{"id":28183,"date":"2023-07-18T15:20:24","date_gmt":"2023-07-18T15:20:24","guid":{"rendered":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/2023\/07\/18\/decreto-917-de-1999\/"},"modified":"2023-07-18T15:20:24","modified_gmt":"2023-07-18T15:20:24","slug":"decreto-917-de-1999","status":"publish","type":"post","link":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/2023\/07\/18\/decreto-917-de-1999\/","title":{"rendered":"DECRETO 917 DE 1999"},"content":{"rendered":"\n<p>DECRETO 917 DE 1999 \u00a0 \u00a0<\/p>\n<p>(mayo 28) \u00a0 \u00a0<\/p>\n<p>por el cual se \u00a0modifica el Decreto 692 de 1995. \u00a0 \u00a0<\/p>\n<p>Nota 1: Derogado \u00a0por el Decreto 1507 de 2014, \u00a0art\u00edculo 6\u00ba. \u00a0 \u00a0<\/p>\n<p>Nota 2: Ver \u00a0Sentencia del Consejo de Estado del 1\u00ba de agosto de 2013. Exp. \u00a011001-03-25-000-2006-00102-00(1700-06). Secci\u00f3n 2\u00aa. M.P. Gerado Arenas. \u00a0 \u00a0<\/p>\n<p>Nota \u00a03: Citado en la Revista de la Universidad del Norte. Divisi\u00f3n de Ciencias \u00a0Jur\u00eddicas. No. 44. Derechos \u00a0Laborales y de la Seguridad Social para las mujeres en Colombia en cumplimiento \u00a0de la Ley 1257 de 2008. Mar\u00eda Isabel Lopera \u00a0V\u00e9lez, Lina Marcela Estrada Jaramillo. \u00a0 \u00a0<\/p>\n<p>El Presidente de la Rep\u00fablica de Colombia, en uso de sus \u00a0facultades constitucionales y legales, en especial de las conferidas en el \u00a0art\u00edculo 189, numeral 11, de la \u00a0Constituci\u00f3n Pol\u00edtica, el art\u00edculo 41 de la Ley 100 de 1993 y el \u00a0art\u00edculo 5\u00ba de la Ley 361 de 1997, \u00a0 \u00a0<\/p>\n<p>DECRETA: \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 1\u00ba Campo de aplicaci\u00f3n. \u00a0El Manual \u00danico para la Calificaci\u00f3n de la Invalidez contenido en este decreto \u00a0se aplica a todos los habitantes del territorio nacional, a los trabajadores de \u00a0los sectores p\u00fablico, oficial, semioficial, en todos sus \u00f3rdenes, y del sector \u00a0privado en general, para determinar la p\u00e9rdida de la capacidad laboral de \u00a0cualquier origen, de conformidad con lo establecido por los art\u00edculos 38, \u00a0siguientes y concordantes de la Ley 100 de 1993, el 46 \u00a0del Decreto ley 1295 \u00a0de 1994 y el 5\u00ba de la Ley 361\/97. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 2\u00ba Definiciones de \u00a0invalidez, incapacidad permanente parcial, capacidad laboral y trabajo \u00a0habitual. Para efecto de la aplicaci\u00f3n y cumplimiento del presente decreto, ad\u00f3ptanse \u00a0las siguientes definiciones: \u00a0 \u00a0<\/p>\n<p>a) Invalidez: Se considera con \u00a0invalidez la persona que por cualquier causa, de cualquier origen, no provocada \u00a0intencionalmente, hubiese perdido el 50% o m\u00e1s de su capacidad laboral. \u00a0 \u00a0<\/p>\n<p>b) Incapacidad permanente parcial: \u00a0Se considera con incapacidad permanente parcial a la persona que por cualquier \u00a0causa, de cualquier origen, presente una p\u00e9rdida de la capacidad laboral igual \u00a0o superior al 5% e inferior al 50%. \u00a0 \u00a0<\/p>\n<p>c) Capacidad Laboral: Se entiende \u00a0por capacidad laboral del individuo el conjunto de las habilidades, destrezas, \u00a0aptitudes y\/o potencialidades de orden f\u00edsico, mental y social, que le permiten \u00a0desempe\u00f1arse en un trabajo habitual. \u00a0 \u00a0<\/p>\n<p>d) Trabajo Habitual: Se entiende \u00a0como trabajo habitual aquel oficio, labor u ocupaci\u00f3n que desempe\u00f1a el \u00a0individuo con su capacidad laboral, entrenamiento y\/o formaci\u00f3n t\u00e9cnica o \u00a0profesional, recibiendo una remuneraci\u00f3n equivalente a un salario o renta, y \u00a0por el cual cotiza al Sistema Integral de Seguridad Social. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 3\u00ba Fecha de \u00a0estructuraci\u00f3n o declaratoria de la p\u00e9rdida de la capacidad laboral. Es la \u00a0fecha en que se genera en el individuo una p\u00e9rdida en su capacidad laboral en \u00a0forma permanente y definitiva. Para cualquier contingencia, esta fecha debe \u00a0documentarse con la historia cl\u00ednica, los ex\u00e1menes cl\u00ednicos y de ayuda \u00a0diagn\u00f3stica, y puede ser anterior o corresponder a la fecha de calificaci\u00f3n. En \u00a0todo caso, mientras dicha persona reciba subsidio por incapacidad temporal, no \u00a0habr\u00e1 lugar a percibir las prestaciones derivadas de la invalidez. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 4\u00ba Requisitos y \u00a0procedimientos para la calificaci\u00f3n de la invalidez y la fundamentaci\u00f3n del \u00a0dictamen. \u00a0 \u00a0<\/p>\n<p>Para efectos de la calificaci\u00f3n de \u00a0la invalidez, los calificadores se orientar\u00e1n por los requisitos y \u00a0procedimientos establecidos en el presente manual para emitir un dictamen. \u00a0Deben tener en cuenta que dicho dictamen es el documento que, con car\u00e1cter \u00a0probatorio, contiene el concepto experto que los calificadores emiten sobre el \u00a0grado de la incapacidad permanente parcial, la invalidez o la muerte de un \u00a0afiliado y debe fundamentarse en: \u00a0 \u00a0<\/p>\n<p>a) Consideraciones de orden \u00a0f\u00e1ctico sobre la situaci\u00f3n que es objeto de evaluaci\u00f3n, donde se relacionan los \u00a0hechos ocurridos que dieron lugar al accidente, la enfermedad o la muerte, \u00a0indicando las circunstancias de modo, tiempo y lugar dentro de las cuales \u00a0sucedieron; y el DIAGNOSTICO CLINICO de car\u00e1cter t\u00e9cnico-cient\u00edfico, soportado \u00a0en la historia cl\u00ednica, la historia ocupacional y con las ayudas de diagn\u00f3stico \u00a0requeridas de acuerdo con la especificidad del problema. \u00a0 \u00a0<\/p>\n<p>b) Establecido el diagn\u00f3stico \u00a0cl\u00ednico, se procede a determinar la PERDIDA DE LA CAPACIDAD LABORAL del \u00a0individuo, mediante los procedimientos definidos en el presente manual. En todo \u00a0caso, esta determinaci\u00f3n debe ser realizada por las administradoras con \u00a0personal id\u00f3neo cient\u00edfica, t\u00e9cnica y \u00e9ticamente, con su respectivo \u00a0reconocimiento acad\u00e9mico oficial. En caso de requerir conceptos, ex\u00e1menes o \u00a0pruebas adicionales, deber\u00e1n realizarse y registrarse en los t\u00e9rminos \u00a0establecidos en el presente manual. \u00a0 \u00a0<\/p>\n<p>c) Definida la p\u00e9rdida de la \u00a0capacidad laboral, se procede a la CALIFICACION INTEGRAL DE LA INVALIDEZ, la \u00a0cual se registra en el dictamen, en los formularios e instructivos que para ese \u00a0efecto expida el Ministerio de Trabajo y Seguridad Social, los cuales deben \u00a0registrar por lo menos: el origen de la enfermedad, el accidente o la muerte, \u00a0el grado de p\u00e9rdida de la capacidad laboral causado por el accidente o la \u00a0enfermedad, la fecha de estructuraci\u00f3n de la invalidez y la fundamentaci\u00f3n con base \u00a0en el diagn\u00f3stico y dem\u00e1s informes adicionales, tales como el reporte del \u00a0accidente o el certificado de defunci\u00f3n, si fuera el caso. \u00a0 \u00a0<\/p>\n<p>d) El dictamen debe contener los \u00a0mecanismos para que los interesados puedan ejercer los recursos legales \u00a0establecidos en las normas vigentes, con el objeto de garantizar una \u00a0controversia objetiva de su contenido en caso de desacuerdo, tanto en lo \u00a0substancial como en lo procedimental. \u00a0 \u00a0<\/p>\n<p>Par\u00e1grafo. Las consecuencias \u00a0normales de la vejez, por s\u00ed solas, sin patolog\u00eda sobreagregada, no generan \u00a0deficiencia para los efectos de la calificaci\u00f3n de la invalidez en el Sistema \u00a0Integral de Seguridad Social. En caso de co-existir alguna patolog\u00eda con dichas \u00a0consecuencias se podr\u00e1 incluir dentro de la calificaci\u00f3n de acuerdo con la deficiencia, \u00a0discapacidad y minusval\u00eda correspondientes. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 5\u00ba Determinaci\u00f3n de la \u00a0incapacidad permanente parcial. \u00a0 \u00a0<\/p>\n<p>La determinaci\u00f3n de la \u00a0declaraci\u00f3n, evaluaci\u00f3n, revisi\u00f3n, grado y origen de la incapacidad permanente \u00a0parcial, la realizar\u00e1n: \u00a0 \u00a0<\/p>\n<p>1. Las Administradoras de Riesgos \u00a0Profesionales, de conformidad con lo establecido en el art\u00edculo 42 del Decreto ley 1295 \u00a0de 1994, a trav\u00e9s de sus Comisiones laborales propias o a contrato. Deber\u00e1n \u00a0evaluar la p\u00e9rdida de la capacidad laboral, con base en el presente Manual \u00a0Unico de Calificaci\u00f3n de Invalidez, con el fin de garantizar el acceso a los \u00a0derechos que tienen las personas afiliadas a la seguridad social. \u00a0 \u00a0<\/p>\n<p>2. Las Empresas Promotoras de \u00a0Salud (EPS) y las Administradoras del R\u00e9gimen Subsidiado (ARS), de conformidad \u00a0con lo previsto en el art\u00edculo 5o. de la Ley 361 de 1997, \u00a0deber\u00e1n evaluar la p\u00e9rdida de la capacidad laboral, con base en el Manual Unico \u00a0de Calificaci\u00f3n de Invalidez establecido en el presente Decreto, con el fin de \u00a0garantizar el acceso a los derechos que tienen las personas con limitaci\u00f3n. \u00a0Para este efecto, estas entidades deber\u00e1n disponer de un equipo \u00a0multidisciplinario competente para realizar dicha calificaci\u00f3n, de conformidad \u00a0con la reglamentaci\u00f3n que para tal fin expida el Ministerio de Salud. \u00a0 \u00a0<\/p>\n<p>En caso de controversia sobre el \u00a0grado y el origen de la limitaci\u00f3n determinada, se acudir\u00e1 a las Juntas de \u00a0Calificaci\u00f3n de la Invalidez, conforme a los procedimientos definidos por las \u00a0normas vigentes en la materia. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 6\u00ba Calificaci\u00f3n del \u00a0estado de invalidez. \u00a0 \u00a0<\/p>\n<p>La calificaci\u00f3n y expedici\u00f3n del \u00a0dictamen sobre el estado de la invalidez corresponde a las Juntas de \u00a0Calificaci\u00f3n de Invalidez, quienes conocer\u00e1n de los siguientes asuntos: \u00a0 \u00a0<\/p>\n<p>a) La calificaci\u00f3n y revisi\u00f3n de \u00a0la p\u00e9rdida de la capacidad laboral y la incapacidad permanente parcial, en caso \u00a0de controversia. \u00a0 \u00a0<\/p>\n<p>b) La calificaci\u00f3n del origen, el \u00a0grado, la fecha de estructuraci\u00f3n y la revisi\u00f3n del estado de invalidez. \u00a0 \u00a0<\/p>\n<p>c) La calificaci\u00f3n del origen del \u00a0accidente y de la enfermedad, con base en la Ley 100 de 1993, el Decreto ley 1295 \u00a0de 1994 y dem\u00e1s normas reglamentarias, en caso de controversia. \u00a0 \u00a0<\/p>\n<p>d) La calificaci\u00f3n del origen de \u00a0la muerte en caso de controversia. \u00a0 \u00a0<\/p>\n<p>Las Juntas de Calificaci\u00f3n de la \u00a0Invalidez deben emitir el dictamen de la Invalidez el cual, en todos los casos, \u00a0reflejar\u00e1 exactamente el contenido del acta correspondiente a cada caso \u00a0revisado por la misma y ser\u00e1 el resultado de la deliberaci\u00f3n de los miembros \u00a0encargados de calificar. De igual modo, corresponde a la respectiva Junta notificar \u00a0el dictamen al afiliado, quien puede aceptarlo o apelarlo ante las instancias \u00a0competentes. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 7\u00ba Criterios para la \u00a0calificaci\u00f3n integral de invalidez. Para efecto de la calificaci\u00f3n integral de \u00a0la invalidez se tendr\u00e1n en cuenta los componentes funcionales biol\u00f3gico, \u00a0ps\u00edquico y social del ser humano, entendidos en t\u00e9rminos de las consecuencias \u00a0de la enfermedad, el accidente o la edad, y definidos de la siguiente manera: \u00a0 \u00a0<\/p>\n<p>a) DEFICIENCIA: Se entiende por \u00a0deficiencia, toda p\u00e9rdida o anormalidad de una estructura o funci\u00f3n \u00a0psicol\u00f3gica, fisiol\u00f3gica o anat\u00f3mica, que pueden ser temporales o permanentes, \u00a0entre las que se incluyen la existencia o aparici\u00f3n de una anomal\u00eda, defecto o \u00a0p\u00e9rdida producida en un miembro, \u00f3rgano, tejido u otra estructura del cuerpo \u00a0humano, as\u00ed como tambi\u00e9n los sistemas propios de la funci\u00f3n mental. Representa \u00a0la exteriorizaci\u00f3n de un estado patol\u00f3gico y en principio refleja \u00a0perturbaciones a nivel del \u00f3rgano. \u00a0 \u00a0<\/p>\n<p>b) DISCAPACIDAD: Se entiende por \u00a0Discapacidad toda restricci\u00f3n o ausencia de la capacidad de realizar una \u00a0actividad en la forma o dentro del margen que se considera normal para un ser \u00a0humano, producida por una deficiencia, y se caracteriza por excesos o \u00a0insuficiencias en el desempe\u00f1o y comportamiento en una actividad normal o \u00a0rutinaria, los cuales pueden ser temporales o permanentes, reversibles o \u00a0irreversibles, y progresivos o regresivos. Representa la objetivaci\u00f3n de la \u00a0deficiencia y por tanto, refleja alteraciones al nivel de la persona. \u00a0 \u00a0<\/p>\n<p>c) MINUSVAL\u00cdA: Se entiende por Minusval\u00eda \u00a0toda situaci\u00f3n desventajosa para un individuo determinado, consecuencia de una \u00a0deficiencia o una discapacidad que lo limita o impide para el desempe\u00f1o de un \u00a0rol, que es normal en su caso en funci\u00f3n de la edad, sexo, factores sociales, \u00a0culturales y ocupacionales. Se caracteriza por la diferencia entre el \u00a0rendimiento y las expectativas del individuo mismo o del grupo al que \u00a0pertenece. Representa la socializaci\u00f3n de la deficiencia y su discapacidad por \u00a0cuanto refleja las consecuencias culturales, sociales, econ\u00f3micas, ambientales \u00a0y ocupacionales, que para el individuo se derivan de la presencia de las mismas \u00a0y alteran su entorno. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 8\u00ba Distribuci\u00f3n \u00a0porcentual de los criterios para la calificaci\u00f3n total de la invalidez. Para \u00a0realizar la calificaci\u00f3n integral de la invalidez, se otorga un puntaje a cada \u00a0uno de los criterios descritos en el art\u00edculo anterior, cuya sumatoria equivale \u00a0al 100% del total de la p\u00e9rdida de la capacidad laboral, dentro de los \u00a0siguientes rangos m\u00e1ximos de puntaje: \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PORCENTAJE (%) \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0\u00a0<\/p>\n<p>Discapacidad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0\u00a0<\/p>\n<p>Minusval\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0\u00a0<\/p>\n<p>Total \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0<\/p>\n<p>Par\u00e1grafo 1. Cuando no exista \u00a0deficiencia o su valor sea cero (0) no podr\u00e1 calificarse la discapacidad ni la \u00a0minusval\u00eda. Por tanto, la p\u00e9rdida de la capacidad laboral resultante se \u00a0reportar\u00e1 con un valor de cero (0). \u00a0 \u00a0<\/p>\n<p>Par\u00e1grafo 2. En concordancia con \u00a0el par\u00e1grafo 1 del art\u00edculo 34 del Decreto ley 1295 \u00a0de 1994, para la calificaci\u00f3n en el caso de accidente de trabajo y \u00a0enfermedad profesional, la existencia de patolog\u00edas anteriores no es causa para \u00a0aumentar el grado de incapacidad, ni las prestaciones que correspondan al \u00a0trabajador. De igual manera, cuando existan deficiencias de origen cong\u00e9nito o \u00a0adquiridas antes de cumplir con las edades m\u00ednimas legales para trabajar y el \u00a0individuo haya sido habilitado ocupacional y socialmente, estas deficiencias no \u00a0se tendr\u00e1n en cuenta para la calificaci\u00f3n de la p\u00e9rdida de la capacidad laboral \u00a0de origen profesional, a no ser que se hayan agravado o hayan aparecido otras. \u00a0 \u00a0<\/p>\n<p>Par\u00e1grafo 3. Teniendo en cuenta \u00a0que un paciente que sufre una deficiencia mejora su estado funcional al recibir \u00a0una pr\u00f3tesis, se debe reducir una proporci\u00f3n definida de la deficiencia global \u00a0del segmento que la recibe, de la siguiente manera: \u00a0 \u00a0<\/p>\n<p>a) Para pr\u00f3tesis est\u00e9tica se resta \u00a0el 10% del valor de la deficiencia global encontrada; \u00a0 \u00a0<\/p>\n<p>b) Para pr\u00f3tesis funcional 20% del \u00a0valor de la deficiencia global encontrada; y, \u00a0 \u00a0<\/p>\n<p>c) Para pr\u00f3tesis est\u00e9tica y \u00a0funcional 30% del valor de la deficiencia global encontrada. \u00a0 \u00a0<\/p>\n<p>Ejemplo: \u00a0 \u00a0<\/p>\n<p>Enucleaci\u00f3n ojo izquierdo con ojo \u00a0derecho normal: deficiencia de 15%. \u00a0 \u00a0<\/p>\n<p>En este caso, se trata de una \u00a0pr\u00f3tesis est\u00e9tica y por tanto se resta el 10% del 15%. Es decir, 1.5%, para un \u00a0valor final de deficiencia global de 13.5%. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 9\u00ba Instrucciones \u00a0generales para los calificadores. El \u00abManual \u00fanico para la calificaci\u00f3n de la \u00a0invalidez\u00bb establece con base en los criterios y componentes definidos en los \u00a0art\u00edculos anteriores, un m\u00e9todo uniforme, de uso obligatorio para la \u00a0determinaci\u00f3n legal de la p\u00e9rdida de la capacidad laboral que presenta un \u00a0individuo al momento de su evaluaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>La calificaci\u00f3n de la p\u00e9rdida de \u00a0capacidad laboral del individuo deber\u00e1 realizarse una vez se conozca el \u00a0diagn\u00f3stico definitivo de la patolog\u00eda, se termine el tratamiento y se hayan \u00a0realizado los procesos de rehabilitaci\u00f3n integral, o cuando aun sin terminar \u00a0los mismos, exista un concepto m\u00e9dico desfavorable de recuperaci\u00f3n o mejor\u00eda. \u00a0 \u00a0<\/p>\n<p>El Manual est\u00e1 conformado por tres \u00a0libros, a saber: \u00a0 \u00a0<\/p>\n<p>1. El primero trata sobre las \u00a0Deficiencias. Consta de catorce (14) Cap\u00edtulos que corresponden a la evaluaci\u00f3n \u00a0del da\u00f1o o ausencia parcial o total de los diferentes sistemas org\u00e1nicos. \u00a0Contiene una serie de criterios y tablas especiales de valores para calificar \u00a0el da\u00f1o ocasionado; \u00a0 \u00a0<\/p>\n<p>2. El Segundo trata sobre las \u00a0Discapacidades, desglosadas en siete (7) categor\u00edas, que incluyen el nivel \u00a0complementario de gravedad; y, \u00a0 \u00a0<\/p>\n<p>3. El Tercero, define siete (7) \u00a0categor\u00edas de minusval\u00edas. \u00a0 \u00a0<\/p>\n<p>Para la determinaci\u00f3n de los \u00a0valores de las deficiencias, discapacidades y minusval\u00edas se deben seguir las \u00a0siguientes instrucciones: \u00a0 \u00a0<\/p>\n<p>a) Para las deficiencias: El grado \u00a0de deficiencia a que se refiere el Libro Primero y que se relaciona con los \u00a0sistemas org\u00e1nicos, se expresa en porcentajes de p\u00e9rdida funcional (deficiencia \u00a0global). Para facilitar el ejercicio del calificador o de las Juntas \u00a0Calificadoras, contiene una serie de tablas de valores por \u00f3rganos o sistemas, \u00a0de las cuales se pueden sustraer los valores correspondientes a este \u00a0componente. Sin embargo, en aquellos casos en que se encuentren afectados dos o \u00a0m\u00e1s \u00f3rganos o sistemas, los valores parciales de las respectivas deficiencias \u00a0globales deben ser combinados seg\u00fan la siguiente f\u00f3rmula: \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Donde A y B corresponden a las \u00a0diferentes deficiencias. Siendo A la de mayor valor y B la de menor valor. De \u00a0esta forma se combinan los valores correspondientes A y B. Este procedimiento \u00a0se denomina \u00absuma combinada\u00bb. En caso de que existan m\u00e1s de dos valores, \u00e9stos \u00a0deben ser previamente ordenados de mayor a menor valor, para proceder a \u00a0combinarlos sucesivamente aplicando la f\u00f3rmula. \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Teniendo en cuenta que el valor de \u00a0la deficiencia de extremidad puede alcanzar el 100%, se deber\u00e1 utilizar la \u00a0siguiente f\u00f3rmula cuando haya que combinar deficiencias de extremidad: \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Se deber\u00e1 calcular la deficiencia \u00a0global correspondiente a cada cap\u00edtulo y s\u00f3lo despu\u00e9s se har\u00e1 combinaci\u00f3n de \u00a0valores de deficiencia global entre cap\u00edtulos para hallar la deficiencia global \u00a0final. \u00a0 \u00a0<\/p>\n<p>Quienes legalmente pueden o deben \u00a0determinar la p\u00e9rdida de la capacidad laboral de una persona, deben tener en \u00a0cuenta que la deficiencia debe ser demostrable anat\u00f3mica, fisiol\u00f3gica y \u00a0psicol\u00f3gicamente, o en forma combinada. Tales anormalidades podr\u00e1n ser \u00a0determinadas por pruebas de ayuda diagn\u00f3stica del afiliado, referidas a sus \u00a0signos y s\u00edntomas. \u00a0 \u00a0<\/p>\n<p>Las patolog\u00edas que s\u00f3lo se manifiestan \u00a0con s\u00edntomas, no son posibles de definir f\u00e1cilmente por quien califica. Por \u00a0tanto, las decisiones sobre los porcentajes de deficiencia deben ser \u00a0respaldadas con la historia cl\u00ednica del paciente y las pruebas de ayuda \u00a0diagn\u00f3stica, complementando as\u00ed el criterio cl\u00ednico. Los resultados obtenidos \u00a0con las pruebas complementarias de diagn\u00f3stico deben corresponder a las \u00a0alteraciones anat\u00f3micas, fisiol\u00f3gicas y\/o ps\u00edquicas detectables por tales \u00a0pruebas, y confirmar los signos encontrados durante el examen m\u00e9dico. Las \u00a0afirmaciones del paciente que s\u00f3lo consideran la descripci\u00f3n de sus molestias \u00a0sin respaldo de signos o ex\u00e1menes complementarios, no tienen valor para \u00a0establecer una deficiencia. \u00a0 \u00a0<\/p>\n<p>Cuando sea del caso, se deber\u00e1 \u00a0sustentar el dictamen con el concepto de Salud Ocupacional para determinar el \u00a0origen de la lesi\u00f3n. \u00a0 \u00a0<\/p>\n<p>Hay otros casos en los cuales, \u00a0siguiendo las instrucciones espec\u00edficas para cada lesi\u00f3n, se podr\u00e1 sumar las \u00a0deficiencias de extremidad o como en la evaluaci\u00f3n de los da\u00f1os a nivel \u00a0cerebral se escoge entre los diferentes grados de deficiencia el mayor valor \u00a0como la deficiencia global final. \u00a0 \u00a0<\/p>\n<p>b) Para las Discapacidades: para \u00a0el caso de la determinaci\u00f3n del valor de la discapacidad, se procede a realizar \u00a0una suma aritm\u00e9tica de todas las discapacidades con que se tipifique la lesi\u00f3n. \u00a0El resultado de dicha sumatoria corresponde al valor final de la discapacidad \u00a0que debe registrarse. \u00a0 \u00a0<\/p>\n<p>c) Para las Minusval\u00edas: para la \u00a0determinaci\u00f3n del valor de la minusval\u00eda se deber\u00e1 evaluar el estado del paciente \u00a0en cada una de las categor\u00edas de escala asignadas, a cada una de la \u00a0Minusval\u00edas. En cada una de ellas se registra el mayor valor (son excluyentes) \u00a0y luego se suma cada una de ellas. El resultado de dicha sumatoria corresponde \u00a0al valor final de la minusval\u00eda que debe registrarse. \u00a0 \u00a0<\/p>\n<p>d) Para la calificaci\u00f3n integral: \u00a0Para obtener la calificaci\u00f3n integral final del grado de p\u00e9rdida de la \u00a0capacidad laboral de la persona, de conformidad con las especificaciones de \u00a0este manual y sus tablas, se suman aritm\u00e9ticamente aquellos porcentajes \u00a0correspondientes a los valores de la deficiencia, la discapacidad y la \u00a0minusval\u00eda, que el calificador legal asign\u00f3 a cada una de ellas. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 10. Instrucciones para \u00a0m\u00e9dicos interconsultores \u00a0 \u00a0<\/p>\n<p>Para la determinaci\u00f3n de la p\u00e9rdida \u00a0de la capacidad laboral, los calificadores deber\u00e1n disponer de los antecedentes \u00a0t\u00e9cnico-m\u00e9dicos objetivos sobre las patolog\u00edas en estudio. Estos antecedentes \u00a0los proporcionan los m\u00e9dicos tratantes o interconsultores de las IPS a la cual \u00a0se encuentre afiliado el paciente. Para efecto de cumplir con este requisito, \u00a0los calificadores deben requerir a los interconsultores el concepto \u00a0t\u00e9cnico-m\u00e9dico correspondiente, cumpliendo los siguientes requisitos: \u00a0 \u00a0<\/p>\n<p>1. El m\u00e9dico tratante o \u00a0interconsultor que realiza un peritazgo de su especialidad (reconocimiento y \u00a0determinaci\u00f3n del diagn\u00f3stico y estado cl\u00ednico de determinada patolog\u00eda que \u00a0presenta un afiliado), debe considerar que su informe ser\u00e1 utilizado por el \u00a0calificador para determinar la p\u00e9rdida de la capacidad laboral que presenta \u00a0dicho individuo. \u00a0 \u00a0<\/p>\n<p>2. Por tanto, debe considerar que \u00a0el peritaje se solicita con el objeto de que el profesional consultor determine \u00a0exclusivamente y en la forma m\u00e1s precisa posible, la magnitud y el compromiso \u00a0de la patolog\u00eda presentada por el paciente. Debe evitar consignar juicios o \u00a0conceptos personales sobre el grado de invalidez del individuo estudiado, pues \u00a0tal apreciaci\u00f3n es materia que s\u00f3lo corresponde a quien legalmente puede \u00a0determinarla. \u00a0 \u00a0<\/p>\n<p>3. El m\u00e9dico interconsultor debe \u00a0pronunciarse exclusivamente sobre el diagn\u00f3stico del afiliado, utilizando un \u00a0lenguaje similar al del Manual. \u00a0 \u00a0<\/p>\n<p>4. Ante la presencia de \u00a0situaciones de dif\u00edcil evaluaci\u00f3n, se debe informar al calificador sobre los \u00a0ex\u00e1menes o pruebas de ayuda de diagn\u00f3stico adicionales que se deben realizar \u00a0para poder emitir un informe exacto. En ning\u00fan caso pueden tenerse en cuenta \u00a0los ex\u00e1menes proporcionados por los pacientes o propios interesados. \u00a0 \u00a0<\/p>\n<p>5. Debe haber consistencia entre \u00a0la anamnesis relatada por el trabajador, los ex\u00e1menes legalmente aportados y \u00a0las conclusiones del m\u00e9dico interconsultor. Cualquier incoherencia debe ser \u00a0objeto de revisi\u00f3n y aclaraci\u00f3n, e informar al calificador y a la autoridad \u00a0competente. \u00a0 \u00a0<\/p>\n<p>6. El m\u00e9dico interconsultor deber\u00e1 \u00a0pronunciarse exclusivamente en materia de su especialidad, sobre los puntos \u00a0solicitados por el Calificador, entre los cuales pueden contenerse por lo menos \u00a0los siguientes: Fecha de atenci\u00f3n, diagn\u00f3stico, tratamientos recibidos o \u00a0sugeridos, concepto y pron\u00f3stico. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 11. De las normas de \u00a0interpretaci\u00f3n del Manual \u00a0 \u00a0<\/p>\n<p>Para la comprensi\u00f3n del presente \u00a0Manual se aplicar\u00e1n las siguientes normas de interpretaci\u00f3n: \u00a0 \u00a0<\/p>\n<p>1. Las palabras se utilizar\u00e1n en \u00a0su sentido natural y obvio, o con el significado que se tenga en el Diccionario \u00a0de la Real Academia de la Lengua. \u00a0 \u00a0<\/p>\n<p>2. Los t\u00e9rminos de contenido \u00a0t\u00e9cnico se utilizar\u00e1n con el sentido que tienen en su respectiva disciplina. \u00a0 \u00a0<\/p>\n<p>3. Las definiciones y conceptos \u00a0establecidos en el manual, se interpretar\u00e1 dentro del contexto y con el propio \u00a0sentido definidos en \u00e9l. \u00a0 \u00a0<\/p>\n<p>4. Cuando una patolog\u00eda o \u00a0diagn\u00f3stico no aparezca en el texto del presente Manual, o no se pueda \u00a0homologar al mismo, se acudir\u00e1 a la interpretaci\u00f3n dada en instrumentos \u00a0similares de otros pa\u00edses o de organismos internacionales, tales como la \u00a0Comisi\u00f3n de Expertos de la OIT, el Manual de Consecuencias de la Enfermedad de \u00a0la OMS y el Manual de Discapacidades de la Asociaci\u00f3n M\u00e9dica Americana AMA. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 12. Libro Primero: DE LAS \u00a0DEFICIENCIAS \u00a0 \u00a0<\/p>\n<p>CAPITULO I \u00a0 \u00a0<\/p>\n<p>1. SISTEMA \u00a0MUSCULO ESQUELETICO \u00a0 \u00a0<\/p>\n<p>1.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>Dado que un alto porcentaje de \u00a0solicitudes para la calificaci\u00f3n de la invalidez corresponden a patolog\u00edas \u00a0articulares o de la columna vertebral, es importante realizar una correcta \u00a0evaluaci\u00f3n de las afecciones de este sistema. \u00a0 \u00a0<\/p>\n<p>Este cap\u00edtulo comprende el estudio \u00a0de los porcentajes de la deficiencia relacionados \u00a0 \u00a0<\/p>\n<p>con: \u00a0 \u00a0<\/p>\n<p>\u2022 Columna Vertebral \u00a0 \u00a0<\/p>\n<p>\u2022 Extremidades superiores. \u00a0 \u00a0<\/p>\n<p>\u2022 Extremidades inferiores. \u00a0 \u00a0<\/p>\n<p>\u2022 Amputaciones. \u00a0 \u00a0<\/p>\n<p>La p\u00e9rdida de funci\u00f3n puede \u00a0deberse a limitaci\u00f3n de la movilidad ocasionada por lesi\u00f3n, dolor, anquilosis, \u00a0deformidades, amputaciones o coexistencia de dos o m\u00e1s de estas patolog\u00edas. \u00a0 \u00a0<\/p>\n<p>En todos los casos es importante \u00a0tener presente el hemisferio dominante del individuo, dado que las funciones de \u00a0la vida cotidiana son m\u00e1s dependientes de la extremidad superior dominante \u00a0(diestro o zurdo). La disfunci\u00f3n de la extremidad superior no dominante se \u00a0traduce en una menor deficiencia que la disfunci\u00f3n de la extremidad dominante. \u00a0Para la valoraci\u00f3n de la mano dominante, una vez se obtenga el valor de la \u00a0deficiencia global resultante de dicho segmento, debe agregarse \u00a0proporcionalmente un 20% de dicho valor mediante combinaci\u00f3n de valores, sin \u00a0que sobrepase el m\u00e1ximo valor asignado a la deficiencia global de dicho \u00a0segmento de la lesi\u00f3n evaluada. Para la valoraci\u00f3n de los segmentos restantes \u00a0del miembro superior dominante se agregar\u00e1 un valor proporcional del 10%. \u00a0 \u00a0<\/p>\n<p>Pasos para obtener el valor final \u00a0de la deficiencia global de la mano dominante: \u00a0 \u00a0<\/p>\n<p>1. Deficiencia global del segmento \u00a0X 0.2 = Valor para asumir en forma combinada a la deficiencia global del \u00a0segmento. \u00a0 \u00a0<\/p>\n<p>2. Deficiencia global final = Suma \u00a0combinada de la deficiencia global del segmento + valor para agregar obtenido \u00a0mediante la formula del numeral anterior. \u00a0 \u00a0<\/p>\n<p>Cuando hay da\u00f1o de varios ejes, \u00a0articulaciones o segmentos se deben tener en cuenta los criterios de valoraci\u00f3n \u00a0que a continuaci\u00f3n se describen: \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.0: \u00a0TABLA DE CRITERIOS DE VALORACION OSTEOARTICULAR \u00a0 \u00a0<\/p>\n<p>Concepto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Sagmento evaluado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de \u00a0 \u00a0<\/p>\n<p>movimiento \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Anquilosis \u00a0\u00a0<\/p>\n<p>1. \u00a0 \u00a0Articulaci\u00f3n con alteraci\u00f3n de sus arcos de movimiento en varios ejes. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Columna \u00a0 \u00a0vertebral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Calcular \u00a0 \u00a0deficiencias de cada eje, luego sumar aritm\u00e9ticamente los valores de \u00a0 \u00a0todos los ejes, lo cual corresponde a la deficiencia global \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Calcular \u00a0 \u00a0deficiencias en cada eje, luego tomar el mayor valor de todos y este \u00a0 \u00a0ser\u00e1 la deficiencia global. \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidades \u00a0 \u00a0superiores e inferiores. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Calcular \u00a0 \u00a0deficiencia de extremidad de cada eje, luego sumarlos \u00a0 \u00a0aritm\u00e9ticamente, luego ponderar a deficiencia global. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Calcular \u00a0 \u00a0deficiencia de extremidad de cada eje, luego elegir el mayor valor \u00a0 \u00a0y ponderarlo a deficiencia global. \u00a0\u00a0<\/p>\n<p>2. \u00a0 \u00a0Varias articulaciones en el mismo segmento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Colomna \u00a0 \u00a0vertebral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores de las deficiencias globales de cada articulaci\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores de las deficiencias globales de cada articulaci\u00f3n. \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidades \u00a0 \u00a0superiores e inferiores \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores. Excepto en dedos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores. \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Dedos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Calcular \u00a0 \u00a0la deficiencia de dedo de cada articulaci\u00f3n, sumarlas y luego ponderar \u00a0 \u00a0hasta Deficiencia global. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Calcular \u00a0 \u00a0la deficiencia de dedo de cada articulaci\u00f3n, sumarlas y luego ponderar \u00a0 \u00a0hasta Deficiencia global. \u00a0\u00a0<\/p>\n<p>3. \u00a0 \u00a0Varias lesiones en diferentes segmentos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Columna \u00a0 \u00a0vertebral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores. \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidades \u00a0 \u00a0superiores. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores. \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidades \u00a0 \u00a0inferiores \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinar \u00a0 \u00a0valores excepto en artejos. \u00a0 \u00a0<\/p>\n<p>Calcular \u00a0 \u00a0la deficiencia de cada artejo y luego sumar la deficiencia de extremidad y \u00a0 \u00a0ponderar a global. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Combinaci\u00f3n \u00a0 \u00a0de valores. \u00a0 \u00a0<\/p>\n<p>1.2 COLUMNA VERTEBRAL \u00a0 \u00a0<\/p>\n<p>Por razones pr\u00e1cticas, las lesiones de columna se estudiar\u00e1n \u00a0distribuidas en la siguiente forma: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Regi\u00f3n Cervical. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Regi\u00f3n Dorsolumbar. \u00a0 \u00a0<\/p>\n<p>Otras lesiones de columna. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Escoliosis. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Fracturas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Hernias. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Osteoporosis. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Luxaciones. \u00a0 \u00a0<\/p>\n<p>Si existen problemas neurol\u00f3gicos, \u00e9stos deben ser \u00a0considerados y analizados de acuerdo con lo se\u00f1alado en el cap\u00edtulo de \u00a0trastornos neurol\u00f3gicos. \u00a0 \u00a0<\/p>\n<p>1.2.1 Regi\u00f3n Cervical. \u00a0 \u00a0<\/p>\n<p>1.2.1.1 Restricci\u00f3n de movimiento inclinaci\u00f3n lateral derecha \u00a0o izquierda \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.1: REGI\u00d3N CERVICAL-INCLINACI\u00d3N LATERAL DERECHA O \u00a0IZQUIERDA \u00a0 \u00a0<\/p>\n<p>Inclinaci\u00f3n \u00a0 \u00a0lateral desde la posici\u00f3n neutra hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud de la inclinaci\u00f3n lateral = 80 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de inclinaci\u00f3n lateral derecha o izquierda, \u00a0corresponde at 25 % del movimiento cervical completo. \u00a0 \u00a0<\/p>\n<p>1.2.1.2 Anquilosis inciinaci\u00f3n lateral derecha o izquierda \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.2: REGI\u00d3N CERVICAL-INCLINACI\u00d3N LATERAL DERECHA O \u00a0IZQUIERDA ANQUILOSIS: \u00a0 \u00a0<\/p>\n<p>Regi\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0 (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>40\u00ba (flexi\u00f3n lateral derecha izquierda \u00a0 \u00a0Completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0<\/p>\n<p>1.2.1.3 Restricci\u00f3n de movimiento: rotaci\u00f3n derecha o \u00a0izquierda \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: Se debe utilizar la TABLA No. \u00a01.13, para determinar la deficiencia asociada a la anquilosis de varias \u00a0vertebras. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.3: REGI\u00d3N CERVICAL-ROTACI\u00d3N DERECHA O IZQUIERDA \u00a0 \u00a0<\/p>\n<p>Inclinaci\u00f3n lateral desde posici\u00f3n \u00a0 \u00a0neutra hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movirniento: \u00a0 \u00a0<\/p>\n<p>Amplitud de la rotaci\u00f3n lateral = 60 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de rotaci\u00f3n derecha o izquierda, corresponde al \u00a035 % del movimiento cervical completo. \u00a0 \u00a0<\/p>\n<p>1.2.1.4 Anquilosis: rotaci\u00f3n derecha o izquierda \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.4: REGI\u00d3N CERVICAL-ROTACI\u00d3N DERECHA \u00a0IZOUIERDA-ANQUILOSIS: \u00a0 \u00a0<\/p>\n<p>Regi\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0 (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0\u00a0<\/p>\n<p>30\u00ba (rotaci\u00f3n lateral der. Izq. \u00a0 \u00a0Completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0<\/p>\n<p>1.2.1.5 Restricci\u00f3n de movimiento: flexi\u00f3n o extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA No.1.5: REGI\u00d3N CERVICAL-FLEXI\u00d3N O EXTENSI\u00d3N \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud de la Flexi\u00f3n Extensi\u00f3n = 60 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n o extensi\u00f3n, corresponde al 40% del \u00a0movimiento cervical completo. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n o extensi\u00f3n desde posici\u00f3n \u00a0 \u00a0neutra hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.2.1.6 Anquilosis: flexi\u00f3n o extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA NO.1.6: REGI\u00d3N CERVICAL FLEXI\u00d3N O EXTENSI\u00d3N-ANQUILOSIS. \u00a0 \u00a0<\/p>\n<p>Regi\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0 (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0\u00a0<\/p>\n<p>30\u00ba (flexi\u00f3n o extensi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0<\/p>\n<p>Se aplica a una v\u00e9rtebra cervical, en caso de ser m\u00e1s de dos \u00a0v\u00e9rtebras se debe remitir a la tabla 1.13. \u00a0 \u00a0<\/p>\n<p>1.2.2 Regi\u00f3n Dorsolumbar \u00a0 \u00a0<\/p>\n<p>Se debe consultar la TABLA No. 1.13, para determinar la \u00a0correspondiente deficiencia global por anquilosis de varias v\u00e9rtebras. \u00a0 \u00a0<\/p>\n<p>1.2.2.1 Restricci\u00f3n de movimiento: flexi\u00f3n o extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA No.1.7: REGI\u00d3N DORSOLUMBAR-FLEXI\u00d3N O EXTENSI\u00d3N \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de la Flexi\u00f3n-Extensi\u00f3n = 120 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n o extensi\u00f3n, corresponde al 40 % del \u00a0movimiento dorsolumbar completo. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n desde la posici\u00f3n neutra \u00a0 \u00a0<\/p>\n<p>0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extensi\u00f3n desde posici\u00f3n neutra \u00a0 \u00a0<\/p>\n<p>hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.2.2.2 Anquilosis: flexi\u00f3n o extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA NO.1.8: REGI\u00d3N DORSOLUMBAR-FLEXI\u00d3N O \u00a0EXTENSI\u00d3N-ANQUILOSIS. \u00a0 \u00a0<\/p>\n<p>Regi\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0\u00a0<\/p>\n<p>90\u00ba (flexi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Regi\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>30\u00ba (Extensi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0<\/p>\n<p>1.2.2.3 Inclinaci\u00f3n lateral \u00a0 \u00a0<\/p>\n<p>La sumatoria de estos valores es la deficiencia global \u00a0producto de la restricci\u00f3n del movimiento en la inclinaci\u00f3n lateral de la \u00a0regi\u00f3n dorsolumbar. \u00a0 \u00a0<\/p>\n<p>TABLA No.1.9: REGI\u00d3N DORSOLUMBAR-INCLINACI\u00d3N LATERAL DERECHA \u00a0O IZQUIERDA \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud de la Inclinaci\u00f3n Lateral derecha o izquierda = 40 \u00a0grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de inclinaci\u00f3n lateral derecha o izquierda, \u00a0corresponde al 25% del dorsolumbar completo. \u00a0 \u00a0<\/p>\n<p>Inclinaci\u00f3n lateral desde la posici\u00f3n \u00a0 \u00a0neutra: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0<\/p>\n<p>Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0<\/p>\n<p>1.2.2.4 Anquilosis: inclinaci\u00f3n lateral. \u00a0 \u00a0<\/p>\n<p>Consultar Anquilosis TABLA No. 1.10, para la correspondiente \u00a0deficiencia global. \u00a0 \u00a0<\/p>\n<p>Consultar la TABLA No. 1.13 correspondiente a varias \u00a0v\u00e9rtebras anquilosadas para calcular la deficiencia global. \u00a0 \u00a0<\/p>\n<p>TABLA No.1.10: REGI\u00d3N DORSOLUMBAR-INCLINACI\u00d3N DERECHA O \u00a0IZQUIERDA-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Regi\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DeficIencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra)15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0\u00a0<\/p>\n<p>20\u00ba (flexi\u00f3n lateral derecha izquierda \u00a0 \u00a0completo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0<\/p>\n<p>1.2.2.5 Restricci\u00f3n de movimiento: rotaci\u00f3n derecha o \u00a0izquierda \u00a0 \u00a0<\/p>\n<p>TABLA No.1.11: REGI\u00d3N DORSOLUMBAR-ROTACI\u00d3N DERECHA O \u00a0IZQUIERDA \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de la rotaci\u00f3n = 60 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de rotaci\u00f3n derecha o izquierda, corresponde al \u00a035% del movimiento dorsolumbar completo. \u00a0 \u00a0<\/p>\n<p>Rotaci\u00f3n desde la posici\u00f3n neutra (0\u00ba) \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.2.2.6 Anquilosis: rotaci\u00f3n derecha o izquierda \u00a0 \u00a0<\/p>\n<p>Consultar la TABLA No.1.13,corresponde a varias v\u00e9rtebras \u00a0anquilosadas para calcular la deficiencia global de la persona. \u00a0 \u00a0<\/p>\n<p>TABLA No.1.1 2: REGI\u00d3N DORSOLUMBAR-ROTACI\u00d3N DERECHA O \u00a0IZQUIERDA-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Regi\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>30\u00ba (Rotaci\u00f3n derecha o izquierda \u00a0 \u00a0completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0<\/p>\n<p>1.2.2.7 Listesis de disco regi\u00f3n cervical y dorso lumbar \u00a0 \u00a0<\/p>\n<p>Para la valoraci\u00f3n de listesis de disco de regi\u00f3n cervical y \u00a0dorso lumbar, consultar la TABLA No. 1.16. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.13: VERTEBRAS M\u00daLTIPLES: Anquilosis-Regi\u00f3n \u00a0cervical y dorsolumbar \u00a0 \u00a0<\/p>\n<p>Posici\u00f3n favorable (neutral) (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Posici\u00f3n \u00a0 \u00a0<\/p>\n<p>desfavorable \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0<\/p>\n<p>Global (%) \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.75 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.25 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0Cervicales cual. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.78 \u00a0\u00a0<\/p>\n<p>6 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0Cervicales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.25 \u00a0\u00a0<\/p>\n<p>7 \u00a0 \u00a0Cervicales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0Cervicales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>C7 y D1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C7 D1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.25 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.25 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.25 \u00a0\u00a0<\/p>\n<p>7 Dorsales \u00a0 \u00a0cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.75 \u00a0\u00a0<\/p>\n<p>8 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.25 \u00a0\u00a0<\/p>\n<p>9 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.75 \u00a0\u00a0<\/p>\n<p>10 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>11 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0Dorsales cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0\u00a0<\/p>\n<p>12 \u00a0 \u00a0Dorsales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0Dorsales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>D12 y \u00a0 \u00a0L1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>D 12 y \u00a0 \u00a0L1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0Lumbares cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0Lumbares cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0Lumbares cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0Lumbares cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0Lumbares cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0Lumbares cualquiera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0Lumbares \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 Lumbares \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>C1-C7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C1-C7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>D1-D12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>D1-D12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>L1-L5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>L1-L5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>C1-D12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C1-D1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0\u00a0<\/p>\n<p>D1-L5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>D1-L5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0\u00a0<\/p>\n<p>C1-L5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C1-L5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0<\/p>\n<p>1.2.3 OTRAS LESIONES DE LA COLUMNA \u00a0 \u00a0<\/p>\n<p>1.2.3.1. Escoliosis \u00a0 \u00a0<\/p>\n<p>La magnitud, gravedad y repercusiones sistemicas de la \u00a0escoliosis, dependen de la intensidad de sus curvaturas. La deficiencia por \u00a0este concepto se indica en la siguiente tabla. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.14: Escoliosis \u00a0 \u00a0<\/p>\n<p>Deficiencia Global \u00a0\u00a0<\/p>\n<p>CURVATURA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DORSAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DORSO LUMBAR (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>LUMBAR (%) \u00a0\u00a0<\/p>\n<p>De 20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>20\u00ba a \u00a0 \u00a030\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0\u00a0<\/p>\n<p>30\u00ba a \u00a0 \u00a040\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>40\u00ba a \u00a0 \u00a050\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0\u00a0<\/p>\n<p>+ de \u00a0 \u00a050\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0 \u00a0<\/p>\n<p>1.2.3.2. Fracturas de V\u00e9rtebras \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.15: Fractura de una V\u00e9rtebra \u00a0 \u00a0<\/p>\n<p>Compresi\u00f3n del cuerpo de una v\u00e9rtebra: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia (%) \u00a0\u00a0<\/p>\n<p>0% compresi\u00f3n (curada) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>25% compresi\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>50% compresi\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>+ 50% compresi\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>Fractura de elementos posteriores \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0<\/p>\n<p>La soluci\u00f3n de continuidad de una ap\u00f3fisis espinosa resultar\u00e1 \u00a0en un 0% de deficiencia global. Los ped\u00edculos, l\u00e1minas, ap\u00f3fisis articulares y \u00a0ap\u00f3fisis transversas se incluyen todos bajo la consideraci\u00f3n de deficiencia \u00a0debido a la fractura de elementos posteriores de una v\u00e9rtebra. \u00a0 \u00a0<\/p>\n<p>Las deficiencias producidas por la compresi\u00f3n del cuerpo de \u00a0una v\u00e9rtebra y la fractura de los elementos posteriores se combinan, no se \u00a0suman. \u00a0 \u00a0<\/p>\n<p>Fractura de dos o rn\u00e1s v\u00e9rtebras. \u00a0 \u00a0<\/p>\n<p>1. Calcular por seprado y registrar la deficiencia global de \u00a0la persona producida por la fractura de cada v\u00e9rtebra. \u00a0 \u00a0<\/p>\n<p>2. Para determinar la deficiencia producida por la fractura \u00a0de dos o m\u00e1s v\u00e9rtebras se debe utilizar la f\u00f3rmula para combinaci\u00f3n de valores. \u00a0 \u00a0<\/p>\n<p>1.2.3.3. S\u00edndromes dolorosos de Columna. \u00a0 \u00a0<\/p>\n<p>TABLANo.1.16: Sindromesdolorososdecolumna \u00a0 \u00a0<\/p>\n<p>SINDROMES DOLOROSOS DE COLUMNA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia (%) \u00a0\u00a0<\/p>\n<p>Cervicobraquialgia \u00a0 \u00a0post-traum\u00e1tica sin alteraciones cl\u00ednicas, radiogr\u00e1ficas ni electromiogr\u00e1ficas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Cervicobraquialgia \u00a0 \u00a0post-traum\u00e1tica sin alteraciones cl\u00ednicas, radiogr\u00e1ficas ni \u00a0 \u00a0electromiogr\u00e1ficas leves a moderadas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0\u00a0<\/p>\n<p>Hernia \u00a0 \u00a0de disco operada, sin secuelas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>Hernia \u00a0 \u00a0de disco inoperable seg\u00fan criterios m\u00e9dicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>Hernia \u00a0 \u00a0de disco operada, con secuelas cl\u00ednicasy electromiogr\u00e1ficas leves. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Hernia \u00a0 \u00a0de disco operada, con secuelas cl\u00ednicas y electromiogr\u00e1ficas moderadas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>Hernia \u00a0 \u00a0de disco operada, con secuelas cl\u00ednicas y eIectromiogr\u00e1ficas severas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>Espondilolistesis \u00a0 \u00a0traum\u00e1tica sin repercusi\u00f3n electromiogr\u00e1fica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Grado I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>Grado \u00a0 \u00a0II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>Grado \u00a0 \u00a0III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Grado \u00a0 \u00a0IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>Espondilolistesis \u00a0 \u00a0traum\u00e1tica con repercusi\u00f3n electromiogr\u00e1fica leve a moderada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Espondilolistesis \u00a0 \u00a0traum\u00e1tica, con repercusi\u00f3n electromiogr\u00e1fica severa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>Espondilolistesis \u00a0 \u00a0traum\u00e1tica, operada, sin secuela electromiogr\u00e1fica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Espondilolistesis \u00a0 \u00a0traum\u00e1tica, operada, con secuela electromiogr\u00e1fica leve a moderada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Espondilolistesis \u00a0 \u00a0traum\u00e1tica, operada, con secuela electromiogr\u00e1fica severa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>Lumbalgia \u00a0 \u00a0post-traum\u00e1tica sin alteraciones cl\u00ednicas, radiogr\u00e1ficas ni \u00a0 \u00a0electromiogr\u00e1ficas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Lumbalgia \u00a0 \u00a0post-traum\u00e1tica con moderadas alteraciones cl\u00ednicas y radiogr\u00e1ficas, sin \u00a0 \u00a0alteraciones electromiogr\u00e1ficas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>Lumbalgia \u00a0 \u00a0post-traum\u00e1tica, con severas alteraciones cl\u00ednicas y radiogr\u00e1ficas, sin \u00a0 \u00a0alteraciones electromiogr\u00e1ficas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>Lumbociatalgias \u00a0 \u00a0sin alteraciones cl\u00ednicas, radiogr\u00e1ficas ni electromiogr\u00e1ficas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Lumbociatalgias \u00a0 \u00a0con alteraciones cl\u00ednicas y radiogr\u00e1ficas y\/o electromiogr\u00e1ficas leves a \u00a0 \u00a0moderadas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0<\/p>\n<p>1.2.3.4. Osteoporosis generalizada de la columna. \u00a0 \u00a0<\/p>\n<p>En caso de s\u00edntomas y signos confirmados de: \u00a0 \u00a0<\/p>\n<p>1. Compresi\u00f3n fractura de un cuerpo vertebral con p\u00e9rdida de \u00a0por lo menos 50% del tama\u00f1o estimado de dicho cuerpo, no causado por \u00a0traumatismo directo a indirecto, fractura espont\u00e1nea a por traumatismo m\u00ednimo. \u00a0 \u00a0<\/p>\n<p>2. Fracturas vertebrales m\u00faltiples de origen no traum\u00e1tico \u00a0directo o indirecto. \u00a0 \u00a0<\/p>\n<p>En cualquiera de estos dos casos, la deficiencia global \u00a0corresponde a 40%. \u00a0 \u00a0<\/p>\n<p>1.3 EXTREMIDADES SUPERIORES \u00a0 \u00a0<\/p>\n<p>Para efectos de la determinaci\u00f3n del porcenje de deficiencia \u00a0global, se debe relacionar la deficiencia de cada componente de la extremidad \u00a0con el de mayor relevancia. Para la calificaci\u00f3n de deficiencias de extremidad \u00a0superior se entiende comprometido el segmento en su distribuci\u00f3n anat\u00f3mica. \u00a0Debe tenerse en consideraci\u00f3n si la extremidad en estudio es la dominante o no, \u00a0de acuerdo con lo establecido en el numeral 1.1 de \u00e9ste cap\u00edtulo. \u00a0 \u00a0<\/p>\n<p>En los casos de Amputaci\u00f3n, deformidad anat\u00f3mica y p\u00e9rdida \u00a0funcional total, de acuerdo con la causa etiol\u00f3gica de ambas manos, ambos pies \u00a0o una mano y un pie, se otorgar\u00e1 un valor para la deficiencia global de 40%, \u00a0sin necesidad de aplicar la tabla. \u00a0 \u00a0<\/p>\n<p>Las tablas de este cap\u00edtulo hacen referencia a deficiencia \u00a0unilateral. \u00a0 \u00a0<\/p>\n<p>1.3.1 Articulaci\u00f3n del Hombro \u00a0 \u00a0<\/p>\n<p>1.3.1.1. Restricci\u00f3n de movimiento: Elevaci\u00f3n anterior y \u00a0posterior. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.17: ARTICULACI\u00d3N DEL HOMBRO-ELEVACI\u00d3N ANTERIOR Y \u00a0POSTERIOR \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de la elevaci\u00f3n hacia adelante y hacia atr\u00e1s = \u00a0190 grados. \u00a0 \u00a0<\/p>\n<p>Elevaci\u00f3n hacia \u00a0 \u00a0<\/p>\n<p>delante desde \u00a0 \u00a0<\/p>\n<p>posici\u00f3n neutra \u00a0 \u00a0<\/p>\n<p>0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0<\/p>\n<p>Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0<\/p>\n<p>Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0\u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>130 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>120 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>110 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>110 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>110 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>120 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>120 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>130 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>130 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>140 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>140 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>150 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>150 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Elevaci\u00f3n \u00a0 \u00a0hacia atr\u00e1s desde la posici\u00f3n Neutra (0\u00ba) hasta: \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.1.2 Anquilosis: Elevaci\u00f3n anterior y posterior \u00a0 \u00a0<\/p>\n<p>TABLA No.1.18: ARTICULACI\u00d3N DEL HOMBRO-ELEVACI\u00d3N ANTERIOR Y \u00a0POSTERIOR. ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Elevaci\u00f3n anterior articulaci\u00f3n anquilosada \u00a0 \u00a0en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.0 \u00a0\u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0\u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.0 \u00a0\u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.5 \u00a0\u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0\u00a0<\/p>\n<p>150\u00ba (elevaci\u00f3n completa hacia \u00a0 \u00a0adelante) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Elevaci\u00f3n posterior articulaci\u00f3n \u00a0 \u00a0anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0\u00a0<\/p>\n<p>40\u00ba (elevaci\u00f3n completa hacia atr\u00e1s) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0<\/p>\n<p>1.3.1.3. Restricci\u00f3n de movimiento: Abducci\u00f3n-Aducci\u00f3n: \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.19: ARTICULACI\u00d3N DEL HOMBRO-ABDUCCI\u00d3N Y ADUCCI\u00d3N \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de ABDUCCI\u00d3N-ADUCCI\u00d3N = 180 grados. \u00a0 \u00a0<\/p>\n<p>Abducci\u00f3n desde la posici\u00f3n neutra 0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0<\/p>\n<p>Abducci\u00f3n desde la posici\u00f3n neutra 0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Aducci\u00f3n \u00a0 \u00a0desde posici\u00f3n neutra 0\u00ba hasta \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.1.4 Anquilosis: abducci\u00f3n o aducci\u00f3n: \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.20: ARTICULACI\u00d3N DEL HOMBRO-ABDUCCI\u00d3N Y ADUCCI\u00d3N \u00a0ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>51.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0\u00a0<\/p>\n<p>45\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>71.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.5 \u00a0\u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.0 \u00a0\u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>89.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.5 \u00a0\u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>94.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.0 \u00a0\u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>87.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0<\/p>\n<p>1.3.1.5 Restricci\u00f3n de movimiento: Rotaci\u00f3n Interna y Externa \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.21: ARTICULACI\u00d3N DEL HOMBRO-ROTACI\u00d3N INTERNA Y \u00a0EXTERNA \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de Rotaci\u00f3n = 130 grados. \u00a0 \u00a0<\/p>\n<p>Rotaci\u00f3n interna desde posici\u00f3n neutra \u00a0 \u00a00\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>Rotaci\u00f3n interna desde posici\u00f3n neutra \u00a0 \u00a00\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.1.6 Anquilosis: Rotaci\u00f3n Interna y Externa \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.22: ARTICULACI\u00d3N DEL HOMBRO-ROTACI\u00d3N INTERNA Y \u00a0EXTERNA-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en rotaci\u00f3n \u00a0 \u00a0interna \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia de extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Rotaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>externa: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0<\/p>\n<p>1.3.2 Articulaci\u00f3n del codo \u00a0 \u00a0<\/p>\n<p>1.3.2.1 Restricci\u00f3n de movimiento: Flexi\u00f3n-Extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>Amplitud de movimiento: 150 grados. \u00a0 \u00a0<\/p>\n<p>Valor arco movimiento: 60%. \u00a0 \u00a0<\/p>\n<p>Posici\u00f3n neutra: 0\u00ba en extensi\u00f3n completa. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.23: ARTICULACI\u00d3N DEL CODO-FLEXI\u00d3N Y EXTENSI\u00d3N \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de Rotaci\u00f3n = 150 grados. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n activa retenida de: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Extensi\u00f3n hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0\u00a0<\/p>\n<p>100\u00ba* \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0\u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0\u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0\u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0\u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0\u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0<\/p>\n<p>1.3.2.2. Anquilosis: Flexi\u00f3n o extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA No 1.24 ARTICULACION DE CODO FLEXION O \u00a0EXTENSION-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0 (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>52.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>100\u00ba* \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.5 \u00a0\u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.0 \u00a0\u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.6 \u00a0\u00a0<\/p>\n<p>150\u00ba (flexi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0 \u00a0<\/p>\n<p>* Posici\u00f3n funcional (1) \u00a0 \u00a0<\/p>\n<p>(1) En caso de anquilosis bilateral de los codos, la posici\u00f3n \u00a0funcional no ser\u00e1 necesariamente la misma para ambos; sin embargo, la \u00a0deficiencia global correspondiente puede calcularse utilizando las cifras de la \u00a0tabla anterior y las cifras de conversi\u00f3n de la TABLA No. 1.48. \u00a0 \u00a0<\/p>\n<p>1.3.2.3. Restricci\u00f3n de movimiento: rotaci\u00f3n, \u00a0supinaci\u00f3n-pronaci\u00f3n \u00a0 \u00a0<\/p>\n<p>Amplitud de movimiento: 160 grados (80o de supinaci\u00f3n + 80o \u00a0de pronaci\u00f3n). \u00a0 \u00a0<\/p>\n<p>El movimiento de rotaci\u00f3n, supinaci\u00f3n-pronaci\u00f3n, corresponde \u00a0al 40% del movimiento del codo. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.25: ARTICULACI\u00d3N DEL CODO-ROTACI\u00d3N, PRONACI\u00d3N Y \u00a0SUPINACI\u00d3N \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de Rotaci\u00f3n = 160 grados. \u00a0 \u00a0<\/p>\n<p>Rotaci\u00f3n desde la posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.2.4. Anquilosis: pronaci\u00f3n-supinaci\u00f3n del codo \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.26: ARTICULACION DEL CODO-PRONACION \u00a0SUPINACI\u00d3N-ANQUILOSIS: \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>84.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0\u00a0<\/p>\n<p>80\u00ba (supinaci\u00f3n o pronaci\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0 \u00a0<\/p>\n<p>1.3.3. Articulaci\u00f3n de la Mu\u00f1eca \u00a0 \u00a0<\/p>\n<p>1.3.3.1. Restricci\u00f3n de movimiento: Dorsiflexi\u00f3n de la \u00a0mu\u00f1eca. \u00a0 \u00a0<\/p>\n<p>TABLA No 1.27: ARTICULACI\u00d3N DE LA MU\u00d1ECA-FLEXI\u00d3N DORSAL \u00a0 \u00a0<\/p>\n<p>Amplitud media de LA FLEXI\u00d3N DORSO-PALMAR = 130 grados. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n dorsal desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.3.2. Anquilosis: flexi\u00f3n dorsal de la mu\u00f1eca. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.28: ARTICULACION DE LA MU\u00d1ECA: FLEXI\u00d3N \u00a0DORSAL-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.5 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba (flexi\u00f3n dorsal completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0 \u00a0<\/p>\n<p>1.3.3.3. Restricci\u00f3n de movimiento: flexi\u00f3n palmar de Ia \u00a0mu\u00f1eca. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.29: ARTICULACION DE LA MU\u00d1ECA: FLEXI\u00d3N PLAMAR \u00a0RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n palmar desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.3.4. Anquilosis: flexi\u00f3n palmar de la mu\u00f1eca. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.30: ARTICULACION DE LA MU\u00d1ECA: FLEXI\u00d3N \u00a0PLAMAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0 \u00a0<\/p>\n<p>1.3.3.5 Restricci\u00f3n de movimiento: Desviaci\u00f3n radial y \u00a0cubital \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.31: ARTICULACI\u00d3N DE LA MU\u00d1ECA-RADIALIZACION Y \u00a0CUBITALIZACION \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de la DESVIACI\u00d3N RADIAL-CUBITAL = 50 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de radializaci\u00f3n y cubitalizaci\u00f3n, corresponde \u00a0al 30% del movimiento del codo. \u00a0 \u00a0<\/p>\n<p>Desviaci\u00f3n radial desde posici\u00f3n neutra \u00a0 \u00a00\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Desviaci\u00f3n cubital desde posici\u00f3n \u00a0 \u00a0neutra 0\u00ba hasta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.3.6 Anquilosis: desviaci\u00f3n radial y cubital. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.32: ARTICULACION DE LA MU\u00d1ECA: DESVIACI\u00d3N RADIAL \u00a0Y CUBITAL-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada desviaci\u00f3n \u00a0 \u00a0radial en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>20\u00ba (desviaci\u00f3n radial completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada desviaci\u00f3n \u00a0 \u00a0cubital en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.0 \u00a0\u00a0<\/p>\n<p>30\u00ba (posici\u00f3n cubital completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0 \u00a0<\/p>\n<p>1.3.4 ALTERACIONES EN EL MOVIMIENTO DE LOS DEDOS \u00a0 \u00a0<\/p>\n<p>La deficiencia debida a alteraciones en el movimiento de los \u00a0dedos de la mano debe relacionarse con la deficiencia referida a la mano y \u00e9sta \u00a0en relaci\u00f3n con la extremidad superior, la que a su vez debe ser referida a la \u00a0persona global. \u00a0 \u00a0<\/p>\n<p>1.3.4.1. Articulaci\u00f3n interfal\u00e1ngica del Pulgar \u00a0 \u00a0<\/p>\n<p>Amplitud media de la flexi\u00f3n-extensi\u00f3n: 80 grados. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.33: ARTICULACI\u00d3N INTERFALANGICA DEL PULGAR \u00a0FLEXI\u00d3N-EXTENSI\u00d3N RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Movilidad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia del pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0<\/p>\n<p>1.3.4.2. Anquilosis: interfal\u00e1ngica del pulgar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.34: ARTICULACI\u00d3N INTERFALANGICA DEL \u00a0PULGAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia del Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>80\u00ba (Flexi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0<\/p>\n<p>1.3.4.3. Articulaci\u00f3n Metacarpofal\u00e1ngica del Pulgar flexi\u00f3n-extensi\u00f3n: \u00a0Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de la flexi\u00f3n-extensi\u00f3n: 60 grados. \u00a0 \u00a0<\/p>\n<p>TABLA No.1.35: ARTICULACI\u00d3N METACARPOFALANGICA DEL \u00a0PULGAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Movilidad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia del pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0<\/p>\n<p>1.3.4.4. Anquilosis: Metacarpolfal\u00e1ngica del Pulgar: \u00a0 \u00a0<\/p>\n<p>TABLA No.1.36: ARTICULACI\u00d3N METACARPOFALANGICA DEL PULGAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n Anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Def. Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Def. Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Def. Ext. \u00a0 \u00a0Sup. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Def. Global \u00a0\u00a0<\/p>\n<p>60\u00ba (flexi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0<\/p>\n<p>1.3.4.5. Articulaci\u00f3n Carpometacarpiana del Pulgar: \u00a0restricci\u00f3n del movimiento \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.37: ARTICULACI\u00d3N CARPOMETACARPIANA DEL \u00a0PULGAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la flexi\u00f3n-extensi\u00f3n: 45 grados. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n desde posici\u00f3n neutra \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencias \u00a0\u00a0<\/p>\n<p>(0\u00ba) hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extr. Sup. (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Global \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>15\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Extensi\u00f3n desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.3.4.6. Articulaci\u00f3n Carpometacarpiana del Pulgar: \u00a0anquilosis \u00a0 \u00a0<\/p>\n<p>La abducci\u00f3n y adducci\u00f3n de la articulaci\u00f3n carpometacarpiana \u00a0del pulgar se considera asociada con la habilidad de flexi\u00f3n y extensi\u00f3n de la \u00a0articulaci\u00f3n. Esta asociaci\u00f3n ha sido tomada en consideraci\u00f3n al establecer los \u00a0porcentajes de deficiencia para flexi\u00f3n-extensi\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.38: ARTICULACI\u00d3N CARPOMETACARPIANA DEL \u00a0PULGAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n Anquilosada en Flexi\u00f3n: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIAS \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extr. sup. (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>15\u00ba (flexi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>Extensi\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>30\u00ba (extensi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.39: DEFICIENCIA DE LA MANO EN RELACI\u00d3N CON EL \u00a0DEDO PULGAR \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0\u00a0<\/p>\n<p>Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Pulgar (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0\u00a0<\/p>\n<p>0.0-0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0-13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5-25.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37.0-38.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>1.0-1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5-14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.0-26.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38.5-39.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>2.0-3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5-15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0-28.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39.5-40.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>3.5-4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0-16.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5-29.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41.0-41.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>4.5-5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0-18.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.5-30.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42.0-43.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>6.0-6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5-19.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31.0-31.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43.5-44.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>7.0-8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5-20.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32.0-33.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44.5-46.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>8.5-9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.0-21.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33.5-34.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46.0-46.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>9.5-10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0-23.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34.5-35.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47.0-48.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>11.0-11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.5-24.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36.0-36.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48.5-49.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49.5-50.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0<\/p>\n<p>1.3.4.8. Articulaci\u00f3n de los dedos, excepto pulgar, anular y \u00a0me\u00f1ique: restricci\u00f3n de movimiento. \u00a0 \u00a0<\/p>\n<p>Para determinar la deficiencia de las articulaciones \u00a0metacarpofal\u00e1ngicas e interfal\u00e1ngicas poximales se debe aplicar el valor \u00a0correspondiente a cada uno de los dedos. \u00a0 \u00a0<\/p>\n<p>En la anquilosis s\u00f3lo se dan los valores para el \u00edndice y el \u00a0dedo medio. El dedo anular y me\u00f1ique con anquilosis metarcarpofal\u00e1ngica en \u00a0cualquier posici\u00f3n, s\u00f3lo ocasionan 0.5% de deficiencia del dedo. \u00a0 \u00a0<\/p>\n<p>TABLA No 1.40: ARTICULACIONES DE OTROS DEDOS-RESTRICCION DE \u00a0MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>A. Articulaci\u00f3n metacarpofal\u00e1ngica de los dedos, menos pulgar \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N-EXTENSI\u00d3N = 90 grados \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n desde posici\u00f3n neutra 0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>TABLA No 1.41: ARTICULACIONES DE OTROS DEDOS-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>90\u00ba (flexi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0<\/p>\n<p>TABLA No 1.42: ARTICULACIONES DE OTROS DEDOS-INTERFALANGICA \u00a0PROXIMAL DE LOS DEDOS MENOS EL PULGAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>B. Articulaci\u00f3n interfal\u00e1ngica proximal de los dedos, menos \u00a0pulgar \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N-EXTENSI\u00d3N = 100 grados \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n desde posici\u00f3n neutra 0\u00ba hasta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>TABLA No 1.43: ARTICULACIONES DE OTROS DEDOS-INTERFALANGICA \u00a0PROXIMAL DE LOS DEDOS MENOS EL PULGAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>100\u00ba (flexi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0<\/p>\n<p>1.3.4.9. Articulaci\u00f3n interfal\u00e1ngica distal de los dedos, \u00a0menos pulgar: restricci\u00f3n de movimiento \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N-EXTENSI\u00d3N = 70 grados \u00a0 \u00a0<\/p>\n<p>TABLA No 1.44: ARTICULACIONES DE OTROS DEDOS-INTERFALANGICA \u00a0DISTAL DE LOS DEDOS MENOS EL PULGAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n desde posici\u00f3n neutra 0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>TABLA No 1.45: ARTICULACIONES DE OTROS DEDOS-INTERFALANGICA \u00a0DISTAL DE LOS DEDOS MENOS EL PULGAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0<\/p>\n<p>TABLA No.1.46: DEFICIENCIA DE LA MANO EN RELACI\u00d3N CON LOS \u00a0DEDOS \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedo Indice (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedo Mediano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Mano (%) \u00a0\u00a0<\/p>\n<p>0-1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>2-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>6-9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8-12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0\u00a0<\/p>\n<p>10-13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13-17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>14-17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18-22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0\u00a0<\/p>\n<p>18-21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23-27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0\u00a0<\/p>\n<p>22-25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28-32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>26-29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33-37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0\u00a0<\/p>\n<p>30-33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38-42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0\u00a0<\/p>\n<p>34-37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43-47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0\u00a0<\/p>\n<p>38-41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48-52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>42-45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53-57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0\u00a0<\/p>\n<p>46-49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58-62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0\u00a0<\/p>\n<p>50-53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63-67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0\u00a0<\/p>\n<p>54-57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68-72 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0\u00a0<\/p>\n<p>58-61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73-77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0\u00a0<\/p>\n<p>62-65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78-82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0\u00a0<\/p>\n<p>66-69 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83-87 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0\u00a0<\/p>\n<p>70-73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88-92 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0\u00a0<\/p>\n<p>74-77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93-97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 \u00a0\u00a0<\/p>\n<p>78-81 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>98-100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0\u00a0<\/p>\n<p>82-85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>86-89 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Dedo anular \u00a0\u00a0<\/p>\n<p>90-93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>94-97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>98-100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15-24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0\u00a0<\/p>\n<p>Dedo Me\u00f1ique \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25-34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35-44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0\u00a0<\/p>\n<p>0%-9% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45-54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0\u00a0<\/p>\n<p>10%-29% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55-64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>30%-49% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65-74 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0\u00a0<\/p>\n<p>50%-69% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75-84 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0\u00a0<\/p>\n<p>70%-89% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85-94 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0\u00a0<\/p>\n<p>90%-100% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95-100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0<\/p>\n<p>TABLA No 1.47: DEFICIENCIA DE LA EXTREMIDAD SUPERIOR EN \u00a0RELACI\u00d3N CON LA MANO \u00a0 \u00a0<\/p>\n<p>Deficiencia Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Mano (5) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad superior (%) \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0\u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>71 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68 \u00a0\u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68 \u00a0\u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69 \u00a0\u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0\u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>71 \u00a0\u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72 \u00a0\u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0\u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74 \u00a0\u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0\u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>84 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0\u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0\u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>51 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0\u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>87 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0\u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79 \u00a0\u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>89 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0\u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81 \u00a0\u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0\u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>51 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>92 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0\u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>84 \u00a0\u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>94 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0\u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86 \u00a0\u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>96 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86 \u00a0\u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>87 \u00a0\u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>98 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88 \u00a0\u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>99 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>89 \u00a0\u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0\u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No.1.48 DEFICIENCIA GLOBAL DE LA PERSONA EN RELACI\u00d3N \u00a0CON LA EXTREMIDAD SUPERIOR \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Persona Global (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Persona Global (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Persona Global (%) \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0\u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>71 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.5 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.5 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0\u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0\u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0\u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.5 \u00a0\u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.5 \u00a0\u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0\u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5 \u00a0\u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5 \u00a0\u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0\u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>84 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0\u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.5 \u00a0\u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>51 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26 \u00a0\u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>87 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26 \u00a0\u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.5 \u00a0\u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>89 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26.5 \u00a0\u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0\u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0\u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>92 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0\u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28 \u00a0\u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>94 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28 \u00a0\u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0\u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>96 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29 \u00a0\u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29 \u00a0\u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>98 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.5 \u00a0\u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>99 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.5 \u00a0\u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0\u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4 EXTREMIDADES INFERIORES \u00a0 \u00a0<\/p>\n<p>1.4.1 Articulaci\u00f3n coxo-femoral o de la cadera \u00a0 \u00a0<\/p>\n<p>1.4.1.1 Restricci\u00f3n de movimiento: Flexi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.49 ARTICULACI\u00d3N COXO-FEMORAL. FLEXI\u00d3N-RESTRICCION \u00a0DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXION-EXTENSION = 130 grados \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n hacia adelante desde: posici\u00f3n \u00a0 \u00a0neutra 0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad Inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.4.1.2 Anquilosis: Articulaci\u00f3n coxo femoral-Flexi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.50 ARTICULACI\u00d3N COXO-FEMORAL. ANQUILOSIS EN \u00a0FLEXION \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0\u00a0<\/p>\n<p>25\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>87 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32.5 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>100\u00ba (flexi\u00f3n completa hacia adelante) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0<\/p>\n<p>1.4.1.3 Restricci\u00f3n de Movimiento: Articulaci\u00f3n coxo \u00a0femoral-Extensi\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.51: ARTlCULACI\u00d3N COXO-FEMORAL EN \u00a0EXTENSI\u00d3N-RESTRICCI\u00d3N DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Extensi\u00f3n hacia atr\u00e1s desde la posici\u00f3n \u00a0 \u00a0neutra 0\u00ba hasta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0<\/p>\n<p>1.4.1.4 Anquilosis: Articulaci\u00f3n coxo femoral-Extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.52: ARTICULACI\u00d3N COXO-FEMORAL. ANQUILOSIS EN \u00a0EXTENSI\u00d3N \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0\u00a0<\/p>\n<p>30\u00ba (extensi\u00f3n completa hacia atr\u00e1s) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0<\/p>\n<p>1.4.1.5 Abducci\u00f3n-Aducci\u00f3n Articulaci\u00f3n coxo femoral-Restricci\u00f3n \u00a0de movimiento \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.53: ARTICULACION COXO FEMORAL-ABDUCCI\u00d3N Y \u00a0ADUCCI\u00d3N-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la ABDUCCI\u00d3N-ADUCCI\u00d3N = 60 grados \u00a0 \u00a0<\/p>\n<p>Abducci\u00f3n desde la posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Aducci\u00f3n desde la posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.4.1.6 Abducci\u00f3n-Aducci\u00f3n Articulaci\u00f3n coxo \u00a0femoral-Anquilosis \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.54: ARTICULACI\u00d3N COXO FEMORAL-ABDUCCI\u00d3N Y \u00a0ADUCCI\u00d3N-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad Inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>40\u00ba (Abducci\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>20\u00ba (Aducci\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0<\/p>\n<p>1.4.1.7 Rotaci\u00f3 Articulaci\u00f3 coxo femoral-Restricci\u00f3 de \u00a0Movimiento \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.55: ARTICULACI\u00d3N COXO FEMORAL-ROTACI\u00d3N-RESTRICCION \u00a0DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la ROTACI\u00d3N = 90 grados \u00a0 \u00a0<\/p>\n<p>El movimiento de rotaci\u00f3n de la articulaci\u00f3n coxo-femoral, \u00a0corresponde al 33% del movimiento de la rnisma. \u00a0 \u00a0<\/p>\n<p>Rotaci\u00f3n Interna desde la posici\u00f3n \u00a0 \u00a0neutra 0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Rotaci\u00f3n Externa desde posici\u00f3n neutra \u00a0 \u00a00\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.4.1.8 Rotaci\u00f3n Articulaci\u00f3n coxo femoral-Anquilosis \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.56: ARTICULACI\u00d3N COXO FEMORAL-ROTACI\u00d3N-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>40\u00ba (rotaci\u00f3n interna completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>94 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>50\u00ba (rotaci\u00f3n externa completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0<\/p>\n<p>1.4.2 Articulaci\u00f3n de la rodilla \u00a0 \u00a0<\/p>\n<p>1.4.2.1 Restricci\u00f3n de movimiento en Flexi\u00f3n y Extensi\u00f3n de \u00a0la rodilla \u00a0 \u00a0<\/p>\n<p>Si existe imposibilidad de extensi\u00f3n de la rodilla para \u00a0soportar el peso del cuerpo m\u00e1s all\u00e1 de 50 grados, Ia deficiencia es \u00a0equivalente a una amputaci\u00f3n y no se debe agregar ning\u00fan porcentaje adicional \u00a0por p\u00e9rdida de la flexi\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.57: ARTlCULACI\u00d3N DE LA RODILLA-FLEXI\u00d3N, \u00a0EXTENSI\u00d3N-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N EXTENSI\u00d3N = 150 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n y extensi\u00f3n de la rodilla, \u00a0corresponde al 100% del movimiento de la misma. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n activa retenida de extremidad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0\u00a0<\/p>\n<p>60\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0\u00a0<\/p>\n<p>70\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0\u00a0<\/p>\n<p>80\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>90\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>100\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>110\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>120\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>130\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>140\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Extensi\u00f3n hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba posici\u00f3n neutra \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0\u00a0<\/p>\n<p>50-150\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0<\/p>\n<p>1.4.2.2 Anquilosis en Flexi\u00f3n y Extensi\u00f3n de la rodilla \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.58: ARTICULACI\u00d3N DE LA RODILLA-FLEXI\u00d3N, \u00a0EXTENSI\u00d3N-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba posici\u00f3n neutra \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0<\/p>\n<p>1.4.3 Articulaci\u00f3n del tobillo \u00a0 \u00a0<\/p>\n<p>1.4.3.1 Restricci\u00f3n de Movimiento de Flexi\u00f3n dorsi-plantar \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.59: ARTICULACI\u00d3N DEL TOBILLO. FLEXI\u00d3N \u00a0DORSI-PLANTAR RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N DORSI-PLANTAR = 60 grados \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n dorsi-plantar, corresponde al 70% \u00a0del movimiento del tobillo. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n dorsal desde posici\u00f3n neutra \u00a0 \u00a0(0\u00ba) hasta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n plantar desde posici\u00f3n neutra \u00a0 \u00a00\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.4.3.2 Anquilosis: Flexi\u00f3n dorsi-plantar \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.60: ARTICULACI\u00d3N DEL TOBILLO. FLEXI\u00d3N DORSI-PLANTAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Anquilosis: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>20\u00ba (flexi\u00f3n dorsal completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0\u00a0<\/p>\n<p>40\u00ba (flexi\u00f3n plantar completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0<\/p>\n<p>1.4.3.3 Restricci\u00f3n de movimiento: lnversi\u00f3n-eversi\u00f3n del \u00a0tobillo \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.61: ARTICULACI\u00d3N DEL TOBILLO. EVERSI\u00d3N-INVERSION \u00a0RESTRICCI\u00d3N DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la INVERSI\u00d3N-EVERSI\u00d3N = 50 grados \u00a0 \u00a0<\/p>\n<p>El movimiento de inversi\u00f3n-eversi\u00f3n, corresponde al 30% del \u00a0movimiento del tobillo. \u00a0 \u00a0<\/p>\n<p>Inversi\u00f3n desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Eversi\u00f3n \u00a0 \u00a0desde posici\u00f3n neutra 0\u00ba hasta: \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>1.4.3.4 Anquilosis: lnversi\u00f3-eversi\u00f3n del tobillo \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.62: ARTICULACI\u00d3N DEL TOBILLO. \u00a0EVERSI\u00d3N-INVERSION-ANQUILOSIS&#8217; \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0\u00a0<\/p>\n<p>0\u00ba (inversi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>20\u00ba (eversi\u00f3n completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0<\/p>\n<p>1.4.4 Restricci\u00f3n de los movimientos articulares do los \u00a0artejos \u00a0 \u00a0<\/p>\n<p>1.4.4.1 Articulaci\u00f3n intertal\u00e1ngica distal del segundo al \u00a0quinto artejo del pie, restricci\u00f3n de movimiento. \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: Carece de valor. \u00a0 \u00a0<\/p>\n<p>1.4.4.2 Articulaci\u00f3n interfal\u00e1ngica distal del segundo al \u00a0quinto artejo del pie, Anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.63: ARTICULACI\u00d3N INTERFAL\u00c1NGICA DISTAL DEL \u00a0SEGUNDO AL QUINTO ARTEJO DEL PIE-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n dorsal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Posici\u00f3n neutra \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n plantar (dedo en martillo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0<\/p>\n<p>1.4.4.3 Articulaci\u00f3n interfal\u00e1ngica proximal del segundo al \u00a0quinto artejo del pie, restricci\u00f3n de movimiento. \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: Carece de valor funcional. \u00a0 \u00a0<\/p>\n<p>1.4.4.4 Articulaci\u00f3n interfal\u00e1ngica proximal del segundo al \u00a0quinto artejo del pie, Anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.64: ARTICULACI\u00d3N INTERFAL\u00c1NGICA PROXIMAL DEL \u00a0SEGUNDO AL QUINTO ARTEJO DEL PIE-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n dorsal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Posici\u00f3n neutra \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n plantar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0<\/p>\n<p>1.4.4.5 Articulaci\u00f3n metartarsofal\u00e1ngica del segundo artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.65: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL SEGUNDO \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-RESTRICCION DEL MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N DORSI-PLANTAR = 70 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n dorsi-plantar, corresponde al 100% \u00a0del movimiento del segundo artejo. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n dorsal desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Segundo dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n plantar desde posici\u00f3n neutra \u00a0 \u00a00\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0<\/p>\n<p>1.4.4.6 Articulaci\u00f3n metartarsofal\u00e1ngica del segundo artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.66: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL SEGUNDO \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba (flexi\u00f3n dorsal comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>30\u00ba (flexi\u00f3n plantar comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0<\/p>\n<p>1.4.4.7 Articulaci\u00f3n metartarsofal\u00e1ngica del tercer artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.67: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL TERCER \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Restricci\u00f3n de movimiento: \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N DORSI-PLANTAR = 50 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n dorsi-plantar, corresponde al 100% \u00a0del movimiento del tercer artejo. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n dorsal desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Tercer dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n plantar desde posici\u00f3n neutra \u00a0 \u00a00\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0<\/p>\n<p>1.4.4.8 Articulaci\u00f3n metartarsofal\u00e1ngica del tercer artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar, anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.68: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL TERCER \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>30\u00ba (flexi\u00f3n dorsal comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>20\u00ba (flexi\u00f3n plantar comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0<\/p>\n<p>1.4.4.9 Articulaci\u00f3n metartarsofal\u00e1ngica del cuarto artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.69: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL CUARTO \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de Ia FLEXI\u00d3N DORSI-PLANTAR = 30 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n dorsi-plantar, corresponde al 100% \u00a0del movimiento del cuarto artejo. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n dorsal desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Cuarto dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n plantar desde posici\u00f3n neutra \u00a0 \u00a00\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0<\/p>\n<p>1.4.4.10 Articulaci\u00f3n metartarsofal\u00e1ngica del cuarto artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar, anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.70: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL CUARTO \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>20\u00ba (flexi\u00f3n dorsal comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba (flexi\u00f3n plantar comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0<\/p>\n<p>1.4.4.11 Articulaci\u00f3n metartarsofal\u00e1ngica del Quinto artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.71: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL QUINTO \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N DORSI-PLANTAR = 20 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n dorsi-plantar, corresponde al 100% \u00a0del movimiento del quinto artejo. \u00a0 \u00a0<\/p>\n<p>Flexi\u00f3n dorsal desde posici\u00f3n neutra 0\u00ba \u00a0 \u00a0hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Quinto dedo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n plantar Desde posici\u00f3n Neutra \u00a0 \u00a00\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0<\/p>\n<p>1.4.4.12 Articulaci\u00f3n metartarsofal\u00e1ngica del quinto artejo \u00a0del pie, Flexi\u00f3n dorsi-plantar, anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.72: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL QUINTO \u00a0ARTEJO. FLEXI\u00d3N DORSI-PLANTAR-ANQUILOSIS \u00a0 \u00a0<\/p>\n<p>Articulaci\u00f3n anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba (flexi\u00f3n dorsal comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>10\u00ba (flexi\u00f3n plantar comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.73: DEFICIENCIA DEL SEGUNDO AL QUINTO ARTEJO EN \u00a0RELACI\u00d3N CON EL PIE \u00a0 \u00a0<\/p>\n<p>Deficiencia de cada artejo (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia del pie (%) \u00a0\u00a0<\/p>\n<p>0-16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>17-49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>50-83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0\u00a0<\/p>\n<p>84-100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0<\/p>\n<p>1.4.4.13 Articulaci\u00f3n interfal\u00e1ngica del artejo mayor del pie, \u00a0Flexi\u00f3n-Extensi\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.74: ARTICULACI\u00d3N INTERFAL\u00c1NGICA DEL ARTEJO MAYOR. \u00a0FLEXI\u00d3N-EXTENSION-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N DORSI-PLANTAR = 30 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n dorsi-plantar, corresponde al 100% \u00a0del movimiento del artejo mayor. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n dorsal \u00a0 \u00a0desde posici\u00f3n neutra 0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Artejo Mayor (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4.4.14 Articulaci\u00f3n interfal\u00e1ngica del artejo mayor del \u00a0pie, Flexi\u00f3n extensi\u00f3n, anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.75: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL ARTEJO \u00a0MAYOR. FLEXI\u00d3N-EXTENSION-ANQUILOSIS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Articulaci\u00f3n \u00a0 \u00a0anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n \u00a0 \u00a0neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>30\u00ba (flexi\u00f3n \u00a0 \u00a0completa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4.4.15 Articulaci\u00f3n metatarsofal\u00e1ngica del artejo mayor del \u00a0pie, Flexi\u00f3n dorsal. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.76: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL ARTEJO \u00a0MAYOR. FLEXI\u00d3N DORSAL-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N DORSAL = 50 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n dorsal, corresponde al 100% del \u00a0movimiento del artejo amyor. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n dorsal \u00a0 \u00a0desde posici\u00f3n neutra 0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Artejo Mayor (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4.4.16 Articulaci\u00f3n interfal\u00e1ngica del artejo mayor del \u00a0pie, Flexi\u00f3n-dorsal, anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.77: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL ARTEJ0 \u00a0MAYOR. FLEXI\u00d3N-EXTENSION-ANQUILOSIS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Articulaci\u00f3n \u00a0 \u00a0anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n \u00a0 \u00a0neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>40\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>50\u00ba (flexi\u00f3n dorsal \u00a0 \u00a0comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4.4.17 Articulaci\u00f3n metatarsofal\u00e1ngica del artejo mayor del \u00a0pie, Flexi\u00f3n plantar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.78: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL ARTEJO \u00a0MAYOR. FLEXI\u00d3N PLANTAR-RESTRICCION DE MOVIMIENTO \u00a0 \u00a0<\/p>\n<p>Amplitud media de la FLEXI\u00d3N PLANTAR = 30 grados. \u00a0 \u00a0<\/p>\n<p>El movimiento de flexi\u00f3n plantar, corresponde al 100% del \u00a0movimiento del artejo mayor. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Flexi\u00f3n \u00a0 \u00a0plantar desde posici\u00f3n neutra 0\u00ba hasta: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conservado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Artejo Mayor (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4.4.18 Articulaci\u00f3n interfal\u00e1ngica del artejo mayor del \u00a0pie, Flexi\u00f3n-plantar, anquilosis. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.79: ARTICULACI\u00d3N METATARSOFAL\u00c1NGICA DEL ARTEJO \u00a0MAYOR. FLEXI\u00d3N-PLANTAR-ANQUILOSIS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Articulaci\u00f3n \u00a0 \u00a0anquilosada en: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Dedos (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>0\u00ba (posici\u00f3n \u00a0 \u00a0neutra) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>10\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>20\u00ba \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>30\u00ba (flexi\u00f3n plantar \u00a0 \u00a0comp.) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA NO. 1.80 DEFICIENCIA DE CADA ARTEJO (SEGUNDO AL QUINTO) \u00a0RESPECTO AL PIE Y A LA EXTREMIDAD INFERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0CADA ARTEJO (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0PIE (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0EXTREMIDAD INFERIOR (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>0-16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>17-49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>50-83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>84-100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.81 DEFICIENCIA DEL PIE EN RELACI\u00d3N CON EL ARTEJO \u00a0MAYOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0artejo mayor (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0artejo mayor (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0\u00a0<\/p>\n<p>0-2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53-57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>3-8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58-62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0\u00a0<\/p>\n<p>9-13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63-68 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0\u00a0<\/p>\n<p>14-19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69-73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0\u00a0<\/p>\n<p>20-24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74-79 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0\u00a0<\/p>\n<p>25-30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80-84 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0\u00a0<\/p>\n<p>31-35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85-90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0\u00a0<\/p>\n<p>36-41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91-95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0\u00a0<\/p>\n<p>42-46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>96-100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0\u00a0<\/p>\n<p>47-52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.82 DEFICIENCIA EXTREMIDAD INFERIOR EN RELACI\u00d3N \u00a0CON EL PIE \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0del Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Pie (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0inferior (%) \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0\u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>71 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>51 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>52 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0\u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0\u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0\u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0\u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0\u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0\u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0\u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0\u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0\u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>84 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0\u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0\u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>51 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0\u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>87 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0\u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0\u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>89 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0\u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0\u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0\u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>92 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0\u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0\u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>94 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66 \u00a0\u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0\u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>96 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0\u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68 \u00a0\u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>98 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69 \u00a0\u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>99 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69 \u00a0\u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0\u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Para determinar la deficiencia global consulta la tabla 1.83. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.83 DEFICIENCIA DE LA PERSONA GLOBAL EN RELACI\u00d3N \u00a0CON LA EXTREMIDAD INFERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Deficiencia de \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia de \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia de \u00a0 \u00a0Extremidad inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>71 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.5 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0\u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>84 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>51 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>87 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>88 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>89 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>91 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>92 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0\u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>94 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>96 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>98 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>99 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>68 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>69 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4.5 Fracturas, luxo-fracturas y deformidades o secuelas \u00a0funcionales \u00a0 \u00a0<\/p>\n<p>No obstante las Tablas referentes a los porcentajes de \u00a0deficiencia por amputaci\u00f3n o restricci\u00f3n en el movimiento de las distintas articulaciones \u00a0o segmentos, existen situaciones especiales que requieren de una evaluaci\u00f3n \u00a0diferente a las ya mencionadas. \u00a0 \u00a0<\/p>\n<p>1.4.5.1 Acortamiento extremidad inferior \u00a0 \u00a0<\/p>\n<p>En caso de acortamiento debido a falta de alineaci\u00f3n, \u00a0deformidad o fractura secundaria, se deben sumar los siguientes valores a las \u00a0secuelas funcionales. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.84 ACORTAMIENTO DE LA EXTREMIDAD INFERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Acortamiento: \u00a0 \u00a0(En cent\u00edmetros) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ponderaci\u00f3n: \u00a0\u00a0<\/p>\n<p>0 a 1.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5% de la \u00a0 \u00a0extremidad inferior. \u00a0\u00a0<\/p>\n<p>1.50 a 2.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5% de la \u00a0 \u00a0extremidad inferior. \u00a0\u00a0<\/p>\n<p>3.0 a 3.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5% de la \u00a0 \u00a0extremidad inferior. \u00a0\u00a0<\/p>\n<p>4.0 a 4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% de la \u00a0 \u00a0extremidad inferior. \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4.5.2 Lesiones de tejidos blandos de una extremidad, \u00a0superior o inferior. \u00a0 \u00a0<\/p>\n<p>Cuando se requiere de m\u00faltiples procedimientos quir\u00fargicos, \u00a0por etapas, dentro de los doce meses posteriores a su iniciaci\u00f3n, para \u00a0recuperar y\/o restaurar la funci\u00f3n mayor de la extremidad, y si dicha funci\u00f3n \u00a0no se ha conseguido restaurar en el tiempo mencionado y no existen \u00a0posibilidades de conseguirlo en el plazo de 12 meses, se debe considerar un \u00a0deficiencia igual a como s\u00ed estuviera amputado por este concepto. \u00a0 \u00a0<\/p>\n<p>1.4.5.3 Osteomielitis (Diagnosticada radiol\u00f3gicamente) \u00a0 \u00a0<\/p>\n<p>La Osteomielitis se valorar\u00e1 seg\u00fan las secuelas que genere en \u00a0el individuo. \u00a0 \u00a0<\/p>\n<p>1.5 AMPUTACIONES \u00a0 \u00a0<\/p>\n<p>Para el caso de la evaluaci\u00f3n de los dedos y la aplicaci\u00f3n de \u00a0este manual, se entiende por amputaci\u00f3n cuando la p\u00e9rdida compromete el tejido \u00a0\u00f3seo. Aquellas amputaciones que sean menores del 50% del tama\u00f1o de la falange, \u00a0se les asignar\u00e1 el valor del 50% de la p\u00e9rdida de la capacidad laboral \u00a0correspondiente. Si son mayores o iguales al 50% del tama\u00f1o de la falange, se \u00a0les asignar\u00e1 el valor total de la deficiencia global correspondiente a ella. \u00a0 \u00a0<\/p>\n<p>En los casos anteriores cuando una nueva lesi\u00f3n afecte el \u00a0nivel de amputaci\u00f3n que involucre lo ya calificado, no tendr\u00e1n car\u00e1cter \u00a0sumatorio. Es decir, no ser\u00e1 considerado como factor que aumente el porcentaje \u00a0de p\u00e9rdida de la capacidad laboral. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.85 AMPUTACIONES EN EXTREMIDADES SUPERIORES \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0extremidad (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global (%) \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n de un cuarto anterior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n del hombro \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del brazo por encirna de la inserci\u00f3n del \u00a0 \u00a0deltoides \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n por encima del codo y desarticulaci\u00f3n del codo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 1\/3 proximal antebrazo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 1\/3 medio y distal antebrazo y desarticulaci\u00f3n \u00a0 \u00a0mu\u00f1eca \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n transmetacarpiana \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n todos dedos excepto pulgar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n pulgar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n pulgar en IF \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n \u00edndice \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n \u00edndice IFP \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n \u00edndice IFD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0extremidad (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global (%) \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n dedo medio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n dedo medio en IFP \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n dedo medio en lFD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n anular \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n anular en IFP \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n anular en IFD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n me\u00f1ique \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n me\u00f1ique en IFP \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n me\u00f1ique en IFD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n anular y me\u00f1ique \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5.2 Amputaciones Extremidades Inferiores \u00a0 \u00a0<\/p>\n<p>TABLA No. 1.86: AMPUTACIONES EN EXTREMIDADES INFERIORES \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0extremidad Inferior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>Hemipelvectom\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>&#8212; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n cadera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 1\/3 proximal muslo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 1\/3 medio y distal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n rodilla \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n bajo rodilla mu\u00f1\u00f3n Funcional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n tobillo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n pie-Chopart \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n medio tarso \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n todos artejos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 1o. Artejo en MTT \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 1o. Artejo en MTF \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 1o. Artejo IF \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n 2o. A 5o. Artejos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA NO. 1.87: DEFICIENCIA DEL PIE POR AMPUTACION DE UNO O \u00a0MULTIPLES ARTEJOS. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n \u00a0 \u00a0de: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0del pie (%) \u00a0\u00a0<\/p>\n<p>Primer artejo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0\u00a0<\/p>\n<p>Primero y segundo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0\u00a0<\/p>\n<p>Primero, segundo y tercero \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0\u00a0<\/p>\n<p>Primero, segundo y cuarto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0\u00a0<\/p>\n<p>Primer, segundo y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0\u00a0<\/p>\n<p>Primero, segundo, tercero y cuarto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0\u00a0<\/p>\n<p>Primero, segundo, tercero y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0\u00a0<\/p>\n<p>Primero, segundo, cuarto y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0\u00a0<\/p>\n<p>Primero, segundo, tercero cuarto y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0\u00a0<\/p>\n<p>Primero y tercero \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0\u00a0<\/p>\n<p>Primero, tercero y cuarto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0\u00a0<\/p>\n<p>Primero,tercero y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n \u00a0 \u00a0de: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0del pie (%) \u00a0\u00a0<\/p>\n<p>Primero, tercero, cuarto y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0\u00a0<\/p>\n<p>Primero y cuarto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0\u00a0<\/p>\n<p>Primero, cuarto y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0\u00a0<\/p>\n<p>Primero y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0\u00a0<\/p>\n<p>Segundo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>Segundo y tercero \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>Segundo, tercero y cuarto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0\u00a0<\/p>\n<p>Segundo, tercero y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0\u00a0<\/p>\n<p>Segundo, tercero, cuarto y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0\u00a0<\/p>\n<p>Segundo y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>Tercero \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>Tercero y cuarto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>Tercero, cuarto y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0\u00a0<\/p>\n<p>Tercero y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>Cuarto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>Cuarto y quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>Quinto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAPITULO II \u00a0 \u00a0<\/p>\n<p>2. SISTEMA \u00a0NERVIOSO PERIFERICO \u00a0 \u00a0<\/p>\n<p>2.1 Generalidades \u00a0 \u00a0<\/p>\n<p>Estas normas establecen los criterios a utilizar para evaluar \u00a0la deficiencia permanente derivada de la alteraci\u00f3n de los nervios espinales \u00a0perif\u00e9ricos. Es importante anotar que dicha evaluaci\u00f3n debe fundamentarse en un \u00a0examen neurol\u00f3gico completo. \u00a0 \u00a0<\/p>\n<p>Para evaluar la deficiencia es preciso determinar el grado de \u00a0disfunci\u00f3n por concepto de: \u00a0 \u00a0<\/p>\n<p>2.1.1 Dolor \u00a0 \u00a0<\/p>\n<p>El dolor es una sensaci\u00f3n subjetiva, individual e \u00a0inmensurable de agon\u00eda, disconfort y angustia, que afecta a la persona en forma \u00a0variable. Para evaluar el dolor asociado con trastornos nerviosos espinales \u00a0perif\u00e9ricos se deber\u00e1 tener en cuenta: \u00a0 \u00a0<\/p>\n<p>a) C\u00f3mo el dolor interfiere con el desempe\u00f1o de las labores \u00a0cotidianas del individuo; \u00a0 \u00a0<\/p>\n<p>b) Cu\u00e1l es la extensi\u00f3n del dolor siguiendo la distribuci\u00f3n \u00a0del dermatoma comprometido; \u00a0 \u00a0<\/p>\n<p>c) Hasta qu\u00e9 punto la descripci\u00f3n del dolor indica que es \u00a0causado por una neuropat\u00eda perif\u00e9rica, como el hecho de que se asocie con otros \u00a0s\u00edntomas o signos de Ia ra\u00edz o nerv\u00edo comprometido. \u00a0 \u00a0<\/p>\n<p>El dolor neur\u00e1lgico en las extremidades secundario a lesiones \u00a0nerviosas, de car\u00e1cter intenso, constante y variaci\u00f3n considerable, conocido \u00a0tambi\u00e9n como causalgia, puede llegar a aser tan extremo que el individuo, puede \u00a0quedar completamente incapacitado. Se asocia ocasionalmente con neuropat\u00eda \u00a0perif\u00e9rica, particularmente de los nervios mediano, ci\u00e1tico y tibial. Cuando la \u00a0causalgia persiste a pesar de un tratamiento apropiado, la p\u00e9rdida de la \u00a0funci\u00f3n puede llevar al 100% de la deficiencia de extremidad asignada para este \u00a0nervio. \u00a0 \u00a0<\/p>\n<p>Si la distrofia simp\u00e1tica refleja se acompa\u00f1a de causalgia, \u00a0se aplica el mismo criterio antes descrito. \u00a0 \u00a0<\/p>\n<p>2.1.2 P\u00e9rdida de fuerza muscular \u00a0 \u00a0<\/p>\n<p>Las pruebas musculares ayudan a evaluar la lesi\u00f3n del nervio \u00a0espec\u00edfico e incluyen fuerza, duraci\u00f3n y repetici\u00f3n de la contracci\u00f3n muscular. \u00a0La p\u00e9rdida de fuerza no simulada, se mide de acuerdo con el rango de movilidad \u00a0completo contra gravedad y resistencia, que determinar\u00e1n la deficiencia del \u00a0\u00f3rgano, de conformidad con el esquema de la siguiente Tabla: \u00a0 \u00a0<\/p>\n<p>TABLA No. 2.1: DEFICIENCIA POR PERDIDAD DE FUERZA MUSCULAR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Rango de \u00a0 \u00a0movilidad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0del \u00f3rgano (%) \u00a0\u00a0<\/p>\n<p>Completo contra gravedad y resistencia fuerte \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Contra resistencia leve \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Solamente contra gravedad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 \u00a0\u00a0<\/p>\n<p>Con gravedad eliminada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0\u00a0<\/p>\n<p>Trazas de movilidad. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0\u00a0<\/p>\n<p>Cero movilidad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0<\/p>\n<p>En lo posible hay que diferenciar la p\u00e9rdida de fuerza por \u00a0dolor de la p\u00e9rdida de la funci\u00f3n por compromiso motor, y calificar por \u00a0separado con las tablas correspondientes. Para ello se debe tener en cuenta lo \u00a0siguiente: \u00a0 \u00a0<\/p>\n<p>2.1.2.1 Alteraciones sensitivas. \u00a0 \u00a0<\/p>\n<p>Al evaluarlas se deber\u00e1 considerar: \u00a0 \u00a0<\/p>\n<p>a) Dolor y disestesias; \u00a0 \u00a0<\/p>\n<p>b) Alteraciones en el conocimiento de las medidas, forma y \u00a0calidad de los objetos (estereognosis); \u00a0 \u00a0<\/p>\n<p>c) Alteraciones en el sentido de la posici\u00f3n, y en la \u00a0percepci\u00f3n de dos puntos; \u00a0 \u00a0<\/p>\n<p>d) Parestesias de origen cerebral; \u00a0 \u00a0<\/p>\n<p>e) Alteraciones que se pueden descubrir con otras pruebas m\u00e1s \u00a0complejas, como los des\u00f3rdenes en la imagen del cuerpo. \u00a0 \u00a0<\/p>\n<p>2.1.2.2 Alteraciones motoras. \u00a0 \u00a0<\/p>\n<p>Estos des\u00f3rdenes incluyen la hemiparesia y la hemiplej\u00eda que \u00a0son limitantes. Adem\u00e1s, se considera otra sintomatolog\u00eda no tan limitante, a \u00a0saber: \u00a0 \u00a0<\/p>\n<p>a) Movimientos involuntarios como temblor, atetosis, corea o \u00a0hemibalismo; \u00a0 \u00a0<\/p>\n<p>b) Alteraciones en el tono y postura; \u00a0 \u00a0<\/p>\n<p>c) Varias formas de aquinesia y disquinesia, en las cuales el \u00a0movimiento puede ser gravemente afectado como en la Enfermedad de Parkinson; \u00a0 \u00a0<\/p>\n<p>d) Deficiencia de movimientos asociados y cooperativos. \u00a0 \u00a0<\/p>\n<p>Alteraciones complejas de la manualidad y el porte, \u00a0incluyendo ataxias. \u00a0 \u00a0<\/p>\n<p>2.1.3 Ex\u00e1menes de ayuda diagn\u00f3stica \u00a0 \u00a0<\/p>\n<p>Dentro de las pruebas de ayuda diagnostica que pueden \u00a0contribuir a determinar el compromiso nervioso se destacan las \u00a0electrodiagn\u00f3sticas, que incluyen la electromiograf\u00eda, el tiempo de conducci\u00f3n \u00a0nerviosa y los potenciales evocados. Estos ex\u00e1menes s\u00f3lo deben realizarse en \u00a0centros especializados y por profesionales de comprodaba idoneidad y capacidad t\u00e9cnica. \u00a0 \u00a0<\/p>\n<p>2.2 LOS NERVIOS ESPINALES \u00a0 \u00a0<\/p>\n<p>El orden recomendado y descrito para determinar la \u00a0deficiencia permanente causada por el da\u00f1o de un nervio espinal perif\u00e9rico es: \u00a0 \u00a0<\/p>\n<p>a) Las ra\u00edces nerviosas espinales. \u00a0 \u00a0<\/p>\n<p>b) Los plejos nerviosos espinales. \u00a0 \u00a0<\/p>\n<p>c) Los nervios espinales espec\u00edficos. \u00a0 \u00a0<\/p>\n<p>2.2.1. Plexos nerviosos espinales \u00a0 \u00a0<\/p>\n<p>La deficiencia por lesiones o enfermedades de los plexos \u00a0nerviosos debe determinarse evaluando la p\u00e9rdida de sus variadas funciones. A \u00a0trav\u00e9s de anastomosis de las ra\u00edces nerviosas se forman los troncos nerviosos \u00a0principales, cuya importancia cl\u00ednica reside en el hecho de que sus respectivas \u00a0lesiones son f\u00e1cilmente reconocibles por dar origen a s\u00edndromes precisos. \u00a0 \u00a0<\/p>\n<p>a) Plexo Braquial o tronco superior. \u00a0 \u00a0<\/p>\n<p>b) Plexo lumbosacro o tronco medio o inferior. \u00a0 \u00a0<\/p>\n<p>2.2.1.1 Plexo Braquial o Tronco Superior \u00a0 \u00a0<\/p>\n<p>Inerva el hombro y la extremidad superior y est\u00e1 formado por \u00a0las divisiones anteriores de la C5-C6-C7 y C8 de las ra\u00edces cervicales y de la \u00a0primera ra\u00edz tor\u00e1cica. \u00a0 \u00a0<\/p>\n<p>Figura No. 1: \u00a0PLEJO BRAQUIAL \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No.2.2 DEFICIENCIA DEL PLEXO BRAQUIAL UNILATERAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0<\/p>\n<p>Global \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por d\u00e9ficit \u00a0 \u00a0sensitivo dolor o disconfort (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por p\u00e9rdida de \u00a0 \u00a0fuerza (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>M\u00e1ximo valor \u00a0 \u00a0por p\u00e9rdida total (%) \u00a0\u00a0<\/p>\n<p>* Tronco \u00a0 \u00a0superior (C-5, C-6) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-30 \u00a0\u00a0<\/p>\n<p>(Duchenne-Erb) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-23.5 \u00a0\u00a0<\/p>\n<p>* Tronco medio \u00a0 \u00a0(C-7) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-11.5 \u00a0\u00a0<\/p>\n<p>* Tronco \u00a0 \u00a0inferior (C-8, T-1) (Klum-pke-D\u00e9jerime) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-23 \u00a0 \u00a0 \u00a0<\/p>\n<p>NOTA: La suma de las deficiencias originadas por el d\u00e9ficit \u00a0sensitivo, dolor o disconfort y las de p\u00e9rdida de fuerza, equivale al m\u00e1ximo \u00a0valor de deficiencia global. Por tanto, dicha suma no puede sobrepasar ese \u00a0valor. \u00a0 \u00a0<\/p>\n<p>2.2.1.2 Plexo Lumbosacro \u00a0 \u00a0<\/p>\n<p>Los principales nervios de la extremidad inferior y de la \u00a0pelvis nacen del plexo lumbosacro. \u00a0 \u00a0<\/p>\n<p>Las alteraciones de este plexo no s\u00f3lo involucran la \u00a0extremidad inferior sino tambi\u00e9n el intestino, vejiga y \u00f3rganos sexuales, m\u00e1s \u00a0la estabilidad del tronco. \u00a0 \u00a0<\/p>\n<p>FIGURA No. 2: \u00a0PLEJO LUMBOSACRO \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Tabla N\u00ba 2.3 DEFICIENCIA DEL PLEJO LUMBOSACRO UNILATERAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global \u00a0\u00a0<\/p>\n<p>Por d\u00e9ficit \u00a0 \u00a0sensitivo dolor o disconfort (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por p\u00e9rdida de \u00a0 \u00a0fuerza (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>M\u00e1ximo valor \u00a0 \u00a0por p\u00e9rdida total (%) \u00a0\u00a0<\/p>\n<p>0-16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-35 \u00a0 \u00a0 \u00a0<\/p>\n<p>NOTA: La suma de las deficiencias originadas por el d\u00e9ficit \u00a0sensitivo, dolor o disconfort y las de p\u00e9rdida de fuerza, equivale al m\u00e1ximo \u00a0valor de deficiencia global. Por tanto, dicha suma no puede sobrepasar ese \u00a0valor. \u00a0 \u00a0<\/p>\n<p>2.3 RA\u00cdCES DE NERVIOS ESPINALES \u00a0 \u00a0<\/p>\n<p>TABLA No.2.4 \u00a0DEFICIENCIA UNILATERAL POR RA\u00cdZ DE NERVIO ESPINAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0de Extremidad \u00a0\u00a0<\/p>\n<p>Ra\u00edz de \u00a0 \u00a0nervio: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por d\u00e9ficit \u00a0 \u00a0sensitivo dolor o disconfort (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por P\u00e9rdida de \u00a0 \u00a0Fuerza (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por P\u00e9rdida \u00a0 \u00a0Total (%) \u00a0\u00a0<\/p>\n<p>C-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-17.0 \u00a0\u00a0<\/p>\n<p>C-6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-20.0 \u00a0\u00a0<\/p>\n<p>C-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-18.5 \u00a0\u00a0<\/p>\n<p>C-8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-24.0 \u00a0\u00a0<\/p>\n<p>T-1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-12.0 \u00a0\u00a0<\/p>\n<p>L-3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-12.0 \u00a0\u00a0<\/p>\n<p>L-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-18.5 \u00a0\u00a0<\/p>\n<p>L-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-20.0 \u00a0\u00a0<\/p>\n<p>S-1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-12.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La conversi\u00f3n a deficiencia global deber\u00e1 hacerse solamente \u00a0cuando hayan sido combinadas todas las deficiencias de la extremidad estudiada. \u00a0 \u00a0<\/p>\n<p>Cuando existen varios nervios espinales comprometidos primero \u00a0se deber\u00e1 combinar los valores de sus deficiencias de extremidad y ponderarlos \u00a0a la tabla de deficiencia global. \u00a0 \u00a0<\/p>\n<p>2.3.1. NERVIOS ESPINALES NOMINADOS \u00a0 \u00a0<\/p>\n<p>2.3.1.1. Cabeza, Cuello y Diafragma \u00a0 \u00a0<\/p>\n<p>TABLA No.2.5: \u00a0DEFICIENCIA ESPECIFICA UNILATERAL DEL NERVIO ESPINAL QUE AFECTA A LA CABEZA Y \u00a0AL CUELLO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por D\u00e9ficit \u00a0 \u00a0sensitivo dolor o disconfort (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por P\u00e9rdida de \u00a0 \u00a0Fuerza (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por P\u00e9rdida \u00a0 \u00a0Total (%) \u00a0\u00a0<\/p>\n<p>Occipital \u00a0 \u00a0mayor \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2.5 \u00a0\u00a0<\/p>\n<p>Occipital \u00a0 \u00a0menor \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-1.5 \u00a0\u00a0<\/p>\n<p>Gran auricular \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-1.5 \u00a0\u00a0<\/p>\n<p>Sec. Accesorio \u00a0 \u00a0(Sec. Espinal) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Un trastorno unilateral del nervio fr\u00e9nico dar\u00eda lugar a una \u00a0deficiencia m\u00ednima, dado que la persona lo puede compensar y continuar \u00a0realizando sus actividades cotidianas. La deficiencia global de la persona por \u00a0complicaci\u00f3n fr\u00e9nica unilateral ser\u00e1 del 10%. Por otra parte, una complicaci\u00f3n \u00a0fr\u00e9nica bilateral podr\u00eda dar lugar a una reducci\u00f3n de la funci\u00f3n ventilatoria, \u00a0la cual tendr\u00e1 que ser evaluada de acuerdo con los criterios fijados en el \u00a0cap\u00edtulo del sistema respiratorio. \u00a0 \u00a0<\/p>\n<p>2.3.1.2 Extremidad Superior \u00a0 \u00a0<\/p>\n<p>TABLA No.2.6: \u00a0DEFICIENCIA UNILATERAL DEL NERVIO ESPINAL QUE AFECTA A LA EXTREMIDAD SUPERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia de \u00a0 \u00a0la extremidad (%) \u00a0\u00a0<\/p>\n<p>Nervio: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por D\u00e9ficit \u00a0 \u00a0sensitivo dolor o disconfort (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por P\u00e9rdida de \u00a0 \u00a0Fuerza (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por P\u00e9rdida \u00a0 \u00a0Total (%) \u00a0\u00a0<\/p>\n<p>Tor\u00e1cico Anterior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0\u00a0<\/p>\n<p>Axilar (circunflejo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-38 \u00a0\u00a0<\/p>\n<p>Escapular Dorsal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0\u00a0<\/p>\n<p>Tor\u00e1cico Largo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-15 \u00a0\u00a0<\/p>\n<p>Cut\u00e1neo Antebranquial Medio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0\u00a0<\/p>\n<p>Cut\u00e1neo Braquial Medio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0\u00a0<\/p>\n<p>Mediano (Por encima del antebrazo medio) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-73 \u00a0\u00a0<\/p>\n<p>Mediano (Por debajo del antebrazo medio) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-61 \u00a0\u00a0<\/p>\n<p>Rama lado radial del pulgar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0\u00a0<\/p>\n<p>Rama lado cubital del pulgar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-8 \u00a0\u00a0<\/p>\n<p>Rama lado radial del \u00edndice \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-8 \u00a0\u00a0<\/p>\n<p>Rama lado cubital \u00edndice \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-3 \u00a0\u00a0<\/p>\n<p>Rama lado radial del dedo coraz\u00f3n o medio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-7 \u00a0\u00a0<\/p>\n<p>Rama lado cubital del dedo coraz\u00f3n o medio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2 \u00a0\u00a0<\/p>\n<p>Rama lado radial del anular \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-3 \u00a0\u00a0<\/p>\n<p>Musculocut\u00e1neo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-29 \u00a0\u00a0<\/p>\n<p>Radial (musculo espinal) (Parte superior del brazo con \u00a0 \u00a0p\u00e9rdida del triceps), mu\u00f1eca en posici\u00f3n funcional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-57 \u00a0\u00a0<\/p>\n<p>Radial-musculoespinal en posici\u00f3n funcional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-43 \u00a0\u00a0<\/p>\n<p>Subescapular-superior e Inferior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0\u00a0<\/p>\n<p>Supraescapular \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-19 \u00a0\u00a0<\/p>\n<p>Toracicodorsal-Subescapular \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0\u00a0<\/p>\n<p>Cubital-por encima del anteb. Medio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-33 \u00a0\u00a0<\/p>\n<p>Cubital-por debajo del anteb. Medio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-33 \u00a0\u00a0<\/p>\n<p>Rama lado cubital del dedo anular \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2 \u00a0\u00a0<\/p>\n<p>Rama lado radial del me\u00f1ique \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2 \u00a0\u00a0<\/p>\n<p>Rama lado cubital me\u00f1ique \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0<\/p>\n<p>NOTA: Consultar la TABLA No. 2.9 para convertir la deficiencia \u00a0de la extremidad superior en deficiencia global, s\u00f3lo despu\u00e9s de combinar todas \u00a0las deficiencias de la extremidad superior estudiada. \u00a0 \u00a0<\/p>\n<p>TABLA No.2.7: \u00a0DEFICIENCIA POR SINDROME TUNEL DEL CARPO. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASEDeficiencia \u00a0 \u00a0de mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia de \u00a0 \u00a0Extremidad Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Leve: Existe compromiso de la sensibilidad. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Moderado: Existe compromiso motor y de la sensibilidad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Severo: Existe compromiso motor, de la sensibilidad y \u00a0 \u00a0denervaci\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>FIGURA \u00a03.-INERVACION MOTORA EXTREMIDAD SUPERIOR \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 2.8: \u00a0CONVERSION DE LA DEFICIENCIA DE LOS DEDOS EN DEFICIENCIA DE LA MANO Y DE LA \u00a0EXTREMIDAD SUPERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>DEFICIENCIA DE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA DE \u00a0\u00a0<\/p>\n<p>Dedo Pulgar \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Dedo \u00cdndice \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0Superior (%) \u00a0\u00a0<\/p>\n<p>0-1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>2-3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>4-6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6-9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0\u00a0<\/p>\n<p>7-8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10-13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>9-11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14-17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0\u00a0<\/p>\n<p>12-13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18-21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0\u00a0<\/p>\n<p>14-16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22-25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0\u00a0<\/p>\n<p>17-18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26-29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0\u00a0<\/p>\n<p>19-21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30-33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0\u00a0<\/p>\n<p>22-23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34-37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0\u00a0<\/p>\n<p>24-26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38-41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0\u00a0<\/p>\n<p>27-28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42-45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>29-31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46-49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0\u00a0<\/p>\n<p>Dedo Coraz\u00f3n \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0Superior (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Dedo Anular \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Mano (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0Superior (%) \u00a0\u00a0<\/p>\n<p>0-2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>3-7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>8-12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15-24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0\u00a0<\/p>\n<p>13-17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25-34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>18-22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35-44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0\u00a0<\/p>\n<p>23-27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45-54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0\u00a0<\/p>\n<p>28-32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Dedo Me\u00f1ique \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>33-37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>38-42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10-29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0\u00a0<\/p>\n<p>43-47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30-49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0\u00a0<\/p>\n<p>48-52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50-69 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70-89 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No.2.9: \u00a0CONVERSI\u00d3N DE LA DEFICIENCIA DE LA EXTREMIDAD SUPERIOR EN DEFICIENCIA GLOBAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE. SUPER \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A GLOBAL \u00a0 \u00a0(%) \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.0 \u00a0\u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24.5 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19 0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 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\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>93 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.0 \u00a0\u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>94 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.0 \u00a0\u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>95 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28.5 \u00a0\u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>96 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.0 \u00a0\u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.0 \u00a0\u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>98 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.5 \u00a0\u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>99 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29.5 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los porcentajes de esta tabla vienen expresados en forma \u00a0unilateral. Cuando haya compromiso bilateral las deficiencias unilaterales \u00a0deber\u00e1n ser determinadas en forma individual y convertidas cada una en deficiencia \u00a0global. \u00a0 \u00a0<\/p>\n<p>Finalmente, los valores se combinan empleando la tabla de \u00a0valores combinados. Para el caso de la extremidad dominante se aplica el \u00a0criterio se\u00f1alado en el cap\u00edtulo 1. \u00a0 \u00a0<\/p>\n<p>2.3.1.3 Extremidad Inferior \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No.2.10 DEFICIENCIA DEL NERVIO ESPINAL UNILATERAL \u00a0ESPEC\u00cdFICO QUE AFECTA LA EXTREMIDAD INFERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia de \u00a0 \u00a0la extremidad inferior (%) \u00a0\u00a0<\/p>\n<p>Nervio: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por D\u00e9ficit \u00a0 \u00a0sensitivo dolor o disconfort (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por P\u00e9rdida de \u00a0 \u00a0Fuerza (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por p\u00e9rdida \u00a0 \u00a0Total (%) \u00a0\u00a0<\/p>\n<p>Femoral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-33.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-38 \u00a0\u00a0<\/p>\n<p>Femoral (por debajo del nervio Iliaco) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-19.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-34 \u00a0\u00a0<\/p>\n<p>Genito-Femoral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0\u00a0<\/p>\n<p>Inferior gl\u00fateo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-25 \u00a0\u00a0<\/p>\n<p>Femorocut\u00e1neo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0\u00a0<\/p>\n<p>Nervio del m\u00fasculo Obturador interno \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0\u00a0<\/p>\n<p>Nervio del m\u00fasculo Piriforme \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0\u00a0<\/p>\n<p>Obturador \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0\u00a0<\/p>\n<p>Posterior cut\u00e1neo del muslo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-3 \u00a0\u00a0<\/p>\n<p>Superior gl\u00fateo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-20 \u00a0\u00a0<\/p>\n<p>Ci\u00e1tico (inervaci\u00f3n por encima del hueco popliteo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-20.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-60.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-81 \u00a0\u00a0<\/p>\n<p>Com\u00fan peroneo (popliteo lateral externo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-33.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-38 \u00a0\u00a0<\/p>\n<p>Profundo (por encima de la tibia media) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-25 \u00a0\u00a0<\/p>\n<p>Profundo (por debajo de la tibia media \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0\u00a0<\/p>\n<p>Superficial \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-9.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-14 \u00a0\u00a0<\/p>\n<p>Nervio tibial (popliteo Medio o interno) Por encima de \u00a0 \u00a0rodilla \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-45 \u00a0\u00a0<\/p>\n<p>Tibia posterior (pantorrilla media y rodilla) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-12.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-20.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-33 \u00a0\u00a0<\/p>\n<p>Por debajo de la pantorrilla media \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-28 \u00a0\u00a0<\/p>\n<p>Rama plantar lateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0\u00a0<\/p>\n<p>Rama plantar medial \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-10 \u00a0\u00a0<\/p>\n<p>Crural (safeno externo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Notas: \u00a0 \u00a0<\/p>\n<p>1. Ver TABLA No.2.11 para convertir la deficiencia de la \u00a0extremidad inferior en deficiencia global de la persona. \u00a0 \u00a0<\/p>\n<p>2. La conversi\u00f3n a deficiencia global desde la deficiencia \u00a0parcial s\u00f3lo se hace cuando todas las deficiencias que afectan a la extremidad \u00a0inferior estudiada hayan sido combinadas. \u00a0 \u00a0<\/p>\n<p>TABLA No.2.11: \u00a0DEFICIENCIA DE LA EXTREMIDAD INFERIOR EN RELACI\u00d3N CON LA DEFICIENCIA GLOBAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE. SUPER \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A \u00a0 \u00a0GLOBAL (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>EXTRE SUPER \u00a0 \u00a0(%). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PERSON A GLOBAL \u00a0 \u00a0(%) \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>82 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>83 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.5 \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>84 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>66 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>86 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>7 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\u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>96 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.0 \u00a0\u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>97 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>98 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.5 \u00a0\u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>99 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No.2.12: \u00a0DEFICIENCIA POR RA\u00cdCES TOR\u00c1CICAS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Ra\u00edces \u00a0 \u00a0tor\u00e1cicas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global Unilateral (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global Bilateral (%) \u00a0\u00a0<\/p>\n<p>De dos ra\u00edces \u00a0 \u00a0tor\u00e1cicas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-4.9 \u00a0\u00a0<\/p>\n<p>De cinco \u00a0 \u00a0ra\u00edces tor\u00e1cicas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-13.9 \u00a0\u00a0<\/p>\n<p>Cualquiera de \u00a0 \u00a0cinco o m\u00e1s ra\u00edces tor\u00e1cicas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.0-29.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAP\u00cdTULO III \u00a0 \u00a0<\/p>\n<p>3. REUMATOLOG\u00cdA \u00a0 \u00a0<\/p>\n<p>3.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>Las patolog\u00edas reumatol\u00f3gicas que trata este cap\u00edtulo, \u00a0comprometen fundamentalmente el aparato locomotor asociado o no a compromiso \u00a0del par\u00e9nquima de otros \u00f3rganos o sistemas, tales como: ri\u00f1\u00f3n, pulm\u00f3n, coraz\u00f3n, \u00a0sistema nervioso central y perif\u00e9rico, cuyas deficiencias se deben evaluar en \u00a0los cap\u00edtulos respectivos a cada uno de ellos. \u00a0 \u00a0<\/p>\n<p>Las diversas deficiencias del aparato locomotor se analizar\u00e1n \u00a0considerando cuidadosamente lo siguiente: \u00a0 \u00a0<\/p>\n<p>1. Tipo de patolog\u00eda. \u00a0 \u00a0<\/p>\n<p>2. Terapia m\u00e9dico-quir\u00fargica aplicada. \u00a0 \u00a0<\/p>\n<p>3. Programa de medicina f\u00edsica y rehabilitaci\u00f3n \u00a0 \u00a0<\/p>\n<p>4. Tiempo de evoluci\u00f3n de la enfermedad y posible \u00a0recuperaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>5. Grado de alteraci\u00f3n funcional permanente. \u00a0 \u00a0<\/p>\n<p>3.1.1 Clasificaci\u00f3n de las patolog\u00edas reumatol\u00f3gicas \u00a0 \u00a0<\/p>\n<p>Si bien la clasificaci\u00f3n internacional de las patolog\u00edas \u00a0reumatol\u00f3gicas hace distinciones m\u00e1s espec\u00edficas, con fines pr\u00e1cticos podemos \u00a0agruparlas en cuatro grandes tipos de patolog\u00edas. \u00a0 \u00a0<\/p>\n<p>1. Inflamatorias. \u00a0 \u00a0<\/p>\n<p>2. Degenerativas. \u00a0 \u00a0<\/p>\n<p>3. Metab\u00f3licas. \u00a0 \u00a0<\/p>\n<p>4. Extraarticulares. \u00a0 \u00a0<\/p>\n<p>3.1.1.1 INFLAMATORIAS \u00a0 \u00a0<\/p>\n<p>A. Etiolog\u00eda Conocida: \u00a0 \u00a0<\/p>\n<p>a) Artritis s\u00e9ptica \u00a0 \u00a0<\/p>\n<p>b) Artritis traum\u00e1tica \u00a0 \u00a0<\/p>\n<p>B. De Etiolog\u00eda Desconocida: \u00a0 \u00a0<\/p>\n<p>a) Artritis reumatoidea \u00a0 \u00a0<\/p>\n<p>b) Artritis reumatoidea juvenil \u00a0 \u00a0<\/p>\n<p>c) Espondiloartropat\u00edas seronegativas, dentro de las cuales \u00a0se incluye espondilitis anquilosante, artritis psori\u00e1sica y S\u00edndrome de Reiter. \u00a0 \u00a0<\/p>\n<p>d) Enfermedades del tejido conectivo: \u00a0 \u00a0<\/p>\n<p>1. Lupus eritematoso sist\u00e9mico. \u00a0 \u00a0<\/p>\n<p>2. Esclerosis sist\u00e9mica progresiva. \u00a0 \u00a0<\/p>\n<p>3. Dermatomiositis \u00a0 \u00a0<\/p>\n<p>4. Vasculitis (PAN, ETC.) \u00a0 \u00a0<\/p>\n<p>5. Enfermedad mixta del tejido conectivo. \u00a0 \u00a0<\/p>\n<p>6. S\u00edndrome de Sj\u00f6gren. \u00a0 \u00a0<\/p>\n<p>3.1.1.2. DEGENERATIVAS \u00a0 \u00a0<\/p>\n<p>a) Artrosis de manos. \u00a0 \u00a0<\/p>\n<p>b) Artrosis de columna cervical. \u00a0 \u00a0<\/p>\n<p>c) Artrosis de columna lumbar. \u00a0 \u00a0<\/p>\n<p>d) Artrosis de caderas. \u00a0 \u00a0<\/p>\n<p>e) Artrosis de rodillas. \u00a0 \u00a0<\/p>\n<p>f) Otras. \u00a0 \u00a0<\/p>\n<p>3.1.1.3. METAB\u00d3LICAS \u00a0 \u00a0<\/p>\n<p>a) Gota. \u00a0 \u00a0<\/p>\n<p>b) Condrocalcinosis. \u00a0 \u00a0<\/p>\n<p>c) Osteoporosis. \u00a0 \u00a0<\/p>\n<p>d) Por dep\u00f3sito de hidroxiapatita. \u00a0 \u00a0<\/p>\n<p>3.1.1.4. EXTRA-ARTICULARES \u00a0 \u00a0<\/p>\n<p>a) Bursitis. \u00a0 \u00a0<\/p>\n<p>b) Tendinitis. \u00a0 \u00a0<\/p>\n<p>c) Periartritis. \u00a0 \u00a0<\/p>\n<p>d) S\u00edndrome de atrapamientos neurales (Ej. S\u00edndrome t\u00fanel \u00a0carpiano). \u00a0 \u00a0<\/p>\n<p>e) Fibromialgia primaria o secundaria. \u00a0 \u00a0<\/p>\n<p>3.2 EVALUACION DE LA DEFICIENCIA POR PATOLOGIAS \u00a0REUMATOLOGICAS \u00a0 \u00a0<\/p>\n<p>3.2.1 CRITERIOS DE EVALUACION \u00a0 \u00a0<\/p>\n<p>Para la evaluaci\u00f3n de la deficiencia por causas \u00a0reumatol\u00f3gicas es fundamental que se tenga en cuenta que el diagn\u00f3stico de \u00a0estas patolog\u00edas se debe realizar con base en criterios cl\u00ednicos, de \u00a0laboratorio e imagenol\u00f3gicos, entre otros, asegur\u00e1ndose que el interesado haya \u00a0recibido una terapia suficiente y adecuada. \u00a0 \u00a0<\/p>\n<p>3.2.2 EVALUACI\u00d3N DE LA DEFICIENCIA POR AFECCIONES REUM\u00c1TICAS \u00a0ARTICULARES INFLAMATORIAS \u00a0 \u00a0<\/p>\n<p>TABLA 3.1: \u00a0EVALUACI\u00d3N DE LA DEFICIENCIA POR AFECCIONES REUM\u00c1TICAS ARTICULARES \u00a0INFLAMATORIAS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global [%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una patolog\u00eda posible o \u00a0 \u00a0probable de Artritis Reumatoidea o afecciones similares consistentes en \u00a0 \u00a0artralgias migratorias, rigidez articular matinal, sin signos de sinovitis ni \u00a0 \u00a0deformaciones, ni compromiso del estado general. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los ex\u00e1menes de laboratorio o \u00a0 \u00a0radiograf\u00edas no tienen alteraciones significativas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Las artralgias, artritis, o ambas \u00a0 \u00a0deben presentarse por lo menos durante tres meses. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay limitaci\u00f3n de la actividad \u00a0 \u00a0de la vida diaria ni laboral. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos \u00a0 \u00a0evidentes de enfermedad inflamatoria Articular consistentes en: \u00a0 \u00a0Poliartralgias, poliartritis sim\u00e9tricas o migratorias, rigidez matinal de las \u00a0 \u00a0articulaciones por lo menos durante una hora. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Elementos de Sinovitis \u00a0 \u00a0articulares, sin deformaciones ni desviaciones. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los rangos de movimiento \u00a0 \u00a0articulares, aunque dolorosos, son normales. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los ex\u00e1menes de laboratorio \u00a0 \u00a0comprueban la existencia de una enfermedad articular inflamatoria. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Las radiograf\u00edas pueden mostrar \u00a0 \u00a0existencia de osteoporosis yuxtaarticular, pinzamiento articular o peque\u00f1as \u00a0 \u00a0erosiones articulares \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La capacidad funcional est\u00e1 \u00a0 \u00a0restringida en forma leve o moderada que no impide las actividades de la vida \u00a0 \u00a0diaria. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-17.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una enfermedad \u00a0 \u00a0inflamatoria poliarticular definida, a los s\u00edntomas y signos de la clase \u00a0 \u00a0anterior se agregan la existencia de deformaciones, desviaciones articulares, \u00a0 \u00a0o ambas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los ex\u00e1menes de Laboratorio e \u00a0 \u00a0imagenol\u00f3gicos, son concluyentes de patolog\u00eda articular. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Las medidas terap\u00e9uticas que \u00a0 \u00a0modificar\u00edan favorablemente, el curso de la enfermedad son de \u00e9xito relativo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una moderada o acentuada \u00a0 \u00a0limitaci\u00f3n de la capacidad funcional para realizar las actividades de la vida \u00a0 \u00a0diaria. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Si existe compromiso de los \u00a0 \u00a0par\u00e9nquimas de otros organos o sistemas (ri\u00f1\u00f3n, pulm\u00f3n coraz\u00f3n, piel, S.N.C. \u00a0 \u00a0y perif\u00e9rico), deben evaluarse en los cap\u00edtulos respectivos y combinarse. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5-29.9 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global [%) \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Enfermedad inflamatoria \u00a0 \u00a0poliarticular activa o inactiva, tipo cl\u00e1sica, con severas secuelas \u00a0 \u00a0osteoarticulares, musculares o cut\u00e1neas (artrosis secundaria, subluxaciones, \u00a0 \u00a0anquilosis fibrosa u \u00f3sea, atrofia muscular, fibrosis cut\u00e1nea, etc.), que \u00a0 \u00a0provoca una incapacidad absoluta y s\u00f3lo permite el desarrollo m\u00ednimo de las \u00a0 \u00a0actividades personales de la vida diaria. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El estudio radiogr\u00e1fico debe \u00a0 \u00a0demostrar por lo menos la existencia de estas lesiones articulares. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30-45 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.2.3. EVALUACI\u00d3N DE LA DEFICIENCIA POR AFECCIONES REUM\u00c1TICAS \u00a0DEGENERATIVAS \u00a0 \u00a0<\/p>\n<p>Si bien se trata de degradaci\u00f3n del cart\u00edlago \u00a0independientemente de la edad del individuo, en l\u00edneas generales se considera \u00a0que no es una enfermedad que provoque por s\u00ed sola una incapacidad absoluta y \u00a0permanente, excepto cuando existe una poliartrosis en las articulaciones que \u00a0soportan peso. \u00a0 \u00a0<\/p>\n<p>La artrosis por si sola es dolorosa en per\u00edodos agudos, y por \u00a0las reacciones inflamatorias de vecindad que provoca, o bien por los procesos \u00a0neurol\u00f3gicos compresivos que se observan a nivel de la columna Vertebral. \u00a0 \u00a0<\/p>\n<p>De tal manera, que la ponderaci\u00f3n de las deficiencias por \u00a0artrosis no debe basarse en la existencia propia de la enfermedad, sino, en las \u00a0limitaciones funcionales de las articulaciones que provoca la misma y los \u00a0procesos neurol\u00f3gicos compresivos neurales de vecindad. \u00a0 \u00a0<\/p>\n<p>Con tal objetivo hay que remitirse a las tablas de evaluaci\u00f3n \u00a0de los rangos de movimiento articulares y al compromiso de los Nervios \u00a0Espinales Perif\u00e9ricos, se\u00f1alados en los cap\u00edtulos correspondientes. \u00a0 \u00a0<\/p>\n<p>TABLA No.3.2. \u00a0DEFICIENCIA GLOBAL DERIVADA DE LA ARTROSIS DE MANOS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n \u00a0 \u00a0criterio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad \u00a0 \u00a0dominante (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad no \u00a0 \u00a0dominante (%) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ambas manos \u00a0 \u00a0(%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Alguna dificultad en la destreza de los dedos Fuerza de \u00a0 \u00a0garra y pinza &lt; de 50%. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0-2.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-9.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>No tiene destreza en los dedos. Fuerza de garra y pinza \u00a0 \u00a0&lt; de 20%. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-12.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-20.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Menci\u00f3n especial merecen las artrosis de cadera, rodillas o \u00a0ambas, en las cuales a los rangos de movimiento articulares ponderados debe \u00a0agregarse la p\u00e9rdida capacidad funcional. \u00a0 \u00a0<\/p>\n<p>TABLA No. 3.3. \u00a0DEFICIENCIA GLOBAL DERIVADA DE ARTROSIS DE CADERAS, RODILLAS 0 AMBAS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puede sostenerse de pie pero camina con dificultad en todos \u00a0 \u00a0los terrenos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-9.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puede sostenerse de pie y caminar s\u00f3lo en terreno llano. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10-17.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puede sostenerse de pie y caminar s\u00f3lo con aditamentos \u00a0 \u00a0(muletas o bastones) y en terreno llano. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5-29.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puede sostenerse de pie pero no puede caminar. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30-45 \u00a0 \u00a0 \u00a0<\/p>\n<p>En todos los casos debe considerarse previamente a la \u00a0evaluaci\u00f3n la posibilidad de tratamientos quir\u00fargicos (endopr\u00f3tesis), teniendo \u00a0en cuenta el acceso de la persona a este tipo de tratamientos. \u00a0 \u00a0<\/p>\n<p>3.2.4. EVALUACI\u00d3N DE LA DEFICIENCIA POR ENFERMEDADES \u00a0REUM\u00c1TICAS METAB\u00d3LICAS \u00a0 \u00a0<\/p>\n<p>3.2.4.1 Gota \u00a0 \u00a0<\/p>\n<p>En ocasiones, por tratamientos mal llevados se producen \u00a0crisis inflamatorias articulares a repetici\u00f3n, que pueden provocar severas \u00a0deformaciones, osteolisis, formaci\u00f3n de tofos periarticulares, da\u00f1o renal por \u00a0dep\u00f3sito de uratos. En estos casos puede producirse una incapacidad f\u00edsica \u00a0asimilable a las clases II, III o IV de los reumatismos inflamatorios. El da\u00f1o \u00a0renal se evaluar\u00e1 seg\u00fan lo establecido en el cap\u00edtulo respectivo. \u00a0 \u00a0<\/p>\n<p>3.2.4.2 Condrocalcinosis \u00a0 \u00a0<\/p>\n<p>Compromete con mayor frecuencia las rodillas, ocasionalmente \u00a0las articulaciones de los hombros, mu\u00f1ecas y tobillos. \u00a0 \u00a0<\/p>\n<p>Las crisis repetidas pueden determinar una artrosis \u00a0secundaria que se evaluar\u00e1 seg\u00fan los rangos de movimiento articulares y \u00a0capacidad funcional. \u00a0 \u00a0<\/p>\n<p>3.2.4.3 Osteoporosis Generalizada \u00a0 \u00a0<\/p>\n<p>Es una patolog\u00eda de etiolog\u00eda primario o secundario, que se \u00a0caracteriza por la p\u00e9rdida de masa \u00f3sea, especialmente en la columna \u00a0dorsolumbar, la pelvis, las caderas y las mu\u00f1ecas, que cuando son asintom\u00e1ticas \u00a0no producen deficiencia. Cuando existe dolor o espasmo muscular sin deformidad \u00a0del esqueleto y se consigue una completa remisi\u00f3n de estos s\u00edntomas mediante \u00a0una terapia continua a base de hormonas y minerales, se puede considerar una \u00a0deficiencia global de 1-5%. \u00a0 \u00a0<\/p>\n<p>Cuando se necesita terapia continua para aliviar el dolor sin \u00a0conseguir su remisi\u00f3n total se considerar\u00e1 una deficiencia global de 5-10%. \u00a0 \u00a0<\/p>\n<p>Para cualquier caso, el c\u00e1lculo del d\u00e9ficit de la densidad \u00a0mineral \u00f3sea (DMO) se har\u00e1 de conformidad con la biotecnolog\u00eda disponible en el \u00a0territorio nacional. \u00a0 \u00a0<\/p>\n<p>3.2.5. EVALUACI\u00d3N DE LA DEFICIENCIA POR REUMATISMOS \u00a0EXTRA-ARTICULARES \u00a0 \u00a0<\/p>\n<p>Las alteraciones por reumatismos extraarticulares \u00a0corresponden a Bursitis, Tendinitis o periartritis de origen microtraum\u00e1tico \u00a0repetitivo. Las localizaciones m\u00e1s comunes son: Hombros (bursitis, tendinitis \u00a0del supraespinoso, bicipital, etc.), epicondilitis, tendinitis del extensor del \u00a0pulgar, tendinitis de los flexores de los dedos de las manos (dedo en resorte), \u00a0bursitis peritrocant\u00e9rica, bursitis de la pata de ganso. \u00a0 \u00a0<\/p>\n<p>En general se trata de patolog\u00edas que responden muy bien al \u00a0tratamiento m\u00e9dico y ocasionalmente quir\u00fargico, de tal manera que no provocan \u00a0deficiencia. Sin embargo, en pocas oportunidades quedan secuelas que deber\u00e1n \u00a0evaluarse seg\u00fan lo establecido en el cap\u00edtulo que comprende la tabla de los \u00a0rangos de movimiento articulares. \u00a0 \u00a0<\/p>\n<p>Atrapamientos neurales: el principal es el s\u00edndrome del t\u00fanel \u00a0carpiano para cuyo diagn\u00f3stico es indispensable efectuar un electromiograma y \u00a0una cuantificaci\u00f3n de la velocidad de conducci\u00f3n nerviosa de los nervios \u00a0medianos. Si bien, con tratamiento quir\u00fargico habitualmente se logra una \u00a0recuperaci\u00f3n completa, en ocasiones con terapia efectuada tard\u00edamente puede \u00a0dejar secuelas que se deber\u00e1n evaluar seg\u00fan la tabla de compromiso de los \u00a0nervios espinales perif\u00e9ricos. Es necesario realizar un electromiograma y \u00a0velocidad de conducci\u00f3n nerviosa en un tiempo postoperatorio no menor de 6 \u00a0meses antes de evaluar esta patolog\u00eda. \u00a0 \u00a0<\/p>\n<p>Cuando se habla de fibrositis se incluye en ella a aquellos \u00a0pacientes que presentan mialgias, artralgias, parestesias, contracturas \u00a0musculares, etc., sin una base org\u00e1nica evidente y que habitualmente \u00a0corresponden a trastornos funcionales no psic\u00f3ticos. Su evaluaci\u00f3n cae dentro \u00a0del campo de la psiquiatr\u00eda dado que siempre el examen f\u00edsico osteoarticular y \u00a0de laboratorio resulta normal, y si existieran alteraciones radiogr\u00e1ficas \u00e9stas \u00a0no ser\u00edan de significaci\u00f3n cl\u00ednica. \u00a0 \u00a0<\/p>\n<p>CAPITULO IV \u00a0 \u00a0<\/p>\n<p>4. APARATO \u00a0RESPIRATORIO \u00a0 \u00a0<\/p>\n<p>4.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>El prop\u00f3sito de \u00e9ste cap\u00edtulo es realizar la evaluaci\u00f3n de la \u00a0disfunci\u00f3n permanente del aparato respiratorio y sus efectos en el desempe\u00f1o \u00a0del individuo. Debe recordarse que este tipo de disfunci\u00f3n cr\u00f3nica no es \u00a0est\u00e1tica, si no que por el contrario puede ser la manifestaci\u00f3n de procesos \u00a0cambiantes, de manera que se deben realizar evaluaciones peri\u00f3dicas seg\u00fan al \u00a0historia natural de la enfermedad diagnosticada. \u00a0 \u00a0<\/p>\n<p>El grado de disfunci\u00f3n pulmonar cuantificado no se \u00a0correlacionan en forma directa con la extensi\u00f3n, la severidad de la lesi\u00f3n \u00a0tisular o anat\u00f3mica, ni con los s\u00edntomas. Por tanto, la calificaci\u00f3n de la deficiencia \u00a0hacerse con base en los criterios se\u00f1alados en el presente cap\u00edtulo. \u00a0 \u00a0<\/p>\n<p>Se considera insuficiencia respiratoria cr\u00f3nica cuando la \u00a0presi\u00f3n barom\u00e9trica arterial de ox\u00edgeno (PO2) es inferior a 60mm Hg, \u00a0con o sin elevaci\u00f3n de la presi\u00f3n barom\u00e9trica arterial de di\u00f3xido de carbono \u00a0(PCO2) mayor de 45 mm Hg. En este caso, se trata de una condici\u00f3n \u00a0avanzada de la patolog\u00eda respiratoria y la deficiencia global corresponde a \u00a040%. \u00a0 \u00a0<\/p>\n<p>Las pruebas funcionales tienen valor para la evaluaci\u00f3n de la \u00a0deficiencia respiratoria s\u00f3lo si se han efectuado cuando el paciente se \u00a0encuentra en una condici\u00f3n estable, alejado de un episodio agudo o recurrente y \u00a0siempre que se hayan agotado los recursos terap\u00e9uticos pertinentes. \u00a0 \u00a0<\/p>\n<p>4.2 CLASIFICACION \u00a0 \u00a0<\/p>\n<p>La clasificaci\u00f3n de la deficiencia del aparato respiratorio \u00a0se basa en: \u00a0 \u00a0<\/p>\n<p>1. Grado de disnea \u00a0 \u00a0<\/p>\n<p>2. Signos radiol\u00f3gicos \u00a0 \u00a0<\/p>\n<p>3. Grado de deficiencia funcional (pruebas de funci\u00f3n \u00a0respiratoria y saturaci\u00f3n de ox\u00edgeno arterial). \u00a0 \u00a0<\/p>\n<p>Para clasificar una patolog\u00eda respiratoria en una determinada \u00a0categor\u00eda de deficiencia, se deber\u00e1n cumplir por lo menos dos de los criterios \u00a0establecidos en cada una de ellas. \u00a0 \u00a0<\/p>\n<p>Se debe tener presente que los pacientes con s\u00edntomas que \u00a0est\u00e1n dentro de los criterios de la Clase I debe tener una deficiencia global \u00a0del 0%, aunque haya anormalidad anat\u00f3mica demostrable en el aparato \u00a0respiratorio. \u00a0 \u00a0<\/p>\n<p>4.3 PROCEDIMIENTOS PARA EVALUAR LA DEFICIENCIA DE ORIGEN \u00a0RESPIRATORIO \u00a0 \u00a0<\/p>\n<p>Se debe realizar una anamnesis y un cuidadoso examen cl\u00ednico \u00a0completo, con especial \u00e9nfasis en los s\u00edntomas. y signos de tipo respiratorio. \u00a0Se debe contar con una serie de ayudas diagn\u00f3sticas, tales como: \u00a0 \u00a0<\/p>\n<p>1. Radiograf\u00edas del t\u00f3rax en inspiraci\u00f3n profunda, en \u00a0proyecciones postero-anterior y lateral y dem\u00e1s im\u00e1genes diagn\u00f3sticas \u00a0respiratorias que se consideren necesarias seg\u00fan la patolog\u00eda. \u00a0 \u00a0<\/p>\n<p>2. Espirometr\u00eda completa basal y con broncodilatador. \u00a0 \u00a0<\/p>\n<p>3. Gases arteriales en reposo y en ejercicio, curva de \u00a0ox\u00edgeno y dem\u00e1s pruebas de gases pertinentes. \u00a0 \u00a0<\/p>\n<p>4. Difusi\u00f3n de mon\u00f3xido de carbono, pletismograf\u00eda pulmonar, \u00a0vol\u00famenes pulmonares y dem\u00e1s pruebas funcionales necesarias. \u00a0 \u00a0<\/p>\n<p>5. Tambi\u00e9n pueden ser necesarias otras pruebas tales como \u00a0electrocardiograma, hematocrito y determinaci\u00f3n de la hemoglobina. \u00a0 \u00a0<\/p>\n<p>4.3.1 HISTORIA CL\u00cdNICA, EXAMENES F\u00cdSICO Y DE AYUDA \u00a0DIAGNOSTICA \u00a0 \u00a0<\/p>\n<p>4.3.1.1 Evaluaci\u00f3n en Clases Funcionales de la Disnea: \u00a0 \u00a0<\/p>\n<p>TABLA No. 4.1: \u00a0GRADOS DE LA DISNEA \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>GRADO DE \u00a0 \u00a0DISNEA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIOS \u00a0 \u00a0CLINICOS \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Normal, no hay disnea. \u00a0\u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El paciente puede caminar al paso de la persona sana de su \u00a0 \u00a0misma edad y constituci\u00f3n en terreno plano, pero presenta disnea al subir una \u00a0 \u00a0cuesta o una escalera. \u00a0\u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El paciente puede caminar varias cuadras a su propia \u00a0 \u00a0velocidad y presenta disnea al caminar r\u00e1pido en lo plano. \u00a0\u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El paciente presenta disnea al caminar despacio en lo \u00a0 \u00a0plano. \u00a0\u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El paciente tiene disnea en reposo e incluso la presenta al \u00a0 \u00a0vestirse, ba\u00f1arse o lavarse. \u00a0 \u00a0 \u00a0<\/p>\n<p>4.3.1.2 Espirometr\u00eda \u00a0 \u00a0<\/p>\n<p>Una vez realizado el examen, debe informarse por lo menos la \u00a0Capacidad Vital Forzada CVF, el Volumen Espiratorio Forzado en el primer \u00a0segundo VEF1, la proporci\u00f3n de relaci\u00f3n entre estos dos par\u00e1metros o Indice de \u00a0Tiffeneau (VEF1\/CVF x 100), el flujo espiratorio forzado 25-75% de \u00a0la CVF (FEF25-75%) tambi\u00e9n llamado flujo espiratorio medio m\u00e1ximo \u00a0FEMM y el Flujo Pico PF. Los valores deben expresarse en t\u00e9rminos absolutos y \u00a0en el porcentaje del valor normal esperado. \u00a0 \u00a0<\/p>\n<p>Debido a la variabilidad de los valores normales, el l\u00edmite \u00a0inferior de normalidad de cada uno de los \u00edndices anteriores se ha fijado en el \u00a0percentil 95 del valor te\u00f3rico promedio esperado, es decir en el valor sobre el \u00a0cual se distribuye el 95% de los sujetos normales. \u00a0 \u00a0<\/p>\n<p>La TABLA No. 4.1 resume los l\u00edmites inferiores normales de la \u00a0CVF, VEF, \u00edndice de Tiffeneau y FEF25-75 expresados como porcentaje del valor \u00a0te\u00f3rico esperado. \u00a0 \u00a0<\/p>\n<p>TABLA No. 4.2: \u00a0VALORES ESPIROMETRICOS NORMALES \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>SEXO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>HOMBRES \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>MUJERES \u00a0\u00a0<\/p>\n<p>EDAD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 a 24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 a 39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 a 85 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 a 39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 a 88 \u00a0\u00a0<\/p>\n<p>PORCENTAJE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0\u00a0<\/p>\n<p>CVF \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>79.88 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81.80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73.40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>76.90 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>71.8 \u00a0\u00a0<\/p>\n<p>VEF1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>81.20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>78.10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72.20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>70.30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72.6 \u00a0\u00a0<\/p>\n<p>TIFFENAU \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72-76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>72-73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>67-72 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>73-76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>74-72 \u00a0\u00a0<\/p>\n<p>FEF25-75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>58.80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55.30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44.80 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>56.90 \u00a0 \u00a0 \u00a0<\/p>\n<p>Estos valores corresponden al percentil 95 de los valores \u00a0promedios normales, expresados como porcentaje del valor te\u00f3rico esperado. \u00a0 \u00a0<\/p>\n<p>Los an\u00e1lisis de la funci\u00f3n pulmonar no se deben realizar en \u00a0presencia de crisis asm\u00e1ticas u otra evidencia de broncoespasmo. Cuando esto ha \u00a0sucedido, los resultados no deben tenerse en cuenta para la calificaci\u00f3n de la \u00a0deficiencia. Tampoco deber\u00e1n realizarse durante o poco despu\u00e9s de una \u00a0enfermedad respiratoria aguda y se debe considerar la capacidad del examinado \u00a0para comprender las instrucciones y su cooperaci\u00f3n en la realizaci\u00f3n de la \u00a0prueba. \u00a0 \u00a0<\/p>\n<p>Los gases arteriales son menos \u00fatiles en la evaluaci\u00f3n de la \u00a0deficiencia y s\u00f3lo tienen valor cuando representan una condici\u00f3n permanente. \u00a0 \u00a0<\/p>\n<p>Los cambios agudos en los valores de PO2, PCO2 \u00a0y saturaci\u00f3n de ox\u00edgeno, no deben considerarse para calificar la deficiencia y, \u00a0tampoco deben ser de muestras tomadas durante una crisis de broncoespasmo o en \u00a0el curso de una enfermedad respiratoria aguda. \u00a0 \u00a0<\/p>\n<p>TABLA No. 4.3: \u00a0DEFICIENCIA GLOBAL DE LA PERSONA POR PATOLOG\u00cdAS DEL SISTEMA RESPIRATORIO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIOS A \u00a0 \u00a0EVALUAR \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>RADIOGRAFIA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DISNEA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>FUNCION \u00a0 \u00a0PULMONAR \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>GASIMETRIA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Normales, con evidencia de cicatrices o enfermedad \u00a0 \u00a0inactiva. Ej: \u00a0 \u00a0cicatrices pleurales. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>VEF1, o CVF corresponde a 90% del normal \u00a0 \u00a0esperado. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Normal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Pueden ser normales o con cierto grado de alteraciones. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>VEF1 o CVF alteradas dentro del rango que va \u00a0 \u00a0desde el l\u00edmite inferior de la normalidad hasta 65% del valor esperado. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Normal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-12.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Por regla general presentan alteraciones. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>VEF1 o CVF alteradas en un rango de 64-55% del \u00a0 \u00a0valor te\u00f3rico normal esperado. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Saturaci\u00f3n de O2 igual o mayor a 88% en reposo o \u00a0 \u00a0ejercicio. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5-24.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Usualmente hay anomal\u00edas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>VEF1 o CVF son menores del 55% del valor te\u00f3rico \u00a0 \u00a0esperado normal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Saturaci\u00f3n de O2 menor a 88% en reposo o \u00a0 \u00a0ejercicio. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25-35 \u00a0 \u00a0 \u00a0<\/p>\n<p>Para la calificaci\u00f3n de la deficiencia global, debe tenerse \u00a0en cuenta los criterios y valores establecidos en las Tablas No. 4.1 y 4.2 para \u00a0la disnea y los valores espirom\u00e9tricos respectivamente. \u00a0 \u00a0<\/p>\n<p>4.4 EVALUACI\u00d3N DE ALGUNAS ENFERMEDADES PULMONARES \u00a0 \u00a0<\/p>\n<p>4.4.1 Asma \u00a0 \u00a0<\/p>\n<p>Por tratarse de una enfermedad que tiene diferentes cuadros \u00a0cl\u00ednicos con grandes variaciones funcionales en su evoluci\u00f3n, las pruebas de \u00a0funci\u00f3n pulmonar no pueden considerarse como base \u00fanica de evaluaci\u00f3n de la \u00a0deficiencia. Hay pacientes con pruebas normales o aceptables que tienen una \u00a0evoluci\u00f3n muy inestable, grave e incluso letal. Otros que exhiben pruebas muy \u00a0alteradas pueden tener una buena respuesta al tratamiento adecuado o tener una \u00a0evoluci\u00f3n m\u00e1s estable. \u00a0 \u00a0<\/p>\n<p>Por tanto, s\u00f3lo debe considerarse una deficiencia 40% a los \u00a0pacientes con crisis persistentes o s\u00edntomas permanentes que impiden la \u00a0actividad durante el d\u00eda o perturben el sue\u00f1o nocturno despu\u00e9s de haber agotado \u00a0las posibilidades terap\u00e9uticas reales, incluyendo los corticoesteroides cuando \u00a0no est\u00e1n contraindicados. En ning\u00fan caso podr\u00e1 hacerse una evaluaci\u00f3n \u00a0definitiva antes de 6 meses de observaci\u00f3n con tratamiento adecuado. Debe \u00a0prestarse especial atenci\u00f3n a la dosis de los medicamentos y la regularidad de \u00a0los intervalos con que se recibe. \u00a0 \u00a0<\/p>\n<p>De igual manera deber\u00e1n considerarse las hospitalizaciones, \u00a0las consultas de emergencia y la historia de sus crisis con tratamiento \u00a0completo durante un per\u00edodo previo no menor de seis meses. \u00a0 \u00a0<\/p>\n<p>4.4.2 Bronquiectasias \u00a0 \u00a0<\/p>\n<p>En pacientes con episodios de bronquitis aguda, neumon\u00eda o \u00a0hemoptisis frecuente que se presenten por lo menos cada dos meses, o con un \u00a0da\u00f1o de la funci\u00f3n pulmonar debido a una enfermedad severa, deben ser evaluados \u00a0seg\u00fan el criterio aplicado en la TABLA No. 4.3. \u00a0 \u00a0<\/p>\n<p>Ser\u00e1n factores adicionales a tener en cuenta, el volumen \u00a0diario de expectoraci\u00f3n, el car\u00e1cter y la frecuencia de las hemoptisis. Cuando \u00a0el tratamiento m\u00e9dico suficiente y bien llevado ha fracasado y se encuentra \u00a0contraindicada la intervenci\u00f3n quir\u00fargica, pero persiste expectoraci\u00f3n \u00a0purulenta mayor de 50 ml, por per\u00edodos mayores de 6 meses se origina una \u00a0deficiencia del 40%. \u00a0 \u00a0<\/p>\n<p>4.4.3 Tuberculosis Pulmonar \u00a0 \u00a0<\/p>\n<p>La evidencia de tuberculosis pulmonar activa con cultivos \u00a0positivos, lesiones en aumento o la formaci\u00f3n de cavernas no son, por s\u00ed \u00a0mismas, una base para determinar que una persona tiene un da\u00f1o severo \u00a0definitivo de la funci\u00f3n pulmonar. Por tanto, el da\u00f1o ser\u00e1 evaluado bas\u00e1ndose \u00a0en las alteraciones anat\u00f3micas y funcionales resultantes de la enfermedad. \u00a0 \u00a0<\/p>\n<p>La evaluaci\u00f3n debe realizarse siempre al terminar la terapia \u00a0espec\u00edfica, a menos que se trate de una enfermedad poliresistente a diferentes \u00a0drogas anti-TBC y sin posibilidades ciertas de quimioterapia, en cuyo caso debe \u00a0considerarse que la deficiencia es del 40%. \u00a0 \u00a0<\/p>\n<p>En todo caso, se evaluar\u00e1 el da\u00f1o permanente de la funci\u00f3n \u00a0pulmonar debido a una enfermedad extensa y deber\u00e1 ser evaluado seg\u00fan los \u00a0criterios aplicados en la TABLA No. 4.3. \u00a0 \u00a0<\/p>\n<p>4.5.4 F\u00edstulas Pleurocut\u00e1neas \u00a0 \u00a0<\/p>\n<p>Un f\u00edstula Pleurocut\u00e1nea con drenaje purulento persistente no \u00a0susceptible de correcci\u00f3n quir\u00fargica, debe ser calificada en la clase IV de la \u00a0TABLA No. 4.3. \u00a0 \u00a0<\/p>\n<p>4.5.5 Corpulmonale \u00a0 \u00a0<\/p>\n<p>Esta lesi\u00f3n constituye en una hipertrofia ventricular derecha \u00a0secundaria a enfermedad pulmonar cr\u00f3nica y su diagn\u00f3stico confiere a la \u00a0patolog\u00eda cr\u00f3nica una deficiencia superior al 40%. \u00a0 \u00a0<\/p>\n<p>La hipertrofia ventricular derecha se diagnostica con base en \u00a0el ECG que muestra onda R de 5 mm o m\u00e1s en V1 y disminuci\u00f3n progresiva de la \u00a0amplitud RS de V1 a V6; ecocardiograma y estudio \u00a0radiol\u00f3gico en proyecciones frontal (coraz\u00f3n en zueco) y lateral, disminuci\u00f3n \u00a0del espacio retroesternal. (Ver cap\u00edtulo correspondiente a patolog\u00eda \u00a0cardiovascular). \u00a0 \u00a0<\/p>\n<p>4.5.6. Fibrosis Pulmonar \u00a0 \u00a0<\/p>\n<p>Debe considerarse que muchas veces estos pacientes tienen P02 \u00a0normal o poco alterada en reposo, pero tienen una importante desaturaci\u00f3n con \u00a0el ejercicio. En estos casos deben medirse gases arteriales en reposo y en \u00a0ejercicio, difusi\u00f3n de mon\u00f3xido de carbono que generalmente se encuentra \u00a0disminuida, y las dem\u00e1s pruebas indicadas por el neum\u00f3logo. Una ca\u00edda de la \u00a0Presi\u00f3n Arterial de Ox\u00edgeno mayor de 10 mm Hg es indicativa de insuficiencia \u00a0respiratoria aunque la P02 de reposo sea normal, determinando una \u00a0deficiencia del 40%. \u00a0 \u00a0<\/p>\n<p>Para el diagn\u00f3stico de las Neumoconiosis, se aceptar\u00e1 como \u00a0criterio de diagn\u00f3stico los par\u00e1metros establecidos por la Clasificaci\u00f3n \u00a0Internacional de Radiograf\u00edas de T\u00f3rax, de la Organizaci\u00f3n Internacional del \u00a0Trabajo. \u00a0 \u00a0<\/p>\n<p>CAPITULO V \u00a0 \u00a0<\/p>\n<p>5. APARATO \u00a0DIGESTIVO \u00a0 \u00a0<\/p>\n<p>5.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>El criterio seguido para evaluar el aparato digestivo se basa \u00a0en los efectos que la lesi\u00f3n permanente del mismo puede tener en la capacidad \u00a0del individuo para llevar a cabo las tareas de su vida diaria. \u00a0 \u00a0<\/p>\n<p>Las conclusiones de los evaluadores deber\u00e1n ser compatibles \u00a0con el estado f\u00edsico del paciente y corroboradas por los ex\u00e1menes de ayuda \u00a0diagn\u00f3stica. La irrecuperabilidad de estas enfermedades, usualmente se \u00a0demuestra despu\u00e9s de observaci\u00f3n y tratamiento prolongados. Muchos de estos \u00a0ex\u00e1menes son dif\u00edciles o imposibles de repetir o efectuar, ya sea porque son \u00a0caros, son m\u00faltiples, complicados de realizar correctamente, por ejemplo, el \u00a0Van de Kammer para determinar la esteatorrea, o biopsias de \u00f3rganos intra \u00a0abdominales. Esta dificultad se puede suplir, si se dan las siguientes \u00a0alternativas probatorias: \u00a0 \u00a0<\/p>\n<p>a) Concordancia, coherencia y coincidencia, entre la cl\u00ednica \u00a0el examen f\u00edsico y la documentaci\u00f3n objetiva aportada. \u00a0 \u00a0<\/p>\n<p>b) Tiempo de evoluci\u00f3n razonablemente adecuado. \u00a0 \u00a0<\/p>\n<p>c) Verificaci\u00f3n de documentos cuando sea necesario. \u00a0 \u00a0<\/p>\n<p>d) Utilizaci\u00f3n de gastroenter\u00f3logos y pat\u00f3logos \u00a0interconsultores, para revisar la cl\u00ednica y los hallazgos histopatol\u00f3gicos. \u00a0 \u00a0<\/p>\n<p>Cabe se\u00f1alar que casos de c\u00e1nceres digestivos por su \u00a0extensi\u00f3n y existencia de met\u00e1stasis locales y regionales o a distancia, \u00a0generan una deficiencia del 40%. \u00a0 \u00a0<\/p>\n<p>La calificaci\u00f3n de la deficiencia por c\u00e1ncer del aparato \u00a0digestivo, se encuentra en el cap\u00edtulo de Enfermedad Neopl\u00e1sica Maligna. Sin \u00a0embargo, en este cap\u00edtulo se analizan aquellas neoplasias que se consideran \u00a0extirpadas radicalmente, sin met\u00e1stasis y que al momento del estudio no tienen \u00a0patolog\u00eda atribuible a la enfermedad neopl\u00e1sica despu\u00e9s de un cuidadoso examen \u00a0f\u00edsico y ex\u00e1menes auxiliares como ecograf\u00eda, TAC, estudios radiogr\u00e1ficos, etc., \u00a0que permitan descartar an forma irrefutable una invasi\u00f3n tumoral. En estos \u00a0casos, la evaluaci\u00f3n deber\u00e1 basarse exclusivamente en las secuelas provenientes \u00a0del acto quir\u00fargico y en el compromiso digestivo derivado de la ausencia total \u00a0o parcial de un \u00f3rgano o segmento del tracto digestivo, gastrectom\u00eda radical, \u00a0gastrectom\u00eda ampliada, colectom\u00eda, y de la existencia o no de estomas \u00a0quir\u00fargicos. \u00a0 \u00a0<\/p>\n<p>Los trastornos del Sistema Digestivo dan como resultado un \u00a0da\u00f1o severo que generalmente altera la nutrici\u00f3n y por ende, el peso del \u00a0individuo, o bien provocan lesiones inflamatorias recurrentes cuyas \u00a0complicaciones generan f\u00edstulas, abscesos u obstrucciones del tracto digestivo. \u00a0Estas complicaciones en general, responden al tratamiento. En caso contrario, \u00a0deber\u00e1 demostrarse que persisten en ex\u00e1menes repetidos y que agotados los \u00a0recursos diagn\u00f3sticos y terap\u00e9uticos, presumiblemente el da\u00f1o ser\u00e1 permanente. \u00a0En general estos trastornos, son de dos tipos: \u00a0 \u00a0<\/p>\n<p>a. Desnutrici\u00f3n o P\u00e9rdida de Peso debidas a trastornos \u00a0gastrointestinales. \u00a0 \u00a0<\/p>\n<p>Una vez establecido el trastorno primario del tracto \u00a0digestivo, enterocolitis, pancreatitis cr\u00f3nica, resecci\u00f3n gastrointestinal, \u00a0estenosis u obstrucci\u00f3n, la interferencia de \u00e9stos con la nutrici\u00f3n ser\u00e1 \u00a0considerada seg\u00fan lo establecido m\u00e1s adelante para cada lesi\u00f3n del tracto \u00a0digestivo. Para este fin se aplicar\u00e1n las tablas de peso de valores de \u00a0referencia validadas cient\u00edficamente en el pa\u00eds, siempre y cuando, la p\u00e9rdida \u00a0de peso se deba a alteraciones primarias o secundarias del aparato digestivo, \u00a0malabsorci\u00f3n, mala asimilaci\u00f3n u obstrucci\u00f3n irreversibles. \u00a0 \u00a0<\/p>\n<p>La p\u00e9rdida de peso causada por trastornos psiqui\u00e1tricos, \u00a0endocrinos, etc., deber\u00e1 ser evaluada seg\u00fan el criterio establecido para estas \u00a0patolog\u00edas en los cap\u00edtulos correspondientes. \u00a0 \u00a0<\/p>\n<p>b. Cirug\u00edas y Derivaciones Quir\u00fargicas del Tracto intestinal. \u00a0 \u00a0<\/p>\n<p>Las Cirug\u00edas del tracto gastrointestinal, incluyendo \u00a0colostom\u00eda o Ilestom\u00eda, est\u00e1n contempladas en estas normas a pesar de no \u00a0representar un da\u00f1o que impida la actividad laboral, por si solo, si el \u00a0individuo es capaz de mantener una nutrici\u00f3n adecuada y el estoma funcional. El \u00a0s\u00edndrome de vaciamiento r\u00e1pido posterior a gastrectom\u00eda, rara vez representa un \u00a0da\u00f1o severo. La \u00falcera p\u00e9ptica recurrente, en general, responde a tratamiento \u00a0m\u00e9dico. Se consideran como procedimientos quir\u00fargicos definitivos aquellos \u00a0planeados para controlar el proceso ulceroso, es decir, vagotom\u00eda, \u00a0piloroplastia, gastrectom\u00eda subtotal, etc. \u00a0 \u00a0<\/p>\n<p>Las grandes eventraciones post-cirug\u00eda abdominal, con p\u00e9rdida \u00a0de la pared anterior del abdomen a irreparables quir\u00fargicamente, generan una \u00a0deficiencia global entre el 15% y el 28%, siendo en la mayor\u00eda de los casos de \u00a015%. \u00a0 \u00a0<\/p>\n<p>El cierre de una \u00falcera perforada no constituye un \u00a0tratamiento quir\u00fargico definitivo. \u00a0 \u00a0<\/p>\n<p>En este cap\u00edtulo la deficiencia del aparato digestivo se \u00a0referir\u00e1 a: \u00a0 \u00a0<\/p>\n<p>1. Boca, Es\u00f3fago, est\u00f3mago, primera porci\u00f3n del duodeno, \u00a0intestino delgado y p\u00e1ncreas. \u00a0 \u00a0<\/p>\n<p>2. Colon y recto. \u00a0 \u00a0<\/p>\n<p>3. Conducto anal. \u00a0 \u00a0<\/p>\n<p>4. Estomas quir\u00fargicos. \u00a0 \u00a0<\/p>\n<p>5. H\u00edgado y v\u00edas biliares. \u00a0 \u00a0<\/p>\n<p>6. Sobrepeso. \u00a0 \u00a0<\/p>\n<p>7. Otras patolog\u00edas de pared abdominal. \u00a0 \u00a0<\/p>\n<p>Para los efectos de la evaluaci\u00f3n y seg\u00fan el cuadro cl\u00ednico \u00a0cada uno de estos grupos se ha dividido en varias clases, de acuerdo al \u00a0porcentaje de deficiencia global de la persona. \u00a0 \u00a0<\/p>\n<p>5.2 BOCA, ES\u00d3FAGO, EST\u00d3MAGO, PRIMERA PORCI\u00d3N DEL DUODENO, \u00a0INTESTINO DELGADO Y PANCREAS. \u00a0 \u00a0<\/p>\n<p>5.2.1 Boca \u00a0 \u00a0<\/p>\n<p>TABLA NO. 5.1: CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA \u00a0GLOBAL DE LA BOCA \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Descripci\u00f3n de criteriosa) P\u00e9rdida traum\u00e1tica de piezas \u00a0 \u00a0dentarias. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-3 \u00a0\u00a0<\/p>\n<p>b) Maloclusi\u00f3n por consolidaciones viciosas, deformidades, \u00a0 \u00a0p\u00e9rdidas parciales o totales de los maxilares. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-8 \u00a0\u00a0<\/p>\n<p>c) P\u00e9rdida de b\u00f3veda palatina \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10-15 \u00a0\u00a0<\/p>\n<p>d) Trastornos de la masticaci\u00f3n por lesiones de maxilar. \u00a0 \u00a0Articulaci\u00f3n temporo-maxilar. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-5 \u00a0\u00a0<\/p>\n<p>e) Amputaci\u00f3n parcial de la lengua \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>f) Amputaci\u00f3n total de la lengua \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.2.2 Es\u00f3fago \u00a0 \u00a0<\/p>\n<p>TABLA NO.NO. 5.2: CRITERIOS PARA LA EVALUACI\u00d3N DE LA \u00a0DEFICIENCIA GLOBAL DEL ESOFAGO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan s\u00edntomas o signos de \u00a0 \u00a0patolog\u00eda esof\u00e1gica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen alteraciones anat\u00f3micas \u00a0 \u00a0pero no requieren tratamiento continuo y se mantiene el peso. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Pertenecen a este grupo aquellos \u00a0 \u00a0individuos con signos y s\u00edntomas de afecci\u00f3n org\u00e1nica del es\u00f3fago que adem\u00e1s \u00a0 \u00a0presentan alteraciones anat\u00f3micas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El control de sus molestias \u00a0 \u00a0requiere medicamentos y regimen alimenticio. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La p\u00e9rdida de peso no sobrepasa \u00a0 \u00a0el rango normal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se incluyen en esta clase \u00a0 \u00a0aquellos pacientes con signos, s\u00edntomas, y alteraci\u00f3n anat\u00f3mica del es\u00f3fago. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La dieta y las drogas no \u00a0 \u00a0controlan los s\u00edntomas y signos. Hay compromiso del estado general con una \u00a0 \u00a0p\u00e9rdida de peso moderada debida a las alteraciones esof\u00e1gicas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15-24.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Presenta s\u00edntomas marcados y \u00a0 \u00a0alteraciones del es\u00f3fago. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los s\u00edntomas y signos no son \u00a0 \u00a0controlados con el tratamiento y hay una p\u00e9rdida de peso de un rango severo, \u00a0 \u00a0pero estable debido a sus problemas esof\u00e1gicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25-37.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.2.3 Est\u00f3mago y primera porci\u00f3n del duodeno \u00a0 \u00a0<\/p>\n<p>Cuando las funciones del est\u00f3mago y la primera porci\u00f3n del \u00a0duodeno se alteran, se origina deficiencia de la persona. Los s\u00edntomas y signos \u00a0incluyen nauseas, v\u00f3mitos, dolor, sangrado, obstrucci\u00f3n, diarrea, mal absorci\u00f3n \u00a0y p\u00e9rdida de peso. Las deficiencias nutricionales pueden producir \u00a0manifestaciones hematol\u00f3gicas y neurol\u00f3gicas que se eval\u00faan en el cap\u00edtulo \u00a0correspondiente a estos sistemas org\u00e1nicos, en general reversibles con \u00a0tratamiento adecuado. \u00a0 \u00a0<\/p>\n<p>Hay s\u00edntomas que suelen ser permanentes y dif\u00edciles de \u00a0corregir, tales como el Dumping precoz, el Dumping tard\u00edo y la diarrea cr\u00f3nica \u00a0con disminuci\u00f3n de peso de hasta el 20% del ideal. \u00a0 \u00a0<\/p>\n<p>TABLA NO. 5.3: CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA \u00a0GLOBAL DEL ESTOMAGO Y PRIMERA PORCION DEL DUODENO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En esta categor\u00eda se presentan \u00a0 \u00a0s\u00edntomas y signos sin que necesariamente haya una alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se incluyen enfermos con \u00a0 \u00a0s\u00edntomas, signos y alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Requieren dieta y medicamentos \u00a0 \u00a0para controlar sus s\u00edntomas y presentan trastornos nutricionales pero el peso \u00a0 \u00a0se mantiene en el rango normal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Incluye enfermos con s\u00edntomas y \u00a0 \u00a0signos severos y alteraciones anat\u00f3micas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La dieta y los medicamentos no \u00a0 \u00a0controlan completamente las molestias, se presenta p\u00e9rdida de peso moderada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15-24.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los pacientes de este grupo \u00a0 \u00a0presentan signos y s\u00edntomas de lesi\u00f3n org\u00e1nica del est\u00f3mago o duodeno con \u00a0 \u00a0alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Las molestias no logran ser \u00a0 \u00a0controladas con tratamiento, la p\u00e9rdida de peso es moderada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25-37.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.2.4 P\u00e1ncreas \u00a0 \u00a0<\/p>\n<p>Las patolog\u00edas cr\u00f3nicas irrecuperables m\u00e1s frecuentes del \u00a0p\u00e1ncreas son la ausencia total o parcial de la gl\u00e1ndula de origen quir\u00fargico, \u00a0la pancreatitis recurrente y la pancreatitis cr\u00f3nica, usualmente de origen \u00a0alcoh\u00f3lico. \u00a0 \u00a0<\/p>\n<p>Como s\u00edntomas cardinales se tienen el dolor, ocasionalmente \u00a0intratable, y la mal absorci\u00f3n con diarreas de alto volumen, a veces de m\u00e1s de \u00a0un litro al d\u00eda, a diferencia de la mala absorci\u00f3n de origen intestinal, que se \u00a0presenta con diarreas entre 300 y 1.000 ml. al d\u00eda. Usualmente son personas con \u00a0varias intervenciones quir\u00fargicas y f\u00edstulas de alto volumen. \u00a0 \u00a0<\/p>\n<p>TABLA NO. 5.4: CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA \u00a0GLOBAL DEL PANCREAS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se detectan s\u00edntomas y signos de \u00a0 \u00a0origen pancre\u00e1tico y existe alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No se requiere tratamiento \u00a0 \u00a0continuo, el peso se mantiene en niveles aceptables. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan s\u00edntomas y signos de \u00a0 \u00a0lesi\u00f3n org\u00e1nica del p\u00e1ncreas y alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se requiere tratamiento \u00a0 \u00a0permanente y limitaciones diet\u00e9ticas para el control de los s\u00edntomas \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se mantiene el peso o bien, \u00e9ste \u00a0 \u00a0no es inferior al normal para la persona. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan s\u00edntomas y signos de \u00a0 \u00a0lesi\u00f3n pancre\u00e1tica que se acompa\u00f1an de alteraciones anat\u00f3micas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Ni la dieta ni los medicamentos \u00a0 \u00a0controlan las molestias, hay desnutrici\u00f3n y p\u00e9rdida de peso moderadas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15-24.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan severos s\u00edntomas y \u00a0 \u00a0signos de falla pancre\u00e1tica y lesi\u00f3n anat\u00f3mica que no se controlan con el \u00a0 \u00a0tratamiento. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La p\u00e9rdida de peso es severa. \u00a0 \u00a0Deben incluirse en este grupo a las personas sometidas a pancreatectomia \u00a0 \u00a0total. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25-37.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.2.5 Intestino Delgado \u00a0 \u00a0<\/p>\n<p>Los principales s\u00edntomas y signos de las alteraciones del \u00a0intestino delgado son dolor abdominal, distensi\u00f3n, hemorragia, diarrea, p\u00e9rdida \u00a0de peso, debilidad, v\u00f3mito, fiebre y anemia, entre otros. \u00a0 \u00a0<\/p>\n<p>TABLA No. 5.5: CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA \u00a0GLOBAL DEL INTESTINO DELGADO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edntomas atribuibles a este \u00a0 \u00a0segmento intestinal pero no requiere de tratamiento continuo y no hay p\u00e9rdida \u00a0 \u00a0de peso. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan s\u00edntomas y signos de \u00a0 \u00a0lesi\u00f3n org\u00e1nica intestinal. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Requieren de dieta y medicamentos \u00a0 \u00a0para regular sus s\u00edntomas, la p\u00e9rdida de peso no sobrepasa el 10% del normal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan s\u00edntomas y signos de \u00a0 \u00a0lesi\u00f3n intestinal con da\u00f1o org\u00e1nico de este segmento. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Ni los medicamentos ni la dieta \u00a0 \u00a0mejoran totalmente los s\u00edntomas y signos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La p\u00e9rdida de peso es moderada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15-24.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen marcados s\u00edntomas y \u00a0 \u00a0signos por lesi\u00f3n anat\u00f3mica del intestino delgado, que no son controlados por \u00a0 \u00a0el tratamiento y hay p\u00e9rdida de peso severa. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25-37.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA NO. 5.6: RESUMEN DE CRITERIOS PARA LA EVALUACI\u00d3N DE LA \u00a0DEFICIENCIA GLOBAL DEL TRACTO DIGESTIVO SUPERIOR: ES\u00d3FAGO, EST\u00d3MAGO, DUODENO, \u00a0INTESTINO DELGADO Y PANCRE\u00c1S. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase IV \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a01.0-4.9% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a05.0-9.9% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a010.0-22.4% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a022.5-37.5% \u00a0\u00a0<\/p>\n<p>Existen s\u00edntomas y signos de enfermedad en la parte \u00a0 \u00a0superior del aparato del aparato digestivo o hay alteraci\u00f3n o p\u00e9rdida \u00a0 \u00a0anat\u00f3mica; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existen s\u00edntomas y signos de enfermedad en la parte \u00a0 \u00a0superior del aparato del aparato digestivo o hay alteraci\u00f3n o p\u00e9rdida \u00a0 \u00a0anat\u00f3mica; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existen s\u00edntomas y signos de enfermedad en la parte \u00a0 \u00a0superior del aparato del aparato digestivo o hay alteraci\u00f3n o p\u00e9rdida \u00a0 \u00a0anat\u00f3mica; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existen s\u00edntomas y signos de enfermedad en la parte \u00a0 \u00a0superior del aparato del aparato digestivo o hay alteraci\u00f3n o p\u00e9rdida \u00a0 \u00a0anat\u00f3mica; \u00a0\u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0\u00a0<\/p>\n<p>No se requiere tratamiento continuo; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Se necesita guardar dieta y medicaci\u00f3n para controlar los \u00a0 \u00a0s\u00edntomas, signos, la desnutrici\u00f3n o estos dos \u00faltimos; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La dieta y medicaci\u00f3n controlan completamente los s\u00edntomas, \u00a0 \u00a0signos, la desnutrici\u00f3n o estos dos \u00faltimos; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas no se pueden controlar con el tratamiento; \u00a0\u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>El peso normal se mantiene; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La p\u00e9rdida de peso no excede el rango normal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La p\u00e9rdida de peso es en rango moderado y se atribuye a un \u00a0 \u00a0desorden de la parte superior del aparato digestivo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La p\u00e9rdida de peso es en rango severo y se atribuye a un \u00a0 \u00a0desorden de la parte superior del aparato digestivo. \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>No hay secuelas despu\u00e9s de la operaci\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los siguientes son algunos ejemplos de patolog\u00edas que se \u00a0incluyen en clase IV: \u00a0 \u00a0<\/p>\n<p>Hemorragia gastrointestinal recurrente e causa indeterminada, \u00a0con anemia (hematocrito menor o igual a 30%); \u00a0 \u00a0<\/p>\n<p>Estrechez, estenosis u obstrucci\u00f3n del es\u00f3fago con severa \u00a0p\u00e9rdida de peso; \u00a0 \u00a0<\/p>\n<p>Ulcera p\u00e9ptica con ulceraci\u00f3n recurrente, cirug\u00eda definitiva \u00a0y persistente a pesar de la terapia; o f\u00edstula inoperable, u obstrucci\u00f3n demostrada \u00a0por R-X y endoscopia a pesar de cirug\u00eda o inoperable; o p\u00e9rdida de peso severa; \u00a0 \u00a0<\/p>\n<p>Enteritis regional cuando hay obstrucci\u00f3n intestinal \u00a0recurrente o persistente, evidenciada por dolor abdominal, distensi\u00f3n, n\u00e1useas, \u00a0v\u00f3mito y acompa\u00f1ada por zonas de estenosis del intestino delgado y dilataci\u00f3n \u00a0intestinal proximal; o manifestaciones sistem\u00e1ticas persistentes, tales como \u00a0artritis, iritis, fiebre o disfunci\u00f3n hep\u00e1tica no atribuible a otras causa; u \u00a0oclusi\u00f3n intestinal intermitente debida a absceso intratable o formaci\u00f3n de \u00a0f\u00edstula; o p\u00e9rdida de peso severa; o requerimiento de nutrici\u00f3n parenteral \u00a0permanente. \u00a0 \u00a0<\/p>\n<p>5.3 Colon y recto \u00a0 \u00a0<\/p>\n<p>TABLA No. 5.7: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL DE COLON Y RECTO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los s\u00edntomas y signos de \u00a0 \u00a0enfermedad del colon o del recto son infrecuentes y de corta duraci\u00f3n. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No existe limitaci\u00f3n funciona del \u00a0 \u00a0individuo, ni se requiere de dieta o medicamentos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay manifestaciones \u00a0 \u00a0sistem\u00e1ticas ni cambios en el peso o el estado nutricional. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No han quedado secuelas \u00a0 \u00a0postquir\u00farqicas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe alteraci\u00f3n evidente \u00a0 \u00a0funcional o anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos leves \u00a0 \u00a0de alteraci\u00f3n de la funci\u00f3n intestinal y moderado dolor. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se requiere restricci\u00f3n m\u00ednima en \u00a0 \u00a0la dieta y terapia sistem\u00e1tica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay p\u00e9rdida de peso. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-9.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay evidencia de patolog\u00eda \u00a0 \u00a0col\u00f3nica o rectal, o alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Tiene periodos de exacerbaci\u00f3n de \u00a0 \u00a0s\u00edntomas que oscilan entre moderados y severos, con alteraciones en funciones \u00a0 \u00a0intestinales acompa\u00f1adas de dolor peri\u00f3dico o continuo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Durante los ataques es necesario \u00a0 \u00a0restringir sus actividades, dieta especial y medicaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay manifestaciones generales \u00a0 \u00a0como fiebre, anemia y p\u00e9rdida de peso moderado. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-19.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay evidencia objetiva de \u00a0 \u00a0enfermedad del colon o del recto y persistentes molestias, dolor intenso, \u00a0 \u00a0limitaci\u00f3n de la actividad f\u00edsica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se requiere de severas \u00a0 \u00a0restricciones diet\u00e9ticas y medicaci\u00f3n continua que no controlan totalmente el \u00a0 \u00a0cuadro. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay manifestaciones generales \u00a0 \u00a0como fiebre, anemia y p\u00e9rdida de peso severa, no hay per\u00edodos de remisi\u00f3n \u00a0 \u00a0prolongados. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Alteraciones de las funciones \u00a0 \u00a0intestinales que persisten en reposo y se acompa\u00f1an de dolor. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0-30.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>A manera de ejemplo, pertenece a la Clase IV, la Colitis \u00a0ulcerosa o granulomatosa confirmada, con ausencia de mejor\u00eda despu\u00e9s de \u00a0colectom\u00eda total, o deposiciones sanguinolentas a repetici\u00f3n o persistentes y \u00a0anemia confirmada en ex\u00e1menes seriados con hematocrito de 30% o menos; o \u00a0manifestaciones sistem\u00e1ticas recurrentes o persistentes, tales como artritis, \u00a0iritis, fiebre, disfunci\u00f3n hep\u00e1tica no atribuibles a otras causas. U \u00a0obstrucciones intestinales intermitentes debidas a abscesos intratables, \u00a0formaci\u00f3n de f\u00edstulas o estenosis; o p\u00e9rdida de peso severa. \u00a0 \u00a0<\/p>\n<p>5.4 Conducto anal \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos m\u00e1s frecuentes de las alteraciones del \u00a0conducto anal son alteraciones en la continencia, urgencia para defecar, dolor, \u00a0tenesmo, rectorragia, diarrea o constipaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>La incontinencia de origen neurol\u00f3gico se discute en el \u00a0cap\u00edtulo correspondiente. \u00a0 \u00a0<\/p>\n<p>TABLA No. 5.8: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL DEL CONDUCTO ANAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase III \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a01.0-2.4% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a02.5-7.4% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a07.5-12.5% \u00a0\u00a0<\/p>\n<p>Existen se\u00f1ales de enfermedad del conducto anal o hay \u00a0 \u00a0p\u00e9rdida o alteraci\u00f3n anat\u00f3mica; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existen se\u00f1ales enfermedad del conducto anal o hay p\u00e9rdida \u00a0 \u00a0o alteraci\u00f3n anat\u00f3mica; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existen se\u00f1ales de enfermedad del conducto anal o hay \u00a0 \u00a0p\u00e9rdida o alteraci\u00f3n anat\u00f3mica; \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0\u00a0<\/p>\n<p>Existe ligera incontinencia de excrementos s\u00f3lidos, \u00a0 \u00a0l\u00edquidos o ambos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hay incontinencia fecal moderada pero parcial, la cual \u00a0 \u00a0requiere tratamiento continuo; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hay incontinencia fecal completa que requiere tratamiento \u00a0 \u00a0continuo; \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>O \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>O \u00a0\u00a0<\/p>\n<p>Los s\u00edntomas patol\u00f3gicos en el conducto anal son leves, \u00a0 \u00a0intermitentes y ceden al tratamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas persisten y no ceden completamente al \u00a0 \u00a0tratamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas de enfermedad en el conducto anal persisten y \u00a0 \u00a0no se pueden mejorar con el tratamiento. \u00a0 \u00a0 \u00a0<\/p>\n<p>5.5 Estomas quir\u00fargicos \u00a0 \u00a0<\/p>\n<p>Los estomas quir\u00fargicos permanentes, ordinariamente se crean \u00a0para compensar una p\u00e9rdida anat\u00f3mica y permitir el ingreso o egreso de materias \u00a0por el tracto digestivo. Si un paciente tiene un estoma quir\u00fargico permanente, \u00a0los valores siguientes deber\u00e1n combinarse con los valores determinados por el \u00a0sistema involucrado. \u00a0 \u00a0<\/p>\n<p>TABLA No. 5.9: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR ESTOMAS QUIRURGICOS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Estomas \u00a0 \u00a0quir\u00fargicos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Porcentaje de \u00a0 \u00a0deficiencia (%) \u00a0\u00a0<\/p>\n<p>Esofagostom\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>Gastrostom\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>Yeyunostom\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0\u00a0<\/p>\n<p>Ileosostom\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0\u00a0<\/p>\n<p>Colostom\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.6 H\u00edgado y v\u00edas biliares \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos principales ocasionados de la patolog\u00eda \u00a0hep\u00e1tica y de las v\u00edas biliares son dolor, ictericia, anorexia, n\u00e1useas, \u00a0v\u00f3mito, astenia, adinamia, p\u00e9rdida de peso, hematemesis, ascitis y alteraciones \u00a0de la conciencia. \u00a0 \u00a0<\/p>\n<p>5.6.1 Deficiencia global de la persona por lesiones del \u00a0h\u00edgado \u00a0 \u00a0<\/p>\n<p>TABLA No. 5.10: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR LESIONES DE HIGADO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase IV \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a01.0-4.9% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a05-12.4% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a012.5-24.9% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a025-45% \u00a0\u00a0<\/p>\n<p>Existe evidencia objetiva de enfermedad persistente del \u00a0 \u00a0h\u00edgado aunque no haya s\u00edntomas presentes, o historia de ascitis, ictericia, \u00a0 \u00a0v\u00e1rices sangrantes de es\u00f3fago durante tres a\u00f1os; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe evidencia objetiva de enfermedad persistente del \u00a0 \u00a0h\u00edgado aunque no haya s\u00edntomas presentes, o historia de ascitis, ictericia, \u00a0 \u00a0v\u00e1rices sangrantes de es\u00f3fago durante tres a\u00f1os; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe evidencia objetiva de enfermedad cr\u00f3nica progresiva \u00a0 \u00a0del h\u00edgado, con historia de ictericia, ascitis, v\u00e1rices esof\u00e1gicas o \u00a0 \u00a0g\u00e1stricas sangrantes, por lo menos dos episodios en el \u00faltimo a\u00f1o; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe evidencia objetiva de enfermedad progresiva del \u00a0 \u00a0h\u00edgado con historia de ictericia, ascitis, v\u00e1rices esof\u00e1gicas o g\u00e1stricas \u00a0 \u00a0sangrantes y recurrentes y con s\u00edntomas encefalopat\u00eda hep\u00e1tica; \u00a0\u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0\u00a0<\/p>\n<p>La nutrici\u00f3n es buena y no hay astenia ni adinamia; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>No hay desnutrici\u00f3n ni astenia ni adinamia. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puede haber desnutrici\u00f3n, astenia u adinamia. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hay desnutrici\u00f3n. \u00a0\u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Las pruebas bioqu\u00edmicas muestran alteraci\u00f3n leve de la \u00a0 \u00a0funci\u00f3n hep\u00e1tica; \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Las pruebas bioqu\u00edmicas muestran alteraci\u00f3n leve con mayor \u00a0 \u00a0da\u00f1o hep\u00e1tico que en el clase I. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Intoxicaciones intermitentes por amonio o carne; o \u00a0 \u00a0encefalopat\u00eda hep\u00e1tica intermitente. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Hay desordenes elementales en el metabolismo de la \u00a0 \u00a0bilirrubina. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.6.1 Deficiencia global de la persona por lesi\u00f3n de V\u00edas \u00a0biliares \u00a0 \u00a0<\/p>\n<p>TABLA No. 5.11: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR LESIONES DE LAS VIAS \u00a0BILIARES \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Clase IV \u00a0\u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a01-4.9% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a05-12.4% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a012.5-24.9% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a025-45% \u00a0\u00a0<\/p>\n<p>Episodios ocasionales de mal funcionamiento de las v\u00edas \u00a0 \u00a0biliares. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hay deficiencia recurrente de las v\u00edas biliares a pesar del \u00a0 \u00a0tratamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hay obstrucci\u00f3n irreparable de las v\u00edas biliares con \u00a0 \u00a0colangitis recidivante. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hay ictericia persistente y progresiva y enfermedad del \u00a0 \u00a0h\u00edgado progresiva debido a una obstrucci\u00f3n del conducto biliar com\u00fan. \u00a0 \u00a0 \u00a0<\/p>\n<p>A manera de ejemplo, la Deficiencia clase IV corresponde a \u00a0las patolog\u00edas del h\u00edgado y v\u00edas biliares tales como Enfermedad Cr\u00f3nica del \u00a0H\u00edgado como cirrosis portal postnecr\u00f3tica o biliar, hepatitis cr\u00f3nica activa y \u00a0enfermedad de Wilson, acompa\u00f1adas de V\u00e1rices esof\u00e1gicas demostradas endosc\u00f3pica \u00a0y radiol\u00f3gicamente, con una historia de hemorragia masiva, o derivaci\u00f3n \u00a0quir\u00fargica de estas v\u00e1rices; o bilirrubinemia de 2.5 mg % o m\u00e1s, en ex\u00e1menes \u00a0seriados por lo menos durante 5 meses; o encefalopat\u00eda que se debe evaluar \u00a0seg\u00fan los criterios aplicados en el cap\u00edtulo de Enfermedades Mentales; o \u00a0confirmaci\u00f3n de la existencia de enfermedad cr\u00f3nica del h\u00edgado, mediante biopsia \u00a0y uno de los siguientes criterios: \u00a0 \u00a0<\/p>\n<p>Ascitis no atribuible a otras causas, recurrente o \u00a0persistente por lo menos durante 3 meses, demostrada por cl\u00ednica o ultrasonido \u00a0abdominal o asociada a hipoalbuminemia de 3.0 gr % o menos. \u00a0 \u00a0<\/p>\n<p>Necrosis de las c\u00e9lulas hep\u00e1ticas o inflamaci\u00f3n de por lo \u00a0menos 3 meses, documentada por hipoprotrombinemia (40%) y alteraci\u00f3n de las \u00a0enzimas que indican disfunci\u00f3n hep\u00e1tica. \u00a0 \u00a0<\/p>\n<p>5.7 Sobrepeso \u00a0 \u00a0<\/p>\n<p>El sobrepeso es un estado de anormalidad f\u00edsica que puede ser \u00a0causado por alguna enfermedad. Puede acompa\u00f1arse de trastornos fisiol\u00f3gicos \u00a0proporcionales a la magnitud de la anormalidad y puede condicionar un \u00a0empeoramiento o una irrecuperabilidad de otras enfermedades. \u00a0 \u00a0<\/p>\n<p>El sobrepeso o la obesidad por s\u00ed mismos no generan \u00a0deficiencia. Solo se asignar\u00e1n deficiencias de acuerdo con la patolog\u00eda de base \u00a0que lo genera o sus secuelas, en los cap\u00edtulos correspondientes, y deben \u00a0combinarse para obtener la deficiencia total definitiva o consultar la tabla de \u00a0valores combinados. \u00a0 \u00a0<\/p>\n<p>5.8 Otras patolog\u00edas de la pared abdominal: \u00a0 \u00a0<\/p>\n<p>En este grupo se quiere destacar el grupo de hernias de la \u00a0pared y la cavidad abdominal, no susceptibles de correcci\u00f3n quir\u00fargica por \u00a0contraindicaciones de esta, en cuyo caso la deficiencia ser\u00e1: \u00a0 \u00a0<\/p>\n<p>TABLA No. 5.12: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR OTRAS PATOLOGIAS DE \u00a0LA PARED ABDOMINAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Hernias \u00a0 \u00a0simples: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global (%) \u00a0\u00a0<\/p>\n<p>Inguinal, umbilical, crural y otras menos frecuentes \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-2.5 \u00a0\u00a0<\/p>\n<p>Hernia diafragm\u00e1tica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.4-4.9 \u00a0\u00a0<\/p>\n<p>Hernia inguinal bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-7.5 \u00a0\u00a0<\/p>\n<p>Hernia Inguino-escrotal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-15.0 \u00a0\u00a0<\/p>\n<p>Hernia recidivante \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Otras hernias \u00a0 \u00a0complejas: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Eventraci\u00f3n abdominal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-20.0 \u00a0\u00a0<\/p>\n<p>Hernia Hiatal con sintomatolog\u00eda y repercusi\u00f3n som\u00e1tica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0-25.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAPITULO VI \u00a0 \u00a0<\/p>\n<p>6. SISTEMA \u00a0GENITAL Y URINARIO \u00a0 \u00a0<\/p>\n<p>6.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>Este cap\u00edtulo define los criterios para evaluar las \u00a0deficiencias en el organismo de las personas por el da\u00f1o permanente ocasionado \u00a0por las patolog\u00edas de los sistemas genital, urinario o ambos. El an\u00e1lisis de \u00a0este sistema comprende el tracto urinario superior, la vejiga, la uretra, los \u00a0\u00f3rganos genitales masculinos, y los \u00f3rganos genitales femeninos. \u00a0 \u00a0<\/p>\n<p>Se requiere un per\u00edodo de observaci\u00f3n de por lo menos un a\u00f1o \u00a0posterior al transplante para determinar razonablemente si el paciente ha \u00a0alcanzado el punto de mejor\u00eda deseado y estable. \u00a0 \u00a0<\/p>\n<p>6.2.1. Criterios de evaluaci\u00f3n de la deficiencia del Tracto \u00a0Urinario Superior. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.1: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DEL TRACTO \u00a0URINARIO SUPERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una disminuci\u00f3n de la \u00a0 \u00a0funci\u00f3n del tracto urinario superior definida por una depuraci\u00f3n de \u00a0 \u00a0creatinina de 75-90 litros\/24 horas (entre 52-62.5 ml\/min.) y presenta una \u00a0 \u00a0excreci\u00f3n de Fenolsulfonoftale\u00edna (PSP) de 15 a 20% en 15 minutos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos intermitentes \u00a0 \u00a0de disfunci\u00f3n del tracto urinario superior que no requieren de un tratamiento \u00a0 \u00a0o vigilancia continuos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9. \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una disminuci\u00f3n de la \u00a0 \u00a0funci\u00f3n del tracto urinario superior definida por una depuraci\u00f3n de \u00a0 \u00a0creatinina de 60-75 litros\/24 horas (entre 42-52 ml\/min.) y presenta una \u00a0 \u00a0excreci\u00f3n de PSP de 10-15% en 15 minutos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Aunque la depuraci\u00f3n de \u00a0 \u00a0creatinina sea mayor de 75 litros\/24 horas (52 ml\/min.) y la excreci\u00f3n de PSP \u00a0 \u00a0sea superior a 15% en 15 minutos, los s\u00edntomas y se\u00f1ales de enfermedad o de \u00a0 \u00a0disfunci\u00f3n del tracto urinario superior requieren de una vigilancia continua \u00a0 \u00a0y un tratamiento frecuente. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Aparece una disminuci\u00f3n de la \u00a0 \u00a0funci\u00f3n del tracto urinario superior determinada por una depuraci\u00f3n de \u00a0 \u00a0creatinina de 40-60 litros\/24 horas (28 a 42 ml\/min.) y por excreci\u00f3n PSP de \u00a0 \u00a05 a 10% en 15 minutos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Aunque la depuraci\u00f3n de \u00a0 \u00a0creatinina sea de 60-75 litros\/24 horas (42 a 52 ml\/min.) y la excreci\u00f3n de \u00a0 \u00a0PSP de 10-15% en 15 minutos, los s\u00edntomas y signos de la enfermedad o de la \u00a0 \u00a0disfunci\u00f3n del tracto urinario superior se controlan en forma incompleta con \u00a0 \u00a0tratamiento quir\u00fargico o m\u00e9dico constante. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-29.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una disminuci\u00f3n de la \u00a0 \u00a0funci\u00f3n del tracto urinario superior determinada por la depuraci\u00f3n de \u00a0 \u00a0creatinina inferior a 40 litros\/24 horas (28 ml\/min.) y excreci\u00f3n de PSP \u00a0 \u00a0inferior a 5% en 15 minutos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Aunque la depuraci\u00f3n de \u00a0 \u00a0creatinina sea de 40 a 60 litros\/24 horas (28-42 ml\/min.) y la secreci\u00f3n de \u00a0 \u00a0PSP sea de 5-10% en 15 minutos, los s\u00edntomas y signos de enfermedad o \u00a0 \u00a0disfunci\u00f3n del tracto urinario superior persisten pese al tratamiento \u00a0 \u00a0quir\u00fargico o m\u00e9dico constante. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0-45.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>NOTA: A la persona con ri\u00f1\u00f3n \u00fanico por cualquier causa debe \u00a0asign\u00e1rsele 5.0% de deficiencia global, ya que ha tenido una p\u00e9rdida \u00a0estructural de un \u00f3rgano esencial. Ese valor tiene que ser combinado con \u00a0cualquier deficiencia permanente (incluyendo la deficiencia en el ri\u00f1\u00f3n \u00a0restante) que sea relevante en el caso considerado. \u00a0 \u00a0<\/p>\n<p>Existen da\u00f1os de la funci\u00f3n renal que generan un impedimento \u00a0del tipo &#8220;Clase IV&#8221; debido a patolog\u00eda renal cr\u00f3nica tales como: \u00a0enfermedad vascular hipertensiva de origen renal, nefritis cr\u00f3nica, \u00a0nefrolitiasis, enfermedad poliqu\u00edstica, hidronefrosis cr\u00f3nica, etc., asociadas \u00a0a las siguientes alteraciones: \u00a0 \u00a0<\/p>\n<p>a. Di\u00e1lisis peritoneal o hemodi\u00e1lisis cr\u00f3nica indispensable \u00a0para la supervivencia, debido a falla renal irreversible; o trasplante renal \u00a0evaluado un a\u00f1o despu\u00e9s de efectuado, en que persiste una insuficiencia renal o \u00a0complicaciones graves derivadas de \u00e9ste. \u00a0 \u00a0<\/p>\n<p>b. elevaci\u00f3n persistente de la creatinemia en el curso de 4 \u00a0meses o m\u00e1s, o reducci\u00f3n de la eliminaci\u00f3n de la creatinina de 20 ml\/min. (29 \u00a0l\/24 horas) o menos durante 6 meses, con uno de los siguientes problemas: \u00a0 \u00a0<\/p>\n<p>a) Osteodistrofia renal manifestada por ostealgias severas y \u00a0trastornos radiol\u00f3gicos como oste\u00edtis fibrosa, osteoporosis severa y fracturas \u00a0patol\u00f3gicas; o \u00a0 \u00a0<\/p>\n<p>b) Neuropat\u00edas sensoriales o motoras persistentes; \u00a0 \u00a0<\/p>\n<p>c) Pr\u00farigo intratable; o \u00a0 \u00a0<\/p>\n<p>d) S\u00edndrome de Sobrecarga H\u00eddrica, dando por resultado \u00a0hipertensi\u00f3n diast\u00f3lica igual o uperior a 110 mm Hg o congesti\u00f3n vascular \u00a0pulmonar; o \u00a0 \u00a0<\/p>\n<p>e) Anorexia marcada y persistente con p\u00e9rdida de peso de \u00a0acuerdo con los valores de la Tabla 1 en el cap\u00edtulo Digestivo. \u00a0 \u00a0<\/p>\n<p>f) Anemia persistente con Hematocrito de 30% o menos. \u00a0 \u00a0<\/p>\n<p>c. S\u00edndrome Nefr\u00f3tico con anasarca importante que persiste, a \u00a0lo menos, 6 meses a pesar de la terapia descrita, albuminemia de 3.0 g\/100 cc o \u00a0menos y proteinuria de 3.5 g\/24 horas o m\u00e1s, o proteinuria de 10.0 g\/24 horas o \u00a0m\u00e1s. \u00a0 \u00a0<\/p>\n<p>6.2.2. Criterios de evaluaci\u00f3n de la deficiencia de \u00a0derivaciones permanentes del Tracto Urinario Superior. \u00a0 \u00a0<\/p>\n<p>Los siguientes valores de la deficiencia por derivaciones \u00a0permanentes deben ser combinados con los determinados bajo los criterios dados \u00a0en el numeral anterior, sin tener en cuenta como funcionan en la preservaci\u00f3n \u00a0de la integridad renal y en la eliminaci\u00f3n de la orina. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.2: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR DERIVACIONES \u00a0PERMANENTES DEL TRACTO URINARIO SUPERIOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>DERIVACIONES \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>Derivaciones uretero-intestinales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-10 \u00a0\u00a0<\/p>\n<p>Ureterostom\u00eda cut\u00e1nea sin intubaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-10 \u00a0\u00a0<\/p>\n<p>Nefrostom\u00eda o ureterostom\u00eda intubada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-15 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.3 VEJIGA \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones de vejiga incluyen \u00a0alteraciones de la frecuencia urinaria (poliuria, polaquiuria, oliguria o \u00a0nicturia), disuria de dolor o de ardor, urgencia urinaria, incontinencia, \u00a0retenci\u00f3n involuntaria, hematuria, piuria, cristaluria, excreci\u00f3n de c\u00e1lculos \u00a0urinarios y masas suprap\u00fabicas, entre otros. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.3: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE LA \u00a0VEJIGA \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0trastornos en la vejiga que requieren de tratamiento, pero sin existir un mal \u00a0 \u00a0funcionamiento de ella. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edntomas y signos de \u00a0 \u00a0trastornos de la vejiga, que requieren de un tratamiento constante. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe buena actividad refleja de \u00a0 \u00a0la vejiga, pero no hay control voluntario. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-9.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La vejiga posee una pobre \u00a0 \u00a0actividad refleja (goteo intermitente) y no hay control voluntario. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-17.5 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay un control reflejo, ni \u00a0 \u00a0voluntario de la vejiga y se presenta goteo constante. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La extirpaci\u00f3n de la vejiga por \u00a0 \u00a0cualquier raz\u00f3n, con la consiguiente derivaci\u00f3n urinaria, debe tener asignado \u00a0 \u00a0un tipo similar de deficiencia. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.6-30.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.4 URETRA \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y Signos de las alteraciones de la uretra \u00a0incluyen disuria, disminuci\u00f3n del chorro y el calibre urinario, retenci\u00f3n, \u00a0incontinencia, epi o hipospadias, masas periuretrales y estenosis uretrales, \u00a0entre otras. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.4: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE LA \u00a0URETRA \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existen s\u00edntomas y signos de patolog\u00eda uretral, los cuales \u00a0 \u00a0requieren terapia intermitente para con su control. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hay s\u00edntomas y signos de patolog\u00eda uretral que no pueden \u00a0 \u00a0ser controlados efectivamente mediante tratamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-10.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00d3RGANOS GENITALES MASCULINOS \u00a0 \u00a0<\/p>\n<p>Los \u00f3rganos genitales masculinos comprenden el pene, escroto, \u00a0test\u00edculos, epididimo, cordones esperm\u00e1ticos, pr\u00f3stata y ves\u00edculas seminales. \u00a0 \u00a0<\/p>\n<p>6.5.1 Pene \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones del pene incluyen \u00a0anormalidades de erecci\u00f3n, sensaci\u00f3n y p\u00e9rdida parcial o completa del pene. \u00a0Cuando se eval\u00faa la funci\u00f3n del pene es necesario considerar tanto la \u00a0deficiencia de la funci\u00f3n sexual como la deficiencia de la uretra, las cuales \u00a0deben combinarse para la calificaci\u00f3n final. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.5: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DEL PENE \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Es posible la funci\u00f3n sexual, pero con diversos grados de \u00a0 \u00a0dificultad en la erecci\u00f3n, eyaculaci\u00f3n, la conciencia de \u00e9sta, o ambas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Es posible la funci\u00f3n sexual con erecci\u00f3n suficiente, pero \u00a0 \u00a0sin eyaculaci\u00f3n o conciencia de \u00e9sta. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-7.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>No es posible la funci\u00f3n sexual. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-10.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5.2 Escroto: \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones del escroto \u00a0incluyen dolor, aumento de tama\u00f1o, p\u00e9rdida de la movilidad y ubicaci\u00f3n \u00a0inapropiada de test\u00edculo. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.6: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR LATERACIONES DEL \u00a0ESCROTO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0p\u00e9rdida o de enfermedad de escroto y no hay prueba de mala funci\u00f3n \u00a0 \u00a0testicular, aunque pueda haber mala posici\u00f3n de los test\u00edculos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-2.4 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0alteraci\u00f3n estructural o de enfermedad del escroto, que requieren reubicar \u00a0 \u00a0los test\u00edculos en otra posici\u00f3n distinta a la escrotal para preservar su \u00a0 \u00a0funci\u00f3n y exista dolor o incomodidad con actividad; o bien \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe p\u00e9rdida total del escroto, \u00a0 \u00a0la que en general corresponde a absceso escrotal diab\u00e9tico por lo que debe \u00a0 \u00a0ponderarse con el deterioro correspondiente a la Diabetes Mellitus. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5.3. Test\u00edculos, Epid\u00eddimo y los Cordones Esperm\u00e1ticos. \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones de los test\u00edculos, \u00a0epididimo y los cordones esperm\u00e1ticos son dolor referido, alteraciones de los \u00a0caracteres sexuales secundarios, cambios en el tama\u00f1o, contorno, posici\u00f3n y \u00a0textura de estas estructuras y anormalidades del semen y de las hormonas \u00a0testiculares, entre otros. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.7: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE LOS \u00a0TESTICULOS, EPIDIDIMOS Y CORDONES ESPERMATICOS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0S\u00edntomas y signos de enfermedad \u00a0 \u00a0de los test\u00edculos, los epid\u00eddimos, los cordones esperm\u00e1ticos o de todos, \u00a0 \u00a0registr\u00e1ndose alteraciones anat\u00f3micas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No requiere tratamiento \u00a0 \u00a0constante. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No existen anomal\u00edas de la \u00a0 \u00a0funci\u00f3n seminal; o bien, existe un solo test\u00edculo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-2.4 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad de los test\u00edculos, los epid\u00eddimos, del cord\u00f3n esperm\u00e1tico o de \u00a0 \u00a0todos, y existe una alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Requiere de tratamiento frecuente \u00a0 \u00a0o constante. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen anomal\u00edas seminales y \u00a0 \u00a0hormonales detectables. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El trauma o la enfermedad produce \u00a0 \u00a0p\u00e9rdida anat\u00f3mica bilateral o no existe funci\u00f3n seminal y hormonal detectable \u00a0 \u00a0de los test\u00edculos, los epid\u00eddimos, los cordones esperm\u00e1ticos o de todos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-10.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5.4. Pr\u00f3stata y ves\u00edculas seminales. \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones de la pr\u00f3stata y \u00a0las ves\u00edculas seminales pueden incluir dolor local o referido, cambios de la \u00a0consistencia, tama\u00f1o y textura detectables por el examinador; trastornos de la \u00a0funci\u00f3n de los cordones esperm\u00e1ticos, epid\u00eddimos, y test\u00edculos; oligospermia, \u00a0hemospermia y s\u00edntomas urinarios, entre otros. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.8: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE \u00a0PROSTATA Y VESICULAS SEMINALES \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0disfunci\u00f3n o enfermedad prost\u00e1tica, vesicular seminal o ambas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No se requiere tratamiento \u00a0 \u00a0constante. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-2.4 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos \u00a0 \u00a0frecuentes de disfunci\u00f3n o de enfermedad prost\u00e1tica, vesicular seminal o \u00a0 \u00a0ambas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe alteraci\u00f3n anat\u00f3mica. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Requiere de tratamiento \u00a0 \u00a0constante. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay ablaci\u00f3n de la pr\u00f3stata, \u00a0 \u00a0ves\u00edculas seminales o ambas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-10.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.6 \u00d3RGANOS GENITALES FEMENINOS \u00a0 \u00a0<\/p>\n<p>Los \u00f3rganos genitales femeninos son la vulva, vagina, \u00fatero, \u00a0trompas de Falopio y ovarios. Para determinar la deficiencia se reconoce que la \u00a0edad influye mientras la mujer se encuentra en edad reproductiva. \u00a0 \u00a0<\/p>\n<p>6.6.1 Vulva y Vagina. \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones de vulva y vagina \u00a0incluyen p\u00e9rdida o alteraciones de la sensibilidad o sensaciones sexuales, \u00a0agenesia parcial o completa, signos de inflamaci\u00f3n, leucorrea, eritemas, \u00a0dispareunia, cicatrices y \u00falceras, entre otros. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.9: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE LA \u00a0VULVA Y VAGINA \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad o deformidad de la vulva, de la vagina o de ambas, que no \u00a0 \u00a0requieren tratamiento constante. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Es posible el coito. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La vagina est\u00e1 preparada para el \u00a0 \u00a0parto vaginal durante los a\u00f1os premenop\u00e1usicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad o deformidad de la vulva, de la vagina o de ambas, que requieren \u00a0 \u00a0de tratamiento constante. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El coito es posible, aunque con \u00a0 \u00a0diferentes grados de dificultad. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Durante los a\u00f1os premenop\u00e1usicos \u00a0 \u00a0est\u00e1 limitada la adecuaci\u00f3n para el parto vaginal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-12.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad o deformidad de la vulva, de la vagina o de ambas, que no se \u00a0 \u00a0controlan con tratamiento. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No es posible el coito. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Durante los a\u00f1os premenop\u00e1usicos \u00a0 \u00a0no es posible el parto vaginal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5-20.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.6.2 Cuello y \u00datero: \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones del cuello y \u00fatero \u00a0incluyen trastornos menstruales, de la fertilidad, del \u00a0 \u00a0<\/p>\n<p>embarazo o el trabajo de parto, estenosis o atresia del canal \u00a0cervical, incompetencia cervical, hemorragias genitales, desplazamientos y \u00a0masas uterinas, entre otros. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.10: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE CUELLO \u00a0Y UTERO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad o deformidad del cuello, del \u00fatero o de ambos, que no requieren \u00a0 \u00a0tratamiento permanente. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Si existe estenosis cervical, no \u00a0 \u00a0requiere tratamiento. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe p\u00e9rdida anat\u00f3mica del \u00a0 \u00a0cuello, del \u00fatero o de ambos en los a\u00f1os postmenop\u00e1usicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad o deformidad del cuello, del \u00fatero o de ambos, que requieren \u00a0 \u00a0tratamiento continuo; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe estenosis cervical, que \u00a0 \u00a0requiere de tratamiento continuo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-12.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas o signos de \u00a0 \u00a0enfermedad o deformidad del cuello, del \u00fatero, o de ambos, que no son \u00a0 \u00a0controlados con tratamiento; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La estenosis cervical es \u00a0 \u00a0completa; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En los a\u00f1os premenop\u00e1usicos tiene \u00a0 \u00a0lugar p\u00e9rdidas completas funcional, anat\u00f3mica o ambas, del cuello, del \u00fatero \u00a0 \u00a0o de ambos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5-17.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.6.3 Trompas de Falopio y Ovarios: \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas y signos de las alteraciones de las Trompas de \u00a0Falopio y ovarios incluyensangrado vaginal, alteraciones de morfolog\u00eda, \u00a0s\u00edndrome febril, trastornos de fertilidad, dismenorreas, disfunciones \u00a0hormonales, hirsutismo, disfunciones menstruales y masas p\u00e9lvicas, entre otras. \u00a0 \u00a0<\/p>\n<p>Para evaluar las alteraciones de tipo hormonal, deben tenerse \u00a0en cuenta los criterios de evaluaci\u00f3n del sistema endocrino y combinarlos. \u00a0 \u00a0<\/p>\n<p>TABLA No. 6.11: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE TROMPAS \u00a0DE FALOPIO Y LOS OVARIOS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas o signos de \u00a0 \u00a0enfermedad o deformidad de las Trompas de Falopio, de los ovarios o de ambos, \u00a0 \u00a0que no requieren de tratamiento; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0S\u00f3lo una Trompa de Falopio, un \u00a0 \u00a0ovario o ambos, est\u00e1 funcionando en los a\u00f1os premenop\u00e1usicos; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe p\u00e9rdida bilateral de la \u00a0 \u00a0funci\u00f3n de las trompas de Falopio, de los ovarios o de ambos en los a\u00f1os \u00a0 \u00a0postmenop\u00e1usicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad o deformidad de las trompas de Falopio, ovarios o de ambos, que \u00a0 \u00a0requieren tratamiento constante, pero subsiste la permeabilidad de las \u00a0 \u00a0trompas y es posible la ovulaci\u00f3n y fertilizaci\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad o deformidad de las trompas de Falopio, de los ovarios o ambos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay p\u00e9rdida total de la \u00a0 \u00a0permeablidad de trompas o falla total para producir \u00f3vulos en los a\u00f1os \u00a0 \u00a0premenop\u00e1usicos u ooforectom\u00eda bilateral. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-17.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAPITULO VII \u00a0 \u00a0<\/p>\n<p>7. SISTEMA \u00a0CARDIOVASCULAR \u00a0 \u00a0<\/p>\n<p>7.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>Los diversos grados de deficiencia permanente del Sistema \u00a0Cardiovascular son el resultado de cualquier anormalidad anat\u00f3mica o funcional \u00a0del mismo. En este Cap\u00edtulo se definen los criterios y m\u00e9todos para determinar \u00a0el grado de deficiencia permanente de las personas por alteraciones \u00a0cardiovasculares. \u00a0 \u00a0<\/p>\n<p>La evaluaci\u00f3n de la deficiencia del Sistema Cardiovascular \u00a0presenta ciertas caracter\u00edsticas y consideraciones diferentes a las de otros sistemas \u00a0org\u00e1nicos. Se debe considerar que la lesi\u00f3n genera una deficiencia permanente \u00a0s\u00f3lo despu\u00e9s de agotar las medidas terap\u00e9uticas, quir\u00fargicas o de \u00a0rehabilitaci\u00f3n, o despu\u00e9s de un tiempo prudencial de ocurrido un episodio \u00a0agudo, como por ejemplo, el tiempo necesario para el desarrollo de circulaci\u00f3n \u00a0colateral posterior a una oclusi\u00f3n coronaria. Se requiere un per\u00edodo de por lo \u00a0menos 6 meses antes de evaluar la deficiencia permanente ocasionada por un \u00a0infarto agudo del miocardio. Cualquier solicitud de calificaci\u00f3n de invalidez \u00a0antes de este plazo deber\u00e1 ser rechazada. Si se ha realizado una intervenci\u00f3n \u00a0quir\u00fargica el per\u00edodo de observaci\u00f3n deber\u00e1 ser por lo menos de un a\u00f1o. \u00a0 \u00a0<\/p>\n<p>Uno de los problemas que presenta la evaluaci\u00f3n \u00a0cardiovascular es la frecuente disparidad entre los signos f\u00edsicos encontrados \u00a0y la sintomatolog\u00eda. Un paciente cr\u00f3nico puede presentar un examen f\u00edsico \u00a0normal, incluyendo ECG y estudio radiol\u00f3gico y estar severamente limitado por \u00a0angina de pecho. \u00a0 \u00a0<\/p>\n<p>Por razones pr\u00e1cticas, se han establecido cuatro grupos de \u00a0patolog\u00edas que afectan este sistema: \u00a0 \u00a0<\/p>\n<p>1. Enfermedades del coraz\u00f3n. \u00a0 \u00a0<\/p>\n<p>2. Enfermedad vascular hipertensiva. \u00a0 \u00a0<\/p>\n<p>3. Enfermedades vasculares arteriales que afectan a las \u00a0extremidades. \u00a0 \u00a0<\/p>\n<p>4. Enfermedades del sistema venoso. \u00a0 \u00a0<\/p>\n<p>Cuando los hallazgos cl\u00ednicos son tales que un paciente no \u00a0puede ser calificado en uno s\u00f3lo de dichos grupos, o sus patolog\u00edas van m\u00e1s \u00a0all\u00e1 de dicha clasificaci\u00f3n, la evaluaci\u00f3n de la deficiencia deber\u00e1 combinarse \u00a0de acuerdo con cada una de las patolog\u00edas. \u00a0 \u00a0<\/p>\n<p>7.2 ENFERMEDADES DEL CORAZ\u00d3N. \u00a0 \u00a0<\/p>\n<p>La anamnesis y el examen f\u00edsico del coraz\u00f3n puede dar \u00a0manifestaciones positivas en la mayor\u00eda de los casos, sin embargo los ex\u00e1menes \u00a0de ayuda diagn\u00f3stica deben confirmarlos. Existen diferentes tipos de \u00a0cardiopat\u00eda, cong\u00e9nitas o adquiridas, as\u00ed como la necrosis del mismo por \u00a0enfermedad isqu\u00e9mica del miocardio. Todas estas lesiones mioc\u00e1rdicas, \u00a0especialmente la miocardiopat\u00eda hipertr\u00f3fica y las estenosis valvulares, pueden \u00a0ocasionar da\u00f1os importantes como insuficiencia card\u00edaca, s\u00edncope de esfuerzo y \u00a0trastornos del ritmo, sin que exista evidencia de crecimiento de cavidades en \u00a0el estudio radiol\u00f3gico \u00a0 \u00a0<\/p>\n<p>7.2.1 Cardiopat\u00edas Adquiridas \u00a0 \u00a0<\/p>\n<p>Para su evaluaci\u00f3n, se debe tener en cuenta que el \u00a0electrocardiograma y sobre todo el ECO-Doppler pueden mostrar alteraciones significativas \u00a0reflejando anormalidades morfol\u00f3gicas del engrosamiento de las paredes y \u00a0alteraciones en los flujos (Doppler), as\u00ed como las v\u00e1lvulas. Un Eco-Doppler \u00a0normal pr\u00e1cticamente excluye la presencia de valvulopat\u00eda significativa del \u00a0adulto y tambi\u00e9n la presencia de una miocardiopat\u00eda hipertr\u00f3fica. \u00a0 \u00a0<\/p>\n<p>7.2.2 Enfermedad isqu\u00e9mica del miocardio \u00a0 \u00a0<\/p>\n<p>La enfermedad coronaria puede producir severa incapacidad por \u00a0la angina que produce. Este dolor, que se describe cl\u00e1sicamente como el dolor, \u00a0aplastante, de tipo ardor o quemaz\u00f3n, localizado en la region retroesternal, \u00a0causado por el esfuerzo, deber\u00e1 ser descrito espec\u00edficamente en relaci\u00f3n con \u00a0los factores desencadenantes, tipo, grado, cuant\u00eda de intensidad, car\u00e1cter, \u00a0ubicaci\u00f3n, duraci\u00f3n y su respuesta a los nitratos o al reposo. Las \u00a0manifestaciones irradiadas del dolor tales como, dolor de garganta, maxilar \u00a0inferior, hombros, brazos y manos, tienen igual validez para ser consideradas \u00a0como angina, lo mismo que el dolor retroesternal t\u00edpico. \u00a0 \u00a0<\/p>\n<p>La presencia del dolor en reposo o bien que sea evolutivo en \u00a0el tiempo, con disminuci\u00f3n de la capacidad funcional, aumento de los \u00a0requerimientos de nitratos, de reciente comienzo con capacidad funcional 3-4, \u00a0debe hacer sospechar una angina inestable, y por lo tanto, la evaluaci\u00f3n de la \u00a0invalidez debe diferirse hasta que no se haya completado la aproximaci\u00f3n \u00a0diagn\u00f3stica por el m\u00e9dico tratante y naturalmente, hasta que el cuadro se haya \u00a0estabilizado. Este \u00faltimo grupo de personas deben considerarse bajo observaci\u00f3n \u00a0y tratamiento. Muchos pacientes con angina cr\u00f3nica estable se comportan como \u00a0inestables cuando se les agrega un factor agravante como la anemia, infecciones \u00a0intercurrentes o patolog\u00eda tiroidea. \u00a0 \u00a0<\/p>\n<p>7.2.3 Cardiopat\u00edas cong\u00e9nitas \u00a0 \u00a0<\/p>\n<p>La presencia del da\u00f1o conbg\u00e9nito debe ser establecida mediante \u00a0signos f\u00edsicos y ex\u00e1menes de ayuda diagn\u00f3stica. Pueden producir diferentes \u00a0consecuencias entre las que se puede mencionar la obstrucci\u00f3n del tracto de \u00a0salida ventricular, ya sea derecho o izquierdo como son las estenosis del \u00a0infund\u00edbulo y pueden llevar a la claudicaci\u00f3n del ventr\u00edculo respectivo. Otras \u00a0producen un sobrecarga de la circulaci\u00f3n menor por aumento del flujo pulmonar \u00a0al existir un corto circuito de izquierda a derecha, lo que puede repercutir en \u00a0la edad adulta. \u00a0 \u00a0<\/p>\n<p>TABLA No. 7.1: \u00a0CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA GLOBAL POR ENFERMEDAD ORG\u00c1NICA \u00a0DEL CORAZ\u00d3N. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe enfermedad org\u00e1nica del \u00a0 \u00a0coraz\u00f3n pero no hay s\u00edntomas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Camina y sube escaleras \u00a0 \u00a0libremente y lleva a cabo las actividades diarias sin limitaciones. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los esfuerzos prolongados, las \u00a0 \u00a0tensiones emocionales, el apresuramiento, la subida de cuestas, los deportes \u00a0 \u00a0o las actividades similares no desencadenan s\u00edntomas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay signos de insuficiencia \u00a0 \u00a0card\u00edaca congestiva. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-7.4 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe enfermedad org\u00e1nica del \u00a0 \u00a0coraz\u00f3n pero no presenta s\u00edntomas en reposo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Camina libremente sobre llano, \u00a0 \u00a0sube por lo menos un piso por escaleras y lleva a cabo las actividades \u00a0 \u00a0cotidianas sin s\u00edntomas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los esfuerzos prolongados, las \u00a0 \u00a0tensiones emocionales, el apresuramiento, la subida de cuestas, los deportes \u00a0 \u00a0o actividades similares, desencadenan s\u00edntomas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay signos de insuficiencia \u00a0 \u00a0card\u00edaca congestiva. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-22.4 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe enfermedad org\u00e1nica del \u00a0 \u00a0coraz\u00f3n sin s\u00edntomas en reposo. S\u00edntomas al caminar m\u00e1s de una o dos manzanas \u00a0 \u00a0sobre terreno llano, subir un tramo normal de escalera, y llevar a cabo las \u00a0 \u00a0actividades diarias. S\u00edntomas con la tensi\u00f3n emocional, el correr, el subir \u00a0 \u00a0cuestas, los deportes o las actividades similares. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Puede haber signos de \u00a0 \u00a0insuficiencia card\u00edaca congestiva que ceden con el tratamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5-37.4 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe enfermedad org\u00e1nica del \u00a0 \u00a0coraz\u00f3n con s\u00edntomas en reposo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Cualquier actividad que vaya mas \u00a0 \u00a0all\u00e1 de la personal o su equivalente le produce malestar creciente. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los s\u00edntomas de insuficiencia \u00a0 \u00a0card\u00edaca o el s\u00edndrome anginoso pueden aparecer incluso en reposo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los signos de insuficiencia \u00a0 \u00a0card\u00edaca congestiva son normalmente resistentes a la terap\u00e9utica. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37.5-49.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los siguientes son ejemplos de Enfermedades del Coraz\u00f3n que \u00a0Producen una deficiencia Clase IV: \u00a0 \u00a0<\/p>\n<p>1. VaIvulopat\u00edas reum\u00e1ticas o no reum\u00e1ticas, tales como \u00a0lesiones a\u00f3rticas esten\u00f3ticas o insuficiencias severas, si presentan \u00a0antecedentes de s\u00edncope, edema pulmonar o insuficiencia card\u00edaca y el \u00a0diagn\u00f3stico se ha confirmado al menos por ecocardiograf\u00eda-Doppler. Las lesiones \u00a0M\u00edtrales, tanto estenosis como insuficiencias cr\u00f3nicas y severas \u00a0 \u00a0<\/p>\n<p>2. Miocardiopat\u00edas, particularmente la miocardiopat\u00eda \u00a0hipertr\u00f3fica en su forma dilatada se considerar\u00e1 en la clase IV, en aquellos \u00a0individuos con dilataci\u00f3n marcada, persistente y eventualmente progresiva de \u00a0los di\u00e1metros ventriculares, as\u00ed como en el individuo joven, con arritmias, \u00a0s\u00edncope y antecedentes familiares de muerte s\u00fabita se incluyen en este grupo. \u00a0 \u00a0<\/p>\n<p>3. Pericardiopat\u00edas: Incluyen las lesiones cr\u00f3nicas \u00a0constrictivas del Pericardio, tratables con cirug\u00eda y que producen congesti\u00f3n \u00a0venosa importante. \u00a0 \u00a0<\/p>\n<p>4. Enfermedad Isqu\u00e9mica del Miocardio con Angina que cumpla \u00a0con los siguientes requisitos: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Angina cr\u00f3nica estable de mal \u00a0pron\u00f3stico y alto riesgo. Esto puede demostrarse a trav\u00e9s de Ergometr\u00eda \u00a0positiva pero con infradesnivel de ST igual o mayor a 2.0 mm, ca\u00edda \u00a0significativa de la presi\u00f3n con el esfuerzo asociada a otras evidencias de \u00a0falla de bomba, aparici\u00f3n de arritmias peligrosas con el esfuerzo y trastornos \u00a0electrocardiogr\u00e1ficos significativos a baja frecuencia o baja carga. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Angina cr\u00f3nica con baja capacidad \u00a0funcional, y cuando se han agotado las medidas terap\u00e9uticas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Angina cr\u00f3nica donde la cinecoronariograf\u00eda \u00a0muestra lesiones de alto riesgo o mala funci\u00f3n ventricular global y fracci\u00f3n de \u00a0eyecci\u00f3n deprimida en 30% o m\u00e1s. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Infarto antiguo del miocardio donde \u00a0se cumplen algunas de las condiciones se\u00f1aladas para la angina o insuficiencia \u00a0card\u00edaca, con congesti\u00f3n y arritmias peligrosas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Niveles de insuficiencia mioc\u00e1rdica \u00a0que tengan insuficiencia card\u00edaca congestiva persistente, con hepatomegalia, \u00a0congesti\u00f3n pulmonar y edema perif\u00e9rico en el examen f\u00edsico, a pesar de una \u00a0terapia suficiente y bien llevada. Dilataci\u00f3n o hipertrofia ventricular \u00a0izquierda persistente o coraz\u00f3n pulmonar cr\u00f3nico. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Arritmias Card\u00edacas recurrentes no \u00a0generadas por la digital, que ocasionen episodios repetidos o incontrolables de \u00a0s\u00edncope card\u00edaco, documentados por Holter y refractarias al tratamiento. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Aneurisma de la Aorta o de sus \u00a0Ramas Mayores, con Disecci\u00f3n cr\u00f3nica o aguda no controlada con el tratamiento \u00a0m\u00e9dico o quir\u00fargico; o insuficiencia card\u00edaca congestiva seg\u00fan lo descrito, o \u00a0Insuficiencia Renal 0 episodios sincopales. \u00a0 \u00a0<\/p>\n<p>7.3 ENFERMEDAD VASCULAR HIPERTENSIVA \u00a0 \u00a0<\/p>\n<p>La Enfermedad Vascular Hipertensiva por s\u00ed misma no produce \u00a0alteraciones severas a menos que cause da\u00f1o anat\u00f3mico en uno o m\u00e1s de los \u00a0siguientes cuatro \u00f3rganos blanco: coraz\u00f3n, cerebro, ri\u00f1\u00f3n y ojos. Tambi\u00e9n \u00a0produce este mismo da\u00f1o si hay secuelas de alteraciones vasculares en el \u00a0Sistema Nervioso Central o en las extremidades u otros \u00f3rganos. \u00a0 \u00a0<\/p>\n<p>El criterio para evaluar el da\u00f1o resultante de una enfermedad \u00a0o afecci\u00f3n cardiovascular hipertensiva est\u00e1 basado an s\u00edntomas signos f\u00edsicos \u00a0ex\u00e1menes de ayuda diagn\u00f3stica. electrocardiograma, prueba de esfuerzo, \u00a0ecocardiograf\u00eda y otros procedimientos. \u00a0 \u00a0<\/p>\n<p>TABLA No. 7.2: \u00a0DEFICIENCIA GLOBAL POR HIPERTENSI\u00d3N ARTERIAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Presi\u00f3n \u00a0 \u00a0Diast\u00f3lica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Signos \u00a0 \u00a0adicionales con tratamiento antihipertensivo: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Paciente asintom\u00e1tico, con Presi\u00f3n Diast\u00f3lica es \u00a0 \u00a0repetidamente mayor de 90mm Hg. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No se encuentran anormalidades en \u00a0 \u00a0los an\u00e1lisis y pruebas de orina. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay historia de lesi\u00f3n cerebro \u00a0 \u00a0vascular por hipertensi\u00f3n. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay evidencia de hipertrofia \u00a0 \u00a0del ventr\u00edculo izquierdo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El fondo de ojo puede ser normal \u00a0 \u00a0o con m\u00ednimo estrechamiento de las arteriolas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-7.4 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Paciente asintom\u00e1tico, con Presi\u00f3n Diast\u00f3lica es \u00a0 \u00a0repetidamente mayor de 90 mm Hg. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se puede encontrar proteinuria o \u00a0 \u00a0anormalidades en el sedimento de la orina, sin deficiencia de la funci\u00f3n \u00a0 \u00a0renal. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Puede tener antecedentes de \u00a0 \u00a0lesi\u00f3n cerebro vascular por hipertensi\u00f3n. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Al Fondo de Ojo puede haber \u00a0 \u00a0cruces arteriales y exudados viejos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-22.4 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Presi\u00f3n \u00a0 \u00a0Diast\u00f3lica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Signos \u00a0 \u00a0adicionales con tratamiento antihipertensivo: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Paciente asintom\u00e1tico, con Presi\u00f3n Diast\u00f3lica est\u00e1 \u00a0 \u00a0claramente por entre 90 mm Hg. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Presi\u00f3n diast\u00f3lica frecuente con \u00a0 \u00a0lecturas por encima de 120 mm Hg. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe proteinuria y \u00a0 \u00a0anormalidades en el sedimento de la orina con deficiencia de la funci\u00f3n \u00a0 \u00a0renal, manifiesta por incremento del BUN y la creatininemia y la depuraci\u00f3n \u00a0 \u00a0de creatinina menor de 50%. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una lesi\u00f3n \u00a0 \u00a0cerebro-vascular residual por hipertensi\u00f3n, con secuelas neurol\u00f3gicas \u00a0 \u00a0permanentes. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe hipertrofia del ventr\u00edculo \u00a0 \u00a0izquierdo evidente al examen f\u00edsico, en el electrocardiograma y radiograf\u00eda \u00a0 \u00a0de t\u00f3rax sin signos de insuficiencia card\u00edaca congestiva. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Al Fondo de Ojo hay hilos de \u00a0 \u00a0cobre o de plata, vasos tortuosos, cruces arterio-venosos, con o sin \u00a0 \u00a0hemorragias y exudados. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5-37.4 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La Presi\u00f3n Diast\u00f3lica est\u00e1 claramente por entre 90 mm Hg. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Presi\u00f3n diast\u00f3lica frecuente con \u00a0 \u00a0lecturas por encima de 120 mmHg. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe proteinuria y anormalidades \u00a0 \u00a0en el sedimento de la orina con deficiencia de la funci\u00f3n renal, manifiesta \u00a0 \u00a0por incremento del BUN y la creatininemia y la depuraci\u00f3n de creatinina menor \u00a0 \u00a0de 50. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Lesi\u00f3n cerebro-vascular por \u00a0 \u00a0hipertensi\u00f3n con d\u00e9ficit por secuelas neurol\u00f3gicas permanentes e importantes. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hipertrofia del ventr\u00edculo \u00a0 \u00a0izquierdo \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Historia de Insuficiencia \u00a0 \u00a0Card\u00edaca Congestiva. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Retinopat\u00eda manifiesta por \u00a0 \u00a0alteraciones en las arteriolas, la retina o el nervio \u00f3ptico. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0O el paciente tiene hipertrofia \u00a0 \u00a0con o si Insuficiencia Card\u00edaca Congestiva, a\u00fan en presencia de digitales y \u00a0 \u00a0dur\u00e9ticos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37.5-49.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.4 ENFERMEDADES VASCULARES QUE AFECTAN A LAS EXTREMIDADES \u00a0 \u00a0<\/p>\n<p>Las enfermedades vasculares que afectan a las extremidades se \u00a0refieren a aquellas que comprometen el territorio arterial y el sistema venoso. \u00a0La evaluaci\u00f3n en ambos casos considera tres aspectos: \u00a0 \u00a0<\/p>\n<p>1. Severidad del cuadro cl\u00ednico. \u00a0 \u00a0<\/p>\n<p>2. Hallazgos en estudios no invasivos; Doppler D\u00faplex que \u00a0registra presiones segmentarias, pulso, flujo e im\u00e1genes, \u00edndice brazo-tobillo; \u00a0estudios contrastados como la angiograf\u00eda y la flebograf\u00eda, que precisan la \u00a0localizaci\u00f3n y extensi\u00f3n de la obstrucci\u00f3n, vasos comprometidos, lecho distal, \u00a0etc. \u00a0 \u00a0<\/p>\n<p>3. Tratamiento m\u00e9dico y quir\u00fargico realizados (ver Tablas \u00a0No.7.3 y 7.4). \u00a0 \u00a0<\/p>\n<p>TABLA No. 7.3 \u00a0DEFICIENCIA GLOBAL PRODUCIDA POR ENFERMEDADES VASCULARES ARTERIALES QUE AFECTAN \u00a0LAS EXTREMIDADES \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe enfermedad o enfermedades \u00a0 \u00a0vasculares. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No hay claudicaci\u00f3n intermitente \u00a0 \u00a0ni dolor en reposo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe edema transitorio. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe enfermedad o enfermedades vasculares y uno o varios \u00a0 \u00a0de los s\u00edntomas siguientes: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Claudicaci\u00f3n intermitente cuando \u00a0 \u00a0camina por menos 100 metros a paso normal. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Evidencia f\u00edsica de deterioro \u00a0 \u00a0Vascular, como la presencia de mu\u00f1\u00f3n indoloro de \u00fanico dedo amputado evaluado \u00a0 \u00a0por lo menos 6 meses despu\u00e9s de la cirug\u00eda. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Presencia de edema moderado, no \u00a0 \u00a0controlado con soporte el\u00e1stico. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-9.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe enfermedad o Enfermedades Vasculares, con uno o \u00a0 \u00a0varios de los s\u00edntomas siguientes: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Dolor intermitente cuando camina \u00a0 \u00a0entre 25 y 100 metros a paso normal. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Evidencia f\u00edsica de deterioro \u00a0 \u00a0vascular, como la amputaci\u00f3n de dos o m\u00e1s dedos de una de las extremidades, \u00a0 \u00a0con enfermedad vascular que persiste. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Manifestaciones de claudicaci\u00f3n \u00a0 \u00a0intermitente y de deterioro vascular en la extremidad contralateral despu\u00e9s \u00a0 \u00a0de cirug\u00eda de revascularizaci\u00f3n del otro lado. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Presencia de edema marcado que se \u00a0 \u00a0controla parcialmente con soporte el\u00e1stico. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-22.4 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe enfermedad o Enfermedades vasculares, con uno o \u00a0 \u00a0varios de los s\u00edntomas siguientes: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Claudicaci\u00f3n intermitente cuando \u00a0 \u00a0camina menos de 25 metros, o tiene dolor a\u00fan cuando est\u00e1 en reposo. Cualquier \u00a0 \u00a0actividad que vaya mas all\u00e1 de la personal o su equivalente le produce \u00a0 \u00a0malestar creciente. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Evidencia f\u00edsica de deterioro \u00a0 \u00a0vascular como amputaci\u00f3n a nivel de tobillo o m\u00e1s arriba, o de dos o m\u00e1s \u00a0 \u00a0dedos extremidades, con persistencia de la enfermedad vascular. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Fracaso de cirug\u00eda de \u00a0 \u00a0revascularizaci\u00f3n arterial de la extremidad comprometida. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Presencia de marcado edema sin \u00a0 \u00a0mejor\u00eda con soporte el\u00e1stico. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5-37.4 \u00a0\u00a0<\/p>\n<p>V \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe enfermedad o enfermedades vasculares, con uno o \u00a0 \u00a0varios de los s\u00edntomas siguientes: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Dolor fuerte y constante a\u00fan en \u00a0 \u00a0reposo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Evidencia f\u00edsica de deterioro \u00a0 \u00a0vascular como una amputaci\u00f3n a nivel del tobillo de ambas extremidades o amputaci\u00f3n \u00a0 \u00a0de todos los dedos de dos o m\u00e1s extremidades, con persistencia de la \u00a0 \u00a0enfermedad vascular. Sin posibilidad de cirug\u00eda, o ante fracaso de ella \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37.5-47.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ejemplos de Enfermedades Vasculares Arteriales que Producen \u00a0una Incapacidad Clase IV o V: \u00a0 \u00a0<\/p>\n<p>a) Claudicaci\u00f3n intermitente sin poder visualizar la arteria \u00a0femoral com\u00fan o la profunda, de una extremidad en una arteriograf\u00eda. \u00a0 \u00a0<\/p>\n<p>b) Claudicaci\u00f3n intermitente o ausencia de latidos femorales, \u00a0popl\u00edteas tibial posterior o pedia, mediante Doppler o pletismograf\u00eda, en una \u00a0extremidad; \u00a0 \u00a0<\/p>\n<p>c) Amputaci\u00f3n a nivel o por encima del tarso, debido a \u00a0enfermedad vascular perif\u00e9rica. \u00a0 \u00a0<\/p>\n<p>d) Fracaso de cirug\u00eda de revascularizaci\u00f3n arterial \u00a0perif\u00e9rica. \u00a0 \u00a0<\/p>\n<p>TABLA No. 7.4 \u00a0DEFICIENCIA POR AMPUTACI\u00d3N DEBIDAS A PATOLOG\u00cdA ARTERIAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Deficiencia global \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0\u00a0<\/p>\n<p>Extremidad Superior Tipo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del cuarto anterior del tronco \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n a nivel del hombro \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del brazo por encima de la inserci\u00f3n deltoidea \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del brazo entre la inserci\u00f3n Deltoidea y la \u00a0 \u00a0articulaci\u00f3n del codo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n a nivel codo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del antebrazo por debajo de la articulaci\u00f3n del \u00a0 \u00a0codo junto a la inserci\u00f3n del tend\u00f3n del biceps \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del antebrazo por debajo del codo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n a nivel de la mu\u00f1eca \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n mediocarpiana o mediometacarpiana de la mano \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n de todos los dedos de la mano excepto el pulgar \u00a0 \u00a0a nivel de las articulaciones metacarpofal\u00e1ngicas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del Pulgar a nivel de la articulaci\u00f3n meta-carpo \u00a0 \u00a0fal\u00e1ngica o con resecci\u00f3n del hueso carpometa-carpiano \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0\u00a0<\/p>\n<p>A nivel de la articulaci\u00f3n interfal\u00e1ngica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Extremidad inferior. Hemipelvectom\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n a nivel de la articulaci\u00f3n de la cadera \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n por encima de la articulaci\u00f3n de la rodilla con \u00a0 \u00a0mu\u00f1\u00f3n peque\u00f1o (3 pulgadas o menos por debajo de la tuberosidad de isqui\u00f3n) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n por encima de la articulaci\u00f3n de la rodilla, con \u00a0 \u00a0mu\u00f1\u00f3n funcional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>Desarticulaci\u00f3n a nivel de la articulaci\u00f3n de la rodilla \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n de Gritti-Stokes \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n por debajo de la articulaci\u00f3n de la rodilla con \u00a0 \u00a0mu\u00f1\u00f3n peque\u00f1o (3 pulgadas o menos por debajo del n\u00f3dulo intercondilar) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n por debajo de la articulaci\u00f3n de la rodilla con \u00a0 \u00a0mu\u00f1\u00f3n funcional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n a nivel tobillo (o de Syne) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n parcial del pie (o de Chopart) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n mediometatarsiana \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n de todos los artejos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del artejo mayor con resecci\u00f3n del hueso \u00a0 \u00a0metatarso \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n del artejo mayor a nivel de la articulaci\u00f3n \u00a0 \u00a0metatarsofal\u00e1ngica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6.5 \u00a0\u00a0<\/p>\n<p>A nivel de la articulaci\u00f3n metatarsofal\u00e1ngica proximal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>A nivel de la articulaci\u00f3n interfal\u00e1ngica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.5 \u00a0\u00a0<\/p>\n<p>Amputaci\u00f3n de los restantes dedos del pie (del 2\u00ba al 5\u00ba) \u00a0 \u00a0con resecci\u00f3n del hueso metatarsiano \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>A nivel de la articulaci\u00f3n metatarsofal\u00e1ngica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>A nivel de la articulaci\u00f3n interfal\u00e1ngica proximal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>A nivel de la articulaci\u00f3n interfal\u00e1ngica distal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 7.5 \u00a0DEFICIENCIA GLOBAL POR OBSTRUCCI\u00d3N DEL SISTEMA VENOSO DE EXTREMIDADES \u00a0INFERIORES. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Solamente se experimenta edema \u00a0 \u00a0ocasionalmente. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-4.9% \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe \u00falcera cicatrizada \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe un persistente edema en \u00a0 \u00a0grado moderado que no se controla completamente con medias con gradiente de \u00a0 \u00a0presi\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-11.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una ulceraci\u00f3n superficial \u00a0 \u00a0persistente. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe edema marcado, controlado \u00a0 \u00a0parcialmente con medias con gradiente de presi\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.0-22.4 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe edema marcado que no se \u00a0 \u00a0controla con medias con gradiente de \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0presi\u00f3n y hay trastornos tr\u00f3ficos \u00a0 \u00a0en una o ambas extremidades. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, hay ulceraciones persistentes \u00a0 \u00a0y muy extendidas o profundas en una \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0las dos extremidades. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Fracaso de cirug\u00eda de \u00a0 \u00a0revascularizaci\u00f3n arterial de la extremidad comprometida. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a00, hay ulceraciones recidivantes \u00a0 \u00a0y fracaso de los procedimientos quir\u00fargicos indicados y bien realizados, que \u00a0 \u00a0consideran la etiopatogenia de la lesi\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5-37.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ejemplos de enfermedades Vasculares que Afectan a las \u00a0Extremidades y Producen un Deficiencia global Superior del 40%. \u00a0 \u00a0<\/p>\n<p>a) Insuficiencia Venosa Cr\u00f3nica de las Extremidades \u00a0Inferiores, con insuficiencia u obstrucci\u00f3n del retorno venoso profundo \u00a0asociado a v\u00e1rices superficiales, con edema duro extenso, con dermatitis por \u00a0estasis venosa y ulceraci\u00f3n persistente o recurrente, que no cicatriza despu\u00e9s \u00a0de 6 meses de terapia m\u00e9dica o quir\u00fargica prescrita y bien llevada. \u00a0 \u00a0<\/p>\n<p>b) Ulceraci\u00f3n de una o ambas piernas que no cura con \u00a0tratamiento bien llevado despu\u00e9s de 6 meses. \u00a0 \u00a0<\/p>\n<p>CAPITULO VIII \u00a0 \u00a0<\/p>\n<p>8. ENFERMEDAD \u00a0NEOPL\u00c1SICA \u00a0 \u00a0<\/p>\n<p>8.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>Debe destacarse que gracias a los nuevos conocimientos de \u00a0este tipo de patolog\u00edas, el portador de una neoplasia o el antecedente de \u00a0haberla tenido no es sin\u00f3nimo de invalidez. Se deber\u00e1n reunir los requisitos y \u00a0condiciones que se detallan en el presente cap\u00edtulo para considerar que el \u00a0c\u00e1ncer del paciente es invalidante. \u00a0 \u00a0<\/p>\n<p>La determinaci\u00f3n del porcentaje de deficiencia resultante de \u00a0los tumores malignos se basa en: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La ubicaci\u00f3n y el tama\u00f1o del tumor, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La invasi\u00f3n tumoral a los \u00f3rganos \u00a0vecinos, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La extensi\u00f3n a ganglios linf\u00e1ticos \u00a0regionales, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Las met\u00e1stasis a distancia, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La histolog\u00eda \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0El grado de respuesta al \u00a0tratamiento (cirug\u00eda, radiaci\u00f3n, hormonas, quimioterapia), y, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La magnitud de las secuelas \u00a0post-tratamiento. \u00a0 \u00a0<\/p>\n<p>8.2 CONSIDERACIONES PARA LA EVALUACI\u00d3N \u00a0 \u00a0<\/p>\n<p>En los tumores malignos el diagn\u00f3stico deber\u00e1 establecerse \u00a0con base en los signos y s\u00edntomas, los informes de los ex\u00e1menes de ayuda \u00a0diagn\u00f3stica y de anatom\u00eda patol\u00f3gica, entre otros. Adem\u00e1s debe considerarse lo \u00a0siguiente: \u00a0 \u00a0<\/p>\n<p>a) El sitio de la lesi\u00f3n primaria, recurrente o metast\u00e1sica \u00a0deben documentarse en todos los casos de enfermedad neopl\u00e1sica maligna. Si se \u00a0ha practicado cirug\u00eda se deber\u00e1 incluir una copia confiable del protocolo \u00a0operatorio y del informe histopatol\u00f3gico de la pieza o biopsia. Si no se pueden \u00a0obtener estos documentos, la epicrisis de la hospitalizaci\u00f3n m\u00e1s el informe del \u00a0m\u00e9dico tratante deber\u00e1n incluir detalles de los hallazgos quir\u00fargicos y los \u00a0resultados de los ex\u00e1menes (macro y microsc\u00f3pico) realizados por el pat\u00f3logo. \u00a0 \u00a0<\/p>\n<p>b) Si existe avance de la enfermedad seg\u00fan el m\u00e9dico \u00a0tratante, \u00e9ste deber\u00e1 enviar un informe m\u00e9dico actualizado incluyendo ex\u00e1menes \u00a0recientes especialmente orientados a determinar la recurrencia local, \u00a0compromiso ganglionar, met\u00e1stasis a otros \u00f3rganos y probables secuelas \u00a0importantes posteriores al tratamiento. \u00a0 \u00a0<\/p>\n<p>c) Para efectos de la calificaci\u00f3n o dictamen, el concepto de \u00a0met\u00e1stasis ganglionares a distancia se refiere a la invasi\u00f3n tumoral de \u00a0ganglios m\u00e1s all\u00e1 de los l\u00edmites de la resecci\u00f3n radical en bloque. \u00a0 \u00a0<\/p>\n<p>d) La recidiva local o regional posterior a la cirug\u00eda \u00a0radical o la evidencia anatomo-patol\u00f3gica de una extirpaci\u00f3n incompleta en una \u00a0cirug\u00eda radical, se considerar\u00e1 igual a las lesiones &#8220;inoperables&#8221; y \u00a0para efecto de la calificaci\u00f3n debe ser evaluado como tales, excepto para el \u00a0c\u00e1ncer de mama. \u00a0 \u00a0<\/p>\n<p>e) La recurrencia local o regional luego de extirpaci\u00f3n \u00a0completa de un tumor localizado, no debe ser considerada igual a la recurrencia \u00a0despu\u00e9s de cirug\u00eda radical. \u00a0 \u00a0<\/p>\n<p>f) El diagn\u00f3stico del c\u00e1ncer es histol\u00f3gico y debe \u00a0documentarse con la presentaci\u00f3n del informe en original emitido por un m\u00e9dico \u00a0pat\u00f3logo; en caso de no haber concordancia entre lo informado y los hallazgos \u00a0cl\u00ednicos, de laboratorio o ex\u00e1menes complementarios, se debe recurrir a la \u00a0interconsulta de otro pat\u00f3logo solicitando el env\u00edo de placas y bloques de la \u00a0muestra que origin\u00f3 el diagn\u00f3stico. El informe del estudio citol\u00f3gico ya sea de \u00a0l\u00edquidos o masas ser\u00e1 considerado cuando se trate de pacientes con enfermedad \u00a0diseminada, como es el caso de c\u00e9lulas neopl\u00e1sicas en l\u00edquido asc\u00edtico, \u00a0pleural, etc. \u00a0 \u00a0<\/p>\n<p>Es fundamental que el evaluador cuente adem\u00e1s con el estudios \u00a0de diseminaci\u00f3n del c\u00e1ncer, tales como imagenolog\u00eda (R-X, ECO, TAC, etc.) y de \u00a0radionucle\u00f3tidos en los pacientes asintom\u00e1ticos. Por otra parte, en un paciente \u00a0con C\u00e1ncer g\u00e1strico y masa palpable a nivel de hipocondrio derecho bastar\u00e1 s\u00f3lo \u00a0con la endoscopia y el informe histol\u00f3gico para dictaminar una deficiencia de \u00a040%. \u00a0 \u00a0<\/p>\n<p>En los linfomas, el tipo histol\u00f3gico y los sitios \u00a0comprometidos, no son necesariamente indicadores de incapacidad total. Cuando \u00a0el compromiso tumoral se extiende m\u00e1s all\u00e1 de los ganglios regionales, el da\u00f1o \u00a0generalmente ser\u00e1 considerado como severo. \u00a0 \u00a0<\/p>\n<p>8.3 EVALUACI\u00d3N DE LA ENFERMEDAD NEOPLASICA \u00a0 \u00a0<\/p>\n<p>Estas pautas proporcionan los criterios para evaluar y \u00a0cuantificar a deficiencia causada por la presencia de una enfermedad \u00a0neopl\u00e1sica, las secuelas que se pudieran derivar del tratamiento, o de ambas. \u00a0 \u00a0<\/p>\n<p>a) En los casos en que una neoplasia y\/o sus met\u00e1stasis sean \u00a0hormonodependientes, is\u00f3topo-sensibles, o ambos, o exista desaparici\u00f3n del \u00a0tumor primitivo o de sus met\u00e1stasis en un per\u00edodo de seguimiento no inferior a \u00a03 a\u00f1os, la deficiencia se determinar\u00e1 de acuerdo con la valoraci\u00f3n del da\u00f1o \u00a0producido en el sistema org\u00e1nico correspondiente. \u00a0 \u00a0<\/p>\n<p>Ejemplo: en un seminoma operado y tratado, la deficiencia se \u00a0define con base en la existencia o no de problemas sexuales, debiendo \u00a0catalogarse de acuerdo con lo establecido en el cap\u00edtulo VI. \u00a0 \u00a0<\/p>\n<p>b) Cuando el tumor maligno es localizado o compromete s\u00f3lo \u00a0n\u00f3dulos linf\u00e1ticos regionales que aparentemente fueron extirpados por completo \u00a0con o sin radioterapia complementaria, y no se espera la aparici\u00f3n de \u00a0met\u00e1stasis o recurrencia a corto plazo, la deficiencia debe ser considerada \u00a0igual que la descrito en el literal a), evaluando el da\u00f1o resultante en el \u00a0sistema org\u00e1nico involucrado por el tumor. Las excepciones a estos casos se \u00a0encuentran se\u00f1aladas en el numeral 8.4. \u00a0 \u00a0<\/p>\n<p>c) Efectos de la terapia quir\u00fargica: Las secuelas \u00a0postoperatorias importantes deber\u00e1n ser evaluadas de acuerdo con el estado del \u00a0sistema org\u00e1nico afectado. Si se realiz\u00f3 una gastrectom\u00eda ampliada, una colostom\u00eda \u00a0o una nefrectom\u00eda, la deficiencia depender\u00e1 de la gastrectom\u00eda como tal o sus \u00a0complicaciones, como el S\u00edndrome de Dumping, desnutrici\u00f3n, etc.; la colostom\u00eda \u00a0deber\u00e1 considerarse con el porcentaje de deficiencia correspondiente a una \u00a0ostom\u00eda, y la nefrectom\u00eda al porcentaje otorgado en el cap\u00edtulo para esta \u00a0patolog\u00eda. \u00a0 \u00a0<\/p>\n<p>d) Efectos de la quimio y radioterapia: El impacto causado \u00a0por estas tipo de procedimientos debe ser considerado como el resultado del \u00a0tratamiento y la respuesta adversa a la terapia. Estos pueden variar \u00a0considerablemente, por lo que cada caso debe ser estudiado individualmente. Es \u00a0importante obtener del m\u00e9dico tratante el plan de tratamiento completo, que \u00a0incluya los medicamentos, dosis, frecuencia de administraci\u00f3n y duraci\u00f3n del \u00a0mismo. Es necesario obtener una descripci\u00f3n de las complicaciones o respuestas \u00a0adversas a la terapia, tales como n\u00e1useas, v\u00f3mitos, diarrea, debilidad, \u00a0trastornos dermatol\u00f3gicos o des\u00f3rdenes mentales reactivos, ya que la severidad \u00a0de estos efectos en la quimioterapia anticancer\u00edgena pueden cambiar durante el \u00a0per\u00edodo de administraci\u00f3n de la droga. La evaluaci\u00f3n del paciente en lo \u00a0referente al impacto de la terapia con drogas o radiaciones, deber\u00e1 basarse en \u00a0la observaci\u00f3n durante un per\u00edodo suficiente que permita una apropiada \u00a0determinaci\u00f3n de la deficiencia por esta causal. \u00a0 \u00a0<\/p>\n<p>e) Se puede presentar un paciente con antecedentes de haber \u00a0sido portador de un c\u00e1ncer, que en el momento de evaluarlo est\u00e1 s\u00f3lo en \u00a0controles peri\u00f3dicos y sin evidencia de enfermedad tumoral activa. En este \u00a0caso, el porcentaje de deficiencia estar\u00e1 dado por las secuelas del tratamiento \u00a0si las hubiera, como por ejemplo Laringectom\u00eda total, nefrectom\u00eda, amputaci\u00f3n \u00a0de un miembro, gastrectom\u00eda total, etc.; y no por el pron\u00f3stico estad\u00edstico. \u00a0 \u00a0<\/p>\n<p>f) Cuando un paciente con c\u00e1ncer rechaza cualquier tipo de \u00a0tratamiento, se debe informar al paciente del riesgo de su decisi\u00f3n, se debe \u00a0calificar el estado actual y hacer revisiones peri\u00f3dicas de acuerdo con la \u00a0evoluci\u00f3n cl\u00ednica del c\u00e1ncer para modificar el porcentaje de deficiencia, \u00a0cuando sea del caso. \u00a0 \u00a0<\/p>\n<p>g) En el caso de pacientes en tratamiento considerado \u00a0curativo, se dictaminar\u00e1 bajo &#8220;Observaci\u00f3n y Tratamiento&#8221; y se har\u00e1n \u00a0revisiones peri\u00f3dicas de acuerdo con la evoluci\u00f3n cl\u00ednica del c\u00e1ncer para \u00a0modificar el porcentaje de deficiencia, cuando sea del caso. \u00a0 \u00a0<\/p>\n<p>8.4 CARACTER\u00cdSTICAS DE NEOPLASIAS CON DEFICIENCIA DEL 40% \u00a0 \u00a0<\/p>\n<p>Las neoplasias que por el tipo histol\u00f3gico, ubicaci\u00f3n o \u00a0extensi\u00f3n de la lesi\u00f3n son inoperables o est\u00e1n fuera de control por otras \u00a0terapias, tienen una deficiencia global de 40.0%. \u00a0 \u00a0<\/p>\n<p>8.4.1 Cabeza y Cuello \u00a0 \u00a0<\/p>\n<p>Las neoplasias de cabeza y cuello excepto las de gl\u00e1ndulas \u00a0salivales, tiroides, maxilar superior e inferior, \u00f3rbita y fosa temporal, \u00a0corresponden a \u00e9sta calificaci\u00f3n cuando son: \u00a0 \u00a0<\/p>\n<p>a) Inoperables \u00a0 \u00a0<\/p>\n<p>b) No controlados por el tratamiento efectuado. \u00a0 \u00a0<\/p>\n<p>c) Recidivan despu\u00e9s de cirug\u00eda, irradiaci\u00f3n, o ambas. \u00a0 \u00a0<\/p>\n<p>d) Tienen met\u00e1stasis a distancia. \u00a0 \u00a0<\/p>\n<p>e) Carcinoma epidermoide de seno piriforme o tercio posterior \u00a0de lengua (No incluye carcinoma de am\u00edgdalas). \u00a0 \u00a0<\/p>\n<p>8.4.2 Sarcoma De Piel \u00a0 \u00a0<\/p>\n<p>a) Angiosarcoma con met\u00e1stasis ganglionares regionales. \u00a0 \u00a0<\/p>\n<p>b) Micosis sist\u00e9mica con compromiso hep\u00e1tico o visceral. \u00a0 \u00a0<\/p>\n<p>8.4.3 Sarcoma de Partes Blandas \u00a0 \u00a0<\/p>\n<p>a) Inoperables. \u00a0 \u00a0<\/p>\n<p>b) Met\u00e1stasis a distancia. \u00a0 \u00a0<\/p>\n<p>c) C\u00e1ncer Recidivante despu\u00e9s de cirug\u00eda radical seguida o \u00a0node radioterapia. \u00a0 \u00a0<\/p>\n<p>8.4.4. Melanoma Maligno \u00a0 \u00a0<\/p>\n<p>a) Recidiva despu\u00e9s de cirug\u00eda radical. \u00a0 \u00a0<\/p>\n<p>b) Met\u00e1stasis a la piel adyacente o a otros \u00f3rganos. \u00a0 \u00a0<\/p>\n<p>8.4.5. Linfoma \u00a0 \u00a0<\/p>\n<p>Enfermedad de Hodgkin y linfoma no Hodgkin con enfermedad \u00a0progresiva a pesar del tratamiento adecuado. \u00a0 \u00a0<\/p>\n<p>8.4.6 N\u00f3dulos Linf\u00e1ticos \u00a0 \u00a0<\/p>\n<p>a) Adenopat\u00eda metast\u00e1sica de primario desconocido. \u00a0 \u00a0<\/p>\n<p>b) Carcinoma epidermoide de un n\u00f3dulo linf\u00e1tico en el cuello \u00a0que no responde al tratamiento. \u00a0 \u00a0<\/p>\n<p>8.4.7. Gl\u00e1ndulas Salivales \u00a0 \u00a0<\/p>\n<p>a) Carcinoma o sarcoma con met\u00e1stasis m\u00e1s all\u00e1 de los \u00a0ganglios regionales. \u00a0 \u00a0<\/p>\n<p>b) Recidiva despu\u00e9s de tratamiento radical. \u00a0 \u00a0<\/p>\n<p>8.4.8. Tiroides \u00a0 \u00a0<\/p>\n<p>a) Carcinoma con met\u00e1stasis m\u00e1s all\u00e1 de los ganglios \u00a0regionales, no controlada por el tratamiento efectuado. \u00a0 \u00a0<\/p>\n<p>b) Recidiva local no controlada con terapia prescrita. \u00a0 \u00a0<\/p>\n<p>8.4.9. Mama \u00a0 \u00a0<\/p>\n<p>a) C\u00e1ncer inoperable. \u00a0 \u00a0<\/p>\n<p>b) C\u00e1ncer inflamatorio. \u00a0 \u00a0<\/p>\n<p>c) Recidiva local y regional no controlada. \u00a0 \u00a0<\/p>\n<p>d) Met\u00e1stasis a distancia o C\u00e1ncer bilateral de mama. \u00a0 \u00a0<\/p>\n<p>e) Sarcoma con met\u00e1stasis a cualquier sitio. \u00a0 \u00a0<\/p>\n<p>8.4.10. Sistema Oseo (Se excluye maxilar inferior) \u00a0 \u00a0<\/p>\n<p>a) Tumores primarios malignos con evidencia de met\u00e1stasis o \u00a0no controlados con la terapia prescrita. \u00a0 \u00a0<\/p>\n<p>b) Met\u00e1stasis \u00f3seas de origen desconocido despu\u00e9s de una \u00a0b\u00fasqueda adecuada. \u00a0 \u00a0<\/p>\n<p>8.4.11. Maxilar Superior E Inferior, \u00d3rbita O Fosa Temporal \u00a0 \u00a0<\/p>\n<p>a) Sarcoma de cualquier tipo con met\u00e1stasis. \u00a0 \u00a0<\/p>\n<p>b) Carcinoma de la cavidad con extensi\u00f3n a la \u00f3rbita o \u00a0etmoides o esfenoides con o sin met\u00e1stasis regionales. \u00a0 \u00a0<\/p>\n<p>c) Tumores orbitales con extensi\u00f3n intracraneal. \u00a0 \u00a0<\/p>\n<p>d) Tumor de la fosa temporal con perforaci\u00f3n del cr\u00e1neo o \u00a0complicaci\u00f3n meningea. \u00a0 \u00a0<\/p>\n<p>e) Adantinoma con infiltraci\u00f3n intracraneal y orbital. \u00a0 \u00a0<\/p>\n<p>f) Tumores del saco de Rathke con infiltraci\u00f3n de la base del \u00a0cr\u00e1neo o met\u00e1stasis. \u00a0 \u00a0<\/p>\n<p>8.4.12. Tumores Cerebrales y de M\u00e9dula Espinal \u00a0 \u00a0<\/p>\n<p>a) Gliomas malignos, Astrocitomas grado III-IV, glioblastoma \u00a0multiforme, Meduloblastoma, ependimoblastoma y sarcoma primario; \u00a0 \u00a0<\/p>\n<p>b) O, Astrocitomas grado I-II, meningioma, tumores de \u00a0hip\u00f3fisis, oligodendrogliomas, ependimoma y tumores benignos. Estos deben ser \u00a0evaluados por los da\u00f1os secundarios que producen como: epilepsia, da\u00f1o org\u00e1nico \u00a0cerebral o d\u00e9ficit neurol\u00f3gico. \u00a0 \u00a0<\/p>\n<p>8.4.13. Pulmones \u00a0 \u00a0<\/p>\n<p>a) Inextirpable. \u00a0 \u00a0<\/p>\n<p>b) met\u00e1stasis \u00a0 \u00a0<\/p>\n<p>c) Recidiva despu\u00e9s del tratamiento. \u00a0 \u00a0<\/p>\n<p>d) Tumor extirpado en forma incompleta. \u00a0 \u00a0<\/p>\n<p>e) Carcinoma de c\u00e9lulas peque\u00f1as. \u00a0 \u00a0<\/p>\n<p>8.4.14. Pleura o Mediastino \u00a0 \u00a0<\/p>\n<p>a) Mesotelioma maligno de la pleura. \u00a0 \u00a0<\/p>\n<p>b) Tumor maligno con met\u00e1stasis a la pleura. \u00a0 \u00a0<\/p>\n<p>c) Tumor primario maligno del mediastino no controlado con la \u00a0terapia prescrita. \u00a0 \u00a0<\/p>\n<p>8.4.15. Abdomen \u00a0 \u00a0<\/p>\n<p>a) Carcinomatosis peritoneal. \u00a0 \u00a0<\/p>\n<p>b) Tumor maligno retroperitoneal no controlado con terapia \u00a0prescrita. \u00a0 \u00a0<\/p>\n<p>c) Ascitis con c\u00e9lulas malignas demostradas. \u00a0 \u00a0<\/p>\n<p>8.4.16. Es\u00f3fago \u00a0 \u00a0<\/p>\n<p>a) Carcinoma o sarcoma de los dos tercios superiores del \u00a0es\u00f3fago. \u00a0 \u00a0<\/p>\n<p>b) Carcinoma o sarcoma del tercio distal del es\u00f3fago con \u00a0met\u00e1stasis a los ganglios regionales o infiltraci\u00f3n de estructuras vecinas. \u00a0 \u00a0<\/p>\n<p>8.4.17. Est\u00f3mago \u00a0 \u00a0<\/p>\n<p>a) Carcinoma de est\u00f3mago con met\u00e1stasis a ganglios regionales \u00a0o invasi\u00f3n tumoral a \u00f3rganos vecinos. \u00a0 \u00a0<\/p>\n<p>b) Sarcoma no controlado por terapia adecuada. \u00a0 \u00a0<\/p>\n<p>c) Inoperables. \u00a0 \u00a0<\/p>\n<p>d) Recidivas o met\u00e1stasis despu\u00e9s de la cirug\u00eda radical. \u00a0 \u00a0<\/p>\n<p>e) Linfomas de acuerdo con la progresi\u00f3n de enfermedad. \u00a0 \u00a0<\/p>\n<p>8.4.18. Intestino Delgado \u00a0 \u00a0<\/p>\n<p>a) Carcinoma, sarcoma o tumor carcinoide con met\u00e1stasis m\u00e1s \u00a0all\u00e1 de los ganglios linf\u00e1ticos regionales. \u00a0 \u00a0<\/p>\n<p>b) Recurrencia de los anteriores despu\u00e9s de la extirpaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>c) Sarcoma no controlado por la terapia descrita. \u00a0 \u00a0<\/p>\n<p>8.4.19. Intestino Grueso \u00a0 \u00a0<\/p>\n<p>a) Inextirpable \u00a0 \u00a0<\/p>\n<p>b) Met\u00e1stasis m\u00e1s all\u00e1 de los n\u00f3dulos linf\u00e1ticos regionales. \u00a0 \u00a0<\/p>\n<p>c) Recidiva o met\u00e1stasis luego de la extirpaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>8.4.20. H\u00edgado o Ves\u00edcula Biliar \u00a0 \u00a0<\/p>\n<p>a) Tumores malignos primarios o metast\u00e1sicos. \u00a0 \u00a0<\/p>\n<p>b) Carcinoma invasor de la ves\u00edcula biliar. \u00a0 \u00a0<\/p>\n<p>c) Carcinoma de v\u00eda biliar inextirpable o con met\u00e1stasis. \u00a0 \u00a0<\/p>\n<p>8.4.21. P\u00e1ncreas \u00a0 \u00a0<\/p>\n<p>a) Carcinoma, excepto el C\u00e1ncer de la cel. islote. \u00a0 \u00a0<\/p>\n<p>b) Carcinoma de la c\u00e9lula en islote inextirpable o \u00a0fisiol\u00f3gicamente activo. \u00a0 \u00a0<\/p>\n<p>8.4.22. Ri\u00f1ones, Gandulas Suprarrenales o Ureteres \u00a0 \u00a0<\/p>\n<p>a) Inextirpable. \u00a0 \u00a0<\/p>\n<p>b) Con met\u00e1stasis \u00a0 \u00a0<\/p>\n<p>8.4.23. Vejiga \u00a0 \u00a0<\/p>\n<p>a) Infiltraci\u00f3n m\u00e1s all\u00e1 de la pared de la vejiga. \u00a0 \u00a0<\/p>\n<p>b) Inextirpable. \u00a0 \u00a0<\/p>\n<p>c) Met\u00e1stasis \u00a0 \u00a0<\/p>\n<p>d) Evaluar la alteraci\u00f3n renal luego de la cistectom\u00eda total \u00a0seg\u00fan criterio aplicado en el cap\u00edtulo correspondiente. \u00a0 \u00a0<\/p>\n<p>8.4.24. Prostata \u00a0 \u00a0<\/p>\n<p>Carcinoma no controlado con terapia prescrita y bien llevada. \u00a0 \u00a0<\/p>\n<p>8.4.25. Test\u00edculo. \u00a0 \u00a0<\/p>\n<p>a) Coriocarcinoma, no controlado mediante la terapia \u00a0adecuada. \u00a0 \u00a0<\/p>\n<p>b) Otros tumores malignos primarios con enfermedad progresiva \u00a0no controlada con la terapia indicada. \u00a0 \u00a0<\/p>\n<p>8.4.26. \u00datero, Carcinoma-Adenocarcinoma o Sarcoma. \u00a0 \u00a0<\/p>\n<p>a) Inoperable y no controlado con tratamiento adecuado. \u00a0 \u00a0<\/p>\n<p>b) Recidiva despu\u00e9s de la histerectom\u00eda total o radioterapia. \u00a0 \u00a0<\/p>\n<p>c) Exenteraci\u00f3n p\u00e9lvica total. \u00a0 \u00a0<\/p>\n<p>8.4.27. Ovario \u00a0 \u00a0<\/p>\n<p>a) Ascitis con c\u00e9lulas malignas demostradas. \u00a0 \u00a0<\/p>\n<p>b) Tumor inextirpable o parcialmente extirpado. \u00a0 \u00a0<\/p>\n<p>c) Met\u00e1stasis inextirpable de la cavidad abdominal. \u00a0 \u00a0<\/p>\n<p>d) Met\u00e1stasis a distancia. \u00a0 \u00a0<\/p>\n<p>8.4.28. Trompas de Falopio \u00a0 \u00a0<\/p>\n<p>Carcinoma o sarcoma inextirpable o con met\u00e1stasis. \u00a0 \u00a0<\/p>\n<p>8.4.29. Leucemia \u00a0 \u00a0<\/p>\n<p>a) Leucemia aguda linf\u00e1tica o no linf\u00e1tica que no responde \u00a0completamente, refractaria a tratamiento inicial. \u00a0 \u00a0<\/p>\n<p>b) Leucemia aguda que recae durante el per\u00edodo de terapia de \u00a0mantenimiento o estando fuera de tratamiento. \u00a0 \u00a0<\/p>\n<p>c) Leucemia mieloide cr\u00f3nica que no responde al tratamiento o \u00a0que se encuentra en etapa de transformaci\u00f3n o crisis bl\u00e1stica. \u00a0 \u00a0<\/p>\n<p>d) Leucemia linf\u00e1tica cr\u00f3nica en etapa avanzada con \u00a0manifestaciones de anemia y trombocitopenia o que no responde al tratamiento. \u00a0 \u00a0<\/p>\n<p>8.4.30. Mieloma \u00a0 \u00a0<\/p>\n<p>Confirmado mediante electroforesis de prote\u00ednas en orina o \u00a0suero y examen m\u00e9dula \u00f3sea pertinentes. Con: \u00a0 \u00a0<\/p>\n<p>a) Evidencia radiol\u00f3gica de complicaciones \u00f3seas con \u00a0osteoalgias intratables o fracturas patol\u00f3gicas; \u00a0 \u00a0<\/p>\n<p>b) O, evidencia de da\u00f1o renal; \u00a0 \u00a0<\/p>\n<p>c) O, Hipercalcemia con niveles en el suero persistentes de \u00a011 mg\/100 ml durante por lo menos 1 mes a pesar de la terapia prescrita; \u00a0 \u00a0<\/p>\n<p>d) O, c\u00e9lulas plasm\u00e1ticas, 100 o m\u00e1s c\u00e9lulas por ml, en \u00a0sangre perif\u00e9rica. \u00a0 \u00a0<\/p>\n<p>8.5 S\u00cdNDROME DE INMUNODEFICIENCIA ADQUIRIDA \u00a0 \u00a0<\/p>\n<p>Los criterios para la evaluaci\u00f3n del paciente infectado con \u00a0VIH o el enfermo de SIDA est\u00e1n dados en t\u00e9rminos de la restricci\u00f3n, ausencia o \u00a0carencias funcionales. Deben considerarse tres criterios para llegar a un \u00a0diagn\u00f3stico por VIH y SIDA, de la siguiente manera: \u00a0 \u00a0<\/p>\n<p>1. Criterio epidemiol\u00f3gico: El criterio epidemiol\u00f3gico constituye \u00a0el punto de partida del diagn\u00f3stico y comprende las diversas formas de \u00a0transmisi\u00f3n y los antecedentes de riesgo y contactos positivos. \u00a0 \u00a0<\/p>\n<p>2. Criterio de laboratorio: El criterio de laboratorio se \u00a0basa en la demostraci\u00f3n del virus, sus productos o los anticuerpos que producen \u00a0contra las distintas prote\u00ednas virales. Los m\u00e9todos de diagn\u00f3stico se \u00a0categorizan en: \u00a0 \u00a0<\/p>\n<p>a) Detecci\u00f3n de anticuerpos: pruebas presuntivas (ELISA), \u00a0pruebas suplementarias (Western-Blood, inmunofluorescencia, pruebas r\u00e1pidas o \u00a0inmuno-blot), entre otros. \u00a0 \u00a0<\/p>\n<p>b) Detecci\u00f3n del virus o sus productos: Aislamento del virus, \u00a0detecci\u00f3n del ant\u00edgeno P24, reacci\u00f3n en cadena de la polimerasa (PCR), entre \u00a0otros. \u00a0 \u00a0<\/p>\n<p>c) Pruebas de laboratorio complementarias: perfil \u00a0inmunol\u00f3gico, cuadro hem\u00e1tico y velocidad de sedimentaci\u00f3n globular, poblaci\u00f3n \u00a0linfocitaria, relaci\u00f3n CD4\/CD8, pruebas inmunol\u00f3gicas de hipersensibilidad \u00a0retardada, entre otras. \u00a0 \u00a0<\/p>\n<p>3. Criterio cl\u00ednico: El criterio cl\u00ednico est\u00e1 dado por la \u00a0detecci\u00f3n de signos y s\u00edntomas descritos en relaci\u00f3n con el SIDA. Siempre se \u00a0debe tener en cuenta que el per\u00edodo de incubaci\u00f3n puede durar varios a\u00f1os y que \u00a0no todas las manifestaciones cl\u00ednicas se dar\u00e1n en todos los pacientes, ya que \u00a0una misma alteraci\u00f3n puede tener caracter\u00edsticas diferentes en las personas. \u00a0 \u00a0<\/p>\n<p>El VIH puede afectar directamente al organismo al disminuir \u00a0significativamente el nivel de las defensas inmunol\u00f3gicas o puede desencadenar \u00a0una serie de patolog\u00edas secundarias a esto. Para la evaluaci\u00f3n de la \u00a0deficiencia se utiliza la clasificaci\u00f3n VIH\/SIDA del CDC\/Atlanta\/93, que \u00a0incluye la consideraci\u00f3n de un par\u00e1metro de evaluaci\u00f3n cl\u00ednica y otro de \u00a0laboratorio, basado en el recuento de linfocitos T4 o c\u00e9lulas CD4. La \u00a0calificaci\u00f3n se aplica a quienes ya tienen el diagn\u00f3stico positivo para el VIH \u00a0(2 pruebas presuntivas y una suplementaria positivas). El porcentaje de \u00a0deficiencia global generado por la infecci\u00f3n con VIH, se define seg\u00fan la \u00a0Clasificaci\u00f3n del CDC para Adolescentes y Adultos de 1993, en tres categor\u00edas \u00a0cl\u00ednicas (A, B, C) con rangos de CD4, 1, 2 y 3, como se ilustra en la TABLA No. \u00a08. 1. \u00a0 \u00a0<\/p>\n<p>TABLA No. 8.1: \u00a0CLASIFICACI\u00d3N DEL CDC PARA ADOLESCENTES Y ADULTOS. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Rango de CD4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Categor\u00edas \u00a0 \u00a0cl\u00ednicas \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>A \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>B \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Asintom\u00e1tico \u00a0 \u00a0infecci\u00f3n aguda linfadenopat\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Sintom\u00e1tico no \u00a0 \u00a0condici\u00f3n (A) o (C) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Condiciones \u00a0 \u00a0indicadoras de SIDA \u00a0\u00a0<\/p>\n<p>1) \u00b3 500\/mm3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>A1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>B1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C1 \u00a0\u00a0<\/p>\n<p>2) 200-499\/mm3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>A2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>B2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C2 \u00a0\u00a0<\/p>\n<p>3) &lt; 200\/mm3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>A3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>B3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>C3 \u00a0 \u00a0 \u00a0<\/p>\n<p>Para una mejor orientaci\u00f3n de los calificadores, se \u00a0recomienda revisar cuidadosamente los criterios de la clasificaci\u00f3n del \u00a0CDC\/Atlanta\/93 para Adolescentes y Adultos. \u00a0 \u00a0<\/p>\n<p>TABLA No. 8.2: \u00a0DEFICIENCIA GLOBAL POR INFECCI\u00d3N CON VIH\/SIDA \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>A1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>A2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>A3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>B1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27.0 \u00a0\u00a0<\/p>\n<p>B2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34.0 \u00a0\u00a0<\/p>\n<p>B3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0\u00a0<\/p>\n<p>C1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44.0 \u00a0\u00a0<\/p>\n<p>C2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47.0 \u00a0\u00a0<\/p>\n<p>C3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAPITULO IX \u00a0 \u00a0<\/p>\n<p>9. SISTEMA \u00a0ENDOCRINO \u00a0 \u00a0<\/p>\n<p>9.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>Este cap\u00edtulo define los criterios para la evaluaci\u00f3n de la \u00a0deficiencia global por patolog\u00eda de las gl\u00e1ndulas endocrinas. Est\u00e1 dividido en: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Eje hip\u00f3fisis-hipot\u00e1lamo \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Tiroides \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Suprarrenales \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0G\u00f3nadas \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Paratiroides \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Tejido de los islotes del p\u00e1ncreas. \u00a0 \u00a0<\/p>\n<p>9.2 CRITERIOS \u00a0PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA PERMANENTE DE HIPOFISIS-HIPOT\u00c1LAMO. \u00a0 \u00a0<\/p>\n<p>Las alteraciones hormonales hipot\u00e1lamo-hipofisiarias, se \u00a0estudian mediante medici\u00f3n basal de las hormonas involucradas y con pruebas de \u00a0est\u00edmulo o de supresi\u00f3n de las mismas. Tambi\u00e9n se estudia la regi\u00f3n \u00a0hipot\u00e1lamo-hipofisiaria mediante imagenolog\u00eda del cr\u00e1neo y campimetr\u00eda visual, \u00a0entre otras, para determinar el origen de las alteraciones y su efecto sobre \u00a0las estructuras vecinas. \u00a0 \u00a0<\/p>\n<p>9.2.1. Evaluaci\u00f3n de la deficiencia por alteraciones de la \u00a0hip\u00f3fisis anterior. \u00a0 \u00a0<\/p>\n<p>TABLA No. 9.1: \u00a0EVALUACION DE LA DEFICIENCIA OCASIONADA POR LAS ALTERACIONES DE LA HIPOFISIS \u00a0ANTERIOR. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I- \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La enfermedad se controla con un tratamiento continuo. En \u00a0 \u00a0caso de tumor, se clasifica en esta clase si se logra controlar con \u00a0 \u00a0tratamiento m\u00e9dico y\/o quir\u00fargico, y en cuanto a tama\u00f1o y sintomatolog\u00eda. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-4.90 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Cuando los s\u00edntomas no pueden controlarse adecuadamente con \u00a0 \u00a0el tratamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Cuando los s\u00edntomas y los signos persisten a pesar del \u00a0 \u00a0tratamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-25.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ejemplo: Mujer de 51 a\u00f1os que desarroll\u00f3 gradualmente una \u00a0acromegalia desde los 16 a\u00f1os, presentando adem\u00e1s amenorrea, cefalea y acn\u00e9. En \u00a0los \u00faltimos meses se intensificaron las cefaleas y refier\u00eda cambios en la \u00a0vision. Se encontr\u00f3 hiperglicemia con glucosuria, los campos visuales \u00a0demostraron un campo tubular en el ojo izquierdo y defecto temporal en el ojo \u00a0derecho. La radiograf\u00eda de cr\u00e1neo demostr\u00f3 crecimiento de la silla turca. Se \u00a0intervino quir\u00fargicamente extirp\u00e1ndose parcialmente un tumor hipofisiario. \u00a0Despu\u00e9s de la intervenci\u00f3n present\u00f3 alteraciones de los campos visuales y \u00a0requiri\u00f3 de una dieta estricta y 40 unidades de insulina lenta para el control \u00a0de su diabetes. Adicionalmente requiere reemplazo hormonal por \u00a0hipopituitarismo. Se hizo un diagn\u00f3stico de acromegalia por adenoma de la \u00a0hip\u00f3fisis con gran hipopituitarismo, diabetes Mellitus y campos visuales \u00a0alterados secundarios. \u00a0 \u00a0<\/p>\n<p>Se considera una deficiencia del 15.0% por la disfunci\u00f3n \u00a0hipofisiaria. Debi\u00e9ndose combinar un 13.0% por la diabetes inestable y 17.0% \u00a0por las alteraciones visuales. Ponderadas estas patolog\u00edas significan una \u00a0deficiencia global del 25.53%. \u00a0 \u00a0<\/p>\n<p>9.2.2. Evaluaci\u00f3n de la deficiencia por alteraciones de la \u00a0hip\u00f3fisis posterior. \u00a0 \u00a0<\/p>\n<p>9.2.2.1 Insuficiencia Neurohipofisiaria o Diabetes Ins\u00edpida. \u00a0 \u00a0<\/p>\n<p>El estudio de la hipofunci\u00f3n del l\u00f3bulo posterior de la \u00a0hip\u00f3fisis incluye: \u00a0 \u00a0<\/p>\n<p>a) Im\u00e1genes diagn\u00f3sticas del \u00e1rea hipot\u00e1lamo-hipofisiaria. \u00a0 \u00a0<\/p>\n<p>b) Determinaci\u00f3n de los campos visuales. \u00a0 \u00a0<\/p>\n<p>c) Determinaci\u00f3n de la densidad urinaria y osmolaridad del \u00a0plasma y orina, en condiciones basales y durante prueba de restricci\u00f3n h\u00eddrica. \u00a0 \u00a0<\/p>\n<p>TABLA No. 9.2: \u00a0EVALUACION DE LA DEFICIENCIA OCASIONADA POR LAS ALTERACIONES DE LA HIPOFISIS \u00a0POSTERIOR. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I- \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La afecci\u00f3n puede ser efectivamente controlada con tratamiento \u00a0 \u00a0continuo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-4.90 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El tratamiento continuo controla en forma parcial los \u00a0 \u00a0s\u00edntomas y signos de la enfermedad. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>A pesar de un tratamiento adecuado y bien llevado los \u00a0 \u00a0s\u00edntomas y signos persisten. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-25.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.2.2.2 Evaluaci\u00f3n de la deficiencia por Enanismo \u00a0Hipofisiario. \u00a0 \u00a0<\/p>\n<p>Para la valoraci\u00f3n de dicha deficiencia debe considerarse que \u00a0casi todos los casos de enanismo hipofisiario pertenecen a la clase III de \u00a0deficiencia de hip\u00f3fisis-hipot\u00e1lamo, que corresponde a 15 a 25%, cuando los \u00a0s\u00edntomas persisten a pesar del tratamiento. \u00a0 \u00a0<\/p>\n<p>9.3 CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA DEL \u00a0TIROIDES. \u00a0 \u00a0<\/p>\n<p>El hipertiroidismo no se considera una causa de deficiencia \u00a0porque el estado hipermetab\u00f3lico se puede corregir en forma permanente mediante \u00a0tratamiento en casi todos los pacientes. Despu\u00e9s de la remisi\u00f3n del \u00a0hipertiroidismo puede haber deficiencia en el sistema visual o cardiovascular, \u00a0que deber\u00e1 evaluarse seg\u00fan las normas correspondientes. As\u00ed mismo, el \u00a0hipotiroidismo en la mayor\u00eda de los casos, puede controlarse satisfactoriamente \u00a0con la administraci\u00f3n de hormona tiroidea. \u00a0 \u00a0<\/p>\n<p>Para la evaluaci\u00f3n del tiroides se deben realizar las pruebas \u00a0funcionales tiroideas que determine el endocrin\u00f3logo. \u00a0 \u00a0<\/p>\n<p>9.3.1 Evaluaci\u00f3n de la deficiencia por Hipertiroidismo. \u00a0 \u00a0<\/p>\n<p>Como se mencion\u00f3 el hipertiroidismo en s\u00ed mismo no produce \u00a0deficiencia, en ocasiones la tirotoxicosis maligna lleva a la aparici\u00f3n de un \u00a0exoftalmo progresivo, que puede llegar hasta la oftalmoplej\u00eda, la que se eval\u00faa \u00a0en el cap\u00edtulo de oftalmolog\u00eda. \u00a0 \u00a0<\/p>\n<p>9.3.2 Evaluaci\u00f3n de la deficiencia por Hipotiroidismo. \u00a0 \u00a0<\/p>\n<p>TABLA No. 9.3: \u00a0EVALUACI\u00d3N DE LA DEFICIENCIA POR HIPOTIROIDISMO. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I- \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Basta una terapia continua para \u00a0 \u00a0la correcci\u00f3n de la insuficiencia tiroidea; y, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0no existen contraindicaciones \u00a0 \u00a0f\u00edsicas o de laboratorio para esta terap\u00e9utica. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edntomas de enfermedad de \u00a0 \u00a0tiroides o alteraciones anat\u00f3micas; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Es necesaria una terapia de \u00a0 \u00a0tiroides continua; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Pero padece otras enfermedades \u00a0 \u00a0que permiten el reemplazo de la hormona tiroidea s\u00f3lo de manera parcial. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-15.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>NOTA: Cuando la suplencia tiroidea se inici\u00f3 tard\u00edamente y \u00a0ocurrieron secuelas permanentes de hipotiroidismo que conforman el cuadro de \u00a0cretinismo, se deber\u00e1 calcular la deficiencia de conformidad con el cap\u00edtulo \u00a0correspondiente a d\u00e9ficit mental. \u00a0 \u00a0<\/p>\n<p>9.4 CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA POR \u00a0ALTERACIONES DE LAS GL\u00c1NDULAS SUPRARRENALES. \u00a0 \u00a0<\/p>\n<p>9.4.1 Alteraciones de la Corteza Suprarrenal. \u00a0 \u00a0<\/p>\n<p>La hiper o hiposecreci\u00f3n de esta porci\u00f3n de las suprarrenales \u00a0puede producir deficiencia. En ocasiones se asocia a alteraciones de otras \u00a0gl\u00e1ndulas endocrinas o de otros sistemas org\u00e1nicos, lo que obliga a combinar \u00a0estas anomal\u00edas de acuerdo con lo expuesto en otros cap\u00edtulos. \u00a0 \u00a0<\/p>\n<p>La hipersecreci\u00f3n puede ser ocasionada por hiperplasia de la \u00a0corteza, exceso de ACTH hipofisiaria o ectopias, o bien tumores benignos o \u00a0malignos. Entre las enfermedades causadas por hipersecreci\u00f3n se encuentra el \u00a0s\u00edndrome de Cushing, el s\u00edndrome adrenogenital y el aldosteronismo primario. \u00a0 \u00a0<\/p>\n<p>La hiposecreci\u00f3n adrenal puede ser primaria, como \u00a0consecuencia de destrucci\u00f3n o ausencia de estas gl\u00e1ndulas, o secundaria como \u00a0resultado de una disminuci\u00f3n de la secreci\u00f3n de las corticotrofinas. Una sola \u00a0gl\u00e1ndula suprarrenal puede compensar la ausencia o disfunci\u00f3n de la otra. \u00a0 \u00a0<\/p>\n<p>Para la evaluaci\u00f3n de la funci\u00f3n de las gl\u00e1ndulas \u00a0suprarrenales deben realizar las pruebas funcionales y hormonales que determine \u00a0el endocrin\u00f3logo. \u00a0 \u00a0<\/p>\n<p>9.4.1.1. Evaluaci\u00f3n de la deficiencia por alteraciones de la \u00a0corteza suprarrenal. \u00a0 \u00a0<\/p>\n<p>TABLA No. 9.4: \u00a0EVALUACI\u00d3N DE LA DEFICIENCIA POR ALTERACIONES DE LA CORTEZA SUPRARENAL. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I- \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay anomal\u00eda en la secreci\u00f3n y se \u00a0 \u00a0requiere de administraci\u00f3n prolongada de hormonas corticales, por p\u00e9rdida de \u00a0 \u00a0las dos suprarrenales; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y necesita tratamiento continuo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-9.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay una anomal\u00eda en la secreci\u00f3n \u00a0 \u00a0y requiere administraci\u00f3n prolongada de hormonas corticales por p\u00e9rdida de \u00a0 \u00a0las dos gl\u00e1ndula; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y necesita un tratamiento \u00a0 \u00a0continuo. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0O es el caso de un paciente que \u00a0 \u00a0requiere de grandes cantidades de hormonas corticales para el tratamiento de \u00a0 \u00a0otra enfermedad de base y estas le ocasionan un s\u00edndrome de Cushing \u00a0 \u00a0secundario. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-19.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existe una anomal\u00eda en la \u00a0 \u00a0secreci\u00f3n y se requiere administraci\u00f3n de Hormonas corticales en forma \u00a0 \u00a0permanente. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edndrome de Cushing florido \u00a0 \u00a0que no obedece a la bateria terap\u00e9utica que existe actualmente. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay un s\u00edndrome de Nelson \u00a0 \u00a0secundario a la resecci\u00f3n las Gl\u00e1ndulas Suprarrenales y este no obedece a la \u00a0 \u00a0bateria terap\u00e9utica que existe actualmente. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0-30.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.4.2 Alteraciones en la M\u00e9dula Suprarrenal. \u00a0 \u00a0<\/p>\n<p>La M\u00e9dula suprarrenal no es esencial para la vida o el \u00a0bienestar de la persona, y por lo tanto, la ausencia de esta constituye 0% de \u00a0deficiencia global. La hiperfunci\u00f3n de la m\u00e9dula puede causar alteraciones por \u00a0hipertrofia de las c\u00e9lulas ya sea de car\u00e1cter tumoral o no. La existencia de \u00a0esta hiperfunci\u00f3n lleva a hipertensi\u00f3n arterial en forma de crisis o mantenida. \u00a0 \u00a0<\/p>\n<p>9.4.2.1 Evaluaci\u00f3n de la deficiencia por alteraciones de la \u00a0m\u00e9dula suprarrenal \u00a0 \u00a0<\/p>\n<p>TABLA No. 9.5: \u00a0EVALUACI\u00d3N DE LA DEFICIENCIA POR ALTERACIONES DE LA MEDULA SUPRARENAL. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I- \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay anomal\u00edas en la secreci\u00f3n de \u00a0 \u00a0las hormonas medulares de las gl\u00e1ndulas suprarrenales; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No necesita tratamiento continuo; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Puede llevar a cabo todas o casi \u00a0 \u00a0todas las actividades de la vida diaria. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-9.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay una anomal\u00eda en la secreci\u00f3n \u00a0 \u00a0de las hormonas de la m\u00e9dula de las gl\u00e1ndulas suprarrenales; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El tratamiento continuo no \u00a0 \u00a0controla los s\u00edntomas y signos completamente. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-20.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.5 CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA PERMANENTE \u00a0PRODUCTO DE ALTERACIONES EN LAS G\u00d3NADAS. \u00a0 \u00a0<\/p>\n<p>Una persona con p\u00e9rdida anat\u00f3mica o alteraciones de las \u00a0g\u00f3nadas que derive en anomal\u00edas de la secreci\u00f3n hormonal tendr\u00e1 una deficiencia \u00a0global de 1-5.0.%, siempre y cuando la alteraci\u00f3n de la funci\u00f3n gonadal sea \u00a0permanente e irreversible. El deterioro de las funciones de reproducci\u00f3n y \u00a0sexuales deber\u00e1 ser evaluado con las normas que figuran en el cap\u00edtulo VI. \u00a0 \u00a0<\/p>\n<p>9.6 CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA PERMANENTE \u00a0POR PROBLEMAS EN LAS GL\u00c1NDULAS MAMARIAS. \u00a0 \u00a0<\/p>\n<p>Una mujer sin mamas en edad f\u00e9rtil o con galactorrea \u00a0excesiva, o un var\u00f3n con ginecomastia dolorosa que interfiera en sus \u00a0actividades diarias, tendr\u00e1n un deficiencia global entre 1 y 5.0%. \u00a0 \u00a0<\/p>\n<p>Los c\u00e1nceres de mamas deben evaluarse de acuerdo con los \u00a0criterios del cap\u00edtulo VIII. \u00a0 \u00a0<\/p>\n<p>9.7 CRITERIOS PARA LA EVALUACI\u00d3N DE LA DEFICIENCIA PERMANENTE \u00a0POR ALTERACIONES DE LAS PARATIROIDES. \u00a0 \u00a0<\/p>\n<p>El hiperparatiroidismo con hipercalcemia, a menos que se deba \u00a0a un carcinoma inoperable, se considera por regla general una enfermedad que se \u00a0puede corregir, aunque a veces esta correcci\u00f3n pueda ser dif\u00edcil. Una \u00a0hipercalcemia persistente sea o no debida a esta patolog\u00eda, puede requerir un \u00a0tratamiento prolongado. Las deformidades de los huesos o el da\u00f1o renal puede \u00a0persistir despu\u00e9s del tratamiento y para la evaluaci\u00f3n de estas condiciones \u00a0deben usarse las normas correspondientes a cada cap\u00edtulo del sistema \u00a0involucrado. \u00a0 \u00a0<\/p>\n<p>Cuando la hipercalcemia con s\u00edntomas requiere un tratamiento \u00a0prolongado, la evaluaci\u00f3n de la deficiencia deber\u00e1 basarse en la interferencia \u00a0de la enfermedad con las actividades diarias del paciente, pudiendo variar de 0 \u00a0a 5.0% de deficiencia global. Este valor deber\u00e1 ser combinado con cualquier \u00a0otro valor de deficiencia pertinente al caso. \u00a0 \u00a0<\/p>\n<p>TABLA No. 9.6: \u00a0EVALUACI\u00d3N DE LA DEFICIENCIA POR HIPOPARATIROIDISMO. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I- \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El funcionamiento de la \u00a0 \u00a0paratiroides es deficiente, los niveles de calcio se mantienen gracias a la \u00a0 \u00a0terap\u00e9utica, y no hay s\u00edntomas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Ausencia de la paratiroides, el \u00a0 \u00a0nivel del calcio aumenta y disminuye intermitentemente a pesar de un \u00a0 \u00a0tratamiento adecuado. Puede haber o no s\u00edntomas, debido a los niveles \u00a0 \u00a0anormales de calcio en la sangre. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-9.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Disminuci\u00f3n del calcio plasm\u00e1tico \u00a0 \u00a0por debajo de 8 mg\/100 ml. a pesar del tratamiento. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Severa Tetania recurrente; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a00, convulsiones generalizadas \u00a0 \u00a0recurrentes; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a00, catarata lenticular, que se \u00a0 \u00a0debe evaluar seg\u00fan el criterio aplicado en el cap\u00edtulo XIII, de \u00f3rganos de \u00a0 \u00a0los sentidos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-15.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.8 EVALUACI\u00d3N DE LA DEFICIENCIA POR ALTERACIONES DEL \u00a0METABOLISMO DE LOS HIDRATOS DE CARBONO. \u00a0 \u00a0<\/p>\n<p>9.8.1 Evaluaci\u00f3n de la deficiencia generada por la Diabetes \u00a0Mellitus. \u00a0 \u00a0<\/p>\n<p>La diabetes de larga data puede asociarse a otras patolog\u00edas \u00a0que causan deficiencias mayores que la diabetes por si misma. Estas patolog\u00edas \u00a0est\u00e1n referidas al sistema cardiovascular, neurol\u00f3gico, urogenital, renal y \u00a0visual, con complicaciones degenerativas especificas como coronariopat\u00eda, \u00a0neuropatia, retinopatias y nefropatias. Las mujeres en edad f\u00e9rtil pueden \u00a0presentar dificultades para culminar el embarazo y los hombres impotencia \u00a0sexual. Todas estas alteraciones deber\u00e1n combinarse seg\u00fan la evaluaci\u00f3n de la \u00a0deficiencia otorgada en el cap\u00edtulo correspondiente a las alteraciones \u00a0involucradas. \u00a0 \u00a0<\/p>\n<p>TABLA No. 9.7: \u00a0EVALUACI\u00d3N DE LA DEFICIENCIA POR DIABETES MELLITUS. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL (%) \u00a0\u00a0<\/p>\n<p>I- \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Paciente con Diabetes Mellitus, que se controla adecuadamente \u00a0 \u00a0con dieta. No tiene evidencia de microangiopat\u00eda diab\u00e9tica (retinopat\u00eda y\/o \u00a0 \u00a0albuminuria &gt;30 mg\/100ml). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-4.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Paciente con Diabetes Mellitus, que requiere dieta restrictiva \u00a0 \u00a0e hipoglicemiantes orales, logrando un control satisfactorio de la glicemia. \u00a0 \u00a0Tiene o no evidencia de microangiopat\u00eda (retinopat\u00eda y\/o albuminuria &gt;30 \u00a0 \u00a0mg\/100ml) y la consecuente afecci\u00f3n de otros sistemas org\u00e1nicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-9.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Paciente con Diabetes Mellitus, que requiere dieta \u00a0 \u00a0restrictiva e hipoglicemiantes orales o insulina, logrando un control \u00a0 \u00a0satisfactorio de la glicemia. Tiene o no evidencia de microangiopat\u00eda \u00a0 \u00a0(retinopat\u00eda y\/o albuminuria &gt;30 mg\/100ml) y la consecuente afecci\u00f3n de \u00a0 \u00a0otros sistemas org\u00e1nicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-19.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Igual que la clase anterior, pero a pesar del manejo \u00a0 \u00a0dietario e insulina, presenta episodios frecuentes de hiper o hipoglicemia, \u00a0 \u00a0sin un control satisfactorio que requieren de manejo intrahospitalario y\/o afecci\u00f3n \u00a0 \u00a0grave de otros sistemas org\u00e1nicos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0-30.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ejemplo clase I: Hombre de 45 a\u00f1os que en un examen de \u00a0control presenta cifras de glicemia de 190 mg y moderado sobrepeso. Se \u00a0prescribe dieta. Tres meses despu\u00e9s su peso y glicemia son normales. Diagn\u00f3stico \u00a0= Diabetes Mellitus controlada con dieta. \u00a0 \u00a0<\/p>\n<p>Deficiencia global = 1 %. \u00a0 \u00a0<\/p>\n<p>Ejemplo clase II: Hombre de 66 a\u00f1os que en un examen de \u00a0control presenta cifras de glicemia de 300 mg, moderado sobrepeso e \u00a0hipertensi\u00f3n arterial. Se prescribe dieta, hipoglicemiantes orales y terapia \u00a0hipertensiva. Tres meses despu\u00e9s su peso, glicemia y tensi\u00f3n arterial se \u00a0encuentran controlados. Diagn\u00f3stico = Diabetes Mellitus controlada. \u00a0 \u00a0<\/p>\n<p>Deficiencia global = 5%. \u00a0 \u00a0<\/p>\n<p>Ejemplo clase III: Paciente de 25 a\u00f1os enfermo de diabetes \u00a0desde los 15 a\u00f1os. La actividad f\u00edsica que puede desarrollar varia \u00a0considerablemente de un d\u00eda a otro. Sigue una severa dieta y terapia con \u00a0insulina 2 veces al d\u00eda con controles de glucosa en sangre y en orina continuos \u00a0normales. Baja de peso sin exceder el rango normal, pero sin otras \u00a0complicaciones. \u00a0 \u00a0<\/p>\n<p>Diagn\u00f3stico = Diabetes Mellitus Tipo I, controlada \u00a0adecuadamente. \u00a0 \u00a0<\/p>\n<p>Deficiencia = 15%. \u00a0 \u00a0<\/p>\n<p>Ejemplos de la clase IV: de situaciones espec\u00edficas que caen \u00a0en este caso: \u00a0 \u00a0<\/p>\n<p>a) Neuropat\u00eda demostrada por una alteraci\u00f3n persistente o \u00a0importante de la funci\u00f3n motora en dos extremidades y que da por resultado \u00a0alteraciones de los movimientos, de la marcha, de la actitud postural del \u00a0individuo, o de estas dos \u00faltimas, o existen alteraciones de sensibilidad con \u00a0consecuencias. \u00a0 \u00a0<\/p>\n<p>b) Amputaci\u00f3n parcial o total de una extremidad debido a \u00a0necrosis diab\u00e9tica o enfermedad obstructiva vascular perif\u00e9rica. \u00a0 \u00a0<\/p>\n<p>c) Retinopat\u00eda severa con p\u00e9rdida importante de la agudeza y \u00a0campimetr\u00eda visual, evaluando el da\u00f1o visual seg\u00fan el criterio establecido en \u00a0el cap\u00edtulo correspondiente a \u00f3rgano de la visi\u00f3n. \u00a0 \u00a0<\/p>\n<p>d) Nefropat\u00eda severa con insuficiencia renal (ver cap\u00edtulo \u00a0correspondiente). \u00a0 \u00a0<\/p>\n<p>9.8.2 Evaluaci\u00f3n de la deficiencia generada por \u00a0Hiperinsulinismo (Hipoglicemia Permanente). \u00a0 \u00a0<\/p>\n<p>Ocasionalmente el hiperinsulinismo puede derivar de un exceso \u00a0en la producci\u00f3n de insulina, que induce hipoglicemias, cuyos per\u00edodos \u00a0prolongados o ataques severos y repetidos de \u00e9sta pueden llevar a deterioro \u00a0cerebral. \u00a0 \u00a0<\/p>\n<p>Dependiendo de la magnitud del da\u00f1o cerebral, una persona \u00a0hipoglic\u00e9mica puede sufrir una deficiencia global de acuerdo con la evaluaci\u00f3n \u00a0del Sistema Nervioso Central definida en el cap\u00edtulo correspondiente. Solo en \u00a0casos en los cuales el da\u00f1o metab\u00f3lico no se controle a pesar de la dieta y \u00a0medicaci\u00f3n adecuadas, se otorgar\u00e1 una deficiencia de 10.0%. \u00a0 \u00a0<\/p>\n<p>9.9 EVALUACI\u00d3N DE LA DEFICIENCIA POR OTRAS ALTERACIONES \u00a0METAB\u00d3LICAS. \u00a0 \u00a0<\/p>\n<p>9.9.1 Evaluaci\u00f3n de la deficiencia por Enfermedades \u00a0Metab\u00f3licas de los Huesos. \u00a0 \u00a0<\/p>\n<p>Las enfermedades metab\u00f3licas de los huesos tales como la \u00a0osteoporosis, la osteomalacia resistente a la vitamina D y la enfermedad de \u00a0Paget, pueden requerir una terapia continua y cuando no tienen s\u00edntomas y \u00a0signos tales como, dolor, deformidades del esqueleto o afecci\u00f3n de los nervios \u00a0perif\u00e9ricos, la deficiencia global ser\u00e1 de 0%. \u00a0 \u00a0<\/p>\n<p>Cuando se encuentran los s\u00edntomas y signos antes se\u00f1alados \u00a0pero se consiga una completa remisi\u00f3n de ellos mediante una terapia continua a \u00a0base de hormonas y minerales, la deficiencia global puede ser de 1-5%. \u00a0 \u00a0<\/p>\n<p>Cuando se requiere terapia continua para aliviar el dolor sin \u00a0conseguir remisi\u00f3n total y las actividades diarias del sujeto se ven afectadas \u00a0por \u00e9ste o por complicaciones como fracturas, puede haber un deficiencia global \u00a0de 5-10.0%. \u00a0 \u00a0<\/p>\n<p>En caso de osteoporosis de la columna, debe evaluarse con los \u00a0par\u00e1metros definidos en el Cap\u00edtulo I. Para mayor informaci\u00f3n sobre \u00a0osteoporosis generalizada se debe revisar el Cap\u00edtulo III. \u00a0 \u00a0<\/p>\n<p>9.9.2 Enfermedad Endocrina m\u00faltiple \u00a0 \u00a0<\/p>\n<p>De los s\u00edndromes multiglandulares autoinmunes, tiene particular \u00a0inter\u00e9s la asociaci\u00f3n de hipotiroidismo, Tiroiditis de Hashimoto m\u00e1s \u00a0insuficiencia suprarrenal, o enfermedad de Addison. Las deficiencias se \u00a0calificar\u00e1n de acuerdo con lo estipulado en las secciones que hacen referencia \u00a0a cada una de las disfunciones hormonales involucradas, mediante la combinaci\u00f3n \u00a0de los respectivos valores. \u00a0 \u00a0<\/p>\n<p>Las neoplasias endocrinas m\u00faltiples (NEM), frecuentemente \u00a0generan hiperfunci\u00f3n de varias gl\u00e1ndulas simult\u00e1nea y continuamente. La \u00a0asociaci\u00f3n de c\u00e1ncer medular de tiroides con feocromocitoma tiene particular \u00a0inter\u00e9s. Agotados los medios terap\u00e9uticos, quir\u00fargico, y farmacol\u00f3gico se \u00a0calcula la deficiencia de acuerdo con la patolog\u00eda de cada gl\u00e1ndula. \u00a0 \u00a0<\/p>\n<p>CAPITULO X \u00a0 \u00a0<\/p>\n<p>10. PIEL \u00a0 \u00a0<\/p>\n<p>10.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>En este capitulo se evaluaran la patolog\u00edas de curso cronico \u00a0y o recidivante o que por sus caracter\u00edsticas son irreversibles e imposibles de \u00a0erradicar, que ocasionan una deficiencia permanente de la piel y que afectan el \u00a0desempe\u00f1o en todas la actividades del individuo. \u00a0 \u00a0<\/p>\n<p>Para las lesiones de la piel que est\u00e9n asociadas a \u00a0enfermedades sistemicas su valoraci\u00f3n se deber\u00e1 realizar en el cap\u00edtulo \u00a0correspondiente. \u00a0 \u00a0<\/p>\n<p>10.1.1. CLASIFICACI\u00d3N \u00a0 \u00a0<\/p>\n<p>a) Para todas las patolog\u00edas de la piel \u00a0 \u00a0<\/p>\n<p>b) Para quemaduras. \u00a0 \u00a0<\/p>\n<p>c) Para cicatrices. \u00a0 \u00a0<\/p>\n<p>d) Para neoplasias de piel. \u00a0 \u00a0<\/p>\n<p>10.2 EVALUACION DE LA DEFICIENCIA POR PATOLOGIAS DE LA PIEL \u00a0 \u00a0<\/p>\n<p>Los siguientes son los criterios de evaluaci\u00f3n de la \u00a0deficiencia por patolog\u00edas de piel: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Anamnesis \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Examen f\u00edsico y ps\u00edquico \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Estudios complementarios \u00a0espec\u00edficos (test cut\u00e1neo, biopsias, inmunolog\u00eda, baciloscopia, etc.) \u00a0 \u00a0<\/p>\n<p>10.3 Criterios para la evaluaci\u00f3n de la deficiencia global \u00a0por patolog\u00edas de la piel \u00a0 \u00a0<\/p>\n<p>Para la evaluaci\u00f3n de las lesiones en piel se debe tomar en \u00a0cuenta: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Las zonas afectadas \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La profundidad \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La extensi\u00f3n de la lesi\u00f3n \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0El grado de dificultad laboral que \u00a0ocasionan \u00a0 \u00a0<\/p>\n<p>TABLA No. 10.1: \u00a0CRITERIOS PARA LA EVALUACION DE LA DEFICIENCIA GLOBAL POR PATOLOGIAS DE LA PIEL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0desorden en la piel \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Limitaci\u00f3n en las tareas en la \u00a0 \u00a0vida diaria: Inexiste o m\u00ednima con tratamiento, o que aumenta la extensi\u00f3n \u00a0 \u00a0con agentes f\u00edsicos qu\u00edmicos, temporalmente. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesidad de tratamiento: \u00a0 \u00a0Temporal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-2.4 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0desorden en la piel \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Limitaci\u00f3n en las tareas en la \u00a0 \u00a0vida diaria: En algunas tareas \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesidad de tratamiento: \u00a0 \u00a0Intermitente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.4 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0desorden en la piel \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Limitaci\u00f3n en las tareas en la \u00a0 \u00a0vida diaria: En muchas tareas \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesidad de tratamiento: Continuo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-19.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0desorden en la piel \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Limitaci\u00f3n en las tareas en la \u00a0 \u00a0vida diaria: En muchas tareas \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesidad de tratamiento: \u00a0 \u00a0Continuo \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El confinamiento en hogar u otra \u00a0 \u00a0residencia es opcional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20-29.9 \u00a0\u00a0<\/p>\n<p>V \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0desorden en la piel \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Limitaci\u00f3n en las tareas en la \u00a0 \u00a0vida diaria: Intensa limitaci\u00f3n \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesidad de tratamiento: \u00a0 \u00a0Continuo \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El confinamiento en hogar u otra \u00a0 \u00a0residencia es necesario \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30% \u00a0 \u00a0 \u00a0<\/p>\n<p>Patolog\u00edas que pertenecen a la clase V: Dermatitis \u00a0exfoliativa, ictiosis, eritrodermia, P\u00e9nfigo, eritema exudativo mulrigorme, \u00a0ezudado penfigoide, dermatitis herpetiforme, Infecci\u00f3n mic\u00f3tica profunda, \u00a0Psoriasis, dermatitis at\u00f3pica, dishidrosis, Hidradenitis supurativa, acn\u00e9 \u00a0comglobata. \u00a0 \u00a0<\/p>\n<p>Las patolog\u00edas como: vitiligo, herpigmentaciones, nevus \u00a0pigmentados angiomas, no ocasionan per se da\u00f1o en la funci\u00f3n, pero si se \u00a0manifiestan en el desempe\u00f1o del individuo en las actividades de la vida diaria, \u00a0por lo cual son evaluadas all\u00ed. \u00a0 \u00a0<\/p>\n<p>10.4 Criterios para la evaluaci\u00f3n de la deficiencia global \u00a0por quemaduras. \u00a0 \u00a0<\/p>\n<p>Para determinar el grado de incapacidad ocasionada por una \u00a0quemadura, hay que tener en cuenta: \u00a0 \u00a0<\/p>\n<p>a) Extensi\u00f3n \u00a0 \u00a0<\/p>\n<p>b) Profundidad \u00a0 \u00a0<\/p>\n<p>c) Compromiso de la movilidad articular \u00a0 \u00a0<\/p>\n<p>d) Secuelas est\u00e9ticas. \u00a0 \u00a0<\/p>\n<p>a) Extensi\u00f3n: para cuantificar la extensi\u00f3n de la lesi\u00f3n se \u00a0aplicar\u00e1 la &#8220;regla del nueve&#8221;, donde se le asigna el 36% de la \u00a0superficie corporal al t\u00f3rax y dorso, el 36% a los dos miembros inferiores, el \u00a018% a ambos miembros superiores, el 9% a la cabeza y el 1% a los genitales \u00a0(masculino o femenino). \u00a0 \u00a0<\/p>\n<p>b) La profundidad de la quemadura se eval\u00faa de la siguiente \u00a0manera: \u00a0 \u00a0<\/p>\n<p>TABLA No. 10.2: \u00a0CRITERIOS PARA LA EVALUACION DE LA DEFICIENCIA GLOBAL POR QUEMADURAS. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>TIPO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>AREA \u00a0 \u00a0COMPROMETIDA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% ASIGNADO \u00a0\u00a0<\/p>\n<p>A \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Superficial o epid\u00e9rmico \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25% del porcentaje de la extensi\u00f3n de la superficie \u00a0 \u00a0corporal lesionada \u00a0\u00a0<\/p>\n<p>AB \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Epidermis y demis \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50% del porcentaje de la extensi\u00f3n de la superficie \u00a0 \u00a0corporal lesionada \u00a0\u00a0<\/p>\n<p>B \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Demis hasta aponeurosis o hueso \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>lgual al \u00e1rea afectada \u00a0 \u00a0 \u00a0<\/p>\n<p>c) Compromiso de la movilidad articular: se eval\u00faa en el \u00a0cap\u00edtulo correspondiente. \u00a0 \u00a0<\/p>\n<p>d) Secuelas est\u00e9ticas: se evaluar\u00e1n, en la medida en que \u00a0afecten la capacidad de para desempe\u00f1ar un trabajo, o minusvalia ocupacional. \u00a0 \u00a0<\/p>\n<p>e) Las lesiones superficiales que curen sin dejar cicatriz ni \u00a0secuelas, no ser\u00e1n motivo de evaluaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>10.5 Criterios para la evaluaci\u00f3n de la deficiencia global \u00a0por cicatrices. \u00a0 \u00a0<\/p>\n<p>Para efectos de la calificaci\u00f3n de la p\u00e9rdida de la capacidad \u00a0laboral, las cicatrices como tales no generan deficiencia de piel, excepto \u00a0aquellas que tienen como secuela una minusvalia ocupacional, a las cuales se le \u00a0asigna un valor del 2% de deficiencia global. \u00a0 \u00a0<\/p>\n<p>Las secuelas o compromiso de estructuras localizadas en la \u00a0zona afectada (por ejemplo: ojos o la articulaci\u00f3n), ser\u00e1n evaluadas en el \u00a0cap\u00edtulos correspondientes. \u00a0 \u00a0<\/p>\n<p>10.6. Criterios para la evaluaci\u00f3n de la deficiencia global \u00a0por neoplasias de piel. \u00a0 \u00a0<\/p>\n<p>Estas se eval\u00faan en el cap\u00edtulo de neoplasias. \u00a0 \u00a0<\/p>\n<p>CAPITULO XI \u00a0 \u00a0<\/p>\n<p>11. SISTEMA \u00a0NERVIOSO CENTRAL \u00a0 \u00a0<\/p>\n<p>11.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>La inducci\u00f3n o simulaci\u00f3n de s\u00edntomas y signos por parte del \u00a0paciente es un punto cr\u00edtico para la evaluaci\u00f3n de la invalidez, pues tiende a \u00a0enmascarar, magnificar o sustituir patolog\u00edas aut\u00e9nticas subyacentes. \u00a0 \u00a0<\/p>\n<p>Hay que tener en cuenta, que el grado de deficiencia en el \u00a0sistema nervioso no es est\u00e1tico por lo que con frecuencia estamos frente a un \u00a0proceso evolutivo. \u00a0 \u00a0<\/p>\n<p>A este cap\u00edtulo le corresponde analizar lo siguiente: \u00a0 \u00a0<\/p>\n<p>a) Cerebro \u00a0 \u00a0<\/p>\n<p>b) M\u00e9dula Espinal \u00a0 \u00a0<\/p>\n<p>c) Nervios Craneales \u00a0 \u00a0<\/p>\n<p>11.2 CEREBRO \u00a0 \u00a0<\/p>\n<p>11.2.1 Criterios de evaluaci\u00f3n de la deficiencia por \u00a0patolog\u00eda cerebral. \u00a0 \u00a0<\/p>\n<p>Para efectos de la calificaci\u00f3n de la deficiencia por \u00a0patolog\u00eda cerebral, se tendr\u00e1n en cuenta los siguientes criterios : \u00a0 \u00a0<\/p>\n<p>1. Alteraciones sensoriales y motoras. \u00a0 \u00a0<\/p>\n<p>2. Alteraciones en la comunicaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>3. Alteraciones de las funciones complejas e integradas del \u00a0cerebro. \u00a0 \u00a0<\/p>\n<p>4. Alteraciones emotivas. \u00a0 \u00a0<\/p>\n<p>5. Alteraciones de la conciencia. \u00a0 \u00a0<\/p>\n<p>6. Alteraciones neurol\u00f3gicas epis\u00f3dicas. \u00a0 \u00a0<\/p>\n<p>Puede haber mas de un tipo de manifestaciones de deficiencia \u00a0por patolog\u00eda en el cerebro. En estos casos los diversos grados de deficiencia \u00a0no se suman ni combinan, se toma el valor mayor de deficiencia para representar \u00a0la deficiencia global. \u00a0 \u00a0<\/p>\n<p>Ejemplo: Alteraci\u00f3n de la comunicaci\u00f3n por da\u00f1o cerebral \u00a0(afasia) = 18.0%. Alteraci\u00f3n de las funciones complejas = 8.0%. Alteraci\u00f3n \u00a0emotiva= 0%, Alteraciones de la Conciencia = 25.0%. La deficiencia global ser\u00eda \u00a025.0% y no 51.0% sumada ni 26.9% por combinaci\u00f3n de valores. \u00a0 \u00a0<\/p>\n<p>11.2.1.1 Alteraciones sensoriales y motoras. \u00a0 \u00a0<\/p>\n<p>Las alteraciones musculares, y algunas deformidades \u00a0secundarias a lesiones neurol\u00f3gicas, se reflejan en la p\u00e9rdida de funci\u00f3n y no \u00a0se miden por separado. Se califican de acuerdo con los criterios definidos para \u00a0restricci\u00f3n del movimiento y p\u00e9rdida de fuerza muscular en el Cap\u00edtulo I del \u00a0Libro Primero de \u00e9ste Manual. \u00a0 \u00a0<\/p>\n<p>Para evaluar la espasticidad se tendr\u00e1n en cuenta los \u00a0criterios contenidos en la tabla 11.5 as\u00ed: Si se trata de extremidades \u00a0superiores, se asignar\u00e1 un valor de acuerdo a los par\u00e1metros establecidos para \u00a0&#8220;uso de extremidades superiores&#8221; y si se trata de extremidades \u00a0inferiores se asignar\u00e1 un valor de acuerdo a los par\u00e1metros establecidos para \u00a0&#8220;porte y postura&#8221;. \u00a0 \u00a0<\/p>\n<p>El dolor es individual, inmedible y variable de acuerdo con \u00a0la atenci\u00f3n que se le ponga. S\u00f3lo podemos evaluar el dermatoma que ocupa, las \u00a0limitaciones que causa, las posiciones ant\u00e1lgicas y la respuestas en procura de \u00a0mejor\u00eda. Para tener mayores antecedentes sobre el dolor se debe revisar el \u00a0Cap\u00edtulo II, del Sistema Nervioso Perif\u00e9rico. \u00a0 \u00a0<\/p>\n<p>11.2.1.2. Alteraciones de la Comunicaci\u00f3n \u00a0 \u00a0<\/p>\n<p>Para calificar la deficiencia por alteraciones de la \u00a0comunicaci\u00f3n, se considerar\u00e1n las perturbaciones en el mecanismo central del \u00a0lenguaje que incluyen comprensi\u00f3n, almacenamiento y producci\u00f3n del mismo, las \u00a0cuales se manifestan como afasia, disfasia, agrafia, alexia o acalculia. \u00a0 \u00a0<\/p>\n<p>Se considerar\u00e1n para efectos de la calificaci\u00f3n no s\u00f3lo la \u00a0comprensi\u00f3n y entendimiento del lenguaje por parte del paciente sino tambi\u00e9n la \u00a0habilidad de producir un lenguaje simb\u00f3lico inteligible y apropiado. \u00a0 \u00a0<\/p>\n<p>TABLA No. 11.1. \u00a0DEFICIENCIA GLOBAL POR ALTERACIONES DE LA COMUNICACION. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Alteraciones \u00a0 \u00a0de la comunicaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global (%) \u00a0\u00a0<\/p>\n<p>Puede comprender el lenguaje y expresarse, pero lo hace con \u00a0 \u00a0dificultad. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0-9.9 \u00a0\u00a0<\/p>\n<p>Puede comprender el lenguaje pero no puede expresarse \u00a0 \u00a0apropiadamente. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-24.9 \u00a0\u00a0<\/p>\n<p>No puede comprender el lenguaje y por ende se expresa en \u00a0 \u00a0forma ininteligible o inapropiada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0-44.9 \u00a0\u00a0<\/p>\n<p>No puede comprender ni utilizar el lenguaje. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45.0-50.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.2.1.3. Alteraciones de las Funciones Complejas e \u00a0Integradas del Cerebro \u00a0 \u00a0<\/p>\n<p>Estas alteraciones constituyen el s\u00edndrome org\u00e1nico cerebral, \u00a0con defectos en orientaci\u00f3n, comprensi\u00f3n, memoria y comportamiento, a \u00a0continuaci\u00f3n se dan los criterios para la evaluaci\u00f3n de la deficiencia: \u00a0 \u00a0<\/p>\n<p>TABLA No. 11.2 \u00a0DEFICIENCIA GLOBAL POR ALTERACIONES DE LAS FUNCIONES COMPLEJAS E INTEGRADAS DEL \u00a0CEREBRO. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global de la persona (%) \u00a0\u00a0<\/p>\n<p>Puede realizar las tareas de la vida diaria. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1-9.9 \u00a0\u00a0<\/p>\n<p>Necesita supervisi\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 0.0-24.9 \u00a0\u00a0<\/p>\n<p>Necesita confinamiento \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0-39.9 \u00a0\u00a0<\/p>\n<p>No pude cuidar de si mismo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0-50.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.2.1.4. Alteraciones emotivas. \u00a0 \u00a0<\/p>\n<p>Las alteraciones emotivas se calificar\u00e1n de acuerdo a los \u00a0criterios enunciados en el cap\u00edtulo XII. \u00a0 \u00a0<\/p>\n<p>11.2.1.5. Alteraciones de la conciencia. \u00a0 \u00a0<\/p>\n<p>TABLA No. 11.3 \u00a0DEFICIENCIA GLOBAL POR ALTERACIONES DE LA CONCIENCIA. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Alteraciones \u00a0 \u00a0de la conciencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global de la persona (%) \u00a0\u00a0<\/p>\n<p>Somnolencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-29.9 \u00a0\u00a0<\/p>\n<p>Estupor \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0-45.0 \u00a0\u00a0<\/p>\n<p>Coma \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.2.1.6. Alteraciones Neurol\u00f3gicas Epis\u00f3dicas. \u00a0 \u00a0<\/p>\n<p>Entre estas alteraciones se pueden mencionar, el s\u00edncope, la \u00a0epilepsia, la catalepsia y la narcolepsia. El criterio para la evaluaci\u00f3n de la \u00a0deficiencia est\u00e1 dado por la frecuencia y severidad de los ataques para cada \u00a0caso descrito en los literales anteriores. \u00a0 \u00a0<\/p>\n<p>TABLA No. 11.4. \u00a0DEFICIENCIA GLOBAL POR ALTERACIONES NEUROLOGICAS EPISODICAS. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Enfermedad controlada con tratamiento u ocurrencia ocasional \u00a0 \u00a0(1 a 2 episodios anuales). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-9.9 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Enfermedad que cursa con ocurrencia de los episodios en \u00a0 \u00a0forma frecuente (mayor de dos episodios anuales), a pesar de recibir un \u00a0 \u00a0tratamiento adecuado y sin evidencia de secuelas de las funciones cerebrales. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-24.9 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Enfermedad que cursa con ocurrencia de episodios frecuente \u00a0 \u00a0(mayor de dos episodios anuales), a pesar de recibir un tratamiento adecuado \u00a0 \u00a0y con evidencia de secuelas de las funciones cerebrales. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0-34.9 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Enfermedad que cursa con ocurrencia de los episodios mayor \u00a0 \u00a0de una vez por mes, a pesar de recibir un tratamiento adecuado y con \u00a0 \u00a0evidencia de deterioro de las funciones cerebrales. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0-45.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Nota: Para la evaluaci\u00f3n de la deficiencia por alteraciones neurol\u00f3gicas \u00a0epis\u00f3dicas es importante tener en cuenta que el tratamiento ha sido bien \u00a0llevado y en dosis suficiente seg\u00fan concepto especializado. \u00a0 \u00a0<\/p>\n<p>11.2.2. Criterios para la evaluaci\u00f3n de deficiencia por \u00a0Traumatismo Cr\u00e1neo-Encef\u00e1lico (TCE). \u00a0 \u00a0<\/p>\n<p>La deficiencia ocasionada por las secuelas de un traumatismo \u00a0cr\u00e1neo-encef\u00e1lico, se eval\u00faa seg\u00fan los criterios establecidos en el numeral \u00a011.2. \u00a0 \u00a0<\/p>\n<p>11.2.3. Desordenes del movimiento y de la postura. \u00a0 \u00a0<\/p>\n<p>Dentro de este grupo de patolog\u00edas se incluyen algunos \u00a0trastornos que implican desorden de la postura y movimiento, como el S\u00edndrome \u00a0de Parkinson, ataxias, diskinesias, temblores, rigidez y \u00a0 \u00a0<\/p>\n<p>diston\u00edas. \u00a0 \u00a0<\/p>\n<p>En el caso del Parkinson, la rigidez significativa, \u00a0bradikinesia o el temblor en dos extremidades solas o en combinaci\u00f3n, dan por \u00a0resultado una alteraci\u00f3n continua de los movimientos, de la marcha o la postura \u00a0del individuo. Se debe probar fehacientemente que el paciente se encuentra en \u00a0tratamiento bien llevado con dosis suficientes y un tiempo de terapia no menor \u00a0a los seis (6) meses, para proceder a calificarlo. \u00a0 \u00a0<\/p>\n<p>11.2.4. Tumores Cerebrales. \u00a0 \u00a0<\/p>\n<p>Se evaluar\u00e1n de acuerdo a los criterios establecidos en el \u00a0cap\u00edtulo VIII. \u00a0 \u00a0<\/p>\n<p>11.2.5. Lesiones Cerebrales que producen una deficiencia del \u00a040% \u00a0 \u00a0<\/p>\n<p>No obstante los valores mencionados, a continuaci\u00f3n se describen \u00a0ciertos da\u00f1os neurol\u00f3gicos que producen una deficiencia del 40%. \u00a0 \u00a0<\/p>\n<p>11.2.5.1. Accidente vascular del Sistema Nervioso Central y \u00a0secuelas de trauma cr\u00e1neo-encef\u00e1lico. \u00a0 \u00a0<\/p>\n<p>Con una de las siguientes caracter\u00edsticas, pasados tres meses \u00a0de ocurrido el A.C.V. \u00a0 \u00a0<\/p>\n<p>a) Afasia motora o sensorial que da por resultado habla o \u00a0comunicaci\u00f3n ineficaz; \u00a0 \u00a0<\/p>\n<p>b) 0, disturbio persistente y significativo de la funci\u00f3n \u00a0motora de dos extremidades, dando por resultado una alteraci\u00f3n de los \u00a0movimientos o la marcha y postura del individuo. \u00a0 \u00a0<\/p>\n<p>11.2.5.2 S\u00edndrome de Parkinson. \u00a0 \u00a0<\/p>\n<p>Cuando involucre dos o m\u00e1s extremidades con alteraci\u00f3n \u00a0continua de los movimientos, recibiendo un tratamiento bien llevado, con la \u00a0dosis adecuada y durante un tiempo de terapia no menor a seis meses sin \u00a0mejor\u00eda. \u00a0 \u00a0<\/p>\n<p>11.3. M\u00c9DULA ESPINAL \u00a0 \u00a0<\/p>\n<p>En el curso de las patolog\u00edas de la m\u00e9dula espinal, pueden \u00a0aparecer trastornos neurovegetativos auton\u00f3micos, como sudoraci\u00f3n, fen\u00f3menos \u00a0circulatorios y des\u00f3rdenes en la regulaci\u00f3n de la temperatura corporal, as\u00ed \u00a0como, lesiones tr\u00f3ficas, c\u00e1lculos en las v\u00edas urinarias, osteoporosis, \u00a0alteraciones nutricionales y estados psicol\u00f3gicos reactivos, que ser\u00e1n \u00a0valorados de acuerdo a los cap\u00edtulos correspendientes. \u00a0 \u00a0<\/p>\n<p>11.3.1 Criterios de evaluaci\u00f3n de la deficiencia por \u00a0patolog\u00eda de m\u00e9dula espinal. \u00a0 \u00a0<\/p>\n<p>Para efectos de la evaluaci\u00f3n de la deficiencia debida a \u00a0alteraciones de la m\u00e9dula espinal, se tendr\u00e1n en cuenta los siguientes \u00a0criterios: \u00a0 \u00a0<\/p>\n<p>1. Porte y Postura. \u00a0 \u00a0<\/p>\n<p>2. Uso de las extremidades superiores. \u00a0 \u00a0<\/p>\n<p>3. Respiraci\u00f3n. \u00a0 \u00a0<\/p>\n<p>4. Funci\u00f3n de la vejiga. \u00a0 \u00a0<\/p>\n<p>5. Funci\u00f3n ano-rectal. \u00a0 \u00a0<\/p>\n<p>6. Funci\u00f3n sexual. \u00a0 \u00a0<\/p>\n<p>Puede haber m\u00e1s de un tipo de manifestaciones de deficiencias \u00a0por patolog\u00eda de m\u00e9dula espinal, en estos casos, para determinar la deficiencia \u00a0global se realizar\u00e1 combinaci\u00f3n de valores. \u00a0 \u00a0<\/p>\n<p>TABLA No. 11.5 \u00a0Deficiencia global por alteraciones de la M\u00e9dula Espinal \u00a0 \u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global de la persona (%) \u00a0\u00a0<\/p>\n<p>Postura \u00a0 \u00a0y porte: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Puede \u00a0 \u00a0sostenerse de pie pero camina con dificultad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-9.9 \u00a0\u00a0<\/p>\n<p>Puede \u00a0 \u00a0sostenerse de pie y camina solo en llano \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-19.9 \u00a0\u00a0<\/p>\n<p>Puede sostenerse \u00a0 \u00a0de pie pero no puede caminar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0-30.0 \u00a0\u00a0<\/p>\n<p>No \u00a0 \u00a0puede sostenerse de pie ni caminar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0\u00a0<\/p>\n<p>Respiraci\u00f3n: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Dificultad \u00a0 \u00a0con el esfuerzo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-9.9 \u00a0\u00a0<\/p>\n<p>Tiene \u00a0 \u00a0que limitar la deambulaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-24.9 \u00a0\u00a0<\/p>\n<p>Tiene \u00a0 \u00a0que estar en cama \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0-40.0 \u00a0\u00a0<\/p>\n<p>No tiene \u00a0 \u00a0respiraci\u00f3n espont\u00e1nea \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0\u00a0<\/p>\n<p>Funci\u00f3n \u00a0 \u00a0de la Vejiga: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global de la persona (%) \u00a0\u00a0<\/p>\n<p>No \u00a0 \u00a0puede contenerse cuando tiene urgencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0\u00a0<\/p>\n<p>Buenos \u00a0 \u00a0reflejos sin control voluntario \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-9.9 \u00a0\u00a0<\/p>\n<p>Reflejos \u00a0 \u00a0pobres sin control voluntario \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-17.4 \u00a0\u00a0<\/p>\n<p>Sin \u00a0 \u00a0reflejos y sin control voluntario \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5-30.0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Funci\u00f3n \u00a0 \u00a0ano-rectal: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Control \u00a0 \u00a0voluntario limitado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-2.4 \u00a0\u00a0<\/p>\n<p>Regulaci\u00f3n \u00a0 \u00a0de reflejos, sin control voluntario \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-7.4 \u00a0\u00a0<\/p>\n<p>Sin regulaci\u00f3n \u00a0 \u00a0de reflejos ni control voluntario \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-12.5 \u00a0\u00a0<\/p>\n<p>Funci\u00f3n \u00a0 \u00a0Sexual: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Dificultades \u00a0 \u00a0leves \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-4.9 \u00a0\u00a0<\/p>\n<p>Funci\u00f3n \u00a0 \u00a0refleja pero sin percibirse \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-7.4 \u00a0\u00a0<\/p>\n<p>Incapacitado \u00a0 \u00a0para la funci\u00f3n sexual \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5-10.0 \u00a0\u00a0<\/p>\n<p>Uso de las \u00a0 \u00a0extremidades superiores: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad Dominante \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Extremidad No domin. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Ambas Extre. \u00a0\u00a0<\/p>\n<p>Alguna \u00a0 \u00a0dificultad en la destreza de mano y dedos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-4.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-2.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-9.9 \u00a0\u00a0<\/p>\n<p>No \u00a0 \u00a0tiene destreza en mano y dedos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-14.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5-9.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-19.9 \u00a0\u00a0<\/p>\n<p>Le \u00a0 \u00a0sirve solo como extremidad auxiliar. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-19.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0-14.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0-35.0 \u00a0\u00a0<\/p>\n<p>No \u00a0 \u00a0tiene ninguna funcionalidad. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0-30.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0-20.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0<\/p>\n<p>11.3.2. Lesiones de la M\u00e9dula Espinal que tienen una \u00a0deficiencia del 40% \u00a0 \u00a0<\/p>\n<p>Las siguientes son patolog\u00edas de la m\u00e9dula espinal que por su \u00a0severidad y complejidad se les otorga una deficiencia del 40% \u00a0 \u00a0<\/p>\n<p>11.3.2.1 Lesiones de la M\u00e9dula Espinal. \u00a0 \u00a0<\/p>\n<p>Secci\u00f3n modular completa debido a cualquier causa. \u00a0 \u00a0<\/p>\n<p>11.3.2.2 Esclerosis M\u00faltiple con: \u00a0 \u00a0<\/p>\n<p>a) Cuando existe da\u00f1o motor de dos o m\u00e1s extremidades. \u00a0 \u00a0<\/p>\n<p>b) 0, da\u00f1o visual o mental, seg\u00fan el criterio aplicado en los \u00a0cap\u00edtulos correspondientes a \u00f3rganos de la visi\u00f3n o de alteraciones \u00a0psiqui\u00e1tricas. \u00a0 \u00a0<\/p>\n<p>11.3.2.3. Esclerosis Lateral Amiotr\u00f3fica con: \u00a0 \u00a0<\/p>\n<p>a) Indicios de compromiso bulbar importante; \u00a0 \u00a0<\/p>\n<p>b) 0, alteraci\u00f3n de la funci\u00f3n motora de dos o mas \u00a0extremidades. \u00a0 \u00a0<\/p>\n<p>11.3.2.4. Poliomielitis Anterior con: \u00a0 \u00a0<\/p>\n<p>a) Dificultad persistente al deglutir o respirar; \u00a0 \u00a0<\/p>\n<p>b) 0, habla ininteligible; \u00a0 \u00a0<\/p>\n<p>c) 0, alteraci\u00f3n de la funci\u00f3n motora de dos o mas \u00a0extremidades. \u00a0 \u00a0<\/p>\n<p>11.3.2.5. Miastenia Gravis con: \u00a0 \u00a0<\/p>\n<p>a) Dificultad importante del habla, la degluci\u00f3n y la \u00a0respiraci\u00f3n a pesar de recibir tratamiento adecuado. \u00a0 \u00a0<\/p>\n<p>b) Debilidad importante de los m\u00fasculos de las extremidades a \u00a0pesar de encontrarse bajo terapia adecuada controlada y bien llevada. \u00a0 \u00a0<\/p>\n<p>11.3.2.6. Distrofia Muscular con: \u00a0 \u00a0<\/p>\n<p>Cuando existe alteraci\u00f3n de la funci\u00f3n motora de dos o mas \u00a0extremidades. \u00a0 \u00a0<\/p>\n<p>11.3.2.7. Tabes Dorsal con: \u00a0 \u00a0<\/p>\n<p>a) Crisis tab\u00e9tica que se presenta mas de una vez por mes; \u00a0 \u00a0<\/p>\n<p>b) 0, marcha at\u00e1xica o vacilante que causa restricci\u00f3n \u00a0importante del movimiento, verificado mediante signos persistentes de \u00a0alteraci\u00f3n de los cordones posteriores de la m\u00e9dula espinal. \u00a0 \u00a0<\/p>\n<p>11.3.2.8. Siringomelia con: \u00a0 \u00a0<\/p>\n<p>a) Indicios de alteraciones bulbares significativas; \u00a0 \u00a0<\/p>\n<p>b) 0, alteraci\u00f3n de la funci\u00f3n motora de dos o mas \u00a0extremidades. \u00a0 \u00a0<\/p>\n<p>11.4 NERVIOS CRANEALES \u00a0 \u00a0<\/p>\n<p>TABLA No. 11.6: \u00a0VALORES DE DEFICIENCIA POR ALTERACIONES DE LOS NERVIOS CRANEALES \u00a0 \u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>I. \u00a0 \u00a0Olfatorio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>II. \u00a0 \u00a0\u00d3ptico \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50.0 \u00a0\u00a0<\/p>\n<p>III-IV-VI-Motor \u00a0 \u00a0Ocular com\u00fan. Pat\u00e9tico-Motor Ocular externo (solos o combinados) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Diplopia \u00a0 \u00a0en las zonas altas de la mirada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>Diplopia \u00a0 \u00a0en la parte inferior del campo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>Diplopia \u00a0 \u00a0en la mirada lateral. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Diplopia \u00a0 \u00a0en todas las posiciones de la mirada (no compensables y que obligan a ocluir \u00a0 \u00a0un ojo). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0\u00a0<\/p>\n<p>V. Trig\u00e9mino \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0sensorial completa unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0sensorial completa bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0\u00a0<\/p>\n<p>Neuralgia \u00a0 \u00a0intratable t\u00edpica del Trig\u00e9mino o tic doloroso \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0-25.0 \u00a0\u00a0<\/p>\n<p>Neuralgia \u00a0 \u00a0facial at\u00edpica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0Motora completa unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia global (%) \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0Motora completa bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0\u00a0<\/p>\n<p>VII.-Facial \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa del gusto (muy raramente) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Par\u00e1lisis \u00a0 \u00a0completa Unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Par\u00e1lisis \u00a0 \u00a0completa bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0\u00a0<\/p>\n<p>VIII. \u00a0 \u00a0Auditivo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Coclear: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa del o\u00eddo unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.2 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa del o\u00eddo bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>Zumbido \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Vestibular: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>P\u00e9rdida \u00a0 \u00a0completa bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0-15.0 \u00a0\u00a0<\/p>\n<p>V\u00e9rtigo \u00a0 \u00a0con desequilibrio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>1) No \u00a0 \u00a0interfiere con las actividades \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>2) No \u00a0 \u00a0interfiere con las actividades excepto aquellas que ocasionen peligro \u00a0 \u00a0personal o para otros como conducir un coche o llevar una bicicleta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>3) No \u00a0 \u00a0interfiere con las actividades de la vida diaria, necesidad de ayuda para \u00a0 \u00a0actividades muy sencillas como el cuidado de si mismo, de la casa, el caminar \u00a0 \u00a0por la calle o ir en un veh\u00edculo conducido por otra persona. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>4) No \u00a0 \u00a0es posible llevar a cabo las actividades de la vida diaria sin ayuda excepto \u00a0 \u00a0las del cuidado personal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>5) No \u00a0 \u00a0es posible llevar a cabo las actividades de la vida diaria sin ayuda excepto \u00a0 \u00a0las del cuidado personal y es necesario el confinamiento casa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0 \u00a0\u00a0<\/p>\n<p>IX-X-XI \u00a0 \u00a0Glosofar\u00edngeo, Vago o Neumog\u00e1strico, Espinal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Alteraciones \u00a0 \u00a0de uno o varios de estos nervios, que producen deficiencia en la degluci\u00f3n y \u00a0 \u00a0requiere: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>a) \u00a0 \u00a0Dieta semi-s\u00f3lida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>b) \u00a0 \u00a0Dieta l\u00edquida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>c) Alimentaci\u00f3n \u00a0 \u00a0por sonda o por gastrostom\u00eda. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0\u00a0<\/p>\n<p>Alteraciones \u00a0 \u00a0de uno o varios de estos nervios que produce deficiencia en el habla: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>a) \u00a0 \u00a0Puede hablar la MAYOR\u00cdA de las veces necesarias \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>b) \u00a0 \u00a0Puede hablar MUCHAS de las veces necesarias. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>c) \u00a0 \u00a0Puede hablar ALGUNAS de las veces necesarias. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>d) \u00a0 \u00a0Puede hablar POCAS de las veces necesarias. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>e) No \u00a0 \u00a0puede hablar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>XII \u00a0 \u00a0Hipogloso Mayor \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Par\u00e1lisis \u00a0 \u00a0unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>Si bien los Nervios \u00d3pticos (I) olfatorio (II) y Motores \u00a0Oculares (III-IV-VI) se mencionan en el cap\u00edtulo correspondiente a \u00d3rganos de \u00a0los Sentidos, al igual que el VIII o auditivo, para una mayor claridad del \u00a0texto, se repiten los valores de deficiencia en este cap\u00edtulo lo que permite \u00a0una mayor facilidad en el estudios de las diferentes patolog\u00edas. \u00a0 \u00a0<\/p>\n<p>CAPITULO XII \u00a0 \u00a0<\/p>\n<p>12. TRASTORNOS \u00a0MENTALES Y DEL COMPORTAMIENTO \u00a0 \u00a0<\/p>\n<p>2.1 GENERALIDADES \u00a0 \u00a0<\/p>\n<p>El presente cap\u00edtulo ha sido elaborado con base en el \u00a0cap\u00edtulo quinto de la d\u00e9cima versi\u00f3n de la Clasificaci\u00f3n Internacional de \u00a0Enfermedades (CIE-10), y a la versi\u00f3n cuarta del Manual Diagn\u00f3stico y \u00a0Estad\u00edstico de los Trastornos Mentales de la Sociedad Psiqui\u00e1trica Americana \u00a0(DSM IV). \u00a0 \u00a0<\/p>\n<p>En la CIE-10 se proponen indistintamente 11 grupos de trastornos \u00a0mentales; el DSM IV, por su parte, ubica estos grupos de trastornos en dos ejes \u00a0diferentes de su clasificaci\u00f3n multiaxial: en el EJE I los cuadros o s\u00edndromes \u00a0cl\u00ednicos y en el EJE II los trastornos de personalidad y el retraso mental. \u00a0 \u00a0<\/p>\n<p>La calificaci\u00f3n del trastorno mental se basar\u00e1 en las \u00a0caracter\u00edsticas cl\u00ednicas del respectivo trastorno; sin embargo, con el fin de \u00a0precisar la gravedad del mismo, as\u00ed como su pron\u00f3stico, el calificador \u00a0necesitar\u00e1 informaci\u00f3n adicional sobre las diferentes \u00e1reas de actividad de la \u00a0persona (familiar, social, acad\u00e9mica, laboral, recreativa, etc.). \u00a0 \u00a0<\/p>\n<p>Para calificar las patolog\u00edas del eje I es de especial \u00a0importancia conocer el funcionamiento de la persona en las diferentes \u00e1reas de \u00a0actividad, especialmente durante el a\u00f1o previo a la calificaci\u00f3n; para proceder \u00a0a calificar los trastornos de personalidad o eje II, es necesario tener \u00a0informaci\u00f3n sobre las \u00e1reas de actividad de la persona a lo largo de toda su \u00a0vida, con el fin de precisar la existencia de desadaptaci\u00f3n o deterioro social, \u00a0laboral, o de otra \u00edndole. Igualmente, esta informaci\u00f3n facilitar\u00e1 la \u00a0cuantificaci\u00f3n de la discapacidad y de la minusval\u00eda, que en el caso del \u00a0trastorno mental tiene caracter\u00edsticas muy particulares. \u00a0 \u00a0<\/p>\n<p>12.2 CLASIFICACI\u00d3N \u00a0 \u00a0<\/p>\n<p>Para los fines de este manual se dividen los trastornos \u00a0mentales en dos grupos: eje I y eje II, de la siguiente manera: \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>TRASTORNOS DEL \u00a0 \u00a0EJE I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TRASTORNOS DEL \u00a0 \u00a0EJE II \u00a0\u00a0<\/p>\n<p>1. Trastornos mentales org\u00e1nicos, incluidos los \u00a0 \u00a0sintom\u00e1ticos. \u00a0 \u00a0<\/p>\n<p>2. trastornos mentales y del comportamiento debido al uso \u00a0 \u00a0de sustancias psicoactivas. \u00a0 \u00a0<\/p>\n<p>3. Esquizofrenia, trastornos esquizot\u00edpicos y trastornos \u00a0 \u00a0delirantes. \u00a0 \u00a0<\/p>\n<p>4. Trastornos del humor (afectivos). \u00a0 \u00a0<\/p>\n<p>5. Trastornos neur\u00f3ticos, trastornos relacionados con el estr\u00e9s \u00a0 \u00a0y trastornos somatomorfos. \u00a0 \u00a0<\/p>\n<p>6. Retraso mental \u00a0 \u00a0<\/p>\n<p>7. Trastornos del desarrollo psicol\u00f3gico \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1. Trastornos de la personalidad y del comportamiento en \u00a0 \u00a0adultos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Paranoide \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Esquizoide \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Esquizot\u00edpico \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Histri\u00f3nico \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Asocial \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0De la personalidad inestable \u00a0 \u00a0(fronterizo) \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Narcisista \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Ansioso (de evitaci\u00f3n) \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Por dependencia \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Ananc\u00e1stico (obsesivo compulsivo) \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Cambios perdurables de la \u00a0 \u00a0personalidad \u00a0 \u00a0 \u00a0<\/p>\n<p>12.3. PROCEDIMIENTO PARA CALIFICAR \u00a0 \u00a0<\/p>\n<p>12.3.1 Cuantificaci\u00f3n de la deficiencia \u00a0 \u00a0<\/p>\n<p>Para la calificaci\u00f3n de la deficicneica resultante del cuadro \u00a0cl\u00ednico (eje I) se tendr\u00e1 en cuenta solamente el trastorno que produce la \u00a0deficiencia mayor y \u00e9ste se cuantificar\u00e1. Para la calificaci\u00f3n de la \u00a0deficiencia derivada del trastorno de personalidad (eje II), se considerar\u00e1 \u00a0tambi\u00e9n un \u00fanico trastorno, aunque una persona pueda tener rasgos \u00a0correspondientes a m\u00e1s de uno. \u00a0 \u00a0<\/p>\n<p>Siempre que sea pertinente, se calificar\u00e1 en cada paciente la \u00a0deficiencia de cada uno de los ejes, y sus porcentajes se sumar\u00e1n en forma \u00a0aritm\u00e9tica simple, de acuerdo con lo anotado m\u00e1s adelante. \u00a0 \u00a0<\/p>\n<p>En el caso de que s\u00f3lo se halle deficiencia en uno de los \u00a0ejes, \u00e9ste ser\u00e1 el valor \u00fanico de la deficiencia global. \u00a0 \u00a0<\/p>\n<p>Para los trastornos de personalidad (eje II) se ha \u00a0considerado una categor\u00eda \u00fanica, cuyo valor variar\u00e1 dependiendo de si existe o \u00a0no una deficiencia en el eje I, tal como lo explica el siguiente cuadro: \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>DEFICIENCIA EN \u00a0 \u00a0EL EJE I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>VALOR \u00a0 \u00a0DEFICIENCIA EJE II \u00a0\u00a0<\/p>\n<p>No hay deficiencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0\u00a0<\/p>\n<p>Si hay deficiencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>Deficiencia del 40% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>No se califica \u00a0 \u00a0 \u00a0<\/p>\n<p>12.3.2 Criterios para calificar la deficiencia derivada de \u00a0los S\u00edndromes Cl\u00ednicos Mentales (eje I) \u00a0 \u00a0<\/p>\n<p>Para la calificaci\u00f3n de la deficiencia derivada de los diferentes \u00a0s\u00edndromes o cuadros cl\u00ednicos se tendr\u00e1n en cuenta los siguientes criterios: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Impresi\u00f3n diagn\u00f3stica cl\u00ednica: hace \u00a0referencia al tipo de alteraci\u00f3n (o desorganizaci\u00f3n) de la actividad mental \u00a0propia de cada uno de los cuadros cl\u00ednicos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Formas de evoluci\u00f3n: Los cuadros \u00a0cl\u00ednicos evolucionan en forma epis\u00f3dica (con o sin recidivas) o en forma \u00a0persitente, adoptando la forma de estados, lo cual plantea diferencias \u00a0importantes para la definici\u00f3n de la deficiencia. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Valoraci\u00f3n cl\u00ednica actual: en este \u00a0punto se tiene en cuenta el per\u00edodo de tiempo que precede a la calificaci\u00f3n, y \u00a0en el cual hay presencia de manifestaciones cl\u00ednicas del trastornos. Incluye la \u00a0evaluaci\u00f3n del tiempo de duraci\u00f3n del \u00faltimo episodio m\u00e1s el per\u00edodo \u00a0intercr\u00edtico que le precede o le sigue, con el fin de determinar la existencia \u00a0o no de s\u00edntomas residuales, remisi\u00f3n parcial, s\u00edntomas asociados, o conductas \u00a0derivadas de la alteraci\u00f3n. En el caso de los trastornos que no son episodios, \u00a0incluye la evaluaci\u00f3n del estado (persistente) actual, con el fin de determinar \u00a0la severidad de los hallazgos. Adem\u00e1s de las caracter\u00edsticas cl\u00ednicas que se \u00a0dan en este per\u00edodo de tiempo, se debe determinar su duraci\u00f3n. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Evoluci\u00f3n del trastorno: se tiene \u00a0en cuenta el tiempo comprendido entre la aparici\u00f3n de las alteraciones propias \u00a0del cuadro cl\u00ednico por primera vez y el momento de la calificaci\u00f3n. Comprende \u00a0la definici\u00f3n del n\u00famero de episodios previos y\/o la cuantificaci\u00f3n del tiempo \u00a0total de evoluci\u00f3n. La definici\u00f3n del n\u00famero de episodios previos de una medida \u00a0de las complicaciones en la adaptaci\u00f3n global del individuo durante el \u00a0transcurso de su vida y, adem\u00e1s, de su pron\u00f3stico, pues, en general, a mayor \u00a0n\u00famero de episodios mayor es la posibilidad de recidivas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Valoraci\u00f3n de los hallazgos \u00a0actuales: busca precisar la gravedad de la alteraci\u00f3n propia del cuadro cl\u00ednico \u00a0y las deficiencias derivadas de la misma en relaci\u00f3n con las diferentes \u00e1reas \u00a0de actividad de la persona (familiar, laboral, social, etc). \u00a0 \u00a0<\/p>\n<p>La significaci\u00f3n de estos criterios variar\u00e1 seg\u00fan el cuadro \u00a0cl\u00ednico. \u00a0 \u00a0<\/p>\n<p>12.3.3 Criterios para calificar la deficiencia derivada de \u00a0los trastornos de personalidad (eje II) \u00a0 \u00a0<\/p>\n<p>Para la calificaci\u00f3n de la deficiencia derivada de los \u00a0trastornos de personalidad se tendr\u00e1n en cuenta: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Diagn\u00f3stico: es decir las \u00a0caracter\u00edsticas cl\u00ednicas de dichos trastornos, o del cambio perdurable de \u00a0personalidad. Estas caracter\u00edsticas est\u00e1n definidas por los rasgos o patrones \u00a0de conducta predominantes. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Severidad o intessidad el trastorno: \u00a0determinada por la persistencia y rigidez de dichos rasgos, as\u00ed como por la \u00a0dificultad en la adaptaci\u00f3n resultante de los mismos. \u00a0 \u00a0<\/p>\n<p>12.3.2.1. Pruebas diagn\u00f3sticas: Estudios psicol\u00f3gicos y \u00a0neuropsicol\u00f3gicos \u00a0 \u00a0<\/p>\n<p>Existe una amplia gama de pruebas psicol\u00f3gicas que no s\u00f3lo \u00a0son \u00fatiles para establecer el diagn\u00f3stico de un trastorno mental, sino tambi\u00e9n \u00a0para determinar la gravedad, el pron\u00f3stico y las caracter\u00edsticas personales, \u00a0laborales y socio familiares de cada caso particular. \u00a0 \u00a0<\/p>\n<p>Entre las pruebas psicol\u00f3gicas que pueden ser \u00fatiles para la \u00a0calificaci\u00f3n de la p\u00e9rdida de la capacidad laboral, est\u00e1n las pruebas sobre \u00a0rasgos de personalidad, las escalas de depresi\u00f3n y ansiedad, la evaluaci\u00f3n del \u00a0nivel de estr\u00e9s y los tests de inteligencia; por su parte, la evaluaci\u00f3n de \u00a0factores psicosociales laborales y extralaborales es de primordial importancia \u00a0a la hora de calificar origen de las patolog\u00edas, as\u00ed como para cuantificar la \u00a0discapacidad y la minusval\u00eda. \u00a0 \u00a0<\/p>\n<p>Por otro lado, los estudios neuropsicol\u00f3gicos son de gran utilidad \u00a0para determinar la localizaci\u00f3n de la lesi\u00f3n cerebral, las funciones y procesos \u00a0mentales alterados, el pron\u00f3stico y el nivel en que se encuentra afectado el \u00a0desempe\u00f1o ocupacional, de acuerdo a las caracter\u00edsticas del sujeto, su grado de \u00a0escolaridad y su ocupaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>12.4 Trastornos mentales del eje I (s\u00edndrome cl\u00ednicos) \u00a0 \u00a0<\/p>\n<p>12.4.1. Trastornos mentales org\u00e1nicos, incluidos los \u00a0sintom\u00e1ticos. \u00a0 \u00a0<\/p>\n<p>Comprende una variedad de trastornos en los cuales se \u00a0demuestra, como factor etiol\u00f3gico la presencia de &#8220;enfermedad cerebral, \u00a0lesi\u00f3n, u otro pertubaci\u00f3n del cerebro que lleva a una disfunci\u00f3n \u00a0cerebral&#8221;. La disfunci\u00f3n cerebral resultante puede ser primaria o \u00a0secundaria, seg\u00fan que sea resultado de alteraci\u00f3n cerebral directa y selectiva, \u00a0o de alguna enfermedad sist\u00e9mica que ataque diferentes \u00f3rganos o sistemas, \u00a0incluido el cerebro; igualmente puede ser inducida por el uso de sustancias \u00a0psicodisl\u00e9pticas. \u00a0 \u00a0<\/p>\n<p>Aqu\u00ed se considerar\u00e1n los siguientes s\u00edndromes: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0La demencia y el s\u00edndrome amn\u00e9sico; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Otros trastornos mentales org\u00e1ncos \u00a0(alucinosis delirante o esquizofreniforme, trastorno org\u00e1nico del humor, \u00a0trastorno org\u00e1nico de ansiedad, disociativo, de labilidad emocional, \u00a0cognoscitivo leve, otros especificados y no especificados). \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Los trastornos de la personalidad y \u00a0del comportamiento debidos a enfermedad org\u00e1nica (trastorno org\u00e1nico de la \u00a0personalidad, s\u00edndrome postconfusional, s\u00edndrome afectivo del hemisferio \u00a0derecho y el trastorno org\u00e1nico de la personalidad no especificado. \u00a0 \u00a0<\/p>\n<p>12.4.1.1. Demencia y s\u00edndrome amn\u00e9sico \u00a0 \u00a0<\/p>\n<p>La demencia puede ser primaria como la demencia en la \u00a0enfermedad de Alzheimer, o la demencia vascular producida por infartos \u00a0cerebrales asociados a enfermedad vascular y las asociadas con otras \u00a0enfermedades. \u00a0 \u00a0<\/p>\n<p>En el caso de estos trastornos, la deficiencia est\u00e1 dada por \u00a0la alteraci\u00f3n de los diferentes procesos cognitivos, y consecuentemente por la \u00a0desorganizaci\u00f3n de la actividad consciente y voluntaria. Su curso es \u00a0habitualmente cr\u00f3nico. \u00a0 \u00a0<\/p>\n<p>Para valorar la deficiencia producida por las demencias y el \u00a0s\u00edndrome amn\u00e9sico se deben llenar dos condiciones: en primer lugar, precisar la \u00a0existencia da\u00f1o cerebral comprobado; en segundo lugar, que los trastornos \u00a0tengan m\u00e1s de un a\u00f1o de evoluci\u00f3n. \u00a0 \u00a0<\/p>\n<p>Los trastornos contemplados en esta clasificaci\u00f3n son: \u00a0enfermedad de Alzheimer, demencia vascular, demencia en otras enfermedades \u00a0clasificadas en otra parte, demencia no especificada, s\u00edndrome amn\u00e9sico \u00a0org\u00e1nico no inducido por alcohol o por otras sustancias psicoactivas, delirio \u00a0no inducido por alcohol o por otras sustancias psicoactivas y otros trastornos mentales \u00a0debidos a lesi\u00f3n y disfunci\u00f3n cerebral y a enfermedad f\u00edsica. \u00a0 \u00a0<\/p>\n<p>TABLA No. 12.4.1 \u00a0DEMENCIA Y S\u00cdNDROME AMN\u00c9SICO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGORIAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>I leve \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Presencia de d\u00e9ficits en atenci\u00f3n, concentraci\u00f3n, memoria u \u00a0 \u00a0otras funciones mentales, que pueden compensarse con ayudas adecuadas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>II moderada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Adem\u00e1s de lo anterior, existen alteraciones en la \u00a0 \u00a0orientaci\u00f3n, alteraciones cognoscitivas y sensoriomotoras (afasias, apraxias, \u00a0 \u00a0agnosias). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0<\/p>\n<p>Grave \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Adem\u00e1s de los d\u00e9ficits anteriores, la persona presenta \u00a0 \u00a0alteraciones en la organizaci\u00f3n de la conducta, en las operaciones \u00a0 \u00a0intelectuales, disminuci\u00f3n del nivel de abstracci\u00f3n, de la capacidad de \u00a0 \u00a0aprendizaje, que dificultan la organizaci\u00f3n consciente y voluntaria de la \u00a0 \u00a0conducta. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30% \u00a0\u00a0<\/p>\n<p>IV severa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Presencia importante de todas o algunas de las alteraciones \u00a0 \u00a0anteriores y deterioro marcado de automatismos sensorio-motores que est\u00e1n en \u00a0 \u00a0la base del autocuidado. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40% \u00a0 \u00a0 \u00a0<\/p>\n<p>12.4.1.2. Otros trastornos mentales debidos a lesi\u00f3n y \u00a0disfunci\u00f3n cerebral y a enfermedad f\u00edsica \u00a0 \u00a0<\/p>\n<p>Este grupo est\u00e1 conformado por variedad de afecciones \u00a0causadas por alteraciones cerebrales primarias, o una enfermedad sist\u00e9mica que \u00a0afecta secundariamente el cerebro; igualmente, pueden ser causadas por \u00a0alteraciones hormonales o por sustancias t\u00f3xicas ex\u00f3genas. \u00a0 \u00a0<\/p>\n<p>Se incluyen la alucinosis org\u00e1nica y el trastorno delirante \u00a0org\u00e1nico o esquizofreniforme (psicosis org\u00e1nica para el DSM IV), los trastornos \u00a0del humor org\u00e1nicos (afectivos), el trastorno de ansiedad org\u00e1nico y el \u00a0trastorno disociativo org\u00e1nico. \u00a0 \u00a0<\/p>\n<p>Para calificar la deficiencia por alucinosis org\u00e1nica y por \u00a0el trastorno delirante org\u00e1nico, deben tenerse en cuenta los criterios \u00a0se\u00f1alados m\u00e1s adelante para la esquizofrenia, los trastornos esquizot\u00edpicos y \u00a0delirantes (tabla 12.3.3); para calificar los trastornos org\u00e1nicos del humor, \u00a0se tendr\u00e1n en cuenta los criterios establecidos para los trastornos mayores del \u00a0humor (tabla 12.3.4); finalmente, la calificaci\u00f3n de los trastornos de ansiedad \u00a0y de los disociativos org\u00e1nicos se har\u00e1n tomando en cuenta los criterios \u00a0se\u00f1alados para los trastornos neur\u00f3ticos y somatomorfos (tabla 12.4.7). \u00a0 \u00a0<\/p>\n<p>12.4.1.3. Trastorno org\u00e1nico de la personalidad y del \u00a0comportamiento \u00a0 \u00a0<\/p>\n<p>Para la CIE-10 el trastorno puede tomar la forma de \u00a0&#8220;personalidad pseudopsicop\u00e1tica o seudorretrasada org\u00e1nicas&#8221;, las \u00a0cuales pueden estar relacionadas con lesi\u00f3n del l\u00f3bulo frontal (s\u00edndrome del \u00a0l\u00f3bulo frontal, postleucotom\u00eda, lobotom\u00eda), epilepsia l\u00edmbica (personalidad de \u00a0la epilepsia l\u00edmbica) o con lesiones en el hemisferio derecho. \u00a0 \u00a0<\/p>\n<p>En este grupo de trastornos la deficiencia est\u00e1 dada por el \u00a0deterioro de la organizaci\u00f3n conciente y voluntaria de la conducta; ya sea por \u00a0alteraci\u00f3n de los procesos cognitivos, y consecuentemente la programaci\u00f3n de la \u00a0misma, o por alteraci\u00f3n de la organizaci\u00f3n de los impulsos conforme a intereses \u00a0y valores propios de la cultura. \u00a0 \u00a0<\/p>\n<p>La calificaci\u00f3n de la deficiencia provocada por estos \u00a0trastornos se hace para patolog\u00edas con m\u00e1s de un a\u00f1o de evoluci\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA NO 12.4.2 \u00a0TRASTORNO ORGANICO DE LA PERSONALIDAD \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>SEVERIDAD DE LA ALTERACION Y HALLAZGOS ACTUALES \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0GLOBAL(%) \u00a0\u00a0<\/p>\n<p>Clase I (Leve) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Especialmente reactivo; labilidad emocional epis\u00f3dica, alteraci\u00f3n \u00a0 \u00a0en el control de los impulsos y\/o d\u00e9ficit cognitivo incipiente por dificultad \u00a0 \u00a0transitoria en la memoria y en la concentraci\u00f3n. En la situaci\u00f3n de la \u00a0 \u00a0entrevista presenta distractibilidad. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>Clase II \u00a0 \u00a0(Moderada) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Muy reactivo, labilidad emocional marcada y frecuente, \u00a0 \u00a0fallas en el control de los impulsos y\/o d\u00e9ficit cognitivo establecido, \u00a0 \u00a0especialmente a nivel sensoperceptivo, alteraciones a nivel de la praxia y \u00a0 \u00a0concentraci\u00f3n escasa. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0\u00a0<\/p>\n<p>Clase III \u00a0 \u00a0(Grave) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Apat\u00eda, indiferencia, depresi\u00f3n o euforia no relacionadas \u00a0 \u00a0con eventos espec\u00edficos, y\/o dificultad para el mantenimiento de la \u00a0 \u00a0organizaci\u00f3n conciente y voluntaria de la conducta; d\u00e9ficits en procesos \u00a0 \u00a0cognitivos superiores. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30% \u00a0\u00a0<\/p>\n<p>Clase IV \u00a0 \u00a0(Severa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>P\u00e9rdida en la organizaci\u00f3n consciente y voluntaria de la \u00a0 \u00a0conducta con desorganizaci\u00f3n seria de los sistema de valores e intereses; \u00a0 \u00a0predominio de actividades sensoriomotoras e impulsivas; p\u00e9rdida de h\u00e1bitos \u00a0 \u00a0propios de la vida cotidiana, d\u00e9ficit marcado de los procesos cognitivos \u00a0 \u00a0superiores. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40% \u00a0 \u00a0 \u00a0<\/p>\n<p>12.4.2 Trastornos mentales y del comportamiento debidos al \u00a0uso de sustancias psicoactivas \u00a0 \u00a0<\/p>\n<p>Estos trastornos incluyen diferentes componentes: la \u00a0intoxicaci\u00f3n, el uso nocivo (o abuso) y la dependencia. Tambi\u00e9n incluye las \u00a0complicaciones derivadas del consumo (generalmente prolongado) de estas \u00a0sustancias, en particular aquellas caracterizadas por da\u00f1o de las formaciones o \u00a0estructuras cerebrales. \u00a0 \u00a0<\/p>\n<p>Para los fines de la calificaci\u00f3n de la deficiencia se tendr\u00e1 \u00a0en cuenta el s\u00edndrome de dependencia, el cual ser\u00e1 valorado en los casos en los \u00a0que el \u00faltimo per\u00edodo de dependencia tenga una duraci\u00f3n de, por lo menos, dos \u00a0a\u00f1os. En caso de que coexista deficiencia derivada del s\u00edndrome de dependencia \u00a0con deficiencia resultante de da\u00f1o cerebral secundario al uso de sustancias \u00a0psicodisl\u00e9pticas, se tomar\u00e1 la deficiencia mayor, de acuerdo con lo planteado \u00a0en las generalidades. \u00a0 \u00a0<\/p>\n<p>La deficiencia propia del s\u00edndrome de dependencia est\u00e1 dada \u00a0por la alteraci\u00f3n en la organizaci\u00f3n conciente y voluntaria de los diferentes \u00a0tipos de actividad; en este caso, por dificultad en el manejo del impulso que \u00a0lleva al consumo, lo cual se manifiesta por diversos tipos de conducta. \u00a0 \u00a0<\/p>\n<p>TABLA No. 12.4.3 \u00a0TRASTORNO DE DEPENDENCIA DEBIDO AL USO DE SUSTANCIAS PSICOATIVAS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>CATEGORIAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>SEVERIDAD DE \u00a0 \u00a0LA ALTERACI\u00d3N \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TIEMPO DE \u00a0 \u00a0EVOLUCION DEL TRASTORNO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Clase I (Leve) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>P\u00e9rdida del control en el uso de las sustancias. Aumento en \u00a0 \u00a0la cantidad o frecuencia del consumo. \u00a0 \u00a0<\/p>\n<p>Persistencia del uso a pesar de consecuencias da\u00f1inas. \u00a0 \u00a0<\/p>\n<p>Abandono de responsabilidades laborales familiares y \u00a0 \u00a0sociales. \u00a0 \u00a0<\/p>\n<p>Gran consumo de tiempo en la adquisici\u00f3n y el consumo de la \u00a0 \u00a0sustancia. \u00a0 \u00a0<\/p>\n<p>En ocasiones, dependencia fisiol\u00f3gica (s\u00edndrome de \u00a0 \u00a0abstinencia) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hasta 10 a\u00f1os y\/o menos de cuatro per\u00edodos de dependencia. \u00a0 \u00a0La duraci\u00f3n del \u00faltimo per\u00edodo de dependencia es hasta de dos a\u00f1os, \u00a0 \u00a0incluyendo el per\u00edodo de remisi\u00f3n parcial. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>Clase II \u00a0 \u00a0(Moderada) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>P\u00e9rdida del control en el uso de las sustancias. Aumento en \u00a0 \u00a0la cantidad o frecuencia del consumo. \u00a0 \u00a0<\/p>\n<p>Persistencia del uso a pesar de consecuencias da\u00f1inas. \u00a0 \u00a0<\/p>\n<p>Abandono de responsabilidades laborales, familiares y \u00a0 \u00a0sociales. \u00a0 \u00a0<\/p>\n<p>Gran consumo de tiempo en la adquisici\u00f3n y el consumo de la \u00a0 \u00a0sustancia. \u00a0 \u00a0<\/p>\n<p>En ocasiones, dependencia fisiol\u00f3gica (s\u00edndrome de \u00a0 \u00a0abstinencia). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>M\u00e1s de diez a\u00f1os y\/o m\u00e1s de cuatro per\u00edodos de dependencia \u00a0 \u00a0La duraci\u00f3n del \u00faltimo per\u00edodo de dependencia es de mas de dos a\u00f1os, \u00a0 \u00a0incluyendo per\u00edodo de remisi\u00f3n parcial. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.4.3. Esquizofrenia, trastornos esquizot\u00edpicos y trastornos \u00a0delirantes \u00a0 \u00a0<\/p>\n<p>En este grupo se incluye la esquizofrenia, el trastorno \u00a0delirante persistente, el trastorno psic\u00f3tico agudo y transitorio y el \u00a0trastorno esquizoafectivo. \u00a0 \u00a0<\/p>\n<p>El trastorno esquizot\u00edpico por sus caracter\u00edsticas cl\u00ednicas \u00a0se considerar\u00e1 con los trastornos de personalidad, de acuerdo con lo planteado \u00a0por el DSM-IV. \u00a0 \u00a0<\/p>\n<p>La deficiencia en este grupo de trastornos est\u00e1 caracterizada \u00a0por alteraciones serias en los procesos mentales (delirios, alucinaciones, \u00a0alteraciones de la afectividad, de la motricidad, etc.) que afectan la \u00a0organizaci\u00f3n conciente y voluntaria de los diferentes aspectos de la conducta; \u00a0pueden evolucionar en forma epis\u00f3dica, con o sin recidivas, o en forma persistente \u00a0(estado psic\u00f3tico). En algunos casos la evoluci\u00f3n es epis\u00f3dica al inicio del \u00a0trastorno, y luego se convierte en persistente. \u00a0 \u00a0<\/p>\n<p>Se diferencian dos tipos de episodios: agudo, hasta un mes de \u00a0duraci\u00f3n y subagudo de uno a seis meses; el estado psic\u00f3tico tiene una duraci\u00f3n \u00a0mayor de seis meses. \u00a0 \u00a0<\/p>\n<p>El trastorno psic\u00f3tico agudo y el transitorio, por su \u00a0car\u00e1cter breve, no ser\u00e1n tenidos en cuenta para los fines de la calificaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No 12.4.4 \u00a0ESQUIZOFRENIA, TRASTORNOS ESQUIZOT\u00cdPICOS Y TRASTORNOS DELIRANTES \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGOR\u00cdAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0(%) \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0<\/p>\n<p>(leve) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El tiempo de duraci\u00f3n del \u00faltimo \u00a0 \u00a0episodio y\/o del estado actual es menos de 6 meses, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el per\u00edodo intercr\u00edtico relacionado \u00a0 \u00a0con el \u00faltimo episodio o con el estado actual ha habido remisi\u00f3n completa, \u00a0 \u00a0a\u00fan sin tratamiento, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La persona ha presentado hasta \u00a0 \u00a0cuatro episodios y\/o el trastorno tiene menos de 10 a\u00f1os de duraci\u00f3n total, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: ausencia de \u00a0 \u00a0s\u00edntomas y signos relevantes. Las funciones mentales est\u00e1n conservadas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>Clase II \u00a0 \u00a0(Moderada) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El tiempo de duraci\u00f3n del \u00faltimo \u00a0 \u00a0episodio y\/o del estado actual es de hasta 6 meses, incluyendo el per\u00edodo \u00a0 \u00a0intercr\u00edtico, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el per\u00edodo intercr\u00edtico el \u00a0 \u00a0paciente tiene dificultad para mantener la prueba de la realidad, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La persona ha presentado m\u00e1s de \u00a0 \u00a0cuatro episodios y\/o el trastorno tiene m\u00e1s de 10 a\u00f1os de duraci\u00f3n total, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: hay tendencias a \u00a0 \u00a0la p\u00e9rdida de la prueba de realidad. Otras funciones mentales pueden estar \u00a0 \u00a0alteradas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0\u00a0<\/p>\n<p>Clase III \u00a0 \u00a0(grave) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El tiempo de duraci\u00f3n del \u00faltimo \u00a0 \u00a0episodio y\/o del estado actual es de m\u00e1s de 6 meses, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el per\u00edodo intercr\u00edtico hay \u00a0 \u00a0persistencia de contenidos delirantes y\/o s\u00edntomas negativos, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La persona puede haber tenido o \u00a0 \u00a0no episodios previos (n\u00famero no relevante), y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: el delirio \u00a0 \u00a0tiende a ser sistematizado y\/o referido a diversas situaciones (trastorno \u00a0 \u00a0delirante). Presencia de s\u00edntomas psic\u00f3ticos negativos y\/o positivos \u00a0 \u00a0(trastorno esquizofr\u00e9nico y trastorno esquizoafectivo). La persona tiene \u00a0 \u00a0dificultad para el desarrollo consciente y voluntario de sus actividades. \u00a0 \u00a0Existe un estado psic\u00f3tico estructurado. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30% \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGOR\u00cdAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0 \u00a0(%) \u00a0\u00a0<\/p>\n<p>Clase IV \u00a0 \u00a0(severa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El tiempo de duraci\u00f3n del \u00faltimo \u00a0 \u00a0episodio y\/o del estado actual es de un a\u00f1o o m\u00e1s, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el per\u00edodo intercr\u00edtico todas las \u00a0 \u00a0esferas de la actividad consciente y voluntaria se hallan afectadas \u00a0 \u00a0profundamente, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: trastorno \u00a0 \u00a0delirante estructurado. S\u00edntomas psic\u00f3ticos negativos y\/o positivos \u00a0 \u00a0persistentes. La persona presenta un d\u00e9ficit profundo para el desarrollo \u00a0 \u00a0consciente y voluntario de sus actividades. Presencia de un proceso \u00a0 \u00a0esquizofr\u00e9nico o de un delirio cr\u00f3nico. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40% \u00a0 \u00a0 \u00a0<\/p>\n<p>12.4.4 Trastornos del humor (afectivos) \u00a0 \u00a0<\/p>\n<p>Est\u00e1n caracterizados por una alteraci\u00f3n del humor que tiende a \u00a0la depresi\u00f3n o a la euforia. Se diferencian en tales trastornos las formas \u00a0mayores, que generalmente son epis\u00f3dicas y recurrentes (c\u00edclicas) y las formas \u00a0menores, usualmente persistentes (de varios a\u00f1os de evoluci\u00f3n). \u00a0 \u00a0<\/p>\n<p>Las formas epis\u00f3dicas comprenden dos clases de trastornos del \u00a0humor: el trastorno bipolar y el trastorno depresivo recurrente. Las \u00a0alteraciones persistentes del humor, por su parte, configuran dos clases de \u00a0trastornos: el trastorno ciclot\u00edmico y la distimia. \u00a0 \u00a0<\/p>\n<p>Se establecen dos grupos para la calificaci\u00f3n de la \u00a0deficiencia derivada de estos trastornos; un primer grupo constituido por \u00a0trastornos mayores del humor asociados con alteraciones menores del mismo, y un \u00a0segundo grupo constituido exclusivamente por trastornos menores del humor. La \u00a0deficiencia resultante de los trastornos del primer grupo est\u00e1 dada por las \u00a0caracter\u00edsticas de su evoluci\u00f3n y por el tiempo total de la misma. \u00a0 \u00a0<\/p>\n<p>TABLA No. 12.4.5 \u00a0TRASTORNOS MAYORES DEL HUMOR (AFECTIVOS) ASOCIADOS 0 NO CON ALTERACIONES \u00a0MENORES DEL HUMOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGOR\u00cdAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0<\/p>\n<p>(leve) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El tiempo de duraci\u00f3n de los \u00a0 \u00a0episodios es m\u00ednimo de una a dos semanas, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el per\u00edodo intercr\u00edtico hay \u00a0 \u00a0remisi\u00f3n total, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La persona ha presentado hasta cuatro \u00a0 \u00a0episodios, o el tiempo total de evoluci\u00f3n del trastorno puede ser hasta 10 \u00a0 \u00a0a\u00f1os, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: no hay s\u00edntomas \u00a0 \u00a0importantes. Las funciones mentales est\u00e1n conservadas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>Clase II \u00a0 \u00a0(moderada) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El tiempo de duraci\u00f3n de los episodios \u00a0 \u00a0es m\u00ednimo de una a dos semanas, o el estado dura 6 meses por lo menos, \u00a0 \u00a0incluyendo el per\u00edodo intercr\u00edtico y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el per\u00edodo intercr\u00edtico hay \u00a0 \u00a0remisi\u00f3n total, o hay remisi\u00f3n parcial del trastorno mayor con presencia de \u00a0 \u00a0alteraciones menores del humor, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La persona ha presentado m\u00e1s de \u00a0 \u00a0cuatro episodios, o el tiempo total de evoluci\u00f3n del trastorno es de m\u00e1s de \u00a0 \u00a010 a\u00f1os, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: hay presencia de \u00a0 \u00a0algunos s\u00edntomas mayores del afecto solamente, o hay moderada intensidad de \u00a0 \u00a0los mismos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGOR\u00cdAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>Clase III \u00a0 \u00a0(grave) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El trastorno dura un m\u00ednimo de \u00a0 \u00a0dos a\u00f1os, incluyendo el per\u00edodo intercr\u00edtico y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el per\u00edodo intercr\u00edtico hay remisi\u00f3n \u00a0 \u00a0parcial del episodio mayor con presencia de alteraciones menores del humor, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: hay presencia de \u00a0 \u00a0alteraciones del humor, de mayor o menor intensidad. Se encuentran problemas a \u00a0 \u00a0nivel de funciones mentales o algunas alteraciones de la percepci\u00f3n, el \u00a0 \u00a0pensamiento, la motivaci\u00f3n o el lenguaje. \u00a0 \u00a0<\/p>\n<p>TRASTORNO BIPOLAR CON CICLAJE R\u00c1PIDO: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El trastorno tiene una duraci\u00f3n \u00a0 \u00a0de un a\u00f1o o m\u00e1s, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La persona ha presentado cuatro o \u00a0 \u00a0m\u00e1s episodios, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hallazgo actual: hay s\u00edntomas \u00a0 \u00a0mayores del humor (man\u00edacos o depresivos) de gran severidad, que interfieren \u00a0 \u00a0con las funciones mentales o alteran la percepci\u00f3n, el pensamiento, la \u00a0 \u00a0motivaci\u00f3n y\/o el lenguaje. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30% \u00a0 \u00a0 \u00a0<\/p>\n<p>En la siguiente tabla se califican los trastornos menores del \u00a0humor (persistentes) como la distimia o la ciclotimia, los cuales se definen \u00a0por la no existencia de alteraciones mayores del humor, y s\u00f3lo se califican los \u00a0casos cuyo tiempo de duraci\u00f3n sea m\u00e1s de dos a\u00f1os. \u00a0 \u00a0<\/p>\n<p>TABLA No. \u00a012.4.6: TRASTORNOS MENORES DEL HUMOR \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGOR\u00cdAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>Clase \u00fanica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Hallazgos actuales: malestar cl\u00ednico significativo, con \u00a0 \u00a0dificultades especialmente en aspectos motivacionales y toma de decisiones. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0 \u00a0 \u00a0<\/p>\n<p>12.4.5. Trastornos neur\u00f3ticos, trastornos relacionados con el \u00a0estr\u00e9s y trastornos somatomorfos \u00a0 \u00a0<\/p>\n<p>Para su calificaci\u00f3n se diferencian tres grupos conformados \u00a0con base en las caracter\u00edsticas de la deficiencia implicada, y no porque tengan \u00a0caracter\u00edsticas similares desde el punto de vista descriptivo. \u00a0 \u00a0<\/p>\n<p>a) Grupo uno: los trastornos f\u00f3bicos, el trastorno de p\u00e1nico \u00a0y el trastorno por estr\u00e9s postraum\u00e1tico. \u00a0 \u00a0<\/p>\n<p>b) Grupo dos: trastorno por ansiedad generalizada, \u00a0neurastenia, trastorno por somatizaci\u00f3n, el trastorno hipocondr\u00edaco, la \u00a0disfunci\u00f3n auton\u00f3mica somatomorfa y el dolor persistente somatomorfo. \u00a0 \u00a0<\/p>\n<p>c) Grupo tres: Trastorno conversivo y trastorno \u00a0obsesivo-compulsivo. \u00a0 \u00a0<\/p>\n<p>En la tabla correspondiente se definen dos clases de \u00a0deficiencia para cada uno de los tres grupos, de acuerdo con el tiempo total de \u00a0duraci\u00f3n del trastorno. Por otra parte, se precisan las caracter\u00edsticas \u00a0cl\u00ednicas o severidad que debe tener cada uno de los grupos de trastornos para \u00a0ser objeto de calificaci\u00f3n. De hecho los trastornos con s\u00edntomas leves no dan lugar \u00a0a ning\u00fan grado de deficiencia. Para los fines de la calificaci\u00f3n de la \u00a0deficiencia s\u00f3lo se tendr\u00e1 en cuenta el trastorno de estr\u00e9s postraum\u00e1tico. \u00a0 \u00a0<\/p>\n<p>TABLA No. \u00a012.4.7: TRASTORNOS NEUR\u00d3TICOS, TRASTORNOS RELACIONADOS CON EL ESTR\u00c9S Y \u00a0TRASTORNOS SOMATOMORFOS \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>DIAGN\u00d3STICO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA % \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>SEVERIDAD 0 \u00a0 \u00a0INTENSIDAD DE LOS S\u00cdNTOMAS ACTUALES \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>HALLAZGOS \u00a0 \u00a0ACTUALES \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>GRUPO UNO \u00a0 \u00a0<\/p>\n<p>Fobias \u00a0 \u00a0<\/p>\n<p>Trastorno por Estr\u00e9s \u00a0 \u00a0<\/p>\n<p>postraum\u00e1tico \u00a0 \u00a0<\/p>\n<p>Trastorno de p\u00e1nico \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los s\u00edntomas pueden estar referidos \u00a0 \u00a0a diversidad de situaciones, o situaciones espec\u00edficas que la persona debe \u00a0 \u00a0enfrentar cotidianamente (de dif\u00edcil evitaci\u00f3n), o los s\u00edntomas pueden ser \u00a0 \u00a0m\u00faltiples y de gran severidad, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La angustia anticipatoria puede \u00a0 \u00a0ocupar el contenido de pensamiento gran parte del d\u00eda, y\/o dar lugar a \u00a0 \u00a0conductas severas de evitaci\u00f3n). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La preocupaci\u00f3n ante la posibilidad de ocurrencia de \u00a0 \u00a0s\u00edntomas agudos puede ser marcada y\/o el aislamiento puede ser importante. \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas durante el \u00faltimo a\u00f1o pueden ser importantes y \u00a0 \u00a0frecuentes. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>GRUPO DOS \u00a0 \u00a0<\/p>\n<p>-Trastorno de ansiedad generalizada \u00a0 \u00a0<\/p>\n<p>-Neurastenia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas (fisiol\u00f3gicos y\/o cognitivos pueden ser \u00a0 \u00a0m\u00faltiples, o pocos pero de gran intensidad y ocupar el pensamiento durante varias \u00a0 \u00a0horas al d\u00eda, y\/o dificultar gran parte de las actividades de la persona. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Las manifestaciones fisiol\u00f3gicas y cognitivas pueden ser \u00a0 \u00a0intensas y afectar tanto los aspectos motivacionales como operativos de la \u00a0 \u00a0conducta. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Trastorno hipocondr\u00edaco, o dism\u00f3rfico. \u00a0 \u00a0<\/p>\n<p>-Trastorno de somatizaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La preocupaci\u00f3n por la salud o la apariencia puede ser \u00a0 \u00a0constante y manifestarse con contenidos estructurados, sin constituir \u00a0 \u00a0delirios. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>-Disfunci\u00f3n auton\u00f3mica somatomorfa \u00a0 \u00a0<\/p>\n<p>-Dolor persistente somatomorfo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas pueden ser de gran intensidad y motivar \u00a0 \u00a0diferentes ex\u00e1menes paracl\u00ednicos y tratamientos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>GRUPO TRES-Trastorno conversivo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Puede existir gran limitaci\u00f3n \u00a0 \u00a0funcional, o compromiso de sistemas corporales b\u00e1sicos (par\u00e1lisis, anestesias, \u00a0 \u00a0mutismo y ceguera), y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Pueden existir conductas de \u00a0 \u00a0indiferencia hacia el s\u00edntoma. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Existe limitaci\u00f3n funcional de sistema corporal \u00a0 \u00a0comprometido. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Trastorno obsesivo compulsivo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Los s\u00edntomas pueden ser \u00a0 \u00a0estructurados, persistentes y producir gran malestar, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0La persona puede ocupar gran \u00a0 \u00a0parte del d\u00eda en el enfrentamiento de los s\u00edntomas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Las diferentes \u00e1reas de actividad de la persona \u00a0 \u00a0(motivacional, cognocitiva y motora) pueden encontrarse comprometidos con el \u00a0 \u00a0padecimiento del s\u00edntoma y su enfrentamiento. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CLASE II (MODERADA): El tiempo de duraci\u00f3n de los s\u00edntomas \u00a0actuales y de las conductas secundarias es de m\u00e1s de un a\u00f1o y el tiempo total \u00a0de evoluci\u00f3n del trastorno es de m\u00e1s de cinco a\u00f1os. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>DIAGN\u00d3STICO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>SEVERIDAD O \u00a0 \u00a0INTESIDAD DE LOS S\u00cdNTOMAS ACTUALES \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>HALLAZGOS \u00a0 \u00a0ACTUALES \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>GRUPO UNO \u00a0 \u00a0<\/p>\n<p>Fobias Trastorno por Estr\u00e9s postraum\u00e1tico \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0S\u00edntomas referidos a gran \u00a0 \u00a0diversidad de situaciones, o situaciones espec\u00edficas que la persona debe \u00a0 \u00a0enfrentar cotidianamente (de dif\u00edcil evitaci\u00f3n), o s\u00edntomas m\u00faltiples y de \u00a0 \u00a0gran severidad, y \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7 Marcada preocupaci\u00f3n ante la eventualidad de ocurrencia \u00a0 \u00a0de s\u00edntomas agudos y\/o aislamiento importante, o \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Trastorno de p\u00e1nico \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Presencia de angustia \u00a0 \u00a0anticipatoria que ocupa el contenido del pensamiento gran parte del d\u00eda, y\/o \u00a0 \u00a0da lugar a conductas marcadas de evitaci\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7 Existencia de s\u00edntomas importantes y frecuentes durante \u00a0 \u00a0el \u00faltimo a\u00f1o. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0\u00a0<\/p>\n<p>GRUPO DOS \u00a0 \u00a0<\/p>\n<p>-trastornos de ansiedad generalizada \u00a0 \u00a0<\/p>\n<p>-Neurastenia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>S\u00edntomas (fisiol\u00f3gicos y\/o cognitivos) m\u00faltiples, o pocos \u00a0 \u00a0pero de gran intensidad que ocupan el pensamiento durante varias horas al d\u00eda \u00a0 \u00a0y\/o dificultan gran parte de las actividades de la persona. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Las manifestaciones cognitivas y fisiol\u00f3gicas son de tal \u00a0 \u00a0intensidad que afectan tanto los aspectos motivacionales como operativos de \u00a0 \u00a0la conducta. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Trastorno hipocondr\u00edaco, o dism\u00f3rfico. \u00a0 \u00a0<\/p>\n<p>-Trastorno en somatizaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>La preocupaci\u00f3n por la salud o su apariencia es permanente, \u00a0 \u00a0se manifiesta con contenidos estructurados, sin constituir delirios. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>-Disfunci\u00f3n auton\u00f3mica somatomorfa \u00a0 \u00a0<\/p>\n<p>-Dolor persistente somatomorfo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Los s\u00edntomas son de gran intensidad hasta el punto que \u00a0 \u00a0motivan diferentes ex\u00e1menes paracl\u00ednicos y tratamientos. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>GRUPO TRES \u00a0 \u00a0<\/p>\n<p>-Trastorno conversivo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Gran limitaci\u00f3n funcional o compromiso \u00a0 \u00a0de sistemas corporales b\u00e1sicos (par\u00e1lisis, anestesias, mutismo y ceguera), y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Algunas veces presencia de \u00a0 \u00a0conductas de indiferencia hacia el s\u00edntoma. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Limitaci\u00f3n funcional evidente del sistema comprometido. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Trastorno obsesivo compulsivo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0S\u00edntomas evidentemente \u00a0 \u00a0estructurados y persistentes que producen gran malestar, y \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0En el enfrentamiento de los \u00a0 \u00a0s\u00edntomas la persona ocupa gran parte del d\u00eda. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Todas o casi todas las \u00e1reas de actividad de la persona \u00a0 \u00a0(sistemas cognoscitivo, motivacional y motor) se encuentran comprometidas con \u00a0 \u00a0el padecimiento del s\u00edntoma, o su enfrentamiento \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.4.6. Retraso Mental \u00a0 \u00a0<\/p>\n<p>Se trata de un estado de desarrollo mental incompleto o \u00a0detenido, caracterizado por deficiencia en la organizaci\u00f3n de capacidades que contribuyen \u00a0al nivel global de inteligencia tales como las funciones cognoscitivas, el \u00a0lenguaje y las habilidades motrices o sociales. Puede estar asociado o no con \u00a0otra alteraci\u00f3n mental o f\u00edsica como el autismo, otros trastornos del \u00a0desarrollo, trastornos de la conducta, epilepsia o invalidez f\u00edsica grave. \u00a0 \u00a0<\/p>\n<p>En consecuencia, la deficiencia derivada del retraso mental \u00a0est\u00e1 dada fundamentalmente por el nivel de detenci\u00f3n del desarrollo cognitivo. \u00a0 \u00a0<\/p>\n<p>TABLA No. 12.4.8 \u00a0RETRASO MENTAL \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGOR\u00cdAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>INTENSIDAD DEL \u00a0 \u00a0TRASTORNO: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CARACTER\u00cdSTICAS \u00a0 \u00a0DEL TRASTORNO: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0<\/p>\n<p>(leve) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Cociente intelectual de 50 a 69 (en adultos edad mental de \u00a0 \u00a09 a 12 a\u00f1os) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Puede presentar algunas \u00a0 \u00a0dificultades en el aprendizaje escolar, puede desarrollar habilidades para \u00a0 \u00a0realizar actividades cotidianas sin supervisi\u00f3n. Con est\u00edmulos adecuados \u00a0 \u00a0puede desarrollar actividades manuales no especializadas y mantener \u00a0 \u00a0relaciones sociales adecuadas. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Con estimulaci\u00f3n deficiente s\u00f3lo \u00a0 \u00a0puede desarrollar actividades simples que requieren inteligencia pr\u00e1ctica, \u00a0 \u00a0con un m\u00ednimo de abstracci\u00f3n. En este caso, requieren vigilancia permanente \u00a0 \u00a0para las actividades laborales e incluso para su cuidado personal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>Clase II \u00a0 \u00a0(moderado) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Cociente intelectual de 35 a 49 (en adultos edad mental de \u00a0 \u00a06 a 9 a\u00f1os) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puede hacerse cargo de su cuidado personal con supervisi\u00f3n. \u00a0 \u00a0Se desplaza solamente en un medio familiar. Puede recibir adiestramiento en \u00a0 \u00a0trabajos no calificados o semicalificados (siempre con supervisi\u00f3n) que \u00a0 \u00a0implican la presencia de organizaci\u00f3n de su esquema corporal y manipulaci\u00f3n a \u00a0 \u00a0nivel sensorio motor. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0\u00a0<\/p>\n<p>Clase III \u00a0 \u00a0(grave) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Cociente intelectual de 20 a 34 (en adultos edad mental de \u00a0 \u00a03 a 6 a\u00f1os) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puede adquirir un lenguaje comunicativo escaso o nulo y \u00a0 \u00a0pueden ser adiestrados en habilidades elementales de cuidado personal. \u00a0 \u00a0<\/p>\n<p>En la adultez puede realizar tareas simples estrechamente \u00a0 \u00a0supervisados en instituciones. Igualmente, puede adaptarse bien a la vida de \u00a0 \u00a0comunidad, ya sea en hogares colectivos o con sus familias. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30% \u00a0\u00a0<\/p>\n<p>Clase IV \u00a0 \u00a0(severo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Cociente intelectual menor de 20. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Severa limitaci\u00f3n del cuidado personal, la continencia, la \u00a0 \u00a0comunicaci\u00f3n y la movilidad. Generalmente se asocia con enfermedad neurol\u00f3gica. \u00a0 \u00a0Requiere asistencia continua en todas las actividades del diario vivir, \u00a0 \u00a0incluido el cuidado personal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40% \u00a0 \u00a0 \u00a0<\/p>\n<p>12.4.7. Trastornos del Desarrollo Psicol\u00f3gico \u00a0 \u00a0<\/p>\n<p>Incluye trastornos que a) comienzan invariablemente durante la \u00a0infancia o ni\u00f1ez; b) hay deterioro o retardo del desarrollo de funciones \u00a0estrechamente relacionadas con la maduraci\u00f3n biol\u00f3gica del Sistema Nervioso \u00a0Central; son de curso progresivo, sin remisiones, ni reca\u00eddas. \u00a0 \u00a0<\/p>\n<p>Dentro de los trastornos del desarrollo se incluyen dos \u00a0grupos: los trastornos generalizados del desarrollo y los trastornos \u00a0espec\u00edficos del desarrollo. Este \u00faltimo grupo no se tomar\u00e1 en cuenta para la \u00a0calificaci\u00f3n de la p\u00e9rdida de capacidad laboral. \u00a0 \u00a0<\/p>\n<p>El grupo de trastornos generalizados del desarrollo abarca: \u00a0el autismo infantil, el s\u00edndrome de Rett, el trastorno desintegrativo infantil, \u00a0el trastorno de Asperger y otras trastorno generalizados poco definidos. Para \u00a0que estos trastornos se consideren como tales y se califiquen, se requiere que \u00a0se hayan iniciado antes de los tres a\u00f1os de edad. \u00a0 \u00a0<\/p>\n<p>Este grupo de trastornos no debe calificarse antes de haber \u00a0realizado un proceso de rehabilitaci\u00f3n integral. \u00a0 \u00a0<\/p>\n<p>Tabla 12.4.9 \u00a0TRASTORNOS GENERALIZADOS DEL DESARROLLO \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGOR\u00cdAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0 \u00a0<\/p>\n<p>DEFICIENCIA \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>SEVERIDAD DE \u00a0 \u00a0LA ALTERACI\u00d3N \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Clase I \u00a0 \u00a0<\/p>\n<p>(Leve) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Poco inter\u00e9s en el establecimiento de relaciones \u00a0 \u00a0interpersonales; dificultad en el establecimiento de la comunicaci\u00f3n; poco \u00a0 \u00a0desarrollo de intereses y actividades. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% \u00a0\u00a0<\/p>\n<p>Clase II \u00a0 \u00a0(Moderado) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Defecto en el establecimiento de relaciones \u00a0 \u00a0interpersonales; deficiente comunicaci\u00f3n con los dem\u00e1s; deficiente \u00a0 \u00a0comunicaci\u00f3n en la conducta. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% \u00a0\u00a0<\/p>\n<p>Clase III \u00a0 \u00a0(Grave) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Evidente deficiencia para el establecimiento de las relaciones \u00a0 \u00a0interpersonales; escaso desarrollo de la comunicaci\u00f3n con los dem\u00e1s; pobre \u00a0 \u00a0organizaci\u00f3n de la conducta. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30% \u00a0\u00a0<\/p>\n<p>Clase IV \u00a0 \u00a0(Severa) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Carencia notoria para el establecimiento de la relaciones \u00a0 \u00a0interpersonales; evidente deficiencia en la comunicaci\u00f3n (es inteligible); No \u00a0 \u00a0organizaci\u00f3n consciente y voluntaria de la conducta. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40% \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 Trastornos mentales del eje II: Trastornos de la \u00a0personalidad, y del comportamiento en adultos \u00a0 \u00a0<\/p>\n<p>Este grupo comprende una diversidad de afecciones y de rasgos \u00a0conductuales cl\u00ednicamente significativos (es decir, producen malestar \u00a0individual o dificultad en la adaptaci\u00f3n social-para el DSM IV-), que tienden a \u00a0ser persistentes y que parecen ser la expresi\u00f3n del estilo de vida \u00a0caracter\u00edstico de la persona y de su modo de relacionarse consigo mismo y con \u00a0los dem\u00e1s. \u00a0 \u00a0<\/p>\n<p>Para los fines de la calificaci\u00f3n de la deficiencia se \u00a0consideran los trastornos espec\u00edficos de la personalidad, trastornos mixtos de \u00a0la personalidad y los cambios perdurables de la personalidad, no atribuibles a \u00a0lesi\u00f3n o enfermedad cerebral. \u00a0 \u00a0<\/p>\n<p>Para que sean considerados como tales y para fines de la \u00a0calificaci\u00f3n, los trastornos de personalidad deben haber surgido por lo menos \u00a0desde la adolescencia, y los cambios perdurables de la personalidad deben tener \u00a0m\u00e1s de dos a\u00f1os como tiempo de evoluci\u00f3n total. Igualmente, para que se \u00a0califiquen estos trastornos deben hacerse evidentes en las diferentes \u00a0situaciones vitales y en las diversas etapas de la vida. \u00a0 \u00a0<\/p>\n<p>Con base en el DSM IV los trastornos espec\u00edficos de la personalidad \u00a0se clasifican en tres grupos: \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Grupo A (extra\u00f1os, exc\u00e9ntricos): \u00a0Comprende los trastorno esquizoide, paranoide y esquizot\u00edpico de personalidad. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Grupo B (dram\u00e1ticos, emotivos): \u00a0Comprende los trastornos histri\u00f3nico, asocial (o psicop\u00e1tico), emocionalmente \u00a0inestable (borderline o lim\u00edtrofe) y narcis\u00edstico de personalidad. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0Grupo C (ansiosos, temerosos): \u00a0Comprende los trastornos ansioso (o evasivo)), dependiente y ananc\u00e1stico (u \u00a0obsesivo compulsivo). \u00a0 \u00a0<\/p>\n<p>Los cambios perdurables de la personalidad, no atribuibles a \u00a0lesi\u00f3n o enfermedad cerebral, en cambio, aparecen no en relaci\u00f3n con el proceso \u00a0de desarrollo, sino &#8220;despu\u00e9s de la exposici\u00f3n a estr\u00e9s prolongado, \u00a0catastr\u00f3fico o excesivo&#8221; (a veces, posterior a un cuadro de trastorno de \u00a0estr\u00e9s postraum\u00e1tico) o despu\u00e9s de una enfermedad mental grave. \u00a0 \u00a0<\/p>\n<p>Es importante la consideraci\u00f3n de los trastornos del \u00a0comportamiento en la evaluaci\u00f3n de la deficiencia de los diferentes trastornos \u00a0de la personalidad. \u00a0 \u00a0<\/p>\n<p>TABLA No. \u00a012.4.10: TRASTORNOS DE PERSONALIDAD Y CAMBIOS PERDURABLES DE PERSONALIDAD \u00a0 \u00a0<\/p>\n<p>(EJE II) \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGORIAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DIAGN\u00d3STICO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>SEVERIDAD O \u00a0 \u00a0INTENSIDAD DEL TRASTORNO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>GRUPO A \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno paranoide \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno esquizoide \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno esquizot\u00edpico \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Pobreza en los v\u00ednculos interpersonales; fantas\u00edas \u00a0 \u00a0importantes de desconfianza amenaza, o de car\u00e1cter m\u00e1gico. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20% (cuando \u00a0 \u00a0\u00fanicamente se va a calificar este eje) \u00a0\u00a0<\/p>\n<p>CLASE \u00a0 \u00a0<\/p>\n<p>\u00daNICA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10% (cuando \u00a0 \u00a0tambi\u00e9n \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>GRUPO B \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno histri\u00f3nico \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno asocial (psicopat\u00eda) \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno de la personalidad \u00a0 \u00a0emocionalmente inestable (fronterizo o borderline) \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno narcisista \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Impulsividad, o emotividad marcada o especialmente l\u00e1bil, \u00a0 \u00a0poca tolerancia a la fustraci\u00f3n, deficiente organizaci\u00f3n del sistema de \u00a0 \u00a0intereses y valores e inter\u00e9s notorio en la propia persona y desconsideraci\u00f3n \u00a0 \u00a0de los dem\u00e1s, expresado en fantas\u00edas, actitudes y conductas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CATEGORIAS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DESCRIPCI\u00d3N DE \u00a0 \u00a0CRITERIOS \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% DEFICIENCIA \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>DIAGN\u00d3STICO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>SEVERIDAD O INTENSIDAD \u00a0 \u00a0DEL TRASTORNO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>GRUPO C \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno de personalidad ansioso \u00a0 \u00a0(evitaci\u00f3n) \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno por dependencia \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Trastorno ananc\u00e1stico (obsesivo \u00a0 \u00a0compulsivo) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Marcada preocupaci\u00f3n por las relaciones interpersonales, \u00a0 \u00a0asociadas con ansiedad y actitudes y\/o conductas de evitaci\u00f3n, sumisi\u00f3n y \u00a0 \u00a0control. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAMBIOS PERDURABLES DE LA PERSONALIDAD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Marcada hostilidad y desconfianza, aislamiento notorio, \u00a0 \u00a0ansiedad y depresi\u00f3n, o marcada dependencia y demanda hacia las dem\u00e1s personas \u00a0 \u00a0incapacidad para mantener relaciones interpersonales, notoria pasividad y \u00a0 \u00a0disminuci\u00f3n de los intereses, actitud y conducta enfermiza acentuada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAPITULO XIII \u00a0 \u00a0<\/p>\n<p>13. \u00d3RGANOS DE \u00a0LOS SENTIDOS: \u00a0 \u00a0<\/p>\n<p>VISI\u00d3N, AUDICI\u00d3N \u00a0Y EQUILIBRIO, HABLA, OLFATO, GUSTO \u00a0 \u00a0<\/p>\n<p>13.1 SISTEMA VISUAL \u00a0 \u00a0<\/p>\n<p>13.1.1 Generalidades \u00a0 \u00a0<\/p>\n<p>Para efectos de la calificaci\u00f3n de la deficiencia por \u00a0alteraciones en el sistema de la visi\u00f3n, se deben tener en cuenta los \u00a0siguientes criterios: \u00a0 \u00a0<\/p>\n<p>a) Valoraci\u00f3n de la agudeza visual, \u00a0 \u00a0<\/p>\n<p>b) Valoraci\u00f3n del campo visual, y, \u00a0 \u00a0<\/p>\n<p>c) Valoraci\u00f3n de la motilidad ocular. \u00a0 \u00a0<\/p>\n<p>En los casos de alteraciones de la agudeza visual y\/o de la \u00a0campimetr\u00eda, se deber\u00e1 realizar la evaluaci\u00f3n de la deficiencia previa \u00a0correcci\u00f3n del vicio de refracci\u00f3n que presente el individuo. \u00a0 \u00a0<\/p>\n<p>Cuando se encuentren alteraciones de m\u00e1s de uno de los \u00a0criterios anteriores, se deber\u00e1n combinar los valores de deficiencia asignados \u00a0a cada uno de ellos, para obtener la deficiencia global por alteraci\u00f3n del \u00a0sistema visual. \u00a0 \u00a0<\/p>\n<p>13.1.2. Criterios para la evaluaci\u00f3n de la deficiencia por \u00a0alteraciones de la agudeza visual central. \u00a0 \u00a0<\/p>\n<p>Seg\u00fan el sistema empleado por el especialista para la \u00a0detecci\u00f3n de trastornos de la agudeza visual, empleando el sistema ingl\u00e9s o el \u00a0m\u00e9trico, se utilizar\u00e1 la siguiente tabla de equivalencias para convertir sus \u00a0valores a medidas decimales. \u00a0 \u00a0<\/p>\n<p>TABLA No. 13.1 \u00a0Tabla de equivalencias para medidas de agudeza visual \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Medidas \u00a0 \u00a0inglesas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Medidas \u00a0 \u00a0m\u00e9tricas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Medidas \u00a0 \u00a0decimales \u00a0\u00a0<\/p>\n<p>20\/20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/5-6\/6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.80 \u00a0\u00a0<\/p>\n<p>20\/25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/7.5-6\/7.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.70 \u00a0\u00a0<\/p>\n<p>20\/32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6\/10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.60 \u00a0\u00a0<\/p>\n<p>20\/40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/10-6\/12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.50 \u00a0\u00a0<\/p>\n<p>20\/50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6\/15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.40 \u00a0\u00a0<\/p>\n<p>20\/64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/15-6\/20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.30 \u00a0\u00a0<\/p>\n<p>20\/100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/20-6\/30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.20 \u00a0\u00a0<\/p>\n<p>20\/125 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/40-6\/48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.10 \u00a0\u00a0<\/p>\n<p>20\/200 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/50-6\/60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.10 \u00a0\u00a0<\/p>\n<p>20\/400 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5\/100-6\/120 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.05 \u00a0\u00a0<\/p>\n<p>20\/800 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6\/240 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.00 \u00a0 \u00a0 \u00a0<\/p>\n<p>En la siguiente tabla se muestra el porcentaje de deficiencia \u00a0global seg\u00fan la disminuci\u00f3n de la agudeza visual corregida. \u00a0 \u00a0<\/p>\n<p>TABLA No. 13.2 \u00a0Deficiencia Global por alteraciones de la agudeza visual \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Agudeza visual \u00a0 \u00a0(Decimales) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.05 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0<\/p>\n<p>(Ojo Ciego) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Enucleaci\u00f3n \u00a0\u00a0<\/p>\n<p>0.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0\u00a0<\/p>\n<p>0.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0\u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0\u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0\u00a0<\/p>\n<p>0.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0\u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0\u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0\u00a0<\/p>\n<p>0.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0\u00a0<\/p>\n<p>0.05 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0\u00a0<\/p>\n<p>0.0 (Ojo \u00a0 \u00a0Ciego) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0\u00a0<\/p>\n<p>Enucleaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0<\/p>\n<p>Explicaci\u00f3n de la tabla 13.2: \u00a0 \u00a0<\/p>\n<p>a) En caso de p\u00e9rdida o disminuci\u00f3n de la agudeza visual de \u00a0un solo ojo, estando el otro sano, la deficiencia se determina seg\u00fan el \u00a0porcentaje de la agudeza visual que figura en la primera l\u00ednea horizontal del \u00a0cuadro. \u00a0 \u00a0<\/p>\n<p>b) En los casos de p\u00e9rdida o disminuci\u00f3n bilateral de la \u00a0agudeza visual, la deficiencia se determina en la intersecci\u00f3n de la columna \u00a0horizontal con la vertical de las visiones correspondientes al ojo derecho e \u00a0izquierdo. \u00a0 \u00a0<\/p>\n<p>c) En caso de un ojo \u00fanico, la deficiencia se determinar\u00e1 en \u00a0la intersecci\u00f3n de la vertical de los niveles de la agudeza visual de la \u00a0primera l\u00ednea del cuadro con la columna horizontal del ojo ciego. \u00a0 \u00a0<\/p>\n<p>d) Si existe enucleaci\u00f3n de un ojo, el porcentaje de \u00a0deficiencia se determinar\u00e1 en la intersecci\u00f3n de la columna vertical con la \u00a0horizontal que dice enucleaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>13.1.3. Criterios para la evaluaci\u00f3n de alteraciones en el \u00a0campo visual. \u00a0 \u00a0<\/p>\n<p>Para la determinaci\u00f3n de la perdida del campo visual se \u00a0requiere contar con un estudio que comprenda campimetr\u00eda central o perif\u00e9rica, \u00a0las que se deben realizar con una correcci\u00f3n optima de la agudeza visual. \u00a0 \u00a0<\/p>\n<p>TABLA No.13.3 \u00a0Extensi\u00f3n m\u00ednima en grados de cada uno de los ejes tomados desde el punto de \u00a0fijaci\u00f3n. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Area \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Grados \u00a0\u00a0<\/p>\n<p>Temporal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0\u00a0<\/p>\n<p>Temporal inferior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>85 \u00a0\u00a0<\/p>\n<p>Inferior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>65 \u00a0\u00a0<\/p>\n<p>Nasal inferior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0\u00a0<\/p>\n<p>Nasal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>60 \u00a0\u00a0<\/p>\n<p>Nasal superior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0\u00a0<\/p>\n<p>Superior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0\u00a0<\/p>\n<p>Temporal superior \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>55 \u00a0\u00a0<\/p>\n<p>Total \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>500 \u00a0 \u00a0 \u00a0<\/p>\n<p>Una hemianopsia inferior comprometer\u00e1 entonces los ejes inferior, \u00a0nasal inferior y temporal inferior, registrando en cada uno de ellos cero \u00a0grados conservados y en el resto de ejes su valor m\u00e1ximo. \u00a0 \u00a0<\/p>\n<p>FIGURA No. 5: \u00a0MAXIMA EXTENSION DE CADA UNO DE LOS EJES EN EL CAMPO VISUAL \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Para calcular la deficiencia global por p\u00e9rdida del campo \u00a0visual se deber\u00e1: \u00a0 \u00a0<\/p>\n<p>1) Calcular la magnitud del campo a trav\u00e9s de la suma de la \u00a0p\u00e9rdida en grados en cada uno de los ejes para cada ojo. Consultar los valores \u00a0normales m\u00e1ximos en la tabla 13.3. \u00a0 \u00a0<\/p>\n<p>2) La magnitud del campo se debe convertir al porcentaje de \u00a0p\u00e9rdida del campo visual del ojo, de acuerdo con la tabla 13.4. Si se trata de \u00a0alteraciones en la campimetr\u00eda central, previamente se multiplicar\u00e1 por dos \u00a0teniendo en cuenta que la magnitud m\u00e1xima de esta campimetr\u00eda es de 270\u00ba. \u00a0 \u00a0<\/p>\n<p>En todos los casos se deber\u00e1 obtener el porcentaje de p\u00e9rdida \u00a0del campo visual de ambos ojos. \u00a0 \u00a0<\/p>\n<p>3) Para calcular la deficiencia global por p\u00e9rdida del campo \u00a0visual, se debe aplicar la siguiente f\u00f3rmula: \u00a0 \u00a0<\/p>\n<p>&#8221; % p\u00e9rdida \u00a0ojo peor x 0.25 + % p\u00e9rdida ojo mejor x 0.75 &#8221; \u00a0 \u00a0<\/p>\n<p>Es decir, la deficiencia mayor se multiplica por 0.25 y la \u00a0menor por 0.75 y luego se suman, resultando as\u00ed la deficiencia global de la \u00a0persona por deterioro del campo visual bilateral. \u00a0 \u00a0<\/p>\n<p>TABLA No.13.4 \u00a0Deficiencia visual por p\u00e9rdida del campo visual de un ojo \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Grados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Grados \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Grados \u00a0\u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conserv \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conserv \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Perdidos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Conserv \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>% \u00a0\u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>500 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>170 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>330 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>340 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>160 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34 \u00a0\u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>490 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>180 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>320 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 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\u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45 \u00a0\u00a0<\/p>\n<p>120 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>380 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>290 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>210 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>460 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46 \u00a0\u00a0<\/p>\n<p>130 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>370 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>300 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>200 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>470 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47 \u00a0\u00a0<\/p>\n<p>140 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>360 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>310 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>190 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>480 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48 \u00a0\u00a0<\/p>\n<p>150 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>350 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>320 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>180 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>490 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49 \u00a0\u00a0<\/p>\n<p>160 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>340 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>330 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>170 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>500 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0<\/p>\n<p>Nota: En los casos en los cuales no se reporten en la \u00a0campimetr\u00eda los grados perdidos sino el porcentaje de p\u00e9rdida del campo visual, \u00a0se buscar\u00e1 su equivalente a grados perdidos en la tabla 13.4, teniendo en \u00a0cuenta que el 100% de p\u00e9rdida corresponde a 500\u00ba perdidos. Ejemplo: \u00a0 \u00a0<\/p>\n<p>Se reporta una p\u00e9rdida del 60% del campo visual del ojo \u00a0derecho y campimetr\u00eda normal para el ojo izquierdo: Su equivalencia seg\u00fan la \u00a0tabla 13.4 para el ojo derecho es de 300\u00ba perdidos y para el ojo izquierdo 0\u00ba \u00a0perdidos, por lo tanto la deficiencia visual del ojo derecho ser\u00e1 entonces de \u00a030% y la del ojo izquierdo del 0%, para hallar la deficiencia global por p\u00e9rdida \u00a0del campo visual bilateral se aplica la f\u00f3rmula, obteniendo como resultado \u00a022.5%. \u00a0 \u00a0<\/p>\n<p>13.1.4. Diplopias (Alteraciones de la funci\u00f3n oculomotora). \u00a0 \u00a0<\/p>\n<p>Tabla 13.5. \u00a0Deficiencia Global por diplopias. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>Diplopia en las zonas altas de la Mirada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>4.0 \u00a0\u00a0<\/p>\n<p>Diplopia en la parte inferior del campo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.0 \u00a0\u00a0<\/p>\n<p>Diplopia en la mirada lateral. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>Diplopia en todas las posiciones de la mirada (no \u00a0 \u00a0compensables y que obligan a ocluir un ojo). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.1.5. Deficiencias por otras lesiones oculares \u00a0unilaterales. \u00a0 \u00a0<\/p>\n<p>Tabla 13.6 \u00a0Deficiencia Global por otras lesiones oculares unilaterales. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global de la persona (%) \u00a0\u00a0<\/p>\n<p>Oftalmoplej\u00eda interna total, unilateral (acomodaci\u00f3n) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0\u00a0<\/p>\n<p>Midriasis y lesiones del iris cuando ocasionan trastornos \u00a0 \u00a0funcionales, unilateral. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>Ptosis palpebral o blefaroespasmo, pupila cubierta \u00a0 \u00a0unilateral. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>Deformaciones palpebrales, unilateral. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>Ep\u00edfora unilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>F\u00edstulas lagrimales unilaterales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>Glaucoma bilateral \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Estos porcentajes de deficiencia, deben sumarse en forma \u00a0combinada con los dem\u00e1s hallados por conceptos de otras alteraciones, sin que \u00a0sobrepase el equivalente a la p\u00e9rdida del ojo total. \u00a0 \u00a0<\/p>\n<p>13.2 O\u00cdDO \u00a0 \u00a0<\/p>\n<p>13.2.1 Generalidades. \u00a0 \u00a0<\/p>\n<p>Dentro de este sistema se consideran las funciones de \u00a0audici\u00f3n y de equilibrio. \u00a0 \u00a0<\/p>\n<p>La capacidad para la audici\u00f3n de una persona deber\u00e1 ser evaluada \u00a0de acuerdo con la comprensi\u00f3n del lenguaje o\u00eddo y discriminaci\u00f3n del habla. \u00a0 \u00a0<\/p>\n<p>Para efectos de la calificaci\u00f3n de la p\u00e9rdida auditiva, se \u00a0tendr\u00e1n en cuenta las frecuencias de 1000, 2000, 3000 y 4000 Hz. \u00a0 \u00a0<\/p>\n<p>Se deber\u00e1n realizar tres audiometrias utilizando el mismo \u00a0equipo, siguiendo las t\u00e9cnicas que garanticen la calidad del resultado, tales \u00a0como reposo auditivo de por lo menos 12 horas, la realizaci\u00f3n del examen \u00a0durante las primeras horas del d\u00eda, entre otras. \u00a0 \u00a0<\/p>\n<p>Para determinar la p\u00e9rdida de la capacidad laboral de origen \u00a0auditivo, se requieren en conjunto: Potenciales auditivos evocados, \u00a0logoaudiometria y audiometria por v\u00eda \u00f3sea. La interpretaci\u00f3n y relaci\u00f3n de los \u00a0resultados debe ser coherente. La audiometria por v\u00eda \u00f3sea se tomar\u00e1 como \u00a0referencia para calificar dicha perdida. \u00a0 \u00a0<\/p>\n<p>Si los potenciales evocados son reportados como normales, \u00a0aunque las audiometrias est\u00e9n alteradas se tomara la deficiencia global como \u00a00%. \u00a0 \u00a0<\/p>\n<p>13.2.2 Criterios para la evaluaci\u00f3n de la deficiencia por \u00a0alteraciones de la audici\u00f3n. \u00a0 \u00a0<\/p>\n<p>La evaluaci\u00f3n audiom\u00e9trica debe efectuarse realizando los \u00a0siguientes c\u00e1lculos: \u00a0 \u00a0<\/p>\n<p>a) El c\u00e1lculo de la suma de decibeles umbrales (SDU) para \u00a0cada o\u00eddo. \u00a0 \u00a0<\/p>\n<p>b) El c\u00e1lculo de la deficiencia binaural. \u00a0 \u00a0<\/p>\n<p>c) El c\u00e1lculo de la deficiencia global. \u00a0 \u00a0<\/p>\n<p>13.2.2.1. C\u00e1lculo de la Suma de Decibeles Umbrales (SDU) para \u00a0cada o\u00eddo. \u00a0 \u00a0<\/p>\n<p>Para hacer el c\u00e1lculo de la deficiencia monoaural se seguir\u00e1n \u00a0los siguientes pasos: \u00a0 \u00a0<\/p>\n<p>1) Para efecto de la calificaci\u00f3n se tomaran en cuenta los \u00a0valores de 1000, 2000, 3000 y 4000 Hz de cada una de las tres audiometrias para \u00a0cada o\u00eddo. \u00a0 \u00a0<\/p>\n<p>2) Para determinar el promedio de los umbrales de audici\u00f3n de \u00a0cada una de las frecuencias anteriormente mencionadas, se suman los umbrales \u00a0encontrados en las tres audiometrias para cada frecuencia y se dividen por \u00a0tres, encontrando as\u00ed el promedio. \u00a0 \u00a0<\/p>\n<p>Si la sumatoria de los umbrales es menor a 100 dB, se \u00a0aproximara a 100 dB . Cuando no hay audici\u00f3n a una determinada frecuencia, se \u00a0le asignar\u00e1 como m\u00e1ximo valor 92 dB. \u00a0 \u00a0<\/p>\n<p>3) Luego se suman dichos valores promedio de las cuatro \u00a0frecuencias para cada o\u00eddo. Esto representa la SDU de cada o\u00eddo. \u00a0 \u00a0<\/p>\n<p>13.2.2.2. Calculo del deterioro binaural. \u00a0 \u00a0<\/p>\n<p>Una vez obtenida la SDU para ambos o\u00eddos, se debe calcular el \u00a0deterioro binaural de la siguiente forma: \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Recuerde que el o\u00eddo mejor es aquel cuya SDU se acerca a 100. \u00a0 \u00a0<\/p>\n<p>La tabla 13.7 muestra el deterioro auditivo binaural e \u00a0incluyen los dos c\u00e1lculos antes mencionados. \u00a0 \u00a0<\/p>\n<p>Con el resultado de la perdida binaural se calcula la \u00a0deficiencia global. \u00a0 \u00a0<\/p>\n<p>13.2.2.3 Calculo de la Deficiencia global. \u00a0 \u00a0<\/p>\n<p>Una vez obtenido el deterioro binaural, se debe calcular la \u00a0deficiencia global de la siguiente forma: \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global = % de deterioro binaural x 0.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>o\u00eddo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>105 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 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\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.1 \u00a0\u00a0<\/p>\n<p>360 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.2 \u00a0\u00a0<\/p>\n<p>365 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.4 \u00a0\u00a0<\/p>\n<p>368 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>8.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>16.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>17.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>18.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>19.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>21.7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>22.5 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>100 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>105 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>110 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>115 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>120 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>125 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>130 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>135 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>140 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>145 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>150 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>155 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>160 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>165 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>170 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>175 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>180 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>185 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>190 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 13.7. \u00a0DETERIORO AUDITIVO BINAURAL \u00a0 \u00a0<\/p>\n<p>Continuaci\u00f3n \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>190 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 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\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32,5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36,4 \u00a0\u00a0<\/p>\n<p>368 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>23,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>24,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>26,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>27,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>28,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>29,5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>31,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>32,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>33,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36,5 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>195 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>200 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>205 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>210 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>215 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>220 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>225 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>230 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>235 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>240 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>245 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>250 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>255 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>260 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>265 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>270 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>275 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>280 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 13.7. \u00a0DETERIORO AUDITIVO BINAURAL \u00a0 \u00a0<\/p>\n<p>Continuaci\u00f3n \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>280 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>285 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>34,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 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\u00a0<\/p>\n<p>43,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>355 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>36,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38,5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45,5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>360 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42,5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>365 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43,5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>368 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>37,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>38,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>39,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40,4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>41,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>42,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>43,6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>44,3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45,1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>45,9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>46,7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>47,5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>48,2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49,0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>49,8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50,0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>285 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>290 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>295 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>300 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>305 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>310 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>315 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>320 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>325 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>330 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>335 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>340 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>345 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>350 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>355 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>360 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>365 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>368 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.2.2.4. Situaciones especiales \u00a0 \u00a0<\/p>\n<p>a) En caso de individuos que tengan el implante coclear, la \u00a0audiometria debe realizarse con el implante funcionando. \u00a0 \u00a0<\/p>\n<p>b) A los defectos est\u00e9ticos que no causan alteraci\u00f3n \u00a0funcional no se les asigna deficiencia. \u00a0 \u00a0<\/p>\n<p>13.2.3 Criterios para la evaluaci\u00f3n de deficiencia por \u00a0alteraciones del equilibrio. \u00a0 \u00a0<\/p>\n<p>En la evaluaci\u00f3n de la deficiencia del sistema auditivo por \u00a0alteraciones del equilibrio se consideran \u00fanicamente los problemas derivados de \u00a0defectos del laberinto, del vest\u00edbulo y de sus v\u00edas. No se incluyen en este cap\u00edtulo \u00a0los v\u00e9rtigos originados por alteraciones del sistema nervioso central, que se \u00a0encuentran descritos el cap\u00edtulo correspondiente al Sistema Nervioso Central. \u00a0 \u00a0<\/p>\n<p>13.2.3.1. P\u00e9rdida Completa de la Funci\u00f3n Vestibular \u00a0 \u00a0<\/p>\n<p>Esta p\u00e9rdida puede ser uni o bilateral. Cuando la p\u00e9rdida es \u00a0unilateral el equilibrio no se ha alterado permanentemente, por lo tanto no se \u00a0debe otorgar porcentaje de deficiencia por esta patolog\u00eda. Cuando la p\u00e9rdida es \u00a0bilateral puede esperarse cierto grado de compensaci\u00f3n de los mecanismos quinest\u00e9sicos \u00a0y visuales, por lo que dependiendo del grado de esta compensaci\u00f3n el porcentaje \u00a0se evaluara en la tabla 13.8. \u00a0 \u00a0<\/p>\n<p>13.2.3.2. Criterios para la evaluaci\u00f3n de la Deficiencia \u00a0Global por V\u00e9rtigo Vestibular \u00a0 \u00a0<\/p>\n<p>TABLA No. 13.8 \u00a0Deficiencia Global por v\u00e9rtigo vestibular. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas de v\u00e9rtigo \u00a0 \u00a0perif\u00e9rico, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, se pueden llevar a cabo las \u00a0 \u00a0actividades de la vida diaria sin ninguna clase de ayuda. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan s\u00edntomas de v\u00e9rtigo perif\u00e9rico, \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, se pueden llevar a cabo, sin \u00a0 \u00a0ayuda, las actividades de la vida diaria, excepto las que encierren peligro \u00a0 \u00a0personal o para otros, como conducir todo tipo de veh\u00edculos, trabajos en altura, \u00a0 \u00a0trabajos con herramientas cuyo mane o es riesgoso, etc. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se presentan s\u00edntomas de v\u00e9rtigo \u00a0 \u00a0perif\u00e9rico, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0y, no se pueden llevar a cabo las \u00a0 \u00a0actividades de la vida diaria sin ayuda, excepto el cuidado personal, cuidado \u00a0 \u00a0de la casa, desplazamiento en trechos cortos por la calle e ir en un veh\u00edculo \u00a0 \u00a0conducido por otro \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas de v\u00e9rtigo \u00a0 \u00a0perif\u00e9rico, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, no puede llevar a cabo las \u00a0 \u00a0actividades de la vida diaria, excepto el cuidar de si mismo. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>25.0 \u00a0\u00a0<\/p>\n<p>V \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas de v\u00e9rtigo \u00a0 \u00a0perif\u00e9rico, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No se pueden realizar las \u00a0 \u00a0actividades de la vida diaria sin ayuda, excepto las de cuidado personal y \u00a0 \u00a0debe estar confinado en el hogar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>13.3 OLFATO Y GUSTO \u00a0 \u00a0<\/p>\n<p>En estas normas se da un valor \u00fanico de 3% de deficiencia \u00a0global de la persona cuando hay una p\u00e9rdida completa de estos sentidos. \u00a0 \u00a0<\/p>\n<p>13.4 HABLA \u00a0 \u00a0<\/p>\n<p>13.4.1 Generalidades \u00a0 \u00a0<\/p>\n<p>P\u00e9rdida org\u00e1nica del habla. \u00a0 \u00a0<\/p>\n<p>La glosectom\u00eda, Laringectom\u00eda o estenosis cicatricial de la \u00a0laringe dan por resultado una p\u00e9rdida de la producci\u00f3n de la voz por sus medios \u00a0normales. La evaluaci\u00f3n de la p\u00e9rdida org\u00e1nica del lenguaje incluye la \u00a0deficiencia de producirlo por cualquier medio, incluso con rehabilitaci\u00f3n \u00a0foni\u00e1trica o dispositivos mec\u00e1nicos o electr\u00f3nicos. Si el trastorno se debe a \u00a0lesiones neurol\u00f3gicas \u00e9ste deber\u00e1 ser evaluado con los criterios del cap\u00edtulo \u00a0correspondiente. \u00a0 \u00a0<\/p>\n<p>13.4.2 Evaluaci\u00f3n de la deficiencia del habla. \u00a0 \u00a0<\/p>\n<p>TABLA No. 13.8 \u00a0Deficiencia Global por alteraciones en el habla. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Audibilidad. El paciente puede \u00a0 \u00a0hacerse o\u00edr lo suficiente en la MAYOR\u00cdA de los casos aunque a veces tenga que \u00a0 \u00a0hacer un esfuerzo y a veces esto le falle. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Inteligibilidad. El paciente \u00a0 \u00a0puede articular lo suficiente en la MAYOR\u00cdA de los casos aunque a veces tenga \u00a0 \u00a0que repetir e incluso a veces no pueda articular algunos sonidos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Eficiencia funcional. El paciente \u00a0 \u00a0Puede pronunciar y articular en la MAYOR\u00cdA de los casos con una velocidad y facilidad \u00a0 \u00a0adecuada, aunque dude o lo haga m\u00e1s despacio. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Audibilidad. El paciente puede \u00a0 \u00a0hacerse o\u00edr lo suficiente en MUCHAS ocasiones; se le entiende en condiciones \u00a0 \u00a0normales pero tiene dificultades en hacerse entender en autobuses, trenes, \u00a0 \u00a0estaciones, restaurantes etc. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Inteligibilidad. El paciente \u00a0 \u00a0puede articular lo suficiente en MUCHAS ocasiones. Puede entenderle \u00a0 \u00a0cualquiera al decir su nombre, direcci\u00f3n, etc. Puede cometer muchos errores y \u00a0 \u00a0a veces tener gran dificultad en articular la palabra. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Eficiencia funcional. El paciente \u00a0 \u00a0puede pronunciar y articular en MUCHAS ocasiones con velocidad y facilidad \u00a0 \u00a0adecuada, pero a veces da la impresi\u00f3n de encontrar dificultad y tiene \u00a0 \u00a0interrupciones, dudas o lo hace despacio. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Audibilidad. El paciente puede \u00a0 \u00a0hacerse o\u00edr en ALGUNAS ocasiones hablando mano a mano con otra persona, sin \u00a0 \u00a0embargo tiene dificultad en sitios ruidosos. La voz se le cansa r\u00e1pidamente y \u00a0 \u00a0es inaudible a los pocos segundos. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Inteligibilidad. El paciente \u00a0 \u00a0puede articular en ALGUNAS ocasiones, conversar con la familia y amigos. Sin \u00a0 \u00a0embargo, las personas que no lo tratan pueden encontrar mucha dificultad en \u00a0 \u00a0entenderlo; tiene que repetir con frecuencia lo expresado. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Eficiencia funcional. El paciente \u00a0 \u00a0puede pronunciar y articular en ALGUNAS ocasiones con velocidad y facilidad \u00a0 \u00a0adecuada pero a veces s\u00f3lo puede sostener una conversaci\u00f3n continua por \u00a0 \u00a0breves per\u00edodos, dando la impresi\u00f3n de fatigarse r\u00e1pidamente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia Global \u00a0 \u00a0(%) \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Audibilidad. El paciente puede \u00a0 \u00a0hacerse o\u00edr en MUY POCAS ocasiones, apenas se le oye. No se le escucha por \u00a0 \u00a0tel\u00e9fono, puede susurrar pero no tiene voz. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Inteligibilidad. El paciente \u00a0 \u00a0puede hacerse o\u00edr MUY POCAS ocasiones, apenas puede emitir algunas unidades \u00a0 \u00a0fon\u00e9ticas, puede balbucear algunos nombres que no se le entienden. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Eficiencia funcional. El paciente \u00a0 \u00a0puede pronunciar y articular con velocidad adecuada en POCAS ocasiones, s\u00f3lo \u00a0 \u00a0frases cortas y palabras sueltas, pero no puede mantener una conversaci\u00f3n. Le \u00a0 \u00a0cuesta trabajo hablar y lo hace muy despacio. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>V \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Audibilidad. No puede hacerse o\u00edr \u00a0 \u00a0en absoluto. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Inteligibilidad. No puede \u00a0 \u00a0articular palabra. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Eficiencia funcional. No puede \u00a0 \u00a0pronunciar ni articular \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAPITULO XIV \u00a0 \u00a0<\/p>\n<p>14. SISTEMA \u00a0HEMATOPOY\u00c9TICO \u00a0 \u00a0<\/p>\n<p>14.1 Generalidades \u00a0 \u00a0<\/p>\n<p>Este cap\u00edtulo contiene los criterios para evaluar la \u00a0deficiencia priducida por alteraciones en el sistema hematopoyetico. \u00a0 \u00a0<\/p>\n<p>14.1.1 Clasificaci\u00f3n: \u00a0 \u00a0<\/p>\n<p>a) Anemia \u00a0 \u00a0<\/p>\n<p>b) Eritrocitosis \u00a0 \u00a0<\/p>\n<p>c) Alteraciones de los leucocitos \u00a0 \u00a0<\/p>\n<p>d) Alteraciones del sistema reticuloendotelial \u00a0 \u00a0<\/p>\n<p>e) Des\u00f3rdenes hemorr\u00e1gicos o de la coagulaci\u00f3n \u00a0 \u00a0<\/p>\n<p>f) Alteraciones de las plaquetas \u00a0 \u00a0<\/p>\n<p>14.2 ANEMIA \u00a0 \u00a0<\/p>\n<p>La cronicidad se indica por una persistencia de esta \u00a0condici\u00f3n de por lo menos 3 meses y con un hematocrito por debajo de 30% y \u00a0requiere de por lo menos una transfusion semanal. \u00a0 \u00a0<\/p>\n<p>14.2.1 Evaluaci\u00f3n \u00a0 \u00a0<\/p>\n<p>Los informes de laboratorio deben coincidir con los valores \u00a0obtenidos en m\u00e1s de un examen, efectuado durante un per\u00edodo de 3 meses \u00a0anteriores a la evaluaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No. 14.2.1 \u00a0Deficiencia Global relacionada con la anemia \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Sintomatolog\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Nivel do \u00a0 \u00a0hemoglobina en sangre perif\u00e9rica, de en \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Transfusiones \u00a0 \u00a0necesitadas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0global \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>g\/100 ml de \u00a0 \u00a0sangre \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>(%) \u00a0\u00a0<\/p>\n<p>Ninguna \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>11 o m\u00e1s en \u00a0 \u00a0mujeres adultas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ninguna \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>Ninguna \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12 o m\u00e1s en \u00a0 \u00a0hombres adultos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ninguna \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0 \u00a0\u00a0<\/p>\n<p>De ninguna a \u00a0 \u00a0m\u00ednima \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>9 a 11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ninguna \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3 \u00a0\u00a0<\/p>\n<p>De m\u00ednima a \u00a0 \u00a0moderada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 a 9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Prom. de 1 \u00a0 \u00a0unidad o menos cada6 semanas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0\u00a0<\/p>\n<p>Moderada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Prom. de 1 \u00a0 \u00a0unidad o m\u00e1s cada dos semanas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20 \u00a0\u00a0<\/p>\n<p>De moderada a \u00a0 \u00a0severa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 a 7 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Prom. de 1 o \u00a0 \u00a0menos cada 2 semanas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30 \u00a0\u00a0<\/p>\n<p>Severa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Prom. De 1 o \u00a0 \u00a0m\u00e1s cada 2 semanas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40 \u00a0\u00a0<\/p>\n<p>Severa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Menos de 5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1 o m\u00e1s cada \u00a0 \u00a0dos semanas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.3 ERITROCITOSIS \u00a0 \u00a0<\/p>\n<p>14.3.1 Criterios para la evaluaci\u00f3n del Deficiencia \u00a0Permanente Relacionado con Eritrocitosis: \u00a0 \u00a0<\/p>\n<p>TABLA No. 14.1. \u00a0Deficiencia Global por eritrocitosis. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0El nivel de hemoglobina es elevado, \u00a0 \u00a0pero se mantiene a un nivel menor de 18 g\/100 ml sangre a nivel del mar, con \u00a0 \u00a0tratamiento infrecuente o inexistente. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesita un tratamiento \u00a0 \u00a0intermitente mielosupresor con flebotom\u00edas mensuales para mantener el nivel de \u00a0 \u00a0hemoglobina en sangre perif\u00e9rica a menos de 18 g\/100 ml de sangre a nivel del \u00a0 \u00a0mar. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Se requiere terapia \u00a0 \u00a0mielosupresora con flebotom\u00edas cada dos semanas o menos para mantener el \u00a0 \u00a0nivel de hemoglobina en sangre perif\u00e9rica a menos de 20 g\/100 ml de sangre a \u00a0 \u00a0nivel del mar. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>40.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.4 ALTERACIONES DE LOS LEUCOCITOS \u00a0 \u00a0<\/p>\n<p>Para una mayor claridad en la exposici\u00f3n y para facilitar la \u00a0b\u00fasqueda de los porcentajes de deficiencia no se incluye en este cap\u00edtulo las leucemias \u00a0en sus diferentes tipos o variedades las cuales se encuentran descritas en el \u00a0cap\u00edtulo que corresponde a Enfermedad Neopl\u00e1sica Maligna. \u00a0 \u00a0<\/p>\n<p>14.4.1 Criterios para la evaluaci\u00f3n del deficiencia producido \u00a0por alteraciones de los leucocitos \u00a0 \u00a0<\/p>\n<p>TABLA No. 14.2. \u00a0Deficiencia Global por alteraciones de los leucocitos \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edntomas y signos de \u00a0 \u00a0anormalidad en los leucocitos; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0No se necesita ning\u00fan tratamiento \u00a0 \u00a0o s\u00f3lo se necesita en forma espor\u00e1dica; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, se pueden llevar a cabo todas \u00a0 \u00a0o la mayor\u00eda de las actividades de la vida diaria. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edntomas y signos de \u00a0 \u00a0anormalidad en los leucocitos, y, \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Aunque necesita de tratamiento continuo, \u00a0 \u00a0puede continuar realizando la mayor\u00eda de las actividades de la vida diaria \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edntomas y signos de \u00a0 \u00a0anormalidad en los leucocitos; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesita tratamiento continuo; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, hay interferencia en la realizaci\u00f3n \u00a0 \u00a0de las actividades de la vida diaria, requiri\u00e9ndose ocasionalmente de la \u00a0 \u00a0ayuda de otras personas. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>IV \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Hay s\u00edntomas y signos de \u00a0 \u00a0anormalidad en los leucocitos; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesita tratamiento continuo; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, se experimentan dificultades en \u00a0 \u00a0la realizaci\u00f3n de las tareas diarias, necesit\u00e1ndose ayuda continua de los \u00a0 \u00a0dem\u00e1s. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>35.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>NOTA: \u00a0 \u00a0<\/p>\n<p>En general toda granulocitopenia cr\u00f3nica con recuento \u00a0absoluto de neutr\u00f3filos repetidamente bajo 2000 por mm3 e infecciones \u00a0bacterianas sist\u00e9micas recurrentes, debidamente certificadas durante por lo \u00a0menos 3 veces en los 5 meses previo a la presentaci\u00f3n de la solicitud de \u00a0calificaci\u00f3n de invalidez corresponden a la clase IV deficiencia del 35%. \u00a0 \u00a0<\/p>\n<p>14.5 ALTERACIONES DEL SISTEMA RETICULOENDOTELIAL. \u00a0 \u00a0<\/p>\n<p>La esplenectom\u00eda o falla en el desarrollo de este \u00f3rgano \u00a0antes de los 5 a\u00f1os de edad puede asociarse a alteraciones de otros sistemas \u00a0org\u00e1nicos. Cualquier deficiencia por esta causal debe evaluarse de acuerdo con \u00a0el sistema afectado. Si la esplenectom\u00eda es de origen traumatico se da un 10% \u00a0de deficiencia global. \u00a0 \u00a0<\/p>\n<p>Las anormalidades del timo con hiperfunci\u00f3n deben ser \u00a0evaluadas en los cap\u00edtulos correspondientes a sus secuelas; su hiperfuci\u00f3n por \u00a0tumores benignos o malignos o la ausencia del timo s\u00f3lo debe evaluarse en \u00a0relaci\u00f3n a las dificultades que tiene el individuo para desarrollar sus \u00a0actividades. \u00a0 \u00a0<\/p>\n<p>14.5.1 Criterios para la evaluaci\u00f3n del deficiencia en el \u00a0sistema reticuloendotelial \u00a0 \u00a0<\/p>\n<p>TABLA No. 14.3. \u00a0Deficiencia Global por alteraciones del sistema reticuloendotelial. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Clase \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Descripci\u00f3n de \u00a0 \u00a0criterios \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Deficiencia \u00a0 \u00a0Global (%) \u00a0\u00a0<\/p>\n<p>I \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas o signos de \u00a0 \u00a0enfermedad reticuloendotelial; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, puede realizar las actividades \u00a0 \u00a0de la vida diaria sin o con poca dificultad. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>II \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y se\u00f1ales de \u00a0 \u00a0enfermedad reticuloendotelial; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, puede llevar a cabo la mayoria \u00a0 \u00a0de las tareas diarias con algo de ayuda de los dem\u00e1s. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0\u00a0<\/p>\n<p>III \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Existen s\u00edntomas y signos de \u00a0 \u00a0enfermedad reticuloendotelial. \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Necesita tratamiento continuo; \u00a0 \u00a0<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0 \u00a0Y, no puede llevar a cabo las \u00a0 \u00a0actividades de la vida diaria. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>14.6 DES\u00d3RDENES HEMORR\u00c1GICOS 0 DE LA COAGULACI\u00d3N \u00a0 \u00a0<\/p>\n<p>Puesto que las personas con des\u00f3rdenes hemorr\u00e1gicos deben evitar \u00a0las actividades que puedan producir traumas, existir\u00e1 una deficiencia global \u00a0del 5.0%. Cualquier complicaci\u00f3n o complicaciones, deber\u00e1 evaluarse por \u00a0separado de acuerdo con los criterios indicados en las normas correspondientes, \u00a0sin tener en cuenta la causa. El valor porcentual asignado a la complicaci\u00f3n, \u00a0deber\u00e1 entonces combinarse con el calculado para el desorden hemorr\u00e1gico. \u00a0 \u00a0<\/p>\n<p>14.6.1 Hemofilia \u00a0 \u00a0<\/p>\n<p>Teniendo en cuenta que existe una deficiencia de factores de \u00a0coagulaci\u00f3n y por tanto, el hemof\u00edlico debe evitar actividades que puedan \u00a0causarle traumatismos, se adopta como criterio el de asignarle un porcentaje de \u00a0deficiencia global del 17.0%. \u00a0 \u00a0<\/p>\n<p>Las deficiencias causadas por esta enfermedad se evaluaran en \u00a0los cap\u00edtulos correspondientes. \u00a0 \u00a0<\/p>\n<p>14.7 ALTERACI\u00d3N DE LAS PLAOUETAS \u00a0 \u00a0<\/p>\n<p>Puesto que las personas con alteraciones plaquetarias tienen \u00a0necesidad de evitar actividades que pudieran ocasionar trauma y es constante la \u00a0necesidad de hemostasis, un individuo que tenga un desorden establecido en las \u00a0plaquetas, tendr\u00e1 un deficiencia global del 10%. Las complicaciones que puedan \u00a0surgir como resultado del desorden en las plaquetas, tales como, hemorragias o \u00a0trombosis, deber\u00e1n ser evaluadas de acuerdo con los criterios establecidos para \u00a0la evaluaci\u00f3n de la deficiencia del sistema afectado, y combinados luego, con \u00a0el valor determinado para el desorden de las plaquetas. \u00a0 \u00a0<\/p>\n<p>Art\u00edculo 13o.-Libro segundo: DE LAS DISCAPACIDADES \u00a0 \u00a0<\/p>\n<p>1. Generalidades: \u00a0 \u00a0<\/p>\n<p>Este libro complementa el Primero y Tercero, para el logro de \u00a0la calificaci\u00f3n de la invalidez dentro del principio de integralidad. Por ello \u00a0es necesario que los m\u00e9dicos de las Comisiones de Evaluaci\u00f3n Funcional y las \u00a0Juntas de Calificaci\u00f3n de la Invalidez, comprendan con mucha claridad lo que el \u00a0impacto de una deficiencia provoca en el funcionamiento fisio-psico-social de \u00a0un individuo o un trabajador. \u00a0 \u00a0<\/p>\n<p>2. Definici\u00f3n de discapacidad: \u00a0 \u00a0<\/p>\n<p>Dentro de la experiencia de la Salud, una discapacidad es \u00a0toda restricci\u00f3n o ausencia (debida a una deficiencia) de la capacidad de \u00a0realizar una actividad en la forma o dentro del margen que se considera normal \u00a0para un ser humano. Su calificaci\u00f3n m\u00e1xima dentro de la sumatoria total de \u00a0invalidez ser\u00e1 del 20%. \u00a0 \u00a0<\/p>\n<p>3. Caracter\u00edsticas de la discapacidad: \u00a0 \u00a0<\/p>\n<p>La discapacidad se caracteriza por excesos o insuficiencias \u00a0en el desempe\u00f1o y comportamiento en una actividad rutinaria normal, los cuales \u00a0pueden ser temporales o permanentes reversibles o irreversibles y progresivos o \u00a0regresivos. \u00a0 \u00a0<\/p>\n<p>Las discapacidades pueden surgir como consecuencia directa de \u00a0la deficiencia, o como una respuesta del propio individuo, sobre todo la \u00a0psicol\u00f3gica, a deficiencias f\u00edsicas sensoriales o de otro tipo. La discapacidad \u00a0representa la objetivaci\u00f3n de una deficiencia y en cuanto tal, refleja \u00a0alteraciones a nivel de la persona. \u00a0 \u00a0<\/p>\n<p>4. Criterios Generales de la calificaci\u00f3n de la discapacidad. \u00a0 \u00a0<\/p>\n<p>Para calificar la discapacidad deben tenerse en cuenta los \u00a0siguientes criterios: \u00a0 \u00a0<\/p>\n<p>4.1. Concepto de integralidad: para adjudicar las \u00a0discapacidades se considerar\u00e1 al ser humano como un sistema abierto compuesto \u00a0por tres subsistemas. \u00a0 \u00a0<\/p>\n<p>a) Subsistema de voluntad: Gobierna, escoge, motiva e inicia \u00a0la ejecuci\u00f3n. La voluntad, determina el &#8220;por que hacemos lo qu\u00e9 \u00a0hacemos&#8221;. \u00a0 \u00a0<\/p>\n<p>b) Subsistema de habituaci\u00f3n: Organiza lo que hacemos en \u00a0patrones (h\u00e1bitos y rutinas) considerando cuando lo hacemos. \u00a0 \u00a0<\/p>\n<p>c) Subsistema de ejecuci\u00f3n. &#8220;Es aquello con lo que se \u00a0tiene que hacer&#8221; y comprende las estructuras utilizadas para producir el \u00a0desempe\u00f1o ocupacional. \u00a0 \u00a0<\/p>\n<p>4.2. El da\u00f1o producido en cualquiera de estos subsistemas \u00a0conlleva a que se califique una discapacidad determinada. \u00a0 \u00a0<\/p>\n<p>4.3. Para calificar las discapacidades del desempe\u00f1o \u00a0ocupacional, del ser humano con relaci\u00f3n a sus procesos ocupacionales (trabajo, \u00a0recreaci\u00f3n ocio y autocuidado) se debe tener en cuenta no solo el \u00f3rgano ejecutor \u00a0principal de dichas actividades como tal, sino tambi\u00e9n los sistemas, \u00f3rganos y \u00a0funciones que apoyan, retroalimentan e intervienen en la ejecuci\u00f3n de la \u00a0actividad evaluada. \u00a0 \u00a0<\/p>\n<p>4.4. Cada una de las discapacidades con excepci\u00f3n de las \u00a0discapacidades de la situaci\u00f3n tiene un nivel de gravedad diferente, seg\u00fan el \u00a0tipo de patolog\u00eda as\u00ed: \u00a0 \u00a0<\/p>\n<p>TABLA No. 1. \u00a0Calificaci\u00f3n de gravedad \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>CRITERIO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PORCENTAJE \u00a0\u00a0<\/p>\n<p>No discapacitado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>Dificultad en la ejecuci\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.1 \u00a0\u00a0<\/p>\n<p>Ejecuci\u00f3n ayudada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0\u00a0<\/p>\n<p>Ejecuci\u00f3n asistida, dependiente, incrementada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0<\/p>\n<p>Para adjudicar el puntaje correspondiente se deber\u00e1 utilizar \u00a0la anterior tabla en cada una de las discapacidades, teniendo en cuenta que no se \u00a0debe sobrepasar el valor m\u00e1ximo asignado a cada categor\u00eda de discapacidad. \u00a0 \u00a0<\/p>\n<p>5. Clasificaci\u00f3n de las discapacidades \u00a0 \u00a0<\/p>\n<p>Para una mejor comprensi\u00f3n y facilidad del tipo de \u00a0discapacidad que puede tener un individuo, estas se han dividido por \u00a0categor\u00edas; cada categor\u00eda a su vez tiene un puntaje m\u00e1ximo calificable de \u00a0acuerdo con el peso que cada categor\u00eda tiene dentro del desempe\u00f1o habitual de \u00a0un individuo. En las siguientes tablas se condensa esta clasificaci\u00f3n por \u00a0categor\u00edas y sus puntajes individuales para la calificaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No. 2. Clasificaci\u00f3n de discapacidades \u00a0 \u00a0<\/p>\n<p>Relaci\u00f3n por categor\u00edas y sus puntajes m\u00e1ximos individuales \u00a0para la calificaci\u00f3n. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PORCENTAJE \u00a0 \u00a0MAXIMO ASIGNADO \u00a0\u00a0<\/p>\n<p>Discapacidades de la conducta \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la Comunicaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades del cuidado personal. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la locomoci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la disposici\u00f3n del cuerpo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la destreza \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la situaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>PUNTAJE TOTAL \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>20.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TABLA No. 3. Relaci\u00f3n de las categor\u00edas de discapacidades de \u00a0dos d\u00edgitos y sus puntajes. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TIPO DE \u00a0 \u00a0DISCAPACIDAD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PUNTAJES \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Indivi. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Suma \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Total \u00a0\u00a0<\/p>\n<p>1. DISCAPACIDADES DE LA CONDUCTA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la conciencia (10-16) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.1 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad de la conciencia del yo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>11 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad en lo referente a la localizaci\u00f3n en el tiempo \u00a0 \u00a0y en el espacio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>12 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de identificaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>13 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad de la seguridad personal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>14 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad en lo referente a la conducta situacional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad en la adquisici\u00f3n del conocimiento \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>16 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de car\u00e1cter educativo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidades de las relaciones (17-19): \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>17 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad del rol familiar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>18 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad del rol ocupacional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>19 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad del rol social \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>2. DISCAPACIDADES DE LA COMUNICACI\u00d3N \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades del hablar (20-22) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>20 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para entender el habla \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>21 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para hablar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>22 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otro discapacidad del hablar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidad para escuchar (23-24) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>23 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para escuchar el habla \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>24 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad para escuchar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidades pera ver (25-27) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>25 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para tareas visuales de conjunto \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>26 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para tareas visuales de detalle \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>27 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad para ver y actividades similares \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Otras discapacidades de la comunicaci\u00f3n (28-29) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>28 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para escribir \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>29 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de la comunicaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TIPO DE \u00a0 \u00a0DISCAPACIDAD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PUNTAJES \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Indivi. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Suma \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Total \u00a0\u00a0<\/p>\n<p>3. DISCAPACIDADES DEL CUIDADO PERSONAL \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la excreci\u00f3n (30-32) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>30 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad excretora controlada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>31 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Dificultad excretora incontrolada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>32 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para desplazarse y hacer uso del Sanitario u \u00a0 \u00a0otros elementos para la excreci\u00f3n. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la higiene personal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>33 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para ba\u00f1arse \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>34 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de la higiene personal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidades para arreglarse (35-36) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>35 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidades para ponerse la ropa \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>36 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad para arreglarse \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidades para alimentarse y otras del cuidado \u00a0 \u00a0personal (37-39) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>37 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad en los preparativos de la comida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>38 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad para alimentarse \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>39 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad del cuidado personal \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>4. DISCAPACIDADES DE LA LOCOMOCION \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de ambulaci\u00f3n (40-45) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>40 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para caminar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>41 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para salvar desniveles \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>42 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para subir escaleras \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>43 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad para subir \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>44 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para correr \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>45 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de ambulaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidades que impiden salir (46-47) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>46 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para cambiar de posiciones en la cama o en la \u00a0 \u00a0silla. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>47 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para usar el transporte \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Otras discapacidades de la locomoci\u00f3n (48-49) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>48 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para levantarse \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>49 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0tra discapacidad de la locomoci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>5. DISCAPACIDADES DE LA DISPOSICION DEL CUERPO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades dom\u00e9sticas (50-51) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>50 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para proveer a la subsistencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>51 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para las tareas del hogar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidad del movimiento del cuerpo (52-57) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.8 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>52 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para recoger \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>53 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para alcanzar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>54 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de la funci\u00f3n del brazo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>55 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para arrodillarse \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>56 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para agacharse \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>57 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad del movimiento del cuerpo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Otras discapacidades de la disposici\u00f3n del cuerpo (58-59) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>58 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad postural \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>59 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de la disposici\u00f3n del cuerpo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>TIPO DE \u00a0 \u00a0DISCAPACIDAD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PUNTAJES \u00a0\u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Indivi. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Suma \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Total \u00a0\u00a0<\/p>\n<p>6. DISCAPACIDADES DE LA DESTREZA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>3.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de la vida cotidiana (60-61) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.6 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>60 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para regular el entorno \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>61 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de la vida diaria \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Dispacidades de la actividad manual (62-66) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>62 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para manejar los dedos \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>63 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para agarrar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>64 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para sujetar \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>65 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad del uso de la mano \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>66 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de la actividad manual \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Otras discapacidades de la destreza (67-69) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.9 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>67 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad para controlar el pie \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>68 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de control del cuerpo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>69 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de la destreza \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>7. DISCAPACIDADES DE SITUACION \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>Discapacidades de dependencia y resistencia (70-71) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>70 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Dependencia circunstancial \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>71 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad en la resistencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Discapacidades ambientales (72-77) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.4 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>72 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad relativa a la tolerancia de temperatura \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>73 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad relativa a la tolerancia de otras \u00a0 \u00a0caracter\u00edsticas clim\u00e1ticas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>74 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad relativa a la tolerancia al ruido \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>75 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad relativa a la tolerancia a la iluminaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>76 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad relativa a la tolerancia al estr\u00e9s en el \u00a0 \u00a0trabajo \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>77 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Discapacidad relativa a la tolerancia de otros factores \u00a0 \u00a0ambientales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.3 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>Otras discapacidades de situaci\u00f3n (78) \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>78 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Otra discapacidad de situaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.2 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>CAPITULO I \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES \u00a0DE LA CONDUCTA \u00a0 \u00a0<\/p>\n<p>Hace referencia a la restricci\u00f3n o falta de la capacidad de los \u00a0sujetos para conducirse, tanto en las actividades de la vida diaria como en la \u00a0relaci\u00f3n con otros, ya sea por problemas de conciencia, por perdida de la \u00a0motivaci\u00f3n o dificultades para el aprendizaje. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidades de la comunicaci\u00f3n (2) \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DE LA CONCIENCIA (10-16) \u00a0 \u00a0<\/p>\n<p>La conciencia hace referencia a tener conocimiento. \u00a0 \u00a0<\/p>\n<p>10 DISCAPACIDAD DE LA CONCIENCIA DEL YO \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para desarrollar o \u00a0mantener una representaci\u00f3n mental de la identidad del yo o cuerpo del sujeto \u00a0(&#8220;esquema corporal&#8221;) y su continuidad en el tiempo; y perturbaci\u00f3n de \u00a0la conducta resultante de la interferencia con la conciencia o sentido de la \u00a0identidad y confusi\u00f3n (interpretaci\u00f3n inadecuada y respuesta a acontecimientos \u00a0externos, que se expresa por medio de agitaci\u00f3n, inquietud y alboroto). \u00a0 \u00a0<\/p>\n<p>Esta discapacidad se califica cuando se presente de forma \u00a0transitoria o permanente. \u00a0 \u00a0<\/p>\n<p>10.1 Discapacidad en la orientaci\u00f3n del esquema corporal \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la representaci\u00f3n mental del cuerpo \u00a0del sujeto, tal como incapacidad de la diferenciaci\u00f3n derecha-izquierda, \u00a0experiencias de &#8220;miembro fantasma&#8221; y otros fen\u00f3menos similares. \u00a0 \u00a0<\/p>\n<p>10.2 De la apariencia personal \u00a0 \u00a0<\/p>\n<p>Incluye: Despreocupaci\u00f3n por afeitarse o cuidar el estado del \u00a0cabello y llevar prendas sucias. \u00a0 \u00a0<\/p>\n<p>Vestirse o maquillarse de forma descuidada, apariencia f\u00edsica \u00a0muy extra\u00f1a o no acorde con las circunstancias o el contexto socio-cultural. \u00a0 \u00a0<\/p>\n<p>10.3 Otro perturbaci\u00f3n de la presentaci\u00f3n del yo \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad de ofrecer una imagen \u00a0favorable en las situaciones sociales, tales como no prestar atenci\u00f3n a las \u00a0rutinas sociales de apoyo (por ejemplo, saludar, asistir a fiestas, dar las \u00a0gracias, pedir perd\u00f3n, excusarse, y reciprocidad de todo ello) y falta de \u00a0&#8220;presencia&#8221; (por ejemplo, carencia total de originalidad o \u00a0conformidad excesiva en el comportamiento). \u00a0 \u00a0<\/p>\n<p>Excluye: Conducta no convencional intencional (no es una \u00a0discapacidad). \u00a0 \u00a0<\/p>\n<p>11 DISCAPACIDAD EN LO REFERENTE A LA LOCALIZACI\u00d3N EN EL \u00a0TIEMPO Y EL ESPACIO \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad del sujeto para \u00a0localizar debidamente objetos externos, acontecimientos y a s\u00ed mismo en \u00a0relaci\u00f3n con las dimensiones de tiempo y espacio. \u00a0 \u00a0<\/p>\n<p>Esta discapacidad se califica aunque se presente de manera \u00a0transitoria. \u00a0 \u00a0<\/p>\n<p>12 DISCAPACIDAD DE IDENTIFICACI\u00d3N \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para identificar \u00a0debidamente a objetos y personas. \u00a0 \u00a0<\/p>\n<p>Esta discapacidad se califica aunque se presente de manera \u00a0transitoria. \u00a0 \u00a0<\/p>\n<p>12.1 Conducta fuera de contexto \u00a0 \u00a0<\/p>\n<p>Conducta no apropiada para el lugar, tiempo, grado de madurez \u00a0a las circunstancias del momento. \u00a0 \u00a0<\/p>\n<p>13 DISCAPACIDAD DE LA SEGURIDAD PERSONAL \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para eludir riesgos \u00a0para la integridad del cuerpo del sujeto, como estar en peligro de herirse, por \u00a0ser incapaz de reaccionar para protegerse de cualquier riesgo. \u00a0 \u00a0<\/p>\n<p>13.1 Tendencias a causarse heridas \u00a0 \u00a0<\/p>\n<p>Incluye: Riesgo de suicidio o de autoinfringirse heridas o \u00a0lesiones por perdida de la sensibilidad. \u00a0 \u00a0<\/p>\n<p>13.2 Discapacidad para garantizar la seguridad personal en \u00a0Situaciones especiales. \u00a0 \u00a0<\/p>\n<p>Incluye: Hallarse en peligro en situaciones especiales, tales \u00a0como las relacionadas con los viajes, transportes, y el tiempo libre, deporte \u00a0incluido. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidad del rol ocupacional (18) \u00a0 \u00a0<\/p>\n<p>13.3 Conducta irresponsable o potencialmente peligrosa para \u00a0el sujeto mismo \u00a0 \u00a0<\/p>\n<p>Incluye: Dejar encendido el gas o no apagar el fuego, tirar \u00a0cerillas encendidas en la alfombra \u00a0 \u00a0<\/p>\n<p>13.4 Extrav\u00edos \u00a0 \u00a0<\/p>\n<p>13.5 Otro desvar\u00edo. \u00a0 \u00a0<\/p>\n<p>14 DISCAPACIDAD EN LO REFERENTE A LA CONDUCTA SITUACIONAL \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para registrar y \u00a0entender las relaciones entre los objetos y las personas en las situaciones de \u00a0la vida diaria. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidad de la seguridad personal en situaciones \u00a0especiales (13.2) \u00a0 \u00a0<\/p>\n<p>14.1 Discapacidad para comprender las situaciones \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad de percibir, registrar \u00a0o comprender las relaciones entre cosas y personas. \u00a0 \u00a0<\/p>\n<p>14.2 Discapacidad para interpretar las situaciones \u00a0 \u00a0<\/p>\n<p>Incluye: Falsa interpretaci\u00f3n de las relaciones entre \u00a0personas, cosas y su significado. \u00a0 \u00a0<\/p>\n<p>14.3 Discapacidad para hacer frente a la situaci\u00f3n \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para realizar \u00a0actividades en situaciones espec\u00edficas, tales como las realizadas fuera de la \u00a0casa o ante la presencia de determinados animales u otros objetos. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidad de conducta en las situaciones criticas \u00a0(18.7) \u00a0 \u00a0<\/p>\n<p>15 DISCAPACIDAD EN LA ADQUISICI\u00d3N DEL CONOCIMIENTO \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n general de la capacidad para aprender, \u00a0como la que puede deberse a deficiencias del intelecto o de la capacidad para \u00a0aprender nuevas habilidades. \u00a0 \u00a0<\/p>\n<p>16 OTRA DISCAPACIDAD DE CAR\u00c1CTER EDUCATIVO \u00a0 \u00a0<\/p>\n<p>Incluye: Otra discapacidad para aprovecharse de las \u00a0oportunidades educativas debido a la perturbaci\u00f3n de las capacidades \u00a0individuales espec\u00edficas para adquirir, procesar y retener nueva informaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>Excluye: Las debidas a discapacidades de la comunicaci\u00f3n (2) \u00a0y a otras discapacidades (3-7) \u00a0 \u00a0<\/p>\n<p>Incluye: Disminuci\u00f3n de las funciones mentales. \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DE LAS RELACIONES (17-19) \u00a0 \u00a0<\/p>\n<p>17 DISCAPACIDAD DEL ROL FAMILIAR \u00a0 \u00a0<\/p>\n<p>17.1 Discapacidad en la participaci\u00f3n en actividades del \u00a0hogar. \u00a0 \u00a0<\/p>\n<p>Incluye: Alteraci\u00f3n de la capacidad para desarrollar \u00a0actividades comunes habituales tales como comer juntos, realizar tareas \u00a0dom\u00e9sticas, salir juntos de visita, participar en juegos y ver la televisi\u00f3n y \u00a0conducirse durante estas actividades, as\u00ed como la dificultad y el desinter\u00e9s en \u00a0la toma de decisiones sobre asuntos del hogar, como pueden ser las decisiones \u00a0relativas a los hijos y al dinero. \u00a0 \u00a0<\/p>\n<p>17.2 Discapacidad en el rol conyugal afectivo. \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la relaci\u00f3n afectiva continuada con \u00a0la pareja habitual y de la comunicaci\u00f3n (as\u00ed, hablar sobre los hijos, noticias \u00a0y sucesos de la vida cotidiana), de la capacidad para mostrar afecto y calor \u00a0(pero excluyendo estallidos culturalmente habituales de ira o irritabilidad) y \u00a0generar el sentimiento de constituir una fuente de apoyo para el otro c\u00f3nyuge. \u00a0 \u00a0<\/p>\n<p>17.3 Discapacidad del rol marital \u00a0 \u00a0<\/p>\n<p>Esta discapacidad puede existir como consecuencia de una \u00a0deficiencia f\u00edsica o mental. \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de las relaciones sexuales con la \u00a0pareja habitual (incluida la pr\u00e1ctica del coito y s\u00ed el sujeto y su pareja \u00a0hallan satisfactorias las relaciones sexuales) \u00a0 \u00a0<\/p>\n<p>17.4 Discapacidad del rol parental. \u00a0 \u00a0<\/p>\n<p>Esta discapacidad puede existir como consecuencia de una \u00a0deficiencia f\u00edsica o mental. \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para asumir y realizar \u00a0las tareas propias del cuidado de los hijos que corresponden a la posici\u00f3n que \u00a0ocupa el sujeto en el hogar (as\u00ed, dar de comer, meter en la cama o llevar al \u00a0colegio, por lo que se refiere a los ni\u00f1os peque\u00f1os, y ocuparse de las \u00a0necesidades de los hijos, en el caso de los hijos mayores) y para manifestar \u00a0inter\u00e9s por los hijos (as\u00ed, jugar con ellos, leerles un cuento e interesarse \u00a0por los problemas de los hijos o por sus deberes escolares) \u00a0 \u00a0<\/p>\n<p>17.5 Otro discapacidad del rol familiar. \u00a0 \u00a0<\/p>\n<p>18 DISCAPACIDAD DEL ROL OCUPACIONAL \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para organizar y \u00a0participar en actividades ocupacionales, l\u00fadicas o recreativas rutinarias. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidades de la situaci\u00f3n (70-78) \u00a0 \u00a0<\/p>\n<p>18.1 Discapacidad en la motivaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>Incluye: Interferencia con la capacidad de trabajar en virtud \u00a0de una severa deficiencia de impulso. \u00a0 \u00a0<\/p>\n<p>18.2 Discapacidad en la cooperaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>Incluye: Incapacidad para cooperar con otros y para &#8220;dar \u00a0y tomar&#8221; en la interacci\u00f3n social. \u00a0 \u00a0<\/p>\n<p>18.3 Discapacidad en la rutina laboral \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de otros aspectos de adaptaci\u00f3n a la \u00a0rutina laboral (como ir a trabajar regularmente y a tiempo, y observar las \u00a0reglas). \u00a0 \u00a0<\/p>\n<p>18.4 Discapacidad para organizar la rutina cotidiana. \u00a0 \u00a0<\/p>\n<p>Incluye: Perturbaci\u00f3n de la capacidad para organizar \u00a0actividades de acuerdo con una secuencia temporal, y dificultad de tomar \u00a0decisiones sobre temas de la vida cotidiana. \u00a0 \u00a0<\/p>\n<p>18.5 Otra discapacidad en la realizaci\u00f3n del trabajo \u00a0 \u00a0<\/p>\n<p>Incluye: Otras dificultades en la realizaci\u00f3n y resultados \u00a0del trabajo. \u00a0 \u00a0<\/p>\n<p>18.6 Discapacidad en actividades recreativas. \u00a0 \u00a0<\/p>\n<p>Incluye: Falta de inter\u00e9s en las actividades de ocio (tales \u00a0como ver la televisi\u00f3n, escuchar la radio, leer peri\u00f3dicos o libros, participar \u00a0en juegos y tener hobbies) y en sucesos de car\u00e1cter local y mundial (incluidos \u00a0los esfuerzos por obtener informaci\u00f3n). \u00a0 \u00a0<\/p>\n<p>18.7 Discapacidad del comportamiento en situaciones cr\u00edticas. \u00a0 \u00a0<\/p>\n<p>Incluye: Respuestas insatisfactorias o inadecuadas a \u00a0incidentes (enfermedad, accidente u otros incidentes que afectan a un miembro \u00a0de la familia o a otras personas), emergencias (como el fuego) y otras \u00a0experiencias que normalmente requieren una r\u00e1pida decisi\u00f3n y acci\u00f3n. \u00a0 \u00a0<\/p>\n<p>18. 8 Otra discapacidad del rol ocupacional. \u00a0 \u00a0<\/p>\n<p>Incluye: Para los sujetos que no trabajan, la perturbaci\u00f3n \u00a0del inter\u00e9s por conseguir un trabajo o volver al antiguo puesto, y los pasos \u00a0dados para alcanzar esta finalidad. \u00a0 \u00a0<\/p>\n<p>Excluye: Otra discapacidad del rol social (19.2) \u00a0 \u00a0<\/p>\n<p>19 DISCAPACIDAD DEL ROL SOCIAL. \u00a0 \u00a0<\/p>\n<p>Esta discapacidad puede presentarse como consecuencia de \u00a0deficiencias mentales o f\u00edsicas; en este \u00faltimo caso las personas pueden perder \u00a0el inter\u00e9s por la interacci\u00f3n social. \u00a0 \u00a0<\/p>\n<p>Incluye: Alteraci\u00f3n de las relaciones interpersonales fuera \u00a0del hogar (amigos, compa\u00f1eros de trabajo y comunidad en general). \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidad del rol ocupacional (18). \u00a0 \u00a0<\/p>\n<p>19.1 Discapacidad de la interacci\u00f3n social. \u00a0 \u00a0<\/p>\n<p>Incluye: Conducta del sujeto que implique dificultades para \u00a0la interacci\u00f3n social, , ya sea por exceso o defecto (aislamiento, irritabilidad \u00a0acusada u otras fricciones suscitadas en situaciones sociales fuera del propio \u00a0hogar.) \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidades de la conciencia del yo (10) y de \u00a0identificaci\u00f3n (11-12) \u00a0 \u00a0<\/p>\n<p>19.2 Indiferencia a las normas sociales aceptadas. \u00a0 \u00a0<\/p>\n<p>Incluye: Conducta que resulta embarazosa (como hacer \u00a0sugerencias o insinuaciones sexuales, o no contenerse en rascarse los genitales \u00a0o en soltar ventosidades ruidosas), irrespetuosa (como cantar, hacer chistes \u00a0tontos u observaciones impertinentes, o mostrar exceso de familiaridad) o \u00a0histri\u00f3nico (como expresar los sentimientos de forma exagerada, dram\u00e1tica) \u00a0 \u00a0<\/p>\n<p>Excluye: Conducta intencional o cuando este comportamiento es \u00a0propio es propio de un contexto sociocultural, no siendo una discapacidad. \u00a0 \u00a0<\/p>\n<p>19.3 Conducta antisocial. \u00a0 \u00a0<\/p>\n<p>Incluye: Severamente inadaptado, psic\u00f3pata y delincuente \u00a0 \u00a0<\/p>\n<p>19.4 Otra discapacidad del rol social \u00a0 \u00a0<\/p>\n<p>Incluye: Otra perturbaci\u00f3n de la conducta por exceso o \u00a0defecto que presenta problemas de control (como agresividad, destructividad, \u00a0extrema hiperactividad e intento de llamar la atenci\u00f3n o extrema pasividad). \u00a0 \u00a0<\/p>\n<p>CAPITULO II \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES \u00a0DE LA COMUNICACI\u00d3N \u00a0 \u00a0<\/p>\n<p>Hacen referencia a la restricci\u00f3n o falta de capacidad del \u00a0sujeto para generar y emitir mensajes, as\u00ed como para recibir y comprender \u00a0mensajes. \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DEL HABLAR (20-22) \u00a0 \u00a0<\/p>\n<p>20 DISCAPACIDAD PARA ENTENDER EL HABLA. \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o restricci\u00f3n de la capacidad para entender \u00a0el significado de los mensajes verbales. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidades para escuchar (23) y dificultades \u00a0coyunturales como desconocimiento de un lenguaje local. \u00a0 \u00a0<\/p>\n<p>21 DISCAPACIDAD PARA HABLAR. \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o restricci\u00f3n de la capacidad para producir \u00a0mensajes verbales audibles y para transmitir un significado a trav\u00e9s del habla. \u00a0 \u00a0<\/p>\n<p>22 OTRAS DISCAPACIDADES DEL HABLAR \u00a0 \u00a0<\/p>\n<p>22.1 Discapacidad para entender otros mensajes audibles. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidades para escuchar (24) \u00a0 \u00a0<\/p>\n<p>22.2 Discapacidad para expresar mediante c\u00f3digos de lenguaje \u00a0sustitutivos. \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o restricci\u00f3n de la capacidad para \u00a0transmitir informaci\u00f3n mediante un c\u00f3digo de lenguaje de signos. \u00a0 \u00a0<\/p>\n<p>22.3 Otra discapacidad con c\u00f3digos de lenguaje sustitutivos. \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para recibir \u00a0informaci\u00f3n mediante un c\u00f3digo bas\u00e1ndose en lenguaje de signos. \u00a0 \u00a0<\/p>\n<p>22.4 Otra \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES PARA ESCUCHAR (23-24) \u00a0 \u00a0<\/p>\n<p>23 DISCAPACIDAD PARA ESCUCHAR EL HABLA \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para recibir \u00a0mensajes verbales. \u00a0 \u00a0<\/p>\n<p>24 OTRA DISCAPACIDAD PARA ESCUCHAR \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para recibir \u00a0otros mensajes audibles \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES PARA VER (25-27) \u00a0 \u00a0<\/p>\n<p>25 DISCAPACIDAD PARA TAREAS VISUALES DE CONJUNTO \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para ejecutar \u00a0tareas que requieren una adecuada visi\u00f3n distante o perif\u00e9rica. \u00a0 \u00a0<\/p>\n<p>26 DISCAPACIDAD PARA TAREAS VISUALES DE DETALLE. \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para ejecutar \u00a0tareas que requieren una agudeza visual adecuada, como leer, reconocer rostros, \u00a0escribir y efectuar manipulaciones que precisen de la vista. \u00a0 \u00a0<\/p>\n<p>27 OTRA DISCAPACIDAD PARA VER Y ACTIVIDADES SIMILARES \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidad relativa a la tolerancia a la \u00a0iluminaci\u00f3n. (75) \u00a0 \u00a0<\/p>\n<p>27.1 Discapacidad para la visi\u00f3n nocturna \u00a0 \u00a0<\/p>\n<p>27.2 Discapacidad para el reconocimiento de los colores \u00a0 \u00a0<\/p>\n<p>27.3 Discapacidad para la comprensi\u00f3n de mensajes escritos \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para decodificar \u00a0y entender mensajes escritos \u00a0 \u00a0<\/p>\n<p>27.4 Otra discapacidad para la lectura del lenguaje escrito \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultad para la velocidad o la resistencia en la \u00a0lectura \u00a0 \u00a0<\/p>\n<p>27.5 Discapacidad para leer otros sistemas de notaci\u00f3n \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para leer \u00a0Braille por un sujeto discapacitado en visi\u00f3n de cerca que anteriormente hab\u00eda \u00a0tenido esta capacidad, o dificultad para aprender este sistema de notaci\u00f3n para \u00a0un sujeto discapacitado en visi\u00f3n de cerca. \u00a0 \u00a0<\/p>\n<p>27.6 Discapacidad para la lectura labial \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para leer los \u00a0labios por un sujeto discapacitado para escuchar que anteriormente hab\u00eda tenido \u00a0esta capacidad, o dificultad para aprender esta destreza por un sujeto \u00a0discapacitado para escuchar. \u00a0 \u00a0<\/p>\n<p>OTRAS DISCAPACIDADES DE LA COMUNICACI\u00d3N (28-29) \u00a0 \u00a0<\/p>\n<p>28 DISCAPACIDAD PARA ESCRIBIR \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o reducci\u00f3n de la capacidad para codificar \u00a0el lenguaje en palabras escritas y para efectuar mensajes escritos o hacer \u00a0signos gr\u00e1ficos. \u00a0 \u00a0<\/p>\n<p>Tambi\u00e9n incluye a las deficiencias a nivel de la mano a \u00a0discapacidad de realizar la escritura. \u00a0 \u00a0<\/p>\n<p>Excluye: Los rehabilitados, los que tienen pr\u00f3tesis, \u00f3rtesis \u00a0y\/o aditamentos y pueden escribir haciendo uso de estos. \u00a0 \u00a0<\/p>\n<p>29 OTRA DISCAPACIDAD DE LA COMUNICACI\u00d3N \u00a0 \u00a0<\/p>\n<p>29.1 Discapacidad para la comunicaci\u00f3n simb\u00f3lica \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o restricci\u00f3n de la capacidad para entender \u00a0signos y s\u00edmbolos asociados a c\u00f3digos convencionales (por ejemplo, sem\u00e1foros y \u00a0se\u00f1ales de tr\u00e1fico, pictogramas) y para leer mapas, diagramas sencillos y otras \u00a0representaciones esquem\u00e1ticas de objetos. \u00a0 \u00a0<\/p>\n<p>29.2 Otra discapacidad para la expresi\u00f3n no verbal \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o restricci\u00f3n de la capacidad para \u00a0transmitir informaci\u00f3n mediante gestos, expresiones y procedimientos similares. \u00a0 \u00a0<\/p>\n<p>29.3 Otra discapacidad para la comunicaci\u00f3n no verbal \u00a0 \u00a0<\/p>\n<p>Incluye: P\u00e9rdida o restricci\u00f3n de la capacidad para recibir \u00a0informaci\u00f3n mediante gestos, expresiones y procedimientos similares. \u00a0 \u00a0<\/p>\n<p>29.4 Otra \u00a0 \u00a0<\/p>\n<p>Incluye: Discapacidad de comunicaci\u00f3n NOS \u00a0 \u00a0<\/p>\n<p>CAPITULO III \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES \u00a0DEL CUIDADO PERSONAL \u00a0 \u00a0<\/p>\n<p>Hacen referencia a la capacidad del sujeto para cuidarse en \u00a0lo concerniente a las actividades fisiol\u00f3gicas b\u00e1sicas, tales como la \u00a0alimentaci\u00f3n y la excreci\u00f3n, el cuidado propio, la higiene y el vestido. \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DE LA EXCRECION (30-32) \u00a0 \u00a0<\/p>\n<p>30 DIFICULTAD EXCRETORA CONTROLADA \u00a0 \u00a0<\/p>\n<p>El control hace referencia a la mitigaci\u00f3n de las \u00a0consecuencias de la dificultad excretora mediante un cierto grado de regulaci\u00f3n \u00a0ya sea mediante mecanismos de adaptaci\u00f3n, estimuladores el\u00e9ctricos, vestimenta \u00a0protectora especial u otros procedimientos, de forma que resulte posible llevar \u00a0una vida normal. \u00a0 \u00a0<\/p>\n<p>30.1 Control mediante mecanismos de adaptaci\u00f3n \u00a0 \u00a0<\/p>\n<p>30.2 Control mediante estimuladores el\u00e9ctricos \u00a0 \u00a0<\/p>\n<p>30.3 Derivaci\u00f3n gastrointestinal \u00a0 \u00a0<\/p>\n<p>Incluye: Ilestom\u00eda y colostom\u00eda \u00a0 \u00a0<\/p>\n<p>Excluye: Operaciones de peque\u00f1os circuitos internos (70.5) \u00a0 \u00a0<\/p>\n<p>30.4 Sonda vesical permanente. \u00a0 \u00a0<\/p>\n<p>30.5 Otra derivaci\u00f3n urinaria. \u00a0 \u00a0<\/p>\n<p>Incluye: Con orificio anormal (como cistostom\u00eda) \u00a0 \u00a0<\/p>\n<p>Excluye: Operaciones de peque\u00f1os circuitos internos (70.5) \u00a0 \u00a0<\/p>\n<p>30.6 Control mediante ropa protectora especial. \u00a0 \u00a0<\/p>\n<p>30 7 Otro control de la dificultad excretora \u00a0 \u00a0<\/p>\n<p>31 DIFICULTAD EXCRETORA INCONTROLADA \u00a0 \u00a0<\/p>\n<p>31.1 Severa incontinencia doble. \u00a0 \u00a0<\/p>\n<p>Frecuencia: Todas las noches y todos los d\u00edas \u00a0 \u00a0<\/p>\n<p>Incluye: Incontinencia fecal e Incontinencia urinaria. \u00a0 \u00a0<\/p>\n<p>31.2 Moderada incontinencia doble \u00a0 \u00a0<\/p>\n<p>Frecuencia superior a una vez por semana de noche y de d\u00eda. \u00a0 \u00a0<\/p>\n<p>31.3 Otra incontinencia \u00a0 \u00a0<\/p>\n<p>Incluye incontinencia fecal o urinaria. \u00a0 \u00a0<\/p>\n<p>32 DISCAPACIDAD PARA DESPLAZARSE Y HACER USO DEL SANITARIO \u00a0Y\/U OTROS ELEMENTOS PARA LA EXCRECI\u00d3N \u00a0 \u00a0<\/p>\n<p>32.1 Asociada con la dificultad de desplazarse en el hogar \u00a0 \u00a0<\/p>\n<p>Dificultad del individuo para ir al retrete \u00a0 \u00a0<\/p>\n<p>32.2 Asociada con la dificultad de trasladarse y\/o usar las \u00a0instalaciones sanitarias fuera del hogar. \u00a0 \u00a0<\/p>\n<p>32.3 Otra dificultad para la utilizaci\u00f3n de las instalaciones \u00a0sanitarias y otros elementos para la excreci\u00f3n. \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DEL ASEO PERSONAL (33-34) \u00a0 \u00a0<\/p>\n<p>33 Discapacidad para ba\u00f1arse \u00a0 \u00a0<\/p>\n<p>Incluye: Darse un ba\u00f1o completo, larvarse todo el cuerpo y la \u00a0espalda y secarse despu\u00e9s. \u00a0 \u00a0<\/p>\n<p>33.1 Asociada con la dificultad de desplazarse \u00a0 \u00a0<\/p>\n<p>Dificultad del sujeto para desplazarse al ba\u00f1o y desde el \u00a0ba\u00f1o. \u00a0 \u00a0<\/p>\n<p>33.2 Otra dificultad al utilizar el ba\u00f1o \u00a0 \u00a0<\/p>\n<p>33.3 Dificultad para utilizar la ducha \u00a0 \u00a0<\/p>\n<p>33.4 Otra discapacidad para ba\u00f1arse \u00a0 \u00a0<\/p>\n<p>34 OTRA DISCAPACIDAD DEL ASEO PERSONAL \u00a0 \u00a0<\/p>\n<p>34.1 Lavarse la cara \u00a0 \u00a0<\/p>\n<p>34.2 Lavarse el pelo \u00a0 \u00a0<\/p>\n<p>Incluye: Lavarse el cuello y los o\u00eddos \u00a0 \u00a0<\/p>\n<p>34 3 Cuidado de las manos \u00a0 \u00a0<\/p>\n<p>Incluye: Lavarse y cuidarse las u\u00f1as \u00a0 \u00a0<\/p>\n<p>34.4 Cuidado de los pies \u00a0 \u00a0<\/p>\n<p>Incluye: Lavarse y cuidarse las u\u00f1as \u00a0 \u00a0<\/p>\n<p>34.5 Higiene post-excreci\u00f3n \u00a0 \u00a0<\/p>\n<p>34.6 Higiene menstrual \u00a0 \u00a0<\/p>\n<p>34.7 Higiene dental \u00a0 \u00a0<\/p>\n<p>34.8 Cuidado espec\u00edfico seg\u00fan el sexo \u00a0 \u00a0<\/p>\n<p>Incluye: Cepillarse el pelo y peinarse y afeitarse \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES EN EL VESTIR (35-36) \u00a0 \u00a0<\/p>\n<p>35 DISCAPACIDAD PARA PONERSE LA ROPA \u00a0 \u00a0<\/p>\n<p>Excluye: Calzado \u00a0 \u00a0<\/p>\n<p>35.1 Ropa interior \u00a0 \u00a0<\/p>\n<p>35.2 Parte inferior del cuerpo \u00a0 \u00a0<\/p>\n<p>Incluye: Ponerse faldas y pantalones \u00a0 \u00a0<\/p>\n<p>35.3 Por encima de los hombros y brazos \u00a0 \u00a0<\/p>\n<p>35.4 Por encima de la cabeza \u00a0 \u00a0<\/p>\n<p>Incluye: Ponerse blusas, camisas y camisones \u00a0 \u00a0<\/p>\n<p>35.5 Ropa exterior \u00a0 \u00a0<\/p>\n<p>Incluye: Ponerse ropa de trabajo, batas y prendas de abrigo \u00a0 \u00a0<\/p>\n<p>35.6 Abrocharse \u00a0 \u00a0<\/p>\n<p>Incluye: Abrocharse botones, corchetes y cremalleras \u00a0 \u00a0<\/p>\n<p>36 DISCAPACIDAD PARA ARREGLARSE \u00a0 \u00a0<\/p>\n<p>36.1 Calceter\u00eda \u00a0 \u00a0<\/p>\n<p>Incluye: Colocarse medias y calcetines \u00a0 \u00a0<\/p>\n<p>36.2 Calzado \u00a0 \u00a0<\/p>\n<p>Incluye: Colocarse zapatos y atarse los cordones \u00a0 \u00a0<\/p>\n<p>36.3 Cobertura protectora de las manos \u00a0 \u00a0<\/p>\n<p>36.4 Prendas de cabeza \u00a0 \u00a0<\/p>\n<p>36.5 Cosm\u00e9tica \u00a0 \u00a0<\/p>\n<p>36.6 Otro aspecto del adorno personal \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES PARA ALIMENTARSE Y OTRAS DEL CUIDADO PERSONAL \u00a0(37-39) \u00a0 \u00a0<\/p>\n<p>37 DISCAPACIDAD EN LOS PREPARATIVOS DE LA COMIDA \u00a0 \u00a0<\/p>\n<p>37.1 Servir bebidas \u00a0 \u00a0<\/p>\n<p>37.2 Sujetar jarras de bebida \u00a0 \u00a0<\/p>\n<p>37.3 Repartir comida \u00a0 \u00a0<\/p>\n<p>Incluye: servir comida \u00a0 \u00a0<\/p>\n<p>37.4 Preparar comida \u00a0 \u00a0<\/p>\n<p>Incluye: Cortar alimentos y untar el pan con mantequilla \u00a0 \u00a0<\/p>\n<p>37.5 Utensilios de comer \u00a0 \u00a0<\/p>\n<p>Incluye: Sujetar los cubiertos y otros utensilios de comer \u00a0 \u00a0<\/p>\n<p>38 OTRA DISCAPACIDAD PARA AUMENTARSE \u00a0 \u00a0<\/p>\n<p>38.1 Beber \u00a0 \u00a0<\/p>\n<p>Incluye: Llevarse los alimentos a la boca y consumirlos (p.ej \u00a0tomar a sorbos). \u00a0 \u00a0<\/p>\n<p>38.2 Comer \u00a0 \u00a0<\/p>\n<p>Incluye: Llevarse los alimentos a la boca e ingerirlos. \u00a0 \u00a0<\/p>\n<p>38.3 Mascar \u00a0 \u00a0<\/p>\n<p>Incluye: Masticaci\u00f3n \u00a0 \u00a0<\/p>\n<p>38.4 Tragar \u00a0 \u00a0<\/p>\n<p>38.5 Gastrostom\u00eda \u00a0 \u00a0<\/p>\n<p>38.6 Apetito escaso \u00a0 \u00a0<\/p>\n<p>39 OTRA DISCAPACIDAD DEL CUIDADO PERSONAL \u00a0 \u00a0<\/p>\n<p>39.1 Dificultad para hacer uso de la cama y dormir. \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultad para levantarse, incapacidad de tomar la \u00a0decisi\u00f3n de irse a la cama y tener trastornos de sue\u00f1o. \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidad por desplazarse (46) \u00a0 \u00a0<\/p>\n<p>39.2 Dificultad en la cama \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultad para manejar las ropas de cama \u00a0 \u00a0<\/p>\n<p>CAPITULO IV \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES \u00a0DE LA LOCOMOCI\u00d3N \u00a0 \u00a0<\/p>\n<p>Hacen referencia a la capacidad del sujeto para llevar a cabo \u00a0actividades caracter\u00edsticas asociadas con el movimiento de un lugar a otro, de \u00a0s\u00ed mismo y de los objetos. \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DE AMBULACI\u00d3N (40-45) \u00a0 \u00a0<\/p>\n<p>40 DISCAPACIDAD PARA CAMINAR \u00a0 \u00a0<\/p>\n<p>Incluye: Ambulaci\u00f3n en terreno llano \u00a0 \u00a0<\/p>\n<p>Excluye: Habilidad de maniobrar en desniveles de terreno \u00a0(41-43). \u00a0 \u00a0<\/p>\n<p>41 DISCAPACIDAD PARA SALVAR DESNIVELES \u00a0 \u00a0<\/p>\n<p>Incluye: Habilidad para maniobrar en desniveles de terreno \u00a0como salvar escalones ocasionales entre diferentes niveles. \u00a0 \u00a0<\/p>\n<p>Excluye: Tramos de escaleras (42) y otros aspectos de la \u00a0ascensi\u00f3n (43). \u00a0 \u00a0<\/p>\n<p>42 DISCAPACIDAD PARA SUBIR ESCALERAS \u00a0 \u00a0<\/p>\n<p>Incluye: Salvar tramos de escaleras y obst\u00e1culos artificiales \u00a0como escaleras de mano: \u00a0 \u00a0<\/p>\n<p>Excluye: Escalones ocasionales (41) \u00a0 \u00a0<\/p>\n<p>43 OTRA DISCAPACIDAD PARA SUBIR \u00a0 \u00a0<\/p>\n<p>Incluye: Obst\u00e1culos naturales \u00a0 \u00a0<\/p>\n<p>44 DISCAPACIDADES PARA CORRER \u00a0 \u00a0<\/p>\n<p>45 OTRA DISCAPACIDAD DE AMBULACI\u00d3N \u00a0 \u00a0<\/p>\n<p>DISCAPACIDAD PARA CAMBIAR POSICIONES \u00a0 \u00a0<\/p>\n<p>46 DISCAPACIDAD PARA CAMBIAR POSICIONES EN LA CAMA Y\/O EN LA \u00a0SILLA. \u00a0 \u00a0<\/p>\n<p>46.1 Incorporarse estando acostado \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultad para levantarse y tumbarse en la cama \u00a0 \u00a0<\/p>\n<p>Excluye: Dificultades en acostarse y levantarse que no \u00a0guardan relaci\u00f3n en el desplazamiento en s\u00ed (39.0) \u00a0 \u00a0<\/p>\n<p>46.2 Incorporarse estando sentado \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultad en sentarse y levantarse de una silla \u00a0 \u00a0<\/p>\n<p>Excluye: Dificultad asociada con el entrar o salir de los \u00a0servicios sanitarios (32) o entrar o salir de un coche (47.0) \u00a0 \u00a0<\/p>\n<p>46.3 Alcanzar una cama o una silla \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultad en alcanzar una cama o una silla \u00a0 \u00a0<\/p>\n<p>47 DISCAPACIDAD PARA USAR EL TRANSPORTE. \u00a0 \u00a0<\/p>\n<p>47.1 Transporte personal \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultades tales como entrar o salir de un coche o \u00a0hacer uso de otras formas de transporte personal. (moto, bicicleta, caballo u \u00a0otras). \u00a0 \u00a0<\/p>\n<p>47.2 Otros veh\u00edculos \u00a0 \u00a0<\/p>\n<p>Incluye: Subir y bajar del transporte p\u00fablico \u00a0 \u00a0<\/p>\n<p>47.3 Otra dificultad para ir de compras a lugares alejados \u00a0 \u00a0<\/p>\n<p>Incluye: Inaccesibilidad del lugar hasta el que se llega en \u00a0un medio de transporte (as\u00ed, imposibilidad de aparcar los veh\u00edculos lo \u00a0suficientemente cerca). \u00a0 \u00a0<\/p>\n<p>Excluye: Hacer las compras en la vecindad (50.0) y falta de \u00a0disponibilidad de transporte (lo que es una minusval\u00eda). \u00a0 \u00a0<\/p>\n<p>47.4 Otra discapacidad de transporte \u00a0 \u00a0<\/p>\n<p>Otra discapacidad que impide salir de casa \u00a0 \u00a0<\/p>\n<p>OTRAS DISCAPACIDADES DE LA LOCOMOCI\u00d3N (48-49) \u00a0 \u00a0<\/p>\n<p>48 Discapacidad para levantar \u00a0 \u00a0<\/p>\n<p>Incluye: Acarrear \u00a0 \u00a0<\/p>\n<p>Excluye: Dificultad para levantar y transportar relacionada \u00a0s\u00f3lo con la discapacidad para proveer a la subsistencia (50). \u00a0 \u00a0<\/p>\n<p>49 Otra discapacidad de la locomoci\u00f3n \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidades de movimiento del cuerpo (52-57) \u00a0 \u00a0<\/p>\n<p>CAPITULO V \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES \u00a0DE LA DISPOSICI\u00d3N DEL CUERPO \u00a0 \u00a0<\/p>\n<p>Hacen referencia a la discapacidad \u00a0de un sujeto para llevar a cabo actividades asociadas con la disposici\u00f3n de las \u00a0partes del cuerpo, puede ser por deficiencias f\u00edsicas y\/o mentales en este caso \u00a0por incapacidad de realizar estas actividades de manera adecuada, y en ellas se \u00a0incluyen actividades derivadas tales como la realizaci\u00f3n de tareas asociadas \u00a0con el domicilio del sujeto \u00a0 \u00a0<\/p>\n<p>Incluye: Discapacidad de la \u00a0destreza (6) \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DOM\u00c9STICAS (50-51) \u00a0 \u00a0<\/p>\n<p>50 DISCAPACIDAD PARA PROVEER A LA \u00a0SUBSISTENCIA \u00a0 \u00a0<\/p>\n<p>50.1 Procurarse el sustento \u00a0 \u00a0<\/p>\n<p>Incluye: Hacer las compras en la \u00a0vecindad pr\u00f3xima \u00a0 \u00a0<\/p>\n<p>Excluye: Hacer las compras en \u00a0lugares alejados unido a la discapacidad de transporte (47). \u00a0 \u00a0<\/p>\n<p>50.2 Transportar el sustento \u00a0 \u00a0<\/p>\n<p>Incluye: Disponer de provisiones en \u00a0casa previo transporte de las mismas (como transportar las compras). \u00a0 \u00a0<\/p>\n<p>50.3 Abrir recipientes \u00a0 \u00a0<\/p>\n<p>Incluye: Abrir latas \u00a0 \u00a0<\/p>\n<p>50.4 Preparar la comida \u00a0 \u00a0<\/p>\n<p>Incluye: Cortar y trozar \u00a0 \u00a0<\/p>\n<p>50.5 Mezclar alimentos \u00a0 \u00a0<\/p>\n<p>Incluye: Batir \u00a0 \u00a0<\/p>\n<p>50.6 Cocinar s\u00f3lidos \u00a0 \u00a0<\/p>\n<p>Incluye: Levantar y servir cazuelas \u00a0y sartenes \u00a0 \u00a0<\/p>\n<p>50.7 Cocinar l\u00edquidos \u00a0 \u00a0<\/p>\n<p>Incluye: Manejar y verter de \u00a0recipientes que contienen l\u00edquidos calientes. \u00a0 \u00a0<\/p>\n<p>50.8 Servir la comida \u00a0 \u00a0<\/p>\n<p>Incluye: Llevar bandejas \u00a0 \u00a0<\/p>\n<p>50.9 Higiene de utensilios \u00a0alimentarios \u00a0 \u00a0<\/p>\n<p>Incluye: Fregar los utensilios \u00a0despu\u00e9s de las comidas \u00a0 \u00a0<\/p>\n<p>51 Discapacidad para las tareas del \u00a0hogar \u00a0 \u00a0<\/p>\n<p>51.1 Cuidado de la ropa de cama \u00a0 \u00a0<\/p>\n<p>51.2 Lavar en peque\u00f1a cantidad \u00a0 \u00a0<\/p>\n<p>Incluye: Lavado delicado a mano (p. \u00a0ej prendas peque\u00f1as o delicadas) \u00a0 \u00a0<\/p>\n<p>51.3 Lavar en gran cantidad \u00a0 \u00a0<\/p>\n<p>Incluye: El lavado de prendas \u00a0grandes y de la ropa blanca \u00a0 \u00a0<\/p>\n<p>51.4 Secar la ropa lavada \u00a0 \u00a0<\/p>\n<p>Incluye: Enjuagar, colgar y \u00a0extender \u00a0 \u00a0<\/p>\n<p>51.5 Limpiar a mano \u00a0 \u00a0<\/p>\n<p>Incluye: Limpiar, quitar el polvo, \u00a0frotar y sacar brillo \u00a0 \u00a0<\/p>\n<p>51.6 Limpiar con medios auxiliares \u00a0 \u00a0<\/p>\n<p>Incluye: Barrer y utilizar m\u00e1quinas \u00a0para la limpieza del suelo (p.ej aspiradoras) \u00a0 \u00a0<\/p>\n<p>51.7 Cuidado de las personas a \u00a0cargo \u00a0 \u00a0<\/p>\n<p>Incluye: Ayudar a los hijos o a \u00a0otras personas a cargo de uno en tareas como comer y vestirse \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DEL MOVIMIENTO DEL \u00a0CUERPO (52-57) \u00a0 \u00a0<\/p>\n<p>Excluye: Las clasificables como \u00a0discapacidades dom\u00e9sticas (50-51) \u00a0 \u00a0<\/p>\n<p>52 Discapacidad para recoger \u00a0 \u00a0<\/p>\n<p>Incluye: Recoger objetos del suelo \u00a0y doblarse \u00a0 \u00a0<\/p>\n<p>Excluye: Recoger y transportar \u00a0peque\u00f1os objetos (61.3) \u00a0 \u00a0<\/p>\n<p>53 Discapacidad para alcanzar \u00a0 \u00a0<\/p>\n<p>Incluye: Alcanzar objetos o \u00a0estirarse para cogerlos \u00a0 \u00a0<\/p>\n<p>54 Otra discapacidad de la funci\u00f3n \u00a0del brazo \u00a0 \u00a0<\/p>\n<p>Incluye: La capacidad de empujar o \u00a0tirar con las extremidades superiores \u00a0 \u00a0<\/p>\n<p>55 Discapacidad para arrodillarse \u00a0 \u00a0<\/p>\n<p>56 Discapacidad para agacharse \u00a0 \u00a0<\/p>\n<p>Incluye: Encorvarse \u00a0 \u00a0<\/p>\n<p>57 Otra discapacidad de movimiento \u00a0del cuerpo \u00a0 \u00a0<\/p>\n<p>Incluye: Movimientos de la cabeza y \u00a0cuello. \u00a0 \u00a0<\/p>\n<p>57 Discapacidad postural \u00a0 \u00a0<\/p>\n<p>Incluye: Dificultad en conseguir o \u00a0mantener posturas (p.ej perturbaci\u00f3n del equilibrio). \u00a0 \u00a0<\/p>\n<p>Excluye: Las relacionadas con una \u00a0resistencia limitada (71) \u00a0 \u00a0<\/p>\n<p>59 Otra discapacidad de la \u00a0disposici\u00f3n del cuerpo \u00a0 \u00a0<\/p>\n<p>Incluye: Otras dificultades en \u00a0mantener las debidas relaciones entre las diferentes partes del cuerpo \u00a0 \u00a0<\/p>\n<p>CAPITULO VI \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES \u00a0DE LA DESTREZA \u00a0 \u00a0<\/p>\n<p>Hacen referencia a la destreza y \u00a0habilidad de los movimientos corporales, incluidas las habilidades manuales y \u00a0la capacidad para regular los mecanismos de control. \u00a0 \u00a0<\/p>\n<p>Excluye: La capacidad para escribir \u00a0o hacer signos gr\u00e1ficos. \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DE LA VIDA COTIDIANA \u00a0(60-61) \u00a0 \u00a0<\/p>\n<p>60 DISCAPACIDAD PARA REGULAR EL \u00a0ENTORNO \u00a0 \u00a0<\/p>\n<p>60.1 Discapacidad de seguridad \u00a0 \u00a0<\/p>\n<p>Incluye: Manejo de pestillos y \u00a0otros cierres (por ejemplo, picaportes) y uso de las llaves. \u00a0 \u00a0<\/p>\n<p>60.2 Discapacidad de acceso \u00a0 \u00a0<\/p>\n<p>Incluye: Abrir y cerrar puertas \u00a0 \u00a0<\/p>\n<p>60.3 Fuego \u00a0 \u00a0<\/p>\n<p>Incluye: Prender fuego y encender \u00a0cerillas \u00a0 \u00a0<\/p>\n<p>60.4 Dispositivos dom\u00e9sticos \u00a0 \u00a0<\/p>\n<p>Incluye: Uso de grifos, bombas y \u00a0enchufes \u00a0 \u00a0<\/p>\n<p>60.5 Ventilaci\u00f3n \u00a0 \u00a0<\/p>\n<p>Incluye: Abrir ventanas \u00a0 \u00a0<\/p>\n<p>60.6 Otra \u00a0 \u00a0<\/p>\n<p>61 OTRA DISCAPACIDAD DE LA VIDA \u00a0COTIDIANA \u00a0 \u00a0<\/p>\n<p>61.1 Uso del tel\u00e9fono. \u00a0 \u00a0<\/p>\n<p>61.2 Moneda \u00a0 \u00a0<\/p>\n<p>Incluye: Manejo de dinero \u00a0 \u00a0<\/p>\n<p>61.3 Otros movimientos delicados \u00a0 \u00a0<\/p>\n<p>Incluye: Dar cuerda a relojes de \u00a0pulsera y de pared \u00a0 \u00a0<\/p>\n<p>61.4 Mover objetos \u00a0 \u00a0<\/p>\n<p>Incluye: Coger y transportar peque\u00f1os \u00a0objetos y no dejar caer objetos. \u00a0 \u00a0<\/p>\n<p>Excluye: Recoger objetos (52). \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DE LA ACTIVIDAD \u00a0MANUAL (62-66) \u00a0 \u00a0<\/p>\n<p>Excluye: Discapacidad para escribir \u00a0(28) \u00a0 \u00a0<\/p>\n<p>62 DISCAPACIDAD PARA MANEJAR LOS \u00a0DEDOS \u00a0 \u00a0<\/p>\n<p>Incluye: Capacidad par manipular \u00a0con los dedos \u00a0 \u00a0<\/p>\n<p>63 DISCAPACIDAD PARA AGARRAR \u00a0 \u00a0<\/p>\n<p>Incluye:Capacidad para agarrar o \u00a0empu\u00f1ar objetos y para moverlos \u00a0 \u00a0<\/p>\n<p>64 DISCAPACIDAD PARA SUJETAR \u00a0 \u00a0<\/p>\n<p>Incluye: Capacidad para inmovilizar \u00a0objetos sujet\u00e1ndolos \u00a0 \u00a0<\/p>\n<p>65 DISCAPACIDAD DEL USO DE LA MANO \u00a0 \u00a0<\/p>\n<p>Incluye: Discapacidad del zurdo en \u00a0una cultura predominantemente diestra \u00a0 \u00a0<\/p>\n<p>66 OTRA DISCAPACIDAD DE LA \u00a0ACTIVIDAD MANUAL \u00a0 \u00a0<\/p>\n<p>Incluye: Otras dificultades en la \u00a0coordinaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>OTRAS DISCAPACIDADES DE LA DESTREZA \u00a0(67-69) \u00a0 \u00a0<\/p>\n<p>67 DISCAPACIDAD PARA CONTROLAR EL \u00a0PIE \u00a0 \u00a0<\/p>\n<p>Incluye: Capacidad para utilizar \u00a0los mecanismos de control del pie. \u00a0 \u00a0<\/p>\n<p>68 OTRA DISCAPACIDAD DE CONTROL DEL \u00a0CUERPO \u00a0 \u00a0<\/p>\n<p>Incluye: Capacidad para utilizar \u00a0otras partes del cuerpo para la regulaci\u00f3n de los mecanismos de control. \u00a0 \u00a0<\/p>\n<p>69 OTRA DISCAPACIDAD DE LA DESTREZA \u00a0 \u00a0<\/p>\n<p>CAPITULO VII \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES \u00a0DE SITUACI\u00d3N \u00a0 \u00a0<\/p>\n<p>Aunque algunas de las dificultades \u00a0integradas en esta secci\u00f3n no son en sentido estricto perturbaciones de la \u00a0realizaci\u00f3n de actividad (de hecho, algunas podr\u00edan ser consideradas \u00a0deficiencias), se las incluye aqu\u00ed por razones de \u00edndole pr\u00e1ctico, en especial \u00a0por lo que se refiere a la especificaci\u00f3n rec\u00edproca del entorno (v\u00e9ase el Libro \u00a0de las Deficiencias). \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES DE DEPENDENCIA Y \u00a0RESISTENCIA (70-71) \u00a0 \u00a0<\/p>\n<p>70 Dependencia circunstancial \u00a0 \u00a0<\/p>\n<p>Incluye: Dependencia de equipos \u00a0para conservaci\u00f3n de la vida o de procedimientos especiales de asistencia para \u00a0continuar viviendo o en actividad. \u00a0 \u00a0<\/p>\n<p>70.1 Dependiente de equipo mec\u00e1nico \u00a0externo \u00a0 \u00a0<\/p>\n<p>Incluye: Dependencia de cualquier \u00a0forma de m\u00e1quina externa garante de la supervivencia, como m\u00e1quinas para aspirar, \u00a0respiradores y ri\u00f1ones artificiales (di\u00e1lisis), o de cualquier forma de aparato \u00a0electromec\u00e1nico para el mantenimiento o extensi\u00f3n de la actividad potencial. \u00a0 \u00a0<\/p>\n<p>70.2 Dependiente de aparatos \u00a0internos para la preservaci\u00f3n de la vida. \u00a0 \u00a0<\/p>\n<p>Incluye: Marcapaso card\u00edaco \u00a0 \u00a0<\/p>\n<p>70.3 Dependiente de otros aparatos \u00a0internos \u00a0 \u00a0<\/p>\n<p>Incluye: Pr\u00f3tesis de v\u00e1lvulas \u00a0card\u00edacas y pr\u00f3tesis articulares. \u00a0 \u00a0<\/p>\n<p>70.4 Dependiente de trasplante de \u00a0\u00f3rganos \u00a0 \u00a0<\/p>\n<p>Incluye: Estado posterior al \u00a0trasplante \u00a0 \u00a0<\/p>\n<p>70.5 Dependiente de otras \u00a0alteraciones del entorno interior del cuerpo. \u00a0 \u00a0<\/p>\n<p>Incluye: Operaciones quir\u00fargicas de \u00a0corto circuito y existencia de orificios artificiales. \u00a0 \u00a0<\/p>\n<p>Excluye: Extirpaci\u00f3n de \u00f3rganos sin \u00a0consecuencias funcionales (as\u00ed apendicectom\u00eda o colecistectom\u00eda) y orificios \u00a0artificiales relacionados con la excreci\u00f3n (30) o la comida (38). \u00a0 \u00a0<\/p>\n<p>70.6 Dependiente de una dieta \u00a0especial \u00a0 \u00a0<\/p>\n<p>Incluye: Incapacidad para comer los \u00a0platos tradicionales de la cultura del sujeto. \u00a0 \u00a0<\/p>\n<p>70.7 Dependiente de medicamentos \u00a0que produzcan efectos secundarios, o que provoquen alguna discapacidad. \u00a0 \u00a0<\/p>\n<p>Incluye medicamentos que al \u00a0suspenderse producen al individuo s\u00edntomas que lo incapaciten o que le impiden \u00a0descansar o dormir. \u00a0 \u00a0<\/p>\n<p>70.8 Dependiente de medicamentos \u00a0para conciliar el sue\u00f1o y\/o descanso. \u00a0 \u00a0<\/p>\n<p>70.9 Dependiente de otras formas de \u00a0atenci\u00f3n especial, como puede ser dependencia de medicamentos con efectos \u00a0secundarios que provocan alguna discapacidad. \u00a0 \u00a0<\/p>\n<p>Excluye: Dependencia de la ayuda de \u00a0un tercero (v\u00e9ase grados combinarios de discapacidad). \u00a0 \u00a0<\/p>\n<p>71 DISCAPACIDAD EN LA RESISTENCIA \u00a0 \u00a0<\/p>\n<p>71.1 Discapacidad para mantener posiciones \u00a0 \u00a0<\/p>\n<p>Incluye: Estar sentado y estar de \u00a0pie \u00a0 \u00a0<\/p>\n<p>71.2 Discapacidad en la tolerancia \u00a0al ejercicio \u00a0 \u00a0<\/p>\n<p>71.3 Discapacidad en otros aspectos \u00a0de la resistencia f\u00edsica \u00a0 \u00a0<\/p>\n<p>71.4 Otra discapacidad relativa a \u00a0la resistencia. \u00a0 \u00a0<\/p>\n<p>DISCAPACIDADES AMBIENTALES (72-77) \u00a0 \u00a0<\/p>\n<p>72. DISCAPACIDAD RELATIVA A LA \u00a0TOLERANCIA DE TEMPERATURA. \u00a0 \u00a0<\/p>\n<p>72.1 Intolerancia al fr\u00edo. \u00a0 \u00a0<\/p>\n<p>72.2 Intolerancia al calor. \u00a0 \u00a0<\/p>\n<p>72.3 Intolerancia a otro aspecto de \u00a0la ventilaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>73. DICAPACIDAD RELATIVA A LA \u00a0TOLERANCIA DE OTRAS CARACTER\u00cdSTICAS CLIM\u00c1TICAS \u00a0 \u00a0<\/p>\n<p>73.1 Intolerancia a la luz ultravioleta. \u00a0 \u00a0<\/p>\n<p>Incluye: la luz solar. \u00a0 \u00a0<\/p>\n<p>Excluye intolerancia a la \u00a0iluminaci\u00f3n intensa. \u00a0 \u00a0<\/p>\n<p>73.2 Intolerancia a la humedad. \u00a0 \u00a0<\/p>\n<p>Intolerancia a los extremos de la \u00a0presi\u00f3n barom\u00e9trica. \u00a0 \u00a0<\/p>\n<p>Incluye: intolerancia de la \u00a0presurizaci\u00f3n asociada al vuelo. \u00a0 \u00a0<\/p>\n<p>73.3 Sin especificar. \u00a0 \u00a0<\/p>\n<p>74. DISCAPACIDAD RELATIVA A LA \u00a0INTOLERANCIA AL RUIDO \u00a0 \u00a0<\/p>\n<p>75. DISCAPACIDAD RELATIVA A LA \u00a0TOLERANCIA A LA ILUMINACI\u00d3N. \u00a0 \u00a0<\/p>\n<p>75.1 Intolerancia a la iluminaci\u00f3n \u00a0intensa. \u00a0 \u00a0<\/p>\n<p>75.2 Intolerancia a la fluctuaci\u00f3n \u00a0en la iluminaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>76. DISCAPACIDAD RELATIVA A LA \u00a0TOLERANCIA AL ESTR\u00c9S EN EL TRABAJO \u00a0 \u00a0<\/p>\n<p>Incluye: discapacidad para hacer \u00a0frente a la rapidez, a excesos o a otros aspectos de la presi\u00f3n del trabajo. \u00a0 \u00a0<\/p>\n<p>Excluye: la atribuible a la \u00a0discapacidad del rol ocupacional. \u00a0 \u00a0<\/p>\n<p>77. DISCAPACIDAD RELATIVA A LA \u00a0INTOLERANCIA DE OTROS FACTORES AMBIENTALES \u00a0 \u00a0<\/p>\n<p>77.1 Intolerancia al polvo. \u00a0 \u00a0<\/p>\n<p>77.2 Intolerancia a otros \u00a0alergenos. \u00a0 \u00a0<\/p>\n<p>77.3 Susceptibilidad a agentes \u00a0qu\u00edmicos. \u00a0 \u00a0<\/p>\n<p>Incluye: la asociada con la \u00a0enfermedad del h\u00edgado y la derivada de una exposici\u00f3n previa a l\u00edmites \u00a0tolerables de productos qu\u00edmicos t\u00f3xicos. \u00a0 \u00a0<\/p>\n<p>77.4 Susceptibilidad a otras \u00a0toxinas. \u00a0 \u00a0<\/p>\n<p>77.5 Susceptibilidad a la radiaci\u00f3n \u00a0ionizante. \u00a0 \u00a0<\/p>\n<p>Incluye: la derivada a una \u00a0exposici\u00f3n previa de l\u00edmites tolerables de irradiaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>77.6 Intolerancia a otros factores \u00a0ambientales. \u00a0 \u00a0<\/p>\n<p>78. OTRAS DISCAPACIDADES DE \u00a0SITUACI\u00d3N \u00a0 \u00a0<\/p>\n<p>Incluye: restricciones \u00a0generalizadas de la actividad derivadas de razones como delicado estado de \u00a0salud del sujeto o propensi\u00f3n a sufrir traumas. \u00a0 \u00a0<\/p>\n<p>ARTICULO 14o.-Libro tercero: DE LAS \u00a0MINUSVALIAS \u00a0 \u00a0<\/p>\n<p>1. Generalidades. \u00a0 \u00a0<\/p>\n<p>Este \u00faltimo libro complementa los \u00a0dos primeros, destacando en \u00e9ste el componente que tiene el desempe\u00f1o de la \u00a0actividad laboral; es decir, d\u00e1ndole mucha fuerza al efecto que la deficiencia \u00a0y la discapacidad pueden tener sobre la capacidad laboral residual del \u00a0individuo. Por ello es necesario que los m\u00e9dicos de las Comisiones de \u00a0evaluaci\u00f3n Funcional y las Juntas de Calificaci\u00f3n de la Invalidez, comprendan \u00a0con mucha claridad lo que el m\u00e9todo de evaluaci\u00f3n de las minusval\u00edas pretende, \u00a0entendi\u00e9ndolo como la evaluaci\u00f3n del impacto de la deficiencia y la discapacidad \u00a0sobre el funcionamiento fisio-psico-social de un individuo o un trabajador. \u00a0 \u00a0<\/p>\n<p>2. Definici\u00f3n \u00a0 \u00a0<\/p>\n<p>Dentro de la experiencia de la \u00a0salud, una minusval\u00eda es una situaci\u00f3n desventajosa para un individuo \u00a0determinado, consecuencia de una deficiencia o de una discapacidad, que limita \u00a0o impide el desempe\u00f1o de un rol que es normal en su caso (en funci\u00f3n de la \u00a0edad, sexo, factores sociales y culturales). Su calificaci\u00f3n m\u00e1xima dentro de \u00a0la sumatoria total de invalidez ser\u00e1 del 30%. \u00a0 \u00a0<\/p>\n<p>3. Caracter\u00edsticas \u00a0 \u00a0<\/p>\n<p>La minusval\u00eda est\u00e1 en relaci\u00f3n con \u00a0el valor atribuido a la situaci\u00f3n o experiencia de un individuo cuando se \u00a0aparta de la norma. Se caracteriza por la discordancia entre el rendimiento o \u00a0status del individuo y las expectativas del individuo mismo o del grupo en \u00a0concreto al que pertenece. La misnusval\u00eda representa, pues, la socializaci\u00f3n de \u00a0una deficiencia o discapacidad, y en cuanto tal refleja las consecuencias \u00a0culturales, sociales, ocupacionales, econ\u00f3micas y ambientales que para el individuo \u00a0se derivan de la presencia de la deficiencia y la discapacidad. \u00a0 \u00a0<\/p>\n<p>La desventaja surge del fracaso o \u00a0incapacidad para satisfacer las expectativas o normas del universo del \u00a0individuo. As\u00ed pues, la minusval\u00eda sobreviene cuando se produce un \u00a0entorpecimiento en la capacidad de mantener lo que podr\u00eda designarse como \u00a0&#8220;roles de supervivencia&#8221;. \u00a0 \u00a0<\/p>\n<p>Relaci\u00f3n de las dimensiones de la \u00a0minusval\u00eda. \u00a0 \u00a0<\/p>\n<p>Roles de supervivencia: A las seis \u00a0dimensiones clave de la experiencia con las que se espera demostrar la \u00a0competencia del individuo se las designa como roles de supervivencia. Para cada \u00a0una de estas dimensiones se ha confeccionado una escala a base de la gama m\u00e1s \u00a0importante de circunstancias que cabe aplicar. En contraste con las \u00a0clasificaciones de deficiencia y discapacidad, por las que se identifica a los \u00a0individuos s\u00f3lo en las categor\u00edas que a ello se aplican, en la clasificaci\u00f3n de \u00a0minusval\u00eda es deseable que los individuos se identifiquen siempre en cada \u00a0dimensi\u00f3n o rol de supervivencia. Con ello podr\u00e1 trazarse un perfil de su \u00a0estatus de desventaja. \u00a0 \u00a0<\/p>\n<p>4. Clasificaci\u00f3n de las minusval\u00edas \u00a0 \u00a0<\/p>\n<p>Para una mejor comprensi\u00f3n y \u00a0facilidad del tipo de discapacidad que puede tener un individuo, estas se han \u00a0dividido por categor\u00edas; cada categor\u00eda a su vez tiene un puntaje m\u00e1ximo \u00a0calificable de acuerdo con el peso que cada categor\u00eda tiene dentro del \u00a0desempe\u00f1o habitual de un individuo. En el Cuadro A, se condensa esta \u00a0clasificaci\u00f3n por categor\u00edas y sus puntajes individuales para la calificaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>TABLA No. 1. \u00a0Clasificaci\u00f3n de las minusval\u00edas \u00a0 \u00a0<\/p>\n<p>Relaci\u00f3n de \u00a0dimensiones y sus puntajes individuales para la calificaci\u00f3n: \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>PORCENTAJE \u00a0 \u00a0MAXIMO ASIGNADO \u00a0\u00a0<\/p>\n<p>1 Minusval\u00eda de orientaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>2 Minusval\u00eda de Independencia f\u00edsica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>3 Minusval\u00eda de desplazamiento \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>4 Minusval\u00eda ocupacional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>5 Minusval\u00eda de integraci\u00f3n social \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>6 Minusval\u00eda de autosuficiencia econ\u00f3mica \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>7 Minusval\u00eda en funci\u00f3n de la edad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>TOTAL \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>30.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Reglas generales para la asignaci\u00f3n de la minusval\u00eda. \u00a0 \u00a0<\/p>\n<p>1. Si se duda acerca de la categor\u00eda que debe asignarse a una \u00a0persona, debe incluirsele en la categor\u00eda menos favorable. Es decir, aquella \u00a0con un puntaje m\u00e1s alto. \u00a0 \u00a0<\/p>\n<p>2. A la persona debe asign\u00e1rsele la categor\u00eda de acuerdo con \u00a0su situaci\u00f3n real y no en funci\u00f3n de lo que el evaluador piense que pueda ser \u00a0capaz de realizar. \u00a0 \u00a0<\/p>\n<p>TABLA No. 2: \u00a0Relaci\u00f3n de las categor\u00edas de minusval\u00eda por c\u00f3digos y sus puntajes de \u00a0calificaci\u00f3n: \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puntaje \u00a0\u00a0<\/p>\n<p>1. MINUSVAL\u00cdA DE ORIENTACION \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>10. Completamente orientado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>11. Impedimento para orientaci\u00f3n, completamente compensado \u00a0 \u00a0(No en las categor\u00edas 2-9). \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>12. Impedimento para orientaci\u00f3n compensado pero requiere \u00a0 \u00a0de ayudas adicionales \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>13. Impedimento para la orientaci\u00f3n no compensado. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>14. Ausencia de orientaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>15. Inconsciencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>2. MINUSVALIA DE INDEPENDENCIA FISICA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>20. Plenamente independiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>21. Independencia con ayuda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>22. Independencia adaptada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>23. Dependencia situacional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>24. Dependencia asistida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>25. Dependencia de cuidados especiales y\/o permanentes \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>3 MINUSVALIA DE DESPLAZAMIENTO \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>30. Desplazamiento pleno \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>31.Restricciones intermitentes del desplazamiento \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>32. Desplazamiento deficiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>33. Desplazamiento reducido al \u00e1mbito de la vecindad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>34. Desplazamiento reducido al \u00e1mbito del domicilio. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>35. Confinamiento al \u00e1mbito de la silla o de la cama. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>Categor\u00eda \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Puntaje \u00a0\u00a0<\/p>\n<p>4. MINUSVALIA OCUPACIONAL \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>40. Habitualmente ocupado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>41. Ocupaci\u00f3n recortada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>42. Ocupaci\u00f3n adaptada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0\u00a0<\/p>\n<p>43. Cambio de ocupaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0\u00a0<\/p>\n<p>44. Ocupaci\u00f3n reducida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10.0 \u00a0\u00a0<\/p>\n<p>45. Ocupaci\u00f3n restringida, protegida o confinada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0\u00a0<\/p>\n<p>46. Sin posibilidad de ocupaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15.0 \u00a0\u00a0<\/p>\n<p>5 MINUSVALIA DE INTEGRACION SOCIAL \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>50. Socialmente integrado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>51. Participaci\u00f3n inhibida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>52. Participaci\u00f3n disminuida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>53. Participaci\u00f3n empobrecida. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>54. Relaciones reducidas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>55. Aislamiento social \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>6 MINUSVALIA DE AUTOSUFICIENCIA ECONOMICA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>60. Plenamente autosuficiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>61. Autosuficiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0\u00a0<\/p>\n<p>62. Autosuficiencia reajustada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0\u00a0<\/p>\n<p>63. Precariamente autosuficiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0\u00a0<\/p>\n<p>64. Econ\u00f3micamente d\u00e9bil \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0\u00a0<\/p>\n<p>65. Inactivo Econ\u00f3micamente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>7. MINUSVALIA EN FUNCI\u00d3N DE LA EDAD \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0\u00a0<\/p>\n<p>71. Menor de 18 a\u00f1os \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0\u00a0<\/p>\n<p>72. De 18 a 29 a\u00f1os \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.25 \u00a0\u00a0<\/p>\n<p>73 De 30 a 39 a\u00f1os. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.75 \u00a0\u00a0<\/p>\n<p>74. De 40 a 49 a\u00f1os. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2 \u00a0\u00a0<\/p>\n<p>75. De 50 a 54 a\u00f1os \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.25 \u00a0\u00a0<\/p>\n<p>76. De 55 o m\u00e1s a\u00f1os. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Nota: El porcentaje correspondiente a minusval\u00eda en funci\u00f3n \u00a0de la edad, se asignar\u00e1 seg\u00fan la edad que tenga el individuo al momento de la calificaci\u00f3n. \u00a0 \u00a0<\/p>\n<p>CAPITULO I \u00a0 \u00a0<\/p>\n<p>MINUSVALIA DE \u00a0ORIENTACI\u00d3N \u00a0 \u00a0<\/p>\n<p>1.1 DEFINICION \u00a0 \u00a0<\/p>\n<p>Es la desventaja del individuo para \u00a0manejar su entorno debido a la alteraci\u00f3n de la funci\u00f3n de la conciencia, que \u00a0implica la noci\u00f3n de la propia persona, del propio cuerpo o del tiempo y el espacio \u00a0en que se encuentra. Esta minusval\u00eda puede aparecer como consecuencia de una \u00a0deficiencia. \u00a0 \u00a0<\/p>\n<p>1.2 Caracter\u00edsticas \u00a0 \u00a0<\/p>\n<p>1.2.1 Materia de la escala \u00a0 \u00a0<\/p>\n<p>Orientaci\u00f3n respecto al entorno, \u00a0incluidas la reciprocidad o interacci\u00f3n con el entorno. \u00a0 \u00a0<\/p>\n<p>Incluye: La recepci\u00f3n de se\u00f1ales \u00a0procedentes del entorno (como, por ejemplo, al ver, escuchar, oler o tocar), la \u00a0asimilaci\u00f3n de dichas se\u00f1ales y la formulaci\u00f3n de respuestas a lo asimilado; \u00a0las consecuencias de las discapacidades de la conducta y de la comunicaci\u00f3n \u00a0incluidos los planos del ver, escuchar, tocar, hablar y la asimilaci\u00f3n de estas \u00a0funciones por la mente. \u00a0 \u00a0<\/p>\n<p>1.2.2 Categor\u00eda de la escala: \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>10 Completamente orientado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0\u00a0<\/p>\n<p>11 Impedimento para la orientaci\u00f3n plenamente compensado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Con la utilizaci\u00f3n constante de ayudas logra compensar en \u00a0forma total y siempre los impedimentos para la orientaci\u00f3n, o una vez superada \u00a0la crisis. \u00a0 \u00a0<\/p>\n<p>Excluye: Ayudas o medicamentos utilizadas de forma \u00a0intermitente. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>12 Impedimento para la orientaci\u00f3n compensado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Individuos que aunque utilicen ayudas, necesitan condiciones \u00a0ambientales especiales. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>13 Impedimento para la orientaci\u00f3n no compensado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>A pesar del uso permanente de ayudas o medicamentos en cualquier \u00a0circunstancia la persona tiene alguna desorientaci\u00f3n por que no ve bien, no \u00a0escucha bien, siente alguna insensibilidad en el tacto, no percibe dolor, \u00a0calor, fr\u00edo, o no reconoce los objetos por el tacto o est\u00e1 confundido \u00a0necesitando la ayuda de otra persona para sentirse seguro. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>14 Impedimentos graves de la orientaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El impedimento de orientaci\u00f3n no se compensa a pesar de tener \u00a0ayudas individuales y condiciones ambientales especiales. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>15 Ausencia de orientaci\u00f3n e inconsciencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Casos en los cuales el individuo es incapaz de orientarse en \u00a0su entorno. \u00a0 \u00a0<\/p>\n<p>CAPITULO II \u00a0 \u00a0<\/p>\n<p>MINUSVAL\u00cdA DE \u00a0INDEPENDIENCIA FISICA \u00a0 \u00a0<\/p>\n<p>2.1 DEFINICI\u00d3N \u00a0 \u00a0<\/p>\n<p>Es la desventaja del individuo causada por la perdida o la \u00a0disminuci\u00f3n de su autonom\u00eda f\u00edsica, derivada de su dificultad o imposibilidad \u00a0para desempe\u00f1ar las actividades de la vida diaria. \u00a0 \u00a0<\/p>\n<p>2.2 CARACTER\u00cdSTICAS \u00a0 \u00a0<\/p>\n<p>2.2.1 Materia de la escala. \u00a0 \u00a0<\/p>\n<p>Independencia respecto de ayudas y de la asistencia de otros. \u00a0 \u00a0<\/p>\n<p>Incluye: El cuidado personal y otras actividades de la vida \u00a0diaria. \u00a0 \u00a0<\/p>\n<p>Excluye: Ayudas o asistencia para la orientaci\u00f3n (minusval\u00eda \u00a0de orientaci\u00f3n, 1). \u00a0 \u00a0<\/p>\n<p>2.2.2 Categor\u00edas de la escala: \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>20 Plenamente independiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Incluye: Independencia en el cuidado personal y sin \u00a0dependencia de ayudas, dispositivos, modificaci\u00f3n del entorno o asistencia de \u00a0otra gente, o dependiente s\u00f3lo de ayudas menores no esenciales para la \u00a0independencia. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>21 Independencia f\u00edsica con ayuda. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>Requiere del uso de ayudas y dispositivos para ser totalmente \u00a0independiente en su \u00e1mbito laboral, social y cultural. \u00a0 \u00a0<\/p>\n<p>Excluye: El uso de ayudas y dispositivos para la orientaci\u00f3n. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>22 Independencia f\u00edsica adaptada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Requiere: adem\u00e1s del uso de ayudas y dispositivos, la \u00a0modificaci\u00f3n de su entorno. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>23 Dependencia situacional \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo adem\u00e1s de requerir ayudas, dispositivos y \u00a0modificaciones del entorno no logra independencia f\u00edsica y requiere la ayuda \u00a0ocasional de otras personas para necesidades que surgen por lo menos cada 24 \u00a0horas. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>24 Dependencia asistida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo depende de la disponibilidad continua de otras \u00a0personas para que lo asistan en sus actividades b\u00e1sicas cotidianas. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>25 Dependencia de cuidados especiales y\/o permanentes \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo requiere de la atenci\u00f3n constante durante las 24 \u00a0horas. \u00a0 \u00a0<\/p>\n<p>CAPITULO III \u00a0 \u00a0<\/p>\n<p>MINUSVAL\u00cdA DE \u00a0DESPLAZAMIENTO \u00a0 \u00a0<\/p>\n<p>3.1 DEFINICI\u00d3N \u00a0 \u00a0<\/p>\n<p>Es la desventaja del individuo derivada de la disminuci\u00f3n o perdida \u00a0de su capacidad para desplazarse en forma eficaz en su entorno. \u00a0 \u00a0<\/p>\n<p>3.2 CARACTER\u00cdSTICAS \u00a0 \u00a0<\/p>\n<p>3.2.1 Materia de la escala \u00a0 \u00a0<\/p>\n<p>Alcance de la movilidad desde un punto de referencia: la cama \u00a0del individuo. \u00a0 \u00a0<\/p>\n<p>Incluye: Las capacidades del individuo aumentadas cuando conviene \u00a0mediante pr\u00f3tesis, u otras ayudas f\u00edsicas, incluida la silla de ruedas (todas \u00a0deben identificarse en las categor\u00edas 1 \u00f3 2 de la minusval\u00eda de independencia \u00a0f\u00edsica. \u00a0 \u00a0<\/p>\n<p>3.2.2 Categor\u00edas de la escala \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>30 Desplazamiento Pleno: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo puede desplazarse libre y r\u00e1pidamente. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>31 Restricci\u00f3n Intermitentes del desplazamiento: \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo ve restringido su desplazamiento de forma \u00a0intermitente por ataque de la Enfermedad, en los per\u00edodos intercr\u00edticos o fases \u00a0de remisi\u00f3n presenta normalidad. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>32 Desplazamiento deficiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo debido a su patolog\u00eda, al realizar grandes \u00a0esfuerzos se fatiga, o experimenta inseguridad lo cual interfiere en su \u00a0desplazamiento. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>33 Desplazamiento reducido al \u00e1mbito de la vecindad \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo debido a su patolog\u00eda, solo puede realizar \u00a0esfuerzos moderados que le restringen su desplazamiento a \u00e1mbitos de la \u00a0vecindad propia. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>34 Desplazamiento reducido al \u00e1mbito del domicilio \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo debido a su patolog\u00eda solo puede realizar \u00a0peque\u00f1os esfuerzos que le restringen su desplazamiento, al \u00e1mbito del \u00a0domicilio. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>35 Confinamiento al \u00e1mbito de la silla o de la cama \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo debido a su patolog\u00eda \u00a0permanece restringido al \u00e1mbito de la cama o su silla. \u00a0 \u00a0<\/p>\n<p>3.2.3 Reglas para la asignaci\u00f3n \u00a0 \u00a0<\/p>\n<p>a) Incluir al individuo en la \u00a0categor\u00eda que est\u00e9 de acuerdo con cada una de sus capacidades de independencia, \u00a0teniendo en cuenta ayudas y dispositivos y la modificaci\u00f3n o adaptaci\u00f3n de su \u00a0entorno inmediato, pero sin considerar aquellos logros debidos a la ayuda de \u00a0otras personas. De esta forma, las dudas para clasificar en las categor\u00edas 3 y \u00a04 pueden clasificarse cuando se da la compa\u00f1\u00eda de otras personas, aunque sin \u00a0embargo esta dependencia de otros deber\u00eda m\u00e1s bien identificarse bajo la \u00a0minusval\u00eda de independencia f\u00edsica, entre las categor\u00edas 3 a 5 seg\u00fan sea m\u00e1s \u00a0adecuado. \u00a0 \u00a0<\/p>\n<p>b) La reducci\u00f3n o restricci\u00f3n \u00a0ocasional de la movilidad no debe ser \u00f3bice para la asignaci\u00f3n de una categor\u00eda \u00a0menos desventajosa (esto es, con un puntaje m\u00e1s bajo). \u00a0 \u00a0<\/p>\n<p>c) Las ayudas o adaptaciones que se \u00a0piensa facilitar o prescribir no deben tenerse en cuenta. \u00a0 \u00a0<\/p>\n<p>Nota 1. Es posible que se presenten \u00a0dificultades a la hora de inclinarse por una u otra categor\u00eda, como cuando se \u00a0trata de elegir entre la 2 y la 3 en los lugares donde no existe un sistema de \u00a0transporte p\u00fablico En estos casos habr\u00eda que incluir al individuo en la \u00a0categor\u00eda menos favorable, tal como indica la regla d) pues s\u00f3lo se puede \u00a0figurar en la categor\u00eda 2 si se dispone de un veh\u00edculo especial. Este criterio \u00a0es v\u00e1lido tambi\u00e9n incluso en los casos en que la ocupaci\u00f3n o forma de vida del \u00a0individuo no exija una movilidad total; se trata solamente de un esfuerzo que \u00a0habr\u00eda que hacer para modificar su categor\u00eda cuando esos hechos puedan \u00a0afectarla. \u00a0 \u00a0<\/p>\n<p>Note 2. El grado de desventaja \u00a0depende de las normas culturales y ello se puede apreciar claramente en un \u00a0problema dentro de las sociedades urbanizadas. La actitud de los conductores de \u00a0autob\u00fas de una zona puede constituir un impedimento para las personas \u00a0discapacitadas que viven en ella, hasta el punto de que dejen de utilizar los \u00a0transportes p\u00fablicos; en cambio, en otra zona donde los conductores tengan una \u00a0actitud m\u00e1s comprensiva, habr\u00e1 personas con el mismo tipo de discapacidad que \u00a0utilizar\u00e1n dichos transportes sin problemas. Esto supone un enfrentamiento \u00a0entre la constancia sem\u00e1ntica que una categor\u00eda signifique lo mismo en todas \u00a0partes y la posibilidad de que la clasificaci\u00f3n refleje las necesidades del \u00a0individuo. La clasificaci\u00f3n de la minusval\u00eda se ha concebido fundamentalmente \u00a0en relaci\u00f3n con este \u00faltimo objetivo, y s\u00f3lo de forma secundaria para realizar \u00a0comparaciones transculturales. \u00a0 \u00a0<\/p>\n<p>CAPITULO IV \u00a0 \u00a0<\/p>\n<p>MINUSVAL\u00cdA \u00a0OCUPACIONAL \u00a0 \u00a0<\/p>\n<p>4.1 DEFINICI\u00d3N \u00a0 \u00a0<\/p>\n<p>Es la desventaja del individuo \u00a0derivada de la disminuci\u00f3n o perdida de su capacidad para desempe\u00f1ar una \u00a0actividad laboral remunerada para la cual el individuo ha sido capacitado y\/o \u00a0contratado. \u00a0 \u00a0<\/p>\n<p>4.2 CARACTER\u00cdSTICAS \u00a0 \u00a0<\/p>\n<p>Para cuantificar esta minusval\u00eda \u00a0deben tenerse en cuenta los siguientes criterios: \u00a0 \u00a0<\/p>\n<p>a) Aspectos socio-demogr\u00e1ficos: \u00a0genero, edad, cultura, nivel de formaci\u00f3n (formal e informal). \u00a0 \u00a0<\/p>\n<p>b) Resultados del proceso de \u00a0rehabilitaci\u00f3n integral en el trabajador entendidos como reinserci\u00f3n, reubicaci\u00f3n, \u00a0readaptaci\u00f3n y reconversion. \u00a0 \u00a0<\/p>\n<p>La evaluaci\u00f3n de la minusval\u00eda \u00a0ocupacional requiere de la comparaci\u00f3n juiciosa entre las caracter\u00edsticas y las \u00a0capacidades del trabajador (perfil) y caracter\u00edsticas y exigencias del puesto \u00a0de trabajo o labor a desempe\u00f1ar (evaluaci\u00f3n puesto de trabajo). \u00a0 \u00a0<\/p>\n<p>Ocupaci\u00f3n es la capacidad que tiene \u00a0un individuo para emplear su tiempo en la forma acostumbrada teniendo en cuenta \u00a0su sexo, edad, formaci\u00f3n acad\u00e9mica y cultura. \u00a0 \u00a0<\/p>\n<p>4.3 Categor\u00edas de la escala \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>40 Habitualmente ocupado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo se encuentra en un estado en el cual, como \u00a0consecuencia de la enfermedad o el accidente y luego de la rehabilitaci\u00f3n \u00a0integral o sin ella, es capaz de desempe\u00f1ar su labor habitual u otra de mayor \u00a0estatus ocupacional y econ\u00f3mico en condiciones competitivas, pudiendo trabajar \u00a0durante toda la jornada laboral. El individuo ocupa la totalidad de sus d\u00edas de \u00a0la semana, sin presentar ninguna dificultad en la ocupaci\u00f3n especifica que \u00a0desarrolla, tales como estudiar, trabajar y realizar tareas del hogar. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>41 Ocupaci\u00f3n recortada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo se encuentra en un estado en el cual, como \u00a0consecuencia de la enfermedad o el accidente y luego de la rehabilitaci\u00f3n \u00a0integral, es capaz de realizar su labor habitual, solo realizando las tareas b\u00e1sicas \u00a0y no algunas secundarias sin afectar la competitividad, trabajando durante toda \u00a0la jornada laboral. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>42 Ocupaci\u00f3n adaptada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>5.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo se encuentra en un estado en el cual, como consecuencia \u00a0de la enfermedad o el accidente y luego de la rehabilitaci\u00f3n integral, es capaz \u00a0de desempe\u00f1ar su labor habitual, con modificaciones del puesto de trabajo y\/o \u00a0con aditamentos, o en otra ocupaci\u00f3n con tareas similares, en condiciones \u00a0competitivas, pudiendo trabajar durante toda la jornada laboral. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>43 Cambio de Ocupaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>7.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo se encuentra en un \u00a0estado en el cual, como consecuencia de la enfermedad o el accidente y luego de \u00a0la rehabilitaci\u00f3n integral, no puede desempe\u00f1arse en su labor habitual ni en \u00a0otra similar y necesariamente debe capacitarse para desarrollar aptitudes y \u00a0destrezas que le permitan ejecutar un nuevo oficio. Esta nueva ocupaci\u00f3n puede \u00a0mantener su estatus ocupacional y socioecon\u00f3mico. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>44 Ocupaci\u00f3n reducida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>10 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo se encuentra en un estado en el cual, como \u00a0consecuencia de la enfermedad o el accidente y luego de la rehabilitaci\u00f3n \u00a0integral, no logra recuperar ni adquirir aptitudes y destrezas que le permitan \u00a0desarrollar o ejercer un nuevo oficio con el cual pueda conservar su estatus \u00a0ocupacional y socioecon\u00f3mico. Implica disminuci\u00f3n en su jornada laboral y no es \u00a0competitivo. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>45 Ocupaci\u00f3n restringida, protegida o confinada \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>12.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El Individuo se encuentra en un \u00a0estado en el cual, como consecuencia de la enfermedad o el accidente y luego de \u00a0la rehabilitaci\u00f3n integral, sus limitaciones son tan severas que solo le \u00a0permiten desarrollar labores en su casa o en una instituci\u00f3n especializada. \u00a0Puede tener alguna remuneraci\u00f3n, pero su finalidad es ocupar el tiempo. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>46 Sin posibilidades de ocupaci\u00f3n \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>15 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo se encuentra en un \u00a0estado tal, como consecuencia de la enfermedad o el accidente y despu\u00e9s de la rehabilitaci\u00f3n \u00a0integral, que no esta en condiciones de desarrollar actividades laborales ni \u00a0para ocupar su tiempo. \u00a0 \u00a0<\/p>\n<p>4.2.3 Reglas para la asignaci\u00f3n \u00a0 \u00a0<\/p>\n<p>a) El hecho de que ocasionalmente \u00a0se den experiencias menos favorables, no deber\u00eda ser obst\u00e1culo para la asignaci\u00f3n \u00a0a una categor\u00eda que represente un grado menor de desventaja (es decir con un \u00a0puntaje m\u00e1s bajo). \u00a0 \u00a0<\/p>\n<p>CAPITULO V \u00a0 \u00a0<\/p>\n<p>MINUSVAL\u00cdA DE \u00a0INTEGRACI\u00d3N SOCIAL \u00a0 \u00a0<\/p>\n<p>5.1 Definici\u00f3n \u00a0 \u00a0<\/p>\n<p>Es la desventaja del individuo derivada de la disminuci\u00f3n o \u00a0perdida de su capacidad para participar y mantener las relaciones sociales que \u00a0le corresponden con base a su contexto socio-cultural. \u00a0 \u00a0<\/p>\n<p>5.2 Caracter\u00edsticas \u00a0 \u00a0<\/p>\n<p>5.2.1 Materia de la escala \u00a0 \u00a0<\/p>\n<p>Nivel de contacto del individuo con un c\u00edrculo cada vez m\u00e1s \u00a0amplio, tomando como punto de referencia la propia persona. \u00a0 \u00a0<\/p>\n<p>5.2.2 Categor\u00edas de la escala \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>50 Socialmente integrado \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo participa en todas las relaciones sociales \u00a0usuales. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>51 Participaci\u00f3n inhibida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El Individuo debido a su patolog\u00eda se \u00a0inhibe de participar en toda la gama de actividades sociales que le \u00a0corresponden a su contexto sociocultural, (incluye timidez, verg\u00fcenza y otros \u00a0casos derivados de problemas de imagen a causa de un desfiguramiento u otras \u00a0deficiencias y discapacidades) y algunas deficiencias de personalidad o \u00a0discapacidades de conducta de car\u00e1cter leve. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>52 Participaci\u00f3n Disminuida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El Individuo debido a su patolog\u00eda se inhibe de participar en \u00a0toda la gama de actividades sociales en las que participen personas desconocidas, \u00a0pero la situaci\u00f3n puede experimentar mejor\u00eda. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>53 Participaci\u00f3n Empobrecida \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo debido a su patolog\u00eda solamente mantiene \u00a0relaciones con sus padres, c\u00f3nyuge, o hijos y no hay se\u00f1ales de mejor\u00eda. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>54 Relaciones reducidas \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El Individuo debido a su patolog\u00eda, tiene dificultades serias \u00a0para relacionarse aun con sus padres, c\u00f3nyuge, hijos o hermanos. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>55 Aislamiento social \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El Individuo debido a su patolog\u00eda tiene \u00a0dificultades severas para relacionarse con cualquier persona por la cual es \u00a0precisa de atenci\u00f3n institucional permanente. \u00a0 \u00a0<\/p>\n<p>5.2.3 Reglas para la asignaci\u00f3n: \u00a0 \u00a0<\/p>\n<p>a) La p\u00e9rdida ocasional de contacto \u00a0social no debe impedir la asignaci\u00f3n de una categor\u00eda que represente un grado \u00a0menor de desventaja (es decir que tenga un n\u00famero m\u00e1s bajo). \u00a0 \u00a0<\/p>\n<p>CAP\u00cdTULO VI \u00a0 \u00a0<\/p>\n<p>MINUSVAL\u00cdA DE \u00a0AUTOSUFICIENCIA ECONOMICA \u00a0 \u00a0<\/p>\n<p>6.1 Definici\u00f3n \u00a0 \u00a0<\/p>\n<p>Es la desventaja del individuo \u00a0derivada de la disminuci\u00f3n o perdida de su capacidad para atender sus necesidades \u00a0y los gastos generados por su patolog\u00eda directamente relacionados con la \u00a0perdida de su capacidad laboral. \u00a0 \u00a0<\/p>\n<p>6.2 Caracter\u00edsticas \u00a0 \u00a0<\/p>\n<p>6.2.1 Materia de la escala \u00a0 \u00a0<\/p>\n<p>Hace referencia fundamentalmente a \u00a0la autosuficiencia econ\u00f3mica, a partir del punto de referencia de la ausencia \u00a0total de recursos econ\u00f3micos, pero a diferencia de las dem\u00e1s escalas de \u00a0minusval\u00edas, la materia se ha ampliado en este caso para poder tener en cuenta \u00a0la posesi\u00f3n o dominio de una cantidad de recursos por encima de lo normal; esta \u00a0ampliaci\u00f3n se hace teniendo en cuenta que la abundancia de recursos puede \u00a0ampliar o reducir la desventaja que se experimenta en otras dimensiones. \u00a0 \u00a0<\/p>\n<p>Incluye: La autosuficiencia del \u00a0individuo para cumplir su obligaci\u00f3n de mantener a otros, por ejemplo a los \u00a0miembros de su familia; la autosuficiencia econ\u00f3mica conseguida gracias a \u00a0alguna compensaci\u00f3n o pensi\u00f3n de discapacidad, invalidez o retiro, pero \u00a0excluyendo los subsidios especiales recibidos para aliviar una situaci\u00f3n de \u00a0pobreza; la autosuficiencia econ\u00f3mica basada en unos ingresos (fruto del \u00a0trabajo o de cualquier otro origen) o posesiones materiales, como recursos \u00a0naturales, ganader\u00eda o cultivos; y las situaciones de pobreza producidas o \u00a0incrementadas por una deficiencia o discapacidad. \u00a0 \u00a0<\/p>\n<p>Excluye: Dificultades econ\u00f3micas \u00a0que no tengan como causa una deficiencia o discapacidad. \u00a0 \u00a0<\/p>\n<p>6.2.2 Categor\u00edas de escala: \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>60 Plenamente autosuficiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo posee los recursos suficientes para atender \u00a0todas sus necesidades. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>61 Autosuficiencia \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>0.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo a pesar de su patolog\u00eda ve poco afectado la \u00a0suplencia de sus necesidades y puede cubrir sin dificultad sus gastos derivados \u00a0de su patolog\u00eda. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>62 Autosuficiencia reajustada. \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo a ra\u00edz de su patolog\u00eda ve afectado significativamente \u00a0su situaci\u00f3n econ\u00f3mica, siendo necesario el aporte de otros miembros del grupo \u00a0familiar para satisfacer todas sus necesidades y los gastos derivados de su \u00a0patolog\u00eda. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>63 Precariamente autosuficiente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>1.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo a ra\u00edz de su patolog\u00eda ve afectada severamente \u00a0su situaci\u00f3n econ\u00f3mica, de manera tal que depende de los ingresos de su familia \u00a0para satisfacer las necesidades personales y familiares y los gastos derivados \u00a0de su patolog\u00eda. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>64 Econ\u00f3micamente d\u00e9bil \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.0 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo a ra\u00edz de su patolog\u00eda solamente puede cubrir \u00a0sus necesidades esenciales (vivienda, alimentaci\u00f3n y vestido). \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>65 Inactivo econ\u00f3micamente \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>2.5 \u00a0 \u00a0 \u00a0<\/p>\n<p>El individuo a ra\u00edz de su patolog\u00eda \u00a0no puede cubrir ninguna de sus necesidades ni cuenta con la ayuda familiar, ni \u00a0de otros. \u00a0 \u00a0<\/p>\n<p>6.2.3 Reglas para la asignaci\u00f3n: \u00a0 \u00a0<\/p>\n<p>a) Asignar al individuo una \u00a0categor\u00eda teniendo en cuenta la autosuficiencia econ\u00f3mica de su familia, sin \u00a0considerar su situaci\u00f3n de persona dependiente. \u00a0 \u00a0<\/p>\n<p>b) Una reducci\u00f3n ocasional de la \u00a0autosuficiencia econ\u00f3mica no debe ser inconveniente para la asignaci\u00f3n de una \u00a0categor\u00eda que represente un grado menor de desventaja (es decir, una con n\u00famero \u00a0m\u00e1s bajo). \u00a0 \u00a0<\/p>\n<p>c) No deben tenerse en cuenta las pensiones \u00a0y otros beneficios suplementarios que vaya a recibir en el futuro. \u00a0 \u00a0<\/p>\n<p>ARTICULO 15o.-De la Revisi\u00f3n y \u00a0Actualizaci\u00f3n del Manual. \u00a0 \u00a0<\/p>\n<p>El presente Manual Unico de la \u00a0Calificaci\u00f3n de la Invalidez podr\u00e1 ser objeto de revisi\u00f3n y actualizaci\u00f3n de su \u00a0contenido, en forma parcial por cap\u00edtulos o libros, o en su totalidad, de \u00a0acuerdo con el desarrollo cient\u00edfico y tecnol\u00f3gico de las ciencias de la salud, \u00a0as\u00ed como el de la baremolog\u00eda a nivel mundial. \u00a0 \u00a0<\/p>\n<p>ART\u00cdCULO 16o.-Vigencia y \u00a0derogatorias. \u00a0 \u00a0<\/p>\n<p>El presente decreto rige a partir \u00a0de la fecha de su publicaci\u00f3n y deroga el decreto 692 de 1995 \u00a0y todas las normas que le sean contrarias. \u00a0 \u00a0<\/p>\n<p>PUBL\u00cdQUESE Y C\u00daMPLASE \u00a0 \u00a0<\/p>\n<p>Dado en Santa Fe de Bogot\u00e1, D.C., a \u00a028 de mayo de 1999. \u00a0 \u00a0 \u00a0\u00a0<\/p>\n<p>HERNANDO YEPES ARCILA \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>VIRGILIO GALVIS RAMIREZ \u00a0\u00a0<\/p>\n<p>Ministro de Trabajo y seguridad Social \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p>Ministro de Salud \u00a0 \u00a0 \u00a0<\/p>\n<p>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>DECRETO 917 DE 1999 \u00a0 \u00a0 (mayo 28) \u00a0 \u00a0 por el cual se \u00a0modifica el Decreto 692 de 1995. \u00a0 \u00a0 Nota 1: Derogado \u00a0por el Decreto 1507 de 2014, \u00a0art\u00edculo 6\u00ba. \u00a0 \u00a0 Nota 2: Ver \u00a0Sentencia del Consejo de Estado del 1\u00ba de agosto de 2013. Exp. \u00a011001-03-25-000-2006-00102-00(1700-06). Secci\u00f3n 2\u00aa. M.P. Gerado [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[43],"tags":[],"class_list":["post-28183","post","type-post","status-publish","format-standard","hentry","category-decretos-1999"],"_links":{"self":[{"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/posts\/28183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/comments?post=28183"}],"version-history":[{"count":0,"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/posts\/28183\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/media?parent=28183"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/categories?post=28183"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.dmsjuridica.com\/buscador_20179478954\/legislacion\/decretos\/wp-json\/wp\/v2\/tags?post=28183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}