PTRCTJournal of physical therapy science2020

Usefulness of a simulated experience method for transfer assistance for hemiplegia or limited range of motion in multiple joints.

Sota Nakano, Hirotaka Okada, Shigeyoshi Higo and 3 others

PMID 32884177

WHAT IT FOUND

After a 3-minute simulated experience session, nursing assistants helped a mock care recipient put more load on the lower limbs during transfer.

The load difference was 107.9 ± 123.6 N for pseudo-hemiplegia and 149.1 ± 132.4 N for limited joint motion.

Key findings

01In the pseudo-hemiplegia condition, the simulated experience group had a mean lower-limb load difference of 107.9 ± 123.6 N, while the control group had −5.9 ± 74.5 N (p<0.05).

02In the limited range of motion condition, the simulated experience group had a mean lower-limb load difference of 149.1 ± 132.4 N, while the control group had −14.7 ± 64.7 N (p<0.05).

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

The care recipient was a healthy adult male wearing braces to simulate disability, not a real person with hemiplegia or limited range of motion. Only 15 caregivers were in each group within each 30-participant study. The simulated experience method included several instructions and demonstrations at once, so the contribution of any single component cannot be separated. The outcome was immediate change in lower-limb load during a second transfer, not patient independence, fall risk, pain, or caregiver injury. Participants were nursing assistants in a Japanese nursing home setting, so results may not apply to other caregivers or countries. The authors note it may not work for patients with sensory impairment or higher brain dysfunction.

Declared interests

Funded by KAKENHI grant 17K17532; authors declare no competing interests.

The easy way to misread this

Do not conclude that this method improves real patient transfers or reduces caregiver injury. The study measured a change in lower-limb load in a healthy adult male wearing braces, with only a second transfer after a 3-minute session.

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