Neurorrehabilitación en terapia ocupacional de la ataxia adquirida de origen subcortical en fase crónica, a propósito de un caso.
Bibliographic record
Abstract
espanolIntroduccion: la ataxia adquirida es una manifestacion neurologica causada por procesos patologicos del sistema nervioso que cursa con alteraciones motoras. Maria, desde los 18 anos, sufre una ataxia provocada por un accidente cerebrovascular en la region posterior del tronco del encefalo. Cuando 28 meses mas tarde acudio a nosotros, entre los sintomas taxicos destacaban la afectacion del equilibrio y de la coordinacion motora. Nuestro objetivo es elaborar un plan de intervencion con la finalidad de recuperar el control motor que impide a Maria desempenar los roles ocupacionales que desea. Metodos: el plan se fundamenta en el marco de referencia teorico de aprendizaje y control motor y el modelo de practica sistematica de la terapia ocupacional. Particularmente utilizamos el modelo canadiense de rendimiento ocupacional para la evaluacion y el modelo de ocupacion humana para el desarrollo de los abordajes de tratamiento. Conclusiones: mostramos la notable mejoria funcional experimentada por Maria tras siete semanas de tratamiento y razonamos por que han mejorado notablemente sus habilidades motoras en pocas semanas, teniendo en cuenta que durante los 18 meses previos no habia presentado mejoria en este ambito EnglishIntroduction: acquired ataxia is a neurological manifestation caused by pathological processes of the nervous system that presents with motor alterations. Maria, from 18 years of age,suffers an ataxia caused by a cerebrovascular accident in the posterior region of the brainstem. When 28 months later she came to us, among the ataxic symptoms highlighted the affectation of balance and motor coordination. In order to recover the motor control that prevented Maria from performing the occupational roles she wanted, we developed an intervention plan. Methods:the plan is based on the theoretical framework of learning and motor control and the model of systematic occupational therapy practice. In particular, we use the canadian model of occupational performance for evaluation and the model human occupation for the development of treatment approaches. Conclusion: after seven weeks of treatment with the rehabilitative approachment, we show the functional changes the patient has achieved and we concluded it as because she had remarkably improved her motor skills over a few weeks, having into account that during the previous 18 months treatment there was not a good response in this area.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".