{"id":8650,"date":"2017-10-16T07:45:32","date_gmt":"2017-10-16T07:45:32","guid":{"rendered":"http:\/\/old.institutcataladelpeu.com\/?p=8650"},"modified":"2017-10-19T08:14:01","modified_gmt":"2017-10-19T08:14:01","slug":"8650","status":"publish","type":"post","link":"https:\/\/old.institutcataladelpeu.com\/ca\/8650\/","title":{"rendered":"Confecci\u00f3 d&#8217;una f\u00e8rula AFO articulada."},"content":{"rendered":"<p>Les sigles angleses AFO corresponen a la traducci\u00f3 d\u2019\u00abortesi de turmell i peu\u00bb.<\/p>\n<p>Una f\u00e8rula AFO o antiequina de termopl\u00e0stic, t\u00e9 diverses finalitats en funci\u00f3 de les indicacions m\u00e8diques encara que la seva caracter\u00edstica principal \u00e9s evitar la condici\u00f3 de &#8220;peu caigut&#8221;. Aquesta flaccidesa de turmell \u00e9s provocada per patologies tan dispars com traumatismes de nervis perif\u00e8rics, diabetis, poliomielitis, esclerosi m\u00faltiple, estenosi espinal i accidentis cerebrovasculars, entre altres.<\/p>\n<p>La f\u00e8rula AFO aporta estabilitat del peu i del turmell enfront d&#8217;inestabilitats provocades per defici\u00e8ncies lligamentoses o \u00f2ssies.<\/p>\n<p>Hi ha diversos models de f\u00e8rules AFO, des de models r\u00edgids a models articulats que permeten el control del moviment del turmell en diferents rangs. B\u00e0sicament, s&#8217;agrupen en AFOs articulars, AFOs de doble acci\u00f3, AFOs de for\u00e7a de reacci\u00f3 del s\u00f2l i AFOs amb turmell fix a 90\u00ba.<\/p>\n<p>Aquest tipus de f\u00e8rules permeten una marxa molt m\u00e9s harm\u00f2nica, reduint la despesa energ\u00e8tica per part del pacient.<\/p>\n<p>S&#8217;elaboren a 90 graus per mantenir correctament la postura de les extremitats inferiors evitant contractures del turmell. La f\u00e8rula AFO amb articulaci\u00f3 de turmell s&#8217;utilitza en casos de valors articulars del turmell ja que no limita moviments d&#8217;aquest pel fet de posseir aquesta f\u00e8rula una articulaci\u00f3.<\/p>\n<p>La f\u00e8rula AFO amb articulaci\u00f3 de turmell permet la flexi\u00f3 dorsal i\/o plantar del peu, limita la flexi\u00f3 plantar i \/o dorsal del peu i realitza una contenci\u00f3 medial i lateral.<\/p>\n<p>Per il\u00b7lustrar aquest article divulgatiu es presenta el cas d&#8217;un pacient amb afectaci\u00f3 esp\u00e0stica associada a par\u00e0lisi cerebral, d&#8217;ambdues extremitats inferiors (dipl\u00e8gia esp\u00e0stica). El pacient, t\u00e9 capacitat de marxa aut\u00f2noma amb bastons anglesos i f\u00e8rules bilaterals compatibles amb la vida acad\u00e8mica i laboral activa, presentant desviacions en equ\u00ed i valgus de turmell combinades amb supinaci\u00f3 de l\u2019avantpeu respecte al rerepeu, i diverses alteracions \u00f2ssies i cut\u00e0nies com a conseq\u00fc\u00e8ncia de les desviacions mec\u00e0niques derivades d&#8217;anys de suport imperfecte i de l&#8217;\u00fas d\u2019ortesis de diferents tipus. En l&#8217;actualitat, i il\u00b7lustrant l&#8217;article, vam mostrar la confecci\u00f3 de les ortesis tipus AFO amb les articulacions de turmell flexibles.<\/p>\n<p>(Totes les fotografies de l&#8217;article corresponen a aparells confeccionats amb els mateixos motlles, dos aparells que el pacient porta en l&#8217;actualitat m\u00e9s un aparell muntat amb finalitat did\u00e0ctica.)<\/p>\n<p>L&#8217;objectiu de les ortesis \u00e9s la contenci\u00f3 de les desviacions que es produeixen en les extremitats inferiors degudes a la espasticidad i l&#8217;alteraci\u00f3 arquitect\u00f2nica de les estructures \u00f2ssies durant la marxa.<\/p>\n<p>Per a la fabricaci\u00f3 d&#8217;aquest tipus d\u2019ortesis es prenen mesures mitjan\u00e7ant motlles en bena d&#8217;escaiola o fibra, en desc\u00e0rrega. La correcci\u00f3 de les desviacions principals es duu a terme durant el proc\u00e9s procurant no alterar les formes anat\u00f2miques del pacient ni for\u00e7ar posicions que puguin resultar impossibles de mantenir en l&#8217;aparell acabat. Una vegada endurit l&#8217;embenatge, es talla amb serra o tisores obtenint aix\u00ed el motlle en negatiu o invers.<\/p>\n<p>Aquest model negatiu s&#8217;omple d&#8217;escaiola o guix l\u00edquid per fer el positiu que utilitzarem per a la manufactura de l&#8217;aparell. Quan el guix l\u00edquid s\u2019ha endurit, es retiren les benes de guix que constitu\u00efen el motlle en negatiu obtenint aix\u00ed, una c\u00f2pia exacta de l&#8217;extremitat del pacient. El proc\u00e9s de rectificat d&#8217;aquest motlle inclou l&#8217;allisat general, les rebaixes espec\u00edfiques pels punts de pressi\u00f3 i l\u2019engruiximent per addici\u00f3 d&#8217;escaiola en les promin\u00e8ncies \u00f2ssies que corresponguin. En el cas present, una vegada rectificat, s&#8217;afegeixen els maniqu\u00eds de conformat de les articulacions (&#8220;dummies&#8221;) alineats entre si i amb el model perqu\u00e8 quedi l&#8217;espai de muntatge de les articulacions en el termopl\u00e0stic.<\/p>\n<p>La termoconformaci\u00f3 es duu a terme utilitzant polipropil\u00e8 homopol\u00edmer de tres o quatre mil\u00b7l\u00edmetres d&#8217;espessor segons la resist\u00e8ncia mec\u00e0nica requerida. Una vegada s&#8217;aconsegueix la temperatura de conformat en un forn de confecci\u00f3 o similar, el pl\u00e0stic es col\u00b7loca sobre el model i es fa el buit per ajustar-lo i evitar l&#8217;aparici\u00f3 de deformitats i contraccions del polipropil\u00e8 degudes al refredament no uniforme del material. Important l&#8217;\u00fas d&#8217;un forn amb capacitat per a la l\u00e0mina de polipropil\u00e8 a utilitzar i amb un escalfament uniforme del material.\u00a0Una vegada termoformat el termopl\u00e0stic al motlle positiu , hem d&#8217;esperar el refredament i enduriment del polipropil\u00e8 abans de tallar-lo i retirar-lo del motlle positiu a fi d&#8217;evitar deformacions de la f\u00e8rula AFO.<\/p>\n<p>Segueixen els processos mec\u00e0nics de poliment i muntatge de les articulacions, embuatats i tanques de l&#8217;aparell per procedir a les proves, adaptacions i acabat final previ al lliurament de l&#8217;aparell al pacient.<\/p>\n<p>En definitiva, per aconseguir un resultat \u00f2ptim en el tractament, s&#8217;ha de realitzar la f\u00e8rula AFO a mida i manualment. Aix\u00f2 requerir\u00e0 solucions personalitzades a cada cas, valorant les problem\u00e0tiques pr\u00f2pies de cada pacient.<\/p>\n<p>&nbsp;<\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8598\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-1.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"323\" height=\"427\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-1.jpg 461w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-1-177x234.jpg 177w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-1-450x595.jpg 450w\" sizes=\"auto, (max-width: 323px) 100vw, 323px\" \/> <img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8599\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-3.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"477\" height=\"359\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-3.jpg 477w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-3-311x234.jpg 311w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-3-450x339.jpg 450w\" sizes=\"auto, (max-width: 477px) 100vw, 477px\" \/><\/p>\n<p>Pacient amb afectaci\u00f3 esp\u00e0stica, associada a par\u00e0lisi cerebral, d&#8217;ambdues extremitats inferiors (dipl\u00e8gia esp\u00e0stica).<\/p>\n<p>&nbsp;<\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8600\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-4.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"361\" height=\"489\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-4.jpg 322w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-4-173x234.jpg 173w\" sizes=\"auto, (max-width: 361px) 100vw, 361px\" \/> <img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8601\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-6.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"367\" height=\"490\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-6.jpg 367w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-6-175x234.jpg 175w\" sizes=\"auto, (max-width: 367px) 100vw, 367px\" \/><\/p>\n<p>Obtenci\u00f3 del motlle negatiu.<\/p>\n<p>&nbsp;<\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8602\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-8.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"318\" height=\"426\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-8.jpg 318w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-8-175x234.jpg 175w\" sizes=\"auto, (max-width: 318px) 100vw, 318px\" \/><\/p>\n<p>Muntatge de la zona articular de l\u2019AFO.<\/p>\n<p>&nbsp;<\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8609\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-17.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"445\" height=\"248\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-17.jpg 646w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-17-450x251.jpg 450w\" sizes=\"auto, (max-width: 445px) 100vw, 445px\" \/> <img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8608\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-16.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"439\" height=\"246\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-16.jpg 626w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-16-417x234.jpg 417w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-16-450x252.jpg 450w\" sizes=\"auto, (max-width: 439px) 100vw, 439px\" \/><\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8606\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-14.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"368\" height=\"613\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-14.jpg 369w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-14-140x234.jpg 140w\" sizes=\"auto, (max-width: 368px) 100vw, 368px\" \/>\u00a0<img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8607\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-15.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"344\" height=\"613\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-15.jpg 327w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-15-131x234.jpg 131w\" sizes=\"auto, (max-width: 344px) 100vw, 344px\" \/><\/p>\n<p>Detall del muntatge de les articulacions.<\/p>\n<p>&nbsp;<\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8605\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-12.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"307\" height=\"545\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-12.jpg 307w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-12-132x234.jpg 132w\" sizes=\"auto, (max-width: 307px) 100vw, 307px\" \/> <img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8614\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto13.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"303\" height=\"544\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto13.jpg 319w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto13-130x234.jpg 130w\" sizes=\"auto, (max-width: 303px) 100vw, 303px\" \/><\/p>\n<p>Detall del funcionament de les articulacions.<\/p>\n<p>&nbsp;<\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8604\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-10.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"322\" height=\"552\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-10.jpg 299w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-10-136x234.jpg 136w\" sizes=\"auto, (max-width: 322px) 100vw, 322px\" \/> <img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-8603\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-9.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"319\" height=\"554\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-9.jpg 319w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-9-135x234.jpg 135w\" sizes=\"auto, (max-width: 319px) 100vw, 319px\" \/><\/p>\n<p>Ortesi de turmell i peu acabada.<\/p>\n<p>&nbsp;<\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8610\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-18.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"335\" height=\"545\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-18.jpg 451w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-18-144x234.jpg 144w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-18-434x705.jpg 434w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-18-450x731.jpg 450w\" sizes=\"auto, (max-width: 335px) 100vw, 335px\" \/> <img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8611\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-19.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"306\" height=\"542\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-19.jpg 362w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-19-132x234.jpg 132w\" sizes=\"auto, (max-width: 306px) 100vw, 306px\" \/><\/p>\n<p><img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8612\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-23.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"329\" height=\"585\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-23.jpg 366w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-23-132x234.jpg 132w\" sizes=\"auto, (max-width: 329px) 100vw, 329px\" \/> <img  title=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\" loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-8613\" src=\"http:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-24.jpg\"  alt=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada.\"  width=\"329\" height=\"585\" srcset=\"https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-24.jpg 383w, https:\/\/old.institutcataladelpeu.com\/wp-content\/uploads\/2017\/10\/foto-24-132x234.jpg 132w\" sizes=\"auto, (max-width: 329px) 100vw, 329px\" \/><\/p>\n<p>Proves en el pacient.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les sigles angleses AFO corresponen a la traducci\u00f3 d\u2019\u00abortesi de turmell i peu\u00bb. Una f\u00e8rula AFO o antiequina de termopl\u00e0stic, t\u00e9 diverses finalitats en funci\u00f3 de les indicacions m\u00e8diques encara que la seva caracter\u00edstica principal \u00e9s evitar la condici\u00f3 de &#8220;peu caigut&#8221;. Aquesta flaccidesa de turmell \u00e9s provocada per patologies tan dispars com traumatismes de [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":8609,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[279,282,346,300,306],"tags":[],"class_list":["post-8650","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-altres","category-articles","category-icp-ca","category-ortopodologia-ortopedia-ca","category-patologia-ca"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada. - 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=\"Confecci\u00f3 d&#039;una f\u00e8rula AFO articulada. - Institut Catal\u00e0 del Peu\" \/>\n<meta property=\"og:description\" content=\"Les sigles angleses AFO corresponen a la traducci\u00f3 d\u2019\u00abortesi de turmell i peu\u00bb. Una f\u00e8rula AFO o antiequina de termopl\u00e0stic, t\u00e9 diverses finalitats en funci\u00f3 de les indicacions m\u00e8diques encara que la seva caracter\u00edstica principal \u00e9s evitar la condici\u00f3 de &#8220;peu caigut&#8221;. 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