Hombro Doloroso

basada en la evidencia para hombro doloroso relacionado con factores de riesgo en el trabajo (GATI-HD

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ANATOMÍA El hombro está formado por la redondeada apó!sis del hombro la prominencia compuesta por la cabe"a del h#mero y la apó!sis esc$pula. saliente del acromion de la esc$pula.

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HOMBRO O!ORO"O des#rdenes musculoes$uel%ticos &ME' de miembros superiores relacionados con el trabajo% •

comprenden un (rupo

•

M)sculos  Tendones  T endones  *ainas tendinosas

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ME lesi#n f+sica ori(inada por trauma acumulado $ue se desarrolla (radualmente sobre un per+odo de tiempo, como

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ET/O!O0/A Multifactorial cuatro (randes (rupos de ries(o &Ayoub y 5ittels3 6787'4 1 &os factores

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En t%rminos de tiempo

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El s+ndrome de hombro doloroso &H' en el

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:ausas de condiciones

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ori(inadas por

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0strateg as para I ent car los /eligros Auto reporte3 inspecci#n estructurada o aplicaci#n de listas de che$ueo de condiciones de traba2o.

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&os factores de riesgo del individuo 3ue deben tenerse en cuenta en la evaluación de los trabajadores TA&02 ,)4)5 !as *ariantes anat#micas3 El antecedente de episodios ep isodios pre*ios de dolor en hombro3 !os factores psicol#(icos3

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1actor 6iomecanico

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Intervenciones /ara 0l ,ontrol

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iseDar yo rediseDar los sistemas de traba2o 6. Or(ani-aci#n del traba2o. @. /nteracci#n con herramientas3 má$uinas y tecnolo(+a. . Re$uerimientos f+sicos de la acti*idad de traba2o &postura3 mo*imiento3

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/rogramas de /revención

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6. Mo*imientos repetiti*os $ue incluyen =e>i#n

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2e reali"a con5

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Relacionado con el traba2o se reali-a a tra*%s de la *aloraci#n m%dica sistemática del indi*iduo

Diagnóstico

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El ob2eti*o de la rehabilitaci#n despu%s de una lesi#n por H4 • •

Recuperar el má>imo ni*el posible de funcionalidad e independencia Me2orar su calidad de *ida4 9+sico3 psicol#(ico3 laboral y social.@

"e recomienda tener en cuenta los si(uientes pasos para los pro(ramas de

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/ronóstico de un paciente con HD •

•

•

•

Edad 0%nero Antecedente de s+ntomas dolorosos en hombro 9actores psicosociales 9actores de ries(o ocupacional

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Incapacidades esperadas en los 2; de HD relacionado con el Trabajo /ncapacidad m%dica temporal4 "e()n cada caso en particular3 enfermedades concurrentes concurrentes y otros factores sociales y m%dicos $ue puedan afectar la recuperaci#n.