RESOLUTION No. 550, OF MARCH 28, 2022
Recognizes and Disciplines the Professional Specialty of Physiotherapy in Rheumatology and makes other provisions.
The Plenary of the FEDERAL COUNCIL OF PHYSIOTHERAPY AND OCCUPATIONAL THERAPY – COFFITO, in the exercise of its legal and regimental attributions, at its 357th Ordinary Plenary Meeting, held on March 28, 2022, at its sub-headquarters, located at Rua Padre Anchieta, 2285, Delta Center Building, Rooms 801/802, Bairro Bigorrilho, Curitiba/PR, and in accordance with the competence provided for in items II and XI of art. 5 of Law No. 6,316, of December 17, 1975;
CONSIDERING the provisions of Decree-Law No. 938, of October 13, 1969;
CONSIDERING the provisions of Resolution-COFFITO No. 80, of May 9, 1987;
CONSIDERING the terms of Resolution-COFFITO No. 377, of June 11, 2010, resolves:
Art. 1st Recognize and discipline the activity of the physiotherapist in the exercise of the Professional Specialty of Physiotherapy in Rheumatology.
Art. 2nd For the purposes of registration, the title granted to the professional physical therapist will be the Physical Therapist Specialist in Rheumatology.
Art. 3 For the exercise of the professional specialty, mastery of the following major areas of competence is required:
I – perform physiotherapeutic consultation and diagnosis, with emphasis on functional capacity, referring to the autonomy and independence of people with rheumatic diseases, through physical therapy consultation, requesting and carrying out interconsultation and referrals, when necessary;
II – request, apply and interpret one-dimensional and multidimensional scales, questionnaires and functional tests, in the interdisciplinary field, making use of binding rules for the coding and qualification with the ICF of the respective results in people with rheumatic diseases;
III – request, perform and interpret complementary exams necessary for the establishment of the physiotherapeutic diagnosis and prognosis and prescription of physiotherapeutic conduct;
IV – determine the physiotherapeutic diagnosis and prognosis in patients with rheumatologic diseases;
V – plan and implement measures to prevent and reduce risk, health promotion measures, maintenance of functional capacity, prevention and/or delay of aggravations inherent to rheumatological diseases, for the recovery of functions and limitation of deficiencies, seeking the maximum state functionality;
VI – prescribe and execute manual therapeutic resources suitable for the treatment of people with rheumatological diseases;
VII – prescribe, assemble, test, operate, evaluate and execute technological, assistive, virtual reality therapeutic resources and integrative and complementary practices aimed at patients with rheumatic disease, within the scope of Physiotherapy;
VIII – prescribe, analyze and apply physiotherapeutic procedures, methods, techniques and resources to maintain and restore the functions of the body’s control systems, whether musculoskeletal, integumentary, nervous and for the execution of human movement of patients with rheumatic disease, aiming at the functional recovery;
IX – prepare and carry out programs of kinesiotherapy, mechanotherapy, group functional re-education for health promotion and prevention of diseases and conditions prevalent in rheumatic disease;
X – perform bed positioning, transfers, sitting, orthostatism, ambulation; guide and train the person with rheumatic disease, aiming at optimizing, maintaining and recovering functional capacity;
XI – determine the conditions for consultations and physical therapy discharge, including a home care plan;
XII – record in medical records: consultation, physiotherapeutic diagnosis, physiotherapeutic prognosis, treatment, evolution, consultation, intercurrences, planning of physical therapy discharge and home care plan;
XIII – use resources of isolated or concomitant action, of kinesiomecanotherapeutic, massage therapy, thermotherapeutic, phototherapeutic, electrotherapeutic, sonidotherapeutic, aerotherapeutic agents, among others, suitable for patients with rheumatic disease;
XIV – issue reports, opinions, reports and physiotherapeutic certificates;
XV – carry out educational activities at all levels of care aimed at patients with rheumatic disease;
XVI – prescribe, prepare, carry out and manage adaptations and adjustments in supplies, furniture, equipment and other aspects in the environment of the patient with rheumatic disease, in order to provide environmental, labor, documentary, biological, family and social security, from the assistive technology or other features regulated by COFFITO;
XVII – prescribe, manufacture, manage and train the use of orthoses and prostheses necessary for the optimization of the functional capacity and integration of the patient with rheumatic disease;
XVIII – participate in interdisciplinary and transdisciplinary plans for intergenerational coexistence and integration, through physiotherapeutic resources;
XIX – establish a comprehensive and integrated care plan for patients with rheumatic disease, with or without impairment of functional capacity;
XX – direct, manage, coordinate and supervise a team or referral service for the care of patients with rheumatic disease.
Art. 4th The exercise of the physiotherapist specialist in Rheumatology is conditioned to the knowledge and mastery of the following areas and disciplines:
I – demography and epidemiology of rheumatic diseases;
II – multidimensional aspects of rheumatic diseases: social, psychological, chronological, biological and functional, and their theories;
III – general anatomy, physiology and pathophysiology of organs and systems, in particular, the changes that occur in rheumatic disease;
IV – functional capacity, independence and autonomy;
V – biomechanics and general kinesiology and applied to rheumatic disease;
VI – postural control and mobility in rheumatic disease;
VII – physiotherapeutic techniques and resources applied to patients with rheumatic disease;
VIII – ergonomics, planning and adaptation of environments;
IX – prostheses, orthotics, assistive technology devices and accessibility;
X – pharmacology and herbal medicines applied to rheumatic disease.
Art. 5 The physiotherapist specializing in Rheumatology can exercise the following duties:
I – physical therapy care and assistance;
II – coordination, supervision and technical responsibility;
III – management and planning;
IV – entrepreneurship;
V – management;
VI – direction;
VII – leadership;
VIII – consultancy;
IX – advice;
X – audit;
XI – expertise;
XII – preceptorship, teaching and research.
Art. 6 The role of the physiotherapist specializing in Rheumatology is characterized by professional practice at all levels of health care, whether public, private or philanthropic, as well as in the Social Security, education, work, judiciary and prison sectors, in all the phases of ontogenic development, with prevention, promotion and rehabilitation actions, in the following environments:
I – hospital;
II – outpatient;
III – basic health units;
IV – reference units in Rheumatology, at all levels of health care;
V – home care;
VI – Social Security.
Art. 7. The omitted cases will be resolved by the COFFITO Plenary.
Art. 8 This Resolution enters into force on the date of its publication.
Abidiel Pereira Dias
Roberto Mattar Cepeda