Impact on rehabilitation programs during COVID-19 containment for children with pediatric and perinatal stroke

Bertamino, Marta; Cornaglia, Sara; Zanetti, Alice; Rocco, Alessia Di; Ronchetti, Anna; Signa, Sara; Severino, Mariasavina; Moretti, Paolo

doi:10.23736/s1973-9087.20.06407-2

Cited by 19 publications

(30 citation statements)

References 5 publications

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“…This was confirmed by participants in the survey: approximately one-third of both groups were engaged in telerehabilitation; moreover, 43.1% of parents and 32.1% of adolescents received calls by professionals of the rehabilitation centers for monitoring. Our data confirm the trend reported by Bertamino et al [25], who reported that telerehabilitation and indirect remote monitoring modalities were used in 23.5% and 42.6% of cases, respectively, interviewing 68 parents referring to the Gaslini Hospital (Genova, Italy).…”

Section: Discussionsupporting

confidence: 91%

How Did Italian Adolescents with Disability and Parents Deal with the COVID-19 Emergency?

Faccioli

Lombardi

Bellini

et al. 2021

IJERPH

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The COVID-19 emergency has imposed distanced education and has interrupted most rehabilitation services. Adolescents with disabilities have been isolated, and the burden on their families has been exacerbated. A cross-sectional survey was administered to adolescents with disability and to parents of disabled children to describe their experience during lockdown and their concerns or expectations about rehabilitation. A sample of 53 adolescents and 239 parents completed the survey. Adolescents were ages 13–18 years old (45.3% female). Most parents were between 35 and 55 years old (84.9% female). While 53.6% of the parents reported no positive effects of the lockdown, 92.5% of the adolescents expressed favorable consequences. The increased time spent with family members was judged positively by 27.2% of parents and by 64.2% of adolescents. Concern for their child’s disability was expressed by 47.3% of parents, while 73.6% of adolescents expressed concerns regarding the ban on meeting friends. In both groups, anxiety symptoms were correlated with the fear of contracting COVID-19 and with financial problems. Parents would have liked even more remote support from school and healthcare professionals, which was available for most participants. Thus, socioeconomic support, assistive technology and telerehabilitation strategies might help families with disabilities during a lockdown.

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Section: Discussionsupporting

confidence: 91%

How Did Italian Adolescents with Disability and Parents Deal with the COVID-19 Emergency?

Faccioli

Lombardi

Bellini

et al. 2021

IJERPH

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“…Only 5.9% of 68 children continued conventional physiotherapy; 19 (27.9%) of 68 children discontinued their conventional program, and telerehabilitation and indirect remote supervision were used in 23.5% (16/68) and 42.6% (29/68) of cases, respectively, in Italy during the COVID-19 pandemic. The average hours of rehabilitation decreased from 3.5 to 2.5 h during the pandemic in Italy [9]. In the current study, 12.9% and 53.2% of 94 children discontinued or took a break from their physiotherapy sessions, respectively.…”

Section: Discussionmentioning

confidence: 43%

“…Many rehabilitation centers and special education and rehabilitation centers for disabled children slowed down their activities, in response to the social distancing measures implemented in order to reduce the spread of the infection through the population [7,8]. The fact that children with CP were required to stay away from rehabilitation services for a long time may adversely affect their functionality, mental health, and psychological status [9].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the effects of the COVID-19 pandemic on children with cerebral palsy, caregivers’ quality of life, and caregivers' fear of COVID-19 with telemedicine

et al. 2021

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Background The sudden and unexpected pandemic changed the daily routine of the children with cerebral palsy (CP) and their caregivers. Aims This study aimed to investigate the impact of the novel coronavirus (COVID-19) pandemic on the utilization of health and rehabilitation services and the general health and physical status of children with CP. In addition, the second aim of the study was to examine the effects of the COVID-19 pandemic on caregivers’ quality of life (QOL) and their fear of COVID-19. Methods The utilization of children health and rehabilitation services during the pandemic, the general health and physical status of the children during the pandemic, and the children and caregivers’ history of COVID-19 infections were questioned. Furthermore, the caregivers’ level of fear of COVID-19 and their QOL were examined. Results One hundred twenty caregivers were contacted by phone, and 94 (78.33%) caregivers agreed to participate in the study. Sixty-three of 94 children (67.1%) did not attend their routine control check-up during the pandemic. Twelve children (12.8%) discontinued their physical therapy sessions during the pandemic. Caregivers physical and mental QOL significantly decreased during the pandemic ( p < 0.05). The median of caregivers’ Fear of COVID-19 scale (FCV-19S) was 17.5 (7–35). Conclusion We think that more attention should be given to telerehabilitation and telemedicine services of the clinicians who deal with the children with CP, and their caregivers in order to prevent the negative effects of future pandemic periods.

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“…A prática do telemonitoramento da fisioterapia já foi relatada anteriormente em diferentes patologias, a exemplo da osteoartrite de joelho (Allen et al, 2010;Odele et al, 2014;Azma et al, 2018), problemas ortopédicos do ombro (Eriksson et al, 2011;Gleyze et al, 2011), fraturas (Tousignant et al, 2015), artroplastia Hørdam et al, 2010;Li et al, 2014;Mofet et al, 2015), dor lombar (Iles et al, 2011), acidente vascular cerebral (AVC) (Hermens et al, 2008;Huijgen et al, 2008;Cramer et al, 2019), Parkinson (Gandolfi et al, 2017), cardiopatias (Furber et al, 2010;Batalik et al, 2020;Coroy et al, 2020) e problemas pediátricos (Bertamino et al, 2020). O telemonitoramento é uma estratégia que pode prevenir o colapso do sistema de saúde.…”

Section: Resultsunclassified

“…No estudo de Cramer et al (2019), compararam a eficácia da telereabilitação com a modalidade presencial em 124 pacientes com AVC e observaram uma melhora na função motora dos pacientes nas duas modalidades. Bertamino et al (2020), investigaram o impacto do programa de reabilitação durante a COVID-19 pelo confinamento em 98 crianças com problemas neurológicos e mostraram que a reabilitação mesmo sendo realizada pelos genitores era importante por promover estímulo ativo nas crianças, podendo ser relevante para evitar seus agravamentos clínicos. Nesta presente experiência, 44% do total dos 104 pacientes era da área da neurologia, um número razoavelmente alto entre os pacientes atendidos no DFTL que necessitam de cuidados constantes e a interrupção dos seus tratamentos poderiam promover complicações funcionais mais severas.…”

Section: Resultsunclassified

Telemonitoramento em usuários do SUS por estudantes de fisioterapia e fisioterapeutas durante a pandemia da COVID-19: relato de experiência / Telemonitoring in SUS users by physiotherapy students and physiotherapist during the COVID-19 pandemic: experience report

Batista¹,

Rebouças²,

Almeida³

et al. 2021

Braz. J. Hea. Rev.

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RESUMOO SARS-CoV2 é um novo vírus respiratório que afeta os seres humanos e vem apresentando alta transmissibilidade, elevado números de casos e alta mortalidade representando um desafio à saúde pública. Diante disso, estratégias de enfretamento como o distanciamento social e adoção de atividades como telemonitoramento foram implementadas como alternativa para prevenir, promover saúde e proporcionar continuidade do processo de reabilitação. O objetivo do estudo é relatar a experiência de discentes de graduação em fisioterapia e fisioterapeutas com as atividades do telemonitoramento durante a pandemia pelo novo coronavírus para a manutenção do cuidado com os usuários do Sistema Único de Saúde (SUS). Trabalho descritivo, relato de experiência, ocorrida durante os meses de abril a setembro de 2020 através de telemonitoramento dos usuários do SUS atendidos anteriormente na clínica escola do Departamento de Fisioterapia da Universidade de Sergipe -Campus Lagarto (DFTL). As atividades foram desenvolvidas por fisioterapeutas e discentes do DFTL inicialmente, foi feito uma observação do cenário, teorização, planejamento de estratégias de ação e formas de execução. O contato com os usuários do SUS foi via telefone tanto através de ligações como por aplicativo de mensagem instantânea. A estratégia fortaleceu o vínculo entre comunidade e a universidade, difundiu conhecimento, estimulou a prática de exercícios físicos e contribuiu para formação humanizada e edificada dos discentes envolvidos. A adoção das práticas do telemonitoramento foram medidas rápidas e se mostraram eficazes por proporcionar aos usuários do SUS à continuidade dos serviços, diminuindo assim o risco de exposição ao vírus para esses usuários.

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Impact on rehabilitation programs during COVID-19 containment for children with pediatric and perinatal stroke

Cited by 19 publications

References 5 publications

How Did Italian Adolescents with Disability and Parents Deal with the COVID-19 Emergency?

How Did Italian Adolescents with Disability and Parents Deal with the COVID-19 Emergency?

Evaluation of the effects of the COVID-19 pandemic on children with cerebral palsy, caregivers’ quality of life, and caregivers' fear of COVID-19 with telemedicine

Telemonitoramento em usuários do SUS por estudantes de fisioterapia e fisioterapeutas durante a pandemia da COVID-19: relato de experiência / Telemonitoring in SUS users by physiotherapy students and physiotherapist during the COVID-19 pandemic: experience report

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