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Desenvolvimento de uma plataforma de reabilitação interativa para doentes com Acidentes Vasculares Cerebrais
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No início do século XXI, na Europa, foram relatados cerca de 1,1 milhões de casos de
derrames cerebrais por ano, a maior parte derivados a acidentes vasculares cerebrais (AVC).
Tendo em conta todas as consequências derivadas deste episódio, essencialmente as que afe-
tam o membro superior, responsável pela execução das atividades essenciais do quotidiano, é
compreensível a necessidade do desenvolvimento de novos métodos de prevenção destes epi-
sódios bem como melhores estratégias para as inevitáveis reabilitações.
Desde cedo que as novas tecnologias para reabilitação têm sido bastante divulgadas e
despertado grande interesse. Através da sua utilização, é possível tornar a reabilitação um
processo remoto, o que leva a uma reabilitação mais interessante e à possibilidade de os doen-
tes serem orientados mesmo fora dos centros de reabilitação.
O propósito deste estudo consiste no desenvolvimento e implementação de uma plata-
forma de telereabilitação, que, para além de permitir a incorporação de toda a informação clí-
nica dos doentes, permite a prescrição de planos de exercícios direcionados à reabilitação do
membro superior sobre a forma de vídeo, a avaliação funcional, a análise da evolução, e o
acompanhamento da reabilitação através de uma janela de mensagens.
O desenvolvimento da plataforma foi feito utilizando CSS, HTML, JavaScript e PHP,
sendo a esta associada uma base de dados para o armazenamento de toda a informação neces-
sária (com recurso a MySQL).
A utilização deste tipo de sistemas é fundamental, visto possibilitar a continuidade do
processo de reabilitação em casa, o que maximiza todo o processo evolutivo. Tendo em conta
tudo o que foi referido, e da possibilidade de adicionar novos exercícios ao sistema a qualquer
momento, o doente consegue ter apoio da equipa de reabilitação ao conseguir expor todas as
suas dúvidas na janela de mensagens disponibilizada, sempre que for necessário.
Para além da validação da plataforma através dos questionários disponibilizados a um
grupo de profissionais de saúde, todas as funcionalidades idealizadas foram implementadas
com sucesso, o que nos leva a perceber que o sistema apresentado é bastante promissor e um
complemento fundamental à reabilitação dos doentes.
Since the beginning of the 21st century, in Europe, there has been an incidence of 1.1 million cases of strokes per year. Taking into consideration the consequences resulting from a stroke, there has been a growing need to develop new prevention methods as well as better rehabilitation strategies. Despite the optimistic results obtained with physiotherapy and other conventional methods, these can become monotonous and demotivating for the patient, which leads us to look for other solutions. New technologies for rehabilitation have been widely dis- seminated and inspired great interest. Through its use, it is possible to make rehabilitation a remote process, which leads to a more interesting process becoming more stimulating and creating the possibility for patients to be guided even outside the rehabilitation centres. The purpose of this study is to develop and implement a telerehabilitation platform, which, in addition to allowing the incorporation of all clinical information from patients, au- thorizes the prescription of exercise plans aimed at upper limb rehabilitation into the form of a video, functional assessment, evolution analysis, and rehabilitation follow-up through a message window. The development of the platform was done using CSS, HTML, JavaScript, and PHP, with a database associated with it to store all the necessary information (using MySQL). This type of system is essential, as it allows the continuation of the rehabilitation process at home, which maximizes the entire evolutionary process. Considering all the above, and the possibility of adding new exercises to the system at any time, the patient can have the support of the rehabilitation team, by being able to express all their doubts in the chat window pro- vided, whenever necessary. In addition to validating the platform through questionnaires made available to a group of health professionals, all the idealized features were successfully implemented, concluding that the system presented is promising and a necessary complement to rehabilitation.
Since the beginning of the 21st century, in Europe, there has been an incidence of 1.1 million cases of strokes per year. Taking into consideration the consequences resulting from a stroke, there has been a growing need to develop new prevention methods as well as better rehabilitation strategies. Despite the optimistic results obtained with physiotherapy and other conventional methods, these can become monotonous and demotivating for the patient, which leads us to look for other solutions. New technologies for rehabilitation have been widely dis- seminated and inspired great interest. Through its use, it is possible to make rehabilitation a remote process, which leads to a more interesting process becoming more stimulating and creating the possibility for patients to be guided even outside the rehabilitation centres. The purpose of this study is to develop and implement a telerehabilitation platform, which, in addition to allowing the incorporation of all clinical information from patients, au- thorizes the prescription of exercise plans aimed at upper limb rehabilitation into the form of a video, functional assessment, evolution analysis, and rehabilitation follow-up through a message window. The development of the platform was done using CSS, HTML, JavaScript, and PHP, with a database associated with it to store all the necessary information (using MySQL). This type of system is essential, as it allows the continuation of the rehabilitation process at home, which maximizes the entire evolutionary process. Considering all the above, and the possibility of adding new exercises to the system at any time, the patient can have the support of the rehabilitation team, by being able to express all their doubts in the chat window pro- vided, whenever necessary. In addition to validating the platform through questionnaires made available to a group of health professionals, all the idealized features were successfully implemented, concluding that the system presented is promising and a necessary complement to rehabilitation.
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Palavras-chave
AVC Reabilitação Telemedicina Telereabilitação