Comparison of the Effectiveness of Telerehabilitation and Conventional Physiotherapy Program in Chronic Neck and Back Pain Seen in Caregivers of Individuals With Special Needs
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Telerehabilitation
- Sponsor
- Inonu University
- Enrollment
- 36
- Primary Endpoint
- Demographic information form
- Status
- Not Yet Recruiting
- Last Updated
- 2 years ago
Overview
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.
Investigators
Burak Buğday
lecturer
Inonu University
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,
Outcomes
Primary Outcomes
Demographic information form
Time Frame: before treatment
The survey form prepared by the researcher in line with the literature includes information about the patients' name, surname, CV, family history, age, height, weight, occupation, dominant side, smoking and alcohol use, and additional symptoms.
Qualitative Questions Form
Time Frame: before treatment, after treatment, after 6 months
A form containing questions asking about the number of individuals with special needs that they care for, the time they spend with the individual with special needs on a daily basis, the presence of another child other than the individual with special needs that they care for, whether there is help at home, the GMFCS Score of the individuals being cared for, and whether physical, mental or both effects are at the same time. will be prepared and implemented.
Pain Assessment
Time Frame: before treatment, after treatment, after 6 months
Visual Analog Scale (VAS) was used to determine the severity of pain in the cases. The beginning will be marked as 0 (no pain) and the end (unbearable pain) on a 10 centimeter (cm) horizontal line, and the subjects will be asked to make a mark on this horizontal line according to the degree of pain they feel. The marked point on the line will then be measured with the help of a ruler and recorded as the VAS value in cm.
Short Form-36 (Short Form-36, SF-36):
Time Frame: before treatment, after treatment, after 6 months
It is a valid and frequently used measure to evaluate quality of life. It includes 36 questions in eight subscales: physical function, physical role limitation, emotional role limitation, body pain, social function, mental health, vitality, and general health.
Fatigue Assessment:
Time Frame: before treatment, after treatment, after 6 months
The FACIT Scale is a measurement tool consisting of 13 statements that subjectively evaluates fatigue in the last week. The scale has a five-point Likert scale: "0 = not at all, 1 = very little, 2 = a little, 3 = quite a bit and 4 = very much." 11 items (1-6, 9-13) of the scale contain reverse expressions. Items 7 and 8 of the scale are calculated as straight. The scores that can be obtained from the scale vary between 0-52. A high total score of the scale indicates that the severity of fatigue is low. If the score obtained from the scale is 30 or less, it is reported that perceived fatigue is clinically severe.
Secondary Outcomes
- Bournemouth Neck Pain Survey:(before treatment, after treatment, after 6 months)
- Caregiving Burden Scale:(before treatment, after treatment, after 6 months)