Telerehabilitation and Conventional Physiotherapy Program for Caregivers of Individuals With Special Needs

NCT ID: NCT06095336

Last Updated: 2023-10-23

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-10-28
• Study Completion Date: 2024-02-01

Brief Summary

The study was planned to investigate the effectiveness of home therapy method due to the difficulties experienced by caregivers of individuals with special needs in accessing physiotherapy and rehabilitation services for chronic neck and back pain.

Detailed Description

Caring for a disabled child is a very difficult and long process for parents. In this process, mothers and fathers exert a lot of effort while caring for the child, carrying the child and playing an active role in its rehabilitation. For these reasons, it is reported that the physical health of mothers and fathers is negatively affected and they often experience waist and back pain. Telerehabilitation allows patients who cannot access rehabilitation due to geographical, economic or physical disabilities to benefit from rehabilitation services. The distance problem is especially valid in cases where people live far from the rehabilitation center, there are no rehabilitation professionals specialized in the relevant disease in the place of residence, when transfers are difficult due to mobility problems, and in cases where it is not possible or risky to go to the rehabilitation center due to epidemics, as is the case today. Telerehabilitation has the potential to overcome all these problems. The study was planned to investigate the effectiveness of home therapy method due to the difficulties experienced by caregivers of individuals with special needs in accessing physiotherapy and rehabilitation services for chronic neck and back pain.

Conditions

Telerehabilitation; Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Telereahabilitation arm

The group receiving telerehabilitation will be given a video CD containing the exercise program that will be changed every 3 weeks, and in the first week of each change program, daily sessions will be held collectively via video conferencing under the supervision of a physiotherapist. In the first 3 weeks of the 12-week exercise program, neck joint movements, neck stretching exercises and posture exercises will be given. Between weeks 4-6, in addition to the exercises in the first 3 weeks, cervical and scapular stabilization exercises will be given in the following weeks. In the following weeks, between weeks 7-9, 4-way strengthening exercises will be included in the program in addition to the exercises performed in the previous weeks. Cervical and scapular stabilization exercises and strengthening exercises will be performed in the following weeks between weeks 10-12, Exercises will be done 10 repetitions 3 times a day.

Group Type: EXPERIMENTAL

telerehabilitation

Intervention Type: OTHER

The individuals included in the research will be divided into three groups. Group 1 (experiment): This is the exercise group followed by the telerehabilitation method. Group 2 (experiment): This is the group where traditional physical therapy methods will be applied. The 3rd group will be taken as the control group, there will be no intervention and they will be asked to continue their daily lives.

conventional physiotherapy arm

Superficial heat (infrared), "Transcutaneous Electrical Nerve Stimulation" (TENS), therapeutic ultrasound and Hotpack application will be applied to the traditional treatment group. The patients receive 20 sessions in total, 5 days a week and 1 session daily for 4 weeks; You will receive superficial heat (infrared), TENS, therapeutic US and Hotpack treatment. . Superficial heat infrared will be applied to the tissue for 20 minutes. Conventional TENS will be applied. Therapeutic US will be applied to the cervical and thoracic region with an ultrasound device for 5 minutes at 3mHz, 1W/cm² treatment dosage, in continuous mode. Hotpack application will be done for 20 minutes. At the end of the 20 sessions, a brochure containing video-supported exercises will be given to the patients in the first group and they will be asked to do it for 12 weeks without follow-up.

Group Type: EXPERIMENTAL

telerehabilitation

Intervention Type: OTHER

The individuals included in the research will be divided into three groups. Group 1 (experiment): This is the exercise group followed by the telerehabilitation method. Group 2 (experiment): This is the group where traditional physical therapy methods will be applied. The 3rd group will be taken as the control group, there will be no intervention and they will be asked to continue their daily lives.

control arm

The third group, the control group, will not receive any intervention and will be asked to continue their daily lives.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

telerehabilitation

The individuals included in the research will be divided into three groups. Group 1 (experiment): This is the exercise group followed by the telerehabilitation method. Group 2 (experiment): This is the group where traditional physical therapy methods will be applied. The 3rd group will be taken as the control group, there will be no intervention and they will be asked to continue their daily lives.

Intervention Type: OTHER

Other Intervention Names

conventional physiotherapy; control

Eligibility Criteria

Inclusion Criteria

• Being between 20-60 years old,
• Being a special needs child caregiver,
• Mechanical neck and back pain lasting 3 months or longer

Exclusion Criteria

• Those who are caregivers of hearing and visually impaired children,
• Having previously undergone surgery in the cervical region,
• Patients with a history of inflammatory or infective arthritis in the cervical spine,
• Congenital spinal cord anomaly,
• history of malignancy,
• Having neuropathic pain
• Radiculopathy, myelopathy or other neurological disorders
• Those with chronic lung disease
• Vestibular disorders,
• Those with a history of continuous drug use,
• Individuals who have been involved in an exercise or physiotherapy program in the last 3 months,
• He will not be able to read the scales and the evaluation parameters will be excluded from the study.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Inonu University

OTHER

Sponsor Role: lead

Responsible Party

Burak Buğday

lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

burak buğday

Role: PRINCIPAL_INVESTIGATOR

Inonu University

Central Contacts

burak buğday

Role: CONTACT

burak.bugday@inonu.edu.tr

5357306877

havva adlı

Role: CONTACT

havva.adli@inonu.edu.tr

5369831133

References

Terzi R, Tan G. Musculoskeletal system pain and related factors in mothers of children with cerebral palsy. Agri. 2016 Jan;28(1):18-24. doi: 10.5505/agri.2015.74436.

Reference Type: BACKGROUND

PMID: 27225608 (View on PubMed)

Hailey D, Roine R, Ohinmaa A, Dennett L. Evidence of benefit from telerehabilitation in routine care: a systematic review. J Telemed Telecare. 2011;17(6):281-7. doi: 10.1258/jtt.2011.101208. Epub 2011 Aug 15.

Reference Type: BACKGROUND

PMID: 21844172 (View on PubMed)

Related Links

https://pubmed.ncbi.nlm.nih.gov/21844172/

pubmed

Other Identifiers

2021/85

Identifier Type: -

Identifier Source: org_study_id