{"id":8725,"date":"2026-01-22T14:57:51","date_gmt":"2026-01-22T06:57:51","guid":{"rendered":"https:\/\/fotonmedix.com\/?p=8725"},"modified":"2026-02-06T11:24:55","modified_gmt":"2026-02-06T03:24:55","slug":"systemic-and-local-synergy-the-integration-of-intravenous-and-equine-cold-laser-therapy","status":"publish","type":"post","link":"https:\/\/fotonmedix.com\/es\/systemic-and-local-synergy-the-integration-of-intravenous-and-equine-cold-laser-therapy.html","title":{"rendered":"Sinergia sist\u00e9mica y local: La integraci\u00f3n de la terapia l\u00e1ser fr\u00eda intravenosa y equina"},"content":{"rendered":"<h2 class=\"wp-block-heading\">1. La base hemorreol\u00f3gica de la medicina del rendimiento<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">En el campo especializado de la medicina deportiva veterinaria, el tratamiento del atleta equino se ha bifurcado tradicionalmente en dos v\u00edas distintas: el tratamiento farmac\u00e9utico sist\u00e9mico y la fisioterapia localizada. Sin embargo, la aparici\u00f3n de <strong>terapia l\u00e1ser iv<\/strong> (Irradiaci\u00f3n Sangu\u00ednea L\u00e1ser Intravenosa o ILBI) combinada con la <strong>terapia con l\u00e1ser fr\u00edo equino<\/strong> ofrece una convergencia de estas v\u00edas. En este art\u00edculo se examina la metodolog\u00eda cl\u00ednica que subyace al tratamiento del caballo desde \u201cdentro hacia fuera\u201d (irradiaci\u00f3n sangu\u00ednea sist\u00e9mica) y, al mismo tiempo, desde \u201cfuera hacia dentro\u201d (reparaci\u00f3n tisular localizada).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El factor limitante en la recuperaci\u00f3n de lesiones de alto rendimiento -ya sean tendinopat\u00edas o agotamiento metab\u00f3lico- suele ser el compromiso microcirculatorio. Si bien la <strong><a href=\"https:\/\/fotonmedix.com\/es\/horsevet3000u5.html\/\"   title=\"HorseVet-Max\"  data-wpil-monitor-id=\"2323\">terapia l\u00e1ser para caballos<\/a><\/strong> destaca en la vasodilataci\u00f3n local y la activaci\u00f3n mitocondrial, se localiza en la huella del haz. Al introducir la energ\u00eda fot\u00f3nica directamente en el sistema vascular a trav\u00e9s de ILBI, los m\u00e9dicos pueden modular las propiedades reol\u00f3gicas de la sangre, mejorando el transporte de ox\u00edgeno y reduciendo las citocinas inflamatorias sist\u00e9micas en todo el organismo.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">F\u00edsica de la irradiaci\u00f3n intravenosa<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A diferencia de la aplicaci\u00f3n transcut\u00e1nea, en la que la barrera cut\u00e1nea absorbe una cantidad importante de energ\u00eda fot\u00f3nica (dispersi\u00f3n y reflexi\u00f3n), <a href=\"https:\/\/fotonmedix.com\/es\/categoria\/producto\/\"   title=\"Productos\"  data-wpil-monitor-id=\"2321\">Terapia l\u00e1ser intravenosa<\/a> evita por completo el sistema tegumentario. Se introduce un cat\u00e9ter de fibra \u00f3ptica en la vena yugular. La luz coherente ilumina la sangre que fluye.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Deformabilidad de los eritrocitos:<\/strong> Las investigaciones indican que determinadas longitudes de onda (en particular 635 nm y 532 nm) alteran la elasticidad de la membrana de los hemat\u00edes. Esto permite a los eritrocitos pasar m\u00e1s f\u00e1cilmente a trav\u00e9s de los microcapilares del tejido da\u00f1ado, mejorando la perfusi\u00f3n de ox\u00edgeno en las zonas de lesi\u00f3n hip\u00f3xica.<\/li>\n\n\n\n<li><strong>Inmunomodulaci\u00f3n:<\/strong> La absorci\u00f3n de fotones por los leucocitos desencadena una cascada de inmunoglobulinas (IgG, IgM\/A) y la normalizaci\u00f3n de la actividad de los linfocitos T, crucial para prevenir los estados inflamatorios cr\u00f3nicos.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">2. Longitudes de onda estrat\u00e9gicas en ILBI y aplicaciones locales<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Para dominar <strong>veterinario <a href=\"https:\/\/fotonmedix.com\/es\/categoria\/producto\/\"   title=\"Productos\"  data-wpil-monitor-id=\"2325\">fotobiomodulaci\u00f3n<\/a><\/strong> (Semantic Keyword 1), el cl\u00ednico debe entender que el objetivo biol\u00f3gico dicta la longitud de onda. En un enfoque de protocolo dual, utilizamos espectros diferentes para la sangre y para el tejido musculoesquel\u00e9tico.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Longitudes de onda intravenosas (sist\u00e9micas)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Los coeficientes de absorci\u00f3n de la hemoglobina (Hb) y de la oxihemoglobina (HbO2) son aqu\u00ed los principales determinantes.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Rojo (635nm-650nm):<\/strong> Se trata del patr\u00f3n oro de la hemorreolog\u00eda. Se dirige a la actividad de la super\u00f3xido dismutasa (SOD), reduciendo el estr\u00e9s oxidativo en el torrente sangu\u00edneo. Es esencial para la recuperaci\u00f3n tras el esfuerzo.<\/li>\n\n\n\n<li><strong>Azul (405 nm-450 nm):<\/strong> Esta longitud de onda tiene fuertes propiedades antimicrobianas y efectos sobre la liberaci\u00f3n de \u00f3xido n\u00edtrico (NO). Mejora la capacidad bactericida de la sangre y est\u00e1 indicada en casos de infecci\u00f3n sist\u00e9mica o inmunodepresi\u00f3n.<\/li>\n\n\n\n<li><strong>Verde (532 nm):<\/strong> A menudo se utiliza para mejorar la deformabilidad de los eritrocitos y aumentar la capacidad de fijaci\u00f3n de ox\u00edgeno de la hemoglobina.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Longitudes de onda transcut\u00e1neas (local)<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Para la aplicaci\u00f3n externa de <strong><a href=\"https:\/\/fotonmedix.com\/es\/horsevet3000u5.html\/\"   title=\"HorseVet-Max\"  data-wpil-monitor-id=\"2319\">terapia con l\u00e1ser fr\u00edo equino<\/a><\/strong>, pasamos a la \u201cventana \u00f3ptica\u201d de penetraci\u00f3n en los tejidos.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Infrarrojo cercano (810 nm):<\/strong> Se dirige a la citocromo C oxidasa en las mitocondrias de las c\u00e9lulas tendinosas y musculares, maximizando la producci\u00f3n de ATP para la reparaci\u00f3n estructural.<\/li>\n\n\n\n<li><strong><a href=\"https:\/\/fotonmedix.com\/es\/categoria\/producto\/\"   title=\"Productos\"  data-wpil-monitor-id=\"2318\">Terapia l\u00e1ser de alta intensidad<\/a><\/strong> (Semantic Keyword 2) utilizando 980 nm o 1064 nm para penetrar en la densa masa muscular de los gl\u00fateos equinos o en la profundidad de la articulaci\u00f3n de la rodilla para crear gradientes analg\u00e9sicos.<\/li>\n<\/ul>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"920\" height=\"518\" src=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/058-1.jpg\" alt=\"\" class=\"wp-image-8727\" style=\"width:664px;height:auto\" srcset=\"https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/058-1.jpg 920w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/058-1-300x169.jpg 300w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/058-1-768x432.jpg 768w, https:\/\/fotonmedix.com\/wp-content\/uploads\/2026\/01\/058-1-18x10.jpg 18w\" sizes=\"auto, (max-width: 920px) 100vw, 920px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">3. Justificaci\u00f3n cl\u00ednica de los protocolos combinados<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La raz\u00f3n de combinar <strong>terapia l\u00e1ser iv<\/strong> con aplicaci\u00f3n local reside en el concepto de \u201capoyo metab\u00f3lico\u201d. Una lesi\u00f3n del ligamento suspensorio, por ejemplo, es un fallo estructural local, pero el proceso de curaci\u00f3n impone al caballo una demanda metab\u00f3lica sist\u00e9mica.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si el caballo presenta una inflamaci\u00f3n sist\u00e9mica subyacente, niveles elevados de cortisol o una circulaci\u00f3n perif\u00e9rica deficiente, el efecto local <a href=\"https:\/\/fotonmedix.com\/es\/categoria\/producto\/\"   title=\"Productos\"  data-wpil-monitor-id=\"2324\">tratamiento l\u00e1ser<\/a> tendr\u00e1 una eficacia reducida. La terapia con l\u00e1ser intravenoso act\u00faa como un \u201cpreparador\u201d sist\u00e9mico, optimizando el flujo sangu\u00edneo que finalmente llega al tejido lesionado tratado con el l\u00e1ser externo. Esta sinergia reduce significativamente los tiempos de recuperaci\u00f3n en afecciones complejas como la rabdomi\u00f3lisis por esfuerzo (\u201ctying up\u201d) o la hemorragia pulmonar inducida por el ejercicio (EIPH).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Estudio de caso cl\u00ednico: Rabdomi\u00f3lisis cr\u00f3nica por esfuerzo y distensi\u00f3n suspensiva<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Este caso demuestra el tratamiento de una compleja presentaci\u00f3n metab\u00f3lica y ortop\u00e9dica mediante un protocolo de doble l\u00e1ser.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Perfil del paciente:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nombre:<\/strong> \u201cValquiria\u201d<\/li>\n\n\n\n<li><strong>Se\u00f1alizaci\u00f3n:<\/strong> Yegua pura sangre de 8 a\u00f1os.<\/li>\n\n\n\n<li><strong>Disciplina:<\/strong> Concurso completo de 3 d\u00edas.<\/li>\n\n\n\n<li><strong>Queja principal:<\/strong> Antecedentes de \u201caturdimiento\u201d recurrente (rigidez muscular\/calambres) despu\u00e9s de las series de galope; cojera aguda reciente en la extremidad anterior izquierda (MI).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Diagn\u00f3stico preliminar:<\/strong><\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li><strong>Sist\u00e9mico:<\/strong> Rabdomi\u00f3lisis cr\u00f3nica de esfuerzo (niveles elevados de CK y AST).<\/li>\n\n\n\n<li><strong>Local:<\/strong> Desmitis suspensiva proximal aguda (LF), confirmada mediante ecograf\u00eda (lesi\u00f3n de \u00e1rea transversal 15%).<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Estrategia de tratamiento:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Un protocolo integrador de 5 semanas.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Objetivo sist\u00e9mico:<\/strong> Normalizar los niveles de enzimas musculares y mejorar la circulaci\u00f3n sist\u00e9mica para prevenir nuevos episodios de rabdomi\u00f3lisis utilizando <strong>Tratamiento ILBI<\/strong> (palabra clave sem\u00e1ntica 3).<\/li>\n\n\n\n<li><strong>Objetivo local:<\/strong> Curar la lesi\u00f3n del ligamento suspensorio con alta potencia. <a href=\"https:\/\/fotonmedix.com\/es\/categoria\/producto\/\"   title=\"Productos\"  data-wpil-monitor-id=\"2320\">Terapia l\u00e1ser de clase IV<\/a>.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Par\u00e1metros de tratamiento y evoluci\u00f3n<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Equipo utilizado:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Sistema IV:<\/strong> Cat\u00e9ter de fibra \u00f3ptica est\u00e9ril (200\u00b5m) insertado a trav\u00e9s de un cat\u00e9ter 18G en la vena yugular.<\/li>\n\n\n\n<li><strong>Sistema local:<\/strong> L\u00e1ser de diodo de clase IV (longitud de onda dual 810 nm\/980 nm).<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><td><strong>Fase<\/strong><\/td><td><strong>Duraci\u00f3n<\/strong><\/td><td><strong>Protocolo l\u00e1ser IV (sist\u00e9mico)<\/strong><\/td><td><strong>Protocolo l\u00e1ser local (Lesi\u00f3n - LF)<\/strong><\/td><td><strong>Justificaci\u00f3n cl\u00ednica<\/strong><\/td><\/tr><\/thead><tbody><tr><td><strong>Agudo<\/strong><\/td><td>Semana 1 (Diario)<\/td><td><strong>Rojo (650 nm)<\/strong><br>Potencia: 3-5mW (intravenosa)<br>Duraci\u00f3n: 20 minutos<br>Modo: CW (Continuo)<\/td><td><strong>980nm Dominante<\/strong><br>Potencia: 8W<br>Dosis: 6 J\/cm\u00b2<br>Modo: Pulsado (1000Hz)<br>T\u00e9cnica: Exploraci\u00f3n sin contacto.<\/td><td>La luz roja intravenosa reduce el estr\u00e9s oxidativo sist\u00e9mico del da\u00f1o muscular. El l\u00e1ser pulsado local reduce el edema agudo en el suspensorio sin calentamiento.<\/td><\/tr><tr><td><strong>Sub-Acute<\/strong><\/td><td>Semana 2-3 (3x\/Semana)<\/td><td><strong>Rojo (650 nm) + Azul (450 nm)<\/strong><br>Potencia: 5mW cada una<br>Duraci\u00f3n: 25 minutos<br>Modo: CW<\/td><td><strong>810nm Dominante<\/strong><br>Potencia: 10 W<br>Dosis: 8 J\/cm\u00b2<br>Modo: CW y Baja Frecuencia (50Hz)<br>T\u00e9cnica: Modo de contacto.<\/td><td>La adici\u00f3n de luz azul modula la respuesta inmunitaria y reduce la viscosidad de la sangre. La luz local de 810 nm estimula la proliferaci\u00f3n de fibroblastos para la reparaci\u00f3n del col\u00e1geno.<\/td><\/tr><tr><td><strong>Remodelaci\u00f3n<\/strong><\/td><td>Semana 4-5 (2x\/Semana)<\/td><td><strong>Verde (532 nm)<\/strong><br>Potencia: 5mW<br>Duraci\u00f3n: 20 minutos<br>Modo: CW<\/td><td><strong>Mezcla 810\/980nm<\/strong><br>Potencia: 12 W<br>Dosis: 10 J\/cm\u00b2<br>Modo: Multifrecuencia<\/td><td>La luz verde aumenta la liberaci\u00f3n de ox\u00edgeno en los tejidos. El l\u00e1ser local de alta dosis alinea las fibras de col\u00e1geno bajo una carga de ejercicio controlada.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\">An\u00e1lisis de la recuperaci\u00f3n<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Semana 1 (Respuesta bioqu\u00edmica):<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Los niveles s\u00e9ricos de creatina quinasa (CK) descendieron de 1200 U\/L a 350 U\/L en 5 d\u00edas. Esta r\u00e1pida normalizaci\u00f3n es m\u00e1s r\u00e1pida que la observada t\u00edpicamente con fluidoterapia sola, atribuida a los efectos antioxidantes del ILBI. El ligamento suspensorio LF mostr\u00f3 calor y sensibilidad reducidos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Semana 3 (Respuesta estructural):<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La nueva ecograf\u00eda del ligamento suspensorio mostr\u00f3 un r\u00e1pido relleno de la lesi\u00f3n con una m\u00ednima desorganizaci\u00f3n de las fibras. El comportamiento del caballo mejor\u00f3 significativamente, sin signos de calambres musculares a pesar de la introducci\u00f3n de la marcha manual.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Semana 5 (Conclusi\u00f3n):<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Se autoriz\u00f3 al caballo a caminar. La combinaci\u00f3n de la terapia con l\u00e1ser para caballos (local) y la irradiaci\u00f3n intravenosa consigui\u00f3 tratar el trastorno metab\u00f3lico y curar la lesi\u00f3n ortop\u00e9dica. El tratamiento sist\u00e9mico probablemente mejor\u00f3 la perfusi\u00f3n del tend\u00f3n en curaci\u00f3n, impidiendo la formaci\u00f3n de tejido cicatricial inferior.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. Consideraciones t\u00e9cnicas para la aplicaci\u00f3n del l\u00e1ser IV<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La aplicaci\u00f3n de la terapia l\u00e1ser intravenosa exige el cumplimiento estricto de las normas de t\u00e9cnica as\u00e9ptica y equipamiento.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">El cat\u00e9ter de fibra \u00f3ptica<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">La interfaz entre el diodo l\u00e1ser y la sangre es un cable de fibra \u00f3ptica est\u00e9ril de un solo uso.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Di\u00e1metro:<\/strong> Normalmente de 200 a 400 micras. Debe ser lo suficientemente peque\u00f1o como para pasar a trav\u00e9s de un cat\u00e9ter intravenoso veterinario est\u00e1ndar (18G o 20G) sin ocluir completamente el flujo.<\/li>\n\n\n\n<li><strong>Geometr\u00eda de la punta:<\/strong> Una punta plana y pulida garantiza la emisi\u00f3n uniforme de luz en el torrente sangu\u00edneo.<\/li>\n\n\n\n<li><strong>Esterilidad:<\/strong> Hay tolerancia cero para el error. Se trata de un procedimiento invasivo. La fibra debe esterilizarse previamente (EtO) y desecharse despu\u00e9s de su uso.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Protocolos de seguridad<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">En <strong>terapia con l\u00e1ser fr\u00edo equino<\/strong> sobre la piel es indulgente, la terapia intravenosa es precisa.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Potencia de salida:<\/strong> Los l\u00e1seres IV funcionan en el rango de los milivatios (2mW - 100mW), a diferencia de los l\u00e1seres Clase IV de nivel de vatio utilizados para los m\u00fasculos. El uso de una configuraci\u00f3n de pieza de mano terap\u00e9utica de clase IV en una fibra IV provocar\u00eda da\u00f1os t\u00e9rmicos en las c\u00e9lulas sangu\u00edneas (hem\u00f3lisis) y coagulaci\u00f3n. Es obligatorio utilizar equipos especializados o puertos dedicados con reducci\u00f3n masiva de potencia.<\/li>\n\n\n\n<li><strong>Factores de coagulaci\u00f3n:<\/strong> Dado que el l\u00e1ser intravenoso afecta a la agregaci\u00f3n plaquetaria (normaliz\u00e1ndola), los cl\u00ednicos deben vigilar los tiempos de coagulaci\u00f3n en los caballos que actualmente toman anticoagulantes, aunque generalmente es reguladora m\u00e1s que inhibidora.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">6. El futuro de la rehabilitaci\u00f3n equina<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El futuro de la rehabilitaci\u00f3n veterinaria no est\u00e1 en f\u00e1rmacos m\u00e1s potentes, sino en la aplicaci\u00f3n inteligente de la f\u00edsica. Utilizando <strong>terapia l\u00e1ser iv<\/strong>, nos dirigimos al \u201cterreno\u201d del animal: la sangre que alimenta cada c\u00e9lula. Combinando esto con <strong>terapia con l\u00e1ser fr\u00edo equino<\/strong>, abordamos los \u201cfallos\u201d estructurales espec\u00edficos.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Este enfoque de doble modalidad representa una alternativa hol\u00edstica y libre de f\u00e1rmacos que se ajusta a las crecientes restricciones de medicaci\u00f3n en los deportes equinos de competici\u00f3n. Permite al cuerpo utilizar sus propios recursos bioenerg\u00e9ticos para repararse y regenerarse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">FAQ: Consultas cl\u00ednicas<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">P: \u00bfEs <a href=\"https:\/\/fotonmedix.com\/es\/categoria\/producto\/\"   title=\"Productos\"  data-wpil-monitor-id=\"2322\">Terapia l\u00e1ser intravenosa<\/a> (ILBI) \u00bfdoloroso para el caballo?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">R: No. El procedimiento consiste en la inserci\u00f3n est\u00e1ndar de un cat\u00e9ter intravenoso, que provoca un pinchazo moment\u00e1neo. Una vez insertada la fibra y activado el l\u00e1ser, el caballo no siente nada. La baja potencia (milivatios) no genera calor dentro de la vena.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">P: \u00bfEn qu\u00e9 se diferencia la terapia l\u00e1ser IV de la terapia l\u00e1ser fr\u00eda est\u00e1ndar?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">R: El l\u00e1ser fr\u00edo est\u00e1ndar es \u201clocal\u201d: trata el tejido que toca (por ejemplo, un tend\u00f3n). El l\u00e1ser IV es \u201csist\u00e9mico\u201d: al irradiar la sangre, los efectos beneficiosos (oxigenaci\u00f3n, equilibrio inmunitario) circulan por todo el cuerpo y alcanzan \u00f3rganos y tejidos profundos a los que no llegan los l\u00e1seres externos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">P: \u00bfSe puede utilizar la terapia l\u00e1ser intravenosa antes de la competici\u00f3n?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">R: Dado que act\u00faa sobre el metabolismo celular y no introduciendo sustancias qu\u00edmicas extra\u00f1as, en general se considera una modalidad de fisioterapia. Sin embargo, las normas relativas a los \u201cprocedimientos invasivos\u201d (romper la piel con una aguja) en las 12-24 horas posteriores a la competici\u00f3n var\u00edan seg\u00fan la jurisdicci\u00f3n (FEI, etc.). Compruebe siempre las normas vigentes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">P: \u00bfCu\u00e1l es el riesgo de coagulaci\u00f3n o embolia con la fibra en la vena?<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">R: Cuando se realiza con cat\u00e9teres anticoagulados adecuados y ajustes correctos de baja potencia, el riesgo es insignificante. De hecho, la energ\u00eda l\u00e1ser ayuda a normalizar la viscosidad de la sangre y a prevenir la agregaci\u00f3n patol\u00f3gica.<\/p>","protected":false},"excerpt":{"rendered":"<p>1. The Hemorheological Foundation of Performance Medicine In the specialized field of veterinary sports medicine, the management of the equine athlete has traditionally bifurcated into two distinct paths: systemic pharmaceutical management and localized physical therapy. 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