Avaliação do risco de quedas em idosos comunitários após atendimento presencial ou por telerreabilitação : Risk assessment of falls in community-dwelling elderly individuals after in-person or tele-rehabilitation interventions

• Autor(a) principal: Andriola, André Hillebrand
• Data de Publicação: 2023
• Outros Autores: Dipp, Thiago, Martins, Patrícia, Poersch, Karla, Santos de Carvalho, Murilo, Karolczak, Ana Paula
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: FisiSenectus
• Texto Completo: https://bell.unochapeco.edu.br/revistas/index.php/fisisenectus/article/view/7823
• topic: Telerehabilitation; Accident falls; Exercise; Telerreabilitação; Acidentes por Quedas; Exercício Físico; Telerrehabilitación; Accidentes por Caídas; Ejercicio Físico

INTRODUCTION: Telerehabilitation can reduce barriers to healthcare access and healthcare costs for society. Falls in the elderly represent a significant cause of hospitalizations, disability, and mortality, and physical exercise can reduce this risk of falls. OBJECTIVE: To evaluate the effect of a telerehabilitation protocol on the risk of falls in community-dwelling elderly individuals. METHODOLOGY: A clinical trial with two groups: in-person home-based care (GP) and telerehabilitation via video calls (GT), following the OTAGO protocol for fall prevention. Sociodemographic data, fall history, and risk factors were collected, along with functional tests and the mini-mental state examination, both before and after the intervention. Statistical analysis adopted p<0.05 as the level of significance. RESULTS: A total of 24 elderly participants took part, with 17 in the telerehabilitation group (GT) and 7 in the in-person group (GP). No statistical differences were observed in the initial characteristics between the groups (p>0.05). More than 60% of the participants reported falls in the last 12 months, both in GT (64.7%) and GP (66.7%). There was no significant difference in fall characteristics between the groups (p>0.05). A significant difference was found in the Functional Reach Test, where GT achieved an average of 26.70±8.75 cm, while GP achieved 13.94±3.13 cm after the intervention (p<0.05). CONCLUSION: Both modes of care were found to be satisfactory in reducing the risk of falls in the assessed elderly individuals.