Prospecting Technologies for Telerehabilitation: innovation in physiotherapeutic care
DOI:
https://doi.org/10.9771/cp.v15i1.45998Keywords:
Telehealth , Physiotherapy , ICTsAbstract
The Covid-19 pandemic caused an expressive demand for physical therapy telerehabilitation - a telehealth modality – especially due to social isolation and the high number of patients with post-Covid syndrome sequelae. Therefore, Information and Communication Technologies (ICTs) emerge as an alternative to conventional treatment. This study aimed to demonstrate an overview of the main ICTs and how they are being used in telerehabilitation, through patent search (Orbit Intelligence®) and bibliometric prospecting (Pubmed, PEDro and Cochrane). The results showed technologies and devices (smartphones, applications) that have enabled various forms of telerehabilitation, which serve as a tool for health professionals to continue providing care. Furthermore, they demonstrate that a scientific production (12.660 articles) is superior to a technological production (89 patents), evidencing inadequacy of technology transfer. It is concluded that there are enough ICTs, tools and devices to offer telerehabilitation in an adequate, accessible way and with potential for the development of innovations.
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AXONAL CONSULTORIA TECNOLÓGICA; SUZUKI, H. Orbit.com: Visão Geral Sobre o Sistema. 2016. Disponível em: Axonal.https://axonal.com.br/arquivos/PDF/Orbit VisaoGeralSistemaPARTES1a3BUSCAVISUALIZACAOSELECAO.pdf. Acesso em: 10 ago. 2021.
AZMA, K. et al. Efficacy of telerehabilitation compared with office-based physical therapy in patients with knee osteoarthritis: A randomized clinical trial. J Telemed Telecare, [s.l.], v. 0, n. 0, p. 1-6, 2017. DOI:https://doi.org/10.1177/1357633X17723368.
BAO, T. et al. Effects of long-term balance training with vibrotactile sensory augmentation among community-dwelling healthy older adults: a randomized preliminary study. J. Neuroeng. Rehabilitation, [s.l.], v.15, n.5, 13p., 2018. DOI: https://doi.org/10.1186/s12984-017-0339-6.
BARROS, G. M.; ANJOS, M. S.; BARROS, G. M. Prospecção tecnológica do pequizeiro. Res. Soc. Dev. [s.l.], v. 9, n. 9, p 1-15, 2020. DOI: http://dx.doi.org/10.33448/rsd-v9i9.7957.
BELL, K. M. A Portable System for Remote Rehabilitation Following a Total Knee Replacement: A Pilot Randomized Controlled Clinical Study. Sensors, [s.l.], v. 20, n. 21, p. 6.118, 2020. DOI: https://doi.org/10.3390/s20216118.
BENNELL, K. L. et al. Telephone Coaching to Enhance a Home-Based Physical Activity Program for Knee Osteoarthritis: A Randomized Clinical Trial. Arthritis Care Res, [s.l.], v. 69, n. 1, p. 84-89, 2016. DOI: https://doi.org/10.1002/acr.22915.
BETTGER, J. et al. Effects of Virtual Exercise Rehabilitation In-Home Therapy Compared with Traditional Care After Total Knee Arthroplasty VERITAS, a Randomized Controlled Trial. J Bone Joint Surg Am., [s.l.], v. 102, n. 2, p. 101-109, 2020. DOI: https://doi.org/10.2106/JBJS.19.00695.
BINI, S.A.; MAHAJAN, J. Clinical outcomes of remote asynchronous telerehabilitation are equivalent to traditional therapy following total knee arthroplasty: A randomized control study. J Telemed Telecare, [s.l.], v. 0, n. 0, p. 1-9, 2016. DOI: https://doi.org/10.1177/1357633X16634518.
BLANQUERO, J. et al. Feedback-guided exercises performed on a tablet touchscreen improve return to work, function, strength and healthcare usage more than an exercise program prescribed on paper for people with wrist, hand or finger injuries: a randomised trial. J Physiother, [s.l.], v. 66, n. 4, p. 236-242, 2020. DOI: https://doi.org/10.1016/j.jphys.2020.09.012.
BONNEVIE, T. et al. Advanced telehealth technology improves home-based exercise therapy for people with stable chronic obstructive pulmonary disease: a systematic review. J Physiother, [s.l.], v. 67, n. 1, p. 27-40, 2021. DOI: https://doi.org/10.1016/j.jphys.2020.12.006
BRASIL. Diretrizes Metodológicas avaliação de desempenho de tecnologias em saúde Desinvestimento e Reinvestimento. Brasília, DF: Ministério da saúde, 2016. 47p. Disponível em: http://conitec.gov.br/images/ArtigosPublicacoes/Diretrizes/DIRETRIZ_AdTS_final_ISBN.pdf. Acesso em: 20 ago. 2021.
CHAE, S. H. et al. Development and Clinical Evaluation of a Web-Based Upper Limb Home Rehabilitation System Using a Smartwatch and Machine Learning Model for Chronic Stroke Survivors: Prospective Comparative Study. JMIR Mhealth Uhealth, [s.l.], v. 8, n. 7, 2020. DOI: https://doi.org/10.2196/17216.
CHEN, J. Effects of Home-based Telesupervising Rehabilitation on Physical Function for Stroke Survivors with Hemiplegia. Am J Phys Med Rehabil, [s.l.], v. 96, n. 3, 2017. DOI: https://doi.org/10.1097/PHM.0000000000000559.
CHEN, Y. et al. Wearable Motion Sensor Device to Facilitate Rehabilitation in Patients With Shoulder Adhesive Capsulitis: Pilot Study to Assess Feasibility. J. Medical Internet Res., [s.l.], v. 22, n. 7, 2020. DOI: https://doi.org/10.2196/17032.
CORNELL UNIVERSITY; INSEAD; WIPO. The Global Innovation Index 2020: Who Will Finance Innovation? Ithaca, Fontainebleau, and Geneva. 2020. Disponível em: https://www.wipo.int/edocs/pubdocs/en/wipo_pub_gii_2020.pdf. Acesso em: 20 ago. 2021.
DINESEN, B. R.; RIKNAGEL, D. K. T.; STRUIJK, J. J S. Monitoramento de gravidez e nascimento de atendimento de telessaúde de múltiplos fatores. Depositante: Aalborg University. Procurador: André Luiz Alvarez. DK2012/050439. Depósito: 30 nov. 2012. Concessão: 13 jun. 2017.
FERREIRA, A. A.; GUIMARÃES, E. R.; CONTADOR, J. C. Patente como instrumento competitivo e como fonte de informação tecnológica. Gest. Prod., [s.l.], v. 16, n. 2, p. 209-221, 2009. DOI: https://doi.org/10.1590/S0104-530X2009000200005.
FIORATTI, I. et al. A pandemia de COVID-19 e a regulamentação do atendimento remoto no Brasil: novas oportunidades às pessoas com dor crônica. BrJP. São Paulo, v. 3, n. 2, p. 193-194, 2020. DOI 10.5935/2595-0118.20200039.
FJELDSTAD-PARDO, C.; THIESSEN, A.; PARDO, G. Telerehabilitation in Multiple Sclerosis: Results of a Randomized Feasibility and Efficacy Pilot Study. Int J Telerehabil., [s.l.], v. 10, n. 2, p. 55-64, 2018. DOI: https://doi.org/10.5195/ijt.2018.6256.
FUTURE HEALTH INDEX. A resilient future Healthcare leaders look beyond the crisis. 2021. Disponível em: https://www.philips.com/c-dam/corporate/newscenter/global/future-health-index/report-pages/experience-transformation/2021/philips-future-health-index-2021-report-healthcare-leaders-look-beyond-the-crisis-global.pdf. Acesso em: 20 ago. 2021.
GALIANO-CASTILLO, N. et al. Telehealth system: A randomized controlled trial evaluating the impact of an internet-based exercise intervention on quality of life, pain, muscle strength, and fatigue in breast cancer survivors. Cancer, [s.l.], v. 122, n. 20, p. 3.166-3.174, 2016. DOI: https://doi.org/ 10.1002/cncr.30172.
GASTALDI, A. C. Fisioterapia e os desafios da Covid-19. Fisioter. Pesqui., São Paulo, v. 28, n. 1, 2021. DOI: https://doi.org/10.1590/1809-2950/00000028012021.
GIL, A. C. Como Elaborar Projetos de Pesquisa. 6. ed. São Paulo: Atlas, 2017.
GONDIM, I. T. G. O. et al. Individualized guidance and telephone monitoring in a selfsupervised home-based physiotherapeutic program in Parkinson. Fisioter. Mov., Curitiba, v. 30, n. 3, p. 559-568, 2017. DOI: http://dx.doi.org/10.1590/1980-5918.030.003.AO14.
GONZALEZ-GEREZ, J. J. et al. Therapeutic pulmonar telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial. Trials. [s.l.], v. 21, n. 588, 9p., 2020. DOI: https://doi.org/10.1186/s13063-020-04494-w.
GREENHALGH, T.; KOH, G. C. H.; CAR, J. Covid-19: a remote assessment in primary care. BMJ. [s.l.], v. 368, 2020. DOI: https://doi.org/10.1136/bmj.m1182.
HOLTHE, T, et al. A. Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review. Clin Interv Aging, [s.l.], v. 4, n. 13, p. 863-886, 2018.
HWANG, R. Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. J Physiother, [s.l.], v. 63, n. 2, p. 101-107, 2017. DOI: https://doi.org/10.1016/j.jphys.2017.02.017.
KALRON, A. et al. Effect of telerehabilitation on mobility in people after hip surgery: a pilot feasibility study. Int J Rehabil Res., [s.l.], v. 41, n. 3, p. 244-250, 2018. DOI: https://doi.org/10.1097/MRR.0000000000000296. PMID: 29794545.
KARSTEN, M.; MATTE, D. L.; ANDRADE, F. M. D. A pandemia da COVID-19 trouxe desafios e novas possibilidades para a Fisioterapia no Brasil: estamos preparados? Rev. Pesqui. Fisioter., São Paulo, v. 10, n. 2. p. 142-145. 2020. DOI: https://doi.org/10.17267/2238-2704rpf.v10i2.2971.
KLOEK, C. J. J. et al. Cost-effectiveness of a blended physiotherapy intervention compared to usual physiotherapy in patients with hip and/or knee osteoarthritis: a cluster randomized controlled trial. BMC Public Health, [s.l.], v. 18, 12p., 2018. DOI: ttps://doi.org//10.1186/s12889-018-5975-7.
LEE, A. C. COVID-19 and the Advancement of Digital Physical Therapist Practice and
Telehealth. Phys Ther, [s.l.], v. 100, n. 8, p. 1.054-1.057, 2020. DOI: https://doi.org/: 10.1093/ptj/pzaa079.
NELSON, M. et al. Telerehabilitation is non-inferior to usual care following total hip replacement – a randomized controlled non-inferiority trial. Physiotherapy, [s.l.], v. 107, p. 19-27, 2020. DOI: https://doi.org/10.1016/j.physio.2019.06.006.
NIC – NÚCLEO DE INFORMAÇÃO E COORDENAÇÃO DO PONTO BR (NIC.br); CETIC – CENTRO REGIONAL DE ESTUDOS PARA O DESENVOLVIMENTO DA SOCIEDADE DA INFORMAÇÃO (Cetic.br). Painel TIC COVID-19: Pesquisa sobre o uso da Internet no Brasil durante a pandemia do novo coronavírus. 3. ed. Ensino remoto e teletrabalho, 2020. Disponível em: https://cetic.br/media/docs/publicacoes/2/20201104182616/painel_tic_covid19_3edicao_livro%20eletr%C3%B4nico.pdf. Acesso em: 15 ago. 2021.
OLIVEIRA, J. A. D. et al. Longevidade e custo da assistência: o desafio de um plano de saúde de autogestão. Cien Saúde Colet, Rio de Janeiro, v. 25, n. 10, p. 4.045-4.054, 2020. DOI: http://dx.doi.org/10.1590/1413-812320202510.15562018.
OMPI – ORGANIZAÇÃO MUNDIAL DA PROPRIEDADE INTELECTUAL. Classificação Internacional de Patentes. 7. ed. 1999. v. 10. Disponível em: https://www.ipdec.org/themes/ipdec/material-de-apoio/classificacao-de-patentes.pdf. Acesso em: 20 ago. 2021.
PASTORA-BERNAL, J. M. et al. Telerehabilitation after arthroscopic subacromial decompression is effective and not inferior to standard practice: Preliminary results. J Telemed Telecare, [s.l.], v. 24, n. 6, 6p., 2018. DOI: https://doi.org/10.1177/1357633X17706583.
PAUL, L. et al. Web-based physiotherapy for people affected by multiple sclerosis: a single blind, randomized controlled feasibility study. Clin. rehabil., [s.l.], v. 33, n. 3, 12p., 2018. DOI: https://doi.org/10.1177/0269215518817080.
PIRES, E. A.; ANDRADE, J. J. S.; LORA, F. A. Mapeamento de Patentes de Respiradores. Cadernos de Prospecção. Salvador, v. 14, n. 3, p. 678-696, 2021.
ROTHGANGEL, A. et al. Traditional and augmented reality mirror therapy for patients with chronic phantom limb pain (PACT study): results of a three-group, multicentre single-blind randomized controlled trial. Clin. rehabil., [s.l.], v. 32, n. 12, 18p., 2018. DOI: https://doi.org/10.1177/0269215518785948.
SANTOS, M. T. N. et al. Aplicação da telessaúde na reabilitação de crianças e adolescentes. Rev Paul Pediatr, [s.l.], v. 32, n. 1, p. 136-43, 2014. DOI: https://doi.org/10.1590/S0103-05822014000100020.
SANTOS, M. S. V. et al. Prospecção tecnológica em bases de patentes com foco em corantes e pigmentos alimentícios obtidos de fontes naturais. Res., Soc. Dev., [s.l.], v. 10, n. 3, e53810313603, 2021. DOI: http://dx.doi.org/10.33448/rsd-v10i3.13603.
SEDETEC. Ferramenta de busca – Orbit R/etrieved. 2014. Disponível em: https://www.ufrgs.br/sedetec/?p=660. Acesso em: 10 ago. 2021.
SHIWA, S. et al. PEDro: a base de dados de evidências em fisioterapia. Fisioter. Mov. Curitiba, v. 24, n. 3, p. 523-33, 2011. DOI: https://doi.org/10.1590/S0103-51502011000300017.
SILVA, A. B.; MENDONÇA, G. C. A Indústria de Telessaúde como uma Oportunidade para o Desenvolvimento Econômico na Saúde Pública Brasileira. Cadernos de Prospecção, Salvador, v. 12, n. 5, p. 1.459-1.473, 2019. DOI: https://doi.org/10.9771/cp.v12i5%20Especial.32216.
TAKEMOTO, M. et al. Diet and Activity Assessments and Interventions Using Technology in Older Adults. Am J Prev Med., [s.l.], v. 55, n. 4, p. e105-e115, 2018. DOI: https://doi.org/10.1016/j.amepre.2018.06.005.
TOUSIGNANT, M. et al. A randomized controlled trial of home telerehabilitation for post-knee arthroplasty.J Telemed Telecare, [s.l.], v. 17, n. 4, p. 195-198, 2011. DOI: https://doi.org/10.1258/jtt.2010.100602.
VAN EGMOND, M. A. Physiotherapy With Telerehabilitation in Patients With Complicated Postoperative Recovery After Esophageal Cancer Surgery: Feasibility Study. J. Med. Internet Res., [s.l.], v. 22, n. 6, 12p., 2020. https://doi.org/doi: 10.2196/16056.
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