UNIVERSIDAD NACIONAL MAYOR DE SAN MARCOS FACULTAD DE MEDICINA HUMANA UNIDAD DE POST GRADO Prevalencia de trastornos posturales de la columna vertebral en pacientes de 5 a 18 años del Hospital Nacional Luis N. Saenz P.N.P. durante el periodo 2006 TESIS para optar el titulo de Especialista en Medicina Física y Rehabilitación AUTORA Luna Alatrista Lidia Lili Lima Perú 2007 Índice Resumen Summary Introducción Objetivos Marco teórico Metodología Resultados Discusión Conclusiones Recomendaciones Referencias bibliográficas Anexos &' , ( )" - . / ! * "! 0 * 1 " ) ! + " ! " 1 ! * 1 " * 2" #$$31 4 / 5# + 7 + ! 9 $$:;/ ! " "* ! 8 ! 2" 6 " < "! " ) = >, 9,$/3$:; " ) ! " ? >> 9>5/>$:; ! ) " " 5? # . 6%/%$ : "* / ! )" * + 1 "! " ) = ! 4 ! " ! " ,#/-$:/ ! 2" " ! 8@" < ? ! )" 1 < 4 ) "" 63/ % : 4 "! " ? #,/,6: 1 ! 2" " ! 4 ! 8@" < ? " < ) ! " 3,/3#: 4 "! " ? $: ! / ! 2" " ! 4 " 3$: 8@" < ? 4 "! " ? $: 8 * ! * 8@" ) ! 2" < 4 ) "" 6$/6$:: ? " ) ! " < 4 ) "" / B ( + * = ) ? "! ) ! " ! 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" ! = " = + 4 < 2" " ! ) " !4 / D 4 < " ! ! " ! 2" ! 9 " ? ! " = L" )L " " " / 8 D ! ;/ ) = ! "! * = ) " !4 ! 1 * + 8+ " < 8 * ! " 1 )@ ! J " / R * "! ) J8 4 < 2" " ! ! A " " ! / = < " " 2" * "! A D +J " ! 2"/ ! / " )L ! ) " 8 " ) " ) + ". " 4 < "R " ! !4 " * / 1 " * I ! "I + < )H ! "4 ! 2" " 2) ! 8 * " " " "! ! ) )+ )" * )" " ) " " 8 "* )" = ? " 1 J8 "8 ) " ! ! ! " ! 2" + ! ! * ! 4 ! " 7 ! 2" "! / )@ ! ? " ! ) " ! * 1 " ) " ! ) . ) "8 8 )" " %$: 2 " " " 8J ! J "! " / ! + = ? " ! = " ) D ! !4 ! * + " 4 ! !) " 1 ) ! 2" )J ? 4 "! 2" " ) ;/ ! * L ! / ! ! "! 8 " ) ! ! 2" = 4 + = I ? " " * " ! ! ! " 8 " 4! I " " !4 2"1 !! 2" ! ! " " 8 * ) " " ) 8 " * " " ) )@ ! " R 5 4+ " / ) " 1 J1 "! @ ) 4! ! D ! " 7 " ! "@ 1 + D !! ( !4 ) " ") " 4 / "+ " < ) "8 " / 8 * 1 2" " < " 2" 8 " < ) ") !4! $8 + 8 4 ) ! ! " " )" * + ) " ! ! ) 1 " 8 L ? ! + " ) " 7 " ) " D " * , ? * " #$ !)/ " " + ) / ! ) ( !4 + 1 + 1! " < )" 1 ! " 1 1 !4 ! 1 / +H* ! "! "! )L ! ) " 8" 4 ! * " !! 2" ! " ;/ < ) " " ) ! L "+ ! 8 " < ") ) " "8 ! 1H 2 </ )+ H" < " 2" " ) J ! "8H" < ! ) + I ) " ) ! ) " ! 8 J + 8 * 1 < ! / < )" 7 ) + ) + / "* 8 " )+ " D ? " ) J ! "8H" ) ) 8 ;/ ) " " = ? "! / " ) ) ! + I " 8 + " ? * )" 8 " ! / 9 ! !) " " +J4 " = " ) )+ H" 1 ) " ! " " ! 4 ! ) ? ) " "* 8 " ! 4H ! " !D ? + + 9 ! " ! "D ) " = 4 < 4 ) "!D ) "!D +? ! " 1 ! ) 4 ) J ! ! 2" ! " / 8) " ! I * / "! L 4 ! ? ? ?! " )" " ! " ? ! " " " / $ H < ) "8 " ) I ! " " ) * %* 1 * I ! 2" ! " !" )" )H ! ! ) " ! 2" ) ) " 1 ! " * ! 4 ! / !" ! + 4 ) I " ! ) + ! " " / ( ! ) + L! ! )" L"8 ! / ) ) ? * ) CD )+ ) / J / ? J D ) "! " 1 " ! 2" + " " " / ! * ! * I ) "!) "#! :" D ! ! " 8@ + ! 1 ! *! J" ) * %* ? ! * ) ? " ! * !! 4 < )" L"8 #9%/ "4 ) 4 < " D ! " ! " + I < " ? / * D ? " ) " J "! ) 1 * / + ! / ) " < I " + * "! "! 1 ! L! " @" ) !D ) " "! " ! + I 1 ! + I * ) " 1 " " ) " ! 2" !J4 ! )# )4" # 3)+9# #/ 7 " ! " < ) " )L J " L " ) " <L) " "! 1 " " " ?1 ) " ! 2" )H ! !J4 ! )L !4 ! 8 4 ) ? "! " ! 2" " "! " ! 2" * @ " "! / " ! * ? * ! D ! ! J ! " D ? " * ! ) ! " " + ! " 8 ?"" / D D R < 8 4J ) 8 " ! ") 8 " = ! D ) ) " ) 4 ! " * ? /, # ) J) ! )" 9 8@" ) " * 1= ) )+ ) " "4 A 9 8@" / ! J" ! I ) " / "! " )H )H ! 1 ! " " ! " J) = ! 4 "! / D ! " ! ) ! " + 7 " ) J) !D ! 8+ * + " ) J) ! " ! " + ! ! " " !" ) "* = "4! ! 2" 1+ = )+ H" "8 ? " ! " ! ) " / "! 8 " " "! " ! 2" D ! * I ? !D ) ) ) ) / ) " " + )" / 2) "8 L ! ;/ ! J" ! I J ! ! ! ) ) ) ! ) ! " 4 <+ ! + I 1 ! "* < " "! 8 ? ! " 8+ ! ! ? ! " 1 I ? 4 <+ L! ! / " / 1 ) * ) " 8 ! 7 "! " ! * 8 4 ) )( ;/ ! " + ) ! # = + 1 4 ! ) " 1 " " D ? " + ) " 1" 4+ ) "4 ) ) * 98 @ ! 2" " " " ) ! 2" " ) ) 1 " ) " J" ) ) 28 ! ! ) ( " ! ) 1) 1 ! 2" 28 ! " ! ) ( ) 9 * < ) "" 4 "1 . " ) ! " " 1 "4 ) 1 J" + ) " ? " " 4 ! ;/ * ) " "! 4 ! " !D 1 * ! 4 A D " 4 ) D R ) " "8 ! ? ) 1 4 ) D ! ) = " )! ! " ! 8 4J = ! " H*! )" * 4 ) 8" 4 ! * 1 9 8@" " )+ 8 4 ) " " " L ! ;1 + ! L / + 7 ;1 ! " )+ H" ) ! < ) " ! J" ! 4 7 "! " + + " = " * " * 1 ! ! + ;/ )+ H" = ! + ! "I )" ! ) D ) " !D ? ! + ) " " ! / ?"" / = D D C 8 " D " >6:/ ) 7 ! = 9 8@" ! "D " " " ! ) )+ )" / ! ! ) ! "* < "4 !D / 6 ) " ? * " ! " ! " + ". / ! " ? ! " ! " !D ? ! ! " ! "! ) + 8 "4 ?D " D " ! " 1 ? ! " ! ! G C + < )" " " ) 8 " "4 !! " "4 " 1 " " ! " * ! " ! D " + ! 2" )" * + " / ) " " " A ! H ! / * ! " * " )" * + ! ) " ! 2" * ! ! 4 ! " D " D ? 4 ! " ! "! I 1 ) ! " 1 ! / )L / ) ,$: " " A = " + + " "! 8 4J ) ! )L 1 " " " "". / ) " ! ! 2" < 1 I ) " ) " )@ ! I " ! " I J" J " "! " ! " D ? ) )+ * " ) " "* ! ! * 4 ! " " 8H ! " ! " 7 + " 4 "8 / " ? )" " ! " ! 2" ) " ! " ! " / + ! ! ) = / + " 1 " 4 ) ! " ) " 1 ? *H )+ H" ! *! 1 ! " * ) ) " ! ) ". ) ! < ! 2" ) )" ! " " ! "8H" " ) " * + < ! 2" ? ! " ) * ! 2" ! "8H" ! ! )@" " ) " ) " ! "". 1! " ) " "". " ! " "+ " < ) "" )L D " ! 1 J8 ! ) " " " " ) 28 ! ? " 1 ) " 8J ! + " ! ! A= D ?= " 4 7 > " " / )L 8 4J 9= & * @ ) 7 4 2 8 R" ! " "! * L< ! " ? / ? " 6$ 8 9 ? #;A 8 " ##:1 ) " 8 I= // ) ? J " " >>: " C ) " < ) ! 28 ! " * ) " ! ) " "! " ) 8 8 " L" 2" 8@" ! * 1 / C " ) "1 #1 ! " ) 7 * " 4 ! ! ) " ! * 1 " ! * ! * , ! I ! 2"1 #$ 8 " #$ ? 6$ 8 / 8 ( * @ " ! " 9 * ? C @+ ;1 ) ) " > 93 /-:; ! " = ! ++C6; < 8" * / 2" )" 8 8@" ") ! ) " 8 3-: ) ? ! ) L + " " 8 = "1 "". ! 2" 8 8 T 9L"8 / ) " " 4 ) 4! " ) " = = 1= !! 2" " ! * 8" 65 ! 7 )" 2" 8 * 1 ! I ! 2"1 )+ ! I 8 * "! " R 5-#/ + + " "! 4 *! ! * ! " + ! 8@" I= * ! 2" ? " "?S " ! . ; " 8 4J " ) !D ) 8" ; " " 3,/%: ? / ! " 1 "+ ) I )+ 8" ! * 1 !D ! "! * * = ! 2" )+ 8 ! ? 8! )+ H" ) "! " H ! ! ) ! " D ! ) "! 2" " 9 55- R #$$$;1 * I ) 9 + ) ! ) ) *! ! * ! 7 = 2 ! = 8 )" ? " 8 " ) 2" ! ! * "4 " ) ? /, , 8 . ) L ) ) " )+ 1 "2 ! 1 ? " " ") 7 ) 8" " / DJ ) ) " "! = @8! ) " = @8! / 8 ? ! " ! H * ! C $ . I ! " ! * ! H ! ! " + = H ) " 3, 8 " " ! )+ !D ! J" ! ? ! >, 3, 8 L< ! "! ! " ; " $ >, 8 ! * 4 ) ! " / ! ! "4 )L" ! L ! "2 ! " * J= ) J 9 ! " 8 ! 8 " " ( / " / ; "= 8 4J ! " " " + ! ( + 8 4J 1 4 "! " ? ! " ") ! / 1" ) " 1 8 4J 8 4J ! 9 7 " + ! 2" 8 " ". ! 2" 2 ? " ! " / ! " 1 * ! 2" )+ + " ! + " ) = " " 8 4J ,: " + ) " C )+ / D " L " ) "" ! 2" " < ) " ! " " 1 ! / "! !D ! 2" " ! 2 <1 D ) "! * 7 " 6 ! 2" " " " + " 4 "! 2" C " L ! 1 "4 ) !D ; < !! ! + ) ) )" * J! ) ) "* + " " / "! ) + ! 2" ! H ! " ) ! 1 ;/ ,$:; " H ! 9 8@" "8 " " ) " ! ?! " ! 8J ) ! ! " ? " ! " ! " 8 8" 1? = ) ? " ) " ) ? 96,:C 8 " ) " = J 1 " 3 !D ! 1 ! " ) " 1 " 8 4J ? ) " ? )" ! " 1 ! ) ) " ) " " ! ! ) ? 1 8 4J "" " ! )H ! * ! 1 ! " ) 1 ! 8 J ? ! " 8 L4 ! ! "! * ! "! * 1 " ? ) ) J J ) " " ) ? 4 ! * / < ) " I ! " "! 2" + 8 * < ? J" = )+ ? " )" " /C8 @ ! 8@ "! + " ( # " 1 L"8 " ) ) " 8 " " ! " " + I ) ! *! ! " )+ ! " * " ! 2" " ! E O 1 ,$ 3$ 8 1 1 ! 2" ! " " )+ H * 1 ! )H ! "4 "8 " " ) " ? ! 1! " "". 1 " "4 " ! ) L " = " ! + L! " ( D )+ A = 28 ! ! " 28 ! " - . / < )" = D )+ ! ? !! 2" D >, 8 " + ! " 4 ) H " " !D ! 7 * "/ ) " !D ? 2 ) " + " ! " 2 ! ! ! " 7 + ! ) + " 4 ) ? !D ! 1 = " 6$ 8 ! " !) " J" + / * 8 * 1 = J ) "". "8 2 ! "! * " ! ) . ! " " " !D ? ) " "/ ! + 1 ) )+ / * * " " ? ! 8 " " " ) )+ ;1 * ) " " ! ") " H!" ! ( ) 8 ! 2" I ) " ) )+ "4 "4 ) 9 4 "! " " / )H " ) " 2" ) " ! 2" * 8 4J ! * ?" ! " 1 @ " "! "* " " 4! ! " 4 1 8 ) " / % ! " ) " D " 8 4J ! " * 4! )" ) ! " ? H!" ! L < 8 L4 ! 8 / " H!" ! " H!" ! )L " * 8 2 <1 * ? + 7 ! J ! ?1 " * 82" ! 2" L ". ! "! * ! * ! )L * 1 8 " = 8 4J ! ) 3 ! * ! ) 68 " " )" * ) " ! L! ! ! 4 " ! " ! " 1 8 4J D " L ! " 1 / " ! D ! + " ) / 8 4J ! " ! * 8 4J + " 82" " )J" ) 72* " " ". 1 " "8@" ) ) )L / " )L 1 8 L" * I" ! " ? ! " ! 2" * 1 8 ! " P? ! + ! " 5 ) < ! ) " 4 ! "! " 4 ! " ! ! " / ) = ) ? J . / ) 8 ) ? J 8 "= + ! " " + 7 ! 2" " " " / " 4 ! ! ) N " " 1" H!" ! / ! 2" ! " " "= ) ) " ) " 8 " + " ! / ) ) " L! ! ) 8 4J " ! * )H ! = 8 " ? " ! 1 " "4 ! " = " )" " 8 ) ! " )L 1 / I ! 2"1 " * ) " ! H" ) "! " ! "! " " )" = + 8 ) " < ! ! ) I = ! 2" ! ! 8 " " " )" H!" ! ) ) " / 1 " = " ! ! 8 " ! " " . / * "! 2" ! ) " 4 <+ ! * / !D 1 ! 7 ) ) 4! 1 )" ? * 8 4J D = "! " ! 2" D ! 4 "! " " "! " ! 2" " !D ! 1? ! 8 ) " " - 8 4J ) " )+ * ) 7 " 1 " !D / " 4 ! ! 2" "8 4 <+ ? "! " ! 2" D ! 8 4J ) " ! * 8 ) " = ! I= ) ! " " "4 ) ! 2" @8! ! ? " " I " ! ! 2" 7 "! 4! ! " ) " + " / " ! * @ " ? / ! / "! "L" I / 5 "! "L" ) ! 2" ) 9<*+ + ! * I / "! "L" !D "! "L" !D I H + " 8 4J " ! / / #$ )H ) * )L "* 9 ! ) ? " ) + " ! 8 L4 ! ; < 8 * ! 2" )H ! *H ? $U 2 ! ) ,U / + "8 1 ! ! D 8" 4 ! ) 4 ! ! 2" + I + " L"8 ++1 ! "* " ) "! " + 7 9*H + *H + *H ! * ) ) ! ! 1 L" / " " " ) " ! 2" ! * ! = )" ) " = ) . ) " ) = *H + *H "4 " ! " *H + "4 ;? + " ) )" + " ! + "8 " / + "! " ! 2" " * ! " ! "* < ? )" L"8 " J" * "! + " ! " ! "! * ) * 4 = " + " ? ! " ; I ) * ! " !) " "4 ) 7 " "4 ) " " " * I + * ! !) " " " " ) ? = ) D ? = ) ) " ! 2" 1 H ) " = = ? + + 9*H ) " ! "! * ! "! " + ! + / 4 ! D ! H" " ) 1 4! " / J) ! ) I J" / / ' " )H ++ ! I ) " ,8 ! / " ) ) ? J" ! ; ! " + ) = ) 8 " = ! " ) )H ! " " ! " )+ " " " + " 8 )H ! + ! "9 ! 7 " " *H 4 "! + ) ? / # %* %% 2 J" ! * 2" ! " ! !) " ! !) " ) " ! 2" * $/ ) " " J" ! ) " " ! 8 " " 8 * ! 2"/ ! ! 2" * " 4 " 1 ! 2" 2 / $ ,( 4 ! ! 2"/ ) "I 4 ! ! 2"/ #/ J" 4 ! ! 2" "! ) 6/ J" 4 ! ! 2" ! ) >/ / ?) ? D ? "@! / 2 ) "I ,/ / / J" ! ) / ! 2" 2 4 ! ! 2"/ 14" ! !) " / # =% # * ! 2" 28 ! ! !) " ! "I 1 ) . " !D ! / ! ! ! 4 ! !) " ) " " !) " " ) " 1 " )J" ) D ! ! " "! " D . 4 ! . " ! 2" 9 ! !D ! ? 6 + ## ! !) " ; 8 "" * " " !) " D <) -C#$ . / ! !D ! ! !) " " ) "4 ) " D " ! ) "I ! 2" = + * / ! 1= " 1 ! ) "I "! " " ! 2" ! " / + ! " " 1 ! ) ! ) " ! 1 ! " 1 "4 " " " + 4" ! " ! ) ! L! I " * ) ! ) "I ) I/ ! ! ! 2" = " ) " " " / " H <! ! " = " 4! " )" • >>: • 66: " / • ,: " #/ !D ! • 3: " 6/ •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• ! ! * 1 ? 8 L4 ! " @2 # * J ! ! 4 ! 1! " ! 8 " 4! " ! ! D ) J ! + " "! ) / %*? +/ ) " • L "I !J !" D + ! " @/ ! 2" ! " / ? %*2 +/ + + J ! / • +()#! :" " %*? +/ "* • 8" * ! "4 ) ! " " ) " ) ! !" D + + ! 2" )" * ! 2" , + - . " ! " ! " " / L "I ) / 2 * 2 +% "!)?% :"/ . ) ? ! 8 1!4 2 * 2 +% , . ! 1 1 8" ! !4 1 " 1 ! ) 8J ! ? " / 8J " ) )+ / ) 9 "#! :"/ ! J" ! " # ! " / " 2 * 2 +% - . A!)?% :"/ ( "4 ?) " "B) % % & " ! 8" ! / (% 2.#! :"( #% " • = ? ! ) ) 9<*+ + 2+! " ! ) " 9 "*+ * ! 2" "! "! ! J" ! ! " 2"/ #*+% = I2 4 2 !+) !! :" ! " • + 2 !+) !! :" " • "L ! " ! " 8 " +7 * / #*+%/ ) * 2" < " ! J" ! / 1 "4 ) ! 2" 4 #(?)#! :"/ " * I • ! 8 ? " "B) % % * 2" 6 " I "L * " + J ! / #*+% " • "@) I + ? " ! " " L" * " ! " " ? 8 L4 ! / ! " 7 / " * ) ) 8" + ! 2" ) + ! 2" 1 * ! 2" ? ! ! + 7 ! ) "! J ! * + !D ! ! + L" < ! D ? + 4 L" I 4 ! "! "L " ! 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" 6,/5%: * ) = " J ) L " --/#%: = " " " / %*2 (?! :" !#%+% % 1C" *2#%*+2"+ )# 3+%*?2# )# !+)?9"# 60.00% 52.80% 50.00% 40.00% 35.97% 30.00% 20.00% 11.23% 10.00% 0.00% Cifosis " ( Escoliosis ! J" ! !" Cifo-escoliosis D + ! 2" #$$3 6 8 4! > ) ! )" 1 " ! / ! 2" " ! 8@" < 4 ) "" 631 %: %*2 (?! :" !#%+% % 1C" ;2#5 !+ E < ? " 4 "! " ? #,1,6: %!+) +% % 3+2 % A+ & * 3+ 70.00% 61.70% 60.00% 50.00% 38.30% 36.17% 40.00% 23.40% 25.53% 30.00% 20.00% 14.90% 10.00% 0.00% Postural Estructurada Masculino " ( ! J" ! Total Femenino !" D + ! 2" #$$3 6# 8 4! ,) ! )" 1 ! ! 2" " " < ) ! 4 " ! 8@" < ? " 3,/3#: ? $: / ;2#5 !+ 70.00% %*2 (?! :" !#%+% % 1C" 5+ %!+) +% % 3+2 % A+ & * 3+ 65.62% 65.62% 60.00% 50.00% 40.00% 34.38% 34.38% 30.00% 20.00% 10.00% 0 0 0.00% Postural Estructurada Masculino " ( ! J" ! !" Total Femenino D + ! 2" #$$3 66 8 4! 3 ) ! )" 1 ! ! 2" " " < ) ! !4 " 8@" < ? " 3$: ? $: / ;2#5 !+ %*2 (?! :" !#%+% % 1C" 5+% % 3+2 % A+ & * 3+ 60% 60% 60% 50% 40% 40% 40% 30% 20% 10% 0 0 0% Postural Estructurada Masculino " ( ! J" ! Total Femenino !" D + ! 2" #$$3 6> 8 * < ) ! ! * " 8@" ) #>1#>: ? " ! 2" L"8 4 ) "" &&1 ! 6$16$: ) " 61$6: * * " " < 4 ) "" / ;2#5 !+ F %*2 (?! :" !#%+% % 1C" %!+) +% % & ) B"1?)+ 35.00% 30.30% 30.00% 25.00% 24.24% 20.00% 15.00% 9.10% 10.00% 5.00% 3.03% 3.03% 0 0.00% Leve Moderado Masculino " ( ! J" ! Severo Femenino !" D + ! 2" #$$3 6, / " " " ! " ( # 6 ! !) " ) ! ) "I / " "! 4 ! " )L 8 " 6 * 4 ? )" " 8 " ? !D )" ) !! 2" ? = "! <L) " + " ) + " + D ! * = 4 ) 4 "! " * *H " ! 3 5) ! ! 1 - . ? ! ? * ! "! ". "! + 8J / ? ! " ?! " 1 / ! + )" 8 " ? !D ! ! ) " 2 ! ! + " + ) ) !D * " 6 ! !) " ! " !) " = = = !+ ! . ! * ! " + ) 4 ) ) DJ )" * " " " < ! 1 " ! ) " " ) " 7 5? * ! 2" + 1 4 <+ "* ) " " " " ! ! " = " * + 7 1 8 " 8 8) " 1 = ! ! 2" " , . 1? ) " " ) "4 = 2 I L* + ! 2" " ! ) " * < ) ! ! -5 I2" -? " 8 " = 2" ! 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