Banca de DEFESA: TATHYANNA KELLY DE MACEDO FURTADO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : TATHYANNA KELLY DE MACEDO FURTADO
DATA : 27/02/2018
HORA: 15:10
LOCAL: Auditório do LAI
TÍTULO:

ERGONOMIC ANALYSIS OF THE FORMATION OF PHYSIOTHERAPY STUDENTS OF A BRASILIAN UNIVERSITY: A PROPOSAL OF RSI/WRMD PREVENTION 

PALAVRAS-CHAVES:

Prevention. Physiotherapy. Students. Formation. Ergonomics.RSI/WRMD

PÁGINAS: 130
GRANDE ÁREA: Engenharias
ÁREA: Engenharia de Produção
RESUMO:

It is reported in several studies that physical therapy is a profession with high prevalence of Repetitive strain injury and Work-Related Musculoskeletal Disorders (RSI-WRMD). The first contact between the physical therapist and the RSI-WRMD risk factors occurs when the professional is still in its formation, as a student. During the professional learning phase, the students adopt constant inadequate postures and biomechanical efforts, transfer and manual elevation of patients, static postures, sudden efforts, among others, generating discomforts, pain and musculoskeletal injuries. The main instrument of work of the physiotherapist is his own body, therefore an injury can force him to have to work with pain, to have to change the operative ways of work, to restrict the variety of clinical conduct and, consequently, to anticipate the interruption of the professional career. This research aims the formation of university students of Physiotherapy, who perform professional internship and to elaborate guidelines to prevent RSI-WRMDs. Ergonomic Analysis of Work was taken as a methodological reference. For that, the documentary analyzes related to the Political Pedagogical Project of the Course of Physiotherapy, the curriculum grid, the course plan and the discipline's agenda were searched for evidence of policies, guidelines and forecast of approaches to contents and of professional practices related to the prevention of RSI-WRMD. Also conducted interviews with the students, teachers and coordination, and photographic records of the student in attendance and the infrastructure of the places of attendance. It was verified that the Pedagogical Project of the course in focus had the discipline of Worker's Health only formally because, in fact, no specific discipline was offered on Worker's Health, Ergonomics or Occupational Health. Also, did not find, in Political Pedagogical Project of the Course, no programmatic content related to the prevention of RSI-WRMD and the self-care directed to occupational health of the students themselves. The students reported that did not receive any specific classes of RSI-WRMD prevention, self-care, ergonomics, occupational health and safety, or related subjects. However, the self-care guidelines they received from teachers were diluted in disciplines such as Applied Rheumatology, Applied Orthopedics and Hand Therapeutic Resources. The guidelines that the students reported receiving in these disciplines consisted of: correcting stretcher height, using a better force lever, being careful in bending and spinal rotation and in handling loads. Students gained knowledge of RSI-WRMD prevention only for the patient and spontaneously realized that they could transfer this knowledge, acquired in another context, in the management of their self-care. However, most of the students interviewed claimed that they could not implement the same RSI-WRMD prevention guidelines in their academic routines, which would be applied to their patients, because of the burden of study and fatigue after care. It was also observed that the organizational and biomechanical criteria for the distribution of patients to correct students, by teachers, are not totally transparent. The specialty of the professional stage, cited by the students interviewed, in which they presented the greatest complaint of pain, was that of neurology, mainly because of the transfer actions, from one place to another, of dependent and heavy patients. These actions are oftentimes individually made and without mechanical assistance. No RSI-WRMD-prevention guidelines or programmatic content were given by the teachers to the students during the internships. It was observed that the course does not offer disciplines, neither programmatic contents nor does it perform academic practices, that give training and propitiates to the student preventive situations of RSI-WRMD and of self-care. Also, there is a high incidence of reports of pain among senior students of physical therapy and the lack of a RSI-WRMD-prevention plan can let the students to reproduce pathogenic behaviors during the professional life, which consequently leads them to injures or early incapacitate. It is recommended to include a discipline or cross-curricular content in all disciplines, to provide students with knowledge about the possible causes of the emergence and aggravation of RSI-WRMD, the importance of prevention and possible prevention measures and the relationship of this approach with the efficiency of the physiotherapeutic act and, consequently, with the treatment results of the patient treated by the student. This allows the student in professional formation to act with better efficiency, health and safety, integrated. And that, in their professional life, this knowledge and good practices be assimilated, thus avoiding a bad mirror effect inherited from incomplete university education.

MEMBROS DA BANCA:
Externo à Instituição - MARIA CHRISTINE WERBA SALDANHA - UFPB
Externo à Instituição - MARIO CESAR RODRIGUEZ VIDAL - UFRJ
Presidente - 1217772 - RICARDO JOSE MATOS DE CARVALHO
Externo ao Programa - 2173436 - TULIO OLIVEIRA DE SOUZA