tratamiento fisiokinesico epoc

7/23/2019 tratamiento fisiokinesico epoc

1/49

DWE@?

YQJYJBLDMYE HLPLE"KLMDPL@E

@TDNNE YJYLJMJ

NEJ\_J HDQMJMID_ OJXLDQ

BE\JME DBJMTDN


2/49

ZTD WEIDBEP NEFQJQ @EM NJ HLPLEYDQJWLJQDPWLQJYEQLJ5

Ilpblmt`lm id nj plmyebjyenefj #ilpmdj . yep.

dswd`yeqj`lm d clwdqlmpthnj`lm, Bdoeqj id nj xdmylnj`lm jnxdenjq | id nj yendqjm`lj

jn dodq`l`le #`jnliji id xlij,-

Iqdmjod id pd`qd`lemdp Ilpblmt`lm id nj yjpj id qd`tqqdm`ljp


3/49

Zt idadbep ydmdq dm `tdmyj wqdxle jn yqjyjbldmyehlpleztlmdplè5

Iljfmepylè bdilè. èmpyjyjie èm dn dpwlqefqjbj| idbjp dsjbdmdp èbwndbdmyjqlep-

Diji. pdse | dpyjie hlplè fdmdqjn idn wj`ldmyd-

Ztd ylwe id DWE@ wjid`d dnwj`ldmyd#qdèbdmijand tylnljq njplhl`j`lem FENI,

Fqjie id idwdmidm`lj idn wj`ldmyd-

@emyjq èm tm dztlwe btnylilp`lwnlmjqle#mdtbemenefe. wplènefe. ydqjwlpyj e`twj`lemjn.mtyql`lemlpyj,


4/49

Wlnjqdp idn yqjyjbldmye

Dodq`l`le hlpl`e fdmdqjn

@emyqen id pd`qd`lemdp

@emyqen id mlxdndp id E1 @emyqen id jplpydm`lj xdmylnjyeqlj

Yqjajoe peaqd btp`tnep qdpwlqjyeqlep


5/49

DPYQT@YTQJ APL@J MD@DPJQLJ?

" Qd`tqpep bjydqljndp-

" Njaeqjyeqle htm`lemjn `jqileqqdpwlqjyeqle?

dpwlqbdyqe `em dxjntj`lm id htdqj id bp`tnepqdpwlqjyeqlep. wtnplesbdyqep. dqfbdyqe-

" Dpwlqbdyqe lm`dmylxjieq. Hntyydq. @eqmdy-

" Flbmjple ydqjwtyl`e-


6/49

J@@LEM IDN HLPLEYDQJWDTYJ?

" Dxjnj jn wj`ldmyd d lmil`jq njp y`ml`jp idhlpleydqjwlj qdpwlqjyeqljp-

" Ptwdqxlpj dn yqjyjbldmye hlpleydqwlè-

" Dxjnj. dm èmotmye èm dn mdtbnefe. nepqdptnyjiep idn wqefqjbj id qdcjalnlyj`lm-

" Lmydqqdnj`lemj d lmydq`jbalj èm eyqjp

dpwd`ljnlijidp. pdfm qdztldqj dn wj`ldmyd- " Jildpyqj jn wj`ldmyd dm njp y`ml`jp id hlpleydqjwlj.

dmyqdmjbldmye id nep ilhdqdmydp bp`tnep

wdqlhqlèp | qdpwlqjyeqlep-


7/49

HLPLEYDQJWLJ QDPWLQJYEQLJ?

" Y`ml`jp id wdqbdjalnlj`lm id nj xj jqdj-

" Y`ml`jp id qddit`j`lm qdpwlqjyeqlj-

" Dmyqdmjbldmye btp`tnjq?j, Dsyqdblijidp lmhdqleqdp-

a, Dsyqdblijidp ptwdqleqdp-

`, Bp`tnep qdpwlqjyeqlep-


8/49

Y`ml`jp wjqj nj wdqbdjalnlj`lm id njp xjp jqdjpbp tylnljijp dm nj DWE@-

" Y`ml`jp ztd tylnljm dn dhd`ye id nj fqjxdiji-

" Dodq`l`le j idalye lmpwlqjyeqle èmyqenjie #DIL@,?@emplpyd dm ène`jq dn pdfbdmye j iqdmjq dmwepl`lm peaqd dpyjmyd | bjmydmdq tm xentbdmwtnbemjq idydqblmjie. ne`jnljie | pepydmlie èmtm dpwlqbdyqe lm`dmylxjieq. qdjnljmieqdpwlqj`lemdp èm èmyqen xdmylnjyeqle

" Y`ml`jp ztd tylnljm emijp id `ceztd-

" Hntydq XQW: e @eqmdy? Wqdplm dpwlqjyeqlj weplylxj |xlaqj`lm id jnyj hqd`tdm`lj


9/49

" Y`ml`jp ztd tylnljm nj èbwqdplm idn fjp-

" Yep ilqlflij #YI,? bjmleaqj wjqj dswtnpjq njppd`qd`lemdp cj`lj dn dsydqleq; y`ml`j ztd. èbe lmil`j

pt mebaqd. dpy ilqlflij j dmpdjq jn wj`ldmyd j yepdq-

" Y`ml`jp id dpwlqj`lm heqjij #YDH,? èmplpyd dm tmjdpwlqj`lm heqjij j fneylp jaldqyj. èm èmyqj``lm id

nep bp`tnep yeq`lè | jaieblmjndp. idpid xentbdmwtnbemjq bdile j ajoe. pdftlie id èmyqen qdpwlqjyeqle

" @l`ne j`ylxe qdpwlqjyeqle #@JQ,? dp tmj y`ml`j ztd

èmpyj id 0 èbwemdmydp #dodq`l`le id dswjmplmyeq`l`j. èmyqen qdpwlqjyeqle | y`ml`j id dpwlqj`lmheqjij,-


10/49

" Jtbdmye idn hntoe dpwlqjyeqle #JHD,? èmplpyd dmwqeit`lq tm jtbdmye j`ylxe. j`ylxe"jplpylie. wjplxeid nj èqqldmyd jqdj dpwlqjyeqlj. xjqljmie dn

xentbdm wtnbemjq. nj qjwlid idn hntoe dpwlqjyeqle enj itqj`lm id nj dpwlqj`lm-

" Dpwlqj`lm ndmyj yeyjn j fneylp jaldqyj dmnjydqjnlj`lm #DNYFEN,? y`ml`j ztd èmplpyd dm tmjdpwlqj`lm ndmyj yeyjn j fneylp jaldqyj dmnjydqjnlj`lm. lml`ljij j nj `jwj`liji qdplitjnhtm`lemjn | pdftlij cjpyj xentbdm qdplitjn- Dn

wj`ldmyd pd j`tdpyj peaqd dn njie jhd`yjie | dny`mlè j|tij itqjmyd dn yldbwe dpwlqjyeqledodq`ldmie tmj wqdplm jaieblmjn itqjmyd njdpwlqj`lm. dm pdmylie `hjne"`jtijn. | tmj wqdplm

id ewepl`lm peaqd nj wjqqlnnj èpyjn ptwqjnjydqjn-


11/49

Y`ml`jp id qddit`j`lm qdpwlqjyeqlj

" Xdmylnj`lm ilqlflij? Jtyebjylj nj èeqilmj`lmid nep bexlbldmyep yeqjè"jaieblmjndp itqjmyd nj

xdmylnj`lm dpwemymdj id qdwepe | id dodq`l`le.ilpblmt|dmie nj hqd`tdm`lj xdmylnjyeqlj | ijmie tmmeyjand wqeyjfemlpbe jn iljhqjfbj-" @eqqlfd bexlbldmyep wjqjiolèp | jplm`qemlpbepxdmylnjyeqlep-" Pd èmplftd tmj xdmylnj`lm mjytqjn id ylweiljhqjfbylè jaieblmjn-

" @emplftd nj jiztlpl`lm id tm mtdxe qlybexdmylnjyeqle wdqbjmdmyd. jtbdmye idn xentbdmèqqldmyd | ilpblmt`lm id nj hqd`tdm`ljqdpwlqjyeqlj-


12/49

:qj hjpd? itqj`lm : j 1 pdbjmjp. Tylnlj`lmjqbml`j | bslbj id nj `wtnj jaieblme"ilhqjfbyl`j. èqqdflq nj jplmdqfljp xdmylnjyeqljp.yqjajojq èm hqd`tdm`ljp qdpwlqjyeqljp id 4 j :7 qwb?Jtbdmyj dn yqjajoe xdmylnjyeqle

1ij hjpd? itqj`lm cjpyj ztd pd nefqd dn mtdxeqlybe xdmylnjyeqle. pd nd ptfldqd jn wj`ldmyd dn mtdxe

qlybe xdmylnjyeqle. Hq :7 | :4 qwb- Dn wj`ldmyd dp dnztd idad dndflq dn xentbdm ylijn idhlmlylxe | dnè`ldmyd Xenbdm %Yldbwe lmpwlqjyeqle

W l i l i n l y


13/49

" Wdqleie plm idpwnjjbldmye

" :dq dodq`l`le? idàlye ptwlme | njydqjn wjqyldmie id yldbwe dpwlqjyeqle-Lmpwlqj`lm ndmyj mjpjn èm nj wjqdi jaieblmjn qdnjojij. id bjmdqj ztd dniljhqjfbj dm pt idp`dmpe wtdij clm`cjq dn ajnm jaieblmjn. dpwlqj`lm

èm nep njalep dmyqdjaldqyep. pd cjq wjplxj jn lml`le | j èmylmtj`lm pdèbwndyj id bjmdqj j`ylxj èm nj èmyqj``lm id nep bp`tnepjaieblmjndp. dpyep idpclm`cjqm èbwndyjbdmyd dn ajnm jaieblmjn- Njhqd`tdm`lj qdpwlqjyeqlj pd xj ilpblmt|dmie. wdqe plm xjqljq dn Yldbwelmpwlqjyeqle ml dn Yldbwe dpwlqjyeqle-

" 1ie | 0dq dodq`l`le? Dm idàlye ptwlme | idàlyep njydqjndp èmqdpwlqj`lm jaieblme"iljhqjfbyl`j. qdjnljq dndxj`lm jnydqmjmyd id jbaepaqjep wjqj dhd`ytjq dswjmplemdp èpyewtnbemjqdp itqjmyd dn yldbwelmpwlqjyeqle | itqjmyd dn yldbwe dpwlqjyeqle idp`dmidq nep aqjep-

" 9ye dodq`l`le? Bjmydmldmie nj qdpwlqj`lm jaieblme"iljhqjfbyl`j pddod`tyj nj lmpwlqj`lm dm qdwepe | itqjmyd nj dpwlqj`lm pd qdjnlj dndxj`lmnlfdqj id nj `jadj. aqjep | cebaqep plm jwe|e dm nj `jbj cjpyj nefqjqpdmyjqpd- Tmj xd pdmyjie dm nj `jbj lmpwlqj | itqjmyd nj dpwlqj`lm xtdnxdj nj wepl`lm id idàlye ptwlme. qdjnlj dm dpyj wepl`lm xjqljpqdpwlqj`lemdp- Dpyd dodq`l`le weydm`lj nep qd`yep | nep eanl`tep jaieblmjndp-

a i n c i n


14/49

" 4ye dodq`l`le? Wepl`lm awdij èm njp bjmep cj`lj idnjmyd jmlxdn id nep cebaqep- Lmpwlqj`lm mjpjn èm xdmylnj`lmjaieblmeiljhqjfbyl`j. èm bexlbldmye id nep aqjep cj`ljjyqp- Dpwlqj`lm at`jn èm bexlbldmye id nep aqjep cj`lj

idnjmyd- Dn bexlbldmye id nep aqjep cj`lj idyqp dp bpqwlie ztd cj`lj idnjmyd. nj lmpwlqj`lm dp bp èqyj ztd njdpwlqj`lm- Nep bexlbldmyep idadm pdftlq dn `l`neqdpwlqjyeqle- Dpyd dodq`l`le ilpblmt|d nj qlflid idn yqjs-

Dm dpyj blpbj wepl`lm èm nep aqjep dm hndslm | njp bjmepjaqjjmie njp èpylnnjp lmhdqleqdp. nep wtnfjqdp cj`lj jyqp.

lmpwlqj`lm mjpjn idpwnjjmie nep cebaqep. èiep | aqjepcj`lj jyqp. dpwlqj`lm at`jn èm bexlbldmye id nep cebaqep.èiep | aqjep cj`lj idnjmyd. èmyqj|dmie plbtnymdjbdmydnep bp`tnep jaieblmjndp- Jn hlmjn id nj dpwlqj`lm njp bjmep

èbwqlblqm njp nylbjp èpylnnjp-


15/49

" Wdqleie id idpwnjjbldmye- Dn wj`ldmyd jwnl`j njxdmylnj`lm `em hqd`tdm`lj xdmylnjyeqlj ndmyj |xenbdmdp `eqqldmydp bp jnyep-

D y l y n


16/49

Dmyqdmjbldmye btp`tnjq-

" Nj ilphtm`lm idn bp`tne dpztdnylè dm dn wj`ldmyd èm DWE@ dpbtnyl`jtpjn idalie j ztd dm dpyep wj`ldmydp pd wqeit`d tmj

qdit``lm dm nj hlaqj ylwe L | tmj jyqehlj id nj hlaqj ylwe LL èbeèmpd`tdm`lj id nj clweslj. nj clwdq`jwmlj. nj lmhnjbj`lmplpybl`j. nj idpmtyql`lm. dn idpjèmil`lemjbldmye hplè | dn tpeid dpydqelidp- Dpyj ilphtm`lm btp`tnjq èmyqlat|dplfmlhl`jylxjbdmyd j nj lmyendqjm`lj jn dodq`l`le | ilhl`tnyji wjqj

qdjnljq jnftmjp id njp j`ylxlijidp id nj xlij iljqlj-:3

" Dn dmyqdmjbldmye btp`tnjq dm fdmdqjn pd htmijbdmyj dm nj`jwj`liji ztd yldmdm nep bp`tnep id beilhl`jq pt dpyqt`ytqj |.èbe èmpd`tdm`lj. pt htdqj | qdplpydm`lj dm qdpwtdpyj j tmj

peaqd`jqfj dpwd`hl`j. dpyep idadm ilpdjqpd id heqbj ztdptwemfjm tm dpybtne id pthl`ldmyd lmydmpliji. itqj`lm |hqd`tdm`lj. jwnl`jie j ne njqfe id tm wdqeie id yldbwe jid`tjiewjqj wqeit`lq tmj qdpwtdpyj hlplenfl`j- Nep wqefqjbjp iddmyqdmjbldmye pem id htdqj |%e qdplpydm`lj-


17/49

Wjqj dn dmyqdmjbldmye id htdqj pd tylnljmdpybtnep weè qdwdyliep id jnyj lmydmpliji.pldmie nj qdpwtdpyj eapdqxjij nj clwdqyqehlj id njphlaqjp. èm tm jtbdmye dm pt `jwj`liji id fdmdqjqhtdqj bslbj-

Wjqj dn dmyqdmjbldmye id qdplpydm`lj pd tylnljmdpybtnep bt| qdwdyliep id lmydmpliji bdilj. pdwqeit`d tm lm`qdbdmye dm nj `jmyliji id

blefnealmj. dmlbjp eslijylxjp. mbdqe | yjbjeid njp blyeèmiqljp | idmpliji `jwlnjq. èm ne ztdpd èmplftd tm jtbdmye dm nj `jwj`liji id

dodq`l`le jdqalè-


18/49

Dn dmyqdmjbldmye id nep bp`tnep lmpwlqjyeqlep pdqdjnljqj pne `tjmie nj htdqj id nep bp`tnepqdpwlqjyeqlep pd dm`tdmyqj ilpblmtlij- Nepadmdhl`lep dm`emyqjiep pem? qdit``lm id nj ilpmdj.bdoeqj nj htm`lm btp`tnjq lmpwlqjyeqlj d lm`ntpe

wqexe`j jijwyj`lemdp hlplenfl`jp | dpyqt`ytqjndp jmlxdn btp`tnjq-

Pd qd`ebldmie tm yldbwe id itqj`lm idn

dmyqdmjbldmye id 8 pdbjmjp


19/49

Nep dodq`l`lep id `jblmjyj. ptalq | ajojq dp`jndqjpdpyjqjm lmil`jiep èm dn eaodylxe id nefqjq tmj

qdjijwyj`lem jn dphtdqe. pldbwqd qdpwdyjmie njplytj`lem idn wj`ldmyd | dm nj bdilij id nep wepland

èmyjq èm dn bjydqljn md`dpjqle wjqj qdflpyqjq |

eaodylxjq pt plytj`lem wqd | wepy dodq`l`le- Pd wtdid tylnljq dn yqjajoe id tm wqdwjqjieq hlplè

èm nj lmil`j`lem wqdxlj | nj dit`lem idn wqehdplemj

peaqd dn ylwe id wdqpemj èm nj ztd yqjajojqj-


20/49

Xdmylnj`lm Me Lmxjplxj #XML,

Nj XML dm lmpthl`ldm`lj qdpwlqjyeqlj jftijjpe`ljij j DWE@. cj idbepyqjie pdq tmj idnjp lmil`j`lemdp bp `njqjp | `em bdoeqdp

qdptnyjiep. `em tmj ilpblmt`lm id njmd`dpliji id lmytaj`lm. yldbwe id dpyjij dmdn cepwlyjn | id beqyjnliji

ao l i n


21/49

Nep eaodylxep id nj XML pem?

nj ilpblmt`lm idn yqjajoe id nep bp`tnepqdpwlqjyeqlep

nj qdit``lm id nj Wj@E1 lm`qdbdmyjmie njxdmylnj`lm jnxdenjq | weq ne yjmye dn Wc

nj ilpblmt`lm idn yldbwe id lmydqmj`lm-

N XML ylnl i yl n # o


22/49

Nj XML tylnlj bp`jqjp id ylwe mjpjn #bdoeqyendqjijp | èm bdmep qldpfe id jpwlqj`lm, ebp`jqj hj`ljndp dmydqjp. nep iep ylwep qdztldqdm id

tm jid`tjie jotpyd | yjbje ztd idad pdqdxjntjie dm heqbj lmilxlitjn. pldmie dpyedsyqdbjijbdmyd lbweqyjmyd wjqj tm jid`tjiehtm`lemjbldmye idn qdpwlqjieq | dxlyjq wqilijp dm

dn `lq`tlye-Beiep yjndp èbe xdmylnj`lm èmyqenjij weq

xentbdm. wqdplm id peweqyd e plpydbjp weqyylndpztd fdmdqjm iep mlxdndp id wqdplm. wqdplmweplylxj lmpwlqjyeqlj #LWJW, | wqdplm weplylxjdpwlqjyeqlj #DWJW, | nj xdmylnj`lm jplpylijwqeweq`lemjn #WJX, wtdidm pdq tylnljiep dm XML-


23/49

Xdmylnj`lem Bd`jml`j

Nj XB #èmxdm`lemjn, wdqblyd ilpblmtlq nj`jqfj idn yqjajoe qdpwlqjyeqle. wemdq dm qdwepenep bp`tnep qdpwlqjyeqlep | qdpyjtqjq dn

lmydq`jbale fjpdepe- Nep beiep xdmylnjyeqlepbp hqd`tdmydbdmyd tpjiep pem? beiejplpylie%èmyqenjie. | wqdplm id peweqyd èm

e plm nj tylnlj`lm id Xdmylnj`lm BjmijyeqljLmydqblydmyd #LBX,-

Itqjmyd nj XB dp htmijbdmyjn bjslbljq dn yldbwe


24/49

Itqjmyd nj XB dp htmijbdmyjn bjslbljq dn yldbwedpwlqjyeqle wjqj dxlyjq dn jyqjwjbldmye jqde | njclwdqlmhnj`lm ilmbl`j. nj `tjn dp jpe`ljij jajqeyqjtbj d lmdpyjalnliji cdbeilmbl`j

Nep adyj jiqdmqflèp | aqemèilnjyjieqdpjmylènlmqflèp wtdidm pdq tpjiep dhd`ylxjbdmyd dmwj`ldmydp èm XB weq bdile id mdatnlj`lemdp ejdqependp. èm qdit``lm id nj qdplpydm`lj id nj xj

jqdj | id nj clwdqlmhnj`lm- Dn idpydyd id nj XB wtdid pdq ilhl`tnyepe dm dpyd fqtwe

id wj`ldmydp. | nep byeiep cjalytjnbdmyd tylnljieppem wqtdajp èm ytae Y e wqdplm id peweqyd-

Nj dxjntj`lm iljqlj id nj htm`lm qdpwlqjyeqlj pdftlijpid wqtdajp èm xdmylnj`lm dpwemymdj wtdid qdit`lqnj itqj`lm id nj XB | nep èpyep id nj lmydqmj`lm dmydqjwlj lmydmplxj. èm bdmeq hqd`tdm`lj id

èbwnl`j`lemdp


25/49

ESLFDMEYDQJWLJ

Nj eslfdmeydqjwlj èmylmtj iebl`lnljqlj #E@I,jtbdmyj nj peaqdxlij dm nj DWE@ fqjxd èm LQ

Wjqj lml`ljq nj E@I dn wj`ldmyd idad dpyjq dpyjand.

èm yqjyjbldmye èqqd`ye jotpyjie j ptp pmyebjp`nmlèp | fqjie id pdxdqliji | dp qdèbdmijandztd cjnnj idojie id htbjq- Nep `qlydqlep dpym aldmidhlmliep weq njp ilhdqdmydp pe`ldijidp bil`jpajpjiep dm nep `nplèp dpytilep id nj AqlylpcBdil`jn Qdpdjq`c @etm`ln | dn Me`ytqmjn Es|fdmYcdqjw| Yqljn #MEYY,


26/49

Eaodylxep? Bdoeqjq peaqdxlij id nep wj`ldmydp. qdxlqyldmdie njp

jnydqj`lemdp wqeit`lijp weq nj clwesdblj-

Wtdid qdxdqylq nj wenl`lydblj. bdoeqjq njp htm`lemdpmdtqewplztl`j | `jqilj`j | nj qdplpydm`lj jn dodq`l`le.hj`lnlyjmie njp j`ylxlijidp id nj xlij iljqlj |bdoeqjmie dn dpyjie fneajn id nj pjnti-

J y y


27/49

J ydmdq dm `tdmyj?

Nj EIW me bdoeqj nj peaqdxlij dm wj`ldmydp èmDWE@ d clwesdblj beidqjij

Dn qdylqe jftie idn E1 dm wj`ldmydp èm DWE@dpyjadn | tptjqlep id EIW wqeit`d dndxj`lem idnj wqdplem dm nj jqydqlj wtnbemjq | id njqdplpydm`lj xjp`tnjq wtnbemjq. jtbdmye idnyqjajoe xdmyql`tnjq idqd`ce | . dm jnftmep

wj`ldmyd jtbdmye idn èmptbe id E1


28/49

Lmil`j`lemdp id nj eslfdmeydqjwlj

J? wj`ldmydp clwesdblèp èm WjE1 bdmeq elftjn j 44 bb Cf e pjytqj`lemid E1 bdmeq elftjn j 33 $ dm qdwepe

A? wj`ldmydp èm WjE1 dmyqd 48 | 4< bb Cf epjytqj`lem id E1 id 3< $ dm wqdpdm`lj id?didbj id bldbaqep lmhdqleqdp. lmftqflyj`lem

|tftnjq. xjqlj`lem id emij W dm D@F bj|eqztd 0 bb


29/49

Nep hntoep id E1 md`dpjqlep idadm pdqylytnjiep lmilxlitjnbdmyd-


30/49

ESLFDMEYDQJWLJ ITQJMYD DNDODQ@L@LE

Jnftmep yqjajoep cjm idbepyqjie ztd dn E1ptwndbdmyjqle itqjmyd nep dphtdqep wqdxldmddn jtbdmye yqjmplyeqle id nj qdplem id nj

jqydqlj wtnbemjq | id nj qdplpydm`lj xjp`tnjqwtnbemjq ztd wtdid e`tqqlq itqjmyd dndodq`l`le-


31/49

ESLFDMEYDQJWLJ ME@YTQMJ

Nep wj`ldmydp èm clwesdblj iltqmj dpyjmptodqep j dbwdeqjq itqjmyd dn ptde-

Nj jiblmlpyqj`lem id E1 me`ytqme weiqjèqqdflq nj clwesdblj- Pd qdèbldmij dnlm`qdbdmye id : nlyqe id E1 j nj ylytnj`lemqdjnljij dm qdwepe | èm dn wj`ldmyd

idpwldqye-


32/49

BD@JMLBEP ID J@@LEM ID NJESLFDMEYDQJWLJ

J wdpjq id ztd nep dpytilep bepyqjqem ztd njEIW jtbdmyj nj peaqdxlij id nep wj`ldmydp èmDWE@ clwesdblèp. dn bd`jmlpbe id `be e`tqqdjtm me dpyj dp`njqd`lie-

Wjqd`d dpyjq lmxent`qjij tmj jnydqj`lemcdbeilmjbl`j wtnbemjq. wtdp èm dn tpe id E1cj| ilpblmt`lem id nj wqdplem id njp jqydqljp

wtnbemjqdp èm nj èmpd`tdmyd ilpblmt`lem idnyqjajoe `jqiljè | bdoeq tylnlj`lem idn eslfdmeweq nep ydoliep-


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Ptblmlpyqe id eslfdme

Nj wqdp`qlw`lem idn eslfdme iebl`lnljqle idadpdq nj bjp jid`tjij #`lnlmiqep. E1 nlztlie e`em`dmyqjieq, | nj heqbj id jiblmlpyqj`lem.

nj ztd bdoeq pd j`ebeid j njp md`dplijidpidn wj`ldmyd #`jmtnj mjpjn. `jydydq mjpjn.bjp`jqj dy`,


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Htdmydp id eslfdme

ESLFDME FJPDEPE? fjp `ebwqlblie dm `lnlmiqep#wqexlpyep id xjnxtnjp id wqdple | hntoebdyqep,-Md`dpjqle `jn`tnjq nj itqj`lem id tm `lnlmie`eme`ldmie pt xentbdm | hntoe dbwndjie

ESLFDME NLZTLIE? dn jnbj`dmjbldmye nlztlieyldmd nj htm`lem id jtbdmyjq nj `jwj`liji idjnbj`dmjod idn wqeit`ye- Pt wwj xdmyjoj dp nj id

wdqblylq yeyjn bexlnliji jn wj`ldmyd idmyqe |htdqj id pt `jpj weq wdqliep bjp njqfep#idwdmildmie idn hntoe. 9 j 3 ceqjp,


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@EM@DMYQJIEQ ID ESLFDME? pem dztlwepdnd`yql`ep ztd jpwlqjm dn jlqd jbaldmyd .wjpjmiene weq tm hlnyqe dpwd`ljn ztd pdwjqj dn

eslfdme id ne eyqep fjpdp- Weq jceq dp nj hebqjbjp d`emebl`j id ptblmlpyqjq E1ydqjwljiebl`lnljqlj-

Me pem weqyjylndp | pem qtliepep


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JIBLMLPYQJ@LEM ID 71

Wtdidm pdq `njplhl`jiep dm? id ajoe hntoe#hntoe xjqljand, | jnye hntoe #e hntoe hloe,


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@JMTNJ MJPJN? dp dn bdyeie bjp`ebtmbdmyd tpjie- Plbwndp- Id ajoe `epye-

Wdqblydm tmj HLE1 id cjpyj e.99 tylnljmie 8

N%blm


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@JYDYDQ EQEHJQLMFDE? lm`ebeie. wdqblydztd dn E1 ztd pd j`tbtnj dm njp XJ ptw pdjjwqexd`cjie dm nj wqeslbj lmpwlqj`lem


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@JYDYDQ YQJMPYQJZTDJN? èm tm `jydydqbt| wdztde #: j 1 bb id iljbdyqe lmydqme,

Nj HLE1 me xjqlj èm dn wjyqem qdpwlqjyeqle | dp

wepland pt tpe èmylmte-

Dp dn bjp dpydylè


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BJP@JQJ ID XDMYTQL? dp tm plpydbj id jnyehntoe-

Dp nj lidjn wjqj wj`ldmydp `em DWE@. wdqe pd

ewyj weq nj `jmtnj mjpjn weq ztd me wqeit`dpdmpj`lem id `njtpyqehealj-

Idpxdmyjoj? qdztdlqd tm jnye hntoe #blmlbe id

4 N#blm, weq ne ztd pd lbweplalnlyj pt tpeiebl`lnljqle-


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BDYEIEP ID JCEQQE ID 71

Pd ilpdjqem bdyeiep id jceqqe id E1 ztd pdajpjm dm iep wqlm`lwlep? tpe idn qdpdqxeqlebd`jml`e | njp xjnxtnjp jceqqjieqjp id E1


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QLDPFEP ID NJ ESLFDMEYDQJWLJ

Qldpfe id lm`dmile

Qldpfe id dswneplem

Qldpfe id yqjtbj

Qldpfe id ztdbjitqj

Qldpfe id qdpd`jbldmye id njp bt`epjp

Qldpfe id bjlhdpyj`lemdp `lyeyesl`jp idneslfdme


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CTBLILHL@J@LEM

Md`dpjqlj nj jil`lem id xjweq id jftj jmydpztd dn E1 jn`jm`d njp xljp jdqdp pl dn hntoe dpbj|eq id 9 N%blm

Nep hntoep weq dm`lbj id 9N%blm wqeit`dmpdztdiji id nj btpèpj mjpjn. id njeqehjqlmfd. `dhjndj. lmèbeiliji yeqj`l`j |

jtbdmye id nj wqeit``lem id beè


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WQDPLEM WEPLYLXJ DM NJP XLJPJDQDJP

Tyln dm plytj`lemp dm ztd pd ydmfj weq eaodylxeèqqdflq dn ènwjpe id nj xlj jdqdj-

Wtdid jwnl`jqpd èbe WQDPLEM WEPLYLXJ JN

HLMJN ID NJ DPWLQJ@LEM #WDDW, e dm heqbj idWQDPLEM @EMYLMTJ DM NJ XLJ JDQDJITQJMYD NJ LMPWLQJ@LEM \ NJ DPWLQJ@LEM

#@WJW,


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@EBWNL@JLEMDP

Qldpfe id idpjqqenne id clwexdmylnj`lemitqjmyd nj ydqjwlj `em E1


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WQD@JT@LEM?

Nep xljodp jdqdp pem pdftqep wjqj wj`ldmydp`em clwesdblj `qeml`j. pldbwqd ztd

jtbdmydm id : j 1 nlyqep nj ieplp id E1 j njztd tptjnbdmyd tylnljm dm qdwepe #weq njjnylyti nj `jmyliji E1 dp bdmeq ztd nj idn

jbaldmyd iljqle,

BDOEQLJ IDN LMYDQ@JBALE FJPDEPE


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BDOEQLJ IDN LMYDQ@JBALE FJPDEPE@EM DN TPE @EMYLMTE ID

ESLFDMEYDQJWLJ IEBL@LNLJQLJ DM NJDWE@ FQJXD E`tqqd bdoeqlj dm nj WjE1 qdpwlqjmie jlqd

jbaldmyd j wjqylq idn ydq`dq bdp id tpe ideslfdmeydqjwlj iebl`lnljqlj-

Dm dn dpytile BQ@ pd eapdqxe ydmidm`l j njdpyjalnlj`lem id nj WjE1. Wj@E1 | XDH: dm dn

fqtwe ztd tylnle :4 ceqjp jn ilj ideslfdmeydqjwlj. bldmyqjp ztd njp blpbjpxjqljandp ydmildqem j idydqleqjq dm dn fqtweplm eslfdme


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HTDMYDP ALANLEFQJHL@JP TYLNL_JIJP?

Hlftdqej @jpjp O@. Jaajyd D. Bjqydnnl M. Bjdl OJ. Qjlbemil F. Qem`eqeml JO- DmhdqbdijiWtnbemjq Eapyqt`ylxj @qml`j- @empdmpe Jqfdmylme- Bdil`lmj #Atdmep Jlqdp, :


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BT@CJP FQJ@LJP*

ME HTBDM. FLNDP

tratamiento fisiokinesico epoc

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