Asia Evaluacion de Lesion A Dos Medulares

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forma correcta de valorar los efectos que produce en}\par\pard\li1173\ri0\sl-613
\slmult0 \fs50\cf0\f0\charscalex100 {una persona una patologa neurolgica y los efe
ctos que}\par\pard\li1173\ri0\sl-600\slmult0 \fs50\cf0\f0\charscalex100 {produce
tratamiento sobre el paciente slo es posible si}\par\pard\li1173\ri0\sl-600\slmu

lt0 \fs50\cf0\f0\charscalex100 {somos capaces de elaborar una exploracin neurolgic
a}\par\pard\li1173\ri0\sl-613\slmult0 \fs50\cf0\f0\charscalex100 {estandarizada.
Las escalas de valoracin en Neurologa}\par\pard\li1173\ri0\sl-600\slmult0 \fs50\c
f0\f0\charscalex100 {y por tanto en Fisioterapia Neurolgica son recursos}\par\par
d\li1173\ri0\sl-613\slmult0 \fs52\cf0\f0\charscalex100 {esenciales para generar
y estandarizar la informacin.}\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pa
rd\li600\ri0\sl-506\slmult0 \fs50\cf0\f0\charscalex100 { Adems el poder depositar
, en una historia clinical}\par\pard\li1173\ri0\sl-586\slmult0 \fs52\cf0\f0\char
scalex100 {neurolgica, esa informacin, es de suma importancia.}\par\pard\sect\sect
d\sbkpage\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\margtsxn666\margbsxn56
0\pard\li3146\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3146\ri0\sl-213\slmult0 \f
s18\cf0\par\pard\li3146\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3146\ri0\sl-213\
slmult0 \fs18\cf0\par\pard\li3146\ri0\sl-866\slmult0 \fs94\cf0\f0\charscalex100
{HISTORI}\fs94\cf0\f0\charscalex100 {A CL}\fs94\cf0\f0\charscalex100 {I}\fs94\cf
0\f0\charscalex100 {N}\fs94\cf0\f0\charscalex100 {I}\fs94\cf0\f0\charscalex100 {
CA}\par\pard\li1173\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1173\ri0\sl-213\slmu
lt0 \fs18\cf0\par\pard\li1173\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1173\ri0\s
l-213\slmult0 \fs18\cf0\par\pard\li1173\ri0\sl-640\slmult0 \fs68\cf0\f0\charscal
ex100\b {DATOS PERSONALES.}\b0 \par\pard\li2866\ri0\sl-573\slmult0 \fs44\cf0\f0\
charscalex100 {}{ }\fs44\cf0\f0\charscalex100\b {NOMBRES Y APELLIDOS}\b0 \par\par
d\li2866\ri0\sl-546\slmult0 \fs44\cf0\f0\charscalex100 {}{ }\fs44\cf0\f0\charscal
ex100\b {CEDULA DE IDENTIDAD}\b0 \par\pard\li2866\ri0\sl-560\slmult0 \fs44\cf0\f
0\charscalex100 {}{ }\fs44\cf0\f0\charscalex100\b {EDAD}\b0 \par\pard\li2866\ri0\
sl-546\slmult0 \fs44\cf0\f0\charscalex100 {}{ }\fs44\cf0\f0\charscalex100\b {SEXO
}\b0 \par\pard\li2866\ri0\sl-560\slmult0 \fs44\cf0\f0\charscalex100 {}{ }\fs42\cf
0\f0\charscalex100\b {FECHA DE NACIMIENTO}\b0 \par\pard\li2866\ri0\sl-560\slmult
0 \fs44\cf0\f0\charscalex100 {}{ }\fs42\cf0\f0\charscalex100\b {LUGAR DE NACIMIEN
TO}\b0 \par\pard\li2866\ri0\sl-546\slmult0 \fs44\cf0\f0\charscalex100 {}{ }\fs42\
cf0\f0\charscalex100\b {DOMINANCIA}\b0 \par\pard\li2866\ri0\sl-560\slmult0 \fs44
\cf0\f0\charscalex100 {}{ }\fs44\cf0\f0\charscalex100\b {NIVEL DE INSTRUCCION}\b0
\par\pard\li2866\ri0\sl-546\slmult0 \fs44\cf0\f0\charscalex100 {}{ }\fs44\cf0\f0
\charscalex100\b {OCUPACION}\b0 \par\pard\li2866\ri0\sl-560\slmult0 \fs44\cf0\f0
\charscalex100 {}{ }\fs44\cf0\f0\charscalex100\b {DIRECCION}\b0 \par\pard\li2866\
ri0\sl-560\slmult0 \fs44\cf0\f0\charscalex100 {}{ }\fs44\cf0\f0\charscalex100\b {
TELEFONO}\b0 \par\pard\sect\sectd\sbkpage\pgwsxn15840\pghsxn12240\marglsxn666\ma
rgrsxn133\margtsxn666\margbsxn666\pard\li4960\ri0\sl-213\slmult0 \fs18\cf0\par\p
ard\li4960\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li4960\ri0\sl-213\slmult0 \fs18
\cf0\par\pard\li4960\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li4960\ri0\sl-813\slm
ult0 \fs94\cf0\f1\charscalex100 {ANAMNESIS}\par\pard\li600\ri0\sl-213\slmult0 \f
s18\cf0\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl-213\sl
mult0 \fs18\cf0\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\s
l-626\slmult0 \fs56\cf0\f0\charscalex100 { Es la parte de la histria clnica en la
que el}\par\pard\li1173\ri0\sl-653\slmult0 \fs54\cf0\f0\charscalex100 {paciente
describe de manera detallada los eventos}\par\pard\li1173\ri0\sl-653\slmult0 \fs
54\cf0\f0\charscalex100 {que provocaron la asistencia a la consulta. Para que}\p
ar\pard\li1173\ri0\sl-653\slmult0 \fs54\cf0\f0\charscalex100 {ste interrogatorio
sea efectivo requiere de gran}\par\pard\li1173\ri0\sl-666\slmult0 \fs54\cf0\f0\c
harscalex100 {pericia de parte del fisioterapeuta ya que requiere}\par\pard\sect
\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\cols7\colno1\colw
4280\colsr-0\colno2\colw1506\colsr-0\colno3\colw2506\colsr-0\colno4\colw1200\col
sr-0\colno5\colw2933\colsr-0\colno6\colw853\colsr-0\colno7\colw1760\pard\li1173\
ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {establecer}\par\column\pard\li0\r
i0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {una}\par\column\pard\li0\ri0\sl-65
3\slmult0 \fs56\cf0\f0\charscalex100 {relacion}\par\column\pard\li0\ri0\sl-653\s
lmult0 \fs56\cf0\f0\charscalex100 {de}\par\column\pard\li0\ri0\sl-653\slmult0 \f
s56\cf0\f0\charscalex100 {confianza}\par\column\pard\li0\ri0\sl-653\slmult0 \fs5
6\cf0\f0\charscalex100 {y}\par\column\pard\li0\ri0\sl-653\slmult0 \fs56\cf0\f0\c
harscalex100 {de}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn66
6\margrsxn133\pard\li1173\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {sinceri
dad mutua.}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\marg
rsxn133\pard\sect\sectd\sbkpage\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\
margtsxn666\margbsxn506\pard\li4293\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li4293
\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li4293\ri0\sl-213\slmult0 \fs18\cf0\par\p
\cf0\f1\charscalex100 {EXAMEN FISICO}\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf
0\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li600\ri0\sl-666\slmult0 \fs52\cf0\f0\charscalex100 { Los pro
cesos fundamentales para el examen de la piel}\par\pard\li1173\ri0\sl-493\slmult
0 \fs52\cf0\f0\charscalex100 {son la inspeccin y la palpacin. Por medio de este}\p
ar\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\cols7
\colno1\colw3360\colsr-0\colno2\colw2600\colsr-0\colno3\colw2226\colsr-0\colno4\
colw1760\colsr-0\colno5\colw1773\colsr-0\colno6\colw1786\colsr-0\colno7\colw1533
\pard\li1173\ri0\sl-480\slmult0 \fs52\cf0\f0\charscalex100 {mtodo}\par\column\par
d\li0\ri0\sl-480\slmult0 \fs52\cf0\f0\charscalex100 {podmos}\par\column\pard\li0\
ri0\sl-480\slmult0 \fs52\cf0\f0\charscalex100 {obtener}\par\column\pard\li0\ri0\
sl-480\slmult0 \fs52\cf0\f0\charscalex100 {datos}\par\column\pard\li0\ri0\sl-480
\slmult0 \fs52\cf0\f0\charscalex100 {sobre}\par\column\pard\li0\ri0\sl-480\slmul
t0 \fs52\cf0\f0\charscalex100 {sobre}\par\column\pard\li0\ri0\sl-480\slmult0 \fs
52\cf0\f0\charscalex100 {la}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240
\marglsxn666\margrsxn133\pard\li1173\ri0\sl-480\slmult0 \fs52\cf0\f0\charscalex1
00 {topografa superficial de las diferentes regines del}\par\pard\li1173\ri0\sl-48
0\slmult0 \fs52\cf0\f0\charscalex100 {cuerpo.}\par\pard\li600\ri0\sl-613\slmult0
\fs52\cf0\f0\charscalex100 { El examen de la piel busca alteraciones como:}\par
\pard\li2106\ri0\sl-600\slmult0 \fs52\cf0\f0\charscalex100 { Color}\par\pard\li2
106\ri0\sl-600\slmult0 \fs52\cf0\f0\charscalex100 { Grupo tnico.}\par\pard\li2106
\ri0\sl-613\slmult0 \fs52\cf0\f0\charscalex100 { Frecuencia y grado de exposicin
a los rayos}\par\pard\li2493\ri0\sl-480\slmult0 \fs52\cf0\f0\charscalex100 {sola
res.}\par\pard\li2106\ri0\sl-600\slmult0 \fs52\cf0\f0\charscalex100 { Enfermedad
es (ictericia, cianosis, etc.)}\par\pard\li2106\ri0\sl-613\slmult0 \fs52\cf0\f0\
charscalex100 { Lesiones en la piel (cicatrices, fisuras, ulceras,}\par\pard\li2
493\ri0\sl-480\slmult0 \fs52\cf0\f0\charscalex100 {etc.)}\par\pard\sect\sectd\sb
knone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\pard\sect\sectd\sbkpage\pg
wsxn15840\pghsxn12240\marglsxn666\margrsxn133\margtsxn666\margbsxn573\pard\li145
3\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1453\ri0\sl-213\slmult0 \fs18\cf0\par\
pard\li1453\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1453\ri0\sl-1026\slmult0 \fs
94\cf0\f0\charscalex100 {H}\fs94\cf0\f0\charscalex100 {istoria del Protocolo de
ASIA}\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl-213\slmu
lt0 \fs18\cf0\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl-560\slmult0 \fs56\cf0\f0\charscalex1
00 { Este protocolo nace en la dcada de los 60, cuando}\par\pard\li1173\ri0\sl-58
6\slmult0 \fs54\cf0\f0\charscalex100 {un grupo de mdicos y otros profesionales de
la}\par\pard\li1173\ri0\sl-600\slmult0 \fs54\cf0\f0\charscalex100 {salud se vie
ron en la necesidad de formar grupos}\par\pard\li1173\ri0\sl-586\slmult0 \fs54\c
f0\f0\charscalex100 {de investigacin cientfica que abarcara todo lo}\par\pard\sect
\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\cols6\colno1\colw
4506\colsr-0\colno2\colw1413\colsr-0\colno3\colw3200\colsr-0\colno4\colw786\cols
r-0\colno5\colw3693\colsr-0\colno6\colw1440\pard\li1173\ri0\sl-586\slmult0 \fs56
\cf0\f0\charscalex100 {relacionado}\par\column\pard\li0\ri0\sl-586\slmult0 \fs56
\cf0\f0\charscalex100 {con}\par\column\pard\li0\ri0\sl-586\slmult0 \fs56\cf0\f0\
charscalex100 {Evaluacin}\par\column\pard\li0\ri0\sl-586\slmult0 \fs56\cf0\f0\cha
rscalex100 {y}\par\column\pard\li0\ri0\sl-586\slmult0 \fs56\cf0\f0\charscalex100
{T}\fs56\cf0\f0\charscalex100 {ratamientos}\par\column\pard\li0\ri0\sl-586\slmu
lt0 \fs56\cf0\f0\charscalex100 {a}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsx
n12240\marglsxn666\margrsxn133\pard\li1173\ri0\sl-586\slmult0 \fs56\cf0\f0\chars
calex100 {pacientes con lesiones medulares.}\par\pard\li600\ri0\sl-213\slmult0 \
fs18\cf0\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl-213\s
lmult0 \fs18\cf0\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\
sl-586\slmult0 \fs56\cf0\f0\charscalex100 { Es al principio de los aos 70 que se
implanta el}\par\pard\li1173\ri0\sl-586\slmult0 \fs56\cf0\f0\charscalex100 {sist
ema de modelo de lesin de la medula espinal,}\par\pard\li1173\ri0\sl-600\slmult0

\*\tx12346\fs54\cf0\f0\charscalex100 {bajo los departamentos Norteamericanos de}
\tab \fs54\cf0\f0\charscalex100 {S}\fs54\cf0\f0\charscalex100 {alud,}\par\pard\l
i1173\ri0\sl-586\slmult0 \fs56\cf0\f0\charscalex100 {Educacin y Bienestar (}\fs56
\cf0\f0\charscalex100 {R}\fs56\cf0\f0\charscalex100 {ehabilitacin).}\par\pard\sec
t\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\pard\sect\sectd\
sbkpage\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\margtsxn666\margbsxn666\
8\cf0\par\pard\li1906\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1906\ri0\sl-213\sl
mult0 \fs18\cf0\par\pard\li1906\ri0\sl-706\slmult0 \fs56\cf0\f0\charscalex100 {P
ero es en 1973 cuando se forma La Asociacin}\par\pard\li1173\ri0\sl-653\slmult0 \
fs56\cf0\f0\charscalex100 {Americana de Lesiones Medulares, con normas}\par\pard
\li1173\ri0\sl-666\slmult0 \fs56\cf0\f0\charscalex100 {especficas para la clasifi
cacin neurolgica de}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn6
66\margrsxn133\cols6\colno1\colw4026\colsr-0\colno2\colw1386\colsr-0\colno3\colw
2533\colsr-0\colno4\colw3226\colsr-0\colno5\colw1120\colsr-0\colno6\colw2746\par
d\li1173\ri0\sl-640\slmult0 \fs56\cf0\f0\charscalex100 {pacientes}\par\column\pa
rd\li0\ri0\sl-640\slmult0 \fs56\cf0\f0\charscalex100 {con}\par\column\pard\li0\r
i0\sl-640\slmult0 \fs56\cf0\f0\charscalex100 {lesiones}\par\column\pard\li0\ri0\
sl-640\slmult0 \fs56\cf0\f0\charscalex100 {medulares.}\par\column\pard\li0\ri0\s
l-640\slmult0 \fs56\cf0\f0\charscalex100 {La}\par\column\pard\li0\ri0\sl-640\slm
ult0 \fs56\cf0\f0\charscalex100 {misma}\par\pard\sect\sectd\sbknone\pgwsxn15840\
pghsxn12240\marglsxn666\margrsxn133\pard\li1173\ri0\sl-666\slmult0 \fs56\cf0\f0\
charscalex100 {comenz con 21 miembros.}\par\pard\li2106\ri0\sl-213\slmult0 \fs18\
cf0\par\pard\li2106\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li2106\ri0\sl-213\slmu
ex100 {En 1974 A}\fs56\cf0\f0\charscalex100 {SI}\fs56\cf0\f0\charscalex100 {A am
plia el numero de miembros}\par\pard\li1173\ri0\sl-653\slmult0 \fs54\cf0\f0\char
scalex100 {incluyendo a fisioterapeutas, la sede principal es en}\par\pard\li117
3\ri0\sl-653\slmult0 \fs54\cf0\f0\charscalex100 {Atlanta, all se manejan todas la
s actividades}\par\pard\li1173\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {ad
ministrativas y operaciones de la asociacin.}\par\pard\li1906\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li1906\ri0\sl-573\slmult0 \fs56\cf0\f0\charscalex100 {Actualm
ente A}\fs56\cf0\f0\charscalex100 {SI}\fs56\cf0\f0\charscalex100 {A posee ms de 6
00 miembros.}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\ma
rgrsxn133\pard\sect\sectd\sbkpage\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn13
3\margtsxn666\margbsxn666\pard\li866\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li866
\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li866\ri0\sl-213\slmult0 \fs18\cf0\par\pa
rd\li866\ri0\sl-973\slmult0 \fs84\cf0\f0\charscalex100 {Mtodo de Evaluacin Fsica de
ASIA}\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl-213\slm
ult0 \fs18\cf0\par\pard\li600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl
-213\slmult0 \fs18\cf0\par\pard\li600\ri0\sl-680\slmult0 \fs56\cf0\f0\charscalex
100 { El protocolo de evaluacin neurolgica de A}\fs56\cf0\f0\charscalex100 {SI}\fs
56\cf0\f0\charscalex100 {A se}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn122
40\marglsxn666\margrsxn133\cols8\colno1\colw2946\colsr-0\colno2\colw1213\colsr-0
\colno3\colw1040\colsr-0\colno4\colw3213\colsr-0\colno5\colw1880\colsr-0\colno6\
colw906\colsr-0\colno7\colw2093\colsr-0\colno8\colw1746\pard\li1173\ri0\sl-653\s
lmult0 \fs56\cf0\f0\charscalex100 {basa}\par\column\pard\li0\ri0\sl-653\slmult0
\fs56\cf0\f0\charscalex100 {en}\par\column\pard\li0\ri0\sl-653\slmult0 \fs56\cf0
\f0\charscalex100 {la}\par\column\pard\li0\ri0\sl-653\slmult0 \fs56\cf0\f0\chars
calex100 {evaluacin}\par\column\pard\li0\ri0\sl-653\slmult0 \fs56\cf0\f0\charscal
ex100 {fsica}\par\column\pard\li0\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {
a}\par\column\pard\li0\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {travs}\par\
column\pard\li0\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {de}\par\pard\sect
\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\pard\li1173\ri0\s
l-653\slmult0 \fs56\cf0\f0\charscalex100 {dermatmas y miotmas claves, para determi
nar de}\par\pard\li1173\ri0\sl-653\slmult0 \fs54\cf0\f0\charscalex100 {manera fci
l y eficaz el nivel neurolgico de las}\par\pard\li1173\ri0\sl-666\slmult0 \fs54\c
f0\f0\charscalex100 {lesiones medulares completas e incompletas y as}\par\pard\li
1173\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {determinar un pronostico y t

ratamiento efectivo.}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\margls
xn666\margrsxn133\pard\sect\sectd\sbkpage\pgwsxn15840\pghsxn12240\marglsxn666\ma
rgrsxn133\margtsxn666\margbsxn666\pard\li3360\ri0\sl-213\slmult0 \fs18\cf0\par\p
ard\li3360\ri0\sl-946\slmult0 \fs84\cf0\f0\charscalex100 {T}\fs84\cf0\f0\charsca
lex100 {E}\fs84\cf0\f0\charscalex100 {R}\fs84\cf0\f0\charscalex100 {M}\fs84\cf0\
f0\charscalex100 {I}\fs84\cf0\f0\charscalex100 {N}\fs84\cf0\f0\charscalex100 {O}
\fs84\cf0\f0\charscalex100 {L}\fs84\cf0\f0\charscalex100 {O}\fs84\cf0\f0\charsca
lex100 {G}\fs84\cf0\f0\charscalex100 {I}\fs84\cf0\f0\charscalex100 {A EN }\par\p
\cf0\f0\charscalex100 {LE}\fs84\cf0\f0\charscalex100 {SIO}\fs84\cf0\f0\charscale
x100 {NAD}\fs84\cf0\f0\charscalex100 {OS}\fs84\cf0\f0\charscalex100 { MEDULA}\fs
84\cf0\f0\charscalex100 {R}\fs84\cf0\f0\charscalex100 {E}\fs84\cf0\f0\charscalex
100 {S}\par\pard\li1173\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li1173\ri0\sl-213\
{T}\fs52\cf0\f0\charscalex100 {etraplejia: Disminucin o perdida de la funcin motor
a}\par\pard\li1173\ri0\sl-613\slmult0 \fs52\cf0\f0\charscalex100 {y/o sensitiva
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}\b0 \fs56\cf0\f0\charscalex100 {: No hay preservacin de la }\par\pard\li1173\ri0
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ard\li1173\ri0\sl-600\slmult0 \fs52\cf0\f0\charscalex100 {msculos claves.}\par\pa

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00 {indemnidad del segmento correspondiente en la medula}\par\pard\li1173\ri0\sl
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s2\colno1\colw8293\colsr-0\colno2\colw6746\pard\li6946\ri0\sl-213\slmult0 \fs18\
cf0\par\pard\li6946\ri0\sl-426\slmult0 \fs38\cf0\f0\charscalex100 {T5}\par\pard\
\f0\charscalex100 {T6}\par\pard\li6946\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6
946\ri0\sl-600\slmult0 \fs36\cf0\f0\charscalex100 {T7}\par\pard\li6946\ri0\sl-21
3\slmult0 \fs18\cf0\par\pard\li6946\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6946
\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6946\ri0\sl-213\slmult0 \fs18\cf0\par\p
\cf0\f0\charscalex100 {T8}\par\pard\li6946\ri0\sl-213\slmult0 \fs18\cf0\par\pard
0 \fs18\cf0\par\pard\li6946\ri0\sl-453\slmult0 \fs36\cf0\f0\charscalex100 {T9}\p
ar\pard\li6840\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6840\ri0\sl-213\slmult0 \
fs18\cf0\par\pard\li6840\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6840\ri0\sl-213
\slmult0 \fs18\cf0\par\pard\li6840\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6840\
ri0\sl-440\slmult0 \fs38\cf0\f0\charscalex100 {T10}\par\column\pard\li0\ri0\sl-2
{Quinto espacio IC (entre T4 y T6)}\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\pa
r\pard\li0\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {Sexto espacio IC (xifo
esternn)}\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-600\slmul
t0 \fs38\cf0\f0\charscalex100 {Continuacin del sptimo espacio IC}\par\pard\li560\r
i0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {hacia la lneas media (mitad del}\pa
r\pard\li560\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {trayecto entre (T8 y
T10)}\par\pard\li0\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {Continuacin de
l octavo espacio IC}\par\pard\li560\ri0\sl-466\slmult0 \fs38\cf0\f0\charscalex10
0 {hacia la lneas media (mitad del}\par\pard\li560\ri0\sl-440\slmult0 \fs38\cf0\f
0\charscalex100 {trayecto entre (T6 y T10)}\par\pard\li0\ri0\sl-613\slmult0 \fs3
8\cf0\f0\charscalex100 {Continuacin del noveno espacio IC}\par\pard\li560\ri0\sl453\slmult0 \fs38\cf0\f0\charscalex100 {hacia la lneas media (mitad del}\par\pard
\li560\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {trayecto entre (T8 y T10)}

\par\pard\li0\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {Continuacin del dcimo
espacio IC}\par\pard\li560\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {hacia
la lneas media (ombligo)}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\ma
rglsxn666\margrsxn133\cols4\colno1\colw8293\colsr-0\colno2\colw2600\colsr-0\coln
o3\colw1040\colsr-0\colno4\colw3106\pard\li6840\ri0\sl-213\slmult0 \fs18\cf0\par
38\cf0\f0\charscalex100 {T11}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\p
ar\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-413\slmult0 \fs38\c
f0\f0\charscalex100 {Continuacin}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf
0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-413\slmult0 \fs3
8\cf0\f0\charscalex100 {del}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\pa
r\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-413\slmult0 \fs38\cf
0\f0\charscalex100 {decimoprimero}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsx
n12240\marglsxn666\margrsxn133\cols2\colno1\colw8293\colsr-0\colno2\colw6746\par
f0\par\pard\li6840\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6840\ri0\sl-213\slmul
t0 \fs18\cf0\par\pard\li6840\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li6840\ri0\sl
840\ri0\sl-466\slmult0 \fs38\cf0\f0\charscalex100 {T12}\par\column\pard\li560\ri
0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {espacio IC hacia la lneas media}\par
\pard\li560\ri0\sl-453\slmult0 \fs36\cf0\f0\charscalex100 {(mitad del trayecto e
ntre (T10 y}\par\pard\li560\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {T12)}
\par\pard\li0\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {Ligamento inguinal
en regin de la}\par\pard\li560\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {art
eria femoral}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\ma
rgrsxn133\pard\sect\sectd\sbkpage
7;32768}}
7;32768}}

7;32768}}
7;32768}}
7;32768}}

7;32768}}
7;32768}}
7;32768}}

7;32768}}
7;32768}}
7;32768}}

7;32768}}
7;32768}}
{\*\shpinst
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86\slmult0 \fs36\cf0\f0\charscalex100 {L2}\par\pard\li7573\ri0\sl-213\slmult0 \f
s18\cf0\par\pard\li7573\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7573\ri0\sl-213\
{L3}\par\pard\li7573\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7573\ri0\sl-213\slm
ult0 \fs18\cf0\par\pard\li7573\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7573\ri0\
sl-440\slmult0 \fs36\cf0\f0\charscalex100 {L4}\par\pard\li7573\ri0\sl-213\slmult
0 \fs18\cf0\par\pard\li7573\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7573\ri0\sl213\slmult0 \fs18\cf0\par\pard\li7573\ri0\sl-426\slmult0 \fs36\cf0\f0\charscalex
100 {L5}\par\pard\li7600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7600\ri0\sl-213
\slmult0 \fs18\cf0\par\pard\li7600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7600\
ri0\sl-440\slmult0 \fs36\cf0\f0\charscalex100 {S1}\par\pard\li7600\ri0\sl-213\sl
mult0 \fs18\cf0\par\pard\li7600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7600\ri0
\sl-213\slmult0 \fs18\cf0\par\pard\li7600\ri0\sl-440\slmult0 \fs36\cf0\f0\charsc
alex100 {S2}\par\pard\li7600\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7600\ri0\sl
600\ri0\sl-426\slmult0 \fs36\cf0\f0\charscalex100 {S3}\par\pard\li7360\ri0\sl-21
\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li7360\ri0\sl-440\slmult0 \fs38\cf0\f0\ch
arscalex100 {S4-S5}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li
0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\par

d\li0\ri0\sl-426\slmult0 \fs38\cf0\f0\charscalex100 {Un tercio de distancia entr
e T12 y}\par\pard\li560\ri0\sl-466\slmult0 \fs38\cf0\f0\charscalex100 {L2}\par\p
ard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-546\slmult0 \fs38\cf0\f
0\charscalex100 {Tercio medio anterior del muslo}\par\pard\li0\ri0\sl-213\slmult
0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\sl
mult0 \fs18\cf0\par\pard\li0\ri0\sl-426\slmult0 \fs38\cf0\f0\charscalex100 {Cond
ilo femoral interno}\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\
sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\
ri0\sl-440\slmult0 \fs38\cf0\f0\charscalex100 {Malolo interno}\par\pard\li0\ri0\s
l-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\r
i0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-426\slmult0 \fs38\cf0\f0\charsca
lex100 {Dorso del pie a nivel de la tercera}\par\pard\li560\ri0\sl-466\slmult0 \
fs38\cf0\f0\charscalex100 {articulacin de MTF}\par\pard\li0\ri0\sl-613\slmult0 \f
s38\cf0\f0\charscalex100 {Borde externo del taln}\par\pard\li93\ri0\sl-213\slmult
0 \fs18\cf0\par\pard\li93\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li93\ri0\sl-213\
slmult0 \fs18\cf0\par\pard\li93\ri0\sl-440\slmult0 \fs38\cf0\f0\charscalex100 {Ln
ea media de la fosa popltea}\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\l
i0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pa
rd\li0\ri0\sl-426\slmult0 \fs38\cf0\f0\charscalex100 {Tuberosidad isquitica}\fs38
\cf0\f0\charscalex100 {.}\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0
\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard
\li0\ri0\sl-440\slmult0 \fs38\cf0\f0\charscalex100 {}\fs38\cf0\f0\charscalex100 {
rea perineal (se toma como un}\par\pard\li560\ri0\sl-453\slmult0 \fs38\cf0\f0\ch
arscalex100 {solo nivel)}\par\pard\sect\sectd\sbkpage\pgwsxn15840\pghsxn12240\ma
rglsxn666\margrsxn133\margtsxn666\margbsxn600\pard\li3226\ri0\sl-213\slmult0 \fs
18\cf0\par\pard\li3226\ri0\sl-1066\slmult0 \fs84\cf0\f0\charscalex100 {V}\fs84\c
f0\f0\charscalex100 {AL}\fs84\cf0\f0\charscalex100 {OR}\fs84\cf0\f0\charscalex10
0 {AC}\fs84\cf0\f0\charscalex100 {IO}\fs84\cf0\f0\charscalex100 {N DE LA }\par\p
ard\li4333\ri0\sl-893\slmult0 \fs84\cf0\f0\charscalex100 {S}\fs84\cf0\f0\charsca
lex100 {ENC}\fs84\cf0\f0\charscalex100 {I}\fs84\cf0\f0\charscalex100 {B}\fs84\cf
0\f0\charscalex100 {I}\fs84\cf0\f0\charscalex100 {L}\fs84\cf0\f0\charscalex100 {
I}\fs84\cf0\f0\charscalex100 {DAD}\par\pard\li1986\ri0\sl-213\slmult0 \fs18\cf0\
par\pard\li1986\ri0\sl-706\slmult0 \fs64\cf0\f0\charscalex100\b {PUNTOS CLAVE DE
SENSIBILIDAD}\b0 \par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn6
66\margrsxn133\cols2\colno1\colw6653\colsr-0\colno2\colw8386\pard\li3626\ri0\sl213\slmult0 \fs18\cf0\par\pard\li3626\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li36
26\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3626\ri0\sl-213\slmult0 \fs18\cf0\par
\pard\li3626\ri0\sl-666\slmult0 \fs64\cf0\f0\charscalex100\b {0}\b0 \par\pard\li
3626\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3626\ri0\sl-213\slmult0 \fs18\cf0\p
fs18\cf0\par\pard\li3626\ri0\sl-653\slmult0 \fs62\cf0\f0\charscalex100\b {1}\b0
00\b {2}\b0 \par\pard\li3626\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3626\ri0\sl
626\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3626\ri0\sl-666\slmult0 \fs64\cf0\f0
\charscalex100\b {NC}\b0 \par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\p
ard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\p
ar\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-666\slmult0 \fs64\c
f0\f0\charscalex100\b {Ausente}\b0 \par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\pa
0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-653\slmult0 \fs6
4\cf0\f0\charscalex100\b {Disminuido}\b0 \par\pard\li0\ri0\sl-213\slmult0 \fs18\
cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \f
s18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-653\slmult
0 \fs64\cf0\f0\charscalex100\b {Normal}\b0 \par\pard\li0\ri0\sl-213\slmult0 \fs1
8\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-213\slmult0
\fs18\cf0\par\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-666\slmu
lt0 \fs64\cf0\f0\charscalex100\b {No comprobable}\b0 \par\pard\sect\sectd\sbknon

e\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\pard\sect\sectd\sbkpage
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{\sp{\sn fLayoutInCell}{\sv 1}}}}\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn13
3\margtsxn640\margbsxn253\pard\li5253\ri0\sl-973\slmult0 \fs94\cf0\f0\charscalex
100 {Evaluacin}\par\pard\li4240\ri0\sl-480\slmult0 \fs38\cf0\f0\charscalex100 {Msc
ulos Claves para la Clasificacin del Nivel Motor}\par\pard\sect\sectd\sbknone\pgw
sxn15840\pghsxn12240\marglsxn666\margrsxn133\cols2\colno1\colw6240\colsr-0\colno
2\colw8800\pard\li3840\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li3840\ri0\sl-453\s
lmult0 \fs34\cf0\f0\charscalex100 {Nivel Medular}\par\pard\li4373\ri0\sl-546\slm
ult0 \fs34\cf0\f0\charscalex100 {C1-C4}\par\pard\li4613\ri0\sl-213\slmult0 \fs18
ult0 \fs34\cf0\f0\charscalex100 {C5}\par\pard\li4613\ri0\sl-560\slmult0 \fs34\cf
0\f0\charscalex100 {C6}\par\pard\li4613\ri0\sl-546\slmult0 \fs34\cf0\f0\charscal
ex100 {C7}\par\pard\li4613\ri0\sl-560\slmult0 \fs34\cf0\f0\charscalex100 {C8}\pa
r\pard\li4613\ri0\sl-546\slmult0 \fs34\cf0\f0\charscalex100 {T1}\par\pard\li4386
\ri0\sl-560\slmult0 \fs34\cf0\f0\charscalex100 {T2-L1}\par\pard\li4626\ri0\sl-21
\ri0\sl-533\slmult0 \fs34\cf0\f0\charscalex100 {L2}\par\pard\li4626\ri0\sl-546\s
lmult0 \fs34\cf0\f0\charscalex100 {L3}\par\pard\li4626\ri0\sl-560\slmult0 \fs34\
cf0\f0\charscalex100 {L4}\par\pard\li4626\ri0\sl-560\slmult0 \fs34\cf0\f0\charsc
alex100 {L5}\par\pard\li4640\ri0\sl-546\slmult0 \fs34\cf0\f0\charscalex100 {S1}\
par\pard\li4520\ri0\sl-560\slmult0 \fs34\cf0\f0\charscalex100 {S2-5}\par\column\
4\cf0\f0\charscalex100 {Msculos Claves}\par\pard\li0\ri0\sl-546\slmult0 \fs34\cf0
\f0\charscalex100 {Usar el nivel sensitivo y el diafragma para ayudar a localiza
r }\par\pard\li1386\ri0\sl-413\slmult0 \fs34\cf0\f0\charscalex100 {el segmento n
eurolgico normal ms bajo}\fs34\cf0\f0\charscalex100 {.}\par\pard\li3280\ri0\sl-546
\slmult0 \fs34\cf0\f0\charscalex100 {Deltoides}\par\pard\li2386\ri0\sl-560\slmul
t0 \fs34\cf0\f0\charscalex100 {Extensores de mueca}\fs34\cf0\f0\charscalex100 {.}
\par\pard\li2626\ri0\sl-546\slmult0 \fs34\cf0\f0\charscalex100 {Extensores de co
do}\par\pard\li2493\ri0\sl-560\slmult0 \fs34\cf0\f0\charscalex100 {Flexores de l
os dedos}\par\pard\li3226\ri0\sl-546\slmult0 \fs34\cf0\f0\charscalex100 {Interseo
s}\par\pard\li80\ri0\sl-560\slmult0 \fs34\cf0\f0\charscalex100 {Use el nivel sen
sitivo y el signo de Beevor para localizar el }\par\pard\li1560\ri0\sl-400\slmul
t0 \fs34\cf0\f0\charscalex100 {segmento neurolgico normal ms bajo}\fs34\cf0\f0\cha
rscalex100 {.}\par\pard\li2680\ri0\sl-560\slmult0 \fs34\cf0\f0\charscalex100 {Fl
exores de cadera}\par\pard\li2520\ri0\sl-546\slmult0 \fs34\cf0\f0\charscalex100
{Extensores de rodilla}\par\pard\li2320\ri0\sl-560\slmult0 \fs34\cf0\f0\charscal
ex100 {Dorsiflexores del tobillo}\par\pard\li2226\ri0\sl-560\slmult0 \fs34\cf0\f
0\charscalex100 {Extensor largo del }\fs34\cf0\f0\charscalex100 {H}\fs34\cf0\f0\
charscalex100 {allux}\par\pard\li2720\ri0\sl-546\slmult0 \fs34\cf0\f0\charscalex
100 {Flexores plantares}\par\pard\li506\ri0\sl-560\slmult0 \fs34\cf0\f0\charscal
ex100 {Use el nivel sensitivo y esfnter anal para localizar el }\par\pard\li1560\
ri0\sl-400\slmult0 \fs34\cf0\f0\charscalex100 {segmento neurolgico normal ms bajo}
\fs34\cf0\f0\charscalex100 {.}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn122
40\marglsxn666\margrsxn133\pard\sect\sectd\sbkpage
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60\cf0\f0\charscalex100 {Marcador del ndice Motor}\par\pard\sect\sectd\sbknone\pg
wsxn15840\pghsxn12240\marglsxn666\margrsxn133\cols3\colno1\colw8213\colsr-0\coln
o2\colw2226\colsr-0\colno3\colw4600\pard\li6133\ri0\sl-213\slmult0 \fs18\cf0\par
38\cf0\f0\charscalex100 {Derecha}\par\pard\li6680\ri0\sl-213\slmult0 \fs18\cf0\p
\slmult0 \fs18\cf0\par\pard\li6680\ri0\sl-440\slmult0 \fs38\cf0\f0\charscalex100
{5}\par\pard\li6680\ri0\sl-613\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\
li6680\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li6680\ri0\sl600\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li6680\ri0\sl-613\slmult0 \f
s38\cf0\f0\charscalex100 {5}\par\pard\li6680\ri0\sl-600\slmult0 \fs38\cf0\f0\cha
rscalex100 {5}\par\pard\li6680\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {5}

\par\pard\li6680\ri0\sl-613\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li66
80\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li6680\ri0\sl-600\
slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li6586\ri0\sl-613\slmult0 \fs38\
cf0\f0\charscalex100 {50}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\p
ard\li0\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li0\ri0\sl-440\slmult0 \fs38\cf0\f
0\charscalex100 {Segmento }\par\pard\li66\ri0\sl-453\slmult0 \fs38\cf0\f0\charsc
alex100 {muscular }\par\pard\li373\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100
{clave}\par\pard\li520\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {C5}\par\p
ard\li520\ri0\sl-613\slmult0 \fs38\cf0\f0\charscalex100 {C6}\par\pard\li520\ri0\
\fs38\cf0\f0\charscalex100 {C8}\par\pard\li520\ri0\sl-613\slmult0 \fs38\cf0\f0\
charscalex100 {T1}\par\pard\li533\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100
{L2}\par\pard\li533\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {L3}\par\pard\
li533\ri0\sl-613\slmult0 \fs38\cf0\f0\charscalex100 {L4}\par\pard\li533\ri0\sl-6
00\slmult0 \fs38\cf0\f0\charscalex100 {L5}\par\pard\li546\ri0\sl-600\slmult0 \fs
38\cf0\f0\charscalex100 {S1}\par\column\pard\li0\ri0\sl-213\slmult0 \fs18\cf0\pa
0\f0\charscalex100 {Izquierda }\par\pard\li626\ri0\sl-213\slmult0 \fs18\cf0\par\
pard\li626\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li626\ri0\sl-213\slmult0 \fs18\
cf0\par\pard\li626\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li626\ri0\sl-213\slmult
0 \fs18\cf0\par\pard\li626\ri0\sl-440\slmult0 \fs38\cf0\f0\charscalex100 {5}\par
\pard\li626\ri0\sl-613\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li626\ri0
\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li626\ri0\sl-600\slmult0
\fs38\cf0\f0\charscalex100 {5}\par\pard\li626\ri0\sl-613\slmult0 \fs38\cf0\f0\c
harscalex100 {5}\par\pard\li626\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {5
}\par\pard\li626\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li62
6\ri0\sl-613\slmult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li626\ri0\sl-600\sl
mult0 \fs38\cf0\f0\charscalex100 {5}\par\pard\li626\ri0\sl-600\slmult0 \fs38\cf0
\f0\charscalex100 {5}\par\pard\li533\ri0\sl-613\slmult0 \fs38\cf0\f0\charscalex1
00 {50}\par\pard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn
133\pard\li6346\ri0\sl-600\slmult0 \fs38\cf0\f0\charscalex100 {Resultados mximos
100}\fs38\cf0\f0\charscalex100 {.}\fs38\cf0\f0\charscalex100 { mximos }\par\pard\
li7573\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {resultados posibles}\par\p
ard\sect\sectd\sbknone\pgwsxn15840\pghsxn12240\marglsxn666\margrsxn133\pard\sect
\sectd\sbkpage
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56\cf0\f0\charscalex100 {Escala de graduacin motora}\par\pard\li6066\ri0\sl-786\s
lmult0 \fs56\cf0\f0\charscalex100 {(Para evaluar la fuerza muscular)}\par\pard\l

i5386\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li5386\ri0\sl-213\slmult0 \fs18\cf0\
par\pard\li5386\ri0\sl-746\slmult0 \fs56\cf0\f0\charscalex100 {0 Ausente Parlisis
total}\fs56\cf0\f0\charscalex100 {.}\par\pard\li5386\ri0\sl-213\slmult0 \fs18\c
f0\par\pard\li5386\ri0\sl-600\slmult0 \fs56\cf0\f0\charscalex100 {1 Trazas Contr
accin palpable o }\par\pard\li5386\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100
{visible}\fs56\cf0\f0\charscalex100 {.}\par\pard\li5386\ri0\sl-213\slmult0 \fs18
\cf0\par\pard\li5386\ri0\sl-586\slmult0 \fs56\cf0\f0\charscalex100 {2 Pobre Movi
miento activo con la }\par\pard\li5386\ri0\sl-666\slmult0 \fs56\cf0\f0\charscale
x100 {gravedad eliminada}\fs56\cf0\f0\charscalex100 {.}\par\pard\li5386\ri0\sl-2
00 {3 Regular Movimiento activo contra la }\par\pard\li5386\ri0\sl-653\slmult0 \
fs56\cf0\f0\charscalex100 {gravedad}\fs56\cf0\f0\charscalex100 {.}\par\pard\li53
86\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li5386\ri0\sl-600\slmult0 \fs56\cf0\f0\
charscalex100 {4 Bueno Movimiento activo, contra }\par\pard\li5386\ri0\sl-653\sl
mult0 \fs56\cf0\f0\charscalex100 {gravedad y pequeas resistencias}\fs56\cf0\f0\ch
arscalex100 {.}\par\pard\li5386\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li5386\ri0
\sl-213\slmult0 \fs18\cf0\par\pard\li5386\ri0\sl-653\slmult0 \fs56\cf0\f0\charsc
alex100 {5 Normal}\par\pard\sect\sectd\sbkpage
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ar\pard\li5240\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li5240\ri0\sl-1013\slmult0
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ard\li146\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li146\ri0\sl-453\slmult0 \fs38\c
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r\pard\li960\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {resistencia mnima al
extremo de la gama total del }\par\pard\li520\ri0\sl-453\slmult0 \fs38\cf0\f0\ch
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f0\f0\charscalex100 {Ligero aumento del tono que se manifiesta por captacin }\par
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a mnima en todo el rango de }\par\pard\li3720\ri0\sl-440\slmult0 \fs38\cf0\f0\cha
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0\cf0\f0\charscalex100\b {Completa}\b0 \par\column\pard\li2586\ri0\sl-213\slmult
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scalex100 {Ausencia de toda funcin motora y sensitiva por }\par\pard\li2320\ri0\s
l-346\slmult0 \fs30\cf0\f0\charscalex100 {debajo de la ZZP}\par\pard\li120\ri0\s
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cf0\f0\charscalex100 {S}\fs30\cf0\f0\charscalex100 {ensibilidad preservada nicame
nte. Preservacin }\par\pard\li146\ri0\sl-346\slmult0 \fs30\cf0\f0\charscalex100 {
de cualquier sensacin demostrable, reproducible, }\par\pard\li13\ri0\sl-346\slmul
t0 \fs30\cf0\f0\charscalex100 {excluyendo sensaciones fantasmas. Funcin motora }\
par\pard\li1906\ri0\sl-360\slmult0 \fs30\cf0\f0\charscalex100 {voluntaria est aus
ente }\par\pard\li680\ri0\sl-213\slmult0 \fs18\cf0\par\pard\li680\ri0\sl-213\slm
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Asia Evaluacion de Lesion A Dos Medulares

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Asia Evaluacion de Lesion A Dos Medulares

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tratamiento sobre el paciente slo es posible si}\par\pard\li1173\ri0\sl-600\slmu

ema de modelo de lesin de la medula espinal,}\par\pard\li1173\ri0\sl-600\slmult0

1173\ri0\sl-653\slmult0 \fs56\cf0\f0\charscalex100 {determinar un pronostico y t

ard\li1173\ri0\sl-600\slmult0 \fs52\cf0\f0\charscalex100 {msculos claves.}\par\pa

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\li560\ri0\sl-453\slmult0 \fs38\cf0\f0\charscalex100 {trayecto entre (T8 y T10)}

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lmult0 \fs56\cf0\f0\charscalex100 {(Para evaluar la fuerza muscular)}\par\pard\l

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