RESUMO
This review analyzes the existing studies on home care rehabilitation and physiotherapy in patients with a knee prosthesis intervention, identifying and synthesising the results of the interventions measured in terms of muscular strength, function, extension of the joint, walking, patient's quality of life and cost of the service, compared with other alternative treatments. Nine databases have been analysed: IME, ENFISPO, CUIDEN PLUS, PUBMED, EMBASE, CINAHL, PEDro, COCHRANE library Plus and TRIP DATA BASE where 18 studies met the criteria for inclusion with information on 4,996 patients. Home care rehabilitation varies from one place to another and between studies (forms of care, application, duration, variable measures); but the idea is supported that this is as effective and acceptable as that received in an outpatients' department. It accelerates the attainment of functional achievements in the short and medium term, entailing very brief hospital stays and a reduction in costs.
Assuntos
Artroplastia do Joelho/reabilitação , Serviços de Assistência Domiciliar , Prótese do Joelho , Modalidades de Fisioterapia , HumanosRESUMO
En esta revisión se analizan los estudios sobre rehabilitación y fisioterapia domiciliaria existentes en pacientes intervenidos con prótesis de rodilla, identificando y sintetizando los resultados de las intervenciones medidas en términos de fuerza muscular, función, amplitud articular, marcha, calidad de vida del paciente y coste del servicio, comparados con otras alternativas de tratamiento. Se han revisado nueve bases de datos: IME, ENFISPO, CUIDEN PLUS, PUBMED, EMBASE, CINAHL, PEDro, COCHRANE library Plus y TRIP DATA BASE donde 18 estudios cumplieron los criterios de inclusión con información sobre 4.996 pacientes. La rehabilitación domiciliaria varía de un lugar a otro y entre estudios (formas de atención, aplicación, duración, variables medidas); pero se respalda la idea de que ésta es tan efectiva y aceptable como la recibida ambulatoriamente. Acelera la consecución de logros funcionales a corto y medio plazo, conllevando estancias hospitalarias más breves y reducción de costes(AU)
This review analyzes the existing studies on homecare rehabilitation and physiotherapy in patients with a knee prosthesis intervention, identifying and synthesizing the results of the interventions measured in terms of muscular strength, function, extension of the joint, walking, patients quality of life and cost of the service, compared with other alternative treatments. Nine databases have been analysed: IME, ENFISPO, CUIDEN PLUS, PUBMED, EMBASE, CINAHL, PEDro, COCHRANE library Plus and TRIP DATA BASE where 18 studies met the criteria for inclusion with information on 4,996 patients. Home care rehabilitation varies from one place to another and between studies (forms of care, application, duration, variable measures); but the idea is supported that this is as effective and acceptable as that received in an outpatients department. It accelerates the attainment of functional achievements in the short and medium term, entailing very brief hospital stays and a reduction in costs(AU)
Assuntos
Humanos , /reabilitação , Osteoartrite do Joelho/cirurgia , Serviços Hospitalares de Assistência Domiciliar , Recuperação de Função FisiológicaRESUMO
No disponible
Assuntos
Humanos , Transtornos Cerebrovasculares/epidemiologia , Continuidade da Assistência ao Paciente/tendências , Prevenção Primária , Estudos RetrospectivosRESUMO
ObjetivosConocer los principales servicios de fisioterapia domiciliaria que oferta el Sistema Sanitario Público para las personas mayores dependientes de la Península Ibérica (España y Portugal).Estrategia de búsquedaRevisión bibliográfica actualizada y exhaustiva sobre los estudios previos; estancia de investigación en Hospitales, Centros de Salud y organismos financiados por la Administración Pública en ambos países; entrevistas en profundidad a informantes estratégicos.Síntesis de los resultadosSe describe la situación de la fisioterapia domiciliaria en España, desde el año 1987 hasta agosto de 2008. Se detecta que en Portugal la fisioterapia domiciliaria está recogida en la cartera de servicios de atención primaria (Decreto-Ley no 28/2008, del 22 de febrero).ConclusionesExisten pocas investigaciones a nivel de la Península que ofrezcan datos objetivos basados en la evidencia científica sobre la efectividad de estos servicios de fisioterapia, la satisfacción del usuario y las repercusiones que producen con respecto a otros tratamientos; sin embargo, estos estudios son necesarios para la evaluación de las políticas sanitarias, la distribución adecuada de recursos, la revisión de los programas, la metodología de actuación, etc (AU)
ObjectivesTo become acquainted with the principal homecare physiotherapy services that are offered within the Public Health System for dependent elderly patients in the Iberian Peninsula (Spain and Portugal).MethodsA thorough and up-dated review of the literature regarding previous studies, research stays in Hospitals, Primary Health Care Centers and Public Health institutions in both countries financed by the Public Health Administration; in-depth interviews with specific informants.ResultsThe situation of homecare physiotherapy in Spain from the year 1987 to the August 2008 is described. In Portugal, these services are established within the services regulated by Primary Health Care (Decree-Law no. 28/2008, of February 22).ConclusionsThere are few studies in the Iberian Peninsula that offer scientific evidence based information on the effectiveness of these physiotherapy services, user satisfaction and the effect they have in relation to other treatments. However, these studies are needed in order to evaluate the current health legislations, appropriate distribution of resources, to review the clinical programs, clinical action methodologies, etc (AU)
