Fisioterapia Respiratória: Proposta de um sistema para o monitoramento de sessões

Abstract

Respiratory physiotherapy is necessary for the treatment of patients affected by lung diseases. In the sessions, techniques are applied to remove secretions from the airways. The chest vibration technique is extremely important for bronchial hygiene, due to the difficulty of performing the technique, a tool was built to analyze its execution. It is possible to monitor the evolution of the patient with a monitoring system based on the record of sessions, and observe the application of the vibration techniques as well. The FisioLung system is capable of recording physiotherapy sessions with the registration of personal data of the patient and the professional, anamnesis information, techniques used, and analysis of the manual chest vibration technique are stored. FisioLung is based on the integration of hardware and software, an accelerometer is used to capture the vibration data and an Arduino board to process them, the software application uses the Model-View-Controller architecture for integration between the front-end and backend. Session analysis becomes important to monitor the patient’s progress during treatment. On the analysis screen, the graphs of peak frequency versus time and the average of peak frequency versus time are displayed, as well as session information such as analysis time, anamnesis data, and techniques applicated. The software designed was performed based on the defined requirements, software prototyping, use cases, class and sequence diagrams, and database. According to the tests performed on the system, it was possible to measure the performance, achieving the expected results for the solution. The development of FisioLung allowed an improvement in the performance of the chest vibration technique, benefiting the patients during the treatment. The identification, from the system, of the manual thoracic vibration technique was as expected, so the tool is possible to be used by physical therapists.