Validação volumétrica de inspirometria de incentivo com interface para dispositivo de telefonia móvel (smartphone)
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Tipo
Monografia
Data de publicação
2024-12
Periódico
Citações (Scopus)
Autores
Carvalho, Fernanda Alves de
Orientador
Fernandes, Marcelo
Título da Revista
ISSN da Revista
Título de Volume
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Resumo
A fisioterapia respiratória é essencial para o tratamento integrado de complicações respiratórias. Uma alternativa comumente utilizada para auxiliar na reversão destes quadros, são os exercícios respiratórios (ERs) e os incentivadores inspiratórios (ISs), porém apresentam limitações que dificultam sua adesão. Como tentativa de melhorar o envolvimento dos pacientes ao tratamento, uma nova abordagem associada a tecnologia foi desenvolvida, o Inspirômetro de Incentivo Digital (ID) associado a um jogo lúdico de aplicativo de smartphone. No entanto, antes de integrar o funcionamento do protótipo ao aplicativo, a leitura volumétrica e fluxométrica deste aparelho deve ser devidamente validada. O objetivo do estudo foi comparar o volume e fluxo de ar captado pelo ID com aquele aferido por um espirômetro portátil (EP) e obter fatores de correção (FC) entre as medidas nos dois aparelhos, e assim, corrigir os valores do protótipo. Trata-se de um estudo do tipo transversal que contou com 10 participantes submetidos à medidas de fluxo e volume por meio da manobra espirométrica da CVF em duas etapas. Foi utilizado teste de Wilcoxon (SPSS-Statistics Version 21) com p<0,05. Os valores dos volumes e fluxos medidos, nas etapas 1 e 2, antes da aplicação do FC apresentaram diferença estatística (p<0,05) entre os dados, mas não se obteve diferença estatística ao comparar os volumes e fluxos após o FC. Concluímos que após inserção do FC o ID (protótipo) passou a expressar valores semelhantes àqueles obtidos com o EP possibilitando a próxima fase do estudo (gameficação do ID).
Respiratory physiotherapy is essential for the integrated treatment of respiratory complications. A commonly used alternative to help reverse these conditions are breathing exercises (BEs) and inspiratory incentives (ISs), but they have limitations that hinder their adherence. In an attempt to improve patient engagement in treatment, a new technology-based approach was developed, the Digital Incentive Spirometer (DI) associated with a playful smartphone app game. However, before integrating the prototype's operation into the app, the volumetric and flowmetric reading of this device must be properly validated. The objective of the study was to compare the volume and airflow captured by the DI with that measured by a portable spirometer (PS) and to obtain correction factors (CF) between the measurements in both devices, and thus correct the prototype values. This is a cross-sectional study that included 10 participants who underwent flow and volume measurements through the FVC spirometric maneuver in two stages. The Wilcoxon test (SPSS-Statistics Version 21) was used with p<0.05. The values of the volumes and flows measured in steps 1 and 2, before the application of the CF, showed a statistical difference (p<0.05) between the data, but no statistical difference was obtained when comparing the volumes and flows after the CF. We concluded that after the insertion of the CF, the DI (prototype) began to express values similar to those obtained with the PS, enabling the next phase of the study (gamification of the DI).
Respiratory physiotherapy is essential for the integrated treatment of respiratory complications. A commonly used alternative to help reverse these conditions are breathing exercises (BEs) and inspiratory incentives (ISs), but they have limitations that hinder their adherence. In an attempt to improve patient engagement in treatment, a new technology-based approach was developed, the Digital Incentive Spirometer (DI) associated with a playful smartphone app game. However, before integrating the prototype's operation into the app, the volumetric and flowmetric reading of this device must be properly validated. The objective of the study was to compare the volume and airflow captured by the DI with that measured by a portable spirometer (PS) and to obtain correction factors (CF) between the measurements in both devices, and thus correct the prototype values. This is a cross-sectional study that included 10 participants who underwent flow and volume measurements through the FVC spirometric maneuver in two stages. The Wilcoxon test (SPSS-Statistics Version 21) was used with p<0.05. The values of the volumes and flows measured in steps 1 and 2, before the application of the CF, showed a statistical difference (p<0.05) between the data, but no statistical difference was obtained when comparing the volumes and flows after the CF. We concluded that after the insertion of the CF, the DI (prototype) began to express values similar to those obtained with the PS, enabling the next phase of the study (gamification of the DI).
Descrição
Palavras-chave
inspirômetro de incentivo digital , validação , jogo , aplicativo , digital incentive spirometer , validation , game