Severa Carrillo Barrantes
Costa Rica University , Costa Rica
Title: Physical exercise, physical activity. How to continue it in times of pandemic?
Physical activity and
physical exercise are medical recommendations that have been implemented since
ancient times by the same Hippocrates, so much so that in the first third of
the twentieth century, was included in medical schools teaching physical education
in the USA, by Dr. McKenzie, which is lost when arriving specialization.
However, at the end of the twentieth century, the term "exercise is
medicine" begins, supported by epidemiological data, which suggest that
this intervention is associated with the reduction of the rates of all causes
of mortality, achieving that the medical community included it in its
therapeutic arsenal.This is how since the late 80s, began in Costa Rica,
by the Costa Rican Social Security (CCSS), cardiac rehabilitation programs, with
a comprehensive approach, and have been maintained today, along with private
initiatives, the modality of care is face-to-face, despite a percentage of
patients, receive home treatment, since
geographical, economic, family situations must choose this option. When at the end of January the institution
began negotiations in the face of the threat of COVID-19, already classified as
a pandemic, the coordinators of the Cardiac Rehabilitation (CR) programs began
conversations to offer an alternative to users of this type of program. There
are many benefits of physical activity and exercise, in this population, as
well as comprehensive intervention, which includes, among others, psychosocial
support, so exhausting all options became part of the task. The benefit of
technological progress and its reach through social networks, has allowed
visual and auditory communication in real time, so using it was the best option
at that time, taking into account that 95% of the general population has access
to a smartphone, and having the institution with communication platforms, telerehabilitation began, with a novel
project of cardio dance, counselling, education and consultation through
WhatsApp, after each session.
Medical surgeon, specialist in physical
medicine and rehabilitation. Master in integral health and human movement.
Coordinator of the oncological and post-covid pulmonary cardiovascular
rehabilitation program Hospital San Juan de Dios, Costa Rica. Postgraduate professor at the University of
Costa Rica. She has several publications, writer of chapters of medical books,
member of the editorial board RevistaMHSalud.