Teleconsultation and telemonitoring in physiotherapy during the COVID-19 pandemic: experience report in a teaching assistant clinic




Teleconsultation, Telemonitoring, Physiotherapy, Health Education


BACKGROUND: Due to the pandemic context, it was necessary to reinvent our professional practice and introduce the modalities of teleconsultation, teleconsulting and telemonitoring to physiotherapeutic care. Communication established by messaging application, with the sending of videos or exercise booklets, and synchronous activities with exercise guidelines in the home environment, ensuring that the community is protected from the spread of the virus, facilitating the physical and social distance recommended at the time. OBJECTIVE: To report the experience of teleconsultation and telemonitoring from the point of view of physiotherapists who are teaching supervised internships in a teaching assistance outpatient clinic. METHODS: This is an interdisciplinary teaching-care experience report, which took place from August to December 2020, established in the curricular component Outpatient Supervised Internship and Management Internship, of the Physiotherapy course of the Bahiana School of Medicine and Public Health, in Salvador, Bahia. The Teleconsultation and Telemonitoring were carried out using the cell phone number registered in the ®WhatsApp LLC application, with online assistance and a duration of 50 minutes. EXPERIENCE REPORT: The faculty was encouraged to motivate the class to face new challenges, such as dispensing with the application of physical therapy technique with their hands in favor of promoting health education and prioritizing the development of self-care in the patient based on guidelines for distance. Despite the frustrations generated by the changes in the modality of care, students began to see the opening of internal space for new experiences as positive stimuli faced during the internship. Thus, it was observed that even with the challenges, it was possible to establish and understand that some practices are here to stay in the cases where they are best applied.


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(1) Yu P, Zhu J, Zhang Z, Han Y. A familial cluster of infection associated with the 2019 novel coronavirus indicating possible person-to-person transmission during the incubation period. J Infect Dis. 2020;221(11):1757-1761.

(2) Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506.

(3) Pan American Health Organization, World Health Organization. OMS afirma que COVID-19 é agora caracterizada como pandemia [Internet]. 2020. Available from:

(4) Wilder-Smith A, Freedman DO. Isolation, quarantine, social distancing and community containment: pivotal role for old-style public health measures in the novel coronavirus (2019-nCoV) outbreak. J Travel Med. 2020;27(2):020.

(5) Pan American Health Organization, World Health Organization. Doença causada pelo novo coronavírus (COVID-19) [Internet]. 2020. Available from:

(6) Resolução CNE/CP nº 2, de 10 de dezembro de 2020. Institui Diretrizes Nacionais orientadoras para a implementação dos dispositivos da Lei nº 14.040, de 18 de agosto de 2020, que estabelece normas educacionais excepcionais a serem adotadas pelos sistemas de ensino, instituições e redes escolares, públicas, privadas, comunitárias e confessionais, durante o estado de calamidade reconhecido pelo Decreto Legislativo nº 6, de 20 de março de 2020 [Internet]. Diário Oficial da União. 11 de dezembro de 2020. Available from:,redes%20escolares%2C%20p%C3%BAblicas%2C%20privada%2C

(7) Resolução CNE/CES 4, de 19 de fevereiro de 2002. Institui Diretrizes Curriculares Nacionais do Curso de Graduação em Fisioterapia [Internet]. Diário Oficial da União.4 de março de 2002. Available from:

(8) Conselho Federal de Fisioterapia e Terapia Ocupacional (COFFITO). Resolução n.º 516, de 20 de março de 2020. Teleconsulta, Telemonitoramento e Teleconsultoria [Internet]. Distrito Federal; 2020. Available from:

(9) Pegorari MS, Ohara DG, Matos AP, Iosimuta NCR, Ferreira VTK, Pinto ACPN. Barriers and challenges faced by Brazilian physiotherapists during the COVID-19 pandemic and innovative solutions: lessons learned and to be shared with other countries. Physiother Theory Pract. 2020;36(10):1069-1076.

(10) Fazenda ICA, Tavares DE, Godoy HP. Interdisciplinaridade na pesquisa científica. São Paulo: Papirus; 2015.

(11) Stanhope J, Weinstein P. Learning from COVID-19 to improve access to physiotherapy. Aust J Prim Health. 2020;26(4):271-272.

(12) Holland AE. Telephysiotherapy: time to get online. J Physiother. 2017;63(4):193-195.

(13) Piotrowicz E Zieliński T, Bodalski R, Rywik T, Dobraszkiewicz-Wasilewska, Sobieszczańska-Malek, et al. Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: a randomised controlled study. Eur J Prev Cardiol. 2015;22(11):1368-1377.

(14) Hwang R, Bruning J, Morris NR, Mandrusiak A, Russel T. Home-based telerehabilitation is not inferior to a centre-based program in patients with chronic heart failure: a randomised trial. J Physiother. 2017;63(2):101-107.

(15) Tsai LL, McNamara RJ, Moddel C, Alison JA, McKenzie DK, McKeough ZJ. Home-based telerehabilitation via real-time videoconferencing improves endurance exercise capacity in patients with COPD: The randomized controlled TeleR Study. Respirology. 2017;22(4):699-707.

(16) Mallmann DG, Galindo Neto NM, Sousa JC, Vasconcelos EMR. Health education as the main alternative to promote the health of the elderly. Ciênc. saúde coletiva. 2015;20(6):1763-1772.



How to Cite

Sousa, M. C. de M., Mendes, S. M. D., Mamede, C. A. G. S., & Ribeiro, R. T. S. K. (2023). Teleconsultation and telemonitoring in physiotherapy during the COVID-19 pandemic: experience report in a teaching assistant clinic. International Journal of Education and Health, 7, e4368.



Experience Reports