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  /Title (tetraplejia-espastica.pdf)
  /Creator (Cheatography)
  /Author (Poppystar)
  /Subject (Tetraplejia Espastica Cheat Sheet)
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\noindent
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    {\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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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Tetraplejia Espastica Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{Poppystar} via \textcolor{DarkBackground}{\uline{cheatography.com/195003/cs/41104/}}}
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\noindent
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}Poppystar \\
  \uline{cheatography.com/poppystar} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 30th October, 2023.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Defincion}}}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Lesion de los 4 extremidad con MMSS predomianate} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Lesion Corteza} \tn 
% Row Count 2 (+ 1)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Afectacion tronco Variable} \tn 
% Row Count 3 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Caracteristicas}}}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Retraso importante adquisiciones motrices (Lim. importante  actividades funcionales)} \tn 
% Row Count 2 (+ 2)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Patrones de movimiento y posturales patológicos: MS y MI.} \tn 
% Row Count 4 (+ 2)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Frecuente mayor afectación un hemicuerpo con respecto a otro} \tn 
% Row Count 6 (+ 2)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Presencia reflejos arcaicos patológicos: Moro, Grasping, Tónicos  cervicales, Babinsky, Orofaciales,…} \tn 
% Row Count 9 (+ 3)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Afectación cognitiva variable según el paciente} \tn 
% Row Count 10 (+ 1)
% Row 5
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\mymulticolumn{1}{x{5.377cm}}{Limitacion en la funcion gruesa} \tn 
% Row Count 11 (+ 1)
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\begin{tabularx}{5.377cm}{x{2.4885 cm} x{2.4885 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Alt. \seqsplit{musculoesqueléticas/ortopédicas} MS}}}}  \tn
% Row 0
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Hombros en ADD y RI. Antepulsión & Subescapular y pectoral mayor \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Codos en Flex, antebrazos en prono, Flex de muñecas y dedos. Desviación cubital de muñeca & Bíceps braquial, supinador largo, pronadores. Flexor común dedos \tn 
% Row Count 7 (+ 5)
% Row 2
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Pulgares en Flex y ADD & Flexor propio del primer dedo. Aductor \tn 
% Row Count 9 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{5.377cm}}{-{}-\textgreater{} Los musculos pronadores son + afectados \newline -{}-\textgreater{} + grados ESPASTICIDAD +Limitacion de funcionalidad \newline -{}-\textgreater{} Puede porducir dedo en cuello de cigne}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{1.69218 cm} x{3.28482 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Alt \seqsplit{musculoesqueléticas/ortopédicas} MI}}  \tn
% Row 0
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Cadera Flex, RI,  ADD & Aductores, psoas \tn 
% Row Count 2 (+ 2)
% Row 1
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Rodilla en Flex & Isquiosurales \tn 
% Row Count 4 (+ 2)
% Row 2
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Pie en equino-Varo & Tríceps sural, tibial anterior y posterior \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Dedos en flex & Flexores de los dedos \tn 
% Row Count 7 (+ 1)
% Row 4
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1er dedo en garra & Flexores primer dedo \tn 
% Row Count 9 (+ 2)
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\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Alt musculoesqueléticas en tronco}}}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Cifoescoliosis} \tn 
% Row Count 1 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Posiciones anómalas=  asimetrías en el tono, la  debilidad muscular, la falta de control postural, déficit de  equilibrio.}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{x{2.09034 cm} x{2.88666 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Ortesis/ayudas ortésicas}}}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{{\bf{AFO rígida o articulada}}} \tn 
% Row Count 1 (+ 1)
% Row 1
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 & Ankle-Foot Orthosis \tn 
% Row Count 2 (+ 1)
% Row 2
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% Row Count 3 (+ 1)
% Row 3
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Corsé & Ortesis MS \tn 
% Row Count 4 (+ 1)
% Row 4
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Bipedestadores & Asiento moldeado \tn 
% Row Count 5 (+ 1)
% Row 5
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Niveles de estabilidad de la cadera}}}}  \tn
% Row 0
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% Row Count 2 (+ 2)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{PM menor de 33\%: cadera dentro de límites estables} \tn 
% Row Count 4 (+ 2)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{PM 20-33\%: Cadera en riesgo niños menores 5 años} \tn 
% Row Count 5 (+ 1)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{PM 33-40\%: Cadera en riesgo} \tn 
% Row Count 6 (+ 1)
% Row 4
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\mymulticolumn{1}{x{5.377cm}}{PM mayor de 40\%: Cadera subluxada} \tn 
% Row Count 7 (+ 1)
% Row 5
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\mymulticolumn{1}{x{5.377cm}}{PM superior al 90\%: Cadera luxada} \tn 
% Row Count 8 (+ 1)
% Row 6
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\mymulticolumn{1}{x{5.377cm}}{} \tn 
% Row Count 8 (+ 0)
% Row 7
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\mymulticolumn{1}{x{5.377cm}}{{\bf{ Ángulo cérvico-diafisario}}} \tn 
% Row Count 9 (+ 1)
% Row 8
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\mymulticolumn{1}{x{5.377cm}}{125º-normal} \tn 
% Row Count 10 (+ 1)
% Row 9
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\mymulticolumn{1}{x{5.377cm}}{+ de 135º-Coxa Valga} \tn 
% Row Count 11 (+ 1)
% Row 10
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\mymulticolumn{1}{x{5.377cm}}{- de 120º-Coxa Vara} \tn 
% Row Count 12 (+ 1)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\emph{ALTERACIÓN DESARROLLO CADERA}}}}  \tn
% Row 0
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\mymulticolumn{2}{x{5.377cm}}{{\bf{Inestabilidad cadera :}}} \tn 
% Row Count 1 (+ 1)
% Row 1
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Desequilibrio muscular & Alteración tono muscular \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Debilidad muscular & Anteversión femoral \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
Disminución movilidad & Displasia acetabular \tn 
% Row Count 6 (+ 2)
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\begin{tabularx}{5.377cm}{x{2.28942 cm} x{2.68758 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Evolución motriz}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
Nivel IV ó V en GMFCS & Alteración control cefálico \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
Alteración control de tronco & Limitación funcional importante MMSS \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Volteo & Sedestación con ayudas o apoyo \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
Rastreo & Dificultad disociación CE y CP. \tn 
% Row Count 8 (+ 2)
% Row 4
\SetRowColor{LightBackground}
Bipedestación con ayudas. & Motricidad orofacial alterada \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
Alteraciones \seqsplit{gastrointestinales} & Problemas respiratorios \tn 
% Row Count 12 (+ 2)
% Row 6
\SetRowColor{LightBackground}
Disfagia & Alteraciones del lenguaje \tn 
% Row Count 14 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Afectación importante del control motor selectivo} \tn 
% Row Count 15 (+ 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}{{\emph{Programa de bipedestación}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Se inicio le prog : 9-10 meses} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{{\bf{DISPOSITIVOS}}} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Plano ventral (No control)} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Bipedestador supino (No control)} \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Standing/ Standing en abducción} \tn 
% Row Count 5 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Tratamiento médico}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Toxina botulínica A} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Fármacos antiepilépticos} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Relajantes musculares. Reducción espasticidad} \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Tratamiento quirúrgico} \tn 
% Row Count 4 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\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}{{\emph{VALORACIÓN FISIOTERÁPICA}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
Rango articular & Fuerza muscular: Medical Research Council \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
Espasticidad & Control motor selectivo \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
Desarrollo motor. Función motora gruesa & Habilidad manual. Manipulación \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
Reflejos primitivos & Desarrollo funcional \tn 
% Row Count 8 (+ 1)
% Row 4
\SetRowColor{LightBackground}
Necesidad de ayudas técnicas & Respiración \tn 
% Row Count 10 (+ 2)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{5.377cm}}{Calidad de vida} \tn 
% Row Count 11 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\emph{Objectivo}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{\seqsplit{Reducir/Controlar/Regular} la espasticidad} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Fomentar/estimular la movilidad voluntaria/Desarrollo motor.} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Mejorar el control postural voluntario y/o pasivo en diferentes posiciones} \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Prevenir y tratar las alteraciones ortopédica} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Mejorar/mantener la extensibilidad muscular} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Conseguir la máxima autonomía y funcionalidad en la manipulación} \tn 
% Row Count 9 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Promover el desplazamiento activo/ ayudas/adaptaciones} \tn 
% Row Count 11 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Fomentar la integración de reflejos arcaicos patológicos} \tn 
% Row Count 13 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Trabajar la movilidad orofacial} \tn 
% Row Count 14 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Adaptar las ortesis y mejorar la función} \tn 
% Row Count 15 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Mejorar función respiratoria} \tn 
% Row Count 16 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Promover bipedestación con ayudas} \tn 
% Row Count 17 (+ 1)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Mejorar autonomía en el movimiento, y calidad de vida} \tn 
% Row Count 19 (+ 2)
% Row 13
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Dar orientaciones a la familia sobre el manejo del paciente} \tn 
% Row Count 21 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{5.377cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{{\emph{TTº DE FISIOTERAPIA}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Técnicas de control/regulación del tono muscular y postural MMSS Y MMII} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Técnicas de \seqsplit{facilitación/estimulación} del movimiento voluntario} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{\seqsplit{Cinesiterapia/Masoterapia}.} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Estiramientos musculares M espástica} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Trabajo de la manipulación} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Técnicas propioceptivas. Desarrollo/fomento de apoyos} \tn 
% Row Count 9 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Fisioterapia respiratoria} \tn 
% Row Count 10 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{Terapia orofacial} \tn 
% Row Count 11 (+ 1)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Trabajo del Control Postural} \tn 
% Row Count 12 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{\seqsplit{Adaptación/control/mejora} función con ayudas ortésicas} \tn 
% Row Count 14 (+ 2)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{5.377cm}}{Programa de bipedestación} \tn 
% Row Count 15 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}


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

\end{document}