DESAFÍOS PARA LA IMPLEMENTACIÓN DE LA TELEREHABILITACIÓN CON PILATES DE PIE PARA LA ARTRITIS REUMATOIDE DURANTE LA PANDEMIA DE COVID-19
DOI:
https://doi.org/10.56238/arev7n11-205Palabras clave:
Telerehabilitación, Fisioterapia, Pilates, Artritis Reumatoide, CoronavirusResumen
Este artículo presenta los retos de la implementación de la telerehabilitación con Pilates para la artritis reumatoide (AR) durante la pandemia de COVID-19 y los procedimientos para adaptar el formato presencial a uno remoto. Se trata de un informe de experiencia del proyecto de extensión «Pilates para pacientes con artritis reumatoide» (PilatesAR), inicialmente presencial y adaptado a un formato remoto durante la pandemia de COVID-19 mediante modificaciones en el protocolo de ejercicios, la evaluación y el seguimiento de los participantes, y la orientación para los estudiantes del proyecto. La evaluación se adaptó utilizando un formulario estructurado basado en el modelo biopsicosocial. La exploración física incluyó instrumentos funcionales, la inspección de la movilidad activa y autoevaluaciones (antropometría, constantes vitales, autopalpación, resistencia muscular y pruebas ortopédicas). El protocolo de ejercicios se adaptó utilizando una silla en lugar de una pelota y botellas de agua en lugar de bandas elásticas. Se utilizó el peso corporal como resistencia externa. Las adaptaciones para la telerehabilitación se vieron limitadas por problemas de conexión a internet, la adaptación del equipo en el hogar y la comprensión de los ejercicios. Fue posible adaptar Pilates a la telerehabilitación mediante videollamadas, cambios en el protocolo y modificaciones en el equipo de ejercicio. La modificación de las indicaciones de voz y la supervisión sincrónica en cada sesión contribuyeron a la seguridad de los participantes.
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