Banca de DEFESA: ANDRESSA MACARIO CARDOSO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ANDRESSA MACARIO CARDOSO
DATE: 09/02/2022
TIME: 13:00
LOCAL: Sessão Remota
TITLE:

EFFECTIVENESS OF POST-IMPLANTATION REHABILITATION OF AUTOLOGOUS MONONUCLEAR CELLS IN OSTEONECROSIS OF THE FEMORAL HEAD IN MULTI-CENTERS

KEY WORDS:

Osteonecrosis of the femoral head. Implantation of autologous mononuclear cells. Rehabilitation. Regenerative Physiotherapy. Physiotherapy protocol.

PAGES: 135
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

This research aims to carry out an experimental pilot project, in the face of the Covid-19 pandemic, to test the effectiveness of a physiotherapy protocol for patient rehabilitation after implantation of autologous mononuclear cells in osteonecrosis of the femoral head, in order to supply a gap in the multicentres. The adopted methodology comprised a case study, with a quantitative and quasi-experimental approach, carried out in 19 patients, of both genders, children and adults, diagnosed with osteonecrosis of the femoral head by the orthopedics service of the Professor Edgard Santos University Hospital of the Federal University from Bahia (FUB), and selected for the surgical treatment of implantation of autologous mononuclear cells, in order to reduce joint pain and obtain better hip function. The selected patients were divided into treatment groups: Group 1 FUB Treatment (physiotherapy supervised by the FUB service), Group 2 Multicenter Treatment (physiotherapy performed in other Federation Units with remote support from the FUB service) and Group 3 Control (other than performed physiotherapy or other treatment unknown to the researcher). As results obtained, after the surgical procedure, patients started physical therapy from the first week after surgery, following a physical therapy protocol. But, to date, only one N=19 patients underwent surgery to implant autologous mononuclear cells in the hip due to the pandemic (COVID-19), which results in non-statistically significant. Within this context, it became an experimental pilot project, in which the justification for potential results, found so far, enabled studies and future application in a greater number of patients undergoing physical therapy treatment. However, success was achieved in 100% of patients who were instructed and treated with the experimental protocol in the multicenters. Thus, the conclusion reached was that, given the results obtained, even from incipient data, these proved to be promising for the use of a physiotherapy protocol in patients undergoing cell therapy for osteonecrosis of the femoral head, in partnership in multicenters, above all, because it understands that it will enable the physiotherapeutic medical service to improve the management process, which is linked to the contributions it will provide, on a large scale, with the implementation of new public policies with multicenters, minimizing operating costs and optimizing resources exist in all instances - municipal, state and federal - which, consequently, will facilitate the rehabilitation process of patients who qualify for the implantation of autologous mononuclear cells in osteonecrosis of the femoral head

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