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Tecnologias utilizadas na reabilitação da paralisia facial nas pessoas adultas: Scoping Review
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Enquadramento: A paralisia facial é uma condição neurológica que causa perda da função muscular de um lado do rosto, alterando a expressão emocional e funções básicas. A paralisia facial periférica com melhor prognóstico é a Paralisia de Bell que afeta cerca de 25 em cada 100.000 pessoas. A recuperação facial é fundamental, e o recurso a tecnologias de reabilitação tradicionais, inovações digitais ou combinadas, são respostas essenciais para a recuperação funcional dos músculos da face.
Objetivo: Identificar as tecnologias utilizadas na reabilitação da paralisia facial nas pessoas adultas.
Metodologia: Adotada a proposta pelo Joanna Briggs Institute para as scoping reviews e as orientações do Preferred Reporting Items for Systematic review and Meta-Analysis Protocols (PRISMA-P). Para estabelecer os critérios de elegibilidade recorremos ao quadro de referência PCC. Na pesquisa consideraram-se pessoas adultas (População); tecnologias utilizadas na reabilitação da paralisia facial (Conceito), em qualquer ambiente de prestação de cuidados (Contexto). Atendendo à temática, a pesquisa foi realizada nas bases de dados: MEDLINE Complete® (via PubMed), CINAHL Complete® (via EBSCO); LILACS (via BVS); Scopus® e PEDro®. A pesquisa de literatura cinzenta foi efetuada na ProQuest - Dissertations and Theses® e na WorldCat®. Consideraram-se publicações sem limitação temporal ou idioma. Após a pesquisa nas bases de dados, as publicações foram exportadas para a plataforma Rayyan, onde foram identificados e excluídos os duplicados. A avaliação do cumprimento dos critérios de elegibilidade, foi realizada por dois revisores de forma independente, assim como a análise e extração de dados, que tiveram por base um documento construído para o efeito.
Resultados e discussão: Identificados 427 estudos potencialmente relevantes, resultando em 11 estudos para análise, da qual emergiram as categorias: estratégias de avaliação; tipos de paralisia facial; tecnologias usadas na reabilitação e impacto na pessoa. No que se refere às tecnologias usadas na reabilitação da paralisia facial nas pessoas adultas emergiram tecnologias não digitais, tecnologias digitais e tecnologias combinadas.
Conclusões: De entre as várias tecnologias identificadas e apesar do avanço tecnológico, as tecnologias tradicionais ainda são muito valorizadas, e a combinação de tecnologias é uma mais-valia na reabilitação da pessoa com paralisia facial. O Enfermeiro Especialista em Enfermagem de Reabilitação pela atualização continua, formação e suporte na implementação de tecnologias modernas, e papel na promoção de práticas clínicas eficazes e seguras, é essencial na recuperação da pessoa com paralisia facial, pois contribui para uma recuperação mais eficiente e do bem-estar.
Background: Facial paralysis is a neurological condition that causes loss of muscle function on one side of the face, altering emotional expression and basic functions. The peripheral facial paralysis with the best prognosis is Bell's Palsy, which affects around 25 out of every 100,000 people. Facial recovery is fundamental, and the use of traditional rehabilitation technologies, digital innovations or combinations, are essential responses to the functional recovery of the facial muscles. Objective: To identify the technologies used in the rehabilitation of facial paralysis in adults. Methodology: The Joanna Briggs Institute proposal for scoping reviews and the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) were adopted. The PCC reference framework was used to establish the eligibility criteria. The research considered adult people (Population); technologies used in the rehabilitation of facial paralysis (Concept), in any care environment (Context). Given the theme, the search was carried out in the following databases: MEDLINE Complete® (via PubMed), CINAHL Complete® (via EBSCO); LILACS (via BVS); Scopus® and PEDro®. Grey literature was searched on ProQuest - Dissertations and Theses® and WorldCat®. Publications without time or language limitations were considered. After searching the databases, the publications were exported to the Rayyan platform, where duplicates were identified and excluded. The assessment of compliance with the eligibility criteria was carried out by two independent reviewers, as was the analysis and extraction of data, which was based on a form constructed by the researchers. Results and discussion: 427 potentially relevant studies were identified, resulting in 11 studies for analysis, from which the following categories emerged: assessment strategies; types of facial paralysis; technologies used in rehabilitation and impact on the person. With regard to the technologies used in the rehabilitation of facial paralysis in adults, non-digital technologies, digital technologies and combined technologies emerged. Conclusions: Among the various technologies identified and despite technological advances, traditional technologies are still highly valued, and the combination of technologies is an asset in the rehabilitation of people with facial paralysis. The Rehabilitation Nurse Specialist, through continuous updating, training and support in the implementation of modern technologies, and their role in promoting effective and safe clinical practices, is essential in the recovery of people with facial paralysis, as it contributes to a more efficient recovery and well-being.
Background: Facial paralysis is a neurological condition that causes loss of muscle function on one side of the face, altering emotional expression and basic functions. The peripheral facial paralysis with the best prognosis is Bell's Palsy, which affects around 25 out of every 100,000 people. Facial recovery is fundamental, and the use of traditional rehabilitation technologies, digital innovations or combinations, are essential responses to the functional recovery of the facial muscles. Objective: To identify the technologies used in the rehabilitation of facial paralysis in adults. Methodology: The Joanna Briggs Institute proposal for scoping reviews and the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) were adopted. The PCC reference framework was used to establish the eligibility criteria. The research considered adult people (Population); technologies used in the rehabilitation of facial paralysis (Concept), in any care environment (Context). Given the theme, the search was carried out in the following databases: MEDLINE Complete® (via PubMed), CINAHL Complete® (via EBSCO); LILACS (via BVS); Scopus® and PEDro®. Grey literature was searched on ProQuest - Dissertations and Theses® and WorldCat®. Publications without time or language limitations were considered. After searching the databases, the publications were exported to the Rayyan platform, where duplicates were identified and excluded. The assessment of compliance with the eligibility criteria was carried out by two independent reviewers, as was the analysis and extraction of data, which was based on a form constructed by the researchers. Results and discussion: 427 potentially relevant studies were identified, resulting in 11 studies for analysis, from which the following categories emerged: assessment strategies; types of facial paralysis; technologies used in rehabilitation and impact on the person. With regard to the technologies used in the rehabilitation of facial paralysis in adults, non-digital technologies, digital technologies and combined technologies emerged. Conclusions: Among the various technologies identified and despite technological advances, traditional technologies are still highly valued, and the combination of technologies is an asset in the rehabilitation of people with facial paralysis. The Rehabilitation Nurse Specialist, through continuous updating, training and support in the implementation of modern technologies, and their role in promoting effective and safe clinical practices, is essential in the recovery of people with facial paralysis, as it contributes to a more efficient recovery and well-being.
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Paralisia facial Reabilitação Enfermagem de Reabilitação Tecnologia