BackgroundThis study is about the contribution of occupational therapy inside a rehabilitation group, and we focus on the autonomy of patients with disabilities due to leprosy. There are few studies on the use of assistive technology by leprosy patients; to our knowledge, none of them aim to have a subjective approach of care. Our purpose was to analyze the repercussions of assistive technology on autonomy of care of the self in patients with sequels of leprosy.MethodsA qualitative, descriptive exploratory study with a semi-structured interview and a field observation as a research method was conducted between November 2014 and February 2015 at a University Hospital in Rio de Janeiro.FindingsEight patients from the service of Occupational Therapy were interviewed, and 44 hours of observation were performed. Interviews followed a semi-structured script and a field journal was used to take notes. Analysis was conducted by the hermeneutic approach. Costs were obtained after a global cost analysis of the fixed and variable expenses and direct and indirect costs to the manufactured products with an amount of 100 dollars. Results were grouped according to the following categories: contribution of the adapted devices for the care of the self and feelings and sensations provoked by the use of self-help devices. The reports revealed feelings, perceptions and meaningful contents about the social, familiar and individual dimensions, also the stigma coupled with leprosy. However, forms of re-signification were elaborated.ConclusionsAssistive technology empowers the subject to perform care of the self and promotes social inclusion.

A criação e a implementação do Serviço de Terapia Ocupacional (TO) no Hospital Universitário Clementino Fraga Filho (HUCFF) reafirma a importância de diversas práticas de formação profissional no contexto hospitalar. Este capítulo apresentará essa trajetória e contará com uma introdução sobre terapia ocupacional em contextos hospitalares, abordará diferentes contextos de práticas e a necessidade para abertura de campos para as atividades de ensino, pesquisa, extensão e residência na área de Terapia Ocupacional da Universidade Federal do Rio de Janeiro (UFRJ).

A Pompage é uma técnica de terapia manual que foi pensada pelo osteopata norte americano Cathie e desenvolvida e publicada por Marcel Bienfait, na França. Trabalha através do tencionamento da fáscia muscular permitindo o deslizamento entre os músculos. O terapeuta ocupacional visando alcançar um melhor desempenho funcional destaca que algumas práticas requerem uma terapia pré-cinética como a Pompage, a qual consiste em um importante recurso utilizado como facilitador do movimento. Assim, este estudo objetiva verificar as contribuições da técnica para a Terapia Ocupacional na reabilitação física e discutir a importância de que estes profissionais incluam as terapias manuais na sua prática. Trata-se de um relato de experiência e um levantamento bibliográfico em livros e nas bases de dados BVS e Pubmed no período de abril até maio de 2017 e ainda consulta ao diário de campo. Foram encontrados 78 artigos e através dos critérios estabelecidos na pesquisa utilizados 11, que em sua maioria abordavam o tratamento para dor lombar, uso da terapia manual e o trabalho com criança.  Entre o conteúdo dos estudos lidos e o diário de campo percebe-se que a técnica pode ser utilizada com diferentes objetivos como a ação sobre a circulação, sobre a musculatura, ação articular e ação calmante proporcionando ao paciente, uma vez mobilizado anteriormente um movimento com mais qualidade, amplitude e menos dor ao longo dos atendimentos. Foi percebida uma escassez de publicações sobre o assunto apesar da indicação do Ministério da Saúde para que práticas integrativas sejam incluídas no Sistema Único de Saúde. AbstractThe Pompage is a manual therapy technique that was founded by the American osteopath Cathie and developed and published by Marcel Bienfait in France. It works by tensing the muscle fascia allowing muscles to slide. The occupational therapist who is aiming to achieve a better functional performance emphasizes that some practices require a pre-kinetic therapy such as Pompage, which is an important resource used as a movement facilitator. Thus, this study aims to verify the contributions of the technique to Occupational Therapy in physical rehabilitation and to discuss the importance of these professionals including manual therapies in their practice. This is an experience report, a bibliographical study of books and in the BVS and Pubmed databases from April to May 2017 and the consultation of the field diary. 78 articles were found and through the criteria established 11 were used,. Between the contents of the studies read and the field diary it was established that the technique can be used with different objectives such as action on circulation, musculature, articular and also a calming effect on the patient. Moreover once mobilized the movement has more quality, amplitude and less pain throughout the visits. A shortage of publications on the subject was identified despite the indication of the Ministry of Health of Brazil so that integrative practices are included in Health Unic System.Keywords: Fascia; Musculoskeletal manipulations; Occupational therapy.