<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2413-4341</journal-id>
<journal-title><![CDATA[Revista Paraguaya de Reumatología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. parag. reumatol.]]></abbrev-journal-title>
<issn>2413-4341</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Reumatología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2413-43412020000100017</article-id>
<article-id pub-id-type="doi">10.18004/rpr/2020.06.01.17-21</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Frecuencia de antepulsión cefálica en estudiantes de medicina, factores y síntomas asociados]]></article-title>
<article-title xml:lang="en"><![CDATA[Frequency of Cephalic Antepulsion in Medicine Students, associated factors and symptoms]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benegas]]></surname>
<given-names><![CDATA[Eric]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Benítez]]></surname>
<given-names><![CDATA[José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González]]></surname>
<given-names><![CDATA[Diego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cubilla]]></surname>
<given-names><![CDATA[Gerardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ortiz]]></surname>
<given-names><![CDATA[Cristian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>6</volume>
<numero>1</numero>
<fpage>17</fpage>
<lpage>21</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2413-43412020000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2413-43412020000100017&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2413-43412020000100017&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: La antepulsión cefálica se define como una alteración biomecánica en el plano frontal donde se anterioriza la cabeza con respecto al tronco y existe una hipotonía en la cadena muscular cervical posterior y una hiperextensión de la columna cervical superior. Se desarrolla a través de la mala postura al realizar diferentes actividades como en el caso de estar sentado al estudiar.  Materiales y métodos: Estudio observacional, transversal, analítico. El tamaño de la muestra fue de 118 estudiantes de medicina UNA, seleccionados de manera no probabilística, a conveniencia. El estudio se basó en una encuesta para recabar datos sobre las variables estudiadas con una evaluación kinesiológica, la técnica evaluativa postural de Kendall, para el diagnóstico de la antepulsión cefálica. Para el análisis estadístico descriptivo se utilizaron medias, desviación estándar, las frecuencias y porcentajes. Para el estudio de asociación entre la presencia de antepulsión cefálica y los factores asociados, se utilizó el test de X2 y el OR con su IC respectivo. Se consideró como una p estadísticamente significativa a valores menores a 0,05.  Resultados: El 55,1% de los encuestados fue de género masculino. El valor de la media de la edad fue de 21,25 (±1,40 años). El 30,5% de los estudiantes afirmaron adoptar una mala postura al estudiar por más de 3 horas al día. Al efectuar la técnica evaluativa postural de Kendall se constató que el 78% presentan antepulsión cefálica de los cuales 57% corresponden al sexo masculino. El 77,1% afirma tener dolor de espalda, el 57,6% y 55,7% presenta dolor de cabeza y hombro respectivamente. En el análisis de asociación se constató que la antepulsión está asociada a las horas de estudio, con una (P=0,001) y un OR 1,6 (1,1-2,6). La relación aumenta con las horas de estudio. Pero, en el análisis de asociación con los síntomas presentes no se ha constatado una relación significativa entre la presencia de antepulsión y los diferentes síntomas como dolor, parestesias referidos por los estudiantes.  Conclusión: En este estudio se encontró una alta frecuencia de antepulsión cefálica en jóvenes universitarios estudiantes de medicina, se comprobó que existe una marcada relación entre las horas de estudio adoptando una mala postura y la antepulsión cefálica.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: Cephalic antepulsion is defined as a biomechanic alteration of the frontal plane where the head is anteriorized in respect to the trunk and there is hypotonia of the poste- rior cervical muscles and hyperextension of the upper cervical spine. It is the result of poor posture while doing activities such as sitting down for long periods of time during studying.  Materials and methods: Observational, transversal and analytic study. Sample size was 118 medical students from Universidad Nacional de Asunción, selected using non-probability sampling. The study was based on a survey and kinesiologic evaluation: Kendall&#8217;s posture evaluation technique for the diagnosis of cephalic antepulsion. Means, standard deviation, frequencies and percentages were used for the descriptive statistical analysis. For the association study between the presence of cephalic antepulsion and associated factors, X2 test and OR with its respective CI were used. A statistically significant p was considered at values lower than 0.05.  Results: 55.1% were men, mean age was 21.25 (±1.40 years). 30.5% of students have assured that they adopt this position while studying for more than 3 hours a day. When applying Kendall&#8217;s evaluation technique, it was found that 78% presents cephalic antepulsion, 57% being male students. Regarding most frequent symptoms, 77.1% had back pain; followed by headache (57.6%) and shoulder pain (55.7%). Association analysis showed that antepulsion is associated to study hours (p=0.001), with an OR 1.6 (1.1-2.6). The association increases with study time. However, when conducting an association analysis with symptoms, a relationship between antepulsion and symptoms referred by students could not be proven.  Discussion: We found a high frequency of cephalic antepulsion in medical students and a strong correlation between the amount of time spent studying in poor posture and cephalic antepulsion.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Antepulsión cefálica]]></kwd>
<kwd lng="es"><![CDATA[tiempo de estudio]]></kwd>
<kwd lng="es"><![CDATA[estudiantes]]></kwd>
<kwd lng="es"><![CDATA[olor de espalda]]></kwd>
<kwd lng="en"><![CDATA[Cephalic Antepulsion]]></kwd>
<kwd lng="en"><![CDATA[Study Time]]></kwd>
<kwd lng="en"><![CDATA[Students]]></kwd>
<kwd lng="en"><![CDATA[back pain]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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