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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
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% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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% Document Info
\author{Poppystar}
\pdfinfo{
  /Title (espasticidad.pdf)
  /Creator (Cheatography)
  /Author (Poppystar)
  /Subject (Espasticidad Cheat Sheet)
}

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% Commands
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% Header and Footer
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\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Espasticidad Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Poppystar} via \textcolor{DarkBackground}{\uline{cheatography.com/195003/cs/40770/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Poppystar \\
  \uline{cheatography.com/poppystar} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 30th October, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
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  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

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% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Patrones espásticos}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\emph{Miembro inferior}} & {\emph{Miembro superior}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
✓ Pie equino. & ✓ Aducción y rotación interna del hombro. \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
✓ Garra digital. & ✓ Flexo de codo. \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
✓ Hiperextensión del primer dedo del pie & ✓ Flexo de muñeca \tn 
% Row Count 8 (+ 3)
% Row 4
\SetRowColor{LightBackground}
✓ Aducción de muslos. & ✓ Dedos en garra. \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
✓ Flexo de rodillas/extensión de rodillas. & ✓ Pulgar incluido en palma \tn 
% Row Count 13 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Definicion}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Trastorno motor caracterizado por un aumento dependiente de velocidad en el reflejo de estiramiento muscular, también llamado miotático, con movimientos exagerados en los tendones, que se acompaña de hiperreflexia e hipertonía, debido a hiperexcitabilidad neuronal, y es uno de los signos del síndrome de la neurona motora superior} \tn 
% Row Count 7 (+ 7)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{} \tn 
% Row Count 7 (+ 0)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Bases neurofisiologicas de la espasticidad}}} \tn 
% Row Count 8 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{una alteración multifactorial consecuencia de una alteración combinada de las vías motoras supraespinales la alteración intrínseca del propio músculo y la alteración en los mecanismos de control espinal} \tn 
% Row Count 13 (+ 5)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{{\bf{Consenso de Van den Noort de 2017}}} \tn 
% Row Count 14 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Termino mas  adecua = hiperresistencia , definido como: {\emph{"Respuesta neuromuscular durante un estiramiento pasivo de un músculo"}}} \tn 
% Row Count 17 (+ 3)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Necesario distinguir entre:} \tn 
% Row Count 18 (+ 1)
% Row 7
\SetRowColor{white}
Componentes de origen neural (relacionados con el SNC) & Componentes de origen no neural (elacionados con las propiedades intrínsecas de los tejidos) \tn 
% Row Count 23 (+ 5)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.65466 cm} x{1.19002 cm} p{0.73232 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Tratamiento médico}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
Farmacológico (Baclofeno, Diazepam, Tizanidina) & Toxina \seqsplit{botulínica} & \seqsplit{Quirúrgico} \tn 
% Row Count 3 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4977 cm} p{0.4977 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Valoración de fisioterapia}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Escala Asworth modificada ( 0-4)} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Escala de Tardieu (0-4)} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{Percepción del evaluador ( En rueda dentada,Tipo navaja,Tipo tubería de plomo)} \tn 
% Row Count 4 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Espasticidad durante la marcha (Gemelos,  Sóleo, Recto anterior, Isquiotibiales, Aductores)} \tn 
% Row Count 6 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Clasificación}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
Signos positivos & Signos negativos \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
✓ Aumento de tono muscular & ✓ Debilidad. \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
✓ Reflejos exaltados. & ✓ Pérdida de destreza en los dedos. \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
✓ Clonus & ✓ Pérdida del control selectivo del movimiento. \tn 
% Row Count 8 (+ 3)
% Row 4
\SetRowColor{LightBackground}
✓ Reflejos de flexión y extensión anormales. & ✓ Fatiga \tn 
% Row Count 11 (+ 3)
% Row 5
\SetRowColor{white}
✓ Sincinesias & ✓ Rigidez \tn 
% Row Count 12 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{✓ Cocontracción.} \tn 
% Row Count 13 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{✓ Distonía espástica} \tn 
% Row Count 14 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Objetivos}}}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Reducir el tono muscular excesivo} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Evitar las limitaciones articulares} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Dar al paciente sensación de posición adecuada} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Facilitar los movimientos} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{p{0.4577 cm} p{0.4577 cm} p{0.4577 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{3}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Tratamiento de fisioterapia en la espasticidad}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{Electroacupuntura + terapia convencional.} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{Electroestimulación neuromuscular + terapia convencional} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{Bobath} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{Estiramientos} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{Masoterapia} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{Vibración} \tn 
% Row Count 7 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{FNP} \tn 
% Row Count 8 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{3}{x{5.377cm}}{Termoterapia /crioterapia} \tn 
% Row Count 9 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{3}{x{5.377cm}}{Cinesiterapia pasiva (BAD)} \tn 
% Row Count 10 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}---}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\bf{Efectos}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
Positvo & Negativo \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
✓ Facilita transferencias y bipedestación & ✓ Dificulta la higiene. \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
✓ Ayuda a la marcha & ✓ Dificulta vestido. \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
✓ Facilita el control de tronco. & ✓ Dificultad de la marcha. \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
✓ Ayuda a la continencia urinaria & ✓ Afecta a la postura en silla de ruedas. \tn 
% Row Count 11 (+ 3)
% Row 5
\SetRowColor{white}
✓ Previene atrofia muscular & ✓ UPP. \tn 
% Row Count 13 (+ 2)
% Row 6
\SetRowColor{LightBackground}
✓ Disminuye edema periférico. & ✓ Dolor. \tn 
% Row Count 15 (+ 2)
% Row 7
\SetRowColor{white}
✓ Reduce riesgo de TVP & ✓ Deformidades ortopédicas \tn 
% Row Count 17 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{✓ Prevención de osteoporosis.} \tn 
% Row Count 18 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}