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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.
This study is designed to assess the effectiveness of a comprehensive home-based rehabilitation program for individuals with moderate neuromusculoskeletal disabilities. The intervention will include a multidisciplinary approach, involving a team of healthcare professionals who will provide a range of services tailored to each participant's needs. The services will include 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. The intervention will span four months, with a total of 82 hours of therapy per participant.
Participants will be evaluated at the beginning and end of the program using the Berg Balance Scale to measure motor function and the Beck Depression Inventory to assess mood. The study aims to demonstrat improvements in motor function and balance, with a reduction in fall risk, and to explore changes in depression levels among the participants.
Quality assurance procedures will include standardized training for all healthcare professionals involved, regular monitoring of therapy sessions, and adherence to established protocols for data collection and analysis. This study highlights the potential benefits of home-based rehabilitation programs and underscores the need for further research to explore long-term outcomes and additional measures to enhance patient well-being.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| 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). |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Depression Levels | Assessment of changes in the participants' depression levels, measured using the Beck Depression Inventory. This inventory is a 21-item questionnaire that assesses the severity of depression. Scores can range from 0 to 63 points, with higher scores indicating a greater level of depression. Therefore, a higher score on this scale reflects a worse outcome in terms of emotional well-being. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Corporación de Rehabilitación Club de Leones Cruz del Sur | Punta Arenas | Region of Magallanes | 6211525 | Chile |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17453984 | Background | Dow B, Black K, Bremner F, Fearn M. A comparison of a hospital-based and two home-based rehabilitation programmes. Disabil Rehabil. 2007 Apr 30;29(8):635-41. doi: 10.1080/09638280600902760. | |
| 9793750 | 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. |
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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| From study start to the end of the intervention (4 months). |
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| 26122891 | 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. |
| 39412860 | Derived | 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. |