چکیده:
The purpose of this case report was to evaluate the effectiveness of training of transfer techniques to a caregiver of a person who had suffered a stroke in decreasing musculoskeletal pain, depression and anxiety. This study adopted a single subject research design to evaluate the effectiveness of transfer-techniques training on musculoskeletal pain, depression, and anxiety in a 25-year-old female caregiver of a person with a stroke. The study was completed in four phases, including a baseline evaluation (1st and 3rd week), training (3rd, 5th and 7th week), post-training (9th week), and follow-up evaluation (11th week). During the1st week, demographic and descriptive information (such as age, time since diagnosis, cognition and independence of daily living) were collected from the stroke patient. Also, pain severity, anxiety and depression levels of the caregiver were evaluated. In weeks 3, 5 and 7, transfer training was undertaken. Thepatient was involved in the training with the caregiver under the supervision of an occupational therapist intheir own home. The effectiveness of the training with regard to musculoskeletal pain and depression and anxiety levels of the caregiver was evaluated in the 5th, 9th and 11th weeks. The data were analyzed using a visual analysis of trends and levels. The results showed a decrease in pain severity, anxiety and depression during training and post-training. The changes continued during the follow-up stage. This study suggests promising results for the effectiveness of the transfer-techniques training and justifies further clinical trials. A larger trial is required to confirm the effectiveness of transfer training in improving pain management in caregivers of stroke survivors.
خلاصه ماشینی:
Iranian Rehabilitation Journal, Vol. 13, Issue 2, Summer 2015 Case Report Effects of Transfer Training on Musculoskeletal Pain in the Caregiver of a Stroke Patient: a Case Report Atefeh Taghizadeh; Shahriar Parvaneh*; Setareh Ghahari; Asghar Dadkhah University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
The purpose of this case report was to evaluate the effectiveness of training of transfer techniques to a caregiver of a person who had suffered a stroke in decreasing musculoskeletal pain, depression and anxiety.
This study adopted a single subject research design to evaluate the effectiveness of transfer-techniques training on musculoskeletal pain, depression, and anxiety in a 25-year-old female caregiver of a person with a stroke.
The transfer training was administered to a caregiver of a stroke survivor in three sessions over six weeks, and we investigated its effects on the pain, depression and anxiety levels of the caregiver.
The training program in this study generally included transfer techniques based on Bobath concepts, ergonomic principles aimed at reducing the physical load on the caregiver's musculoskeletal system, and the fulfilment of the patient's need for care.
While the focus of the study was to examine the effectiveness of the training program on musculoskeletal pain, the depression and anxiety levels of the caregiver were also measured in the 1st, 9th and 11th weeks.
Keeping this in mind, no other studies have been reported on the effectiveness of transfer training on musculoskeletal pain of stroke patient caregivers.