{"id":4072,"date":"2026-04-27T18:33:07","date_gmt":"2026-04-27T21:33:07","guid":{"rendered":"https:\/\/rpgl.org\/blog\/?p=4072"},"modified":"2026-04-27T18:33:10","modified_gmt":"2026-04-27T21:33:10","slug":"caso-clinico-rpg-disfuncion-articular-en-segmento-l3-l4","status":"publish","type":"post","link":"https:\/\/rpgl.org\/blog\/caso-clinico-rpg-disfuncion-articular-en-segmento-l3-l4\/","title":{"rendered":"Caso Cl\u00ednico RPG: Disfunci\u00f3n Articular en Segmento L3-L4"},"content":{"rendered":"\n<h2 class=\"wp-block-heading has-medium-font-size\" style=\"margin-top:var(--wp--preset--spacing--40);margin-right:var(--wp--preset--spacing--70);margin-bottom:var(--wp--preset--spacing--40);margin-left:var(--wp--preset--spacing--70)\"><strong><strong>Evaluaci\u00f3n de dolor lumbar lateralizado en paciente joven<\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\"><strong>Mika, de 34 a\u00f1os<\/strong>, consulta por un dolor en la regi\u00f3n lumbar con cuatro semanas de evoluci\u00f3n. El dolor lo se\u00f1ala localizado en la <strong>regi\u00f3n lumbar baja y lateralizado a la derecha<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\">No presenta irradiaci\u00f3n. El s\u00edntoma no es constante, solo aparece al realizar una postura espec\u00edfica en clases de yoga.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" style=\"margin-top:var(--wp--preset--spacing--40);margin-right:var(--wp--preset--spacing--70);margin-bottom:var(--wp--preset--spacing--40);margin-left:var(--wp--preset--spacing--70)\"><strong><strong><strong>Diagn\u00f3stico mediante Microtest Articular y Reequilibraci\u00f3n<\/strong><\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\">En la evaluaci\u00f3n postural no se observan comportamientos significativos en la zona, la reequilibraci\u00f3n macrosc\u00f3pica no muestra bloqueo ni compensaciones importantes, tampoco despierta el dolor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\">En el <strong>microtest articular<\/strong> se detecta restricci\u00f3n de la movilidad espec\u00edfica en el <strong>nivel L3-L4<\/strong>. Esto se correlaciona con la postura de yoga, ya que la misma demanda una movilidad de ese segmento en la direcci\u00f3n de la resistencia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\"><strong>Clasificaci\u00f3n del caso:<\/strong> Disfunci\u00f3n articular en el segmento L3-L4 con globalidad reducida a la zona.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" style=\"margin-top:var(--wp--preset--spacing--40);margin-right:var(--wp--preset--spacing--70);margin-bottom:var(--wp--preset--spacing--40);margin-left:var(--wp--preset--spacing--70)\"><strong><strong><strong><strong>Tratamiento de Reeducaci\u00f3n Neuromotriz y Liberaci\u00f3n<\/strong><\/strong><\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\">El tratamiento se enfoc\u00f3 en la <strong>recuperaci\u00f3n de la movilidad espec\u00edfica<\/strong> del segmento L3-L4 durante la etapa de liberaci\u00f3n y lograr la ejecuci\u00f3n de la postura de yoga durante la etapa de reeducaci\u00f3n neuromotriz.<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-medium-font-size\" style=\"margin-top:var(--wp--preset--spacing--40);margin-right:var(--wp--preset--spacing--70);margin-bottom:var(--wp--preset--spacing--40);margin-left:var(--wp--preset--spacing--70)\"><strong><strong><strong><strong><strong>Formaci\u00f3n Profesional en RPG<\/strong><\/strong><\/strong><\/strong><\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\">\u00bfTe interesa profundizar en la evaluaci\u00f3n y tratamiento de las disfunciones articulares de la columna vertebral?<\/p>\n\n\n\n<h2 class=\"wp-block-heading has-text-align-center has-medium-font-size\" style=\"margin-top:var(--wp--preset--spacing--40);margin-right:var(--wp--preset--spacing--70);margin-bottom:var(--wp--preset--spacing--40);margin-left:var(--wp--preset--spacing--70)\"><strong><strong><strong><strong><strong><strong>Consulta fechas y aranceles<\/strong><\/strong><\/strong><\/strong><\/strong><\/strong> <a href=\"https:\/\/web.whatsapp.com\/send?phone=541136301318\" target=\"_blank\" rel=\"noopener\">aqu\u00ed<\/a><\/h2>\n\n\n\n<div style=\"text-align: center; border-top: 1px solid #eee; padding-top: 20px; margin-top: 30px; font-family: sans-serif; font-size: 0.9em; color: #444;\">\n    <p>\n        <a href=\"https:\/\/rpgl.org\/blog\/\" style=\"text-decoration: none; color: #0073aa; font-weight: bold;\">Blog RPG Latam<\/a> \n        \u00a9 2025 por \n        <a href=\"https:\/\/rpgl.org\/\" style=\"text-decoration: none; color: #0073aa;\">Mario Korell<\/a>\n    <\/p>\n    <p>\n        Esta obra est\u00e1 bajo una licencia \n        <a href=\"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/\" target=\"_blank\" rel=\"license noopener noreferrer\" style=\"text-decoration: underline; color: #444;\">CC BY-NC-SA 4.0<\/a>\n    <\/p>\n    <div style=\"margin-top: 10px;\">\n        <img decoding=\"async\" src=\"https:\/\/mirrors.creativecommons.org\/presskit\/icons\/cc.svg\" alt=\"CC\" style=\"height: 22px; margin: 0 3px; vertical-align: middle;\">\n        <img decoding=\"async\" src=\"https:\/\/mirrors.creativecommons.org\/presskit\/icons\/by.svg\" alt=\"BY\" style=\"height: 22px; margin: 0 3px; vertical-align: middle;\">\n        <img decoding=\"async\" src=\"https:\/\/mirrors.creativecommons.org\/presskit\/icons\/nc.svg\" alt=\"NC\" style=\"height: 22px; margin: 0 3px; vertical-align: middle;\">\n        <img decoding=\"async\" src=\"https:\/\/mirrors.creativecommons.org\/presskit\/icons\/sa.svg\" alt=\"SA\" style=\"height: 22px; margin: 0 3px; vertical-align: middle;\">\n    <\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\" style=\"margin-top:0;margin-right:var(--wp--preset--spacing--70);margin-bottom:0;margin-left:var(--wp--preset--spacing--70)\"><strong>Art\u00edculo redactado por:<\/strong><br>Mario Korell<br>Lic. Kinesi\u00f3logo Fisiatra MN 5055<br>Prof. Universitario<br>Mag. En Educaci\u00f3n para Profesionales de la Salud<br>Director de RPG Latam<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A veces, los s\u00edntomas m\u00e1s sutiles son los que requieren nuestra mayor precisi\u00f3n cl\u00ednica. Hoy queremos compartir contigo un breve an\u00e1lisis de un caso que lleg\u00f3 a consulta y que ilustra perfectamente la importancia del microtest en la RPG.<\/p>\n","protected":false},"author":1,"featured_media":4075,"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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[46],"tags":[],"class_list":["post-4072","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-inicio"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?fit=1024%2C1024&ssl=1","uagb_featured_image_src":{"full":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?fit=1024%2C1024&ssl=1",1024,1024,false],"thumbnail":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?resize=150%2C150&ssl=1",150,150,true],"medium":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?fit=300%2C300&ssl=1",300,300,true],"medium_large":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?fit=768%2C768&ssl=1",768,768,true],"large":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?fit=1024%2C1024&ssl=1",1024,1024,true],"1536x1536":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?fit=1024%2C1024&ssl=1",1024,1024,true],"2048x2048":["https:\/\/i0.wp.com\/rpgl.org\/blog\/wp-content\/uploads\/2026\/04\/Gemini_Generated_Image_wg27zewg27zewg27.png?fit=1024%2C1024&ssl=1",1024,1024,true]},"uagb_author_info":{"display_name":"Mario Korell Lic. Kinesi\u00f3logo Fisiatra","author_link":"https:\/\/rpgl.org\/blog\/author\/mario\/"},"uagb_comment_info":0,"uagb_excerpt":"A veces, los s\u00edntomas m\u00e1s sutiles son los que requieren nuestra mayor precisi\u00f3n cl\u00ednica. Hoy queremos compartir contigo un breve an\u00e1lisis de un caso que lleg\u00f3 a consulta y que ilustra perfectamente la importancia del microtest en la RPG.","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/posts\/4072","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/comments?post=4072"}],"version-history":[{"count":3,"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/posts\/4072\/revisions"}],"predecessor-version":[{"id":4076,"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/posts\/4072\/revisions\/4076"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/media\/4075"}],"wp:attachment":[{"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/media?parent=4072"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/categories?post=4072"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rpgl.org\/blog\/wp-json\/wp\/v2\/tags?post=4072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}