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

Inonu University

Status: Not yet enrolling

Conditions: Telerehabilitation; Neck Pain

Treatments: Other: telerehabilitation

Study type: Interventional

Funder types: Other

Identifiers

NCT06095336

2021/85

Details and patient eligibility

About

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.

Full 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.

Enrollment: 36 estimated patients

Sex: All

Ages: 20 to 60 years old

Volunteers: No Healthy Volunteers

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.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 3 patient groups

Telereahabilitation arm

Experimental group

Description:

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.

Treatment:

Other: telerehabilitation

conventional physiotherapy arm

Experimental group

Description:

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.

Treatment:

Other: telerehabilitation

control arm

No Intervention group

Description:

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