Relatives can use PROM (self – study leaflet) for CVA patients

Abstract

            Background : Passive Range of Motion (PROM) is essential among  CVA patients for their rehabilitation. However, CVA patients can not do PROM by themselves. In fact, they need support by their  relatives to do PROM at home during convalescence. If the relatives did PROM incorrectly, this could do harm to the patients and delay the rehabilitation. The study to assess the self-study leaflet of PROM used among relatives of CVA patents is needed which can help improve rehabilitation among CVA patients. Objective : To assess if the relatives of CVA patients could perform PROM correctly (75%) by reading the self-study leaflet of PROM. Study design : A prospective study was conducted to recruit 30 relatives of CVA patients during 3 September 2004 – February 2005. Setting : Physical Therapy Section, ChiangRai Regional Hospital Methods : 30 people (no restriction of sex) were recruited into this study. They has no previous knowledge of how to do PROM. They were literate and would help those CVA patients to do PROM at home. The participant was provided the PROM leaflet and after reading for 5 minutes, a physical therapist or an officer would record if he/she could perform PROM correctly. Results: Most of participants could perform the passive movement correctly after reading PROM  leaflet (75%. However, there were 3 positions that participants could not perform correctly (75%). Those positions were shoulder abduction/ adduction, shoulder internal/ external rotation and hip internal/external rotation. There was no statistical difference among those participants who performed these 3 positions and age group (Chi-square test P-value>0.05). Conclusion: There were 30 participants recruited into this study. Mean age was 33.5 years. They could perform PROM Correctly after reading the PROM leaflet for 9 positions, but they could not perform PROM correctly for 3 positions, There is no evidence of any association between people who performed those 3 positions incorrectly and age group. There should be further studies to evaluate other factors related to the participant’s performance of PROM by using the self-study leaflet