TELEPHONE COACHING FOR HOME EXERCISE EFFICIENCY IN CHILDREN WITH OBSTETRIC BRACHIAL PLEXUS PALSY

Year 2023, Volume: 1 Issue: 1, 27 - 35, 27.11.2023

Ezgi Tarhan Altınok Özgün Uysal , Tüzün Fırat

Abstract

Objectives: Home exercise programs are widely used for the treatment of children with Obstetric Brachial Plexus Palsy (OBPP). Our objective was to investigate the effects of telephone coaching on the home exercise program’s adherence and efficiency.
Methods: Thirty-three children with OBPP and their parents were quasi-randomized into two groups; control and study groups. The parents in both the groups were informed about the OBPP, taught home exercises, given exercise diaries and regularly received face-to-face coaching with six-week intervals for 12 week period. Study group, consisting of 17 children, was called weekly for motivating to adhere exercise program and answering any questions about exercises or OBPP. Also, the study group was allowed to call the researchers at any time throughout the study. To measure telephone coaching’s effects, we used Intrinsic Motivation Inventory to assess parental motivation, an exercise diary for exercise adherence, and Gilbert and Raimondi Scores and Active Movement Scores for clinical progress.
Results: As a result of our 12-week follow-up, both groups had similar improvements in our outcome measurements. Additional weekly telephone coaching did not provide improvement to the 6-week face-to-face follow-ups in OBPP.
Discussion: In the rehabilitation of OBPP, weekly telephone coaching did not provide any significant improvements to home exercise efficiency.

Keywords

exercise therapy, mentoring, motivation, neonatal brachial plexus palsy.

Obstetrik Brakiyal Pleksus Paralizi (OBPP) olan çocuklarda Ev Egzersizi Verimliliğini Arttırmak için Telefonla Koçluk

Abstract

Amaç: Obstetrik Brakiyal Pleksus Felci (OBPF) olan çocukların tedavisinde ev egzersiz programları yaygın olarak kullanılmaktadır. Amacımız, telefonla yapılan rehberliğin ev egzersiz programına uyuma ve programın etkililiği üzerindeki etkilerini araştırmaktı.
Yöntemler: OBPF olan 33 çocuk ve onların ebeveynleri, kontrol ve çalışma grupları olmak üzere iki gruba kısmi rasgeleleştirme ile ayrıldı. Her iki gruptaki ebeveynlere OBPF hakkında bilgi verildi, evde yapılabilecek egzersizler öğretildi, egzersiz günlükleri verildi ve 12 haftalık bir dönem boyunca altı haftalık aralıklarla yüzyüze rehberlik alarak düzenli olarak eğitildiler. Çalışma grubu, 17 çocuktan oluşmaktaydı ve haftalık olarak aranarak egzersiz programına uyumlarını motive etmek ve egzersiz veya OBPF ile ilgili herhangi bir soruyu yanıtlamak amacıyla iletişim kuruldu. Ayrıca, çalışma grubuna, çalışma süresince istedikleri herhangi bir zamanda araştırmacılara ulaşma izni verildi. Telefon rehberliğinin etkilerini ölçmek amacıyla ebeveyn motivasyonunu değerlendirmek için İçsel Motivasyon Envanteri, egzersiz uyumunu değerlendirmek için egzersiz günlüğü ve klinik ilerlemeyi değerlendirmek için Gilbert ve Raimondi Skorları ile Aktif Hareket Skorları kullanıldı.
Sonuçlar: 12 haftalık takibimizin sonucunda her iki grup da ölçüm sonuçlarımızda benzer iyileşmeler gösterdi. OBPF'deki altı haftalık yüzyüze takiplere ek yapılan haftalık telefon rehberliği ekstra bir iyileşme sağlamadı.
Tartışma: OBPF rehabilitasyonunda, haftalık telefon rehberliği ev egzersiz verimliliğinde önemli bir iyileşme sağlamadı.

Keywords

egzersiz terapisi, mentorluk, motivasyon, neonatal brakiyal pleksus felci

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