Telerehabilitation in pediatric neurofunctional physical therapy during the COVID-19 pandemics: parent’s perception, challenges and contributions

Authors

DOI:

https://doi.org/10.17267/2238-2704rpf.2023.e4907

Keywords:

Telehealth, Physical Therapy, Motor Skills Disorders, Social Isolation, COVID-19

Abstract

INTRODUCTION: Telerehabilitation is a modality of care provided remotely that was considered a fundamental resource during the COVID-19 pandemic. However, it was a modality not yet experienced by many professionals and family members. OBJECTIVE: To describe the perception of parents or guardians of children undergoing physical therapy, about the challenges and contributions of the experience with telerehabilitation performed in an outpatient service during the COVID-19 pandemics. MATERIAL AND METHODS: An exploratory cross-sectional observational study carried out with parents or guardians of children, aged between 0 and 12 years old, with any neurological or musculoskeletal health condition in physiotherapeutic treatment by telerehabilitation, from June to August 2021. A questionnaire prepared by the authors with questions about the perception of those responsible, challenges and contributions of telerehabilitation was sent to those responsible through a Google Forms link, by email or mobile messaging app and was self-applied. Descriptive analysis of the data collected was carried out through the frequency of responses from parents or guardians on specific questions. Numerical variables were presented as mean ± standard deviation and categorical variables as absolute and relative frequencies. RESULTS: Eighteen guardians received and answered the questionnaire completely. The mother was the most cited guardian, most children received care twice a week and the most prevalent diagnosis was cerebral palsy. Seventy-three percent of those responsible rated telerehabilitation as above the expected level and with a contribution beyond their expectations. According to them, the greatest contribution of telerehabilitation was the satisfactory motor development presented by the children during the period of social isolation. CONCLUSION: According to the parents' perception of the challenges and contributions of the experience with telerehabilitation performed in outpatient service, the benefits seem to outweigh the challenges.

Downloads

Download data is not yet available.

References

(1) World Health Organization. Statement on the second meeting of the International Health Regulations (2005) Emergency Committee regarding the outbreak of novel coronavirus (2019-nCoV). Geneva: World Health Organization; 2020. Available on: https://www.who.int/news-room/detail/01-08-2020-statement-on-the-fourth-meeting-of-the-international-health-regulations-(2005)-emergency-committee-regarding-the-outbreak-of-coronavirus-disease-(covid-19)

(2) Dantas LO, Barreto RPG, Ferreira CHJ. Digital physical therapy in the COVID-19 pandemic. Braz J Phys Ther. 2020;24(5):381-383. https://doi.org/10.1016/j.bjpt.2020.04.006

(3) COFFITO (Brazil). Resolução COFFITO nº. 516, de 20 de março de 2020. Dispõe sobre a suspensão temporária do Artigo 15, inciso II e Artigo 39 da Resolução COFFITO nº 424/2013 e Artigo 15, inciso II e Artigo 39 da Resolução COFFITO nº 425/2013 e estabelece outras providências durante o enfrentamento da crise provocada pela Pandemia do COVID - 19. Brasília: Diário Oficial da União nº.56, Seção 1, de 23/03/2020; 2020. Available on: https://www.coffito.gov.br/nsite/?p=15825

(4) Aquino EML, Silveira IH, Pescarini JM, Aquino R, Souza-Filho JA, Rocha AS, et al. Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Ciênc Saúde Coletiva 2020;25(1):2423–46. https://doi.org/10.1590/1413-81232020256.1.10502020

(5) Fioratti I, Fernandes LG, Reis FJ, Saragiotto BT. Strategies for a safe and assertive telerehabilitation practice. Braz J Phys Ther. 2021;25(2):113-116. https://doi.org/10.1016/j.bjpt.2020.07.009

(6) Agostini M, Moja L, Banzi R, Pistotti V, Tonin P, Venneri A, et al. Telerehabilitation and recovery of motor function: a systematic review and meta-analysis. J Telemed Telecare. 2015;21(4):202-13. https://doi.org/10.1177/1357633X15572201

(7) Camden C, Silva M. Pediatric teleheath: Opportunities created by the COVID-19 and suggestions to sustain its use to support families of children with disabilities. Physical & Occupational Therapy in Pediatrics. 2021;41(1):1–17. https://doi.org/10.1080/01942638.2020.1825032

(8) Noritz GH, Murphy NA; Neuromotor Screening Expert Panel. Motor delays: early identification and evaluation. Pediat. 2013;131(6):e2016-27. Erratum in: Pediat. 2017;140(3). https://doi.org/10.1542/peds.2013-1056

(9) Mockford M, Caulton JM. The pathophysiological basis of weakness in children with cerebral palsy. Pediatr Phys Ther. 2010;22(2):222-33. https://doi.org/10.1097/PEP.0b013e3181dbaf96

(10) Arichi T, Cadwgan J, McDonald A, Patel A, Turner S, Barkey S, et al. Neurodisability care in the time of COVID-19. Child Care Health Dev. 2022;48(6):901-905. https://doi.org/10.1111/cch.13015

(11) Brianeze ACGS, Cunha AB, Peviani SM, Miranda VCR, Tognetti VBL, Rocha NACF. Effect of a functional physical therapy program on cerebral palsy children, associated to guidance for their caregivers: a preliminary study. Fisioter Pesqui. 2009;16(1):40-45. https://doi.org/10.1590/S1809-29502009000100008

(12) Novak I. Evidence-based diagnosis, health care, and rehabilitation for children with cerebral palsy. J Child Neurol. 2014;29(8):1141-56. https://doi.org/10.1177/0883073814535503

(13) Morgan C, Fetters L, Adde L, Badawi N, Bancale A, Boyd RN, et al. Early intervention for children aged 0 to 2 years with or at high risk of cerebral palsy: international clinical practice guideline based on systematic reviews. JAMA Pediatr. 2021;175(8):846-858. https://doi.org/10.1001/jamapediatrics.2021.0878

(14) Lillo-Navarro C, Montilla-Herrador J, Escolar-Reina P, Oliveira-Sousa SL, García-Vidal JA, Medina-Mirapeix F. Factors associated with parents' adherence to different types of exercises in home programs for children with disabilities. J Clin Med. 2019;8(4):456. https://doi.org/10.3390/jcm8040456

(15) Portillo-Aceituno A, Calderón-Bernal A, Pérez-Corrales J, Fernández-de-Las-Peñas C, Palacios-Ceña D, Güeita-Rodríguez J. The impact of digital physical therapy during COVID-19 lockdown in children with developmental disorders: A qualitative study. Braz J Phys Ther. 2022;26(5):100445. https://doi.org/10.1016/j.bjpt.2022.100445

(16) Rohr LA, Weber MD, Fritsch SRS, Menegussi JM, Tudella E. Telemonitoring in early intervention during the COVID-19 pandemic: a perception of family members and physiotherapists. Movim [Internet]. 2021;14(2):172-87. Available on: https://www.revista.ueg.br/index.php/movimenta/article/view/11360

(17) Ogourtsova T, Boychuck Z, O'Donnell M, Ahmed S, Osman G, Majnemer A. Telerehabilitation for children and youth with developmental disabilities and their families: A systematic review. Phys Occup Ther Pediatr. 2023;43(2):129-175. https://doi.org/10.1080/01942638.2022.2106468

(18) Palisano RJ, Rosenbaum P, Bartlett D, Livingston MH. Content validity of the expanded and revised Gross Motor Function Classification System. Dev Med Child Neurol. Oct 2008;50(10):744-50. https://doi.org/10.1111/j.1469-8749.2008.03089.x

(19) Portnoy J, Waller M, Elliott T. Telemedicine in the Era of COVID-19. J Allergy Clin Immunol Pract. 2020;8(5):1489-1491. https://doi.org/10.1016/j.jaip.2020.03.008

(20) Meireles ALF, Meireles LCF. Impact of social isolation due to the COVID-19 pandemic in patients with pediatric disorders: Rehabilitation perspectives from a developing country. Phys Ther. 2020;100(11):1910-12. https://doi.org/10.1093/ptj/pzaa152

(21) Caffery LJ, Farjian M, Smith AC. Telehealth interventions for reducing waiting lists and waiting times for specialist outpatient services: A scoping review. J Telemed Telecare. 2016;22(8):504-512. https://doi.org/10.1177/1357633X16670495

(22) Tanner K, Bican R, Boster J, Christensen C, Coffman C, Fallieras K, et al. Feasibility and acceptability of clinical pediatric telerehabilitation services. Int J Telerehabil. 2020;12(2):43-52. https://doi.org/10.5195/ijt.2020.6336

(23) Murphy A, Pinkerton LM, Bruckner E, Risser HJ. The impact of the novel coronavirus disease 2019 on therapy service delivery for children with disabilities. J Pediatr. 2021;231:168-177. https://doi.org/10.1016/j.jpeds.2020.12.060

(24) Oliveira SMS, Almeida CS, Valentini NC. Physiotherapy program in applied motor development in babies healthy family environment. Rev Educ Fis. 2012;23(1):25-35. https://doi.org/10.4025/reveducfis.v23i1.11551

(25) Novak I, Berry J. Home program intervention effectiveness evidence. Phys Occup Ther Pediatr. 2014;34(4):384-9. https://doi.org/10.3109/01942638.2014.964020

(26) Santos MT, Moura SC, Gomes LM, Lima AH, Moreira RS, Silva CD, et al. Telehealth application on the rehabilitation of children and adolescents. Rev Paul Pediatr. 2014;32(1):136-43. https://doi.org/10.1590/s0103-05822014000100020

(27) Formiga CKMR, Dionisio J, Silva CFR, Tudella E. Caregivers and physical therapists' perceptions of telehealth for infants with Down Syndrome during COVID-19: Case reports. Resear, Soc and Develop. 2021;10(3):e27710313460. https://doi.org/10.33448/rsd-v10i3.13460

Published

03/15/2023

Issue

Section

Original Articles

How to Cite

1.
Rodrigues SMA, Feliciano JS, Coutinho PFF, Melo DPG, Gonçalves RV. Telerehabilitation in pediatric neurofunctional physical therapy during the COVID-19 pandemics: parent’s perception, challenges and contributions. Rev Pesq Fisio [Internet]. 2023 Mar. 15 [cited 2024 May 17];13:e4907. Available from: https://www5.bahiana.edu.br/index.php/fisioterapia/article/view/4907

Most read articles by the same author(s)

<< < 5 6 7 8 9 10 11 12 13 14 > >>