{"id":3607,"date":"2025-10-11T13:50:03","date_gmt":"2025-10-11T16:50:03","guid":{"rendered":"https:\/\/rpgl.org\/blog\/?p=3607"},"modified":"2025-10-27T18:12:45","modified_gmt":"2025-10-27T21:12:45","slug":"cifosis-dorsal-y-hombro-doloroso","status":"publish","type":"post","link":"https:\/\/rpgl.org\/blog\/cifosis-dorsal-y-hombro-doloroso\/","title":{"rendered":"Cifosis dorsal y hombro doloroso: c\u00f3mo se pueden relacionar desde la mirada de la RPG."},"content":{"rendered":"\n<div class=\"wp-block-columns is-layout-flex wp-container-core-columns-is-layout-7387b849 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-constrained wp-block-column-is-layout-constrained\">\n<h2 class=\"wp-block-heading has-medium-font-size\"><strong><strong>Cuando el dolor del hombro no est\u00e1 en el hombro<\/strong><\/strong><\/h2>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">Como profesional de la fisioterapia, sabes que el s\u00edntoma rara vez se encuentra en la verdadera causa del problema. Este es el caso de <strong>Rub\u00e9n<\/strong>, quien consult\u00f3 a un especialista por un dolor localizado en el hombro derecho.<\/p>\n\n\n\n<p class=\"has-medium-font-size wp-block-paragraph\">Rub\u00e9n, alba\u00f1il de profesi\u00f3n, comenz\u00f3 a sentir una molestia que se intensific\u00f3 al aumentar su carga de trabajo. \u00bfQu\u00e9 descubri\u00f3 la evaluaci\u00f3n postural y c\u00f3mo se aplic\u00f3 el m\u00e9todo de <strong>Reeducaci\u00f3n Postural Global (RPG)<\/strong> para tratar la ra\u00edz de su problema?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\"><strong><strong>Caso cl\u00ednico: el diagn\u00f3stico postural de Rub\u00e9n<\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0px;margin-bottom:0px\"><br>Durante la entrevista, Rub\u00e9n mencion\u00f3 que el dolor &#8220;al principio era leve, pero fue aumentando en la medida que tengo que usar el brazo para revocar paredes, soy alba\u00f1il y desde hace unos cuatro meses el trabajo aument\u00f3 mucho&#8221;.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Hallazgos clave en la evaluaci\u00f3n:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Evaluaci\u00f3n postural:<\/strong> se detect\u00f3 una <strong>cifosis dorsal pronunciada<\/strong> y los hombros proyectados hacia adelante.<\/li>\n\n\n\n<li><strong>Pruebas funcionales (reequilibraci\u00f3n RPG):<\/strong> se observ\u00f3 dificultad al elevar los brazos con presencia de dolor y una restricci\u00f3n importante de la movilidad dorsal que imped\u00eda disminuir la cifosis.<\/li>\n\n\n\n<li><strong>Estudios complementarios:<\/strong> no se observaron alteraciones relevantes.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Conclusi\u00f3n diagn\u00f3stica:<\/strong> Rub\u00e9n presentaba un cuadro de sobrecarga a nivel del hombro derecho debido al aumento de su trabajo, lo que su cuerpo no pudo afrontar debido a un importante <strong>componente postural<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0px;margin-bottom:0px\">La pronunciada cifosis dorsal con insuficiente movilidad hacia la extensi\u00f3n provoca una proyecci\u00f3n del hombro derecho hacia adelante, lo cual dificulta la elevaci\u00f3n del brazo de manera eficiente. Esto hace que Rub\u00e9n no pueda afrontar el aumento de la demanda de trabajo sin generar s\u00edntomas por sobrecarga.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\"><strong><strong><strong>Principios RPG aplicados: globalidad y reservas de movimiento<\/strong><\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-bottom:0\"><br>El planteamiento terap\u00e9utico se centr\u00f3 en dos principios fundamentales de la RPG:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Principio de Globalidad:<\/strong> El s\u00edntoma se manifiesta en una zona, pero las razones que lo predisponen se encuentran en otra zona funcionalmente relacionada. El sistema de movimiento corporal se organiza, funciona y se altera de manera global.<\/li>\n\n\n\n<li><strong>Principio de las Reservas:<\/strong> Rub\u00e9n podr\u00eda utilizar la extensi\u00f3n de la columna dorsal para lograr que la elevaci\u00f3n del brazo fuese m\u00e1s eficiente, repartiendo la carga funcional entre el hombro y la zona dorsal. Sin embargo, la pronunciada cifosis y su rigidez se lo imped\u00edan.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\"><strong>RPG: \u00bfC\u00f3mo se trata la cifosis dorsal y el hombro doloroso?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-bottom:0;padding-top:0px;padding-bottom:0px\"><br>En base a este an\u00e1lisis global, el tratamiento se enfoc\u00f3 en:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Reeducar<\/strong> los movimientos de elevaci\u00f3n, mejorando la biomec\u00e1nica al trabajar sobre la integraci\u00f3n de los movimientos entre el hombro y la zona dorsal.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Flexibilizar<\/strong> los responsables de la rigidez dorsal.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Mejorar<\/strong> la posici\u00f3n de los hombros.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Asociado a esto, se le explic\u00f3 a Rub\u00e9n la situaci\u00f3n para concientiziarlo sobre la importancia de realizar peque\u00f1as pausas en los momentos de mayor actividad, para disminuir el impacto de la carga laboral. Se le asignaron ciertos ejercicios de estiramiento con la finalidad de mantener la flexibilidad en la regi\u00f3n escapular y dorsal.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Art\u00edculo redactado por:<\/em><br><strong>Mario Korell<\/strong><br>Lic. Kinesi\u00f3logo Fisiatra MN 5055<br>Prof. Universitario<br>Mag. En Educaci\u00f3n para Profesionales de la Salud<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" style=\"margin-top:var(--wp--preset--spacing--20);margin-bottom:var(--wp--preset--spacing--20)\"><strong><strong><strong><strong><strong>\u00bfQuieres diagnosticar y tratar la causa real del dolor de tu paciente?<\/strong><\/strong><\/strong><\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-bottom:0\"><br><strong>El caso de Rub\u00e9n es un ejemplo claro de la necesidad de un enfoque global en fisioterapia. Si quieres integrar el m\u00e9todo RPG en tu pr\u00e1ctica y ofrecer soluciones duraderas, <strong>tienes<\/strong> que dominar el diagn\u00f3stico postural.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><strong>\u00a1Ampl\u00eda tus conocimientos e inscr\u00edbete en la pr\u00f3xima formaci\u00f3n de RPG Latam!<\/strong><\/strong><\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><\/p>\n\n\n\n<div class=\"wp-block-buttons is-content-justification-center is-layout-flex wp-container-core-buttons-is-layout-3e41869c wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button\"><a class=\"wp-block-button__link wp-element-button\" href=\"https:\/\/rpgl.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">Conocer m\u00e1s&#8230;<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Presentamos un caso que plantea la necesidad de un enfoque global en fisioterapia.<\/p>\n","protected":false},"author":1,"featured_media":3608,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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