Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade

Detalhes bibliográficos
Autor(a) principal: Silva, Jonathan Luiz da
Data de Publicação: 2023
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da Uninove
Texto Completo: http://bibliotecatede.uninove.br/handle/tede/3295
Resumo: Introduction: Current knowledge about telerehabilitation in pulmonary hypertension (PH) is limited. The objective of this study was to investigate the precautions and safety of an alternative low-cost, remote, home-based intervention model. Methods: This is a prediction study in which PH participants were directed to the cardiopulmonary rehabilitation laboratory at Universidade Nove de Julho (UNINOVE). Eligible patients were previously evaluated through clinical field tests and pulmonary function tests (spirometry), functional capacity (6-minute walk test, incremental step test and 1-minute stand-and-sit test), evaluated by measurement of hand grip strength and applicability of the specific quality of life questionnaire (emPHasis-10). Participants were allocated and divided into 2 groups: Control Group (CG), which received a folder with guidelines, health education and incentives to practice physical activity through teleconsultation and telemonitoring twice a week for a period of 2 months and Telerehabilitation Group (ETGLE) that received 16 sessions of aerobic training combined with resistance, twice a week for a period of 2 months lasting 60 minutes. After the intervention protocol, both groups were reevaluated Results: 25 participants with PH were recruited and evaluated, of which 16 were evaluated and included in the initial analyses. Adherence to the telerehabilitation exercise protocol was categorized into three groups and the 96% participation rate at 2 months was considered high adherence. We did not obtain records of adverse events related to telerehabilitation, limiting the safety of the protocol. Furthermore, research participants reported and estimated the costs associated with travel if cardiopulmonary rehabilitation was based on centers per day, twice a week and 16 sessions respectively [(U$90.28)(U$180.57)(U$1444.55)]. ETGLE obtained results in functional capacity after 16 remote training sessions, measured by the total six-minute walking distance (6MWD) in meters (m) and %predict respectively: 6MWD[(525±105m) (88±64%prev)] and by the number of climbs in the pre- and post-intervention incremental step test respectively TDIM [(85±25 climbs) (128±61 climbs)] and improvements observed on the scale (2.5±2). Conclusion: Low-cost telerehabilitation via videoconferencing is feasible and safe in this sample. Furthermore, it was possible to obtain benefits in the post- intervention functional capacity stages with the applicability of this protocol , and observed improvements in quality of life and GrOc.
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spelling Sampaio, Luciana Maria Malosáhttp://lattes.cnpq.br/2970138065407046Sampaio, Luciana Maria Malosáhttp://lattes.cnpq.br/2970138065407046Costa, Ivan Pereshttp://lattes.cnpq.br/5306653964880919Palma, Renata Kelly dahttp://lattes.cnpq.br/2990647294511164http://lattes.cnpq.br/5630314165790547Silva, Jonathan Luiz da2024-03-28T16:38:37Z2023-12-11Silva, Jonathan Luiz da. Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade. 2023. 118 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/3295Introduction: Current knowledge about telerehabilitation in pulmonary hypertension (PH) is limited. The objective of this study was to investigate the precautions and safety of an alternative low-cost, remote, home-based intervention model. Methods: This is a prediction study in which PH participants were directed to the cardiopulmonary rehabilitation laboratory at Universidade Nove de Julho (UNINOVE). Eligible patients were previously evaluated through clinical field tests and pulmonary function tests (spirometry), functional capacity (6-minute walk test, incremental step test and 1-minute stand-and-sit test), evaluated by measurement of hand grip strength and applicability of the specific quality of life questionnaire (emPHasis-10). Participants were allocated and divided into 2 groups: Control Group (CG), which received a folder with guidelines, health education and incentives to practice physical activity through teleconsultation and telemonitoring twice a week for a period of 2 months and Telerehabilitation Group (ETGLE) that received 16 sessions of aerobic training combined with resistance, twice a week for a period of 2 months lasting 60 minutes. After the intervention protocol, both groups were reevaluated Results: 25 participants with PH were recruited and evaluated, of which 16 were evaluated and included in the initial analyses. Adherence to the telerehabilitation exercise protocol was categorized into three groups and the 96% participation rate at 2 months was considered high adherence. We did not obtain records of adverse events related to telerehabilitation, limiting the safety of the protocol. Furthermore, research participants reported and estimated the costs associated with travel if cardiopulmonary rehabilitation was based on centers per day, twice a week and 16 sessions respectively [(U$90.28)(U$180.57)(U$1444.55)]. ETGLE obtained results in functional capacity after 16 remote training sessions, measured by the total six-minute walking distance (6MWD) in meters (m) and %predict respectively: 6MWD[(525±105m) (88±64%prev)] and by the number of climbs in the pre- and post-intervention incremental step test respectively TDIM [(85±25 climbs) (128±61 climbs)] and improvements observed on the scale (2.5±2). Conclusion: Low-cost telerehabilitation via videoconferencing is feasible and safe in this sample. Furthermore, it was possible to obtain benefits in the post- intervention functional capacity stages with the applicability of this protocol , and observed improvements in quality of life and GrOc.Introdução: O conhecimento atual sobre telerreabilitação na hipertensão pulmonar (HP) é limitado. O objetivo deste estudo foi investigar a viabilidade e a segurança de um modelo alternativo de intervenção de baixo custo, remoto e domiciliar. Métodos: Trata-se de um estudo de viabilidade em que os participantes com HP foram encaminhados ao laboratório de reabilitação cardiopulmonar da Universidade Nove de Julho (UNINOVE). Os pacientes elegíveis foram previamente avaliados por meio de testes clínicos de campo e de função pulmonar (espirometria), capacidade funcional (teste de caminhada de 6 minutos, teste do degrau incremental e teste de levanta e senta de 1 minuto), avaliamos a medida da força de preensão palmar manual e aplicabilidade do questionário de qualidade de vida especifico (emPHasis-10). Os participantes foram alocados e randomizados em 2 grupos: Grupo Controle (GC), que recebeu um folder com orientações, educação em saúde e incentivados à prática de atividade física por meio de teleconsulta e telemonitoramento 2 vezes na semana por um período de 2 meses e Grupo Telerreabilitação (GTELE) que recebeu 16 sessões de treinamento aeróbio combinado com resistido, duas vezes por semana por um período de 2 meses com duração de 60 minutos. Após o protocolo de intervenção ambos os grupos foram reavaliados Resultados: 25 participantes com HP foram recrutados e avaliados, dos quais 16 foram randomizados e incluídos nas análises iniciais. A adesão ao protocolo de exercícios de telerreabilitação foi categorizada em três grupos e a taxa de participação de 96% em 2 meses considerada alta adesão. Não obtivemos registro de eventos adversos relacionados à telerreabilitação, indicando a segurança do protocolo. Além disso, os participantes da pesquisa relataram e estimaram os custos associados a deslocamentos caso a reabilitação cardiopulmonar fosse baseada em centros por dia, 2 vezes na semana e em 16 sessões respectivamente [(R$ 439,04),(R$ 878,13),(R$ 7.024,99)]. O GTELE obteve resultados na capacidade funcional após 16 sessões de treinamento remoto, medido pela distância total de caminhada de seis minutos (DTC6) em metros(m) e %previsto respectivamente: DTC6(525105m) (8864%prev) e pelo número de subidas no teste de degrau incremental pré e pós-intervenção respectivamente: TDIM [(8525 subidas), (12861 subidas)] e melhorias observadas na qualidade de vida e na EPGM.Submitted by Nadir Basilio (nadirsb@uninove.br) on 2024-03-28T16:38:37Z No. of bitstreams: 1 Jonathan Luiz da Silva.pdf: 1773496 bytes, checksum: 1c245e86d28f9bdbdcb942fdd1263b1a (MD5)Made available in DSpace on 2024-03-28T16:38:37Z (GMT). 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dc.title.por.fl_str_mv Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
dc.title.alternative.eng.fl_str_mv Low-cost telerehabilitation by videoconferencing in participants with pulmonary hypertension: a feasibility study
title Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
spellingShingle Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
Silva, Jonathan Luiz da
exercício
hipertensão pulmonar
telereabilitação
exercise
pulmonary hypertension
telerehabilitation
CIENCIAS DA SAUDE
title_short Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
title_full Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
title_fullStr Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
title_full_unstemmed Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
title_sort Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade
author Silva, Jonathan Luiz da
author_facet Silva, Jonathan Luiz da
author_role author
dc.contributor.advisor1.fl_str_mv Sampaio, Luciana Maria Malosá
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/2970138065407046
dc.contributor.referee1.fl_str_mv Sampaio, Luciana Maria Malosá
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/2970138065407046
dc.contributor.referee2.fl_str_mv Costa, Ivan Peres
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/5306653964880919
dc.contributor.referee3.fl_str_mv Palma, Renata Kelly da
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/2990647294511164
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/5630314165790547
dc.contributor.author.fl_str_mv Silva, Jonathan Luiz da
contributor_str_mv Sampaio, Luciana Maria Malosá
Sampaio, Luciana Maria Malosá
Costa, Ivan Peres
Palma, Renata Kelly da
dc.subject.por.fl_str_mv exercício
hipertensão pulmonar
telereabilitação
topic exercício
hipertensão pulmonar
telereabilitação
exercise
pulmonary hypertension
telerehabilitation
CIENCIAS DA SAUDE
dc.subject.eng.fl_str_mv exercise
pulmonary hypertension
telerehabilitation
dc.subject.cnpq.fl_str_mv CIENCIAS DA SAUDE
description Introduction: Current knowledge about telerehabilitation in pulmonary hypertension (PH) is limited. The objective of this study was to investigate the precautions and safety of an alternative low-cost, remote, home-based intervention model. Methods: This is a prediction study in which PH participants were directed to the cardiopulmonary rehabilitation laboratory at Universidade Nove de Julho (UNINOVE). Eligible patients were previously evaluated through clinical field tests and pulmonary function tests (spirometry), functional capacity (6-minute walk test, incremental step test and 1-minute stand-and-sit test), evaluated by measurement of hand grip strength and applicability of the specific quality of life questionnaire (emPHasis-10). Participants were allocated and divided into 2 groups: Control Group (CG), which received a folder with guidelines, health education and incentives to practice physical activity through teleconsultation and telemonitoring twice a week for a period of 2 months and Telerehabilitation Group (ETGLE) that received 16 sessions of aerobic training combined with resistance, twice a week for a period of 2 months lasting 60 minutes. After the intervention protocol, both groups were reevaluated Results: 25 participants with PH were recruited and evaluated, of which 16 were evaluated and included in the initial analyses. Adherence to the telerehabilitation exercise protocol was categorized into three groups and the 96% participation rate at 2 months was considered high adherence. We did not obtain records of adverse events related to telerehabilitation, limiting the safety of the protocol. Furthermore, research participants reported and estimated the costs associated with travel if cardiopulmonary rehabilitation was based on centers per day, twice a week and 16 sessions respectively [(U$90.28)(U$180.57)(U$1444.55)]. ETGLE obtained results in functional capacity after 16 remote training sessions, measured by the total six-minute walking distance (6MWD) in meters (m) and %predict respectively: 6MWD[(525±105m) (88±64%prev)] and by the number of climbs in the pre- and post-intervention incremental step test respectively TDIM [(85±25 climbs) (128±61 climbs)] and improvements observed on the scale (2.5±2). Conclusion: Low-cost telerehabilitation via videoconferencing is feasible and safe in this sample. Furthermore, it was possible to obtain benefits in the post- intervention functional capacity stages with the applicability of this protocol , and observed improvements in quality of life and GrOc.
publishDate 2023
dc.date.issued.fl_str_mv 2023-12-11
dc.date.accessioned.fl_str_mv 2024-03-28T16:38:37Z
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dc.identifier.citation.fl_str_mv Silva, Jonathan Luiz da. Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade. 2023. 118 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.
dc.identifier.uri.fl_str_mv http://bibliotecatede.uninove.br/handle/tede/3295
identifier_str_mv Silva, Jonathan Luiz da. Telerreabilitação de baixo custo por videoconferência em participantes com hipertensão pulmonar: um protocolo de estudo de viabilidade. 2023. 118 f. Tese( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.
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dc.publisher.initials.fl_str_mv UNINOVE
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Saúde
publisher.none.fl_str_mv Universidade Nove de Julho
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