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)
Imagínese trabajar con una mujer embarazada en el segundo trimestre con dolor lumbar y querer lograr los siguientes objetivos:
- Hacer entender a la mujer embarazada que su dolor de espalda es temporal, que las estrategias de ejercicio fisioterapéutico son necesarias para la continuidad de su salud más que un tratamiento y qué incluirá la rehabilitación.
- Reducir la ansiedad, el estrés u otras emociones negativas de la mujer embarazada.
- Incrementar la motivación de la mujer embarazada para hacer ejercicio.
- Dar a la embarazada la sensación de que se siente mejor durante el ejercicio y que estos ejercicios son positivos para la salud de su bebé y despiertan su motivación interna.
- Aumentar la confianza de las mujeres
- Ayudar a la mujer a rechazar los pensamientos negativos y ser optimista sobre el futuro.
- Relajar el cuerpo
A continuación se detallan los tipos de intervenciones de las que puede beneficiarse. Intente hacer coincidir estos con los objetivos presentados anteriormente:
- Educación
- Discurso
- Establecer objetivos a corto y largo plazo
- Uso de biorretroalimentación
- Ayuda con apoyo social (por ejemplo, mensajes de compañeros de equipo o fanáticos)
- Visualización de movimiento
- Técnicas de relajación
- Técnicas de sensibilización
- Organizar el área de rehabilitación (por ejemplo, hacer ejercicio con otro paciente o cerca de compañeros de equipo)
- Dar retroalimentación frecuente (“Lo estás haciendo bien”, “Mira cuántos cambios has logrado”, “La fuerza muscular ha mejorado en… en el último mes”)
- Sustituir ejercicios o tratamientos que no gustan a la embarazada por alternativas (como los quats se pueden cambiar por sentadillas con pelota suiza)
- Apreciación del esfuerzo realizado en la terapia, incluso si los efectos aún no son satisfactorios
- Ejercicios de respiración
- Prestar atención a la higiene del sueño y del descanso
- Recomendación de asesoramiento psicológico y de la unidad de servicios sociales
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