Browsing by Author "Torres Riveros, Gustavo Andrés"
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- ItemAssessments for medical discharge in athlete patients undergoing anterior cruciate ligament reconstruction(2016) San Martín, Cristóbal; Berral, FJ.; Torres Riveros, Gustavo AndrésLa lesión del ligamento cruzado anterior y su tratamiento respectivo producen una lesión muy grande además de un costo económico y emocional para los pacientes que lo padecen. Por esta razón se vuelve esencial un buen tratamiento que permita un retorno adecuado a los deportes con menos riesgo de re-lesionar a los pacientes. Para lograr este objetivo, antes del alta del paciente es necesario confirmar que la rodilla está en condiciones óptimas para ser sometido a grandes cargas y rango de movimiento durante el funcionamiento. Para un mayor apoyo en esta decisión, cada día es más importante hacer las siguientes evaluaciones a pacientes: a) Evaluación clínica, b) Prueba de laxitud del ligamento, c) Medida de fuerza muscular máxima, d) Medición de la fuerza muscular, e) Balance, f) Prueba de salto, g) Evaluación del control sensoriomotor, h) Gesto deportivo en la evaluación del campo de juego, i) Cuestionarios.
- ItemCould recreational soccer players recover single-leg heel raise performance 12-weeks after Achilles tenorrhaphy through immediate rehabilitation?(2018) De La Fuente Cancino, Carlos Ignacio; Chamorro Lange, Claudio Hernán; Ramírez-Campillo, Rodrigo; Araya Silva, Juan Pablo; Torres Riveros, Gustavo Andrés; Yañez, AquilesImmediate rehabilitation is increasingly used for tendon injuries, but complete single-leg heel raise recovery after injury remains uncommon. PURPOSE:This study primarily determined if immediate versus traditional rehabilitation resulted in better single-leg heel raise recovery against the physiological reference, and compared performance recovery against the non-injured limb. The study also explored if clinical parameters at 4, 8, and 12 weeks post-tenorrhaphy are predictors of more single-leg heel raises at week 12 in recreational soccer players. METHOD:Twenty-six amateur soccer players (43.2±10.1 years-old, BMI 29.5±3.9 kg/m2) underwent rehabilitation using early or traditional rehabilitation following Dresden tenorrhaphy of the Achilles tendon. The main outcome was the single-leg heel raise repetitions. RESULTS:Immediate rehabilitation resulted in significantly more single-leg heel raises than traditional rehabilitation (p < 0.001). Performance capacity compared to the physiological reference was significantly greater for immediate rehabilitation (p < 0.001) but significantly lower for traditional rehabilitation (p < 0.001). Only immediate rehabilitation recovered single-leg heel raise capacity as compared to the non-injured limb (p = 0.217). The beta coefficients for weight and dorsiflexion range of motion at week 12 were respectively – 0.81±0.25 and 1.86±0.61. CONCLUSIONSImmediate AT tenorrhaphy rehabilitation more quickly recovers reference values and approximates non-injured-limb values for single-leg heel raise capacity after a 12-week physical therapy program. Dorsiflexion range of motion at week 12 and weight were predictors for more single-leg heel raise repetitions at week 12
- ItemInteractive virtual scenarios as a technological resource to improve musculoskeletal clinical reasoning skills of undergraduate physiotherapy students(2020) Torres Riveros, Gustavo Andrés; Villagrán Gutiérrez, Ignacio Andrés; Fuentes Cimma, Javiera Carolina; Araya Silva, Juan Pablo; Jouannet, C.; Fuentes López, Eduardo
- ItemUtility analysis of an adapted Mini-CEX WebApp for clinical practice assessment in physiotherapy undergraduate students(2023) Fuentes Cimma, Javiera Carolina; Fuentes López, Eduardo; Isbej Esposito, Lorena Pilar; De La Fuente, Cancino Carlos Ignacio; Riquelme Pérez, Arnoldo Javier; Clausdorff Fiedler, Hans Jurgen; Torres Riveros, Gustavo Andrés; Villagrán Gutiérrez, Ignacio AndrésClinical workplace-based learning is essential for undergraduate health professions, requiring adequate training and timely feedback. While the Mini-CEX is a well-known tool for workplace-based learning, its written paper assessment can be cumbersome in a clinical setting. We conducted a utility analysis to assess the effectiveness of an adapted Mini-CEX implemented as a mobile device WebApp for clinical practice assessment. We included 24 clinical teachers from 11 different clinical placements and 95 undergraduate physical therapy students. The adapted Mini-CEX was tailored to align with the learning outcomes of clinical practice requirements and made accessible through a WebApp for mobile devices. To ensure the validity of the content, we conducted a Delphi panel. Throughout the semester, the students were assessed four times while interacting with patients. We evaluated the utility of the adapted Mini-CEX based on validity, reliability, acceptability, cost, and educational impact. We performed factor analysis and assessed the psychometric properties of the adapted tool. Additionally, we conducted two focus groups and analyzed the themes from the discussions to explore acceptability and educational impact. The adapted Mini-CEX consisted of eight validated items. Our analysis revealed that the tool was unidimensional and exhibited acceptable reliability (0.78). The focus groups highlighted two main themes: improving learning assessment and the perceived impact on learning. Overall, the eight-item Mini-CEX WebApp proved to be a valid, acceptable, and reliable instrument for clinical practice assessment in workplace-based learning settings for undergraduate physiotherapy students. We anticipate that our adapted Mini-CEX WebApp can be easily implemented across various clinical courses and disciplines.