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Physical therapy interventions for people experiencing homelessness to improve pain and self-perceived health status

التفاصيل البيبلوغرافية
العنوان: Physical therapy interventions for people experiencing homelessness to improve pain and self-perceived health status
المؤلفون: Carolina Jiménez-Sánchez, Natalia Brandín-de la Cruz, Raquel Lafuente-Ureta, Marina Francín-Gallego, Sandra Calvo, Rocío Fortún-Rabadán, Sara Pérez-Palomares
المصدر: BMC Public Health, Vol 24, Iss 1, Pp 1-10 (2024)
بيانات النشر: BMC, 2024.
سنة النشر: 2024
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: Homelessness, People experiencing homelessness, Musculoskeletal disorders, Pain, Self-perceived health, Self-rated health, Public aspects of medicine, RA1-1270
الوصف: Abstract Background Homeless shelters have emerged as components of the social services network, playing an important role in providing health care to the homeless population. The aim of this study was to evaluate an individualized physical therapy intervention for people experiencing homelessness and to determine the relationship between self-perceived variables. Methods Pre and post study, setting at the “Santa y Real Hermandad de Nuestra Señora del Refugio y Piedad” homeless shelter in Zaragoza, Spain. Participants were people experiencing homelessness with musculoskeletal disorders who attended a physical therapy service at shelter facilities. A physical therapy program was implemented including health education, exercise and manual therapy, electrotherapy, thermotherapy and bandaging. Demographic variables (age and gender), nationality, employment situation, educational level, pain location, number of painful areas, feeling of loneliness (3-Item Loneliness Scale; values from 3 to 9), pain intensity (Numerical Pain Rating Scale [NPRS]; from 0 to 10) and self-perceived health (Clinical Global Impression [CGI]; from 1 to 7). Results Sixty-four homeless people (age of 46.4 ± 10.9 years) participated in the study. Musculoskeletal pain was reported by 98.4% of subjects, with moderate pain intensities (6.1), and 48.4% presenting with pain at multiple sites. Perceptions of loneliness were low (3.7 ± 2.5) and self-perceived health status was moderately ill (3.5 ± 1.7). Positive significant correlations were identified between pain intensity and self-perceived health. The average number of sessions was 1.5 (± 0.8), with manual therapy (35.6%) followed by health education (23.5%) being the most frequently used techniques. Both pain and self-perceived health improved after treatment, even following a brief intervention. Conclusions This study demonstrates the potentially negative impact of untreated pain on the self-perceived health of homeless individuals with musculoskeletal disorders that should be targeted for consideration. The findings suggest that a paradigm shift in pain management, including a physical therapy service in shelters, is needed to address the rehabilitation demands of these individuals in a real-life context. This study was approved by the Aragon Ethics Committee (PI19/438) and performed according to the Transparent Reporting of Evaluations with Nonrandomized Designs (TREND) statement.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2458
Relation: https://doaj.org/toc/1471-2458
DOI: 10.1186/s12889-024-18453-6
URL الوصول: https://doaj.org/article/6acd68a672994091936291d7dfd760f3
رقم الأكسشن: edsdoj.6acd68a672994091936291d7dfd760f3
قاعدة البيانات: Directory of Open Access Journals
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