CHALLENGES FOR IMPLEMENTATION OF STANDING PILATES TELEREHABILITATION FOR RHEUMATOID ARTHRITIS DURING THE COVID-19 PANDEMIC
DOI:
https://doi.org/10.56238/arev7n11-205Keywords:
Telerehabilitation, Physical Therapy, Exercise Movement Techniques, Rheumatoid Arthritis, COVID-19Abstract
To present the challenges for implementing telerehabilitation with Pilates for Rheumatoid Arthritis (RA) during the COVID-19 pandemic and the procedures to adapt the in-person format to the remote one. This is an experience report of the extension project “Pilates for Rheumatoid Arthritis patients", initially carried out in person and adapted to the remote format during the Covid-19 Pandemic, through changes in the exercise protocol, in the evaluation and monitoring of the participants and in the guidance for extension students. The evaluation was adapted with a structured form in the biopsychosocial model. The physical examination included functional instruments, inspection of active mobility and self-tests (anthropometry, vital signs, self-palpation, self-resistance, orthopedic tests). The exercise protocol was adapted using a chair instead of a ball and water bottles instead of elastic bands. Body weight was used as external resistance. The adaptations for telerehabilitation were limited by internet problems, adjustment of the equipment at home, and misunderstanding of the exercises. It was possible to adapt Pilates for telerehabilitation through video call, changes in the protocol, and in the accessories for the exercises. The modification of the command voice and the guarantee of synchronous supervision in each session helped with the participants' security.
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References
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