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    "textoCompleto" => "<span class="elsevierStyleSections"><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0065">Introducci&#243;n</span><p id="par0005" class="elsevierStylePara elsevierViewall">La par&#225;lisis cerebral &#40;PC&#41; es un grupo de trastornos heterog&#233;neos&#44; no progresivos y permanentes de la postura y el control del movimiento<a class="elsevierStyleCrossRefs" href="#bib0205"><span class="elsevierStyleSup">1&#44;2</span></a>&#46; La PC est&#225; asociada&#44; tanto en neonatos prematuros como a t&#233;rmino&#44; con varios factores prenatales&#44; perinatales y posnatales que incluyen preeclampsia y retraso del crecimiento intrauterino&#44; parto prematuro&#44; peso bajo al nacer&#44; infecci&#243;n&#47;inflamaci&#243;n&#44; gestaciones m&#250;ltiples&#44; otras complicaciones del embarazo&#44; dificultad respiratoria y trastornos gen&#233;ticos<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">2-5</span></a>&#46; La prevalencia de la PC es de 2 a 2&#44;5 por 1&#46;000 nacidos vivos<a class="elsevierStyleCrossRefs" href="#bib0210"><span class="elsevierStyleSup">2&#44;6</span></a>&#44; y su incidencia puede estar aumentando debido a la mejor&#237;a en la atenci&#243;n neonatal y obst&#233;trica<a class="elsevierStyleCrossRefs" href="#bib0220"><span class="elsevierStyleSup">4&#44;7</span></a>&#46; Se han propuesto distintas clasificaciones basadas en la ubicaci&#243;n y la expresi&#243;n cl&#237;nica de las lesiones cerebrales<a class="elsevierStyleCrossRefs" href="#bib0240"><span class="elsevierStyleSup">8-11</span></a>&#46; La PC puede ser clasificada atendiendo a un enfoque topogr&#225;fico o a un enfoque fisiol&#243;gico<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">12</span></a>&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">Aproximadamente&#44; un 80&#37; de los ni&#241;os con PC tendr&#225;n espasticidad como principal alteraci&#243;n motora<a class="elsevierStyleCrossRef" href="#bib0260"><span class="elsevierStyleSup">12</span></a>&#46; La espasticidad se puede definir como un incremento del tono muscular dependiente de la velocidad&#44; asociado a un reflejo miot&#225;tico exagerado y formando parte del s&#237;ndrome de motoneurona superior<a class="elsevierStyleCrossRef" href="#bib0265"><span class="elsevierStyleSup">13</span></a>&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">Entre los diferentes m&#233;todos para evaluar la PC infantil&#44; el Sistema de clasificaci&#243;n de la funci&#243;n motora gruesa expandida y revisada &#40;GMFCS&#41; es de uso com&#250;n<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">14&#44;15</span></a>&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Debido a la naturaleza heterog&#233;nea de la PC&#44; es necesario un enfoque terap&#233;utico individualizado para cada paciente&#46; Entre las diferentes opciones de tratamiento no quir&#250;rgico&#44; el uso de la toxina botul&#237;nica A &#40;OnabotA&#41; est&#225; recomendado en la pr&#225;ctica cl&#237;nica est&#225;ndar<a class="elsevierStyleCrossRefs" href="#bib0225"><span class="elsevierStyleSup">5&#44;16-18</span></a> &#40;nivel de evidencia A&#41;&#46; La infiltraci&#243;n de OnabotA se ha recomendado como una opci&#243;n terap&#233;utica en el tratamiento del pie equino din&#225;mico en ni&#241;os con PC&#44; para quienes no existe otra terapia conservadora que muestre una mejor eficacia &#40;nivel de evidencia A&#41;<a class="elsevierStyleCrossRef" href="#bib0280"><span class="elsevierStyleSup">16</span></a>&#46;</p><p id="par0025" class="elsevierStylePara elsevierViewall">La eficacia y la seguridad del tratamiento con OnabotA en el manejo de la espasticidad en los miembros superiores se ha establecido en ni&#241;os con PC<a class="elsevierStyleCrossRefs" href="#bib0295"><span class="elsevierStyleSup">19&#44;20</span></a>&#46; En estos pacientes&#44; la OnabotA debe asociarse con programas de terapia ocupacional &#40;recomendaci&#243;n fuerte&#44; intervenci&#243;n con luz verde&#41;<a class="elsevierStyleCrossRef" href="#bib0290"><span class="elsevierStyleSup">18</span></a>&#46; Diversos estudios han demostrado la eficacia de OnabotA en el tratamiento de la espasticidad en las extremidades inferiores con mejoras en la deformidad y la marcha<a class="elsevierStyleCrossRefs" href="#bib0305"><span class="elsevierStyleSup">21-23</span></a>&#46;</p><p id="par0030" class="elsevierStylePara elsevierViewall">En el contexto del logro de objetivos espec&#237;ficos&#44; la OnabotA se utiliza bajo una amplia variedad de indicaciones&#44; que incluyen la facilitaci&#243;n de estiramientos de fisioterapia y el tratamiento del dolor relacionado con espasmos&#44; incluido el dolor postoperatorio<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">24</span></a>&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">La administraci&#243;n de OnabotA en ni&#241;os debe considerar 2 aspectos principales&#58; la t&#233;cnica para guiar la inyecci&#243;n y la estrategia sedoanalg&#233;sica&#46; Varias t&#233;cnicas est&#225;n disponibles para guiar la inyecci&#243;n&#44; incluida la referencia anat&#243;mica&#44; los ultrasonidos&#44; la electromiograf&#237;a &#40;EMG&#41; o la estimulaci&#243;n el&#233;ctrica<a class="elsevierStyleCrossRef" href="#bib0320"><span class="elsevierStyleSup">24</span></a>&#46;</p><p id="par0040" class="elsevierStylePara elsevierViewall">Para reducir el dolor y la ansiedad en los ni&#241;os que reciben infiltraciones intramusculares de OnabotA&#44; es esencial la elecci&#243;n de un proceso de sedaci&#243;n y analgesia &#40;PSA&#41; adecuado&#46;</p><p id="par0045" class="elsevierStylePara elsevierViewall">Se ha demostrado la eficacia y buena tolerancia de la inhalaci&#243;n de la mezcla de ox&#237;geno y &#243;xido nitroso en la sedaci&#243;n y analgesia de infiltraciones intramusculares de OnabotA en ni&#241;os<a class="elsevierStyleCrossRef" href="#bib0325"><span class="elsevierStyleSup">25</span></a>&#46; Sin embargo&#44; un protocolo analg&#233;sico con &#243;xido nitroso y crema anest&#233;sica solo fue efectivo en el 50&#37; de los ni&#241;os<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">26</span></a>&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">El desarrollo de un PSA operativo est&#225;ndar podr&#237;a ayudar a reducir el dolor y evitar la ansiedad que resulta de las infiltraciones&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">El objetivo de este estudio fue evaluar el impacto de la t&#233;cnica sedoanalg&#233;sica en el dolor experimentado por el paciente&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0070">M&#233;todos</span><p id="par0060" class="elsevierStylePara elsevierViewall">Se realiz&#243; un estudio transversal en pacientes con PC atendidos en la Unidad de Rehabilitaci&#243;n Infantil del Hospital Materno Infantil de M&#225;laga&#44; incluidos de forma consecutiva&#44; que cumplieron los criterios de inclusi&#243;n&#47;exclusi&#243;n y que fueron tratados con OnabotA entre noviembre de 2015 y junio de 2016&#46;</p><p id="par0065" class="elsevierStylePara elsevierViewall">El protocolo del estudio fue aprobado por el Comit&#233; &#201;tico del Hospital&#46; Todos los padres fueron informados en detalle de las caracter&#237;sticas del estudio y proporcionaron su consentimiento por escrito&#46; Se siguieron los principios &#233;ticos descritos en la Declaraci&#243;n de Helsinki y en la Buena pr&#225;ctica cl&#237;nica&#46;</p><p id="par0070" class="elsevierStylePara elsevierViewall">Todos los participantes deb&#237;an cumplir los siguientes criterios de inclusi&#243;n&#58; ni&#241;os y adolescentes de 2 a 16 a&#241;os programados para recibir infiltraciones de OnabotA para el tratamiento de la espasticidad&#46; Los pacientes fueron excluidos si ten&#237;an alguna condici&#243;n considerada como una contraindicaci&#243;n para el tratamiento con OnabotA &#40;reacci&#243;n al&#233;rgica&#44; enfermedades de la uni&#243;n neuromuscular&#44; enfermedades neurop&#225;ticas perif&#233;ricas&#44; etc&#46;&#41;&#59; trastornos de la coagulaci&#243;n&#44; intolerancia a la sedaci&#243;n o falta de voluntad para cumplir con las indicaciones del investigador y del protocolo&#46;</p><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0075">Grupos de estudio</span><p id="par0075" class="elsevierStylePara elsevierViewall">Seg&#250;n el PSA&#44; los pacientes fueron asignados a 4 grupos&#58; Grupo I&#44; incluy&#243; 2 poblaciones&#44; sujetos que no recibieron ninguna estrategia de sedaci&#243;n y aquellos que recibieron una crema anest&#233;sica t&#243;pica aplicada en los sitios de infiltraci&#243;n previstos al menos 30<span class="elsevierStyleHsp" style=""></span>min antes de la inyecci&#243;n&#59; Grupo II&#44; inhalaci&#243;n de &#243;xido nitroso bajo la supervisi&#243;n de un pediatra&#59; Grupo III&#44; sedaci&#243;n intravenosa profunda bajo la supervisi&#243;n de un anestesi&#243;logo y Grupo IV&#44; sedaci&#243;n ligera con benzodiacepinas administradas por v&#237;a oral o rectal&#46;</p><p id="par0080" class="elsevierStylePara elsevierViewall">Los pacientes cooperadores&#44; definidos como aquellos capaces de mantener o cambiar de postura para facilitar la precisi&#243;n de la ubicaci&#243;n de infiltraci&#243;n de OnabotA&#44; y tratados con menos de 4 puntos de infiltraci&#243;n&#44; fueron asignados al Grupo I&#46; Los Grupos II y IV incluyeron pacientes con colaboraci&#243;n pobre en infiltraciones previas que hac&#237;a imposible la correcta administraci&#243;n de OnabotA o aquellos pacientes tratados con m&#225;s de 4 puntos de infiltraci&#243;n&#46; El Grupo III incluy&#243; pacientes con pobre colaboraci&#243;n en infiltraciones previas &#40;como el Grupo II&#41;&#44; m&#225;s de 8 puntos de infiltraci&#243;n o infiltraci&#243;n de la musculatura profunda&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Nivel de sedaci&#243;n</span><p id="par0085" class="elsevierStylePara elsevierViewall">El nivel de sedaci&#243;n se realiz&#243; seg&#250;n los puntos de infiltraci&#243;n &#40;n&#250;mero de puntos y profundidad muscular&#41;&#44; colaboraci&#243;n del ni&#241;o y disponibilidad de recursos&#46;</p></span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Evaluaci&#243;n de la gravedad de la espasticidad</span><p id="par0090" class="elsevierStylePara elsevierViewall">El GMFCS y la escala modificada de Ashworth &#40;EMA&#41; se usaron para evaluar la gravedad de la espasticidad&#46; La gravedad clasificada por el GMFCS describe longitudinalmente los cambios en la funci&#243;n motora gruesa dentro de un nivel de gravedad<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">14&#44;15</span></a>&#46; Este m&#233;todo clasifica las anomal&#237;as funcionales seg&#250;n una escala de 5 niveles&#46; El Nivel I incluye pacientes que caminan sin restricciones&#59; Nivel II&#44; camina con limitaciones&#59; Nivel III&#44; camina utilizando un dispositivo manual auxiliar de la marcha&#59; Nivel IV&#44; automovilidad limitada&#44; es posible que utilice movilidad motorizada&#59; y Nivel V&#44; transportado en silla de ruedas<a class="elsevierStyleCrossRefs" href="#bib0270"><span class="elsevierStyleSup">14&#44;15</span></a>&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">La EMA es probablemente el m&#233;todo m&#225;s com&#250;nmente utilizado para medir la espasticidad en la pr&#225;ctica cl&#237;nica y en la investigaci&#243;n<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">27</span></a>&#46; Es una escala de 6 puntos que clasifica la resistencia de una extremidad relajada al estiramiento pasivo r&#225;pido<a class="elsevierStyleCrossRef" href="#bib0335"><span class="elsevierStyleSup">27</span></a>&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Evaluaci&#243;n del dolor</span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Pacientes menores de 3 a&#241;os</span><p id="par0100" class="elsevierStylePara elsevierViewall">El dolor fue medido por un observador entrenado&#44; mediante el uso de la escala de cara&#44; piernas&#44; actividad&#44; llanto y consolabilidad &#40;FLACC&#41;&#59; una escala de dolor&#44; validada&#44; que oscila entre 0 y 10&#46; Se basa en la observaci&#243;n de las expresiones faciales&#44; movimiento de las piernas&#44; grado de actividad&#44; llanto y consolabilidad&#46; Una puntuaci&#243;n elevada indica un mayor estr&#233;s<a class="elsevierStyleCrossRef" href="#bib0340"><span class="elsevierStyleSup">28</span></a>&#46;</p></span><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">Pacientes de 3 a 7 a&#241;os</span><p id="par0105" class="elsevierStylePara elsevierViewall">El dolor se evalu&#243; con la escala de caras Wong-Baker &#40;WBS&#41;&#44; una de las diferentes escalas de caras que ha demostrado su utilidad en m&#250;ltiples entornos pedi&#225;tricos para la evaluaci&#243;n del dolor<a class="elsevierStyleCrossRef" href="#bib0345"><span class="elsevierStyleSup">29</span></a>&#46; A los pacientes se les pidi&#243; que hicieran un c&#237;rculo en la cara que mejor representaba su nivel de gravedad del dolor&#46; Posteriormente&#44; se pidi&#243; a los pacientes que calificaran la gravedad de su dolor en una escala visual anal&#243;gica &#40;EVA&#41; de 100<span class="elsevierStyleHsp" style=""></span>mm posicionada horizontalmente&#44; con puntos extremos marcados como &#171;sin dolor&#187; y &#171;peor dolor posible&#187;&#46;</p></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Pacientes de edad igual o mayor de 8 a&#241;os</span><p id="par0110" class="elsevierStylePara elsevierViewall">Se utiliz&#243; una EVA de Walco y Howite&#44; en la que el dolor fue evaluado de la siguiente manera&#58; 0&#44; no dolor&#59; 1-2&#44; dolor leve&#59; 3-6&#44; dolor moderado&#44; 7-8&#44; dolor grave y 9-10&#44; el dolor m&#225;s intenso que he tenido nunca&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#fig0005">figura 1</a> muestra la EMA&#44; la escala num&#233;rica de Walco y Howite&#44; la WBS y la escala FLACC&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Satisfacci&#243;n de los padres con la sedaci&#243;n</span><p id="par0120" class="elsevierStylePara elsevierViewall">Se indic&#243; a los padres que mostraran la satisfacci&#243;n con el bienestar de su hijo seg&#250;n el m&#233;todo de analgesia empleado mediante una escala tipo Likert de 5 puntos &#40;1&#44; muy en desacuerdo&#59; 2&#44; en desacuerdo&#59; 3&#44; indeciso&#44; 4&#59; de acuerdo&#59; 5&#44; muy de acuerdo&#41;&#46; El cuestionario ten&#237;a las siguientes preguntas&#58; &#91;1&#93; Creo que mi hijo ha tenido dolor&#59; &#91;2&#93; Creo que la colaboraci&#243;n de mi hijo es apropiada&#59; &#91;3&#93; La infiltraci&#243;n de OnabotA ha sido estresante para mi hijo&#59; &#91;4&#93; Creo que mi hijo no considerar&#225; esta intervenci&#243;n como traum&#225;tica&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Satisfacci&#243;n del profesional con la sedaci&#243;n</span><p id="par0125" class="elsevierStylePara elsevierViewall">Se pidi&#243; a los m&#233;dicos que indicaran su grado de satisfacci&#243;n mediante una escala tipo Likert de 5 puntos &#40;similar a la previa&#41;&#46; El cuestionario ten&#237;a una pregunta&#58; &#91;1&#93; La colaboraci&#243;n del paciente me ha permitido realizar la t&#233;cnica&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Variables del estudio</span><p id="par0130" class="elsevierStylePara elsevierViewall">Las variables del estudio incluyeron&#58; edad&#44; sexo&#44; PSA&#44; t&#233;cnica de infiltraci&#243;n &#40;referencias anat&#243;micas o ecograf&#237;a&#41;&#44; tipo de PC &#40;esp&#225;stica&#44; dist&#243;nica&#44; at&#225;xica y mixta&#41;&#44; clasificaci&#243;n funcional de la PC&#44; GMFCS&#44; EMA&#44; n&#250;mero de infiltraciones&#44; dosis total de OnabotA&#44; n&#250;mero de m&#250;sculos infiltrados&#44; nivel de dolor &#40;seg&#250;n las diferentes escalas&#41;&#44; satisfacci&#243;n de los padres y satisfacci&#243;n del m&#233;dico con el PSA&#46;</p><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Variable primaria</span><p id="par0135" class="elsevierStylePara elsevierViewall">Proporci&#243;n de pacientes que experimentaron un nivel de dolor igual o inferior a 2&#44; seg&#250;n las escalas de dolor&#44; en los diferentes grupos de estudio&#46;</p></span><span id="sec0070" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0130">Variables secundarias</span><p id="par0140" class="elsevierStylePara elsevierViewall">Las variables secundarias de eficacia incluyeron una comparaci&#243;n de los niveles de dolor entre los diferentes PSA&#46; Otra variable secundaria fue la relaci&#243;n entre el nivel de dolor y las diferentes variables de estudio &#40;GMFCS&#44; dosis de OnabotA&#44; n&#250;mero de infiltraciones&#44; EMA&#44; clasificaci&#243;n funcional de la PC y edad&#41;&#59; el grado de satisfacci&#243;n de los padres y el grado de satisfacci&#243;n de los profesionales con el PSA&#46;</p></span></span><span id="sec0075" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0135">An&#225;lisis estad&#237;stico</span><p id="par0145" class="elsevierStylePara elsevierViewall">Se utiliz&#243; el programa estad&#237;stico MedCalc versi&#243;n 18 &#40;MedCalc Software bvba&#44; Ostend&#44; B&#233;lgica&#59; <a href="http://www.medcalc.org;/">http&#58;&#47;&#47;www&#46;medcalc&#46;org&#59;</a> 2018&#41;&#46;</p><p id="par0150" class="elsevierStylePara elsevierViewall">Antes de comenzar el estudio se determin&#243; que eran necesarios un m&#237;nimo de 28 sujetos por grupo de estudio para identificar una diferencia igual o superior al 21&#37; entre grupos&#44; aceptando un error alfa de 0&#44;05 y un error beta de 0&#44;2&#46; Los datos son presentados como n&#250;mero &#40;porcentaje&#41;&#59; media &#91;desviaci&#243;n est&#225;ndar &#40;DE&#41;&#93;&#59; media &#91;intervalo de confianza del 95&#37; &#40;IC 95&#37;&#41;&#93; o mediana &#40;IC 95&#37;&#41;&#44; seg&#250;n corresponda&#46;</p><p id="par0155" class="elsevierStylePara elsevierViewall">Se analiz&#243; la distribuci&#243;n normal de los datos mediante el uso de una prueba de d&#8217;Agostino-Pearson&#46; Si los datos segu&#237;an una distribuci&#243;n normal&#44; en las variables cuantitativas&#44; se utiliz&#243; el test de an&#225;lisis de la varianza &#40;ANOVA&#41; de una v&#237;a para comparar las medias entre grupos&#46; El an&#225;lisis de la covarianza &#40;ANCOVA&#41; se utiliz&#243; para comparar las diferencias en el dolor entre los diferentes PSA&#44; con la edad&#44; el n&#250;mero de m&#250;sculos infiltrados y el n&#250;mero de infiltraciones como covariables&#46;</p><p id="par0160" class="elsevierStylePara elsevierViewall">En aquellas variables que no segu&#237;an una distribuci&#243;n normal se utiliz&#243; el test de Kruskal-Wallis&#46; Las variables categ&#243;ricas fueron comparadas mediante el test de la Chi-cuadrado o el test exacto de Fisher&#44; seg&#250;n correspondiera&#46;</p><p id="par0165" class="elsevierStylePara elsevierViewall">Para analizar la relaci&#243;n entre el dolor y las diferentes variables de estudio &#40;GMFCS&#44; dosis de OnabotA&#44; n&#250;mero de infiltraciones&#44; EMA y edad&#41; se utiliz&#243; un an&#225;lisis de regresi&#243;n lineal&#46; Para el an&#225;lisis de regresi&#243;n lineal se utiliz&#243; el coeficiente de correlaci&#243;n de Pearson &#40;r&#41;&#46;</p><p id="par0170" class="elsevierStylePara elsevierViewall">Un valor de probabilidad p de 0&#44;05 se consider&#243; indicativo de significaci&#243;n estad&#237;stica&#46;</p></span></span><span id="sec0080" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0140">Resultados</span><p id="par0175" class="elsevierStylePara elsevierViewall">Ciento veinticuatro pacientes cumplieron los criterios de inclusi&#243;n&#47;exclusi&#243;n&#58; 32 &#40;Grupo I&#41;&#59; 33 &#40;Grupo II&#41;&#59; 29 &#40;Grupo III&#41; y 30 &#40;Grupo IV&#41;&#46;</p><p id="par0180" class="elsevierStylePara elsevierViewall">Las principales caracter&#237;sticas demogr&#225;ficas y cl&#237;nicas se presentan en la <a class="elsevierStyleCrossRef" href="#tbl0005">tabla 1</a>&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0185" class="elsevierStylePara elsevierViewall">El n&#250;mero de infiltraciones oscil&#243; entre 2 y 14 y el n&#250;mero de m&#250;sculos infiltrados entre 1 y 7&#46;</p><p id="par0190" class="elsevierStylePara elsevierViewall">De los 124 sujetos incluidos en el estudio&#44; 56 &#40;45&#44;2&#37;&#41; presentaron un nivel de dolor igual o inferior a 2 &#40;<a class="elsevierStyleCrossRef" href="#tbl0010">tabla 2</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0195" class="elsevierStylePara elsevierViewall">Una proporci&#243;n significativamente mayor de pacientes se clasific&#243; con una puntuaci&#243;n del nivel de dolor igual o inferior a 2 en el Grupo III &#40;sedaci&#243;n intravenosa profunda bajo la supervisi&#243;n de un anestesi&#243;logo&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#44; en comparaci&#243;n con todos los grupos de estudio&#44; respectivamente &#40;<a class="elsevierStyleCrossRef" href="#fig0010">fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0200" class="elsevierStylePara elsevierViewall">Las infiltraciones de OnabotA fueron guiadas mediante ecograf&#237;a en 109 &#40;87&#44;9&#37;&#41; pacientes y por referencias anat&#243;micas en 15 &#40;12&#44;1&#37;&#41;&#46; Dado que las inyecciones guiadas por referencias anat&#243;micas fueron administradas solo en el Grupo I&#44; se realiz&#243; una comparaci&#243;n del nivel de dolor &#40;en ese grupo&#41; entre los pacientes que recibieron la OnabotA guiada por ecograf&#237;a o por referencias anat&#243;micas&#46; El dolor medio &#40;DE&#41; fue de 3&#44;36 &#40;0&#44;76&#41; y 5&#44;19 &#40;0&#44;76&#41; en los pacientes guiados por referencias anat&#243;micas y por ecograf&#237;a&#44; respectivamente&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;1193&#46;</p><p id="par0205" class="elsevierStylePara elsevierViewall">El dolor durante la administraci&#243;n de OnabotA fue significativamente menor en los ni&#241;os que recibieron sedaci&#243;n intravenosa profunda bajo la supervisi&#243;n de un anestesi&#243;logo en comparaci&#243;n con aquellos que recibieron otras estrategias de sedaci&#243;n &#40;<a class="elsevierStyleCrossRefs" href="#tbl0015">tablas 3 y 4</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0015"></elsevierMultimedia><elsevierMultimedia ident="tbl0020"></elsevierMultimedia><p id="par0210" class="elsevierStylePara elsevierViewall">Con relaci&#243;n a la satisfacci&#243;n de los padres&#44; la proporci&#243;n de sujetos que estaban &#171;de acuerdo&#187; o &#171;muy de acuerdo&#187; con el &#237;tem &#171;Creo que la colaboraci&#243;n de mi hijo es apropiada&#187; oscil&#243; entre el 70&#37; &#40;Grupo IV&#41; y el 100&#37; &#40;Grupo III&#41;&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;076 &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 5</a>&#41;&#46; Sin embargo&#44; se observaron diferencias significativas en los otros &#237;tems &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 5</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0025"></elsevierMultimedia><p id="par0215" class="elsevierStylePara elsevierViewall">La proporci&#243;n de casos en los que el m&#233;dico estaba &#171;de acuerdo&#187; o &#171;muy de acuerdo&#187; con la frase &#171;La colaboraci&#243;n del paciente me ha permitido realizar la t&#233;cnica&#187; oscil&#243; entre el 70&#37; &#40;Grupo IV&#41; y el 100 &#40;Grupo V&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0025">tabla 5</a>&#41;&#46;</p><p id="par0220" class="elsevierStylePara elsevierViewall">La <a class="elsevierStyleCrossRef" href="#tbl0030">tabla 6</a> muestra la correlaci&#243;n entre el grado de dolor y algunas de las variables del estudio&#46; El dolor se correlacion&#243;&#44; de forma significativa&#44; con la edad &#40;r<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>&#8722;0&#44;21&#44; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;0299&#41; &#40;<a class="elsevierStyleCrossRef" href="#tbl0030">tabla 6</a>&#41;&#46;</p><elsevierMultimedia ident="tbl0030"></elsevierMultimedia></span><span id="sec0085" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0145">Discusi&#243;n</span><p id="par0225" class="elsevierStylePara elsevierViewall">Los resultados de este estudio muestran que en pacientes con PC tratados con OnabotA el protocolo de sedoanalgesia tiene un impacto significativo en el grado de dolor experimentado por el sujeto&#46;</p><p id="par0230" class="elsevierStylePara elsevierViewall">Aunque el modo en el que los ni&#241;os reaccionan ante la ansiedad o procesos dolorosos difiere entre ellos de forma radical<a class="elsevierStyleCrossRef" href="#bib0350"><span class="elsevierStyleSup">30</span></a>&#44; se ha publicado que en ni&#241;os una analgesia inadecuada repercute de forma negativa sobre futuras experiencias con procesos dolorosos<a class="elsevierStyleCrossRefs" href="#bib0325"><span class="elsevierStyleSup">25&#44;31</span></a>&#46; El recuerdo de un procedimiento m&#233;dico doloroso previo puede disminuir el efecto de los medicamentos para reducir el dolor durante los procedimientos posteriores<a class="elsevierStyleCrossRef" href="#bib0355"><span class="elsevierStyleSup">31</span></a>&#59; as&#237;&#44; el recuerdo de un procedimiento dental previo doloroso predice informes de dolor para un procedimiento dental posterior<a class="elsevierStyleCrossRef" href="#bib0360"><span class="elsevierStyleSup">32</span></a>&#46;</p><p id="par0235" class="elsevierStylePara elsevierViewall">En los ni&#241;os que requieren procedimientos dolorosos repetidos&#44; el dolor experimentado durante el procedimiento inicial influye significativamente en las puntuaciones de dolor y la ansiedad con los procedimientos posteriores<a class="elsevierStyleCrossRef" href="#bib0365"><span class="elsevierStyleSup">33</span></a>&#46;</p><p id="par0240" class="elsevierStylePara elsevierViewall">Es dif&#237;cil comparar los resultados de este estudio con los de otros autores&#46;</p><p id="par0245" class="elsevierStylePara elsevierViewall">Brochard et al&#46;<a class="elsevierStyleCrossRef" href="#bib0330"><span class="elsevierStyleSup">26</span></a> encontraron dolor por encima de 9 puntos en la escala CHEOPS en el 38&#37; de los ni&#241;os infiltrados con &#243;xido nitroso<span class="elsevierStyleHsp" style=""></span>&#43;<span class="elsevierStyleHsp" style=""></span>EMLA&#44; necesitando una mayor analgesia para llevar a cabo el procedimiento&#59; en nuestro estudio el &#243;xido nitroso fue bastante efectivo para reducir el dolor en ni&#241;os con PC tratados con OnabotA&#46;</p><p id="par0250" class="elsevierStylePara elsevierViewall">Los resultados de este estudio est&#225;n en consonancia con los Gambart et al&#46;<a class="elsevierStyleCrossRef" href="#bib0370"><span class="elsevierStyleSup">34</span></a>&#44; que evaluaron el dolor en ni&#241;os utilizando &#243;xido nitroso y EMLA concluyendo que el protocolo de anestesia era insuficiente en uno de cada 2 ni&#241;os &#40;50&#37;&#41;&#44; increment&#225;ndose el dolor en n&#250;mero mayor de 8 infiltraciones&#46;</p><p id="par0255" class="elsevierStylePara elsevierViewall">Aunque el tratamiento con OnabotA es efectivo y&#44; en t&#233;rminos generales&#44; bien tolerado<a class="elsevierStyleCrossRef" href="#bib0375"><span class="elsevierStyleSup">35</span></a>&#44; los padres pueden mostrar preocupaci&#243;n acerca del dolor asociado con el procedimiento<a class="elsevierStyleCrossRef" href="#bib0380"><span class="elsevierStyleSup">36</span></a>&#46; De hecho&#44; el dolor asociado a la infiltraci&#243;n se ha citado como causa de abandono de las infiltraciones de OnabotA en ni&#241;os<a class="elsevierStyleCrossRef" href="#bib0385"><span class="elsevierStyleSup">37</span></a>&#46;</p><p id="par0260" class="elsevierStylePara elsevierViewall">En este estudio&#44; el dolor fue significativamente diferente seg&#250;n el PSA seleccionado&#46;</p><p id="par0265" class="elsevierStylePara elsevierViewall">La proporci&#243;n de padres que pensaban que el procedimiento era estresante para sus hijos era baja en los Grupos I y III&#44; y relativamente baja en los otros 2 grupos de estudio&#46; Esos hallazgos indican que una selecci&#243;n apropiada del PSA aumenta significativamente la satisfacci&#243;n de los padres con el procedimiento&#46;</p><p id="par0270" class="elsevierStylePara elsevierViewall">Aunque la comodidad del paciente es importante&#44; debe sopesarse contra el riesgo del paciente&#46; Los ni&#241;os con PC pueden tener un mayor riesgo de complicaciones de la anestesia general<a class="elsevierStyleCrossRefs" href="#bib0390"><span class="elsevierStyleSup">38&#44;39</span></a>&#59; sin embargo&#44; no se observaron efectos adversos en ninguno de los grupos de estudio&#46;</p><p id="par0275" class="elsevierStylePara elsevierViewall">Aunque la proporci&#243;n de pacientes con dolor igual o inferior a 2 fue significativamente mayor en el grupo de anestesia general&#44; la anestesia general puede no recomendarse para todos los pacientes&#46; Adem&#225;s&#44; es dif&#237;cil realizar un acto anest&#233;sico para pacientes con necesidades especiales y una evaluaci&#243;n precisa del dolor agudo es dif&#237;cil en ni&#241;os con d&#233;ficits cognitivos importantes<a class="elsevierStyleCrossRefs" href="#bib0335"><span class="elsevierStyleSup">27&#44;34&#44;39</span></a>&#46;</p><p id="par0280" class="elsevierStylePara elsevierViewall">La colaboraci&#243;n del paciente ha permitido realizar la t&#233;cnica en la mayor&#237;a de los pacientes en todos los grupos de estudio&#46; Esto tambi&#233;n concuerda con el hecho de que seleccionar un PSA apropiado es un tema clave&#46;</p><p id="par0285" class="elsevierStylePara elsevierViewall">No se observaron diferencias significativas en el dolor experimentado entre las inyecciones guiadas por ecograf&#237;a o por referencia anat&#243;mica&#46; Sin embargo&#44; hay que mencionar que el estudio no se dise&#241;&#243; originalmente para evaluar el impacto de la t&#233;cnica de gu&#237;a sobre el dolor experimentado por el paciente&#46; Este estudio ten&#237;a una potencia estad&#237;stica del 40&#37; para detectar una diferencia media de dolor de 1&#44;8 con un nivel de significaci&#243;n de 0&#44;05&#46;</p><p id="par0290" class="elsevierStylePara elsevierViewall">Se ha sugerido la importancia de la ecograf&#237;a para la administraci&#243;n de las inyecciones de OnabotA en diferentes m&#250;sculos<a class="elsevierStyleCrossRefs" href="#bib0315"><span class="elsevierStyleSup">23&#44;24&#44;40</span></a>&#46; Sin embargo&#44; estos estudios estaban m&#225;s centrados en la eficacia de la OnabotA que en el dolor experimentado durante el procedimiento&#46;</p><p id="par0295" class="elsevierStylePara elsevierViewall">Finalmente&#44; entre las diferentes variables de estudio incluidas en el modelo&#44; solo la edad se relacion&#243; con el dolor&#46; Este hallazgo puede estar relacionado con el hecho de que los pacientes cooperadores fueron asignados al Grupo I &#40;anestesia t&#243;pica&#41;&#44; mientras que aquellos con una mala colaboraci&#243;n en infiltraciones previas fueron asignados a anestesia general&#46; Adem&#225;s&#44; los pacientes incluidos en el Grupo III eran mayores que los incluidos en el Grupo II&#46;</p><span id="sec0090" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0150">Limitaciones del estudio</span><p id="par0300" class="elsevierStylePara elsevierViewall">Este estudio tiene algunas limitaciones que deben tenerse en cuenta al interpretar los datos obtenidos&#46; La primera limitaci&#243;n es que se trata de un estudio realizado en un solo centro&#44; con un n&#250;mero limitado de pacientes&#46; Para minimizar este hecho se realiz&#243; un c&#225;lculo del tama&#241;o muestral antes de comenzar el estudio&#46; La segunda limitaci&#243;n es que no se trataba de un estudio ciego&#46; La persona responsable de obtener los resultados del dolor conoc&#237;a el PSA utilizado&#46; Esto podr&#237;a haber llevado a algunos sesgos&#46;</p></span></span><span id="sec0095" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0155">Conclusiones</span><p id="par0305" class="elsevierStylePara elsevierViewall">Los resultados de este estudio muestran la importancia de seleccionar un protocolo de sedoanalgesia adecuado para reducir el estr&#233;s asociado con las inyecciones de OnabotA en ni&#241;os con PC&#46;</p></span><span id="sec0100" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0160">Financiaci&#243;n</span><p id="par0310" class="elsevierStylePara elsevierViewall">El soporte para la asistencia en la redacci&#243;n del texto fue financiado por Allergan S&#46;A&#46;</p></span><span id="sec0105" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0165">Conflicto de intereses</span><p id="par0315" class="elsevierStylePara elsevierViewall">Los autores declaran no tener ning&#250;n conflicto de intereses&#46;</p></span></span>"
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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar el impacto de la t&#233;cnica sedoanalg&#233;sica en el dolor experimentado por el paciente&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">M&#233;todos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio transversal realizado en pacientes consecutivos con par&#225;lisis cerebral &#40;PC&#41; que se infiltraron con toxina botul&#237;nica A &#40;OnabotA&#41;&#46; Los pacientes fueron divididos en 4 grupos seg&#250;n la estrategia analg&#233;sica asignada&#58; Grupo I&#44; sin sedaci&#243;n o crema anest&#233;sica t&#243;pica&#59; Grupo II&#44; inhalaci&#243;n de &#243;xido nitroso&#59; Grupo III&#44; sedaci&#243;n intravenosa profunda y Grupo IV&#44; sedaci&#243;n ligera con benzodiacepinas&#46; El dolor se evalu&#243; con diferentes escalas seg&#250;n la edad del paciente&#46; Los padres clasificaron su satisfacci&#243;n con la comodidad de su hijo mediante una escala tipo Likert de 5 puntos&#46; La variable primaria de eficacia fue la proporci&#243;n de pacientes que experimentaron un nivel de dolor &#8804;<span class="elsevierStyleHsp" style=""></span>2&#44; seg&#250;n las escalas de dolor&#44; en los diferentes grupos de estudio&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">De los 124 pacientes incluidos en el estudio&#44; 56 &#40;45&#44;2&#37;&#41; experimentaron un nivel de dolor &#8804;<span class="elsevierStyleHsp" style=""></span>2&#46; En el Grupo III&#44; una proporci&#243;n significativamente mayor de pacientes present&#243; un nivel de dolor &#8804;<span class="elsevierStyleHsp" style=""></span>2&#44; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&#44; en comparaci&#243;n con todos los grupos de estudio&#44; respectivamente&#46; La inyecci&#243;n de OnabotA fue guiada por ultrasonograf&#237;a en 109 &#40;87&#44;9&#37;&#41; pacientes y por referencia anat&#243;mica en 15 &#40;12&#44;1&#37;&#41;&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusi&#243;n</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En los pacientes con PC tratados con infiltraciones de OnabotA&#44; la estrategia sedoanalg&#233;sica tuvo un impacto significativo en el dolor experimentado por el sujeto&#46; Seleccionar una estrategia analg&#233;sica apropiada es crucial para reducir el estr&#233;s asociado con la administraci&#243;n de inyecciones de OnabotA en ni&#241;os con PC&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">To evaluate the impact of the sedation-analgesia technique on the pain experienced by the patient&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">This cross-sectional study was conducted on consecutive patients with cerebral palsy &#40;CP&#41; who underwent infiltration with botulinum toxin A &#40;BoTNA&#41;&#46; The patients were divided into 4 different groups according to the analgesic strategy assigned&#58; Group I&#44; without sedation or topical anaesthetic cream&#59; Group II&#44; inhalation of nitrous oxide&#59; Group III&#44; deep intravenous sedation&#59; and Group IV&#44; light sedation with benzodiazepines&#46; Pain was assessed with different scales depending on patient age&#46; Parents were asked to rate their satisfaction with their child&#39;s comfort by using a 5-point Likert-type scale&#46; The primary end-point was the proportion of patients that experienced a pain level equal or lower than 2&#44; according to pain scales&#44; in the different study groups&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Of the 124 patients included in the study&#44; 56 &#40;45&#46;2&#37;&#41; experienced a pain level &#8804;<span class="elsevierStyleHsp" style=""></span>2&#46; In the Group III a significantly greater proportion of patients were classified with a pain level score &#8804;<span class="elsevierStyleHsp" style=""></span>2&#44; <span class="elsevierStyleItalic">P</span><span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>&#46;001&#44; as compared with all the study groups&#44; respectively&#46; The BoTNA injection was guided by ultrasonography in 109 &#40;87&#46;9&#37;&#41; patients&#44; and by palpation in 15 &#40;12&#46;1&#37;&#41;&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusion</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The results of this study suggested that&#44; in patients with CP treated with BoTNA injections&#44; the sedation-analgesic strategy had a significant impact on the pain experienced by the subject&#46; Selecting an appropriate analgesic strategy is crucial for reducing the stress associated with the administration of BoTNA injections in children with CP&#46;</p></span>"
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          "es" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Escala modificada de Ashworth&#44; escala num&#233;rica de Walco y Howite&#44; escala de caras de Wong-Baker y escala FLACC&#46;</p> <p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">FLACC&#58; Cara&#44; piernas&#44; actividad&#44; llanto y consolabilidad&#46;</p> <p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Escala de Asworth modificada&#58;</p> <p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Es una escala subjetiva que valora de 0 a 4 el grado de espasticidad&#44; que en adultos ha demostrado su fiabilidad &#40;en su versi&#243;n modificada&#41; tanto en la espasticidad de los flexores del codo como en la espasticidad de los flexores plantares&#46;</p> <p id="spar7045" class="elsevierStyleSimplePara elsevierViewall">Valores&#58;</p> <p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">0 No incremento de tono&#44; normal&#46;</p> <p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">1 Ligero incremento en tono&#44; con resistencia m&#237;nima durante parte del movimiento articular&#46;</p> <p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">1&#43; Presencia de enganche durante el recorrido articular&#46;</p> <p id="spar0080" class="elsevierStyleSimplePara elsevierViewall">2 Incremento moderado de tono a lo largo del movimiento articular&#46;</p> <p id="spar0085" class="elsevierStyleSimplePara elsevierViewall">3 Incremento marcado&#44; dif&#237;cil de completar el arco de movimiento&#46;</p> <p id="spar0090" class="elsevierStyleSimplePara elsevierViewall">4 Contractura fija&#46;</p>"
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          "es" => "<p id="spar0095" class="elsevierStyleSimplePara elsevierViewall">Proporci&#243;n de pacientes que experimentaron un nivel de dolor igual o inferior a 2&#44; seg&#250;n las escalas de dolor&#44; en los diferentes grupos de estudio&#46;</p> <p id="spar0100" class="elsevierStyleSimplePara elsevierViewall">&#8224; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;005 en comparaci&#243;n con el grupo de estudio&#46;</p> <p id="spar0105" class="elsevierStyleSimplePara elsevierViewall">&#8224;&#8224; p<span class="elsevierStyleHsp" style=""></span>&#61;<span class="elsevierStyleHsp" style=""></span>0&#44;01 en comparaci&#243;n con el Grupo I y 0&#44;001 en comparaci&#243;n con el Grupo IV&#46;</p> <p id="spar0110" class="elsevierStyleSimplePara elsevierViewall">&#42; p<span class="elsevierStyleHsp" style=""></span>&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001 en comparaci&#243;n con todos los grupos de estudio&#46;</p>"
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">18 &#40;54&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">19 &#40;65&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">22 &#40;73&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;439<a class="elsevierStyleCrossRef" href="#tblfn0035">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Mujer&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">10 &#40;31&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">15 &#40;45&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">10 &#40;34&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;26&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">T&#233;cnica infiltraci&#243;n&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Palpaci&#243;n&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">15 &#40;46&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001<a class="elsevierStyleCrossRef" href="#tblfn0035">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Ecograf&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">17 &#40;53&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">33 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">29 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">30 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de PC&#44; n &#40;&#37;&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0005"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Monoplej&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Hemiplej&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">12 &#40;37&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">17 &#40;51&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5 &#40;17&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;038<a class="elsevierStyleCrossRef" href="#tblfn0035">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Diplej&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">15 &#40;46&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;42&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t">21 &#40;72&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">16 &#40;53&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Tetraplej&#237;a&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">5 &#40;15&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;10&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">Tipo de PC&#44; n &#40;&#37;&#41;</span><a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Esp&#225;stica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">29 &#40;90&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">31 &#40;93&#44;9&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">30 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Dist&#243;nica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;488<a class="elsevierStyleCrossRef" href="#tblfn0035">&#42;</a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>At&#225;xica&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">0&#44;0011&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;0001&nbsp;\t\t\t\t\t\t\n
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                  """
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        "descripcion" => array:1 [
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Padres&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Grupo II &#40;n<span class="elsevierStyleHsp" style=""></span><span class="elsevierStyleMonospace">&#61;</span><span class="elsevierStyleHsp" style=""></span>33&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t\ttable-head\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">p<a class="elsevierStyleCrossRef" href="#tblfn0055">&#42;</a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;tem 1&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy en desacuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;40&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28 &#40;96&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;10&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>En desacuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">11 &#40;34&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">8 &#40;24&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Indeciso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">4 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">14 &#40;46&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>De acuerdo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy de acuerdo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3&#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;24&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;26&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy en desacuerdo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>En desacuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;10&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Indeciso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;076&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>De acuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;10&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy de acuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">20 &#40;62&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;72&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18 &#40;60&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;tem 3&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy en desacuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">12 &#40;37&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">13 &#40;39&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>En desacuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">10 &#40;31&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Indeciso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;26&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>De acuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;12&#44;5&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;10&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy de acuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;27&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;26&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleVsp" style="height:0.5px"></span></td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " colspan="6" align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleItalic">&#205;tem 4&#44; n &#40;&#37;&#41;</span></td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy en desacuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17 &#40;53&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">16 &#40;48&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">28 &#40;96&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">7 &#40;23&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>En desacuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;25&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;15&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6 &#40;20&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Indeciso&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">9 &#40;30&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&#60;<span class="elsevierStyleHsp" style=""></span>0&#44;001&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>De acuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy de acuerdo&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;24&#44;2&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">8 &#40;26&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-head\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Grupo III&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Grupo IV&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy en desacuerdo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">1 &#40;3&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;16&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>En desacuerdo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">4 &#40;13&#44;3&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Indeciso&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;9&#44;4&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">2 &#40;6&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0&#44;005&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>De acuerdo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">5 &#40;15&#44;6&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t">4 &#40;12&#44;1&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">0 &#40;0&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">3 &#40;10&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td-with-role" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t ; entry_with_role_rowhead " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>Muy de acuerdo&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">22 &#40;68&#44;8&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">24 &#40;72&#44;7&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">29 &#40;100&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18 &#40;60&#44;0&#41;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></tbody></table>
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          "leyenda" => "<p id="spar0175" class="elsevierStyleSimplePara elsevierViewall">BoNTA&#58; toxina botul&#237;nica A&#59; CGPC&#58; clasificaci&#243;n topogr&#225;fica de la par&#225;lisis cerebral&#59; EMA&#58; Escala modificada de Ashworth&#59; GMFCS&#58; Sistema de clasificaci&#243;n de la funci&#243;n motora gruesa&#59; IC 95&#37;&#58; intervalo de confianza del 95&#37;&#59; NI&#58; n&#250;mero de infiltraciones&#59; NMI&#58; n&#250;mero de m&#250;sculos infiltrados&#59; R&#58; coeficiente de correlaci&#243;n de Pearson&#46;</p>"
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                  \t\t\t\t" scope="col" style="border-bottom: 2px solid black">Nivel de dolor&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>IC 95&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t">&#8722;0&#44;21 a 0&#44;14&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleHsp" style=""></span>R&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t"><span class="elsevierStyleItalic">Coeficiente de correlaci&#243;n m&#250;ltiple</span><a class="elsevierStyleCrossRef" href="#tblfn0060"><span class="elsevierStyleSup">a</span></a></td></tr><tr title="table-row"><td class="td-with-role" title="\n
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          "es" => "<p id="spar0170" class="elsevierStyleSimplePara elsevierViewall">Correlaci&#243;n entre el dolor &#40;evaluado con las diferentes t&#233;cnicas&#41; y algunas de las diferentes variables de estudio &#40;edad&#44; n&#250;mero de m&#250;sculos infiltrados&#44; n&#250;mero de infiltraciones&#44; Sistema de clasificaci&#243;n de la funci&#243;n motora gruesa&#44; Escala modificada de Ashworth y clasificaci&#243;n topogr&#225;fica de la par&#225;lisis cerebral&#41;</p>"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Defining cerebral palsy&#58; pathogenesis&#44; pathophysiology&#46; and new intervention"
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                          "etal" => false
                          "autores" => array:2 [
                            0 => "M&#46; Longo"
                            1 => "G&#46;D&#46; Hankins"
                          ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Minerva Ginecol&#46;"
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                        "volumen" => "61"
                        "paginaInicial" => "421"
                        "paginaFinal" => "429"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19749673"
                            "web" => "Medline"
                          ]
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                ]
              ]
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              "identificador" => "bib0225"
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                0 => array:1 [
                  "referenciaCompleta" => "National Guideline Alliance &#40;UK&#41;&#46; Cerebral Palsy in Under 25s&#58; Assessment and Management&#46; London&#58; National Institute for Health and Care&#46; Excellence &#40;UK&#41;&#59; 2017 Jan &#91;consultado 6 Dic 2017&#93;&#46; Disponible en&#58; <a target="_blank" href="https://www.nice.org.uk/guidance/ng62">https&#58;&#47;&#47;www&#46;nice&#46;org&#46;uk&#47;guidance&#47;ng62</a>"
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              "identificador" => "bib0230"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effects of botulinum toxin type A on upper limb function in children with cerebral palsy&#58; a systematic review"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46; Reeuwijk"
                            1 => "P&#46;E&#46; van Schie"
                            2 => "J&#46;G&#46; Becher"
                            3 => "G&#46; Kwakkel"
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1191/0269215506cr956oa"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Rehabil&#46;"
                        "fecha" => "2006"
                        "volumen" => "20"
                        "paginaInicial" => "375"
                        "paginaFinal" => "387"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16774088"
                            "web" => "Medline"
                          ]
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                      ]
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                  ]
                ]
              ]
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              "identificador" => "bib0235"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Management of spasticity in children with cerebral palsy"
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                          "autores" => array:5 [
                            0 => "A&#46; Shamsoddini"
                            1 => "S&#46; Amirsalari"
                            2 => "M&#46;T&#46; Hollisaz"
                            3 => "A&#46; Rahimnia"
                            4 => "A&#46; Khatibi-Aghda"
                          ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Iran J Pediatr&#46;"
                        "fecha" => "2014"
                        "volumen" => "24"
                        "paginaInicial" => "345"
                        "paginaFinal" => "351"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25755853"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
              ]
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              "identificador" => "bib0240"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Origin and timing of brain lesions in term infants with neonatal encephalopathy"
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "F&#46; Cowan"
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                            2 => "F&#46; Groenendaal"
                            3 => "P&#46; Eken"
                            4 => "E&#46; Mercuri"
                            5 => "G&#46;M&#46; Bydder"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/S0140-6736(03)12658-X"
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                        "tituloSerie" => "Lancet&#46;"
                        "fecha" => "2003"
                        "volumen" => "361"
                        "paginaInicial" => "736"
                        "paginaFinal" => "742"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12620738"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0245"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Definition and classification of cerebral palsy&#58; a historical perspective"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "C&#46; Morris"
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1469-8749.2007.tb12609.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dev Med Child Neurol Suppl&#46;"
                        "fecha" => "2007"
                        "volumen" => "109"
                        "paginaInicial" => "3"
                        "paginaFinal" => "7"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17370476"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0250"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Recommendations from the SCPE collaborative group for defining and classifying cerebral palsy"
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                        0 => array:3 [
                          "colaboracion" => "SCPE Collaborative Group"
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Christine"
                            1 => "H&#46; Dolk"
                            2 => "M&#46;J&#46; Platt"
                            3 => "A&#46; Colver"
                            4 => "A&#46; Prasauskiene"
                            5 => "I&#46; Kr&#228;geloh-Mann"
                          ]
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1469-8749.2007.tb12626.x"
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                        "volumen" => "109"
                        "paginaInicial" => "35"
                        "paginaFinal" => "38"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17370480"
                            "web" => "Medline"
                          ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "A report&#58; the definition and classification of cerebral palsy April 2006"
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                          "etal" => true
                          "autores" => array:6 [
                            0 => "P&#46; Rosenbaum"
                            1 => "N&#46; Paneth"
                            2 => "A&#46; Leviton"
                            3 => "M&#46; Goldstein"
                            4 => "M&#46; Bax"
                            5 => "D&#46; Damiano"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Dev Med Child Neurol Suppl&#46;"
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                        "paginaInicial" => "8"
                        "paginaFinal" => "14"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17370477"
                            "web" => "Medline"
                          ]
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                  ]
                ]
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              "identificador" => "bib0260"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cerebral palsy in children&#58; An overview"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "A&#46; Agarwal"
                            1 => "I&#46; Verma"
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jcot.2012.09.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Clin Orthop Trauma&#46;"
                        "fecha" => "2012"
                        "volumen" => "3"
                        "paginaInicial" => "77"
                        "paginaFinal" => "81"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26403442"
                            "web" => "Medline"
                          ]
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                  ]
                ]
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              "identificador" => "bib0265"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Task Force on Childhood Motor Disorders&#46; Classification and definition of disorders causing hypertonia in childhood"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46;D&#46; Sanger"
                            1 => "M&#46;R&#46; Delgado"
                            2 => "D&#46; Gaebler-Spira"
                            3 => "M&#46; Hallett"
                            4 => "J&#46;W&#46; Mink"
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1542/peds.111.1.e89"
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                        "tituloSerie" => "Pediatrics&#46;"
                        "fecha" => "2003"
                        "volumen" => "111"
                        "paginaInicial" => "e89"
                        "paginaFinal" => "e97"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12509602"
                            "web" => "Medline"
                          ]
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                  ]
                ]
              ]
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              "identificador" => "bib0270"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Content validity of the expanded and revised Gross Motor Function Classification System"
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                          "etal" => false
                          "autores" => array:4 [
                            0 => "R&#46;J&#46; Palisano"
                            1 => "P&#46; Rosenbaum"
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                            3 => "M&#46;H&#46; Livingston"
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                  "host" => array:1 [
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                      "Revista" => array:5 [
                        "tituloSerie" => "Dev Med Child Neurol&#46;"
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                        "paginaInicial" => "744"
                        "paginaFinal" => "750"
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                  ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Classification systems in cerebral palsy"
                      "autores" => array:1 [
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                          "autores" => array:3 [
                            0 => "S&#46;A&#46; Rethlefsen"
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                            2 => "R&#46;M&#46; Kay"
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                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
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                        "tituloSerie" => "Orthop Clin North Am&#46;"
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                        "paginaInicial" => "457"
                        "paginaFinal" => "467"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20868878"
                            "web" => "Medline"
                          ]
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                ]
              ]
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              "identificador" => "bib0280"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology Assessment&#58; Botulinum neurotoxin for the treatment of spasticity &#40;an evidence-based review&#41;&#58; report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology"
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                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18458229"
                            "web" => "Medline"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Botulinum toxin treatment for limb spasticity in childhood cerebral palsy"
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                          "autores" => array:6 [
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                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26924985"
                            "web" => "Medline"
                          ]
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              "identificador" => "bib0290"
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              "referencia" => array:1 [
                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "A systematic review of interventions for children with cerebral palsy&#58; state of the evidence"
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                        "paginaInicial" => "885"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/23962350"
                            "web" => "Medline"
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                ]
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                    0 => array:2 [
                      "titulo" => "Cerebral Palsy Institute Botulinum toxin assessment&#44; intervention and follow-up for paediatric upper limb hypertonicity&#58; international consensus statement"
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                    ]
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                        "tituloSerie" => "Eur J Neurol&#46;"
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                        "numero" => "Suppl&#46; 2"
                        "paginaInicial" => "38"
                        "paginaFinal" => "56"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20633178"
                            "web" => "Medline"
                          ]
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              ]
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              "identificador" => "bib0300"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Cerebral Palsy Institute Botulinum toxin assessment&#44; intervention and after-care for lower limb spasticity in children with cerebral palsy&#58; international consensus statement"
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                            "web" => "Medline"
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              "identificador" => "bib0305"
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                    0 => array:2 [
                      "titulo" => "Effects of different dilutions of botulinum toxin type A treatment for children with cerebral palsy with spastic ankle plantar flexor&#58; a randomized controlled trial"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
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                            4 => "S&#46;R&#46; Park"
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                        "tituloSerie" => "J Rehabil Med&#46;"
                        "fecha" => "2009"
                        "volumen" => "41"
                        "paginaInicial" => "740"
                        "paginaFinal" => "745"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19774308"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0310"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Botulinum toxin A treatment of the lower extremities in children with cerebral palsy"
                      "autores" => array:1 [
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                          "etal" => false
                          "autores" => array:4 [
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                            1 => "K&#46; Fagard"
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                            3 => "K&#46; Desloovere"
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1007/s11832-013-0511-x"
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                        "tituloSerie" => "J Child Orthop&#46;"
                        "fecha" => "2013"
                        "volumen" => "7"
                        "paginaInicial" => "383"
                        "paginaFinal" => "387"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24432099"
                            "web" => "Medline"
                          ]
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                ]
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              "identificador" => "bib0315"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Botulinum toxin A for nonambulatory children with cerebral palsy&#58; a double blind randomized controlled trial"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "L&#46; Copeland"
                            1 => "P&#46; Edwards"
                            2 => "M&#46; Thorley"
                            3 => "S&#46; Donaghey"
                            4 => "L&#46; Gascoigne-Pees"
                            5 => "M&#46; Kentish"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
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                        "tituloSerie" => "J Pediatr&#46;"
                        "fecha" => "2014"
                        "volumen" => "165"
                        "paginaInicial" => "140"
                        "paginaFinal" => "1460000"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24630348"
                            "web" => "Medline"
                          ]
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                ]
              ]
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              "identificador" => "bib0320"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Best clinical practice in botulinum toxin treatment for children with cerebral palsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "W&#46; Strobl"
                            1 => "T&#46; Theologis"
                            2 => "R&#46; Brunner"
                            3 => "S&#46; Kocer"
                            4 => "E&#46; Viehweger"
                            5 => "I&#46; Pascual-Pascual"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.3390/toxins7051629"
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                        "tituloSerie" => "Toxins &#40;Basel&#41;&#46;"
                        "fecha" => "2015"
                        "volumen" => "7"
                        "paginaInicial" => "1629"
                        "paginaFinal" => "1648"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25969944"
                            "web" => "Medline"
                          ]
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                      ]
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                ]
              ]
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effectiveness of sedation using nitrous oxide compared with enteral midazolam for botulinum toxin A injections in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "J&#46;L&#46; Zier"
                            1 => "P&#46;F&#46; Rivard"
                            2 => "L&#46;E&#46; Krach"
                            3 => "H&#46;R&#46; Wendorf"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1469-8749.2008.03069.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dev Med Child Neurol&#46;"
                        "fecha" => "2008"
                        "volumen" => "50"
                        "paginaInicial" => "854"
                        "paginaFinal" => "858"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19046178"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0330"
              "etiqueta" => "26"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Effectiveness of nitrous oxide and analgesic cream &#40;lidocaine and prilocaine&#41; for prevention of pain during intramuscular botulinum toxin injections in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Brochard"
                            1 => "V&#46; Blajan"
                            2 => "M&#46; Lempereur"
                            3 => "P&#46; Le Moine"
                            4 => "S&#46; Peudenier"
                            5 => "J&#46; Lefranc"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.rehab.2009.09.001"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Phys Rehabil Med&#46;"
                        "fecha" => "2009"
                        "volumen" => "52"
                        "paginaInicial" => "704"
                        "paginaFinal" => "716"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19854692"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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            26 => array:3 [
              "identificador" => "bib0335"
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              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Interrater reliability of a modified Ashworth scale of muscle spasticity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;W&#46; Bohannon"
                            1 => "M&#46;B&#46; Smith"
                          ]
                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1093/ptj/67.2.206"
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                        "tituloSerie" => "Phys Ther&#46;"
                        "fecha" => "1987"
                        "volumen" => "67"
                        "paginaInicial" => "206"
                        "paginaFinal" => "207"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3809245"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib0340"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The reliability and validity of the Face&#44; Legs&#44; Activity&#44; Cry Consolability observational tool as a measure of pain in children with cognitive impairment"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "T&#46; Voepel-Lewis"
                            1 => "S&#46; Merkel"
                            2 => "A&#46;R&#46; Tait"
                            3 => "A&#46; Trzcinka"
                            4 => "S&#46; Malviya"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/00000539-200211000-00020"
                      "Revista" => array:6 [
                        "tituloSerie" => "Anesth Analg&#46;"
                        "fecha" => "2002"
                        "volumen" => "95"
                        "paginaInicial" => "1224"
                        "paginaFinal" => "1229"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12401598"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib0345"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Validation of the Wong-Baker FACES Pain Rating Scale in pediatric emergency department patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "G&#46; Garra"
                            1 => "A&#46;J&#46; Singer"
                            2 => "B&#46;R&#46; Taira"
                            3 => "J&#46; Chohan"
                            4 => "H&#46; Cardoz"
                            5 => "E&#46; Chisena"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1553-2712.2009.00620.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Acad Emerg Med&#46;"
                        "fecha" => "2010"
                        "volumen" => "17"
                        "paginaInicial" => "50"
                        "paginaFinal" => "54"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/20003121"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib0350"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Assessment of children&#39;s distress during painful medical procedures"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46;M&#46; Jay"
                            1 => "M&#46; Ozolins"
                            2 => "C&#46;H&#46; Elliott"
                            3 => "S&#46; Caldwell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Health Psychol&#46;"
                        "fecha" => "1983"
                        "volumen" => "2"
                        "paginaInicial" => "133"
                        "paginaFinal" => "147"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib0355"
              "etiqueta" => "31"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Consequences of inadequate analgesia during painful procedures in children"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "S&#46;J&#46; Weisman"
                            1 => "B&#46; Bernstein"
                            2 => "N&#46;L&#46; Schechter"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archpedi.152.2.147"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Pediatr Adolesc Med&#46;"
                        "fecha" => "1998"
                        "volumen" => "152"
                        "paginaInicial" => "147"
                        "paginaFinal" => "149"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9491040"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib0360"
              "etiqueta" => "32"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Children&#39;s self-reported pain at the dentist"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "J&#46; Versloot"
                            1 => "J&#46;S&#46;J&#46; Veerkamp"
                            2 => "J&#46; Hoogstraten"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.pain.2007.09.025"
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                        "tituloSerie" => "Pain&#46;"
                        "fecha" => "2008"
                        "volumen" => "137"
                        "paginaInicial" => "389"
                        "paginaFinal" => "394"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18035498"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "etiqueta" => "33"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Children&#39;s memories for painful cancer treatment procedures&#58; implications for distress"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "E&#46; Chen"
                            1 => "L&#46;K&#46; Zeltzer"
                            2 => "M&#46;G&#46; Craske"
                            3 => "E&#46;R&#46; Katz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/1467-8624.00200"
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                        "tituloSerie" => "Child Dev&#46;"
                        "fecha" => "2000"
                        "volumen" => "71"
                        "paginaInicial" => "933"
                        "paginaFinal" => "947"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11016557"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib0370"
              "etiqueta" => "34"
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                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "&#201;valuation d&#8217;une proc&#233;dure antalgique associant protoxyde d&#8217;azote et cr&#232;me EMLA lors des injections de toxine botulique chez l&#8217;enfant"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
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                            1 => "F&#46; Mette"
                            2 => "A&#46;S&#46; Pellot"
                            3 => "I&#46; Richard"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.annrmp.2007.02.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Readapt Med Phys&#46;"
                        "fecha" => "2007"
                        "volumen" => "50"
                        "paginaInicial" => "275"
                        "paginaFinal" => "279"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17337081"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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              "identificador" => "bib0375"
              "etiqueta" => "35"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Should botulinum toxin A injections be repeated in children with cerebral palsy&#63; A systematic review"
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                          "etal" => false
                          "autores" => array:5 [
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                            1 => "K&#46; Seyhan"
                            2 => "&#220;&#46; De&#287;er"
                            3 => "S&#46; Kutlut&#252;rk"
                            4 => "A&#46; Mutlu"
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                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/dmcn.13135"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dev Med Child Neurol&#46;"
                        "fecha" => "2016"
                        "volumen" => "58"
                        "paginaInicial" => "910"
                        "paginaFinal" => "917"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/27103334"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib0380"
              "etiqueta" => "36"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Parent evaluation of spasticity treatment in cerebral palsy using botulinum toxin type A"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "F&#46;J&#46; Symons"
                            1 => "P&#46;F&#46; Rivard"
                            2 => "A&#46;C&#46; Nugent"
                            3 => "R&#46;C&#46; Tervo"
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                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.apmr.2006.08.343"
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                        "tituloSerie" => "Arch Phys Med Rehabil&#46;"
                        "fecha" => "2006"
                        "volumen" => "87"
                        "paginaInicial" => "1658"
                        "paginaFinal" => "1660"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17141650"
                            "web" => "Medline"
                          ]
                        ]
                      ]
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                ]
              ]
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              "identificador" => "bib0385"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "&#8217;Why do children with cerebral palsy discontinue therapy with botulinum toxin A&#63;&#8217;"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            1 => "J&#46; Kirschner"
                            2 => "J&#46; Herrmann"
                            3 => "K&#46; Geth"
                            4 => "R&#46; Korinthenberg"
                            5 => "S&#46; Berweck"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1017/S0012162206000697"
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                        "tituloSerie" => "Dev Med Child Neurol&#46;"
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                        "volumen" => "48"
                        "paginaInicial" => "319"
                        "paginaFinal" => "320"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16542523"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Effect of general anesthesia in patients with cerebral palsy at the turn of the new millennium&#58; a population-based study evaluating perioperative outcome and brief overview of anesthetic implications of this coexisting disease"
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                        0 => array:2 [
                          "etal" => true
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                            5 => "K&#46;A&#46; Kerber"
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                        ]
                      ]
                    ]
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                  "host" => array:1 [
                    0 => array:2 [
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                        "tituloSerie" => "J Child Neurol&#46;"
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                        "paginaInicial" => "859"
                        "paginaFinal" => "866"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22190505"
                            "web" => "Medline"
                          ]
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                    ]
                  ]
                ]
              ]
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                    0 => array:2 [
                      "titulo" => "Risk factors with intravenous sedation for patients with disabilities"
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                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
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                            4 => "M&#46; Ishikawa"
                            5 => "K&#46; Shimoyama"
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                        ]
                      ]
                    ]
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                  "host" => array:1 [
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                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/24423418"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
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              "identificador" => "bib0400"
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