Comentarios sobre la ergonomía del trabajo del fisioterapeuta y sugerencias sobre la cooperación con otros miembros del equipo terapéutico y personas del entorno cercano al paciente (familiares, amigos)
Imagine que al trabajar con un jugador de fútbol después de una lesión y reconstrucción del ligamento cruzado anterior desea lograr los siguientes objetivos:
• Hacer que el atleta comprenda cuál fue la lesión, cuál fue la cirugía y qué implicará la rehabilitación.
• Reducir la ansiedad y el estrés del atleta u otras emociones negativas.
• Incrementar la motivación del atleta para participar activamente en la rehabilitación.
• Dar al atleta una sensación de satisfacción con lo que ya ha logrado durante la terapia.
• Reducir la reticencia del deportista a realizar los ejercicios necesarios.
• Incrementar la confianza del atleta
• Reeducar los patrones de movimiento alterados como resultado de la lesión.
• Hacer que el deportista rechace los pensamientos negativos y sea optimista sobre el futuro.
• Relajar el cuerpo
• Despertar la motivación interna del deportista para participar activamente en la terapia.
A continuación se detallan los tipos de intervenciones de las que puede beneficiarse. Intente combinarlos con los objetivos presentados anteriormente:
• Educación
• Conversación
• Establecer objetivos a corto y largo plazo
• Uso de biorretroalimentación
• Ayuda con apoyo social (p. ej., mensajes de compañeros de equipo o seguidores)
• Visualización de movimiento
• Técnicas de relajación
• Técnicas de atención plena
• Disposición del espacio de rehabilitación (p. ej., hacer ejercicios con otro paciente o cerca de compañeros de equipo)
• Dar retroalimentación frecuente (“Lo estás haciendo bien”, “mira cuánto has logrado ya”, “la fuerza muscular ha mejorado en… en el último mes”)
• Reemplazar ejercicios o tratamientos que no le gustan al deportista por alternativas
• Apreciación del esfuerzo realizado en la terapia incluso si los efectos aún no son satisfactorios
• Ejercicios de respiración
• Cuidar la higiene del sueño y el descanso
• Sugerencia de consulta psicológica
• Ayuda para que el deportista sea consciente de sus otras habilidades fuera del campo, ayuda para encontrar un pasatiempo y actividades para el momento de volver a estar en plena forma.
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