En los últimos años, la tecnología se ha caracterizado por tener grandes avances los cuales pueden ser aplicados a un beneficio conjunto. Los actuales centros de rehabilitación física en el Perú no cuentan con la tecnología suficiente en la cual se puedan apoyar para brindar un seguimiento dar un mejor diagnóstico a los pacientes que están en rehabilitación. La rehabilitación física es el tipo de tratamiento más frecuente en el Perú para personas que presentan cierta discapacidad física (62%). Sin embargo, muchas de ellas no llegan a culminar exitosamente las sesiones de terapia física que tienen programas ya que encuentran los ejercicios repetitivos y poco motivadores. Así mismo, muchas veces durante las sesiones, un único terapeuta es quien está a cargo de un grupo de pacientes, lo cual hace imposible que preste 100% de su atención a cada uno. Es por ello por lo que el presente proyecto tiene como objetivo principal la implementación de una aplicación que permite el uso de la tecnología como apoyo en la terapia física a través del Kinect 2.0 para pacientes con tendinopatía del hombro. / In recent years, technology has been characterized by having great advances which can be applied to a joint benefit. The current physical rehabilitation centers in Peru do not have enough technology that can be supported to provide follow-up to give a better diagnosis to patients who are in rehabilitation. Physical rehabilitation is the most frequent type of treatment in Peru for people with certain physical disabilities (62%). However, many of them fail to successfully complete physical therapy sessions that have programs because they find repetitive and unmotivating exercises. Also, many times during the sessions, a single therapist is in charge of a group of patients, which makes it impossible for him to give 100% of his attention to each one. That is why this project has as its main objective the implementation of an application that allows the use of technology as a support in physical therapy through Kinect 2.0 for patients with shoulder tendinopathy. / Tesis

Adherence is considered a prerequisite for the success of exercise programs for musculoskeletal disorders. The negative effects of non-adherence to exercise recommendations impact the cost of care, and also treatment effectiveness, treatment duration, the therapeutic relationship, waiting times, the efficiency of personnel and use of equipment. Adherence to therapeutic exercise intervention is a multifaceted problem. The World Health Organization (WHO) established the multidimensional adherence model (MAM). The MAM describes five interactive dimensions (socioeconomic, healthcare team and system, condition-related, therapy-related, and patient-related factors) that have an effect on patient adherence. The first purpose of this dissertation was to explore the MAM dimension of condition-related factors to determine the Quick Disabilities of the Arm Shoulder and Hand (QDASH) minimal clinical important difference (MCID) for three distal upper extremity conditions. The second purpose was to explore the MAM dimension of personal factors to learn from individuals who expressed incongruence between their QDASH and GROC scores; how they described their perceived change in therapy. The third purpose was to explore the MAM dimension of therapy-related factors to examine the effect of patient-therapist collaborative goal setting on patient adherence to treatment and QDASH outcomes. Results demonstrated in the first study that diagnosis specific MCID’s differed from the global MCID using multiple diagnoses. In the second study results demonstrated that patients expect to have a dedicated therapist who they can trust to work collaboratively with them to establish goals and spend time with them to achieve these goals. In the third study, our first hypothesis was not supported for all three measures of adherence. The median for home exercise program diary adherence was found to trend towards significance by 8.7 percent favoring the experimental group Mann-Whitney U (p < .100). Our second hypothesis was not supported. The experimental group receiving collaborative goal setting intervention had similar QDASH mean change scores 45.9±27.6 compared to the control group 46.1±23.8, Mann-Whitney U (p < .859).