{"id":7953,"date":"2025-11-13T18:01:46","date_gmt":"2025-11-13T18:01:46","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=7953"},"modified":"2026-10-27T22:32:35","modified_gmt":"2026-10-27T22:32:35","slug":"tareas-para-explorar-trastornos-del-movimiento","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/en\/tareas-para-explorar-trastornos-del-movimiento\/","title":{"rendered":"Tasks to explore movement disorders."},"content":{"rendered":"<h2 class=\"wp-block-heading\">Tareas Cl\u00ednicas para Detectar Trastornos del Movimiento<\/h2>\n\n<p class=\"wp-block-paragraph\">El estudio NEMO identific\u00f3 tres tareas espec\u00edficas que mejoran la visibilidad de trastornos hiperkin\u00e9ticos de movimiento (HMD), con alta consistencia entre evaluadores.<\/p>\n\n<h3 class=\"wp-block-heading\">Tareas clave para mejor visibilidad<\/h3>\n\n<ul class=\"wp-block-list\">\n<li><strong>Manos en posici\u00f3n pronada, palmas hacia abajo:<\/strong> Aumenta la detecci\u00f3n de temblor esencial.<\/li>\n<li><strong>Esta tarea durante la resta siete (serial 7):<\/strong> Potencia la expresi\u00f3n del temblor esencial.<\/li>\n<li><strong>Extensi\u00f3n de brazos con palmas hacia adelante:<\/strong> Mejora la visualizaci\u00f3n de mioclon\u00edas.<\/li>\n<\/ul>\n\n<figure class=\"wp-block-image size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"613\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-4-1024x613.png\" alt=\"\" class=\"wp-image-7954\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-4-1024x613.png 1024w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-4-300x180.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-4-768x460.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-4-18x12.png 18w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-4.png 1029w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><figcaption>Figura 1: Posici\u00f3n de manos pronadas con palmas hacia abajo. Mejora la visibilidad del temblor esencial al reducir la actividad muscular antagonista.<\/figcaption><\/figure>\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1007\" height=\"343\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-5.png\" alt=\"\" class=\"wp-image-7955\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-5.png 1007w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-5-300x102.png 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-5-768x262.png 768w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2025\/11\/image-5-18x6.png 18w\" sizes=\"(max-width: 1007px) 100vw, 1007px\" \/><figcaption>Figura 2: Tarea de resta siete con manos pronadas. Aumenta la expresi\u00f3n del temblor esencial en estados de atenci\u00f3n y estr\u00e9s cognitivo.<\/figcaption><\/figure>\n\n<h3 class=\"wp-block-heading\">Consistencia interobservador<\/h3>\n\n<ul class=\"wp-block-list\">\n<li>Temblor esencial: ICC 0.87<\/li>\n<li>Dystonia: ICC 0.85<\/li>\n<li>Mioclon\u00eda-dystonia: ICC 0.81<\/li>\n<li>Mioclon\u00eda cortical: ICC 0.75 (consistencia substancial)<\/li>\n<\/ul>\n\n<h3 class=\"wp-block-heading\">Aplicaci\u00f3n cl\u00ednica<\/h3>\n\n<ul class=\"wp-block-list\">\n<li>Use tres tareas clave para evaluar HMD en cl\u00ednica.<\/li>\n<li>Integre la tarea de resta siete para detectar temblor esencial en estado de estr\u00e9s cognitivo.<\/li>\n<li>Estas tareas pueden formar la base de herramientas de clasificaci\u00f3n asistida por computadora.<\/li>\n<\/ul>\n\n<details class=\"wp-block-details is-layout-flow wp-block-details-is-layout-flow\"><summary>M\u00e1s detalles<\/summary><p>El estudio NEMO incluy\u00f3 14 pacientes y 1735 videos evaluados por tres especialistas. Las tareas fueron seleccionadas por su capacidad de exponer fenotipos de HMD en condiciones estandarizadas. Limitaciones: tama\u00f1o muestral peque\u00f1o y dise\u00f1o transversal.<\/p><\/details>\n\n<p class=\"wp-block-paragraph\"><strong>Claves:<\/strong> Tres tareas, alta consistencia, validaci\u00f3n cl\u00ednica directa, base para herramientas digitales.<\/p>","protected":false},"excerpt":{"rendered":"<p>Tareas Cl\u00ednicas para Detectar Trastornos del Movimiento El estudio NEMO identific\u00f3 tres tareas espec\u00edficas que mejoran la visibilidad de trastornos hiperkin\u00e9ticos de movimiento (HMD), con alta consistencia entre evaluadores. Tareas clave para mejor visibilidad Manos en posici\u00f3n pronada, palmas hacia abajo: Aumenta la detecci\u00f3n de temblor esencial. Esta tarea durante la resta siete (serial 7): &hellip; <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/neuropediatoolkit.org\/en\/tareas-para-explorar-trastornos-del-movimiento\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> \u00abTareas para explorar trastornos del movimiento.\u00bb<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":7955,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[47],"tags":[],"class_list":["post-7953","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-t-movimiento","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7953","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/comments?post=7953"}],"version-history":[{"count":6,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7953\/revisions"}],"predecessor-version":[{"id":8913,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/posts\/7953\/revisions\/8913"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media\/7955"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/media?parent=7953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/categories?post=7953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/en\/wp-json\/wp\/v2\/tags?post=7953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}