Clinical trial NCT05909449: Improving Posture Parameters of Primary Care Providers to Individuals With Disabilities
Official title: Improving Posture and Health-Related Physical Fitness Parameters of Primary Care Providers to Individuals With Disabilities
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Physical Disability
Keywords: posture
Physical Fitness
care provider
Lead sponsor: Istanbul Medeniyet University
Sponsor class: OTHER
First posted: 2023-06-18
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The aim of this research is to create and implement an exercise program so that primary caregivers can have the correct posture and improve health-related physical fitness parameters.

Detailed description: It is planned to include at least 40 volunteers between the ages of 18-65 who meet the inclusion criteria and provide primary care services to individuals with disabilities who attend Sportive Skills and Coordination Training Centers operating in the provinces of Istanbul and Gaziantep within the body of the Foundation for the Physically Disabled. Musculoskeletal complaints of caregivers related to the care process (neck pain, low back pain and upper extremity pain), physical fitness parameters (functional capacity and shortness-flexibility, balance and footpad pressure distribution), the effects of the caregiving process on the caregiver and mental well-being will be evaluated.

After the first evaluation, the participants will be given an informative training seminar on the effects of exercise on healthy life and the regulation of ergonomics in our behaviors. After the seminar, participants will be included in a structured home exercise program. The home exercise program prepared by the research team and recorded on video will be delivered to the participants. The exercise program will be continued for 6 weeks, 3 days a week. The exercise program will be prepared weekly to advance to the next level. Exercise compliance and attendance will be monitored weekly by the researchers. Evaluations will be repeated at the end of the 6-week exercise program.

Establishment of an exercise program: In the light of the data obtained as a result of the evaluations, an individual-specific exercise program will be created. The exercises will be taught one-on-one to the participants. With the exercise video prepared by the project team and sent to the patients, the participants will be prevented from forgetting the exercises and they will be stimulated to do the exercises correctly. The content of the exercise program will include exercises that include aerobic, strengthening and flexibility components. The exercise program will take approximately 30-45 minutes.

Eligibility criteria: Inclusion Criteria:

* Individuals between the ages of 18-65
* To give primary care to a person with a physical disability
* Being caring for at least 6 months
* Voluntarily performing care
* Being able to understand and read Turkish as a language
* To have sufficient cognitive level to answer the scale questions with the basic interview
* Volunteer to participate in and maintain an exercise program
* Regularly participating in the evaluation and exercise program defined during the project process

Exclusion Criteria:

* Caring for a paid job other than voluntarily
* Encountering a disease related to the caregiver during the working process
* Having any known musculoskeletal disease
* Having a known spinal problem such as scoliosis, kyphosis, kyphoscoliosis
* Having undergone surgery affecting the musculoskeletal system in the last 1 month
* History of uncontrollable arrhythmia and/or hypertension
* Having any neurological, cardiovascular, respiratory, orthopedic and metabolic disease that will prevent participation in the exercise program
* Being pregnant for female individuals

Primary outcomes:
measure: The Nordic Musculoskeletal Questionnaire
timeFrame: twice (before and after 6 week exercise program)
measure: Oswestry Low Back Pain Disability Index
timeFrame: twice (before and after 6 week exercise program)
measure: The shortened disabilities of the arm, shoulder and hand questionnaire (Quick DASH)
timeFrame: twice (before and after 6 week exercise program)
measure: The Oswestry Disability Index (ODI)
timeFrame: twice (before and after 6 week exercise program)
measure: Two Minute Walk Test (2MWT)
timeFrame: twice (before and after 6 week exercise program)
measure: Sit and Reach Test
timeFrame: twice (before and after 6 week exercise program)
measure: force platform
timeFrame: twice (before and after 6 week exercise program)
measure: Back reach test
timeFrame: twice (before and after 6 week exercise program)
measure: The Zarit Care Burden Scale (ZBVYS)
timeFrame: twice (before and after 6 week exercise program)
measure: Warwick-Edinburgh Mental Well-being
timeFrame: twice (before and after 6 week exercise program)
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: İstanbul Medeniyet University
Study officials:
affiliation: associate professor
name: NİLÜFER KABLAN
role: STUDY_DIRECTOR
References: