Impact of Home-Based Rehabilitation on Motor Function and Mood in Individuals With Disabilities

NCT ID: NCT06537791

Last Updated: 2024-08-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

270 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-01

Study Completion Date

2023-12-08

Brief Summary

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This study aims to evaluate the impact of a multidisciplinary home-based rehabilitation program on motor function and mood in individuals with moderate neuromusculoskeletal disabilities. Participants will receive personalized treatment plans over four months, including sessions in physical therapy, occupational therapy, nutrition, psychology, nursing, and podiatry. The study will measure motor function using the Berg Balance Scale and mood using the Beck Depression Inventory. This program will be conducted in the Magallanes region of Chile, involving participants recruited from the National Disability Registry.

Detailed Description

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This study is designed to assess the effectiveness of a comprehensive home-based rehabilitation program for individuals with moderate neuromusculoskeletal disabilities. The intervention will include a multidisciplinary approach, involving a team of healthcare professionals who will provide a range of services tailored to each participant's needs. The services will include 32 sessions of physical therapy, 8 sessions of occupational therapy, 4 sessions of nutrition counseling, 8 sessions of psychological support, and 4 sessions of nursing and podiatry care. The intervention will span four months, with a total of 82 hours of therapy per participant.

Participants will be evaluated at the beginning and end of the program using the Berg Balance Scale to measure motor function and the Beck Depression Inventory to assess mood. The study aims to demonstrat improvements in motor function and balance, with a reduction in fall risk, and to explore changes in depression levels among the participants.

Quality assurance procedures will include standardized training for all healthcare professionals involved, regular monitoring of therapy sessions, and adherence to established protocols for data collection and analysis. This study highlights the potential benefits of home-based rehabilitation programs and underscores the need for further research to explore long-term outcomes and additional measures to enhance patient well-being.

Conditions

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Musculoskeletal Diseases Neurological Diseases

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Home-Based Rehabilitation Program

Participants in this arm will receive a multidisciplinary home-based rehabilitation program. The intervention includes 32 sessions of physical therapy, 8 sessions of occupational therapy, 4 sessions of nutrition counseling, 8 sessions of psychological support, and 4 sessions of nursing and podiatry care. Each session lasts 60 minutes, and the total duration of the intervention is approximately 4 months. The program aims to improve motor function, balance, and mood among individuals with moderate neuromusculoskeletal disabilities.

Group Type EXPERIMENTAL

Home-Based Rehabilitation Program

Intervention Type BEHAVIORAL

Physical Therapy: 32 sessions, 60 minutes each Occupational Therapy: 8 sessions, 60 minutes each Nutrition Counseling: 4 sessions, 60 minutes each Psychological Support: 8 sessions, 60 minutes each Nursing and Podiatry Care: 4 sessions, 60 minutes each Total Duration: Approximately 4 months

Interventions

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Home-Based Rehabilitation Program

Physical Therapy: 32 sessions, 60 minutes each Occupational Therapy: 8 sessions, 60 minutes each Nutrition Counseling: 4 sessions, 60 minutes each Psychological Support: 8 sessions, 60 minutes each Nursing and Podiatry Care: 4 sessions, 60 minutes each Total Duration: Approximately 4 months

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Individuals with moderate neuromusculoskeletal disabilities.
* Participants referred by recognized medical institutions.
* Able to provide informed consent.

Exclusion Criteria

* Individuals with severe cognitive impairments that hinder their ability to follow the rehabilitation program.
* Participants with acute medical conditions that require immediate hospitalization.
* Pregnant women.
Minimum Eligible Age

18 Years

Maximum Eligible Age

98 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Corporación de Rehabilitación Club de Leones Cruz del Sur

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Corporación de Rehabilitación Club de Leones Cruz del Sur

Punta Arenas, Region of Magallanes, Chile

Site Status

Countries

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Chile

References

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von Koch L, Wottrich AW, Holmqvist LW. Rehabilitation in the home versus the hospital: the importance of context. Disabil Rehabil. 1998 Oct;20(10):367-72. doi: 10.3109/09638289809166095.

Reference Type BACKGROUND
PMID: 9793750 (View on PubMed)

Anderson C, Rubenach S, Mhurchu CN, Clark M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? results of a randomized controlled trial : I: health outcomes at 6 months. Stroke. 2000 May;31(5):1024-31. doi: 10.1161/01.str.31.5.1024.

Reference Type BACKGROUND
PMID: 10797161 (View on PubMed)

Saggini R, Veraldi R, Carmignano SM, Palermo T, Russo C, Barassi G, Bellomo RG. Home Rehabilitation System in Chronic Stroke: An Observational Study in Central Italy. Neurol India. 2021 Sep-Oct;69(5):1285-1292. doi: 10.4103/0028-3886.329548.

Reference Type BACKGROUND
PMID: 34747801 (View on PubMed)

Bickenbach J, Sabariego C, Stucki G. Beneficiaries of Rehabilitation. Arch Phys Med Rehabil. 2021 Mar;102(3):543-548. doi: 10.1016/j.apmr.2020.09.392. Epub 2020 Oct 22.

Reference Type BACKGROUND
PMID: 33239179 (View on PubMed)

Jette AM. The Importance of Dose of a Rehabilitation Intervention. Phys Ther. 2017 Nov 1;97(11):1043. doi: 10.1093/ptj/pzx085. No abstract available.

Reference Type BACKGROUND
PMID: 29099967 (View on PubMed)

Li G, Li X, Chen L. Personally tailored exercises for improving physical outcomes for older adults in the community: A systematic review. Arch Gerontol Geriatr. 2022 Jul-Aug;101:104707. doi: 10.1016/j.archger.2022.104707. Epub 2022 Apr 19.

Reference Type BACKGROUND
PMID: 35462312 (View on PubMed)

Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996 Jun;76(6):576-83; discussion 584-5. doi: 10.1093/ptj/76.6.576.

Reference Type BACKGROUND
PMID: 8650273 (View on PubMed)

Mat S, Tan MP, Kamaruzzaman SB, Ng CT. Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: a systematic review. Age Ageing. 2015 Jan;44(1):16-24. doi: 10.1093/ageing/afu112. Epub 2014 Aug 22.

Reference Type BACKGROUND
PMID: 25149678 (View on PubMed)

Hamed A, Bohm S, Mersmann F, Arampatzis A. Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis. Sports Med Open. 2018 Dec 13;4(1):56. doi: 10.1186/s40798-018-0170-z.

Reference Type BACKGROUND
PMID: 30547249 (View on PubMed)

Yalew ES, Melese AZ, Guadie YG, Abich Y, Kassa T, Gashaw M. Magnitude of depression and associated risk factors among patients with musculoskeletal disorder treated in physiotherapy outpatient department in Amhara region comprehensive specialized hospital in Ethiopia: a prospective cross-sectional study. BMC Psychiatry. 2023 Mar 22;23(1):189. doi: 10.1186/s12888-023-04658-3.

Reference Type BACKGROUND
PMID: 36949431 (View on PubMed)

Bruijniks SJ, Bosmans J, Peeters FP, Hollon SD, van Oppen P, van den Boogaard M, Dingemanse P, Cuijpers P, Arntz A, Franx G, Huibers MJ. Frequency and change mechanisms of psychotherapy among depressed patients: study protocol for a multicenter randomized trial comparing twice-weekly versus once-weekly sessions of CBT and IPT. BMC Psychiatry. 2015 Jun 30;15:137. doi: 10.1186/s12888-015-0532-8.

Reference Type BACKGROUND
PMID: 26122891 (View on PubMed)

Barria P, Andrade A, Gomez-Vargas D, Yelincic A, Roberti F, Bahamonde E, Aguilar R, Cordova B. Multidisciplinary Home-Based Rehabilitation Program for Individuals With Disabilities: Longitudinal Observational Study. JMIR Rehabil Assist Technol. 2024 Oct 16;11:e59915. doi: 10.2196/59915.

Reference Type DERIVED
PMID: 39412860 (View on PubMed)

Dow B, Black K, Bremner F, Fearn M. A comparison of a hospital-based and two home-based rehabilitation programmes. Disabil Rehabil. 2007 Apr 30;29(8):635-41. doi: 10.1080/09638280600902760.

Reference Type BACKGROUND
PMID: 17453984 (View on PubMed)

Other Identifiers

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CorporacionRCLCS0020

Identifier Type: -

Identifier Source: org_study_id

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