1 fs5 fc0 sc0 ls1 ws2">Antigua Grecia y <span class="blank _0"> </span>la civilización romana<span class="blank _0"> </span> por sus beneficios en<span class="blank _0"> </span> el campo de la higiene y el </div><div class="t m0 x2 h9 y9d ff1 fs5 fc0 sc0 ls1 ws2">ámbito <span class="blank _10"> </span>terapéutico, <span class="blank _10"> </span>sin <span class="blank _12"> </span>olvidarnos <span class="blank _10"> </span>qu<span class="blank _0"> </span>e <span class="blank _12"> </span>anteri<span class="blank _0"> </span>ormente <span class="blank _12"> </span>los <span class="blank _10"> </span>fenicios <span class="blank _10"> </span>le <span class="blank _10"> </span>daban <span class="blank _12"> </span>gran </div><div class="t m0 x2 h9 y9e ff1 fs5 fc0 sc0 ls1 ws2">importancia como elemento purificador<span class="blank _2"></span> <span class="blank _0"> </span>y de vida<span class="blank _0"> </span>¹. <span class="fc1"> </span></div><div class="t m0 x2 h9 y9f ff1 fs5 fc0 sc0 ls1 ws2">Etimológicamente, <span class="blank _0"> </span>la palabra hid<span class="blank _0"> </span>roterapi<span class="blank _2"></span>a<span class="blank _0"> </span> d<span class="blank _0"> </span>eriva de <span class="blank _0"> </span>los términos <span class="blank _0"> </span>griegos <span class="blank _e"> </span><span class="ff6 ws9">hydor</span>, agua <span class="blank _0"> </span>y </div><div class="t m0 x2 h9 ya0 ff6 fs5 fc0 sc0 ls1 wsa">therapeia<span class="ff1 ws2">, <span class="blank _d"> </span>terapia. <span class="blank _c"> </span>Entonces<span class="blank _2"></span> <span class="blank _d"> </span>se <span class="blank _c"> </span>entiende <span class="blank _c"> </span>la <span class="blank _d"> </span>hidroterapia <span class="blank _c"> </span>como <span class="blank _c"> </span>la <span class="blank _c"> </span>utilización <span class="blank _c"> </span>del <span class="blank _c"> </span>ag<span class="blank _1"></span>ua </span></div><div class="t m0 x2 h9 ya1 ff1 fs5 fc0 sc0 ls1 ws2">con fines terapéuticos. </div><div class="t m0 x2 h9 ya2 ff1 fs5 fc0 sc0 ls1 ws2">Los <span class="blank _c"> </span>beneficios <span class="blank _c"> </span>que <span class="blank _c"> </span>se <span class="blank _c"> </span>c<span class="blank _1"></span>onocen<span class="blank _0"> </span> <span class="blank _c"> </span>del <span class="blank _c"> </span>agua, <span class="blank _e"> </span>d<span class="blank _0"> </span>otan <span class="blank _c"> </span>a <span class="blank _c"> </span>esta <span class="blank _c"> </span>terapia <span class="blank _c"> </span>de <span class="blank _c"> </span>ser <span class="blank _c"> </span>efectiva <span class="blank _e"> </span>p<span class="blank _0"> </span>ara <span class="blank _c"> </span>la </div><div class="t m0 x2 h9 ya3 ff1 fs5 fc0 sc0 ls1 ws2">recuperación <span class="blank _12"> </span>de <span class="blank _12"> </span>c<span class="blank _1"></span>iertas <span class="blank _12"> </span>les<span class="blank _2"></span>io<span class="blank _0"> </span>nes <span class="blank _12"> </span>e<span class="blank _1"></span>n <span class="blank _12"> </span>el <span class="blank _12"> </span>ámbit<span class="blank _2"></span>o<span class="blank _0"> </span> <span class="blank _12"> </span>de <span class="blank _13"> </span>la <span class="blank _13"> </span>rehabilitación, <span class="blank _10"> </span>dado <span class="blank _13"> </span>que <span class="blank _13"> </span>sus </div><div class="t m0 x2 h9 ya4 ff1 fs5 fc0 sc0 ls1 ws2">propiedades <span class="blank _8"> </span>mecánicas, <span class="blank _8"> </span>térmicas <span class="blank _8"> </span>y <span class="blank _0"> </span>q<span class="blank _0"> </span>uímic<span class="blank _2"></span>a<span class="blank _0"> </span>s, <span class="blank _0"> </span>comb<span class="blank _0"> </span>inado <span class="blank _8"> </span>con <span class="blank _8"> </span>la <span class="blank _8"> </span>cinesiterapia, <span class="blank _0"> </span>d<span class="blank _0"> </span>otan <span class="blank _c"> </span>al </div><div class="t m0 x2 h9 ya5 ff1 fs5 fc0 sc0 ls1 ws2">agua de un efecto curativo. </div><div class="t m0 x2 h9 ya6 ff1 fs5 fc0 sc0 ls1 ws2">Dentro <span class="blank _c"> </span>del <span class="blank _e"> </span>agua, <span class="blank _c"> </span>uno <span class="blank _e"> </span>de <span class="blank _c"> </span>estos <span class="blank _c"> </span>beneficios<span class="blank _2"></span> <span class="blank _c"> </span>en <span class="blank _c"> </span>c<span class="blank _1"></span>uanto<span class="blank _0"> </span> <span class="blank _e"> </span>a <span class="blank _c"> </span>sus <span class="blank _e"> </span>propi<span class="blank _0"> </span>edades, <span class="blank _e"> </span>es <span class="blank _c"> </span>la <span class="blank _e"> </span>falta <span class="blank _c"> </span>de<span class="blank _2"></span> </div><div class="t m0 x2 h9 ya7 ff1 fs5 fc0 sc0 ls1 ws2">gravedad, <span class="blank _c"> </span>que <span class="blank _c"> </span>a<span class="blank _0"> </span> <span class="blank _c"> </span>la <span class="blank _c"> </span>hora <span class="blank _c"> </span>de <span class="blank _d"> </span>recuperar <span class="blank _c"> </span>una <span class="blank _c"> </span>lesión <span class="blank _c"> </span>traumática, <span class="blank _c"> </span>es <span class="blank _c"> </span>de <span class="blank _c"> </span>gran<span class="blank _0"> </span> <span class="blank _c"> </span>importancia </div><div class="t m0 x2 h9 ya8 ff1 fs5 fc0 sc0 ls1 ws2">porque <span class="blank _0"> </span>muchas <span class="blank _0"> </span>veces el <span class="blank _0"> </span>músculo <span class="blank _0"> </span>ll<span class="blank _0"> </span>ega <span class="blank _0"> </span>a <span class="blank _0"> </span>atrofiarse <span class="blank _0"> </span>y es <span class="blank _0"> </span>di<span class="blank _8"> </span>fícil <span class="blank _0"> </span>recupera<span class="blank _0"> </span>r <span class="blank _0"> </span>el <span class="blank _0"> </span>tono normal </div><div class="t m0 x2 h9 ya9 ff1 fs5 fc0 sc0 ls1 ws2">de <span class="blank"> </span>la<span class="blank _1"></span> <span class="blank"> </span>musc<span class="blank _1"></span>ulatura. <span class="blank"> </span>De<span class="blank _2"></span> <span class="blank"> </span>esta <span class="blank _3"> </span>manera<span class="blank _0"> </span>, <span class="blank _3"> </span>al <span class="blank _3"> </span>carecer <span class="blank _3"> </span>de <span class="blank"> </span>grave<span class="blank _2"></span>d<span class="blank _0"> </span>ad <span class="blank _3"> </span>y <span class="blank _3"> </span>además <span class="blank"> </span>ofrec<span class="blank _2"></span>er <span class="blank"> </span>una<span class="blank _2"></span> </div><div class="t m0 x2 h9 yaa ff1 fs5 fc0 sc0 ls1 ws2">resistencia <span class="blank _14"> </span>continua, <span class="blank _14"> </span>hacen <span class="blank _14"> </span>de <span class="blank _14"> </span>esta <span class="blank _14"> </span>t<span class="blank _1"></span>écnica <span class="blank _14"> </span>una <span class="blank _14"> </span>gran <span class="blank _14"> </span>aliada <span class="blank _14"> </span>a <span class="blank _14"> </span>la <span class="blank _14"> </span>hora <span class="blank _14"> </span>de <span class="blank _14"> </span>la </div><div class="t m0 x2 h9 yab ff1 fs5 fc0 sc0 ls1 ws2">rehabilitación. </div><div class="t m0 x2 h9 yac ff1 fs5 fc0 sc0 ls1 ws2">Otro <span class="blank _d"> </span>de <span class="blank _d"> </span>l<span class="blank _0"> </span>os <span class="blank _c"> </span>término<span class="blank _0"> </span>s <span class="blank _c"> </span>u<span class="blank _0"> </span>tilizados <span class="blank _c"> </span>en <span class="blank _b"> </span>nuestro <span class="blank _d"> </span>estudio <span class="blank _d"> </span>es <span class="blank _3"> </span>el <span class="blank _c"> </span>li<span class="blank _0"> </span>gamento <span class="blank _c"> </span>cru<span class="blank _0"> </span>zado <span class="blank _c"> </span>anterior </div><div class="t m0 x2 h9 yad ff1 fs5 fc0 sc0 ls1 ws2">(LCA), <span class="blank _8"> </span>el <span class="blank _8"> </span>cual <span class="blank _8"> </span>da<span class="blank _0"> </span> <span class="blank _0"> </span>una <span class="blank _e"> </span>gran <span class="blank _0"> </span>estab<span class="blank _0"> </span>ilidad <span class="blank _0"> </span>a <span class="blank _8"> </span>la <span class="blank _8"> </span>articu<span class="blank _0"> </span>lación <span class="blank _0"> </span>de <span class="blank _e"> </span>la <span class="blank _8"> </span>rodilla <span class="blank _8"> </span>conjuntamente <span class="blank _0"> </span>con </div><div class="t m0 x2 h9 yae ff1 fs5 fc0 sc0 ls1 ws2">el <span class="blank _e"> </span>l<span class="blank _0"> </span>igamento <span class="blank _e"> </span>cruza<span class="blank _0"> </span>do <span class="blank _e"> </span>po<span class="blank _0"> </span>steri<span class="blank _1"></span>or <span class="blank _c"> </span>y <span class="blank _e"> </span>con <span class="blank _e"> </span>l<span class="blank _0"> </span>os <span class="blank _e"> </span>ligamen<span class="blank _0"> </span>tos <span class="blank _e"> </span>latera<span class="blank _0"> </span>les<span class="blank _1"></span>. <span class="blank _e"> </span>La <span class="blank _c"> </span>función <span class="blank _c"> </span>princip<span class="blank _1"></span>al <span class="blank _c"> </span>de<span class="blank _2"></span> </div><div class="t m0 x2 h9 yaf ff1 fs5 fc0 sc0 ls1 ws2">este <span class="blank _8"> </span>ligamento <span class="blank _8"> </span>es <span class="blank _8"> </span>el <span class="blank _8"> </span>control <span class="blank _8"> </span>de <span class="blank _8"> </span>la <span class="blank _8"> </span>estabilidad <span class="blank _8"> </span>ant<span class="blank _0"> </span>eroposterior <span class="blank _8"> </span>y <span class="blank _8"> </span>rotacional <span class="blank _8"> </span>de <span class="blank _8"> </span>la <span class="blank _8"> </span>rodilla </div><div class="t m0 x2 h9 yb0 ff1 fs5 fc0 sc0 ls1 ws2">y, en menor medida, participa en el contr<span class="blank _1"></span>ol de la estabilidad varo<span class="blank _8"> </span>-valgo. <span class="fs0"> </span></div><div class="t m0 x2 h9 yb1 ff1 fs5 fc0 sc0 ls1 ws2">Según <span class="blank _10"> </span>Vaquero <span class="blank _10"> </span>Martín <span class="blank _12"> </span>y <span class="blank _10"> </span>col.<span class="ff7">²\uf3aa<span class="blank _15"></span> <span class="blank _10"> </span>³<span class="ff1">, <span class="blank _12"> </span>la<span class="blank _0"> </span>s <span class="blank _12"> </span>lesion<span class="blank _0"> </span>es <span class="blank _12"> </span>d<span class="blank _0"> </span>el <span class="blank _12"> </span>LCA <span class="blank _10"> </span>tienen <span class="blank _12"> </span>una <span class="blank _10"> </span>prevalencia <span class="blank _12"> </span>de </span></span></div><div class="t m0 x2 h9 yb2 ff1 fs5 fc0 sc0 ls1 ws2">alrededor <span class="blank _b"> </span>de <span class="blank _3"> </span>0,3<span class="blank _1"></span>0/ <span class="blank _3"> </span>1<span class="blank _1"></span>0000 <span class="blank _b"> </span>habitan<span class="blank _0"> </span>tes. <span class="blank _b"> </span>Esta <span class="blank _b"> </span>incid<span class="blank _0"> </span>encia <span class="blank _b"> </span>es <span class="blank _3"> </span>más <span class="blank _d"> </span>el<span class="blank _0"> </span>evada<span class="blank _0"> </span> <span class="blank _3"> </span>sobretodo <span class="blank _b"> </span>en </div><div class="t m0 x2 h9 yb3 ff1 fs5 fc0 sc0 ls1 ws2">pacientes <span class="blank _13"> </span>que <span class="blank"> </span>practican <span class="blank"> </span>deportes <span class="blank _13"> </span>como <span class="blank"> </span>el <span class="blank"> </span>fútb<span class="blank _0"> </span>ol, <span class="blank"> </span>baloncesto <span class="blank"> </span>y<span class="blank _8"> </span> <span class="blank _13"> </span>otros <span class="blank"> </span>deportes <span class="blank"> </span>de </div><div class="t m0 x2 h9 yb4 ff1 fs5 fc0 sc0 ls1 ws2">contacto <span class="blank _3"> </span>por <span class="blank _3"> </span>la <span class="blank _3"> </span>torsión <span class="blank _3"> </span>de <span class="blank _3"> </span>la <span class="blank _3"> </span>tibia <span class="blank _3"> </span>resp<span class="blank _2"></span>ec<span class="blank _0"> </span>to <span class="blank"> </span>al <span class="blank _b"> </span>fému<span class="blank _0"> </span>r, <span class="blank _3"> </span> <span class="blank _3"> </span>especialmente <span class="blank _3"> </span>en <span class="blank _3"> </span>pacientes </div><div class="t m0 x2 h9 y94 ff1 fs5 fc0 sc0 ls1 ws2">jóvenes. </div><div class="t m0 x2 h9 yb5 ff1 fs5 fc0 sc0 ls1 ws2">Los <span class="blank"> </span>deportes, <span class="blank"> </span>menci<span class="blank _1"></span>onados <span class="blank"> </span>anteriorme<span class="blank _1"></span>nte, <span class="blank"> </span>entre <span class="blank"> </span>otros <span class="blank _3"> </span>problemas, <span class="blank"> </span>tie<span class="blank _1"></span>nen <span class="blank"> </span>una <span class="blank"> </span>alta<span class="blank _2"></span> </div><div class="t m0 x2 h9 yb6 ff1 fs5 fc0 sc0 ls1 ws2">incidencia <span class="blank _0"> </span>de <span class="blank _0"> </span>recidiva de <span class="blank _0"> </span>lesión, ya q<span class="blank _0"> </span>ue existe u<span class="blank _0"> </span>na gran <span class="blank _0"> </span>dificultad para <span class="blank _0"> </span>volver al estad<span class="blank _0"> </span>o </div><div class="t m0 x2 h9 yb7 ff1 fs5 fc0 sc0 ls1 ws2">previo de esa rodilla<span class="ff7 ws9">\u2074\u207b\u2076<span class="blank _0"> </span></span>. </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf7" class="pf w0 h0" data-page-no="7"><div class="pc pc7 w0 h0"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">7 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 yb8 ff1 fs5 fc0 sc0 ls1 ws2">Es <span class="blank"> </span>u<span class="blank _0"> </span>no <span class="blank _13"> </span>d<span class="blank _0"> </span>e <span class="blank _13"> </span>los <span class="blank _13"> </span>principales <span class="blank"> </span>p<span class="blank _0"> </span>roblemas <span class="blank _13"> </span>en <span class="blank _13"> </span>relación <span class="blank _13"> </span>con <span class="blank _13"> </span>el <span class="blank _13"> </span>retorno <span class="blank _13"> </span>a <span class="blank _13"> </span>las <span class="blank _13"> </span>actividades </div><div class="t m0 x2 h9 yb9 ff1 fs5 fc0 sc0 ls1 ws2">deportivas <span class="blank _e"> </span>y <span class="blank _e"> </span>el <span class="blank _e"> </span>ejercicio <span class="blank _e"> </span>físico. <span class="blank _8"> </span>Por <span class="blank _e"> </span>el<span class="blank _0"> </span>lo, <span class="blank _e"> </span>med<span class="blank _0"> </span>iante <span class="blank _e"> </span>la <span class="blank _e"> </span>rehabilitación <span class="blank _e"> </span>con<span class="blank _0"> </span> <span class="blank _e"> </span><span class="lse wsb">la</span> <span class="blank _e"> </span>h<span class="blank _0"> </span>idroterapia </div><div class="t m0 x2 h9 yba ff1 fs5 fc0 sc0 ls1 ws2">esta incidencia podría reducirse. </div><div class="t m0 x2 h10 ybb ff2 fs5 fc0 sc0 ls1 ws9">2.2<span class="ff5 lsb ws2"> </span><span class="ws2">Bases a<span class="blank _0"> </span>n<span class="blank _1"></span>atómicas y patológicas </span></div><div class="t m0 x14 hd ybc ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 ybd ff1 fs5 fc0 sc0 ls1 ws2">La <span class="blank _d"> </span>estab<span class="blank _0"> </span>ilidad <span class="blank _d"> </span>anterior <span class="blank _d"> </span>y <span class="blank _3"> </span>p<span class="blank _1"></span>osterior <span class="blank _d"> </span>de <span class="blank _b"> </span>la <span class="blank _d"> </span>tibia <span class="blank _b"> </span>respecto <span class="blank _d"> </span>al <span class="blank _b"> </span>fémur <span class="blank _d"> </span>viene <span class="blank _d"> </span>dad<span class="blank _0"> </span>a <span class="blank _d"> </span>por <span class="blank _d"> </span>dos </div><div class="t m0 x2 h9 ybe ff1 fs5 fc0 sc0 ls1 ws2">ligamentos: el <span class="blank _0"> </span>ligamento cruzado an<span class="blank _0"> </span>terior (LCA) <span class="blank _0"> </span>y el <span class="blank _0"> </span>ligamento <span class="blank _0"> </span>cruzado po<span class="blank _0"> </span>sterior<span class="blank _0"> </span> (LCP). </div><div class="t m0 x2 h9 ybf ff1 fs5 fc0 sc0 ls1 ws2">Son dos estructuras intracapsulares y extrasinoviales. </div><div class="t m0 x2 h9 yc0 ff1 fs5 fc0 sc0 ls1 ws2">Referente <span class="blank _8"> </span>a <span class="blank _8"> </span>la <span class="blank _0"> </span>anatomía <span class="blank _0"> </span>del<span class="blank _0"> </span> <span class="blank _0"> </span>LCA, <span class="blank _8"> </span> <span class="blank _e"> </span><span class="lsf wsc">es</span> <span class="blank _0"> </span>un <span class="blank _0"> </span>ligamento <span class="blank _8"> </span>que <span class="blank _8"> </span>se <span class="blank _8"> </span>origina <span class="blank _8"> </span>en <span class="blank _0"> </span>la <span class="blank _8"> </span>cara <span class="blank _0"> </span>medial <span class="blank _0"> </span>d<span class="blank _0"> </span>el </div><div class="t m0 x2 h9 yc1 ff1 fs5 fc0 sc0 ls1 ws2">cóndilo femoral<span class="blank _0"> </span> externo y<span class="blank _0"> </span> d<span class="blank _0"> </span>esciende an<span class="blank _0"> </span>terior y medialmente h<span class="blank _0"> </span>asta su inserción <span class="blank _0"> </span>a nivel </div><div class="t m0 x2 h9 yc2 ff1 fs5 fc0 sc0 ls1 ws2">de <span class="blank _16"> </span>meseta <span class="blank _14"> </span>tib<span class="blank _0"> </span>ial.<span class="blank _0"> </span><span class="fc2 lsc"> </span>La <span class="blank _14"> </span>in<span class="blank _0"> </span>serción <span class="blank _14"> </span>femoral <span class="blank _16"> </span>se <span class="blank _14"> </span>sitúa <span class="blank _16"> </span>por <span class="blank _16"> </span>de<span class="blank _8"> </span>trás <span class="blank _14"> </span>d<span class="blank _0"> </span>e <span class="blank _16"> </span>la <span class="blank _16"> </span>escota<span class="blank _2"></span>d<span class="blank _0"> </span>ura </div><div class="t m0 x2 h9 yc3 ff1 fs5 fc0 sc0 ls1 ws2">intercondílea <span class="blank _b"> </span>en <span class="blank _3"> </span>form<span class="blank _2"></span>a<span class="blank _0"> </span> <span class="blank _b"> </span>circular. <span class="blank _3"> </span>D<span class="blank _2"></span>u<span class="blank _0"> </span>rante <span class="blank _b"> </span>su <span class="blank _b"> </span>tra<span class="blank _0"> </span>yecto<span class="blank _1"></span> <span class="blank _b"> </span>d<span class="blank _0"> </span>escendente, <span class="blank _b"> </span>el <span class="blank _b"> </span>LCA <span class="blank _b"> </span>tiene <span class="blank _b"> </span>una </div><div class="t m0 x2 h9 yc4 ff1 fs5 fc0 sc0 ls1 ws2">rotación <span class="blank _0"> </span>externa h<span class="blank _0"> </span>asta su <span class="blank _0"> </span>in<span class="blank _0"> </span>serción tib<span class="blank _0"> </span>ial.<span class="blank _2"></span> <span class="blank _0"> </span>Esta <span class="blank _0"> </span>inserción <span class="blank _0"> </span>es <span class="blank _0"> </span>oblicua <span class="blank _0"> </span>en <span class="blank _0"> </span>la <span class="blank _0"> </span>cara <span class="blank _0"> </span>latera<span class="blank _1"></span>l <span class="blank _0"> </span>de </div><div class="t m0 x2 h9 yc5 ff1 fs5 fc0 sc0 ls1 ws2">la <span class="blank _13"> </span>tuberosidad <span class="blank _13"> </span>tibial <span class="blank _13"> </span>interna<span class="blank _0"> </span> <span class="blank _13"> </span>a <span class="blank _13"> </span>nivel <span class="blank _13"> </span>d<span class="blank _0"> </span>e <span class="blank"> </span>la <span class="blank _13"> </span>fosa <span class="blank _13"> </span>in<span class="blank _0"> </span>tercondílea<span class="blank _0"> </span><span class="ls10">. <span class="blank _13"> </span></span>La <span class="blank _13"> </span>lon<span class="blank _0"> </span>gitud <span class="blank _13"> </span>de <span class="blank"> </span>este </div><div class="t m0 x2 h9 yc6 ff1 fs5 fc0 sc0 ls1 ws2">ligamento es de <span class="blank _0"> </span>11 mm<span class="blank _1"></span> de ancho y entre 3<span class="blank _2"></span>1 y 38 mm d<span class="blank _0"> </span>e lar<span class="blank _0"> </span>go. </div><div class="t m0 x2 h9 yc7 ff1 fs5 fc0 sc0 ls1 ws2">El <span class="blank _c"> </span>LCA <span class="blank _c"> </span>se <span class="blank _d"> </span>divide <span class="blank _c"> </span>funcionalmente <span class="blank _d"> </span>en <span class="blank _c"> </span>dos <span class="blank _c"> </span>haces <span class="blank _c"> </span>qu<span class="blank _0"> </span>e <span class="blank _c"> </span>toman <span class="blank _c"> </span>su <span class="blank _c"> </span>nombre <span class="blank _c"> </span>de <span class="blank _c"> </span>la <span class="blank _c"> </span>in<span class="blank _0"> </span>ser<span class="blank _2"></span>ción </div><div class="t m0 x2 h9 yc8 ff1 fs5 fc0 sc0 ls1 ws2">tibial: <span class="blank _e"> </span>el <span class="blank _e"> </span>haz <span class="blank _e"> </span>an<span class="blank _0"> </span>teromedial <span class="blank _8"> </span>(AM) <span class="blank _e"> </span>y <span class="blank _e"> </span>el <span class="blank _e"> </span>ha<span class="blank _0"> </span>z <span class="blank _e"> </span>posterolateral <span class="blank _e"> </span>(<span class="blank _8"> </span>PL). <span class="blank _8"> </span>El <span class="blank _e"> </span>h<span class="blank _0"> </span>az <span class="blank _e"> </span>AM <span class="blank _e"> </span>(más<span class="blank _0"> </span> <span class="blank _e"> </span>largo) <span class="blank _e"> </span>se<span class="blank _0"> </span> </div><div class="t m0 x2 h9 yc9 ff1 fs5 fc0 sc0 ls1 ws2">inserta <span class="blank _c"> </span>en <span class="blank _c"> </span>la <span class="blank _c"> </span>región <span class="blank _c"> </span>más <span class="blank _e"> </span>an<span class="blank _0"> </span>teri<span class="blank _0"> </span>or <span class="blank _c"> </span>y <span class="blank _c"> </span>medial <span class="blank _c"> </span>de <span class="blank _c"> </span>la <span class="blank _c"> </span>meseta <span class="blank _c"> </span>tibial;<span class="blank _0"> </span><span class="ls11"> </span>en <span class="blank _c"> </span>cambio, <span class="blank _c"> </span>el <span class="blank _c"> </span>haz <span class="blank _c"> </span><span class="ls2 wsd">PL</span> </div><div class="t m0 x2 h9 yca ff1 fs5 fc0 sc0 ls1 ws2">(más corto) se inserta más posteriormente a la tibia y más <span class="blank _1"></span>anterior y lateral al fémur.<span class="blank _0"> </span> </div><div class="t m0 x2 h9 ycb ff1 fs5 fc0 sc0 ls1 ws2">El <span class="blank _c"> </span>haz <span class="blank _d"> </span>AM <span class="blank _c"> </span>se <span class="blank _c"> </span>pone <span class="blank _c"> </span>en<span class="blank _0"> </span> <span class="blank _c"> </span>tensión <span class="blank _c"> </span>con <span class="blank _c"> </span>la <span class="blank _d"> </span>fle<span class="blank _2"></span>xió<span class="blank _0"> </span>n <span class="blank _c"> </span>de <span class="blank _c"> </span>la<span class="blank _0"> </span> <span class="blank _c"> </span>rodilla, <span class="blank _c"> </span>mientras <span class="blank _c"> </span>que <span class="blank _c"> </span>el <span class="blank _c"> </span>haz <span class="blank _d"> </span>P<span class="blank _1"></span>L <span class="blank _c"> </span>se </div><div class="t m0 x2 h9 ycc ff1 fs5 fc0 sc0 ls1 ws2">tensa con la extensión de la rodilla<span class="blank _0"> </span><span class="ff7 ls12 wse">\u2074.</span> </div><div class="t m0 x2 h9 ycd ff1 fs5 fc0 sc0 ls1 ws2">La <span class="blank _3"> </span>función <span class="blank _3"> </span>del <span class="blank _3"> </span>ligamento <span class="blank _3"> </span>es <span class="blank _b"> </span>la<span class="blank _0"> </span> <span class="blank _3"> </span>prevención <span class="blank _3"> </span>de <span class="blank _3"> </span>la <span class="blank _3"> </span>traslación <span class="blank _3"> </span>a<span class="blank _1"></span>nterior <span class="blank _3"> </span>de <span class="blank _3"> </span>la <span class="blank _3"> </span>tibia <span class="blank _b"> </span>y <span class="blank"> </span>la </div><div class="t m0 x2 h9 yce ff1 fs5 fc0 sc0 ls1 ws2">oposición <span class="blank _c"> </span>a <span class="blank _e"> </span>la <span class="blank _c"> </span>traslació<span class="blank _1"></span>n <span class="blank _c"> </span>posterior <span class="blank _e"> </span>del <span class="blank _c"> </span>fé<span class="blank _2"></span>mur<span class="blank _8"> </span>. <span class="blank _e"> </span>Otra<span class="blank _0"> </span> <span class="blank _e"> </span>de <span class="blank _c"> </span>las <span class="blank _e"> </span>fun<span class="blank _0"> </span>ciones <span class="blank _e"> </span>importantes <span class="blank _c"> </span>es <span class="blank _e"> </span>la </div><div class="t m0 x2 h9 ycf ff1 fs5 fc0 sc0 ls1 ws2">propioceptiva, <span class="blank _14"> </span>gracias <span class="blank _11"> </span>a <span class="blank _14"> </span>los <span class="blank _11"> </span>mecano<span class="blank _8"> </span>rr<span class="blank _2"></span>ecepto<span class="blank _0"> </span>res <span class="blank _14"> </span>de <span class="blank _11"> </span>Golgi, <span class="blank _14"> </span>Ruffin<span class="blank _1"></span>i, <span class="blank _14"> </span>Paccini <span class="blank _14"> </span>y<span class="blank _2"></span> <span class="blank _14"> </span>las </div><div class="t m0 x2 h9 yd0 ff1 fs5 fc0 sc0 ls1 ws2">terminaciones <span class="blank _e"> </span>nerviosas <span class="blank _e"> </span>libres, <span class="blank _8"> </span>q<span class="blank _0"> </span>ue <span class="blank _e"> </span>se <span class="blank _e"> </span>encuentran <span class="blank _e"> </span>en<span class="blank _0"> </span> <span class="blank _e"> </span>el <span class="blank _e"> </span>ligamento. <span class="blank _e"> </span> <span class="blank _e"> </span>Por <span class="blank _e"> </span>lo <span class="blank _e"> </span>tanto, <span class="blank _8"> </span>u<span class="blank _0"> </span>na </div><div class="t m0 x2 h9 yd1 ff1 fs5 fc0 sc0 ls1 ws2">buena reconstrucción del LCA ayudará a mantener esta funció<span class="blank _2"></span>n<span class="blank _0"> </span> y a prevenir recidi<span class="blank _1"></span>vas<span class="blank _8"> </span><span class="ff7 ws9">\u2077</span><span class="lsd">.</span><span class="ff2"> </span></div><div class="t m0 x2 hd yd2 ff2 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y91 ff2 fs5 fc0 sc0 ls1 ws2">MECANISM<span class="blank _1"></span>O LESIONAL<span class="blank _0"> </span> </div><div class="t m0 x2 h9 yd3 ff1 fs5 fc0 sc0 ls1 ws2">Si <span class="blank _12"> </span>exi<span class="blank _0"> </span>ste <span class="blank _12"> </span>una <span class="blank _10"> </span>retracción <span class="blank _12"> </span>o <span class="blank _10"> </span>acortamient<span class="blank _2"></span>o<span class="blank _0"> </span> <span class="blank _12"> </span>de <span class="blank _10"> </span>los <span class="blank _12"> </span>músculos <span class="blank _12"> </span>isquio<span class="blank _0"> </span>cru<span class="blank _8"> </span>rales, <span class="blank _13"> </span>h<span class="blank _0"> </span>ay <span class="blank _12"> </span>un<span class="blank _0"> </span>a </div><div class="t m0 x2 h9 yd4 ff1 fs5 fc0 sc0 ls1 ws2">disminución <span class="blank _0"> </span>de <span class="blank _0"> </span>información <span class="blank _0"> </span>propioceptiva de <span class="blank _0"> </span>l<span class="blank _0"> </span>a <span class="blank _0"> </span>rodilla <span class="blank _0"> </span>aumentando <span class="blank _0"> </span>el <span class="blank _0"> </span>riesgo d<span class="blank _0"> </span>e <span class="blank _0"> </span>lesión </div><div class="t m0 x2 h9 yd5 ff1 fs5 fc0 sc0 ls1 ws2">del <span class="blank _13"> </span>LCA. <span class="blank _13"> </span>El <span class="blank"> </span>mecanismo <span class="blank _13"> </span>de <span class="blank _13"> </span>ruptura<span class="blank _2"></span> <span class="blank _12"> </span>puede <span class="blank _13"> </span>ser <span class="blank"> </span>p<span class="blank _0"> </span>or: <span class="blank _13"> </span>un <span class="blank _13"> </span>traumatismo <span class="blank"> </span>más <span class="blank _13"> </span>o <span class="blank _13"> </span>me<span class="blank _1"></span>nos </div><div class="t m0 x2 h9 yd6 ff1 fs5 fc0 sc0 ls1 ws2">violento, <span class="blank _c"> </span>c<span class="blank _1"></span>omo <span class="blank _c"> </span>una <span class="blank _e"> </span>entrada <span class="blank _c"> </span>e<span class="blank _2"></span>n<span class="blank _0"> </span> <span class="blank _e"> </span>el<span class="blank _0"> </span> <span class="blank _e"> </span>fútbol;<span class="blank _0"> </span> <span class="blank _e"> </span>la<span class="blank _0"> </span> <span class="blank _e"> </span>in<span class="blank _0"> </span>existencia <span class="blank _e"> </span>de <span class="blank _c"> </span>un <span class="blank _e"> </span>tra<span class="blank _0"> </span>umatismo <span class="blank _e"> </span>directo <span class="blank _c"> </span>o </div><div class="t m0 x2 h9 yd7 ff1 fs5 fc0 sc0 ls1 ws2">contacto <span class="blank _b"> </span>a<span class="blank _0"> </span>lguno, <span class="blank _3"> </span>como <span class="blank _b"> </span>realizar <span class="blank _b"> </span>una <span class="blank _3"> </span>par<span class="blank _2"></span>ad<span class="blank _0"> </span>a <span class="blank _b"> </span>o<span class="blank _0"> </span> <span class="blank _d"> </span>desacelera<span class="blank _0"> </span>ción <span class="blank _b"> </span>brusca <span class="blank _b"> </span>tras <span class="blank _b"> </span>un<span class="blank _0"> </span> <span class="blank _b"> </span>salto <span class="blank _b"> </span>o </div><div class="t m0 x2 h9 yd8 ff1 fs5 fc0 sc0 ls1 ws2">carrera, <span class="blank _0"> </span>u<span class="blank _0"> </span>n <span class="blank _8"> </span>cambio d<span class="blank _0"> </span>e <span class="blank _0"> </span>dirección <span class="blank _8"> </span>o <span class="blank _0"> </span>un<span class="blank _0"> </span> <span class="blank _0"> </span>giro <span class="blank _0"> </span>brusco <span class="blank _8"> </span>de <span class="blank _8"> </span>la <span class="blank _0"> </span>rodilla <span class="blank _8"> </span>con <span class="blank _0"> </span>el <span class="blank _8"> </span>pie <span class="blank _0"> </span>apoyado <span class="blank _8"> </span>en <span class="blank _0"> </span>el </div><div class="t m0 x2 h9 yd9 ff1 fs5 fc0 sc0 ls1 ws2">suelo; <span class="blank _13"> </span>o <span class="blank"> </span>también<span class="blank _0"> </span>, <span class="blank"> </span>pero <span class="blank _13"> </span>de <span class="blank"> </span>forma <span class="blank _13"> </span>menos <span class="blank"> </span>frecuente<span class="blank _0"> </span>, <span class="blank"> </span>al <span class="blank _13"> </span>realizar <span class="blank _13"> </span>una <span class="blank"> </span>hiperextensión </div><div class="t m0 x2 h9 yda ff1 fs5 fc0 sc0 ls1 ws2">forzada, como dar una patada al aire o<span class="blank _1"></span> en falso<span class="blank _0"> </span><span class="ff7 ls8 wsf">\u2078\u207b<span class="ls13 ws10">¹\u2070</span></span><span class="ls10">. </span> </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf8" class="pf w0 h0" data-page-no="8"><div class="pc pc8 w0 h0"><img fetchpriority="low" loading="lazy" class="bi x16 ydb w3 h11" alt="" src="https://files.passeidireto.com/8527e9d8-f185-4b2a-9177-afded311a0f0/bg8.png"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">8 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 yb8 ff2 fs5 fc0 sc0 ls1 ws2">2.3 Abordaje </div><div class="t m0 x2 hd ydc ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 ydd ff2 fs5 fc0 sc0 ls1 ws2">2.3.1<span class="blank _1"></span> Tratam<span class="blank _0"> </span>iento conserv<span class="blank _1"></span>ador </div><div class="t m0 x2 h9 yde ff1 fs5 fc0 sc0 ls1 ws2">En <span class="blank _13"> </span>el <span class="blank _13"> </span>estudio, <span class="blank _13"> </span>u<span class="blank _0"> </span>no <span class="blank _13"> </span>de <span class="blank _13"> </span>los <span class="blank _13"> </span>requisitos <span class="blank _13"> </span>principales, <span class="blank _13"> </span>es <span class="blank"> </span>q<span class="blank _0"> </span>ue <span class="blank _13"> </span>los <span class="blank _13"> </span>pacientes <span class="blank _13"> </span>hayan<span class="blank _0"> </span> <span class="blank"> </span>sido<span class="blank _0"> </span> </div><div class="t m0 x2 h9 ydf ff1 fs5 fc0 sc0 ls1 ws2">intervenidos <span class="blank _8"> </span>quirúrgicamente. <span class="blank _8"> </span>Por <span class="blank _8"> </span>lo <span class="blank _8"> </span>tan<span class="blank _0"> </span>to, <span class="blank _0"> </span>l<span class="blank _0"> </span>a <span class="blank _8"> </span>técnica <span class="blank _8"> </span>de <span class="blank _8"> </span>elección <span class="blank _8"> </span>es <span class="blank _8"> </span>la <span class="blank _8"> </span>reco<span class="blank _e"> </span>nstrucc<span class="blank _1"></span>ión </div><div class="t m0 x2 h9 ye0 ff1 fs5 fc0 sc0 ls1 ws2">quirúrgica. <span class="blank _0"> </span>Sólo <span class="blank _0"> </span>se <span class="blank _0"> </span>realiza tratamiento <span class="blank _0"> </span>conservador a <span class="blank _0"> </span>pacientes <span class="blank _8"> </span>que n<span class="blank _0"> </span>o <span class="blank _0"> </span>tengan <span class="blank _0"> </span>clí<span class="blank _1"></span>nica <span class="blank _0"> </span><span class="ls14">o </span></div><div class="t m0 x2 h9 ye1 ff1 fs5 fc0 sc0 ls1 ws2">que <span class="blank _b"> </span>en <span class="blank _3"> </span>su <span class="blank _d"> </span>ru<span class="blank _0"> </span>tina<span class="blank _1"></span> <span class="blank _b"> </span>diaria <span class="blank _b"> </span>no <span class="blank _3"> </span>h<span class="blank _1"></span>agan <span class="blank _b"> </span>ningún <span class="blank _b"> </span>tipo <span class="blank _b"> </span>de <span class="blank _3"> </span>esfuer<span class="blank _2"></span>z<span class="blank _0"> </span>o <span class="blank _b"> </span>físico <span class="blank _b"> </span>con <span class="blank _b"> </span>esa <span class="blank _b"> </span>rodilla<span class="blank _8"> </span> <span class="blank _3"> </span>y <span class="blank _b"> </span>a </div><div class="t m0 x2 h9 ye2 ff1 fs5 fc0 sc0 ls1 ws2">pacientes de avanzada edad (>60 años). </div><div class="t m0 x2 h9 ye3 ff2 fs5 fc0 sc0 ls1 ws2">2.3.2<span class="blank _1"></span> Tratam<span class="blank _0"> </span>iento quirúrg<span class="blank _2"></span>i<span class="blank _0"> </span>co </div><div class="t m0 x2 h9 ye4 ff1 fs5 fc0 sc0 ls1 ws2">En <span class="blank _3"> </span>la <span class="blank _3"> </span>mayoría <span class="blank _3"> </span>de <span class="blank _3"> </span>casos<span class="blank _1"></span> <span class="blank _3"> </span>es <span class="blank _b"> </span>el <span class="blank"> </span>tratamie<span class="blank _1"></span>nto <span class="blank _3"> </span>de <span class="blank _3"> </span>ele<span class="blank _0"> </span>cción, <span class="blank _b"> </span>ya <span class="blank"> </span>q<span class="blank _2"></span>u<span class="blank _0"> </span>e <span class="blank _3"> </span>la <span class="blank _3"> </span>r<span class="blank _1"></span>uptura <span class="blank _3"> </span>suele <span class="blank _3"> </span>dar </div><div class="t m0 x2 h9 ye5 ff1 fs5 fc0 sc0 ls1 ws2">clínica, provocando una in<span class="blank _0"> </span>estabili<span class="blank _1"></span>dad en la rodilla. </div><div class="t m0 x2 h9 ye6 ff1 fs5 fc0 sc0 ls1 ws2">La plastia variará en función de las<span class="blank _1"></span> necesidades del paciente<span class="blank _0"> </span><span class="ff7">³\uf3aa<span class="blank _15"></span> \u2074:<span class="ff1"> </span></span></div><div class="c x16 ye7 w4 h12"><div class="t m0 x17 h9 ye8 ff1 fs5 fc0 sc0 ls1 ws2">Tipo de injerto<span class="fs0"> </span></div></div><div class="c xc ye7 w5 h12"><div class="t m0 x17 h9 ye8 ff1 fs5 fc0 sc0 ls1 ws9">Ventajas<span class="fs0 ws2"> </span></div></div><div class="c x18 ye7 w6 h12"><div class="t m0 x17 h9 ye8 ff1 fs5 fc0 sc0 ls1 ws9">Desventajas<span class="fs0 ws2"> </span></div></div><div class="c x16 ye9 w7 h13"><div class="t m0 x17 h9 y18 ff1 fs5 fc0 sc0 ls1 ws2">Hueso tendón hueso </div></div><div class="c xc ye9 w5 h13"><div class="t m0 x17 h9 y18 ff1 fs5 fc0 sc0 ls1 ws2">Existe consolidación de </div><div class="t m0 x17 h9 yea ff1 fs5 fc0 sc0 ls1 ws2">hueso a hueso en los </div><div class="t m0 x17 h9 yeb ff1 fs5 fc0 sc0 ls1 ws2">túneles. </div><div class="t m0 x17 h9 yec ff1 fs5 fc0 sc0 ls1 ws2">Rigidez del injerto </div><div class="t m0 x17 h9 yed ff1 fs5 fc0 sc0 ls1 ws2">comparable con el LCA </div><div class="t m0 x17 h9 yee ff1 fs5 fc0 sc0 ls1 ws2">nativo. </div></div><div class="c x18 ye9 w6 h13"><div class="t m0 x17 h9 y18 ff1 fs5 fc0 sc0 ls1 ws2">No es útil para la técnica de </div><div class="t m0 x17 h9 yea ff1 fs5 fc0 sc0 ls1 ws2">doble fascículo. </div><div class="t m0 x17 h9 yeb ff1 fs5 fc0 sc0 ls1 ws2">Riesgo de dolor anterior de </div><div class="t m0 x17 h9 yec ff1 fs5 fc0 sc0 ls1 ws2">rodilla. </div><div class="t m0 x17 h9 yed ff1 fs5 fc0 sc0 ls1 ws2">Incisión quirúrgica más larga. </div><div class="t m0 x17 h9 yee ff1 fs5 fc0 sc0 ls1 ws2">Riesgo de fractura de rotula. </div><div class="t m0 x17 h9 yef ff1 fs5 fc0 sc0 ls1 ws2">Es más débil que el LCA </div><div class="t m0 x17 h9 yf0 ff1 fs5 fc0 sc0 ls1 ws2">nativo. </div></div><div class="c x16 yf1 w7 h14"><div class="t m0 x17 h9 yf2 ff1 fs5 fc0 sc0 ls1 ws2">Semimembranoso y </div><div class="t m0 x17 h9 yf3 ff1 fs5 fc0 sc0 ls1 ws2">semitendinoso </div></div><div class="c xc yf1 w5 h14"><div class="t m0 x17 h9 yf2 ff1 fs5 fc0 sc0 ls1 ws2">Fácil de reparar. </div><div class="t m0 x17 h9 yf3 ff1 fs5 fc0 sc0 ls1 ws2">Es más estético. </div><div class="t m0 x17 h9 yf4 ff1 fs5 fc0 sc0 ls1 ws2">Poca o mínima </div><div class="t m0 x17 h9 yf5 ff1 fs5 fc0 sc0 ls1 ws2">morbilidad del sitio </div><div class="t m0 x17 h9 yf6 ff1 fs5 fc0 sc0 ls1 ws2">donante. </div><div class="t m0 x17 h9 yf7 ff1 fs5 fc0 sc0 ls1 ws2">Comparable en fuerza </div><div class="t m0 x17 h9 yf8 ff1 fs5 fc0 sc0 ls1 ws2">con el LCA nativo. </div></div><div class="c x18 yf1 w6 h14"><div class="t m0 x17 h9 yf2 ff1 fs5 fc0 sc0 ls1 ws2">Se realiza una cicatrización de </div><div class="t m0 x17 h9 yf3 ff1 fs5 fc0 sc0 ls1 ws2">partes blandas. </div><div class="t m0 x17 h9 yf4 ff1 fs5 fc0 sc0 ls1 ws2">El tamaño del injerto puede </div><div class="t m0 x17 h9 yf5 ff1 fs5 fc0 sc0 ls1 ws2">ser impredecible. </div><div class="t m0 x17 h9 yf6 ff1 fs5 fc0 sc0 ls1 ws2">No es aplicable para cierto </div><div class="t m0 x17 h9 yf7 ff1 fs5 fc0 sc0 ls1 ws2">tipo de atletas que necesitan </div><div class="t m0 x17 h9 yf8 ff1 fs5 fc0 sc0 ls1 ws2">de los músculos donantes. </div><div class="t m0 x17 h9 yf9 ff1 fs5 fc0 sc0 ls1 ws2">Menos rígido que el LCA </div><div class="t m0 x17 h9 yfa ff1 fs5 fc0 sc0 ls1 ws2">nativo. </div></div><div class="c x16 yfb w7 h15"><div class="t m0 x17 h9 yfc ff1 fs5 fc0 sc0 ls1 ws2">Tendón del cuádriceps </div></div><div class="c xc yfb w5 h15"><div class="t m0 x17 h9 yfc ff1 fs5 fc0 sc0 ls1 ws2">Son in<span class="blank _0"> </span>jert<span class="blank _1"></span>os largos. </div><div class="t m0 x17 h9 yfd ff1 fs5 fc0 sc0 ls1 ws2">Puede ser empleada </div><div class="t m0 x17 h9 yf3 ff1 fs5 fc0 sc0 ls1 ws2">para la reconstrucción </div><div class="t m0 x17 h9 yf4 ff1 fs5 fc0 sc0 ls1 ws2">simple o doble. </div><div class="t m0 x17 h9 yfe ff1 fs5 fc0 sc0 ls1 ws2">Tiene la opción de </div><div class="t m0 x17 h9 yff ff1 fs5 fc0 sc0 ls1 ws2">tomar hueso de un lado. </div><div class="t m0 x17 h9 y100 ff1 fs5 fc0 sc0 ls1 ws2">No causa movilidad del </div><div class="t m0 x17 h9 y101 ff1 fs5 fc0 sc0 ls1 ws2">sitio donante. </div><div class="t m0 x17 h9 y102 ff1 fs5 fc0 sc0 ls1 ws2">Está disponible en varios </div><div class="t m0 x17 h9 y103 ff1 fs5 fc0 sc0 ls1 ws2">tipos y tamaños. </div></div><div class="c x18 yfb w6 h15"><div class="t m0 x17 h9 yfc ff1 fs5 fc0 sc0 ls1 ws2">Necesita de incisiones más </div><div class="t m0 x17 h9 yfd ff1 fs5 fc0 sc0 ls1 ws2">extensas en longitud<span class="blank _0"> </span>. </div><div class="t m0 x17 h9 yf3 ff1 fs5 fc0 sc0 ls1 ws2">Riesgo de fractura de rótula. </div></div><div class="t m0 x2 h9 y104 ff1 fs5 fc0 sc0 ls1 ws2"> </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pf9" class="pf w0 h0" data-page-no="9"><div class="pc pc9 w0 h0"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x10 h2 y1e ff1 fs0 fc0 sc0 ls1 ws2">9 </div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 yb8 ff2 fs5 fc0 sc0 ls1 ws2">2.4 Hidroterapia </div><div class="t m0 x2 hd ydc ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y105 ff1 fs5 fc0 sc0 ls1 ws2">A <span class="blank _c"> </span>pa<span class="blank _0"> </span>rtir <span class="blank _c"> </span>de <span class="blank _d"> </span>la <span class="blank _c"> </span>etimología <span class="blank _c"> </span>de <span class="blank _c"> </span>la <span class="blank _c"> </span>hid<span class="blank _0"> </span>rotera<span class="blank _2"></span>p<span class="blank _0"> </span>ia, <span class="blank _b"> </span><span class="ls16 ws11">se</span> <span class="blank _d"> </span>profundizará <span class="blank _c"> </span>sobre <span class="blank _c"> </span>la<span class="blank _0"> </span>s <span class="blank _c"> </span>características </div><div class="t m0 x2 h9 y106 ff1 fs5 fc0 sc0 ls1 ws2">mecánicas del agua<span class="ls13">¹¹</span>: </div><div class="t m0 x2 h9 y5 ff2 fs5 fc0 sc0 ls1 ws2">Cohesión <span class="blank _0"> </span>y <span class="blank _8"> </span>viscosidad:<span class="blank _0"> </span><span class="ff1"> <span class="blank _8"> </span>Estos <span class="blank _8"> </span>dos <span class="blank _8"> </span>térmi<span class="blank _0"> </span>nos <span class="blank _0"> </span>van<span class="blank _0"> </span> <span class="blank _8"> </span>estrechamente <span class="blank _0"> </span>l<span class="blank _0"> </span>igados. <span class="blank _0"> </span>La <span class="blank _e"> </span>cohesión <span class="blank _8"> </span>de </span></div><div class="t m0 x2 h9 y107 ff1 fs5 fc0 sc0 ls1 ws2">un <span class="blank _0"> </span>líquido <span class="blank _0"> </span>es <span class="blank _0"> </span>la <span class="blank _0"> </span>fuerza <span class="blank _0"> </span>d<span class="blank _0"> </span>e <span class="blank _0"> </span>atracción ejercida<span class="blank _0"> </span> p<span class="blank _0"> </span>or <span class="blank _0"> </span>cada<span class="blank _8"> </span> <span class="blank _0"> </span>molécula <span class="blank _0"> </span>a <span class="blank _0"> </span>las <span class="blank _0"> </span>que <span class="blank _0"> </span>les <span class="blank _0"> </span>rodean, <span class="blank _0"> </span>es </div><div class="t m0 x2 h9 y108 ff1 fs5 fc0 sc0 ls1 ws2">decir, <span class="blank"> </span>u<span class="blank _0"> </span>na <span class="blank"> </span>resistencia <span class="blank"> </span>fren<span class="blank _0"> </span>te <span class="blank"> </span>a <span class="blank _13"> </span>cualquier <span class="blank"> </span>objeto <span class="blank _13"> </span>que <span class="blank"> </span>p<span class="blank _0"> </span>ase <span class="blank"> </span>a <span class="blank _13"> </span>través <span class="blank"> </span>del <span class="blank _13"> </span>líquido. <span class="blank"> </span>En </div><div class="t m0 x2 h9 y109 ff1 fs5 fc0 sc0 ls1 ws2">cambio, <span class="blank _b"> </span>la <span class="blank _3"> </span>visc<span class="blank _1"></span>osidad <span class="blank _b"> </span>es <span class="blank _b"> </span>la <span class="blank _3"> </span>pr<span class="blank _2"></span>o<span class="blank _0"> </span>piedad <span class="blank _d"> </span>de <span class="blank _3"> </span>un <span class="blank _d"> </span>l<span class="blank _0"> </span>íquido <span class="blank _d"> </span>a <span class="blank _3"> </span>opo<span class="blank _1"></span>ner <span class="blank _3"> </span>resis<span class="blank _1"></span>tencia <span class="blank _b"> </span>relativa <span class="blank _d"> </span>al<span class="blank _0"> </span> </div><div class="t m0 x2 h9 y10a ff1 fs5 fc0 sc0 ls1 ws2">movimiento dentro de él. </div><div class="t m0 x2 h9 ye4 ff2 fs5 fc0 sc0 ls1 ws2">Principio de Arquímedes:<span class="ff1"> T<span class="ls14 ws12">od</span>o<span class="blank _0"> </span> cuerpo <span class="blank _0"> </span>sumergido en un líquido pierde un<span class="blank _0"> </span>a parte de su </span></div><div class="t m0 x2 h9 ye5 ff1 fs5 fc0 sc0 ls1 ws2">peso <span class="blank _b"> </span>igual <span class="blank _b"> </span>a <span class="blank _b"> </span>la <span class="blank _d"> </span>del<span class="blank _0"> </span> <span class="blank _d"> </span>peso <span class="blank _b"> </span>del <span class="blank _b"> </span>volumen <span class="blank _d"> </span>desalojado <span class="blank _d"> </span>d<span class="blank _0"> </span>el <span class="blank _b"> </span>líquido, <span class="blank _d"> </span>por <span class="blank _b"> </span>lo <span class="blank _b"> </span>cual <span class="blank _d"> </span>sup<span class="blank _0"> </span>one <span class="blank _d"> </span>un </div><div class="t m0 x2 h9 y10b ff1 fs5 fc0 sc0 ls1 ws2">menor esfuerzo de los miembros y may<span class="blank _2"></span>o<span class="blank _0"> </span>r resis<span class="blank _1"></span>tencia en los movimientos.<span class="blank _0"> </span> </div><div class="t m0 x2 h9 y10c ff2 fs5 fc0 sc0 ls1 ws2">Presión <span class="blank _0"> </span>hidrostática: <span class="blank _8"> </span><span class="ff1">Cu<span class="blank _0"> </span>ando <span class="blank _8"> </span>se <span class="blank _0"> </span>introduce <span class="blank _0"> </span>el <span class="blank _8"> </span>o<span class="blank _0"> </span>rganismo <span class="blank _0"> </span>o <span class="blank _8"> </span>un<span class="blank _0"> </span> <span class="blank _0"> </span>segmento <span class="blank _0"> </span>o<span class="blank _0"> </span>rgánico <span class="blank _0"> </span>en <span class="blank _0"> </span>el </span></div><div class="t m0 x2 h9 y10d ff1 fs5 fc0 sc0 ls1 ws2">agua, <span class="blank _b"> </span>se <span class="blank _d"> </span>ejerce <span class="blank _b"> </span>una <span class="blank _d"> </span>presión <span class="blank _b"> </span>del <span class="blank _d"> </span>agua <span class="blank _b"> </span>sobre <span class="blank _d"> </span>la <span class="blank _d"> </span>p<span class="blank _0"> </span>arte <span class="blank _d"> </span>introducida <span class="blank _d"> </span>qu<span class="blank _0"> </span>e <span class="blank _d"> </span>depende <span class="blank _d"> </span>de <span class="blank _d"> </span>la </div><div class="t m0 x2 h9 y10e ff1 fs5 fc0 sc0 ls1 ws2">altura absoluta del nivel de agua que gravita sobre estructuras <span class="blank _0"> </span>orgánicas. Por <span class="blank _0"> </span>ello, <span class="blank _2"></span>esta<span class="blank _0"> </span> </div><div class="t m0 x2 h9 y10f ff1 fs5 fc0 sc0 ls1 ws2">acción se producirá en particular sobre el<span class="blank _1"></span> sistema ven<span class="blank _0"> </span>oso. </div><div class="t m0 x2 h9 y110 ff1 fs5 fc0 sc0 ls1 ws2">Y los efectos fisiológicos, como age<span class="blank _1"></span>nte calorífico <span class="blank _8"> </span>que se encontrarán so<span class="blank _1"></span>n <span class="ff7">¹²\uf3aa<span class="blank _17"></span> ¹³<span class="ff1 ls17">: <span class="ls1"> </span></span></span></div><div class="t m0 x14 h16 y111 ff8 fs5 fc0 sc0 ls8">\uf0b7<span class="ff9 ls15 ws2"> <span class="ff1 ls1">Analgesia </span></span></div><div class="t m0 x14 h16 y112 ff8 fs5 fc0 sc0 ls8">\uf0b7<span class="ff9 ls15 ws2"> <span class="ff1 ls1">Aumento de la temperatura local y vasodi<span class="blank _2"></span>latació<span class="blank _0"> </span>n<span class="blank _0"> </span> </span></span></div><div class="t m0 x14 h16 y113 ff8 fs5 fc0 sc0 ls8">\uf0b7<span class="ff9 ls15 ws2"> <span class="ff1 ls1">Efecto sedante </span></span></div><div class="t m0 x14 h16 y114 ff8 fs5 fc0 sc0 ls8">\uf0b7<span class="ff9 ls15 ws2"> <span class="ff1 ls1">Efecto antiespasmódico </span></span></div><div class="t m0 x14 h16 y115 ff8 fs5 fc0 sc0 ls8">\uf0b7<span class="ff9 ls15 ws2"> <span class="ff1 ls1">Efectos sobre el tejido conjuntivo </span></span></div><div class="t m0 x19 h9 y116 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y117 ff2 fs5 fc0 sc0 ls1 ws2">2.5 Que pue<span class="blank _1"></span>de a<span class="blank _0"> </span>portar el estudio a los co<span class="blank _2"></span>nocimientos actua<span class="blank _0"> </span>les </div><div class="t m0 x2 hd y118 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y119 ff1 fs5 fc0 sc0 ls1 ws2">La <span class="blank"> </span>rec<span class="blank _2"></span>o<span class="blank _0"> </span>nstrucción <span class="blank _3"> </span>del <span class="blank"> </span>LCA<span class="blank _1"></span> <span class="blank"> </span>y <span class="blank _3"> </span>la <span class="blank _3"> </span>rehabil<span class="blank _0"> </span>itac<span class="blank _1"></span>ión <span class="blank"> </span>post-quirúrgica <span class="blank"> </span>h<span class="blank _1"></span>an <span class="blank _3"> </span>demostrado <span class="blank _3"> </span>uno<span class="blank _0"> </span>s<span class="blank _2"></span> </div><div class="t m0 x2 h9 y11a ff1 fs5 fc0 sc0 ls1 ws2">buenos <span class="blank _18"> </span>resultados <span class="blank _18"> </span>funcionales<span class="blank _2"></span>. <span class="blank _18"> </span>Co<span class="blank _0"> </span>mo <span class="blank _18"> </span>se <span class="blank _18"> </span>ha <span class="blank _18"> </span>comentado <span class="blank _18"> </span>con <span class="blank _18"> </span>anteriori<span class="blank _2"></span>d<span class="blank _0"> </span>ad, <span class="blank _18"> </span>la </div><div class="t m0 x2 h9 y13 ff1 fs5 fc0 sc0 ls1 ws2">hidroterapia <span class="blank _d"> </span>se <span class="blank _d"> </span>ha <span class="blank _d"> </span>mostrado <span class="blank _d"> </span>eficaz <span class="blank _d"> </span>en <span class="blank _d"> </span>el <span class="blank _c"> </span>tratam<span class="blank _0"> </span>iento <span class="blank _d"> </span>rehabilita<span class="blank _1"></span>dor <span class="blank _d"> </span>de <span class="blank _d"> </span>determinadas </div><div class="t m0 x2 h9 y11b ff1 fs5 fc0 sc0 ls1 ws2">lesiones <span class="blank _12"> </span><span class="ls18 ws13">mú</span>sculo <span class="blank _13"> </span>esqueléticas<span class="ls10">. <span class="blank _12"> </span></span>La <span class="blank _12"> </span>aplic<span class="blank _2"></span>a<span class="blank _0"> </span>ción <span class="blank _13"> </span>de <span class="blank _12"> </span>esta <span class="blank _13"> </span>técnica <span class="blank _13"> </span>en<span class="blank _0"> </span> <span class="blank _13"> </span>el <span class="blank _13"> </span>p<span class="blank _0"> </span>ostop<span class="blank _0"> </span>eratorio </div><div class="t m0 x2 h9 y11c ff1 fs5 fc0 sc0 ls1 ws2">podría <span class="blank _8"> </span>tener <span class="blank _0"> </span>b<span class="blank _0"> </span>eneficios <span class="blank _0"> </span> <span class="blank _8"> </span>en <span class="blank _8"> </span>el <span class="blank _8"> </span>control <span class="blank _8"> </span>o <span class="blank _0"> </span>man<span class="blank _0"> </span>ejo <span class="blank _8"> </span>del <span class="blank _0"> </span>d<span class="blank _0"> </span>olor, <span class="blank _0"> </span>así <span class="blank _8"> </span>como <span class="blank _0"> </span>en<span class="blank _0"> </span> <span class="blank _0"> </span>la<span class="blank _0"> </span> <span class="blank _0"> </span>recuperación </div><div class="t m0 x2 h9 y11d ff1 fs5 fc0 sc0 ls1 ws2">funcional <span class="blank _13"> </span>y <span class="blank"> </span>p<span class="blank _0"> </span>or <span class="blank"> </span>lo <span class="blank _13"> </span>tanto <span class="blank _13"> </span>en <span class="blank _13"> </span>el <span class="blank"> </span>tiempo <span class="blank _13"> </span>de <span class="blank"> </span>b<span class="blank _0"> </span>aja <span class="blank"> </span>d<span class="blank _0"> </span>eportiva.<span class="blank _0"> </span> <span class="blank _13"> </span>Se <span class="blank _13"> </span>entiende <span class="blank _13"> </span>como <span class="blank"> </span>b<span class="blank _0"> </span>aja </div><div class="t m0 x2 h9 y11e ff1 fs5 fc0 sc0 ls1 ws2">deportiva <span class="blank _e"> </span>el <span class="blank _e"> </span>tiempo <span class="blank _e"> </span>o <span class="blank _8"> </span>p<span class="blank _0"> </span>lazo <span class="blank _8"> </span>qu<span class="blank _0"> </span>e <span class="blank _8"> </span>necesita <span class="blank _8"> </span>el <span class="blank _e"> </span>p<span class="blank _0"> </span>aciente <span class="blank _8"> </span>para <span class="blank _e"> </span>volver <span class="blank _8"> </span>al <span class="blank _e"> </span>estado <span class="blank _e"> </span>p<span class="blank _e"> </span>revio <span class="blank _0"> </span>a<span class="blank _0"> </span> <span class="blank _e"> </span>la </div><div class="t m0 x2 h9 y11f ff1 fs5 fc0 sc0 ls1 ws2">lesión del LCA. </div><div class="t m0 x2 ha y120 ff2 fs2 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 ha y121 ff2 fs2 fc0 sc0 ls1 ws2"> </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div> <div id="pfa" class="pf w0 h0" data-page-no="a"><div class="pc pca w0 h0"><div class="t m0 x2 h6 y1a ff6 fs3 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h7 y1b ff6 fs4 fc0 sc0 ls1 ws2">Efectividad <span class="blank"> </span>de <span class="blank"> </span>la <span class="blank"> </span>hidroterapia <span class="blank"> </span>en <span class="blank"> </span>comparación <span class="blank"> </span>con <span class="blank"> </span>l<span class="blank _0"> </span>a <span class="blank"> </span>fisioterapi<span class="blank _2"></span>a <span class="blank _3"> </span>convencional <span class="blank"> </span>en <span class="blank"> </span>la <span class="blank"> </span>ruptura <span class="blank"> </span>del <span class="blank"> </span>LC<span class="blank _0"> </span>A. <span class="blank"> </span>E<span class="blank _0"> </span>s<span class="blank _0"> </span>tudio </div><div class="t m0 x2 h7 y1c ff6 fs4 fc0 sc0 ls1 ws2">prospectivo <span class="blank _1"></span>aleatorizado </div><div class="t m0 x2 h2 y1d ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x1a h2 y1e ff1 fs0 fc0 sc0 ls4">10<span class="ls1 ws2"> </span></div><div class="t m0 x2 h2 y1f ff1 fs0 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 ha y20 ff2 fs2 fc0 sc0 ls1 ws2">3. HIPÓTESIS </div><div class="t m0 x2 hd y77 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y99 ff2 fs5 fc0 sc0 ls1 ws2">3.1 Hipótesis nula </div><div class="t m0 x2 hd y122 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y123 ff1 fs5 fc0 sc0 ls1 ws9">H<span class="fs8 ws14 v1">0</span><span class="ws2">: <span class="blank _18"> </span>La <span class="blank _18"> </span>ap<span class="blank _0"> </span>licación <span class="blank _18"> </span>de <span class="blank _18"> </span>la <span class="blank _19"> </span>hidrotera<span class="blank _1"></span>pia <span class="blank _18"> </span>a <span class="blank _19"> </span>la <span class="blank _18"> </span>rehabilitación <span class="blank _18"> </span>convencional <span class="blank _18"> </span>de <span class="blank _18"> </span>la </span></div><div class="t m0 x2 h9 y124 ff1 fs5 fc0 sc0 ls1 ws2">reconstrucción <span class="blank _d"> </span>de <span class="blank _d"> </span>un <span class="blank _d"> </span>LCA <span class="blank _c"> </span>n<span class="blank _0"> </span>o <span class="blank _d"> </span>proporcionará <span class="blank _d"> </span>un <span class="blank _d"> </span>mejor <span class="blank _b"> </span>control <span class="blank _c"> </span>del <span class="blank _d"> </span>dolor <span class="blank _d"> </span>y <span class="blank _d"> </span>una <span class="blank _d"> </span>mej<span class="blank _1"></span>or </div><div class="t m0 x2 h9 y125 ff1 fs5 fc0 sc0 ls1 ws2">recuperación <span class="blank _0"> </span>funcional d<span class="blank _0"> </span>e <span class="blank _0"> </span>la <span class="blank _0"> </span>rodilla<span class="blank _0"> </span> <span class="blank _0"> </span>en <span class="blank _0"> </span>compara<span class="blank _0"> </span>ción con <span class="blank _0"> </span>u<span class="blank _0"> </span>n p<span class="blank _0"> </span>rotocolo con<span class="blank _0"> </span>vencional d<span class="blank _0"> </span>e </div><div class="t m0 x2 h9 y126 ff1 fs5 fc0 sc0 ls1 ws2">rehabilitación. </div><div class="t m0 x2 hd y127 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y128 ff2 fs5 fc0 sc0 ls1 ws2">3.2 Hipótesis alternativa </div><div class="t m0 x2 hd y129 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y12a ff1 fs5 fc0 sc0 ls1 ws9">H<span class="fs8 ws14 v1">1</span>:<span class="fs8 ls19 ws2 v1"> </span><span class="ls1a ws15">La</span><span class="ws2"> <span class="blank _18"> </span>ap<span class="blank _0"> </span>licación <span class="blank _18"> </span>d<span class="blank _0"> </span>e <span class="blank _18"> </span>la<span class="blank _0"> </span> <span class="blank _18"> </span>hidroterapia <span class="blank _19"> </span>a <span class="blank _18"> </span>la <span class="blank _19"> </span>rehabilitación <span class="blank _18"> </span>con<span class="blank _0"> </span>vencional <span class="blank _18"> </span>de <span class="blank _18"> </span>la </span></div><div class="t m0 x2 h9 y12b ff1 fs5 fc0 sc0 ls1 ws2">reconstrucción <span class="blank _13"> </span>de <span class="blank _13"> </span>un <span class="blank _13"> </span>LCA <span class="blank"> </span>p<span class="blank _0"> </span>roporcionará <span class="blank"> </span>u<span class="blank _0"> </span>n <span class="blank _12"> </span>mejor <span class="blank _13"> </span>control <span class="blank _13"> </span>del <span class="blank _13"> </span>dolor <span class="blank"> </span>y <span class="blank _13"> </span>una <span class="blank _12"> </span><span class="ls1b ws16">me</span>jor </div><div class="t m0 x2 h9 y12c ff1 fs5 fc0 sc0 ls1 ws2">recuperación <span class="blank _0"> </span>fun<span class="blank _0"> </span>cional de <span class="blank _0"> </span>la <span class="blank _0"> </span>rodilla <span class="blank _0"> </span>en <span class="blank _0"> </span>compara<span class="blank _0"> </span>ción con <span class="blank _0"> </span>u<span class="blank _0"> </span>n pro<span class="blank _0"> </span>tocolo con<span class="blank _0"> </span>vencional de </div><div class="t m0 x2 h9 y12d ff1 fs5 fc0 sc0 ls1 ws2">rehabilitación. </div><div class="t m0 x2 h17 y12e ff1 fs9 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 ha y12f ff2 fs2 fc0 sc0 ls1 ws2">4. OBJETIVO<span class="blank _1"></span>S<span class="blank _0"> </span> </div><div class="t m0 x2 hd y130 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y131 ff2 fs5 fc0 sc0 ls1 ws2">4.1 Objetivo pr<span class="blank _1"></span>incipal </div><div class="t m0 x2 hd y132 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y133 ff1 fs5 fc0 sc0 ls1 ws2">El <span class="blank _8"> </span>ob<span class="blank _0"> </span>jetivo <span class="blank _8"> </span>principal <span class="blank _8"> </span>de<span class="blank _0"> </span> <span class="blank _8"> </span>este <span class="blank _e"> </span>estudio <span class="blank _8"> </span>es <span class="blank _8"> </span>comp<span class="blank _0"> </span>robar <span class="blank _8"> </span>si <span class="blank _8"> </span>la <span class="blank _e"> </span>aplicación <span class="blank _8"> </span>de <span class="blank _8"> </span>la <span class="blank _e"> </span>hidroterapia <span class="blank _8"> </span>a </div><div class="t m0 x2 h9 y8a ff1 fs5 fc0 sc0 ls1 ws2">un <span class="blank _8"> </span>proto<span class="blank _0"> </span>colo <span class="blank _0"> </span>convencional <span class="blank _8"> </span>de <span class="blank _8"> </span>rehabil<span class="blank _0"> </span>itación <span class="blank _8"> </span>en <span class="blank _8"> </span>el <span class="blank _8"> </span>postopera<span class="blank _0"> </span>torio<span class="blank _1"></span> <span class="blank _8"> </span>de <span class="blank _8"> </span>la <span class="blank _e"> </span>reconstruc<span class="blank _2"></span>ción </div><div class="t m0 x2 h9 y134 ff1 fs5 fc0 sc0 ls1 ws2">de un <span class="blank _0"> </span>LCA ofrece un mejor<span class="blank _1"></span> control del dolor. </div><div class="t m0 x2 hd y135 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y136 ff2 fs5 fc0 sc0 ls1 ws2">4.2 Objetivos espe<span class="blank _1"></span>cíficos<span class="blank _0"> </span> </div><div class="t m0 x2 hd y137 ff1 fs6 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h9 y138 ff1 fs5 fc0 sc0 ls1 ws2">Los objetivos específicos del estudio son l<span class="blank _1"></span>os siguientes:<span class="blank _0"> </span> </div><div class="t m0 x14 h16 y139 ff8 fs5 fc0 sc0 ls8">\uf0b7<span class="ff9 ls15 ws2"> <span class="ff1 ls1">Medir <span class="blank _8"> </span>el<span class="blank _0"> </span> <span class="blank _8"> </span>grado <span class="blank _e"> </span>de <span class="blank _8"> </span>funcionalidad <span class="blank _8"> </span>del <span class="blank _e"> </span>LCA <span class="blank _8"> </span>po<span class="blank _0"> </span>st-in<span class="blank _0"> </span>tervenido <span class="blank _8"> </span>quirúrgicamente <span class="blank _8"> </span>co<span class="blank _0"> </span><span class="ls1c">n </span></span></span></div><div class="t m0 x19 h9 y13a ff1 fs5 fc0 sc0 ls1 ws2">la <span class="blank _e"> </span>rehabilitación <span class="blank _8"> </span>en <span class="blank _8"> </span>el<span class="blank _0"> </span> <span class="blank _e"> </span>medio <span class="blank _8"> </span>acuático, <span class="blank _8"> </span>en <span class="blank _e"> </span>comparación <span class="blank _8"> </span>con <span class="blank _e"> </span>la <span class="blank _e"> </span>aplicació<span class="blank _1"></span>n <span class="blank _8"> </span>d<span class="blank _0"> </span>e <span class="blank _8"> </span>un </div><div class="t m0 x19 h9 y13b ff1 fs5 fc0 sc0 ls1 ws2">protocolo de rehabilitación convencional. </div><div class="t m0 x2 h18 y13c ff1 fsa fc0 sc0 ls1 ws2"> </div><div class="t m0 x14 h16 y13d ff8 fs5 fc0 sc0 ls8">\uf0b7<span class="ff9 ls15 ws2"> <span class="ff1 ls1">Evaluar <span class="blank"> </span>los <span class="blank"> </span>tiempos <span class="blank"> </span>o <span class="blank"> </span>plazos <span class="blank"> </span>d<span class="blank _2"></span>e <span class="blank"> </span>b<span class="blank _0"> </span>aja <span class="blank _3"> </span>deportiva <span class="blank"> </span>en <span class="blank"> </span>el <span class="blank"> </span>pacie<span class="blank _1"></span>nte<span class="blank _8"> </span> <span class="blank"> </span>aplicando <span class="blank"> </span>la </span></span></div><div class="t m0 x19 ha y13e ff1 fs5 fc0 sc0 ls1 ws2">hidroterapia en <span class="blank _0"> </span>compar<span class="blank _2"></span>a<span class="blank _0"> </span>ción con la fisiot<span class="blank _2"></span>erap<span class="blank _0"> </span>ia convenciona<span class="blank _0"> </span>l.<span class="fs2"> </span></div><div class="t m0 x19 h9 y13f ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x19 h9 y140 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x19 h9 y141 ff1 fs5 fc0 sc0 ls1 ws2"> </div><div class="t m0 x19 ha y142 ff1 fs2 fc0 sc0 ls1 ws2"> </div><div class="t m0 x2 h2 y143 ff1 fs0 fc0 sc0 ls1 ws2"> </div></div><div class="pi" data-data="{"ctm":[1.000000,0.000000,0.000000,1.000000,0.000000,0.000000]}"></div></div>
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