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IRCT20210505051194N1 IRCT 2021-06-03 Shahid Beheshti University of Medical Sciences Effect of energy conservation strategies on fatigue, function and quality of life in adult with motor neuron disease Effect of energy conservation strategies on fatigue, function and quality of life in adult with motor neuron disease 2021-05-19 anticipated 28 Complete https://irct.ir/trial/56365 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: After initial evaluation, samples will be assigned into one of the 2 groups A or B group using sealed envelops, the patients have to pick up one the sealed envelops, so their group will be defined randomly. N/A Motor neuron disease. Intervention 1: Intervention group(A): Patients in the intervention group participated in 3 weekly, 1-hour energy conservation programs provided by an experienced OT.The principles used during the ECM program include The importance of rest during the day, energy budgeting, setting rest periods during the day, administration of proper body mechanics and posture, separating of each daily activity to several components, prioritizing activities, teaching ergonomic principles, analyzing and utilization of the way that ADLs are performed, and environmental change. The training sessions were based on the theory of psychoeducational group development and included discussions about the nature of illness and fatigue, setting short-term and long-term goals, doing homework, and execution of strategies at home. In the first session, patients were taught about the MND nature, the effects of fatigue on ADL, and the importance of rest and adjusting rest periods during the day. Patients were asked to explain their daily routine and the barriers they encounter during activities. The patient, along with the OT, sets short rest periods between daily activities at certain times of the day. In the second session, the therapist spoke about the importance of correct body posturing and emphasized on the performing tasks in the sitting position rather than standing. Patients were taught to divide each activity into smaller, easier steps. The third session focused on prioritizing activities during the day, emphasizing on performing hard and exhausting work at the beginning of the day, and the importance of ergonomics and environment modifications. Intervention 2: Control group(B): Patients participated in 3 weekly, 1-hour occupational therapy sessions provided by an experienced OT in shariati hospital. Yes - There is a plan to make this available What will be shared: The findings of this study will be published as soon as possible. When: 2023 To whom: results will be available for journals readers data will be available for reasonable requests for example systematic reviews Conditions: systematic review and meta analysis Where to obtain: Shariati Hospital, Tehran, Rehabilitation Department How to obtain: Through email; (niloofar.ot92@gmail.com) Comments:
public Niloofar Shirzad
No. 25, Jalal Al-Ahmad Highway, North Kargar Street, Tehran
Tehran Iran (Islamic Republic of) 1418815516 +98 21 8490 2110 niloofar.ot92@gmail.com Shahid Beheshti University of Medical Sciences scientific Niloofar Shirzad
No. 25, Jalal Al-Ahmad Highway, North Kargar Street, Tehran
Tehran Iran (Islamic Republic of) 1418815516 +98 21 8490 2110 niloofar.ot92@gmail.com Shahid Beheshti University of Medical Sciences Iran (Islamic Republic of) Age between 18-65 year Mini mental status exam score more than 24 Beck depression inventory score less than 17 Pittsburgh Sleep Quality Index score less than 5 Fatigue severity scale more than 4 Patients able to walk with or without crutches 18 years 65 years Both Patients with cardiopulmonary problems Patients with no interests in participation in study G12.2 Motor neuron disease Rehabilitation Rehabilitation Intervention group(A): Patients in the intervention group participated in 3 weekly, 1-hour energy conservation programs provided by an experienced OT.The principles used during the ECM program include The importance of rest during the day, energy budgeting, setting rest periods during the day, administration of proper body mechanics and posture, separating of each daily activity to several components, prioritizing activities, teaching ergonomic principles, analyzing and utilization of the way that ADLs are performed, and environmental change. The training sessions were based on the theory of psychoeducational group development and included discussions about the nature of illness and fatigue, setting short-term and long-term goals, doing homework, and execution of strategies at home. In the first session, patients were taught about the MND nature, the effects of fatigue on ADL, and the importance of rest and adjusting rest periods during the day. Patients were asked to explain their daily routine and the barriers they encounter during activities. The patient, along with the OT, sets short rest periods between daily activities at certain times of the day. In the second session, the therapist spoke about the importance of correct body posturing and emphasized on the performing tasks in the sitting position rather than standing. Patients were taught to divide each activity into smaller, easier steps. The third session focused on prioritizing activities during the day, emphasizing on performing hard and exhausting work at the beginning of the day, and the importance of ergonomics and environment modifications Control group(B): Patients participated in 3 weekly, 1-hour occupational therapy sessions provided by an experienced OT in shariati hospital. Function. Timepoint: Before, after and one months after treatment. Method of measurement: Canadian occupational performance measure. Fatigue. Timepoint: Before, after and one months after treatment. Method of measurement: Fatigue severity scale. Quality of life. Timepoint: Before, after and one months after treatment. Method of measurement: SF36 questionnaire. Shahid Beheshti University of Medical Sciences Approved 2019-09-03 Ethics committee of Shahid beheshti University of Medical Sciences Damavand street, across from Buali hospital, Tehran, Iran. SBMU School of Rehabilitation Sciences Tehran Tehran Iran (Islamic Republic of)