{"id":3319,"date":"2014-04-02T08:01:04","date_gmt":"2014-04-02T08:01:04","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/ca\/?p=3319"},"modified":"2016-10-24T08:23:16","modified_gmt":"2016-10-24T08:23:16","slug":"les-plantilles-funcionals-o-inutils","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/les-plantilles-funcionals-o-inutils\/","title":{"rendered":"Les plantilles \u00bffuncionals o in\u00fatils?"},"content":{"rendered":"
\n

De vegades van a una consulta podol\u00f2gica nens de diferents edats a causa de problemes posturals o deformitats del peu, els quals, pr\u00e8viament, han estat atesos per altres professionals sanitaris.<\/span><\/p>\n

Quan els pares no han obtingut el resultat esperat a la primera consulta, en aquesta segona comenten que, encara que s\u00f3n conscients de la deformitat postural o podal, han estat informats anteriorment del fet que:<\/p>\n

A) “les plantilles no serveixen per a res”, i
\nB) “no han de preocupar-se, ja que el peu es corregeix nom\u00e9s a mesura que el nen creix”.<\/p>\n

Afortunadament, no tot el col\u00b7lectiu sanitari comparteix aquestes teories, i per aquest motiu envien els seus pacients a les consultes podol\u00f2giques. La majoria dels professionals s\u00f3n conscients que qui ha d’actuar \u00e9s l’especialista del peu, \u00e9s a dir, el pod\u00f2leg.<\/p>\n

Hem d’explicar alguns punts importants sobre l’\u00fas (o no \u00fas) de les plantilles:<\/p>\n

a) Les plantilles s\u00f3n una eina cient\u00edfica i terap\u00e8utica des de fa m\u00e9s d’un segle.
\nb) La confecci\u00f3 de plantilles i el seu \u00fas terap\u00e8utic est\u00e0 corroborat per les universitats a nivell mundial.
\nc) La seva funcionalitat est\u00e0 avalada estad\u00edsticament en molts treballs cient\u00edfics.
\nd) Cal recordar als detractors de les plantilles (que puguin opinar que el pod\u00f2leg “ven un producte”) que els centres d’entrenament, els quals preparen atletes d’elit, i els instituts biomec\u00e0nics, estan a favor d\u2019utilitzar-les: primer\u00edssimes figures de l’esport mundial les utilitzen per millorar el seu rendiment esportiu. Nosaltres mateixos podem donar fe del resultat positiu, ja que, durant els Jocs Ol\u00edmpics de Barcelona-92, un grup de professors de podologia de la Universitat de Barcelona (UB) participem dins de l’equip multidisciplinari de salut dels esportistes, realitzant nombroses plantilles amb \u00f2ptims resultats.
\ne) El resultat d’una plantilles correctament confeccionada \u00e9s obvi: el pacient \u00e9s alleujat i molt freq\u00fcentment, a m\u00e9s, corregit.<\/p>\n

S’han de distingir, b\u00e0sicament, dos tipus de plantilles:<\/p>\n

Les correctores: s\u00f3n les que corregeixen l’estructura \u00f2ssia. Aix\u00f2 comporta que com m\u00e9s aviat tractem el pacient, abans i m\u00e9s f\u00e0cilment aconseguirem la correcci\u00f3. Alguns professionals recomanen posar plantilles a partir dels 4-5 anys, cosa que nosaltres no compartim; quan m\u00e9s gran sigui el nen, menys temps queda perqu\u00e8 finalitzi el seu creixement i, per tant, poden apar\u00e8ixer complicacions importants a nivell correctiu. Per aix\u00f2, els par\u00e0metres m\u00e9s importants que hem de tenir en compte a l’hora de planificar el tractament, s\u00f3n l’edat i el grau de deformaci\u00f3.<\/p>\n


\nLes plantilles pal\u00b7liatives: s\u00f3n les que fan el que indica el seu nom, i que ning\u00fa millor que el pacient pot opinar sobre els resultats obtinguts, tant en metatars\u00e0lgies com en fasci\u00eftis, esperons, galindons…<\/span><\/p>\n

\u00c9s cert que avui tothom ofereix plantilles de qualsevol mena: ortop\u00e8dies, farm\u00e0cies, sabateries, televisi\u00f3… Per aix\u00f2 recomanem que, en tractar-se d’un estri medicosanitari, el pacient es conscienci\u00ef que una plantilla ha de fer-se personalitzadament o a mida; per aix\u00f2 ha de rec\u00f3rrer a un especialista que s\u00e0piga realitzar una profunda exploraci\u00f3 postural (articular i muscular) i aconsegueixi un diagn\u00f2stic prec\u00eds.<\/p>\n

Mitjan\u00e7ant la confecci\u00f3 pr\u00e8via d’un motllo del peu del pacient, i a la vista de les dades de l’exploraci\u00f3 mitjan\u00e7ant tecnologies informatitzades, es portar\u00e0 a terme posteriorment la plantilla. \u00c9s obvi que s’ha de desconfiar de les plantilles prefabricades que es fan sense elaborar un motllo del peu i n\u2019ignoren les dades antropom\u00e8triques. \u00c9s possible que, per casualitat, millorin els s\u00edmptomes, per\u00f2 en cap cas, naturalment, corregiran la deformitat espec\u00edfica del peu. Un altre dels inconvenients que ens solem trobar amb les plantilla prefabricades \u00e9s la mida desmesurada i els conseg\u00fcents problemes amb el cal\u00e7at: si unes plantilles no encaixen b\u00e9 a la sabata, el pacient no les utilitzar\u00e0 habitualment i per aix\u00f2 fracassarem en el tractament.<\/p>\n

Tota la poblaci\u00f3 hauria de realitzar una visita al pod\u00f2leg de la mateixa manera que es visita a altres professionals sanitaris com a prevenci\u00f3. D’aquesta manera, el pod\u00f2leg ens podr\u00e0 indicar la pres\u00e8ncia o no d’alteracions que amb els anys ens poden provocar lesions o deformitats \u00f2ssies. No hem d’esperar a visitar el pod\u00f2leg quan el dolor ja est\u00e0 instaurat. La prevenci\u00f3 sempre \u00e9s m\u00e9s efectiva i ens evitar\u00e0 lesions tant de peus, com de genolls, maluc o columna.<\/p>\n

Una vegada fet el diagn\u00f2stic del cas i segons la patologia a tractar, s’utilitzar\u00e0 un tipus o altre de material per confeccionar les plantilles. Segons les seves caracter\u00edstiques f\u00edsiques, hi ha diversos tipus de materials, des de molt amortidors a molt r\u00edgids. Segons les seves capacitats t\u00e8cniques, utilitzarem una o altra mena de material a fi d’obtenir els resultats terap\u00e8utics espec\u00edfics.<\/p>\n

El problema clau dels professionals que no consideren funcionals les plantilles \u00e9s, sens dubte, la seva pr\u00f2pia falta de coneixement sobre els resultats funcionals de l’\u00fas de les plantilles i de no saber diferenciar si una plantilla \u00e9s personalitzada o prefabricada. De vegades \u00e9s m\u00e9s f\u00e0cil fer la generalitzaci\u00f3 “plantilles no”.<\/p>\n

Esperem que el present escrit serveixi per aclarir els dubtes tant a alguns professionals com a pacients respecte a l’\u00fas de les plantilles. Els pod\u00f2legs ens quedem oberts a solucionar dubtes i a col\u00b7laborar amb tots els professionals de la salut, amb l’objectiu d’aconseguir el millor resultat dins de la m\u00e0xima prioritat: millorar la qualitat de vida dels nostres pacients.<\/p>\n

Observeu la difer\u00e8ncia entre una plantilla prefabricada (img. 1) i una plantilla personalitzada (img. 2).<\/p>\n

\"Les<\/a>

img 1 Plantilla prefabricada<\/p><\/div>\n

\"Les<\/a>

img. 2 – Plantilla personalitzada<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

De vegades van a una consulta podol\u00f2gica nens de diferents edats a causa de problemes posturals o deformitats del peu, els quals, pr\u00e8viament, han estat atesos per altres professionals sanitaris. Quan els pares no han obtingut el resultat esperat a la primera consulta, en aquesta segona comenten que, encara que s\u00f3n conscients de la deformitat […]<\/p>\n","protected":false},"author":3,"featured_media":4373,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[282,293],"tags":[],"class_list":["post-3319","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles","category-divulgacio"],"yoast_head":"\nLes plantilles \u00bffuncionals o in\u00fatils? - Institut Catal\u00e0 del Peu<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les plantilles \u00bffuncionals o in\u00fatils? - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"De vegades van a una consulta podol\u00f2gica nens de diferents edats a causa de problemes posturals o deformitats del peu, els quals, pr\u00e8viament, han estat atesos per altres professionals sanitaris. 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