<?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>S2413-43412025000200058</article-id>
<article-id pub-id-type="doi">10.18004/rpr/2025.11.02.58</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Calidad de vida y actuación de la fisioterapia ambulatoria en pacientes con lupus eritematoso sistémico]]></article-title>
<article-title xml:lang="en"><![CDATA[Quality of life and the role of outpatient physiotherapy in patients with systemic lupus erythematosus]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Morales-Clemotte]]></surname>
<given-names><![CDATA[Lelis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Malugett Jara]]></surname>
<given-names><![CDATA[Kevin Christian]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vázquez García]]></surname>
<given-names><![CDATA[Walter Daniel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Iberoamericana  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2025</year>
</pub-date>
<volume>11</volume>
<numero>2</numero>
<fpage>58</fpage>
<lpage>62</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2413-43412025000200058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2413-43412025000200058&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2413-43412025000200058&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El lupus eritematoso sistémico (LES) es una enfermedad autoinmune, caracterizada por inflamación sistémica, que afecta a la calidad de vida de las personas. Este trabajo busca conocer la calidad de vida y actuación de la fisioterapia en personas con LES.  Materiales y Método: Estudio, descriptivo, cuantitativo, transversal, de paciente con LES, registradas en la Fundación &#8220;Lupus del Paraguay&#8221; que recibieron fisioterapia. Muestreo tipo no probabilístico, por conveniencia, se utilizó el cuestionario SF-36, adjuntándose información relacionada a la actuación de fisioterapia. Los datos fueron analizados y procesados mediante Microsoft Excel 2016®.  Resultados: fueron estudiadas 41 personas con LES. Existe una mayor puntuación en la &#8220;función física&#8221; con 58,29 puntos. En contrapartida, el componente &#8220;rol emocional&#8221;, &#8220;vitalidad&#8221; y &#8220;rol físico&#8221; con 42.27, 43,0, y 45.73, respectivamente, lo que significa peor salud en estos últimos componentes. Respecto a la fisioterapia, cuenta con una valoración promedio de &#8220;buena&#8221;. Entre las técnicas de tratamiento se encontró que predominan con 42% los ejercicios físicos terapéuticos, seguido de electroterapia y/o agentes físicos como termoterapia con el 33%.  Conclusión: se evidencia una calidad de vida adecuada en salud física y mental, pero con limitaciones emocionales, físicas y de vitalidad. La fisioterapia es valorada positivamente, destacándose que el ejercicio físico es seguro y beneficioso para la fatiga. El contexto postpandemia podría haber intensificado las desigualdades, subrayando la necesidad del enfoque integral combinando atención médica con apoyo psicoemocional y social.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Systemic lupus erythematosus (SLE) is an autoimmune disease characterized by systemic inflammation, which affects people's quality of life. This study aims to understand the quality of life and the impact of physiotherapy on individuals with SLE.  Methodology:  This descriptive, quantitative, cross-sectional study included patients with SLE registered at the "Lupus del Paraguay" Foundation who received physiotherapy. A non-probabilistic convenience sampling method was used. The SF-36 questionnaire was used, along with information related to physiotherapy interventions. Data were analyzed and processed using Microsoft Excel 2016®.  Results: Forty-one individuals with SLE were studied. The highest score was found in the "physical function" category, with 58.29 points. Conversely, the components of &#8220;emotional role,&#8221; &#8220;vitality,&#8221; and &#8220;physical role&#8221; scored 42.27, 43.0, and 45.73, respectively, indicating poorer health in these latter areas. Regarding physiotherapy, it received an average rating of &#8220;good.&#8221; Among the treatment techniques, therapeutic physical exercises predominated at 42%, followed by electrotherapy and/or physical agents such as thermotherapy at 33%.  Conclusion: An adequate quality of life in terms of physical and mental health is evident, but with emotional, physical, and vitality limitations. Physiotherapy is positively valued, with physical exercise being highlighted as safe and beneficial for fatigue. The post-pandemic context may have intensified inequalities, underscoring the need for a comprehensive approach combining medical care with psycho-emotional and social support.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[lupus eritematoso sistémico]]></kwd>
<kwd lng="es"><![CDATA[calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[fisioterapia]]></kwd>
<kwd lng="es"><![CDATA[Paraguay.]]></kwd>
<kwd lng="en"><![CDATA[systemic lupus erythematosus]]></kwd>
<kwd lng="en"><![CDATA[quality of life]]></kwd>
<kwd lng="en"><![CDATA[physiotherapy]]></kwd>
<kwd lng="en"><![CDATA[Paraguay.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Narváez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Revisión: lupus eritematoso sistémico 2020]]></article-title>
<source><![CDATA[Med Clin (Barc)]]></source>
<year>2020</year>
<volume>155</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>494-501</page-range></nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<collab>World Lupus Federation</collab>
<source><![CDATA[Global survey reveals extensive impact of lupus on organs. Topline summary]]></source>
<year>2022</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[López]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Banegas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gutiérrez]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Alonso-Rodríguez]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valores de referencia de la versión española del Cuestionario de Salud SF-36 en población adulta de más de 60 años]]></article-title>
<source><![CDATA[Med Clin (Barc)]]></source>
<year>2003</year>
<volume>120</volume>
<numero>15</numero>
<issue>15</issue>
<page-range>568-73</page-range></nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Salaffi]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Di Carlo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Carotti]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Farah]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Ciapetti]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Gutierrez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The impact of different rheumatic diseases on health-related quality of life: a comparison with a selected sample of healthy individuals using SF-36 questionnaire, EQ-5D and SF-6D utility values]]></article-title>
<source><![CDATA[Acta Biomed]]></source>
<year>2018</year>
<volume>89</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>541-57</page-range></nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vilagut]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrer]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Rajmi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El Cuestionario de Salud SF-36 español: una década de experiencia y nuevos desarrollos]]></article-title>
<source><![CDATA[Gac Sanit]]></source>
<year>2005</year>
<volume>19</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>135-50</page-range></nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Quintana]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Padierna]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Validez del cuestionario de calidad de vida SF-36 como indicador de resultados de procedimientos médicos y quirúrgicos]]></article-title>
<source><![CDATA[Rev Calid Asist]]></source>
<year>2002</year>
<volume>17</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>206-12</page-range></nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<collab>Congreso Nacional de Paraguay</collab>
<source><![CDATA[Ley N.° 6346/2019, del ejercicio profesional de la fisioterapia y kinesiología]]></source>
<year>2019</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
<publisher-name><![CDATA[Biblioteca y Archivo del Congreso Nacional]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ayán]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[de Pedro-Múñez]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez-Lemos]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Efectos del ejercicio físico en personas con lupus eritematoso sistémico: revisión sistemática]]></article-title>
<source><![CDATA[Med Fam SEMERGEN]]></source>
<year>2017</year>
<volume>44</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>49-59</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Peñafiel Salazar]]></surname>
<given-names><![CDATA[DDLA]]></given-names>
</name>
<name>
<surname><![CDATA[Serrano Avalos]]></surname>
<given-names><![CDATA[KV]]></given-names>
</name>
<name>
<surname><![CDATA[Cruz Basantes]]></surname>
<given-names><![CDATA[BH]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas Cruz]]></surname>
<given-names><![CDATA[AE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Actividades de promoción de la salud en pacientes con lupus eritematoso sistémico. Intervención sanitaria y educativa]]></article-title>
<source><![CDATA[Rev Cubana Reumatol]]></source>
<year>2023</year>
<volume>25</volume>
<numero>3</numero>
<issue>3</issue>
</nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Román]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Vázquez]]></surname>
<given-names><![CDATA[MA]]></given-names>
</name>
<name>
<surname><![CDATA[Acosta]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
<name>
<surname><![CDATA[Melo Martínez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Duarte]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Calidad de vida en pacientes con lupus eritematoso sistémico]]></article-title>
<source><![CDATA[Rev Paraguaya Reumatol]]></source>
<year>2016</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>13-7</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Solis Cartas]]></surname>
<given-names><![CDATA[U]]></given-names>
</name>
<name>
<surname><![CDATA[Martínez Larrarte]]></surname>
<given-names><![CDATA[JP]]></given-names>
</name>
<name>
<surname><![CDATA[Valdés González]]></surname>
<given-names><![CDATA[JL]]></given-names>
</name>
<name>
<surname><![CDATA[Gafas González]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Percepción de la calidad de vida en pacientes con lupus eritematoso sistémico: estudio de cinco años]]></article-title>
<source><![CDATA[Rev Colomb Reumatol]]></source>
<year>2022</year>
<volume>29</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>265-73</page-range></nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="book">
<collab>Lupus Foundation of America</collab>
<source><![CDATA[Datos y estadísticas sobre el lupus]]></source>
<year></year>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[Lupus Foundation of America]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villarreal-Hernández]]></surname>
<given-names><![CDATA[LDS]]></given-names>
</name>
<name>
<surname><![CDATA[Romo-Martínez]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Educación y expectativa de vida en pacientes con enfermedades crónicas no transmisibles]]></article-title>
<source><![CDATA[Rev Med Inst Mex Seguro Soc]]></source>
<year>2014</year>
<volume>52</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>316-21</page-range></nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina]]></surname>
<given-names><![CDATA[JE]]></given-names>
</name>
<name>
<surname><![CDATA[Mora]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Jaimes]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
<name>
<surname><![CDATA[Arbeláez]]></surname>
<given-names><![CDATA[AM]]></given-names>
</name>
<name>
<surname><![CDATA[Valencia Toro]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[RE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Valoración de la actividad, del daño crónico y alteración de la calidad de vida en una cohorte de pacientes colombianos con lupus eritematoso sistémico por medio de SELENA-SLEDAI, BILAG 2004, SLICC/ACR y SF-36]]></article-title>
<source><![CDATA[Rev Colomb Reumatol]]></source>
<year>2013</year>
<volume>20</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>211-7</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Xibillé-Friedmann]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez-Rodríguez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Carrillo-Vázquez]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Álvarez-Hernández]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Aceves]]></surname>
<given-names><![CDATA[FJ]]></given-names>
</name>
<name>
<surname><![CDATA[Ocampo-Torres]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía de práctica clínica para el manejo del lupus eritematoso sistémico propuesta por el Colegio Mexicano de Reumatología]]></article-title>
<source><![CDATA[Reumatol Clin]]></source>
<year>2019</year>
<volume>15</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-20</page-range></nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Frade-Sosa]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Sarmiento-Monroy]]></surname>
<given-names><![CDATA[JC]]></given-names>
</name>
<name>
<surname><![CDATA[Salman-Monte]]></surname>
<given-names><![CDATA[TC]]></given-names>
</name>
<name>
<surname><![CDATA[Corzo]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-Puerta]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnóstico y tratamiento de las manifestaciones articulares del lupus eritematoso sistémico]]></article-title>
<source><![CDATA[Rev Colomb Reumatol]]></source>
<year>2021</year>
<volume>28</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>232-40</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
