The individuals participating in the study will be asked to fill in the Body Awareness Scale, Canadian Activity Performance Measure, Pain Activity Patterns Scale, Cognitive Status Scale, and Fatigue Severity Scale. Afterwards, colour block design, puzzle making, and picture sorting subtests of the Loewenstein Occupational Therapy Cognitive Assessment will be applied to the individuals. After the initial assessments, activity management training will be provided to the patients. In the activity management training, first week awareness training, second week ergonomics training, third week activity stepping training, fourth week joint-energy conservation training, and fifth week relaxation training will be given. In the sixth and last week, the goals set will be reviewed. All pre-treatment tests will be re-administered at 6 weeks post-treatment. All applications will be carried out within Çankırı Karatekin University.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
34
In activity management training, first week awareness training, second week ergonomics training, third week activity stepping training, fourth week joint-energy conservation training, and fifth week relaxation training will be given.
Çankırı Karatekin University
Çankırı, Uluyazı, Turkey (Türkiye)
Canadian Occupational Performance Measure (COPM)
The COPM is used to assess individuals' activity performance and satisfaction levels. In this assessment scale, the problems encountered by individuals in the field of activity performance are determined through a semi-structured interview. Individuals evaluate their activity performance problems with their own performance and satisfaction scores. In the first step, individuals are asked to identify the problems in the areas of self-care, productivity and leisure time that they do, want to do or have difficulty in doing in their routine. In the second step, individuals are asked to assign an importance value between 1 and 10 to each of these activities. In the third step, individuals are asked to select up to 5 activities that are most important for them and to give performance and satisfaction scores between 1 and 10 for each activity. The performance and satisfaction scores are totalled and divided by the number of activities to obtain performance and satisfaction scores.
Time frame: From enrollment to the end of treatment at 6 weeks
Body Awareness Questionnaire
The body awareness of the participants will be evaluated with the Body Awareness Questionnaire (BAQ) developed by Shields (31). The Turkish validity and reliability of the questionnaire was conducted by Karaca (2017). The questionnaire consists of four subscales (Note Changes in Response or Body Process, Predict Body Response, Onset of Illness, and Sleep-Wake Cycle) and 18 questions in total. The questionnaire is scored on a 7-point Likert scale ranging from 'Not true for me' (1) to 'Completely true for me' (7).
Time frame: From enrollment to the end of treatment at 6 weeks"
Pain Activity Patterns Scale (PAPS)
The PAPS is a scale that determines the changing activity patterns in individuals with chronic pain in 3 subgroups as avoidance, excessive avoidance and regularisation. It was developed by Cane et al. in Canada. The AAPS consists of 3 subgroups, including avoidance, excessive avoidance, and regularisation, and a total of 30 questions, 10 for each subgroup. In the scale, individuals with chronic pain are asked to answer questions about how they perform activities of daily living. In answering the questions in the scale, a 5-point Likert scoring system is used, 0-never, 2-sometimes, 4-always. In the calculation of the scale score, separate score calculations are made for the subgroups of avoidance, overdoing, and regularisation. The total scores calculated for the subgroups vary between 0-40 points separately. Within these 3 subgroups, the subgroup with the highest score by the patient is determined and it is determined which subgroup the participant adopts in activities of daily living
Time frame: From enrollment to the end of treatment at 6 weeks
Loewenstein Occupational Therapy Cognitive Assessment (LOTCA)
The Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) will be used in the study to evaluate the basic cognitive skills of individuals. The test consists of 22 items, including 2 items of orientation, 6 items of visual-spatial perception, 7 items of visual-motor organisation, 6 items of thinking skills, and 1 item of attention. The content of the test (36): Orientation: 1. Time orientation 2. Place orientation Visual perception: 1. object recognition 2. shape recognition 3. overlapping figures 4. object invariance 5. spatial perception 6. praxis Visual-motor organisation: 1. Geometric shape copying 2. Two-dimensional model 3. Pegboard construction 4. Coloured block design 5. Plain block design 35 6. Jigsaw puzzle 7. Clock drawing Thinking Skills: 1. Categorisation 2. Risca Object Classification I - structured (Risca Object Classification- ROC I) 3. Riska Object Classification II - unstructured (ROC II) 4. Picture Sorting A 5. Picture Sorting B 6. Geometric Sorting Attention
Time frame: From enrollment to the end of treatment at 6 weeks
Stroop test
The Stroop Test is a neuropsychological test that reflects frontal region activity. It measures the brain's ability to direct attention, conceptual flexibility and mental processing speed. In the first stage of the Stroop attention test, people are presented with the names of colours and asked to read these colours quickly. For example, no matter what colour the font is, it will be read as 'red'. In the second step, they are asked to quickly say what colour the dot clusters printed through ink are. For example, if the word 'red' is written in yellow font, they should say "yellow" instead of 'red'. In the final stage of the test, the third stage, the participants are asked to say the words written in a different colour than the name of the colour as fast as possible in a loud voice. For example, the word 'blue' is written in red or black. As a result of these experiments, the Stroop effect occurs. When it was investigated with imaging techniques where the Stroop effect affects the hum
Time frame: From enrollment to the end of treatment at 6 weeks
Cognitive Status Scale
It was developed by Broadbent et al. to assess cognitive failures that occur in daily life. Failures in perception, memory, and motor functions are assessed with 25 questions. Each question is scored between 0 (never) and 4 (very often) in the scale consisting of questions such as 'Do you ever find yourself accidentally hiding what you should throw away and throwing away what you should keep?', 'Do you ever forget people's names?', 'Do you drop things?'. The total score ranges from 0-100, with a higher score indicating an increased level of cognitive failure. The validity and reliability study of the Turkish version of the scale was conducted by Ekici et al.
Time frame: From enrollment to the end of treatment at 6 weeks
Fatigue Severity Scale
The scale was developed by Krup et al. (1989), and its Turkish validity and reliability were examined by Armutlu et al. (2007). The scale has 9 questions and one dimension. The individual indicates the level of agreement with the items in the scale by choosing a number from 1 (strongly disagree) to 7 (strongly agree). A total score of 9-63 can be obtained from the scale. A total score of 36 or more indicates severe fatigue
Time frame: From enrollment to the end of treatment at 6 weeks
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