Impact of Home-Based Rehabilitation on Motor Function and Mood in Individuals With Disabilities

NCT06537791 | Completed

• 1 other identifier: CorporacionRCLCS0020
• Study Type: interventional
• Target: 270
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the impact of a multidisciplinary home-based rehabilitation program on motor function and mood in individuals with moderate neuromusculoskeletal disabilities. Participants will receive personalized treatment plans over four months, including sessions in physical therapy, occupational therapy, nutrition, psychology, nursing, and podiatry. The study will measure motor function using the Berg Balance Scale and mood using the Beck Depression Inventory. This program will be conducted in the Magallanes region of Chile, involving participants recruited from the National Disability Registry.

Conditions

Musculoskeletal Diseases; Neurological Diseases

Keywords

Musculoskeletal Disabilities; Neurological Disabilities; Berg Balance Scale; Beck Depression Inventory; Multidisciplinary Rehabilitation; Home-Based Care; Physical Rehabilitation; Mental Health Assessment; Fall Risk Reduction; Patient-Centered Care

Outcome Measures

Primary Outcomes (1)

• Improvement in Motor Function

  Assessment of the improvement in motor function of the participants, measured using the Berg Balance Scale. This scale assesses balance through 14 common tasks performed in daily life. Scores range from 0 to 56 points, where 0 indicates a low level of balance and 56 indicates an excellent level of balance. A higher score on this scale represents a better outcome in terms of balance and motor function.

  From study start to the end of the intervention (4 months).

Secondary Outcomes (1)

• Changes in Depression Levels

  From study start to the end of the intervention (4 months).

Study Arms (1)

Home-Based Rehabilitation Program

EXPERIMENTAL

Participants in this arm will receive a multidisciplinary home-based rehabilitation program. The intervention includes 32 sessions of physical therapy, 8 sessions of occupational therapy, 4 sessions of nutrition counseling, 8 sessions of psychological support, and 4 sessions of nursing and podiatry care. Each session lasts 60 minutes, and the total duration of the intervention is approximately 4 months. The program aims to improve motor function, balance, and mood among individuals with moderate neuromusculoskeletal disabilities.

Behavioral: Home-Based Rehabilitation Program

Interventions

Home-Based Rehabilitation Program BEHAVIORAL

Physical Therapy: 32 sessions, 60 minutes each Occupational Therapy: 8 sessions, 60 minutes each Nutrition Counseling: 4 sessions, 60 minutes each Psychological Support: 8 sessions, 60 minutes each Nursing and Podiatry Care: 4 sessions, 60 minutes each Total Duration: Approximately 4 months

Home-Based Rehabilitation Program

Eligibility Criteria

• Age: 18 Years - 98 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals with moderate neuromusculoskeletal disabilities.
• Participants referred by recognized medical institutions.
• Able to provide informed consent.

You may not qualify if:

• Individuals with severe cognitive impairments that hinder their ability to follow the rehabilitation program.
• Participants with acute medical conditions that require immediate hospitalization.
• Pregnant women.

Sponsors & Collaborators

• Corporación de Rehabilitación Club de Leones Cruz del Sur: lead

Study Sites (1)

Corporación de Rehabilitación Club de Leones Cruz del Sur

Punta Arenas, Region of Magallanes, 6211525, Chile

Location

Related Publications (13)

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  PMID: 17453984 BACKGROUND

• von Koch L, Wottrich AW, Holmqvist LW. Rehabilitation in the home versus the hospital: the importance of context. Disabil Rehabil. 1998 Oct;20(10):367-72. doi: 10.3109/09638289809166095.

  PMID: 9793750 BACKGROUND

• Anderson C, Rubenach S, Mhurchu CN, Clark M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? results of a randomized controlled trial : I: health outcomes at 6 months. Stroke. 2000 May;31(5):1024-31. doi: 10.1161/01.str.31.5.1024.

  PMID: 10797161 BACKGROUND

• Saggini R, Veraldi R, Carmignano SM, Palermo T, Russo C, Barassi G, Bellomo RG. Home Rehabilitation System in Chronic Stroke: An Observational Study in Central Italy. Neurol India. 2021 Sep-Oct;69(5):1285-1292. doi: 10.4103/0028-3886.329548.

  PMID: 34747801 BACKGROUND

• Bickenbach J, Sabariego C, Stucki G. Beneficiaries of Rehabilitation. Arch Phys Med Rehabil. 2021 Mar;102(3):543-548. doi: 10.1016/j.apmr.2020.09.392. Epub 2020 Oct 22.

  PMID: 33239179 BACKGROUND

• Jette AM. The Importance of Dose of a Rehabilitation Intervention. Phys Ther. 2017 Nov 1;97(11):1043. doi: 10.1093/ptj/pzx085. No abstract available.

  PMID: 29099967 BACKGROUND

• Li G, Li X, Chen L. Personally tailored exercises for improving physical outcomes for older adults in the community: A systematic review. Arch Gerontol Geriatr. 2022 Jul-Aug;101:104707. doi: 10.1016/j.archger.2022.104707. Epub 2022 Apr 19.

  PMID: 35462312 BACKGROUND

• Bogle Thorbahn LD, Newton RA. Use of the Berg Balance Test to predict falls in elderly persons. Phys Ther. 1996 Jun;76(6):576-83; discussion 584-5. doi: 10.1093/ptj/76.6.576.

  PMID: 8650273 BACKGROUND

• Mat S, Tan MP, Kamaruzzaman SB, Ng CT. Physical therapies for improving balance and reducing falls risk in osteoarthritis of the knee: a systematic review. Age Ageing. 2015 Jan;44(1):16-24. doi: 10.1093/ageing/afu112. Epub 2014 Aug 22.

  PMID: 25149678 BACKGROUND

• Hamed A, Bohm S, Mersmann F, Arampatzis A. Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis. Sports Med Open. 2018 Dec 13;4(1):56. doi: 10.1186/s40798-018-0170-z.

  PMID: 30547249 BACKGROUND

• Yalew ES, Melese AZ, Guadie YG, Abich Y, Kassa T, Gashaw M. Magnitude of depression and associated risk factors among patients with musculoskeletal disorder treated in physiotherapy outpatient department in Amhara region comprehensive specialized hospital in Ethiopia: a prospective cross-sectional study. BMC Psychiatry. 2023 Mar 22;23(1):189. doi: 10.1186/s12888-023-04658-3.

  PMID: 36949431 BACKGROUND

• Bruijniks SJ, Bosmans J, Peeters FP, Hollon SD, van Oppen P, van den Boogaard M, Dingemanse P, Cuijpers P, Arntz A, Franx G, Huibers MJ. Frequency and change mechanisms of psychotherapy among depressed patients: study protocol for a multicenter randomized trial comparing twice-weekly versus once-weekly sessions of CBT and IPT. BMC Psychiatry. 2015 Jun 30;15:137. doi: 10.1186/s12888-015-0532-8.

  PMID: 26122891 BACKGROUND

• Barria P, Andrade A, Gomez-Vargas D, Yelincic A, Roberti F, Bahamonde E, Aguilar R, Cordova B. Multidisciplinary Home-Based Rehabilitation Program for Individuals With Disabilities: Longitudinal Observational Study. JMIR Rehabil Assist Technol. 2024 Oct 16;11:e59915. doi: 10.2196/59915.

  PMID: 39412860 DERIVED

MeSH Terms

Conditions

Musculoskeletal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 31, 2024
• First Posted: August 5, 2024
• Study Start: June 1, 2023
• Primary Completion: December 8, 2023
• Study Completion: December 8, 2023
• Last Updated: August 21, 2024

Record last verified: 2024-08

Locations

CL (1)