Análisis cinemático del ángulo de proyección frontal de rodilla en 2D: enfoque metodológico
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La evaluación cinemática del comportamiento del miembro inferior en tres dimensiones (3D) requiere el uso de alta tecnología, formación especializada y laboratorios que no se ajustan a las demandas del ámbito clínico y deportivo. La valoración del APFR (ángulo de proyección frontal de rodilla)en dos dimensiones (2D) ha mostrado consistentemente su validez, objetividad y confiabilidad al ser comparada con la metodología de análisis en 3D para la detección del valgo dinámico asociado al incremento de torques externos de aducción y rotación interna de cadera durante la ejecución de tareas funcionales que exigen control muscular excéntrico. El valgo dinámico ha mostrado ser un predictor de lesión del ligamento cruzado anterior y de síndrome de dolor patelofemoral, especialmente en mujeres. La detección oportuna y el seguimiento del comportamiento cinemático con instrumentos de bajo costo, poca complejidad y un nivel de experticia básico utilizando análisis en 2D, se perfila como estrategia de valoración importante en el entrenamiento deportivo y el abordaje clínico para la prevención y rehabilitación de lesiones de rodilla asociados a estos desórdenes del movimiento. Por tanto, esta revisión narrativa pretende proveer de conocimientos esenciales para la correcta valoración, interpretación y análisis del APFR en Fisioterapeutas y Profesionales del Deporte.
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