{"id":88959,"date":"2021-12-01T09:17:25","date_gmt":"2021-12-01T08:17:25","guid":{"rendered":"https:\/\/ibecbarcelona.eu\/?p=88959"},"modified":"2021-12-01T09:19:23","modified_gmt":"2021-12-01T08:19:23","slug":"nueva-metodologia-mediante-smartphones-para-cuantificar-la-funcionalidad-del-tronco-en-pacientes-con-lesion-medular","status":"publish","type":"post","link":"https:\/\/ibecbarcelona.eu\/es\/nueva-metodologia-mediante-smartphones-para-cuantificar-la-funcionalidad-del-tronco-en-pacientes-con-lesion-medular\/","title":{"rendered":"Nueva metodolog\u00eda mediante smartphones para cuantificar la funcionalidad del tronco en pacientes con lesi\u00f3n medular"},"content":{"rendered":"

El avance permitir\u00e1 determinar, de forma individualizada, el nivel de movilidad del t\u00f3rax en pacientes que hayan sufrido una lesi\u00f3n medular, y representa una herramienta muy \u00fatil para hacer un seguimiento objetivo y cuantificable durante las sesiones de rehabilitaci\u00f3n.<\/h3>\n
\"\"
Joven empresaria en silla de ruedas sentada frente a la m\u00e1quina de caf\u00e9 y haciendo una bebida caliente mientras presiona uno de varios botones en el panel<\/figcaption><\/figure>\n

Las lesiones de la m\u00e9dula espinal,\u00a0a nivel\u00a0cervical o\u00a0tor\u00e1cico,\u00a0causan el deterioro de las funciones motoras y sensoriales de las partes del cuerpo que est\u00e1n por debajo del punto de lesi\u00f3n. Una\u00a0de las complicaciones de salud\u00a0que conllevan\u00a0es la falta de control de la musculatura del tronco, fundamental para la ejecuci\u00f3n de tareas como\u00a0mantener el equilibrio\u00a0y la verticalidad, alimentarse, vestirse y coger o manipular objetos\u00a0entre otras tareas cotidianas.\u00a0<\/span>\u00a0<\/span><\/p>\n

A pesar del gran impacto de la funci\u00f3n motora del tronco en la calidad de vida de los pacientes,\u00a0no existen medidas objetivas y estandarizadas para su\u00a0cuantificaci\u00f3n. La\u00a0evaluaci\u00f3n cl\u00ednica\u00a0es\u00a0el m\u00e9todo m\u00e1s com\u00fan, pero incluye un alto grado de subjetividad\u00a0puesto\u00a0que\u00a0depende de\u00a0escalas cualitativas.\u00a0<\/span>\u00a0<\/span><\/p>\n

Ahora, un equipo de investigadores\u00a0liderado por Raimon Jan\u00e9, l\u00edder del\u202f<\/span>Grupo de\u202fProcesado e Interpretaci\u00f3n de Se\u00f1ales Biom\u00e9dicas\u202f(BIOSPIN)<\/span>\u202fdel\u00a0Instituto de Bioingenier\u00eda de Catalunya\u00a0(IBEC)\u00a0y profesor de la UPC;\u202f<\/span>y por Hatice\u00a0Kumru,\u00a0neurol\u00f3ga\u00a0y\u00a0coordinadora de\u00a0Neurofisiolog\u00eda\u00a0del\u00a0Institut\u00a0Guttmann\u00a0y Joan Vidal,\u00a0director docente y\u00a0l\u00edder del grupo\u00a0de\u00a0Neuroreparaci\u00f3n\u00a0y terapias avanzadas<\/span>\u00a0<\/span>del\u00a0Institut\u00a0Guttmann\u00a0han desarrollado<\/span>una nueva metodolog\u00eda que permite determinar, de forma objetiva y cuantitativa, la funci\u00f3n de tronco en pacientes con lesi\u00f3n medular<\/strong>.\u00a0<\/span><\/b>El nuevo enfoque, que se ha publicado recientemente en la revista\u202f<\/span>Journal\u00a0of\u00a0Neural\u00a0Engineering<\/span><\/i><\/a>, combina el electromiograma (EMG) con el aceler\u00f3metro de un smartphone y puede complementar una evaluaci\u00f3n cl\u00ednica con datos objetivos.\u202f<\/span>\u00a0<\/span><\/p>\n

Un m\u00e9todo que combina\u00a0activaci\u00f3n\u00a0muscular con\u00a0patrones de movimiento\u00a0<\/strong><\/h3>\n

El presente\u00a0trabajo tuvo como punto de partida otro estudio recientemente publicado en la\u00a0revista\u00a0<\/span>Scientific\u00a0Reports<\/span><\/i><\/a>, donde\u00a0el mismo equipo de investigadores\u00a0puso\u00a0a punto la\u00a0nueva\u00a0t\u00e9cnica midiendo la funci\u00f3n tor\u00e1cica\u00a0durante una tarea de alcance\u00a0en personas sanas,\u00a0sentadas en una silla de ruedas.\u00a0<\/span>\u00a0<\/span><\/p>\n

El\u00a0nuevo enfoque desarrollado por\u00a0los\u00a0grupos\u00a0de\u00a0Jan\u00e9 y\u00a0Kumru\u00a0se basa en combinar medidas de actividad de diferentes m\u00fasculos del t\u00f3rax, utilizando electromiograf\u00eda (EMG), con patrones de movimiento como velocidad,\u00a0aceleraci\u00f3n y \u00e1ngulo de inclinaci\u00f3n. Como alternativa m\u00e1s simple y rentable a los sistemas de captura de movimiento, los investigadores han utilizado como aceler\u00f3metro un tel\u00e9fono m\u00f3vil tipo smartphone fijado en la regi\u00f3n del t\u00f3rax del paciente.\u00a0<\/span>\u00a0<\/span><\/p>\n

Una vez la metodolog\u00eda se puso a punto con personas sanas,\u00a0en el\u00a0segundo estudio se\u00a0estudiaron\u00a024 pacientes con\u00a0lesiones medulares en la zona cervical o\u00a0tor\u00e1cica,\u00a0que deb\u00edan\u00a0mover el tronco para alcanzar\u00a0un bot\u00f3n situado a 15 cent\u00edmetros de distancia\u00a0de la silla de ruedas.\u00a0<\/span>\u00a0<\/span><\/p>\n

El an\u00e1lisis e interpretaci\u00f3n de las se\u00f1ales de EMG y aceler\u00f3metro de tel\u00e9fonos inteligentes nos ha permitido obtener informaci\u00f3n neurofisiol\u00f3gica y de movimiento para evaluar cuantitativamente, y de forma personalizada, la funci\u00f3n del tronco en pacientes con lesi\u00f3n medular.\u00a0<\/strong><\/p>\n

Yolanda Castillo-Escario, IBEC\u00a0<\/strong><\/p>\n<\/blockquote>\n

\u00a0Rehabilitaciones personalizadas y objetivas\u00a0<\/strong><\/h3>\n

Los investigadores tambi\u00e9n han evaluado la\u00a0funci\u00f3n\u00a0del tronco en respuesta a una se\u00f1al ac\u00fastica\u00a0de sobresalto\u00a0(SAS, del ingl\u00e9s\u00a0startling\u00a0acoustic\u00a0stimulus),\u00a0que\u00a0se sabe que\u00a0acorta\u00a0el\u00a0tiempo de respuesta en la ejecuci\u00f3n de una\u00a0tarea\u00a0(efecto conocido como\u00a0StartReact).\u00a0Han\u00a0determinado\u00a0los efectos de SAS como est\u00edmulo desestabilizador y desencadenante del\u00a0StartReact\u00a0en pacientes con lesi\u00f3n medular, quienes,\u00a0por tener\u00a0la estabilidad deteriorada,\u00a0deben compensar la p\u00e9rdida de equilibrio para controlar su postura.<\/span>\u00a0<\/span><\/p>\n

Por primera vez se ha estudiado el efecto StartReact\u00a0en los m\u00fasculos del tronco de pacientes con lesi\u00f3n medular y se ha podido cuantificar y diferenciar\u00a0su efecto\u00a0entre\u00a0lesiones cervicales\u00a0y\u00a0tor\u00e1cicas, mediante la interpretaci\u00f3n de se\u00f1ales biom\u00e9dicas.\u00a0\u00a0<\/strong><\/p>\n

Raimon Jan\u00e9, IBEC\u00a0<\/strong><\/p>\n<\/blockquote>\n

Los resultados mostraron cambios motores y\u00a0el empleo de\u00a0estrategias posturales compensatorias\u00a0que\u00a0pueden tener consecuencias importantes\u00a0en la\u00a0rehabilitaci\u00f3n, como\u00a0respuestas retardadas y desviaciones laterales que evidencian\u00a0un control postural\u00a0comprometido en los pacientes con lesi\u00f3n medular.\u00a0La disponibilidad de\u00a0datos cuantitativos contribuye\u00a0a\u00a0la comprensi\u00f3n de la funci\u00f3n motora del tronco y la estabilidad postural\u00a0en\u00a0estos\u00a0pacientes.\u00a0La nueva metodolog\u00eda aporta un\u00a0enfoque objetivo para la valoraci\u00f3n del\u00a0paciente con lesi\u00f3n medular, m\u00e1s all\u00e1 de los actuales cuestionarios, que permitir\u00e1 una rehabilitaci\u00f3n personalizada a su situaci\u00f3n funcional.<\/span>\u00a0<\/span><\/p>\n

Nuestro estudio persigue monitorizar, sin subjetividad, la afectaci\u00f3n de la estabilidad de tronco en consecuencia de una lesi\u00f3n medular.\u00a0<\/strong><\/p>\n

Hatice Kumru, Institut Guttmann<\/strong><\/p>\n<\/blockquote>\n

 <\/p>\n

La metodolog\u00eda que hemos desarrollado abre las puertas a crear programas de rehabilitaci\u00f3n y tratamiento del tronco personalizados, objetivos y cuantificables. \u00a0<\/strong><\/p>\n

Joan Vidal, Institut Guttmann<\/strong><\/p>\n<\/blockquote>\n

\u00a0<\/span><\/p>\n

Art\u00edculos\u00a0de referencia:\u00a0\u00a0<\/strong><\/p>\n

Yolanda Castillo-Escario;\u00a0Hatice\u00a0Kumru;\u00a0Josep Valls-Sol\u00e9;\u00a0Loreto Garc\u00eda-Alen;\u00a0Raimon Jan\u00e9;\u00a0Joan Vidal.\u00a0<\/span>Quantitative evaluation of trunk function and the\u00a0StartReact\u00a0effect during reaching in patients with cervical and thoracic spinal cord injury.<\/span><\/a>\u00a0<\/span>2021,\u00a0<\/span>J. Neural Eng<\/span><\/i>. 18 0460d2.\u00a0<\/span><\/p>\n

\n

Yolanda Castillo-Escario;\u00a0Hatice\u00a0Kumru;\u00a0Josep Valls-Sol\u00e9;\u00a0Loreto Garc\u00eda-Alen;\u00a0Joan Vidal;\u00a0Raimon Jan\u00e9.\u00a0<\/span>Assessment of trunk flexion in arm reaching tasks with electromyography and smartphone\u00a0accelerometry\u00a0in healthy human subjects.<\/span><\/a>\u00a0<\/span>2021,\u00a0<\/span>Sci\u00a0Rep\u00a0<\/span><\/i>11, 5363.<\/span>\u00a0<\/span><\/p>\n

\n

Y.Castillo-Escario<\/span><\/i>y\u00a0<\/span><\/i>R.\u00a0Jan\u00e9<\/span><\/i>\u00a0son miembros del\u00a0grupo\u00a0BIOSPIN\u00a0del\u00a0IBEC,\u00a0UPC\u00a0y del Centro de\u00a0Investigaci\u00f3n\u202fBiom\u00e9dica en Red-\u202fBioingenier\u00eda,\u202fBiomateriales y\u202fNanomedicina\u202f(CIBER- BBN).\u00a0\u00a0Kumru, L. Garc\u00eda-Alen y J. Vidal, son miembros del grupo\u00a0<\/span><\/i>Neuroreparaci\u00f3n\u00a0y terapias avanzadas del Instituto\u00a0Guttmann.<\/span><\/i>\u00a0 J. Valls-Sol\u00e9 es miembro del\u00a0IDIBAPS.\u00a0<\/span><\/i>\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Investigadores del Instituto de Bioingenier\u00eda de Catalu\u00f1a (IBEC) y del Institut Guttmann \u2013 Hospital de Neurorrehabilitaci\u00f3n, desarrollan una nueva manera de relacionar de forma cuantitativa y personalizada el nivel de lesi\u00f3n medular con la funcionalidad del tronco. <\/h3>\n","protected":false},"author":4,"featured_media":88963,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[97],"tags":[1117],"post_formats":[],"class_list":["post-88959","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noticias-de-investigacion","tag-raimon-jane-es"],"yoast_head":"\nNueva metodolog\u00eda mediante smartphones para cuantificar la funcionalidad del tronco en pacientes con lesi\u00f3n medular - Institute for Bioengineering of Catalonia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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