[en] Providing continuous care assistance to a dependent person, especially if this person suffers from dementia, is a situation that generates a lot of stress for informal caregivers and it can cause a negative impact on their quality of life and/or on their performance. These two conceptualisations have been integrated into a construct called function-related quality of life (FRQL), which intends to be, considering the different domains that constitute it (context, quality of life and function according to the levels of detail of the ICF), a facilitator element of important actions within the discipline of Physiotherapy such as the intervention plan (diagnosis, objectives, etc.). Considering some postulates derived from disaster management, this deterioration of the FRQL can be understood as a result of informal caregivers coping with the "stressor" element (taking care of their relative) in view of their "vulnerabilities" (perception of overload) and of the "resources" available (dedication to self-care). In order to improve the FRQL of informal caregivers, two methods of physiotherapy intervention (control group and experimental group) were implemented on 36 participants in total. On the one hand, the subjects in the control group (n = 14) participated in an approach based on communication of information (consequences of tasks of informal care, tips on suitable therapeutic activities as part of a self-care general plan of action, etc.). On the other hand, the experimental group (n = 22) received a progressive and supervised training with a series of specific self-care exercises (relaxation, self-massage and self-stretching) in addition to the previous information. Regarding the results, the beneficial effects obtained by the experimental group, both in the short term and in the long term, should be highlighted. In the short term (18 weeks), significant improvements were obtained on the two contextual factors under study (perception of overload – factor associated with risk and self-care – factor of protection ) and on some of the variables related to the function, both at the psychological level (greater autonomy, acceptance for the self, purpose in life and personal growth, less anxious personality and fewer feelings of melancholia, hopelessness or incompetence) and at the physical level (flexibility and alignment). The improvement achieved on two of the most genuine scales of psychological well-being, personal growth and purpose in life, and on flexibility (upper and inferior limbs), was found to be related to the benefits achieved on the factor associated with risk (global score of overload, dimension of impact and incompetence), that is to say, with less "vulnerability" perceived by the participants Regarding the same experimental group in the long-term (36 weeks), improvements were also observed in comparison to the initial value of the many dimensions of the FRQL under study (greater acceptance, purpose in life, positive activation, liveliness, wellness, satisfaction and self-confidence, a reduced state of anxiety), preserving some of the positive effects achieved in the short term (perception of overload, implication towards self-care) and mitigating some others (postural alignment). This document also presents results, from the point of view of risk management in case of disaster, about the relationship between some of the improvements achieved at this stage and to the increase of the "resources", this expressed as a greater dedication to self-care by the participants. Based on the empirical results observed, it is expected that the content of this paper establishes a conceptual framework to help physiotherapists in their everyday clinical practice.

[gl] A atención continuada a unha persoa dependente, especialmente si esta ten demencia, é unha situación xeradora de estrés para os cuidadores informais, que pode provocar a aparición de consecuencias negativas na súa calidade de vida e/ou no seu funcionamento. Estas dous conceptualizacións intégranse dentro dun constructo chamado calidade de vida relacionada coa función (CVRF), o cal pretende ser, a partir dos diferentes dominios que o conforman (contexto, calidade de vida e función segundo os niveis de detalle da CIF), un elemento facilitador de actuacións relevantes dentro da disciplina da Fisioterapia como é o plan de intervención (diagnose, obxectivos, etc.). Dende postulados que derivan da xestión frente a desastres, este deterioro da CVRF pode entenderse como o resultado do afrontamento dos cuidadores informais fronte ao "estresor" (o cuidado do familiar), dende as súas "vulnerabilidades" (percepción de sobrecarga) e dende os "recursos" disponibels (dedicación ao autocuidado). Co fin de favorecer nos cuidadores informais a mellora do seu CVRF, leváronse a cabo, sobre un total de 36 participantes, duas modalidades de intervención fisioterapéutica (grupo control e experimental). Os suxeitos do grupo control (n=14) participaron nun abordaxe baseado na comunicación de información (consecuencias das tarefas de apoio informal na súa saude, consellos sobre actividades terapéuticas axeitadas como parte dun plan de acción xeral de autocuidado, etc.). Pola sua parte, o grupo experimental (n=22) recibió, ademáis desta información, un entrenamento progresivo e supervisado nunha serie de exercicios de autocuidado específicos (relaxación, automasaxe e autoposturas de estiramento). En relación aos resultados, cabe destacar os efectos beneficiosos obtidos polo grupo experimental tanto a curto como a largo plazo. A curto plazo (18 semans), obtivéronse melloras significativas sobre os dous factores contextuais obxecto de estud (percepción de sobrecarga-factor asociado ao riesgo e adicación ao autocuidado-factor protector) e sobre algunhas das variabels relativas ao funcionamento, tanto psicolóxico (maior autonomía, aceptación hacia sí mesmos, propósito na vida e crecemento personal, personalidade menos ansiosa e menos sentimentos de melancolía, desesperanza o incapacidade), como físico (flexibilidade e alineación). A mellora obtida nas dúas escalas do benestar psicoxógico máis genuinas, el crecemento personal e o propósito na vida , e en flexibilidade, resultó estar relacionada cos efectos beneficiosos obtidos no factor asociado ao riesgo (puntuación global de sobrecarga, dimensión impacto e interpersonal, a saber, coa menor "vulnerabilidade" de los participantes. Para ese mesmo grupo experimental tamén obtivéronse mellorías a largo plazo (36 semans) respeito aos valores iniciais de moitas dimensións da CVRF obxecto de estudo (maior aceptación, propósito na vida, activación positiva, animación, benestar, satisfacción e confianza en sí mesmos, menor estado de ansiedade e maior implicación no seu autocuidado), manténdose alguns dos efectos positivos obtidos a curto plazo (percepción de sobrecarga) e mitigándose outros (alineación postural). Tamén presentou resultados mostrando, seguindo a visión que deriva da xestión de riesgos fronte a desastres, que unha parte de as melloras obtidas nesta fase estaban relacionadas co incremento dos seus "recursos", expresado dende a maior adicación ao autocuidado. Pariendo dos resultados empíricos obtidos, espérase que o presentado neste traballo constitua un marco conceptual que resulte útil para os fisioterapeutas na súa práctica clínica cotiá.