Functional limitations and the use of rehabilitation therapies among brazilian adults with chronic diseases

Authors

DOI:

https://doi.org/10.11606/issn.2317-0190.v31i2a200726

Keywords:

Rehabilitation, Chronic Diseases, Health Services, Health Services for Persons with Disabilities, Health Surveys

Abstract

Objective: We aim to analyze the functional limitations and the use of rehabilitation therapies among brazilian adults with chronic diseases. Methods: This is a population-based survey with data from the 2013 National Health Survey. There was selected a subsample of the adult population who reported chronic diseases (stroke, arthritis, work-related musculoskeletal disorder, chronic obstructive pulmonary disease, or reported back pain), and that also reported moderate to very intense limitations of their activities. The outcome was the use of rehabilitation therapies. A logistic regression model was estimated, with a 95% confidence interval, adjusted for sociodemographic variables. Results: Among brazilian adults, 24.8% were diagnosed with a stroke, arthritis, work-related musculoskeletal disorder, chronic obstructive pulmonary disease, or reported back pain. Among these, 34.6% reported having moderate, intense, or very intense limitations in their daily activities due to illnesses, and, among this population, 26.3% performed some rehabilitation therapy related to their conditions. The use of rehabilitation therapies was more frequent among the female population, with higher education, higher socioeconomic status, older, and living in the southern macro-region of Brazil. Conclusions: Among brazilians with functional limitations due to chronic diseases, the low frequency of rehabilitation therapies utilization may be associated with barriers to access health services.

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References

Duarte EC, Barreto SM. Transição demográfica e epidemiológica: a Epidemiologia e Serviços de Saúde revisita e atualiza o tema. Epidemiol Serv Saúde. 2012;21(4):529-32. Doi: https://doi.org/10.5123/S1679-49742012000400001

GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396(10258):1204-1222. Doi: https://doi.org/10.1016/S0140-6736(20)30925-9

Stucki G, Cieza A, Melvin J. The International Classification of Functioning, Disability and Health (ICF): a unifying model for the conceptual description of the rehabilitation strategy. J Rehabil Med. 2007;39(4):279-85. Doi: https://doi.org/10.2340/16501977-0041

Organização Mundial da Saúde (OMS). Relatório mundial sobre a deficiência/World Report on Disability. São Paulo: Secretaria dos Direitos da Pessoa com Deficiência; 2012.

Caetano LA, Sampaio RF, Costa LA. A expansão dos serviços de reabilitação no SUS à luz do arcabouço normativo federal. Rev Ter Ocup Univ São Paulo. 2018;29(3):195-203. Doi: https://doi.org/10.11606/issn.2238-6149.v29i3p195-203

Brasil. Ministério da Saúde. Diretrizes para o cuidado das pessoas com doenças crônicas nas redes de atenção à saúde e nas linhas de cuidado prioritárias. Brasília (DF): Ministério da Saúde; 2013.

Souza-Júnior PRB, Freitas MPS, Antonaci GA, Szwarcwald CL. Desenho da amostra da Pesquisa Nacional de Saúde 2013. Epidemiol Serv Saúde. 2015;24(2):207–16. Doi: https://doi.org/10.5123/S1679-49742015000200003

Damacena GN, Szwarcwald CL, Malta DC, Souza Júnior PRB, Vieira MLFP, Pereira CA, et al. O processo de desenvolvimento da Pesquisa Nacional de Saúde no Brasil, 2013. Epidemiol Serv Saúde. 2015;24(2):197–206. Doi: https://doi.org/10.5123/S1679-49742015000200002

Instituto Brasileiro de Geografia e Estatística. PNS, Pesquisa Nacional de Saúde, 2013. Questionário dos moradores do domicílio. Rio de Janeiro: IBGE; 2013.

Associação Brasileira de Estudos de Pesquisa. Critério Brasil [texto na Internet]. São Paulo: ABEP [citado 2020 Abr 10]. Disponível em: http://www.abep.org/criterio-brasil

Jacobs B, Ir P, Bigdeli M, Annear PL, Van Damme W. Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries. Health Policy Plan. 2012;27(4):288-300. Doi: https://doi.org/10.1093/heapol/czr038

Franchi EF, Piber VD, Selau CM, Schmidt MH, Soares PS, Quatrin LB. Prevalência de pessoas com deficiência física e acesso ao serviço de reabilitação no Brasil. Cinergis. 2017;18(3):169-173. Doi: https://doi.org/10.17058/cinergis.v18i3.8783

Ribeiro CTM, Ribeiro MG, Araújo AP, Mello LR, Rubim LC, Ferreira JES. O sistema público de saúde e as ações de reabilitação no Brasil. Rev Panam Salud Publica. 2010;28(1):43–8.

Viacava F, Bellido JG. Health, access to services and sources of payment, according to household surveys. Cien Saude Colet. 2016;21(2):351-70. Doi: https://doi.org/10.1590/1413-81232015212.19422015

Boccolini CS, Souza Junior PR. Inequities in Healthcare utilization: results of the Brazilian National Health Survey, 2013. Int J Equity Health. 2016;15(1):150. Doi: https://doi.org/10.1186/s12939-016-0444-3

Melo TR, Weinert LVC, Hoshino MS, Maldaner TP. Perfil dos usuários de serviços de reabilitação no Sistema Único de Saúde. Rev da Universidade Vale do Rio Verde, Três Corações 2017;15(2): 65-77. Doi: https://doi.org/10.5892/ruvrd.v15i2.3281.

Moretto L, Longo G, Boing A, Arruda M. Prevalência da utilização de serviços de fisioterapia entre a população adulta urbana de Lages, Santa Catarina. Braz J Phys Ther. 2009;13(2):130–5. Doi: https://doi.org/10.1590/S1413-35552009005000023

Rodes CH, Kurebayashi R, Kondo VE, Luft VD, Góes ÂB, Schmitt ACB. O acesso e o fazer da reabilitação na Atenção Primária à Saúde. Fisioter Pesqui. 2017;24(1):74–82. Doi: https://doi.org/10.1590/1809-2950/16786424012017

Sérvio TC, Britto RR, Melo Ghisi GL, Silva LP, Silva LDN, Lima MMO, et al. Barriers to cardiac rehabilitation delivery in a low-resource setting from the perspective of healthcare administrators, rehabilitation providers, and cardiac patients. BMC Health Serv Res. 2019;19(1):615. Doi: https://doi.org/10.1186/s12913-019-4463-9

Cao YJ, Nie J, Noyes K. Inpatient rehabilitation service utilization and outcomes under US ACA Medicaid expansion. BMC Health Serv Res. 2021;21(1):258. Doi: https://doi.org/10.1186/s12913-021-06256-z

Biener AI, Zuvekas SH, Hill SC. Impact of Recent Medicaid Expansions on Office-Based Primary Care and Specialty Care among the Newly Eligible. Health Serv Res. 2018;53(4):2426-2445. Doi: https://doi.org/10.1111/1475-6773.12793

Richardson CR, Franklin B, Moy ML, Jackson EA. Advances in rehabilitation for chronic diseases: improving health outcomes and function. BMJ. 2019;365:l2191. Doi: https://doi.org/10.1136/bmj.l2191

Zziwa S, Babikako H, Kwesiga D, Kobusingye O, Bentley JA, Oporia F, et al. Prevalence and factors associated with utilization of rehabilitation services among people with physical disabilities in Kampala, Uganda. A descriptive cross sectional study. BMC Public Health. 2019;19(1):1742. Doi: https://doi.org/10.1186/s12889-019-8076-3

Ribeiro KSQS, Neves RF, Brito GEG, Sousa KM, Lucena EMF, Batista HRL. Acesso à Reabilitação no pós-AVC na cidade de João Pessoa, Paraíba. Rev Baiana Saúde Pública. 2012;36(3):699-712. Doi: https://doi.org/10.22278/2318-2660.2012.v36.n3.a548

Schmidt MH, Selau CM, Soares OS, Franchi EF, Piber VD, Quatrin LB. Acidente Vascular Cerebral E Diferentes Limitações: Uma Análise Interdisciplinar. Arq Ciênc da Saúde Unipar. 2019;23(2):139–44. Doi: https://doi.org/10.25110/arqsaude.v23i2.2019.6404

Shaw L, Bhattarai N, Cant R, Drummond A, Ford GA, Forster A, et al. An extended stroke rehabilitation service for people who have had a stroke: the EXTRAS RCT. Health Technol Assess. 2020;24(24):1-202. Doi: https://doi.org/10.3310/hta24240

Lucena EMDF, Morais JD, Batista HRL, Mendes LM, Silva KSQR, Neves RF, et al. A funcionalidade de usuários acometidos por AVE em conformidade com a acessibilidade à reabilitação. Acta Fisiatr. 2011;18(3):112–8. Doi: https://doi.org/10.11606/issn.2317-0190.v18i3a103634

Fryer CE, Luker JA, McDonnell MN, Hillier SL. Self management programmes for quality of life in people with stroke. Cochrane Database Syst Rev. 2016;2016(8):CD010442. Doi: https://doi.org/10.1002/14651858.CD010442.pub2

Laurindo I, Ximenes A, Lima F, Pinheiro G, Batistella L, Bertolo M, et al. Artrite reumatóide: diagnóstico e tratamento. Rev Bras Reumatol. 2004;44(6):435–42.

Brasil. Ministério da Saúde. Dor relacionada ao trabalho. Brasília (DF): Ministério da Saúde; 2012.

Brasil. Ministério da Saúde. Saúde Brasil 2018: uma análise de situação de saúde e das doenças e agravos crônicos: desafios e perspectivas. Brasília (DF): Ministério da Saúde; 2019.

Viegas LRT, Almeida MMC. Perfil epidemiológico dos casos de LER/DORT entre trabalhadores da indústria no Brasil no período de 2007 a 2013. Rev bras saúde ocup. 2016;41:e22. Doi: https://doi.org/10.1590/2317-6369000130615

Cruz MM, Pereira M. Epidemiology of Chronic Obstructive Pulmonary Disease in Brazil: a systematic review and meta-analysis. Cien Saude Colet. 2020;25(11):4547-4557. Doi: https://doi.org/10.1590/1413-812320202511.00222019

Fernandes ABS. Reabilitação respiratória em DPOC – a importância da abordagem fisioterapêutica. Pulmão RJ – Atual Temáticas. 2009;1(1):71-8.

Wehrmeister FC, Knorst M, Jardim JR, Macedo EC, Noal RB, Martínez-Mesa J, et al. Programas de reabilitação pulmonar em pacientes com DPOC. J Bras Pneumol. 2011;37(4):544–55. Doi: https://doi.org/10.1590/S1806-37132011000400017

Griffiths TL, Burr ML, Campbell IA, Lewis-Jenkins V, Mullins J, Shiels K, et al. Results at 1 year of outpatient multidisciplinary pulmonary rehabilitation: a randomised controlled trial. Lancet. 2000;355(9201):362-8. Doi: https://doi.org/10.1016/s0140-6736(99)07042-7

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Published

2024-06-28

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How to Cite

1.
Boccolini P de MM, Duarte CMR, Boccolini CS. Functional limitations and the use of rehabilitation therapies among brazilian adults with chronic diseases. Acta Fisiátr. [Internet]. 2024 Jun. 28 [cited 2025 Mar. 9];31(2):102-10. Available from: https://periodicos.usp.br/actafisiatrica/article/view/200726