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      Estudio comparativo entre la anamnesis y la ergonometría en la detección de limitaciones biomecánicas por sintomatología musculoesquelética. Translated title: Comparative study between the anamnesis and ergonometry in the detection of biomechanical limitations due to musculoskeletal symptoms.

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          Abstract

          Resumen El objetivo del presente estudio fue comparar las limitaciones biomecánicas encontradas, aplicando la anamnesis y la evaluación goniométrica, en trabajadores con síntomas musculoesqueléticos, y en otros asintomáticos, durante la evaluación médica periódica en una empresa ecuatoriana. Durante el 2018, se diagnosticaron y evaluaron 96 trabajadores administrativos y operativos-obreros, de una empresa manufacturera privada, mediante anamnesis y goniometría. Los resultados se compararon mediante la t de Student. En el 80% de los segmentos evaluados se hallaron diferencias estadísticas significativas entre goniometría y anamnesis en ambos grupos (asintomáticos y sintomáticos) durante la evaluación médica periódica, con excepción en los movimientos de flexión e inclinación lateral de columna cervical, flexión de codo, desviación radial de muñeca y extensión de rodilla. Se concluye que la incorporación de la goniometría en el examen médico ocupacional podría contribuir a calificar la aptitud física del trabajador y a realizar un diagnóstico precoz de trastornos musculoesqueléticos.

          Translated abstract

          Abstract The objective of the present study was to compare the biome-chanical limitations found, applying the anamnesis and goniometric evaluation in workers with musculoskeletal symptoms, and in asymptomatic workers, during the periodic medical evaluation in an Ecuadorian company. During 2018, 96 administrative and operational workers of a private manufacturing company were diagnosed and evaluated through anamnesis and goniometry. The results were compared using the Student’s t test. In 80% of the evaluated segments, significant statistical differences were found between goniometry and anamnesis in both groups (asymptomatic and symptomatic) during the periodic medical evaluation, with the exception of flexion and lateral inclination movements of the cervical spine, elbow flexion, radial wrist deviation and knee extension. It is concluded that the incorporation of goniometry in the occupational medical examination could contribute to qualify the physical fitness of the worker and to make an early diagnosis of musculoskeletal disorders.

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          Most cited references21

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          Reliability and validity of goniometric measurements at the knee.

          The purposes of this study were to assess the intertester reliability of goniometric measurements at the knee and the validity of the clinical measurements by comparing them to measurements taken from roentgenograms. Thirty healthy subjects between the ages of 20 and 60 years were studied. The subjects were positioned on their right side on a roentgenographic table with their left lower extremity on a stabilizing board that was elevated 15 cm above the table's surface. For standardization of the position, an assistant placed the posterior aspect of the subject's left thigh in contact with two 15-cm pegs, which had been inserted perpendicularly into the stabilizing board. The assistant then moved the left leg to achieve an arbitrary angle of the knee joint and held the limb in that position. Two physical therapists then independently used a standard plastic goniometer to measure the knee joint angle in the sagittal plane using the greater trochanter, the lateral condyle of the femur, the head of the fibula, and the lateral malleolus as bony landmarks. A roentgenogram was taken of the extremity before the subject was moved. Pearson product-moment correlation coefficients (r's) and intraclass correlation coefficients (ICCs) were used to analyze the data. The data analysis revealed that the intertester reliability (r = .98; ICC = .99) and validity (r = .97-.98; ICC = .98-.99) were high. The results of this study indicate that goniometric measurements of the knee joint are both reliable and valid.
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            Goniometric reliability in a clinical setting. Shoulder measurements.

            The purpose of this study was to examine the intratester and intertester reliabilities for clinical goniometric measurements of shoulder passive range of motion (PROM) using two different sizes of universal goniometers. Patients were measured without controlling therapist goniometric placement technique or patient position during measurements. Repeated PROM measurements of shoulder flexion, extension, abduction, shoulder horizontal abduction, horizontal adduction, lateral (external) rotation, and medial (internal) rotation were taken of two groups of 50 subjects each. The intratester intraclass correlation coefficients (ICCs) for all motions ranged from .87 to .99. The ICCs for the intertester reliability of PROM measurements of horizontal abduction, horizontal adduction, extension, and medial rotation ranged from .26 to .55. The intertester ICCs for PROM measurements of flexion, abduction, and lateral rotation ranged from .84 to .90. Goniometric PROM measurements for the shoulder appear to be highly reliable when taken by the same physical therapist, regardless of the size of the goniometer used. The degree of intertester reliability for these measurements appears to be range-of-motion specific.
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              Síntomas Músculo Esqueléticos en trabajadores de una empresa de construcción Civil

              Con el propósito de determinar la prevalencia de síntomas músculo esqueléticos y su relación con las características sociodemográficas y ocupacionales en trabajadores de una empresa de construcción civil, se llevó a cabo un estudio descriptivo, transversal en 89 trabajadores masculinos. A cada trabajador se le realizó una historia laboral y fue aplicado el Cuestionario Nórdico Estandarizado. El 67,4% de los participantes reportó síntomas musculoesqueléticos, la mayor prevalencia de síntomas se observó en el grupo de 36 a 40 años, siendo más afectados los ayudantes de albañil (23,3%) y obreros (13,33%). La prevalencia más elevada de síntomas fue reportada para la espalda baja (50,6%), seguida por los hombros (13,25%). No se encontró relación significativa entre las variables edad (X2 = 7,19) e IMC (X2 = 0,33) con la presencia de síntomas. Existe una elevada prevalencia de síntomas musculoesqueléticos en los trabajadores de la empresa estudiada lo que orienta hacia la necesidad de realizar la evaluación ergonómica de los puestos de trabajo y desarrollar estrategias de reducción y prevención de riesgos a fin de minimizar el desarrollo de lesiones musculoesqueléticas incapacitantes en este grupo de trabajadores, así como, ampliar el estudio a los fines de conocer la problemática en esta actividad económica.
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                Author and article information

                Journal
                ic
                Investigación Clínica
                Invest. clín
                Instituto de Investigaciones Clínicas "Dr. Américo Negrette", Facultad de Medicina, Universidad del Zulia (Maracaibo, Zulia, Venezuela )
                0535-5133
                2477-9393
                March 2021
                : 62
                : 1
                : 52-62
                Affiliations
                [1] Quito orgnameUniversidad Internacional SEK Ecuador
                Article
                S0535-51332021000100052 S0535-5133(21)06200100052
                10.22209/ic.v62n1a05
                176dafa2-ddc4-4155-8695-1115189af162

                This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

                History
                : 18 December 2020
                : 10 July 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 21, Pages: 11
                Product

                SciELO Venezuela

                Categories
                Trabajos Originales

                ergonometría,trastornos musculoesqueléticos,vigilancia de la salud,método biomecánico,ángulo de movilidad articular,ergonometry,musculoskeletal disorder,health surveillance,biomechanical method,joint mobility angle

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