Short-term Effect of Positioning Cushions and Harmonic Techniques on Paratonia in Persons With Dementia
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University Ghent
- Enrollment
- 22
- Locations
- 1
- Primary Endpoint
- Change in maximal extension of elbow and knee
Study Overview
Brief Summary
This study investigated the short-term effect of both harmonic techniques and supporting cushions on muscle tone, range of motion, pain and daily care activities in 22 patients with moderate to severe paratonia. The study consisted of two parts, each part was conducted during one week. In the first part of the study the short-term effect of supporting cushions was examined; in the second part of the study the additional short-term effect of harmonic techniques was investigated.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •dementia (confirmed in medical file)
- •presence of moderate to severe paratonia (confirmed with PAI and MAS)
- •proxy consent
Exclusion Criteria
- Not provided
Arms & Interventions
all participants
All participants received the same interventions, there were no subgroups interventions: supporting cushions and harmonic techniques
Intervention: Supporting cushions (Other)
all participants
All participants received the same interventions, there were no subgroups interventions: supporting cushions and harmonic techniques
Intervention: Harmonic techniques (Other)
Outcomes
Primary Outcomes
Change in maximal extension of elbow and knee
Time Frame: On each measurement moment (3 or 4 times a day, 3 different days, 2 weeks for each participant)
Change in goniometric measurement of maximal elbow and knee extension
Change in pain
Time Frame: On each measurement moment (3 or 4 times a day, 3 different days, 2 weeks for each participant)
Change in PACSLAC-D score (PACSLAC-D is a Dutch adaptation of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate): observation scale of pain during morning care. Scores range from 0 to 24, indicating the presence of various pain expressions. Higher scores indicate more pain.
Change in muscle tone of biceps brachii and rectus femoris
Time Frame: On each measurement moment (3 or 4 times a day, 3 different days, 2 weeks for each participant)
Change in MyotonPRO measurement of intrinsic muscle tone of left and right biceps brachii and left and right rectus femoris
Comparison of pain during morning care
Time Frame: rated after morning care, daily during 2 weeks for each participant (control week and intervention week)
Comparison of PACSLAC-D scores during control week and harmonics week.PACSLAC-D is a Dutch adaptation of the Pain Assessment Checklist for Seniors with Limited Ability to Communicate: observation scale of pain during morning care. Scores range from 0 to 24, indicating the presence of various pain expressions. Higher scores indicate more pain.
Comparison of comfort during morning care
Time Frame: rated after morning care, daily during 2 weeks for each participant (control week and intervention week)
Comparison of score on comfort questionnaire 4 questions regarding comfort of morning care (both for caregiver as estimated for patient) between control week and harmonics week, as rated with a visual analogue scale (0-10, interpretation dependent on the question)
Secondary Outcomes
No secondary outcomes reported