The Implementation of Teleconsultations in a Physiotherapy Service During COVID-19 Pandemic in Brazil: A Case Report
Introduction: The Brazilian Council of Physiotherapy and Occupational Therapy regulated the use of teleconsultation during the COVID-19 pandemic, creating uncertainty about its use in Brazil. Objective: To describe the experience of teleconsultations during the COVID-19 pandemic. Methods: Four patients participated in the study with the following diagnoses: Parkinson’s disease, stroke, peripheral facial paralysis, and tibial plateau fracture. Patients underwent up to 10 physiotherapy sessions via digital tools. The 5-A self-management tool (Assess, Advise, Agree, Assist, Arrange) guided the sessions. Results: The teleconsultation type varied between synchronous (n = 1; 25%); asynchronous (n = 2; 50%) and synchronous/asynchronous (n = 1; 25%). There was 75% (n = 3) adherence and one withdrawal (25%). As the benefits of teleconsultations, the patients pointed out the convenience, maintenance of the exercises, and contact with the professional. The reported limitations were the lack of the use of physiotherapeutic devices. Conclusion: Teleconsultations contribute to the continuity of physiotherapy treatment during social isolation. Adherence to treatment was facilitated by access to the technology and by offering patients the choice of teleconsultation type.
Agostini, M., Moja, L., Banzi, R., Pistotti, V., Tonin, P., Venneri, A., & Turolla, A. (2015). Telerehabilitation and recovery of motor function: A systematic review and meta-analysis. Journal of Telemedicine and Telecare, 21(4), 202–213. https://doi.org/10.1177/1357633X15572201
Baggio, J. A. O., Curtarelli, M. B., Rodrigues, G. R., & Tumas, V. (2012). Validity of the Brazilian version of the freezing of gait questionnaire. Arquivos de Neuro-Psiquiatria, 70(8), 599–603. https://doi.org/10.1590/s0004-282x2012000800008
Cabral, L. L., Lopes, P. B., Wolf, R., Stefanello, J. M. F., & Pereira, G. (2017). A systematic review of cross-cultural adaptation and validation of Borg’s Rating of Perceived Exertion Scale. Journal of Physical Education, 28(1), 1–13. https://doi.org/10.4025/jphyseduc.v28i1.2853
COFFITO. (2020). Resolução 516, de 20 de março de 2020 – Teleconsulta, telemonitoramento e teleconsultoria. Retrieved from https://www.coffito.gov.br/nsite/?p=15825
Cottrell, M. A., Galea, O. A., O’Leary, S. P., Hill, A. J., & Russell, T. G. (2016). Real-time telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: A systematic review and meta-analysis. Clinical Rehabilitation, 31(5), 625–638. https://doi.org/10.1177/0269215516645148
Glasgow, R. E., Davis, C. L., Funnell, M. M., & Beck, A. (2003). Implementing practical interventions to support chronic illness self-management. Joint Commission Journal on Quality and Safety, 29(11), 563–574. https://doi.org/10.1016/S1549-3741(03)29067-5
Laver, K. E., Adey-Wakeling, Z., Crotty, M., Lannin, N. A., George, S., & Sherrington, C. (2020). Telerehabilitation services for stroke. Cochrane Database of Systematic Reviews, 2020(1). https://doi.org/10.1002/14651858.CD010255.pub3
Morais, H. C. C., Gonzaga, N. C., de Souza Aquino, P., & de Araujo, T. L. (2015). Strategies for self-management support by patients with stroke: Integrative review. Revista Da Escola de Enfermagem, 49(1), 136–143. https://doi.org/10.1590
Pastora-Bernal, J. M., Martín-Valero, R., Barón-López, F. J., & Estebanez-Pérez, M. J. (2017). Evidence of benefit of telerehabitation after orthopedic surgery: A systematic review. Journal of Medical Internet Research, 19(4), 1–13. https://doi.org/10.2196/jmir.6836
Rosa, A. M. P., Freitas, A. S. M., Lopes, C. A. V. S., Gonçalves, S. C. F., Redondo, A. C. G. dos S., & Sousa, L. M. M. (2017). Propriedades métricas do Timed up and go teste no idoso: Revisão integrativa da literatura. Revista Investigação Em Enfermagem, (1), 21–31.
Scalzo, P. L., Nova, I. C., Perracini, M. R., Sacramento, D. R. C., Cardoso, F., Ferraz, H. B., & Teixeira, A. L. (2009). Validation of the Brazilian version of the Berg balance scale for patients with Parkinson’s disease. Arquivos de Neuro-Psiquiatria, 67(3 B), 831–835. https://doi.org/10.1590/S0004-282X2009000500010
Siegert, C., Hauptmann, B., Jochems, N., Schrader, A., & Deck, R. (2019). ParkProTrain: An individualized, tablet-based physiotherapy training programme aimed at improving quality of life and participation restrictions in PD patients-a study protocol for a quasi-randomized, longitudinal and sequential multi-method study. BMC Neurology, 19(1), 1–9. https://doi.org/10.1186/s12883-019-1423-2
Souza-Júnior, V. D. de. (2014). Telenfermagem na atenção a pacientes com bexiga neurogênica em uso do cateterismo urinário intermitente limpo. Universidade de São Paulo. https://doi.org/10.11606/D.22.2014.tde-07012015-154330
The Chartered Society of Physiotherapy. (2020). Digital tools to support service delivery. Retrieved from https://www.csp.org.uk/news/coronavirus
Tickle-Degnen, L., Ellis, T., Saint-Hilaire, M. H., Thomas, C. A., & Wagenaar, C. R. (2011). Self-management rehabilitation and health-related quality of life in Parkinson’s disease: A randomized controlled trial. Movement Disorders, 25(2), 194–204. https://doi.org/10.1161/CIRCULATIONAHA.110.956839
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