TALLER DE COMPRENSIÓN LECTORA EN LENGUA INGLESA

VOZ PASIVA
 mirar el video en el siguiente link con su explicación:
VOZ PASIVA

Lee el artículo y completa las siguientes

actividades
a) Identifica diferentes formas de voz pasiva
b) Identifica el tiempo verbal de las palabras resaltadas en verde
c) Identifica la frase nominal en el párrafo resaltado en amarillo
d) Explica la función de la terminación -ING en las palabras resaltadas en celeste
e) Traduce las expresiones resaltadas en rosa

Are Steroids Really the Answer

for Arthritic Knees?
By Dennis Thompson
HealthDay Reporter

WEDNESDAY, April 8, 2020 (HealthDay News) -- Folks with knee arthritis will get
more out of physical therapy than a cortisone shot, a new clinical trial argues.

People with osteoarthritis of the knee had less pain and disability after one year
of physical therapy than others who received as many as three injections during
that same period, according to study results.

"We found that the steroid injection did not have any advantages over physical
therapy," said lead researcher Gail Deyle, a physical therapist and professor at
the Brooke Army Medical Center in San Antonio, Texas.

Deyle hopes these findings will spark a change in the way knee arthritis is
treated.

Only about 10% of patients with knee arthritis are offered physical therapy prior
to requiring a total knee replacement, Deyle said. By comparison, studies have
shown as many as half will receive a steroid injection.
TALLER DE COMPRENSIÓN LECTORA EN LENGUA INGLESA

This occurs even though steroid injections carry greater risks, including
accelerated aging of the joints, greater cartilage loss, possible infection, and
even potentially increasing the risk of bone fractures, he said.

"If providers are open-minded, I think this will change their practice," Deyle said.
"If I were a patient, I would not be tempted to have a steroid injection. I don't
want that risk."

For this clinical trial, 156 patients, with an average age of 56, were randomly
assigned to undergo either physical therapy or receive up to three cortisone
shots in a year.

"The physical therapy strategy used in this study consisted of manual physical
therapy with reinforcing exercise, including ongoing guidance to help patients
find appropriate types and amounts of physical activity," Deyle said. The hands-
on manual treatment helped people perform reinforcing exercises with little or
no pain, which enabled them to do daily activities and home exercises with less
pain.

The physical therapy involved here was arguably better than what average folks
receive, noted Dr. Etan Sugarman, an orthopedic surgeon with Lenox Hill
Hospital in New York City.

"What they're talking about here in terms of physical therapy is something very
specific, which is guided supervised physical therapy by a certified, qualified
physical therapist who is doing person-to-person specific manual therapy in
conjunction with their treatment," said Sugarman, who wasn't part of the study.

Researchers checked in regularly with the patients over the course of the year to
see how they were benefiting from treatment.

The difference in results became apparent as early as the first round of

treatment, Deyle said.

"Most patients who got a steroid injection had to go home and rest for 72 hours
and were given options like icing their knee or pain medications to recover from
it," Deyle said. "Most patients left their initial physical therapy visit feeling quite
good."
TALLER DE COMPRENSIÓN LECTORA EN LENGUA INGLESA

By the end of the year, patients in the physical therapy group reported much
better outcomes than those in the steroid injection group, Deyle said.

"Patients receiving physical therapy had overall less pain and stiffness and
performed better on functional tests," he said.

All patients who needed to proceed to surgery during the year -- one
arthroscopic surgery and three total knee replacements -- belonged to the
injection group, even though patients in the physical therapy group had more
severe arthritis at enrollment, Deyle noted.

Total health care costs for both groups over the one-year period were equivalent,
Deyle added.

The study was published April 8 in the New England Journal of Medicine.

While these results show the potential benefits of physical therapy, Sugarman
noted that many or most patients don't have access to physical therapy at all, let
alone intensive therapy conducted by a qualified expert.

"It calls to issue one of the major problems we have in the public health care
system, which is for many people, their insurance may not approve all that many
physical therapy sessions," Sugarman said. "Their access to a good certified
physical therapist may be significantly limited."

He noted that many times patients come to him describing physical therapy
sessions where they worked out in a corner, unsupervised, then had electrical
stimulations slapped on for a bit.

"I say that's great -- that wasn't physical therapy," Sugarman said.

People with knee arthritis often proceed to a total knee replacement, but
Sugarman said that decision is very individual.

Total knee replacement should be performed in a "patient with a diagnosis for

arthritis stating they have failed nonsurgical treatment and are unhappy with
their quality of life, and that first part is just as important as the second part,"
Sugarman said.
TALLER DE COMPRENSIÓN LECTORA EN LENGUA INGLESA

The amount of pain a person is in should drive the decision more than what their
X-rays say, Sugarman asserted.

More information
The American Academy of Orthopaedic Surgeons has more about knee arthritis.
Copyright © 2020 HealthDay. All rights reserved.

Source: https://www.usnews.com/news/health-news/articles/2020-04-08/are-steroids-really-
the-answer-for-arthritic-knees

A)
 Researchers checked in regularly with the patients over the course of the
year to see how they were benefiting from treatment.
From treatment been benefiting by researchers checked in regularly with the patients
over the course of the year

 Folks with knee arthritis will get more out of physical therapy than a cortisone
shot, a new clinical trial argues.

More out of physical therapy than a cortisone shot a new clinical trial argues will be got by
folks with knee arthritis.

 intensive therapy conducted by a qualified expert.

 Total knee replacement should be performed in a "patient with a diagnosis

for arthritis

B) Will get: future

Had: past perfect
Hopes: present simple
Have shown: present perfect
Carry: Presente perfecto?
´re talking: Present continuous
Were benefiting: Past continuous

C) "We found that the steroid injection did not have any advantages over physical therapy,"
said lead researcher Gail Deyle, a physical therapist and professor at the Brooke Army
Medical Center in San Antonio, Texas.

"The physical therapy strategy used in this study consisted of manual physical therapy with
reinforcing exercise, including ongoing guidance to help patients find appropriate types and
amounts of physical activity," Deyle said.
TALLER DE COMPRENSIÓN LECTORA EN LENGUA INGLESA

By the end of the year, patients in the physical therapy group reported much better
outcomes than those in the steroid injection group, Deyle said.

D) During: No es Terminación verbal -ing

Findings: Sustantivo
Requiring: verbo
Aging: Sustantivo
Increasing: Tiempo continuo
Reinforcing: Adjetivo
Something: Tiempo continuo
Doing: Tiempo continuo
Icing: Sustantivo
Receiving: Tiempo continuo

E) "If providers are open-minded, I think this will change their practice," Deyle said. "If
I were a patient, I would not be tempted to have a steroid injection. I don't want that
risk."

Deyle dijo, si los proveedores tienen la mente abierta, creo que esto cambiará su práctica.
Yo no quiero ese riesgo. Si fuera un paciente, no estaría tentado a recibir una inyección de
esteroides.

Their insurance may not approve all that many physical therapy sessions,"

No es posible que apruebe todas las sesiones de fisioterapia su seguro

Total knee replacement should be performed in a "patient with a diagnosis for

arthritis.

El reemplazo total de rodilla debe realizarse en un paciente con diagnóstico de artritis.