Concessões de órteses suropodálicas articuladas e não articuladas para a população infantojuvenil pelo SUS – Implicações para a reabilitação

Abstract

The Brazilian Unified Health System (SUS) provides the population with orthoses, prostheses and special materials (OPME) when necessary. The Care Network for People with Disabilities, through the Specialized Rehabilitation Centres (CER), provides users with these materials, including non-articulated Suropodalic Orthoses (OSnA) and articulated polypropylene orthoses (OSA). The aim of this study was to compare the provision of non-articulated Suropodalic Orthoses and Articulated Suropodalic Orthoses by SUS to the Brazilian child and adolescent population, through the Care Network for People with Disabilities. The study used an exploratory, descriptive, quantitative approach and secondary data, taken from the Department of Informatics of the Unified Health System (DataSUS) of the Ministry of Health (MS) in March 2024. Descriptive statistics and inference were used to analyze the results, with a significance level of 0.5%. In the SUS, polypropylene OSAs were awarded less (p < 0,0001) than polypropylene OSnAs to children and adolescents in the period studied, both nationally and regionally. The Southeast region was the largest recipient of these orthoses. Thus, the SUS granted more polypropylene orthoses to children and adolescents, where the group of people who received this type of orthosis has a greater deficit in body function and limitation of their activities/tasks, since the orthosis is prescribed for users with greater neuromusculoskeletal impairment. The Southeast was the largest supplier of suropodal orthoses because it has the highest concentration of CERs for physical disabilities and physiotherapists in the country.