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BACKGROUND: Intensive care physiotherapists are exposed to situations that may cause physical and mental overload, which can lead to the onset of work-related musculoskeletal complaints. OBJECTIVE: The objective was to analyze these complaints and to identify activities causing greater overload, factors associated with complaints, and management and prevention strategies. METHODS: Cross-sectional study. Data were collected from 125 physiotherapists in the Intensive Care units (ICU) of a tertiary hospital. The questionnaire used was formulated from questionnaires validated in the literature such as Nordic Questionnaire and Bork Questionnaire. Chi-square test was performed to compare the groups with and without complaints. Logistic regression was used to assess the association effects of the variables on the presence of complaints. RESULTS: Of those interviewed, 76% had a work-related complaint in the last year, with the "lower back" being the most affected region. Eighty percent had complaints for more than one site. "Transfer" was considered the activity causing the greatest overload. Female sex (p = 0.023), lack of physical activity (p = 0.028), inadequate ventilation (p = 0.001) and inadequate furniture (p = 0.006) showed a statistically significant association effect with the presence of complaints. Inadequate ventilation (p = 0.003) and female sex (p = 0.004) influenced the number of affected areas. Physical activity was considered the main strategy for prevention. CONCLUSION: Musculoskeletal complaints accounted for a high percentage of the analyzed sample, mainly in the lower back. The extent of complaints suggests that strategies should be developed and changes in work dynamics should be carried out.

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CONTEXT: Professionalism has been discussed and defined in a variety of ways, including attire and other forms of self-expression. OBJECTIVES: To determine athletic trainer (AT), physical therapist (PT), and athletic training or PT students' perceptions of appearance-based professionalism in the workplace and, secondly, to ascertain how perceptions differed across professions. DESIGN: Cross-sectional study. SETTING: Web-based survey. PATIENTS OR OTHER PARTICIPANTS: Athletic trainers, PTs, and athletic training and PT students who were predominantly White, non-Hispanic, female, aged 30 ± 9 years, and recruited via listservs and social media. DATA COLLECTION AND ANALYSIS: The independent variables were participant demographics. The dependent variables were self-reported perceptions of professionalism for each photo. The survey consisted of 3 sections: demographics, 8 photos of ATs or PTs with depictions of patient-provider interactions, and open-ended responses. For each photo, participants selected yes, no, or unsure regarding the photo. An open-ended response was prompted with a no or unsure selection. The participant further described the reason for that choice. RESULTS: Most participants determined the health care provider depicted in 7 photos appeared professional. Only 1 photo was deemed unprofessional by the professional majority. Significant differences existed between students and professionals for 5 photos. The proportion of participants who reported the photos were unprofessional differed among professions for 2 photos. From our qualitative analysis, we found 6 domains: (1) unprofessional attire and hair, (2) situation-dependent attire, (3) role confusion and health care employer or employee identification, (4) nonappearance related, (5) tattoo-related bias, and (6) rethinking after question is displayed. CONCLUSION: What is considered appropriate and professional is not concrete. Differing concepts of professionalism generated biased judgments and criticisms. CLINICAL RELEVANCE: Our findings should lead providers to reexamine the definition of professionalism. The past should not dictate the future, and today's social mores can help shape the definition as it should be considered in today's settings.

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INTRODUÇÃO: A estimulação sensório-motora (ESM) é uma intervenção precoce utilizada em recém-nascidos (RN) para a organização de seus sistemas. O fisioterapeuta que faz uso da ESM deve ter um olhar cuidadoso para os sinais apresentados pelos RN após os procedimentos. OBJETIVO: Analisar a percepção de fisioterapeutas sobre alterações do sistema autônomo e do estado comportamental de RN após procedimentos de ESM. MÉTODOS: Estudo transversal realizado com fisioterapeutas atuantes em unidades neonatais. Os dados foram coletados por questionário eletrônico, processados no programa SPSS (versão 21.0) e apresentados em frequência absoluta (n) e relativa (%). RESULTADOS: Participaram deste estudo 72 fisioterapeutas; 48,6% possuíam título de especialista, 63,9% atuavam em Unidade de Terapia Intensiva Neonatal, 38,8% residiam na região sul e 38,8% na região sudeste do Brasil. A percepção da maioria dos fisioterapeutas após procedimentos de ordem tátil foi estabilidade ou diminuição da frequência cardíaca (FC) e respiratória (FR), e estabilidade da saturação de oxigênio (SpO2 ), e após procedimentos de ordem vestibular foi estabilidade da FC, FR e SpO2 . Houve percepção de sono ativo, sonolência e alerta ativo após todos os procedimentos de ordem tátil e vestibular. O alerta ativo foi percebido após todos os procedimentos e o choro intenso não foi percebido. CONCLUSÃO: Do sistema autônomo, a maioria dos fisioterapeutas perceberam a FC e FR estáveis ou diminuídas e SpO2 estável ou aumentada após os procedimentos de ESM. Do estado comportamental, o alerta ativo foi percebido com maior frequência entre os fisioterapeutas.

INTRODUCTION: Sensory motor stimulation (SMS) is an early intervention used in newborns (NB) to organize their systems. The physiotherapist who uses SMS must pay careful attention to the signs presented by NB after the procedures. OBJECTIVE: To analyze the perception of physiotherapists about changes in the autonomic system and behavioral state of NB after SMS procedures. METHODS: Cross-sectional study carried out with physiotherapists working in neonatal units. Data were collected by electronic questionnaire, processed in the SPSS program (version 21.0) and presented in absolute (n) and relative (%) frequency. RESULTS: 72 physiotherapists participated in this study, 48.6% had a specialist degree, 63.9% worked in Neonatal Intensive Care Unit, 38.8% lived in the southern region and 38.8% in the southeastern region of Brazil. The perception of most physiotherapists after tactile procedures was stability or decrease in heart rate (HR), respiratory rate (RR) and stability of oxygen saturation (SpO2), and after vestibular procedures it was stability of HR, RR and SpO2. There was a perception of active sleep, drowsiness, and active alertness after all tactile and vestibular procedures. Active alertness was noticed after all procedures and intense crying was not noticed. CONCLUSION: Regarding the autonomic system, most physiotherapists noticed stable or decreased HR and RR, and stable or increased SpO2 after SMS procedures. Regarding the behavioral state, active alert was noticed more frequently among physiotherapists.

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ABSTRACT The knowledge deficit of health professionals has been a barrier to expanding and implementing of pulmonary rehabilitation (PR) services, despite the reported benefits of PR for individuals with Chronic Respiratory Disease (CRD). This study aims to assess the preparedness of health care professionals from two Brazilian cities to perform PR in the public health system. This is survey is part of a larger project to implement PR in the Brazilian public health system. A self-administered questionnaire was used to assess the knowledge (19 questions), training (7 questions), confidence (10 questions), and clinical experience (8 questions) of physical therapists (PT) and the multiprofessional team (MT) before a PR workshop. In total, 44 PT and 231 MT answered the questionnaire. The mean total knowledge score was 10±3 for PT and 6±3 for MT. Few physical therapist reported having "a lot" of experience (25%) and confidence (22.7%) to perform PR, as well as sufficient training to conduct the six-minute walk test (27.3%).Even fewer MT reported having "a lot" of experience (10%) and sufficient training (4.8%) to perform PR, as well as to plan the educational program for patients (10%) and the confidence to refer patients to PR (6.5%). This is the first study to evaluate the preparedness of professionals from the Brazilian public health network to provide PR. Notably, both PT and MT have low preparation to perform PR in the studied cities, reinforcing the need for continuing education.

RESUMEN El déficit de conocimientos entre los profesionales de la salud ha sido una barrera para la expansión e implementación de los servicios de rehabilitación pulmonar (RP) a pesar de sus beneficios comprobados para las personas con enfermedad respiratoria crónica (ERC). Este estudio de encuesta forma parte de un proyecto más amplio para implantar la RP en el sistema público sanitario brasileño mediante la evaluación de la preparación de los profesionales sanitarios de dos municipios brasileños para proporcionarla. Se utilizó un cuestionario autoadministrado para evaluar los conocimientos (19 preguntas), la formación (7 preguntas), la confianza (10 preguntas) y la experiencia clínica (8 preguntas) de los fisioterapeutas (FT) y del equipo multiprofesional (EM), aplicado previamente en un taller sobre RP. La puntuación media de los conocimientos fue de 10±3 para FT y de 6±3 para EM. Menos de un tercio de los FT afirmaron que tenían "mucha" experiencia (25%) y confianza (22,7%) para realizar la RP, así como formación suficiente para realizar la prueba de la marcha de seis minutos (27,3%). Pocos profesionales del EM declararon que tenían "mucha" experiencia (10%) y formación suficiente (4,8%) para realizar la RP, así como para planificar el programa educativo (10%) y tenían confianza para derivar a pacientes para la RP (6,5%). Este es el primer estudio que evalúa la preparación de los profesionales de la red pública de salud en Brasil para proporcionar la RP, y se observa que, en los municipios donde se realizó, tanto los FT como el EM están poco preparados para llevarla a cabo, lo que refuerza la necesidad de una formación continuada.

RESUMO O déficit de conhecimento dos profissionais de saúde tem sido uma barreira para a expansão e implementação dos serviços de reabilitação pulmonar (RP), apesar dos seus benefícios comprovados para indivíduos com doença respiratória crônica (DRC). Objetivo: avaliar o preparo dos profissionais de saúde de dois municípios brasileiros para fornecer a RP no sistema público de saúde. Esse estudo, do tipo survey, foi parte de um projeto maior para implementação da RP no sistema público de saúde brasileiro. Foi utilizado um questionário autoaplicável para avaliar o conhecimento (19 questões), o treinamento (7 questões), a confiança (10 questões) e a experiência clínica (8 questões) dos fisioterapeutas (FT) e da equipe multiprofissional (EM), aplicado antes de um workshop sobre RP. No total, 44 FT e 231 EM responderam o questionário. A pontuação média de conhecimento foi de 10±3 para FT e 6±3 para EM. Poucos FT referiam ter "muita" experiência (25%) e confiança (22,7%) para realizar RP, bem como treinamento suficiente para realizar o teste de caminhada de seis minutos (27,3%). Ainda menos profissionais da EM relataram ter "muita" experiência (10%) e treinamento suficiente (4,8%) para realizar RP, assim como para planejar o programa educacional dos pacientes (10%) e ter confiança para encaminhar pacientes para a RP (6,5%). Este é o primeiro estudo a avaliar o preparo dos profissionais da rede pública de saúde no Brasil para fornecer RP. Notavelmente, tanto FT quanto EM têm baixo preparo para realizar RP nos municípios estudados, reforçando a necessidade de realização de educação continuada.

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Abstract This study investigated the prevalence and the potential risk factors for anxiety and depression among physiotherapists during the pandemic. Physiotherapists answered a web-based questionnaire including 1) sociodemographic, professional and clinical information; 2) psychosocial demands; and 3) two validated questionnaires to measure anxiety and depression. Binary logistic regression identified the risk factors by means of odds ratio (OR) and 95% confidence interval (CI). In 417 participants, there was a high prevalence of anxiety (48.2%) and depression (53.0%). The risk factors for anxiety were female sex (OR 2.07; 95%CI 1.01-4.24), worsening in sleep patterns (OR 3.78; 95%CI 1.92-7.44), moderate (OR 2.24; 95%CI 1.00-5.00) and extreme concern about financial issues (OR 3.47; 95%CI 1.57-7.65), and extreme loneliness (OR 3.47; 95%CI 1.71-7.07). The risk factors for depression were female sex (OR 2.16; 95%CI 1.03-4.55), low family income (OR 2.43; 95%CI 1.21-4.89), worsening in sleep patterns (OR 5.97; 95%CI 3.02-11.82), extreme concern about financial issues (OR 2.61; 95%CI 1.15-5.94), and extreme loneliness (OR 4.38; 95%CI 2.00-9.63). This study found a high prevalence of anxiety and depression in the studied population and identified risk factors for both.

Resumo Este estudo investigou a prevalência e potenciais fatores de risco para ansiedade e depressão em fisioterapeutas durante a pandemia. Fisioterapeutas responderam a um questionário na web, incluindo: dados sociodemográficos, profissionais e clínicos; demandas psicossociais; e dois questionários validados para medir ansiedade e depressão. Regressão logística binária identificou fatores de risco para ansiedade e depressão por meio de odds ratio (OR) e intervalo de confiança de 95% (IC). Em 417 participantes houve alta prevalência de ansiedade (48,2%) e depressão (53%). Os fatores de risco para ansiedade foram: sexo feminino (OR 2,07; IC95% 1,01-4,24), piora nos padrões de sono (OR 3,78; IC95% 1,92-7,44), moderada (OR 2,24; IC95% 1,00-5,00) e extrema preocupação financeira (OR 3,47; IC95% 1,57-7,65) e extrema solidão (OR 3,47; IC95% 1,71-7,07). Os fatores de risco para depressão foram: sexo feminino (OR 2,16; IC95% 1,03-4,55), baixa renda familiar (OR 2,43; IC95% 1,21-4,89), piora nos padrões de sono (OR 5,97; IC95% 3,02-11,82), extrema preocupação financeira (OR 2,61; IC95% 1,15-5,94) e extrema solidão (OR 4,38; IC95% 2,00-9,63). Este estudo mostrou alta prevalência de ansiedade e depressão na população estudada e identificou fatores de risco para ambos.

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Emergências hospitalares são portas de entrada para pacientes graves com potencial risco de morte. Em um hospital referência em trauma, a função do fisioterapeuta dentro da equipe multiprofissional ainda tem necessidade de ser bem estabelecida. Objetivo: Discorrer sobre a atuação do fisioterapeuta no serviço de emergência de um hospital de pronto socorro referência em trauma e apresentar o perfil do paciente atendido. Método: Trata-se de uma pesquisa observacional descritiva, de caráter transversal retrospectiva a partir da análise dos atendimentos fisioterapêuticos registrados em prontuários de pacientes hospitalizados. Resultados: As causas mais frequentes de internação dos pacientes atendidos pela equipe de fisioterapia foram quedas (51,7%), acidentes de trânsito (14,9%), cardiovasculares (9,2%), agressões (9,1%), outros (8,3%) e respiratórias (6,8%). Quedas da própria altura com fratura de fêmur associadas representaram 26,4% da amostra. Nestes pacientes as condutas mais utilizadas pelos fisioterapeutas foram orientações, exercícios respiratórios, exercícios no leito e ajustes de posicionamento. O fisioterapeuta teve atuação com pacientes com pneumotórax, hemotórax ou hemopneumotórax submetidos à drenagem torácica, por meio de exercícios respiratórios expansivos, saída do leito e deambulação precoce. Observou-se também atuação com os pacientes em ventilação mecânica invasiva e não invasiva na sala vermelha. Conclusão: O fisioterapeuta, fazendo parte da equipe multiprofissional, apresenta importante atuação nas salas de emergência de um hospital de trauma, tal como o atendimento a pacientes submetidos a ventilação mecânica invasiva e não invasiva, uso de técnicas de fisioterapia respiratória para expansão pulmonar e remoção de secreções bem como a utilização de técnicas de cinesioterapia para manutenção e ganho de força muscular e funcionalidade.

Hospital emergencies are gateways to critically ill patients with potential risk of death. In a trauma referral hospital, the physical therapists role within the multiprofessional team must still be well established. Objective: To discuss the role of the physical therapist in the emergency department of a reference trauma hospital and to present the profile of the patients admitted to hospitalization. Method: This is a descriptive, observational, cross-sectional study that analyzes physiotherapy and records of hospitalized patients. Results: The most frequent causes of hospitalization of patients treated by the physiotherapy team were falls (51.7%), traffic accidents (14.9%), cardiovascular diseases (9.2%), assaults (9.1%), and respiratory (6.8%). Falls from standing height with associated femur fractures represented 26.4% of the records. With these patients, the procedures most used by physical therapists were orientations, breathing exercises, bedside exercises, and positioning adjustments. With lung-expanding breathing exercises, bedside exercises, and early walking, the physical therapist treated patients with pneumothorax, hemothorax, or hemopneumothorax who underwent thoracic drainage. Physical therapists also treated patients under invasive and non-invasive mechanical ventilation in the red ward. Conclusion: The physical therapist, as part of the multiprofessional team, has an essential role in the emergency rooms of a trauma hospital, such as care for patients undergoing invasive and non-invasive mechanical ventilation, use of respiratory physiotherapy techniques for lung expansion and removal of secretions, as well as the use of kinesiotherapy techniques to maintain and gain muscle strength and functionality.

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INTRODUÇÃO: A atuação do fisioterapeuta através da mobilização precoce visa reduzir os efeitos adversos do imobilismo e melhorar a funcionalidade. Nesse sentido, o uso de escalas funcionais é crucial para avaliar a condição funcional do paciente crítico. OBJETIVO: Analisar o conhecimento de fisioterapeutas intensivistas sobre escalas funcionais, conhecer as escalas mais utilizadas e as principais barreiras para aplicabilidade na UTI, além de associar o uso das escalas funcionais com a segurança e a percepção de resultados. METODOLOGIA: Trata-se de um estudo transversal e quantitativo realizado com fisioterapeutas intensivistas na cidade de Fortaleza entre agosto de 2022 a fevereiro de 2023. A coleta de dados ocorreu via questionário online (Google Forms). Os dados foram analisados através do Software Jamovi. Utilizou-se a estatística descritiva e o teste de Qui quadrado. RESULTADOS: Participaram 75 fisioterapeutas, a maioria com tempo de experiência na unidade de terapia intensiva de 1 a 5 anos. A maior parte dos profissionais percebem benefícios na utilização das escalas funcionais e utilizam para prescrição de conduta com segurança em sua aplicabilidade, sendo a escala Intensive Care Unit Mobility Scale a mais utilizada. Quanto às barreiras que mais interferem para utilização das escalas funcionais foram relacionadas a equipe, ao paciente e a instituição. CONCLUSÃO: Percebe-se que a maioria dos fisioterapeutas conhecem os objetivos e benefícios no uso de escalas funcionais, afirmam ter segurança para aplicação em sua conduta, sendo a escala IMS a mais utilizada pelos profissionais. Evidencia-se que a interação do fisioterapeuta com a equipe foi a principal barreira para a aplicação de escalas funcionais na Unidade de Terapia Intensiva.

INTRODUCTION: The role of the physiotherapist through early mobilization aims to reduce the adverse effects of immobility and improve functionality. In this sense, the use of functional scales is crucial to assess the functional condition of critically ill patients. OBJECTIVE: To analyze the knowledge of intensive care physiotherapists about functional scales, to know the most used scales and the main barriers to applicability in the ICU, in addition to associating the use of functional scales with safety and the perception of results. MATERIALS AND METHODS: This is a cross-sectional and quantitative study carried out with intensive care physiotherapists in the city of Fortaleza between August 2022 and February 2023. Data were collected via an online questionnaire (Google Forms). The data were analyzed using the Jamovi Software. Descriptive statistics and the Chi-square test were used. RESULTS: 75 physiotherapists participated, most with 1 to 5 years of experience in the intensive care unit. Most professionals perceive benefits in the use of functional scales and use them to prescribe conduct with safety in its applicability, with the Intensive Care Unit Mobility Scale being the most used. As for the barriers that most interfere with the use of functional scales, they were related to the team, the patient and the institution. CONCLUSION: Many physiotherapists are aware of the objectives and benefits of using functional scales, they say they are confident in applying them in their practice, and the IMS scale is the one most used by professionals. The interaction between the physiotherapist and the team was the main barrier to the application of functional scales in the Intensive Care Unit.

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Objetivo: construir e validar uma escala de verificação da adesão às recomendações das Diretrizes Brasileiras de Ventilação Mecânica por profissionais da saúde. Método: estudo metodológico, conduzido no período entre setembro e dezembro de 2019 em um hospital público com 87 pacientes. Para a validação de conteúdo, adotou-se o Índice de Validação de Conteúdo; para a validade de critério, o Coeficiente de Correlação de Pearson; para a consistência interna, o alfa de Cronbach; e, para a confiabilidade interobservador, o Coeficiente Kappa e o Coeficiente de Correlação Intraclasse. Resultados: a escala identificou uma validade de conteúdo e consistência interna aceitável. A correlação de Pearson indicou uma correlação do escore de adesão com a saturação (r = 0,31; p≤0,005), o escore médio para o observador A e B resultou, respectivamente, em 88,89(±5,23) e 88,86(±5,34), e o intervalo de confiança foi de 0,96. Conclusão: a escala apresentou validade e confiabilidade para verificar a adesão às Diretrizes Brasileiras de Ventilação Mecânica dos profissionais.(AU)

Objective: to construct and validate a scale for verifying adherence to the recommendations of the Brazilian Guidelines for Mechanical Ventilation by healthcare professionals. Method: methodological study, conducted between September and December 2019 in a public hospital with 87 patients. For content validation, the Content Validation Index was adopted; for criterion validity, Pearson's Correlation Coefficient; for internal consistency, Cronbach's alpha; and, for interobserver reliability, the Kappa Coefficient, and the Intraclass Correlation Coefficient. Results: the scale identified acceptable content validity and internal consistency. Pearson's correlation indicated a correlation between adherence score and saturation (r = 0.31; p≤0.005), the average score for observer A and B resulted, respectively, in 88.89(±5.23) and 88.86(±5.34), and the confidence interval was 0.96. Conclusion: the scale showed validity and reliability to verify adherence to the Brazilian Guidelines for Mechanical Ventilation by professionals.(AU)

Objetivo: construir y validar una escala para verificar la adherencia a las recomendaciones de las directrices brasileñas sobre ventilación mecánica por parte de los profesionales de la salud. Método: estudio metodológico, realizado entre septiembre y diciembre de 2019 en un hospital público con 87 pacientes. Se adoptó el Índice de Validación de Contenido para la validación de contenido, para la validez de criterio, el Coeficiente de Correlación de Pearson, para la consistencia interna, el alfa de Cronbach y, para la fiabilidad interobservador, el Coeficiente Kappa y el Coeficiente de Correlación Intraclase. Resultados: la escala presentó una validez de contenido y una consistencia interna aceptables. La correlación de Pearson indicó una correlación de la puntuación de adherencia con la saturación (r = 0,31; p≤0,005), la puntuación media para el observador A y B resultó de 88,89(±5,23) y 88,86(±5,34), respectivamente, y el intervalo de confianza fue de 0,96. Conclusión: la escala presentó validez y confiabilidad para verificar la adherencia a las Directrices Brasileñas de Ventilación Mecánica de los profesionales.(AU)

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RESUMO Objetivo: estimar a prevalência de COVID-19 entre os fisioterapeutas brasileiros e seus fatores associados. Método: estudo transversal, segundo inquérito on-line, com a participação de 670 fisioterapeutas de todas as regiões do Brasil. Utilizou-se uma adaptação do método respondent driven sampling ao ambiente virtual para a coleta de dados. Análises bivariadas e de regressão logística múltipla foram utilizadas para identificar associação entre o diagnóstico de COVID-19 e variáveis demográficas e ocupacionais. Consideraram-se variáveis estatisticamente significativas com base em um p<0,05. Resultados: a prevalência de COVID-19 foi de 30% (IC95%: 27,8-32,3). Fisioterapeutas da região Sudeste tiveram menores chances de receber diagnóstico de covid-19. Fisioterapeutas que prestaram assistência em hospital de campanha, que ficaram isolados da família e que têm crianças menores de 12 anos em casa tiveram chances aumentadas de diagnóstico da infecção. Conclusão: questões sociodemográficas e ocupacionais impactam no aumento do diagnóstico de COVID-19 entre profissionais fisioterapeutas, o que enfatiza a necessidade de um sistema de saúde de qualidade e igualitário nas diferentes regiões brasileiras.

RESUMEN Objetivo: evaluar la tasa de prevalencia del COVID-19 en fisioterapeutas de Brasil y analizar sus factores asociados. Método: realizamos un estudio transversal mediante una encuesta on-line, en la que participaron 670 fisioterapeutas de todas las áreas de Brasil. Para la recogida de datos se utilizó una adaptación del método respondent driven sampling al entorno virtual. Se utilizaron análisis bivariados y de regresión logística múltiple para identificar la asociación entre el diagnóstico COVID-19 y variables demográficas y ocupacionales. Las variables se consideraron estadísticamente significativas en función de una p<0,05. Resultados: la prevalencia de COVID-19 fue del 30% (IC 95%: 27,8-32,3). Los fisioterapeutas del sudeste tenían menos probabilidades de ser diagnosticados de COVID-19. Los fisioterapeutas que prestaban asistencia en un hospital de campaña, que estaban aislados de sus familias y que tenían hijos menores de 12 años en casa tenían más probabilidades de que se les diagnosticara la infección. Conclusiones: aspectos sociodemográficos y ocupacionales inciden en el aumento del diagnóstico de COVID-19 entre los fisioterapeutas profesionales, lo que enfatiza la necesidad de un sistema de salud de calidad e igualitario en las diferentes regiones brasileñas.

ABSTRACT Objective: to estimate the prevalence of COVID-19 among Brazilian physiotherapists and its associated factors. Method: cross-sectional study, according to an online survey, with the participation of 670 physiotherapists from all regions of Brazil. An adaptation of the respondent driven sampling method to the virtual environment was used to collect data. Bivariate and multiple logistic regression analyzes were used to identify associations between the diagnosis of COVID-19 and demographic and occupational variables. Variables were considered statistically significant based on p<0.05. Results: the prevalence of COVID-19 was 30% (95%CI: 27.8-32.3). In the Southeast region, physiotherapists were less likely to be diagnosed with COVID-19. Physiotherapists who provided care in a field hospital, who were isolated from their families and who have children under 12 years of age at home had an increased chance of being diagnosed with the infection. Conclusion: sociodemographic and occupational issues impact the increase in COVID-19 diagnoses among physiotherapists, which emphasizes the need for a quality and egalitarian health system in different Brazilian regions.

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OBJETIVO: Descrever acometimentos no sistema musculoesquelético de pessoas com sequela de queimadura de terceiro grau quanto à amplitude de movimento, flexibilidade e força muscular, cujo acompanhamento fisioterapêutico foi realizado em regime ambulatorial. MÉTODO: Série de casos com sete sujeitos avaliados no Laboratório do Movimento ­ Dr. Cláudio A. Borges utilizando o goniômetro para mensuração da amplitude de movimento de membros superiores e inferiores, teste de Thomas modificado e teste de Sentar e Alcançar para flexibilidade de retofemoral e isquiotibiais, dinamômetros Jamar® e Lafayette® para quantificar a força de preensão manual e de membros inferiores, respectivamente. RESULTADOS: O principal agente causador das queimaduras foi o álcool líquido e todos os casos apresentaram déficit de amplitude de movimento e força muscular em membros inferiores maior em relação aos membros superiores, bem como, redução da flexibilidade de retofemoral e isquiotibiais e redução da força de preensão manual e de membros inferiores, quando observados os valores de normalidade descritos na literatura. CONCLUSÕES: As queimaduras de terceiro grau causam perdas nas características teciduais da pele e do músculo que culminam em déficits no sistema musculoesquelético e podem causar dependência de cuidados devido à presença de alterações físicas.

OBJECTIVE: To describe affections of the musculoskeletal system in people with after-effects from third degree burns sequelae regarding to range of motion, flexibility and muscular strength, whose physiotherapeutic follow-up was performed in outpatient regimen. METHODS: Case series with seven subjects evaluated in the Laboratory of Movement - Dr. Cláudio A. Borges using the goniometer for measuring upper and lower limb range of motion, modified Thomas test, and Sit and Reach test for flexibility of rectus femoris and hamstrings, Jamar® dynamometer and Lafayette® to quantify manual and lower limb grip strength, respectively. RESULTS: The primary agent for the burns was liquid alcohol and all cases presented a deficit of range of motion and muscle strength in the lower limbs larger than the upper limbs, as well, reduction of rectus femoris and hamstrings' flexibility and reduction of manual gripping strength and lower limbs, when the normality values described in the literature were observed. CONCLUSIONS: Third degree burns cause loss of the tissue and muscles' characteristics, which culminates in deficits in the musculoskeletal system and can cause dependence on care due to the presence of physical changes.

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RESUMO Objetivo Realizar a validação de conteúdo de um protocolo de decanulação de pacientes adultos traqueostomizados. Método Para a validação de conteúdo do protocolo elaborado por fonoaudiólogas foi utilizada a técnica Delphi. Os 11 itens do protocolo foram julgados por peritos, por meio de rodadas via e-mail e foram classificados como adequados, parcialmente adequados ou inadequados, além de fornecerem comentários e sugestões sobre cada item. Foram convidados 30 fonoaudiólogos, 30 fisioterapeutas respiratórios e 30 médicos responsáveis pelo procedimento de traqueostomia e decanulação. O percentual de concordância adotado foi ≥ 80% e o processo foi interrompido quando obtido esse percentual em todos os itens. Resultados Ao final do processo, 24 profissionais participaram da terceira rodada, sendo 46% fonoaudiólogos, 29% fisioterapeutas e 25% médicos. Após as sugestões e comentários dos peritos, dois itens foram mantidos como estavam no protocolo inicial, sete foram reformulados, seis incluídos e dois excluídos. A versão final do protocolo incluiu: identificação, ausência de secreções abundantes, características da secreção, tosse eficaz, capacidade para remover secreções, tolera o balonete desinsuflado, aptidão no processo de decanulação, nível de consciência, troca de cânula para menor calibre, ausência de infecção vigente/ ativa, deglutição espontânea e eficaz de saliva, uso de válvula de fala, aptidão à oclusão da cânula, avaliação da aptidão para decanulação e exames objetivos. Conclusão Por meio da Técnica Delphi houve a validação do conteúdo do instrumento, ocorrendo mudanças substanciais. A próxima etapa de validação do instrumento é a obtenção de evidências de validade em relação a estrutura interna.

ABSTRACT Purpose Perform content validation of a decannulation protocol for tracheostomized adult patients. Methods To validate the content of the protocol developed by speech therapists, the Delphi technique was used. The 11 items of the protocol were judged by experts through rounds via e-mail and were classified as adequate, partially adequate or inadequate, in addition to providing comments and suggestions on each item. 30 speech therapists, 30 respiratory physiotherapists and 30 physicians responsible for the tracheostomy and decannulation procedure were invited. The percentage of agreement adopted was ≥ 80% and the process was interrupted when this percentage was obtained in all items. Results At the end of the process, 24 professionals participated in the third round, being 46% speech therapists, 29% physiotherapists and 25% physicians. After the experts' suggestions and comments, two items were kept as they were in the initial protocol, seven were reformulated, six were included and two were excluded. The final version of the protocol included: identification, absence of abundant secretions, characteristics of the secretion, effective cough, ability to remove secretions, tolerate the deflated cuff, aptitude in the decannulation process, level of consciousness, change of cannula to a smaller caliber, absence of current/active infection, spontaneous and effective swallowing of saliva, use of a speech valve, aptitude for occlusion of the cannula, assessment of aptitude for decannulation and objective examinations. Conclusion Through the Delphi Technique, the content of the instrument was validated, with substantial changes occurring. The next stage of instrument validation is obtaining evidence of validity in relation to the internal structure.

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BACKGROUND: Physical functioning evaluation in intensive care units (ICUs) identifies rehabilitation requirements and response to interventions. AIM: To identify the usage rate of physical functioning measurement instruments in ICUs during the COVID-19 pandemic in Chile. MATERIAL AND METHODS: Lead physiotherapists representing different national ICUs were invited to answer a National online survey at the onset (T1) and at the first year of COVID-19 pandemic (T2). The usage rate (defined as "always"/"almost always"/"almost never"/"never") of instruments assessing muscle strength, muscle mass, mobility, and physical performance was surveyed. Also, the reasons for selecting these instruments were requested. RESULTS: We received responses from 94 and 93 ICUs at T1 and T2, respectively, of 111 eligible ICUs (55% public). Compared with T2, the usage rate of instruments was lower at T1, and significant only for Medical Research Sum-Score (MRC-SS) (p = 0.04) and handgrip dynamometry (p = 0.05). Considering the answers "always", "almost always" and "almost never", between 89% and 91% of the ICUs reported the use of the MRC-SS; between 70% and 73% reported the use of the Functional Status Score for the Intensive Care Unit; between 5% and 35% of the ICUs reported the use of the rest of mobility scales; and between 44%-45% of ICUs reported that muscle ultrasound was "almost never" used. The main reasons reported for selecting instruments were quick use and clinimetric properties. CONCLUSIONS: The usage rate of muscle strength assessments was frequent, while the use of mobility and muscle mass instruments recommended by the literature was poorly reported, which was lower at the onset of the pandemic.

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Objetivo: Investigar a utilização das escalas e testes funcionais por fisioterapeutas brasileiros que atuam clinicamente na área ortopédica, traumatológica e/ou esportiva. Métodos: Para coleta de dados foi utilizado um questionário eletrônico, autoaplicável, elaborado pelos autores, divulgado por meio de redes sociais. Os participantes foram divididos em quatro grupos conforme suas respostas: grupo que utiliza testes e escalas funcionais (GTE); grupo que utiliza somente testes funcionais (GST); grupo que utiliza somente escalas funcionais (GSE); grupo que não utiliza nenhum (GN). Para análise de dados, foi realizada uma análise descritiva dos dados sociodemográficos e profissionais dos participantes. A associação entre variáveis qualitativas nominais foi avaliada por meio do teste Qui quadrado. Resultados: Do total de 100 voluntários participantes da pesquisa, 75 compuseram o GTE, 19 o GST, 1 o GSE e 5 o GN, demonstrando alto índice de utilização tanto de escalas quanto de testes funcionais na prática clínica. Não foram encontradas associações (p>0,05) entre o uso das ferramentas com características do profissional. As principais barreiras encontradas para não utilização das ferramentas foram a falta de tempo na sessão e o pouco conhecimento sobre os instrumentos. A maior parte dos participantes julga muito relevante o uso de avaliações funcionais na prática clínica. Conclusão: Os fisioterapeutas da amostra, em sua maioria, utilizam os testes e escalas funcionais na prática clínica. O principal uso dessas ferramentas é identificar as disfunções presentes nos pacientes durante as avaliações e as barreiras encontradas para não utilização são a falta de tempo e pouco conhecimento dos instrumentos.

Objective: to investigate the use of these tools by Brazilian physical therapists who work clinically in the orthopaedic, traumatological and sports areas, characterizing the professional and his possible relationship with the use of these instruments. Methods: For data collection, through social midias, a self-administered questionnaire online was applied. The participants were divided into four groups according to their answers: group that applied tests and functional scales (GTE); group that applied only functional tests (GST); group that applied only functional scales (GSE); group that did not use any (GN). For data analysis, a descriptive analysis of the sociodemographic and professional data of the participants was performed. The association between nominal qualitative variables was assessed by Chi-square test. Results: Of 100 volunteers participating in the research, 75 composed the GTE, 19 the GST, 1 the GSE and 5 the GN. Tests and scales are used by most professionals interviewed to follow the evolution of treatment and identify dysfunctions. As for the GSE, the main barriers found for not using it were the lack of time in the session and the little knowledge of the instruments. Most participants consider the use of functional assessments to be very relevant in clinical practice. Conclusion: Most orthopaedic, traumatological and sports physical therapists in the sample use tests and functional scales in clinical practice. Their main objective with these tools is to identify the dysfunctions present in patients during physical therapy assessments and the main barriers to not using them are time and little knowledge.

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Abstract Introduction: Clinical reasoning involves critical thinking and decision-making in clinical situations. It can be evaluated using Objective structured clinical examination (OSCE), which measures clinical skills associated with the development of clinical reasoning. Objective: To describe the implementation of an OSCE to evaluate the clinical skills associated with the development of clinical reasoning in physical therapy students, and to determine their level of satisfaction with this methodology. Materials and methods: Cross-sectional descriptive study conducted in 159 physical therapy students from Universidad Andres Bello, Chile, enrolled in the Reasoning in Physical therapy course (second semester of 2018). The OSCE had 11 stations and a student satisfaction survey was administered. Data normality was determined using the Shapiro-Wilk test. Descriptive statistics (percentages, medians, and interquartile ranges (IQR)) were used for data analysis. Results: The median global score was 142 points (IQR: 132-150) and 61.1% of the students obtained a passing score (> 134 points). Stations in which most students had a passing score were S3, S5 and S7 (standardized patient stations): 78.62%, 96.85% and 85.53%, respectively. Regarding the satisfaction survey, 36.48% and 59.12% of the students agreed and strongly agreed with using tools that assess their clinical skills. Conclusions: The OSCE was successfully designed and implemented to evaluate the clinical skills associated with the development of clinical reasoning in physical therapy students, and most of them reported a high level of satisfaction with its use; this confirms OSCE is an excellent methodology to train and evaluate these students.

Resumen Introducción. El razonamiento clínico implica el pensamiento crítico y la toma de decisiones en situaciones clínicas. Esto puede evaluarse mediante el Examen clínico objetivo estructurado (ECOE), que mide las habilidades clínicas asociadas con el desarrollo del razonamiento clínico. Objetivo. Describir la implementación de un ECOE para evaluar las habilidades clínicas asociadas con el desarrollo de razonamiento clínico en estudiantes de fisioterapia, así como su nivel de satisfacción con esta metodología. Materiales y métodos. Estudio transversal descriptivo realizado en 159 estudiantes de fisioterapia de la Universidad Andres Bello, Chile, inscritos en el curso Razonamiento en Fisioterapia (segundo semestre de 2018). El ECOE contó con 11 estaciones y se aplicó una encuesta de satisfacción estudiantil. La normalidad de los datos se determinó mediante la prueba de Shapiro-Wilk y el análisis de los datos se realizó mediante estadística descriptiva (porcentajes, medianas y rangos intercuartílicos (RIC)). Resultados. La mediana del puntaje global fue de 142 puntos (RIC: 132-150) y el 61.1% de los estudiantes obtuvo una puntuación aprobatoria (> 134 puntos). Las estaciones con mayor número de estudiantes con un puntaje aprobatorio fueron E3, E5 y E7 (estaciones con paciente estandarizado): 78.62%, 96.85% y 85.53%, respectivamente. Respecto a la encuesta de satisfacción, 36.48% y 59.12% de los estudiantes estuvieron de acuerdo y muy de acuerdo con el uso de herramientas que evalúen sus habilidades clínicas. Conclusiones. El ECOE fue diseñado e implementado exitosamente para evaluar las habilidades clínicas asociadas con el desarrollo del razonamiento clínico en estudiantes de fisioterapia; además, la mayoría de ellos reportó altos niveles de satisfacción con su uso, lo que confirma que es una excelente metodología para capacitar y evaluar estos estudiantes.

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A pandemia atual pelo COVID-19 é um marco na história da saúde mundial recente. O conhecimento da atuação do fisioterapeuta por outros profissionais de saúde torna acessível a assistência em saúde pela equipe. Objetivo: Descrever o perfil e analisar a percepção dos profissionais de saúde de um hospital público acerca da atuação do fisioterapeuta no enfrentamento do COVID-19. Método: Trata-se de estudo epidemiológico, descritivo, transversal. O estudo teve aprovação do CEP pelo parecer 4078528/2020 e todos os participantes apresentaram aceite no TCLE. Os voluntários responderam ficha pré-estruturada, contendo indagações sobre práticas comuns ao fisioterapeuta na área hospitalar. Resultados: Participaram 30 profissionais, com idade média de 36,83 anos, sendo 86,7% do sexo feminino. A atuação da fisioterapia foi considerada importante no enfrentamento da COVID-19 (100%), apesar dos diferentes locais de atuação dos entrevistados, diferentes profissões de saúde e nível de escolaridade dos participantes. Em destaque a reabilitação motora (100%) e respiratória (100%) foi vista como uma contribuição da fisioterapia em pacientes acometidos pelo coronavírus. Procedimentos como a implementação da oxigenoterapia (96,7%), ventilação mecânica não invasiva (80%), ajuste de parâmetros da ventilação mecânica (100%) e extubação (70%), foram considerados majoritariamente como das atribuições da fisioterapia. Foram descritos também os procedimentos compartilhados pela equipe multiprofissional, como a implementação de oxigenoterapia (80%), ajuste de parâmetros ventilatórios (86,7%) e aspiração de via aérea e via aérea artificial (90%). Conclusão: O fisioterapeuta tem papel importante no enfrentamento do COVID-19, associado a equipe multiprofissional, em especial na reabilitação cardiorrespiratória e musculoesquelética dos pacientes afetados pelo coronavírus.

The current pandemic by COVID-19 is a milestone in the history of recent global health. Knowledge of the physiotherapist's performance by other health professionals makes health care accessible by the team accessible. Objective: To describe the profile and analyze the perception of health professionals in a public hospital about the role of the physiotherapist in coping with COVID-19. Method: This is an epidemiological, descriptive, cross-sectional study. The study was approved by the CEP under opinion 4078528/2020 and all participants were accepted in the IC. The volunteers answered a pre-structured form, containing questions about practices common to the physiotherapist in the hospital area. Results: Thirty professionals participated, with an average age of 36.83 years, 86.7% of whom were female. The performance of physiotherapy was considered important in coping with COVID-19 (100%), despite the different places where the interviewees worked, different health professions and the educational level of the participants. Motor (100%) and respiratory (100%) rehabilitation were highlighted as a contribution of physiotherapy in patients affected by the coronavirus. Procedures such as the implementation of oxygen therapy (96.7%), non-invasive mechanical ventilation (80%), adjustment of mechanical ventilation parameters (100%) and extubation (70%), were mostly considered as the physiotherapy assignments. The procedures shared by the multiprofessional team were also described, such as the implementation of oxygen therapy (80%), adjustment of ventilatory parameters (86.7%) and aspiration of the airway and artificial airway (90%). Conclusion: The physiotherapist has an important role in coping with COVID-19, associated with a multidisciplinary team, especially in cardiorespiratory and musculoskeletal rehabilitation of patients affected by the coronavirus.

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Background: We investigated whether transcranial magnetic stimulation (rTMS) over the primary somatosensory cortex (S1) and sensory stimulation (SS) could promote upper limb recovery in participants with subacute stroke. Methods: Participants were randomized into four groups: rTMS/Sham SS, Sham rTMS/SS, rTMS/SS, and control group (Sham rTMS/Sham SS). Participants underwent ten sessions of sham or active rTMS over S1 (10 Hz, 1,500 pulses, 120% of resting motor threshold, 20 min), followed by sham or active SS. The SS involved active sensory training (exploring features of objects and graphesthesia, proprioception exercises), mirror therapy, and Transcutaneous electrical nerve stimulation (TENS) in the region of the median nerve in the wrist (stimulation intensity as the minimum intensity at which the participants reported paresthesia; five electrical pulses of 1 ms duration each at 10 Hz were delivered every second over 45 min). Sham stimulations occurred as follows: Sham rTMS, coil was held while disconnected from the stimulator, and rTMS noise was presented with computer loudspeakers with recorded sound from a real stimulation. The Sham SS received therapy in the unaffected upper limb, did not use the mirror and received TENS stimulation for only 60 seconds. The primary outcome was the Body Structure/Function: Fugl-Meyer Assessment (FMA) and Nottingham Sensory Assessment (NSA); the secondary outcome was the Activity/Participation domains, assessed with Box and Block Test, Motor Activity Log scale, Jebsen-Taylor Test, and Functional Independence Measure. Results: Forty participants with stroke ischemic (n = 38) and hemorrhagic (n = 2), men (n = 19) and women (n = 21), in the subacute stage (10.6 ± 6 weeks) had a mean age of 62.2 ± 9.6 years, were equally divided into four groups (10 participants in each group). Significant somatosensory improvements were found in participants receiving active rTMS and active SS, compared with those in the control group (sham rTMS with sham SS). Motor function improved only in participants who received active rTMS, with greater effects when active rTMS was combined with active SS. Conclusion: The combined use of SS with rTMS over S1 represents a more effective therapy for increasing sensory and motor recovery, as well as functional independence, in participants with subacute stroke. Clinical Trial Registration: [clinicaltrials.gov], identifier [NCT03329807].

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BACKGROUND: Access to full-text articles is an essential element of evidence-based practice. OBJECTIVE: Estimate the percentage of articles in the Physiotherapy Evidence Database (PEDro) that have free full-text access and compare free access between PEDro and PubMed. Secondary objectives for access via PEDro: determine if publication year and geographic location impact on free access; determine if adding a link to a portable document format (PDF) locator website would improve free access; and evaluate the association between article characteristics and free access. METHODS: This observational study used a random sample of 200 articles published in 2000-2019 and indexed in PEDro. Data collectors in Australia, Brazil, Nepal, and Spain attempted to access free full text for each article via PEDro. One data collector attempted to access free full text via PubMed. One data collector attempted to access full text via a PDF locator (http://www.pdfsearchengine.net/). The percentage (95% confidence interval [CI]) of articles with free full-text access from PEDro, PubMed, and the PDF locator website were calculated. Logistic regression was used to evaluate the association between free full-text access and article characteristics. RESULTS: Free full text could be accessed via PEDro for 51% of the articles (95% CI: 44, 58). PEDro had 4% higher free access than PubMed (95% CI: 1, 7). Access via PEDro did not vary systematically with time, geographic location, or article characteristics. Access improved by 9% (95% CI: 6, 14) by adding a PDF locator website. CONCLUSIONS: PEDro is a good source of free full-text articles for physical therapists and other rehabilitation professionals. Evidence resources, professional organisations, employers, researchers, and research agencies could all help to increase access to free full text.

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This study aimed to evaluate the stress perception among Brazilian physical therapists (PTs) during COVID-19 pandemic and to identify which psychosocial demands, sociodemographic, professional and clinical factors do associate with the PTs' stress perception. This cross-sectional survey was based on a convenience sample of PTs, who answered a questionnaire about: 1) sociodemographic and professional characteristics, 2) clinical characteristics and information related to COVID-19, 3) psychosocial demands, and 4) 10-item Perceived Stress Scale (PSS-10). Full responses were obtained from 417 PTs. The average PSS-10 score was 19.2 (95% CI 18.5 to 19.9), which was higher than in other Brazilians before COVID-19 and figured among the highest one observed in healthcare workers from different countries during COVID-19 pandemic. After multivariate analysis, PTs' perceived stress remained associated with female sex, younger age, previous diagnosis of depressive or anxiety disorder, worsening in sleep patterns, large reduction in family income, housework, relationship with the partner, concern about close people/family members being infected by SARS-CoV-2, and loneliness.

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OBJETIVO: Verificar a incidência de lesão inalatória confirmada por broncoscopia em pacientes com queimaduras faciais e/ou histórico de exposição a fumaça em uma Unidade de Terapia Intensiva para Queimados. MÉTODO: Estudo transversal retrospectivo baseado em coleta de prontuários de pacientes internados entre agosto de 2015 e maio de 2020. Na análise estatística realizou-se a caracterização dos dados categóricos e contínuos, teste exato de Fisher, teste de Shapiro-Wilk e teste de Kruskal-Wallis sendo avaliados no software STATA® 14 com nível de significância de 5%. RESULTADOS: 82 pacientes com lesão inalatória foram classificados em grupos de nenhuma lesão/leve, moderada e grave, com incidência de 19,2 casos de lesão inalatória a cada 100 internações na unidade de terapia intensiva de queimados e tempo médio de internação de 35,6 dias; destes, 27 faleceram. Os pacientes com lesão grave ficaram por menor tempo em ventilação mecânica. CONCLUSÕES: A avaliação por broncoscopia no atendimento inicial imediato ou em até 24h da admissão do paciente com queimadura facial pode ser adotada para otimizar o diagnóstico e realizar a classificação da lesão inalatória aprimorando a visualização do prognóstico, o atendimento e tratamento a estes pacientes.

OBJECTIVE: To verify the incidence of inhalation injury confirmed by bronchoscopy in patients with facial burns and/or a history of exposure to smoke in a Burns Intensive Care Unit. METHODS: Retrospective cross-sectional study based on the collection of medical records of patients hospitalized between August 2015 and May 2020. In the statistical analysis the categorical and continuous data were characterized, Fisher's exact test, Shapiro-Wilk test, and Kruskal-Wallis test were evaluated in STATA® 14 software with a 5% significance level. RESULTS: 82 patients with inhalation injury were classified into groups of no/mild, moderate and severe injuries, with an incidence of 19.2 cases of inhalation injury for every 100 admissions in the intensive care unit for burns patients with an average length of stay of 35.6 days; of these 27 died. Patients with severe injuries were on mechanical ventilation for a shorter time. CONCLUSIONS: The bronchoscopy evaluation in the immediate initial care or within 24 hours of admission of patients with facial burns can be adopted to optimize the diagnosis and perform the classification of the inhalation injury improving the visualization of the prognosis, care and treatment of these patients.

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OBJETIVO: Relatar ações realizadas por uma fisioterapeuta do NASF na Residência Multiprofissional em Saúde da Família relacionadas ao apoio matricial, promoção à saúde e articulação de rede na atenção básica. MÉTODOS: Trata-se de um relato de experiência que compreendeu as atividades desenvolvidas pela fisioterapeuta no ano de 2019. As experiências relatadas foram obtidas através de informações contidas no caderno de ações coletivas do plano de aula do matriciamento e planilha de acompanhamento dos usuários assistidos pela profissional. RESULTADOS E DISCUSSÃO: A fisioterapeuta desenvolveu educação permanente, inseriu-se em atividades coletivas que priorizaram intervenções de promoção a saúde, além de realizar articulação de rede em centro de atenção especializado à pessoa com deficiência. CONSIDERAÇÕES FINAIS: A atuação do fisioterapeuta deve abranger a promoção à saúde, prevenção de doenças e reabilitação para atender a demanda da população do território.

OBJECTIVE: To report actions performed by a NASF's physical therapist at the Multi-professional Residency in Family Health related with Matrix support activities, health prevention and network articulation in primary care. METHODS: This is an experience report that included the activities developed by the physiotherapist in 2019. The experiences reported were obtained from information contained in the collective action notebook, the lesson plan, the matrix support and a spreadsheet for monitoring users assisted by the professional. RESULTS AND DISCUSSION: The physical therapist developed a pedagogical action of matrix support, participated in collective activities that favored health promotion interventions, articulated the family health unit with the care network. FINAL CONSIDERATIONS: The role of the physical therapist must include health promotion, disease prevention, rehabilitation to meet the demand of the population of the territory.

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