¿Es transferible la terapia de locomoción refleja a una plataforma de teleneurorrehabilitación en el tratamiento del paciente adulto?

Abstract

IntroductionTele-rehabilitation refers to the providing of physiotherapy services based on the new information and communication technologies. The potential of Vojta therapy is studied in order to be partially used in adults in this setting. Material and methodA randomized, double blind clinical trial was performed with 45 healthy adult subjects (20 men and 25 women; aged: 23 to 41 years; SD: 2.73). Chance selection. Two types of chest area stimulation are studied in the Reflex Rolling pattern: manual compared to a mechanical mechanism that reproduces the same stimulation. Primary endpoint: microvolts of muscle contractions with a surface EMG, over the common fingers extensor. Finally, the subject's capacity of control of the reflex activation caused with the mechanism is studied. The session are supervised by distance with a webcam. ResultsThere are significant contradictions in both types of intervention regarding resting levels P=.00. However, significant differences are not found in the main result between manual intervention or that produced by the mechanical mechanism P=.29. It was not possible to demonstrate significant differences, P=.64 in the activation stage with webcam. ConclusionsThe mechanical mechanism produces a contraction in the muscle similar to the manual intervention. Furthermore, the remote activation with the mechanism shows that the trained subject is capable of self-management under the supervision of the webcam specialist. Therefore, Vojta therapy in the Reflex Rolling pattern has the potential to be transferred to a tele-rehabilitation platform for adults.