Efecto de la terapia de conciencia corporal basal sobre la funcionalidad de adultos mayores

2019 ◽  
Vol 18 (2) ◽  
pp. 112-127
Author(s):  
Norma Elisa Galvez Olvera ◽  
Daniel Osvaldo Ciudad Antognini

La Terapia de Conciencia Corporal Basal (BBAT: Basic Body Awareness Therapy) es un enfoque orientado a la salud y centrado en la persona. Ofrece herramientas de evaluación y un programa de tratamiento, es usado por fisioterapeutas de forma individual y grupal. El objetivo de esta terapia es apoyar al paciente a estar más consciente, desarrollar y mantener habilidades funcionales y coordinación en el movimiento. No existen estudios que evalúen el efecto de esta metodología en adultos mayores para mejorar su funcionalidad.Objetivo:Describir el efecto de BBAT sobre la funcionalidad de un grupo de adultos mayores. Método:Estudio cualitativo, la muestra correspondió a 5 mujeres adultas entre 60-78 años de edad con diferentes comorbilidades y dolor en al menos una articulación. Se realizaron 12 sesiones de BBAT grupal evaluando al inicio y al final la calidad del movimiento y la conciencia corporal usando la escala de conciencia corporal (BARS: Body Awareness Rating Scale) Resultados:Se registran cambios en la calidad de movimiento, la postura, elasticidad, equilibrio y coordinación. Mejora la conciencia corporal y se observa disminución del dolor.Discusión:Se discute la importancia de promover la calidad del movimiento en este grupo poblacional para mejorar la funcionalidad y calidad de vida. Se subraya la importancia del trabajo grupal desde una visión psicosocial.BBAT puede ser un enfoque útil para las personas mayores cuando se centran en mejorar la calidad del movimiento, la funcionalidad y calidad de vida

2018 ◽  
Vol 25 (1) ◽  
pp. 18 ◽  
Author(s):  
Jessica Carlsson ◽  
Kajsa Stade ◽  
Signe Skammeritz ◽  
Charlotte Hjortkjær

Basic Body Awareness Therapy (BBAT) is a form of physiotherapy that is often used for psychiatric patients in Scandinavian countries. To our knowledge, there have not been any studies investigating BBAT as a treatment for traumatised refugees until now. Objective: To explore the compliance, acceptability and treatment satisfaction using group BBAT in traumatised refugees. To study changes in psychiatric and somatic symptoms as well as the quality of life, level of functioning and quality of movement during treatment with BBAT. Method: All Arabic speaking patients that previously had received treatment at the Competence Centre for Transcultural Psychiatry in Copenhagen from April 2008 to June 2009 were invited to participate (N=29). Nine persons were included in a male (N=4) and female (N=5) group. All participants were traumatised refugees. The BBAT treatment consisted of 14 sessions over a period of 14 weeks. Before and after treatment the participants were interviewed using a semi-structured interview guide. The interviews were transcribed and analyzed with a thematic approach. The participants also filled out self-administrated questionnaires and two physiotherapists tested the participants’ movement harmony using the Body Awareness Rating Scale-Movement Harmony (BARS-MH) test. At the end of the study, the participants filled out anonymous questionnaires about treatment satisfaction. Results: The results showed that the participants had a high compliance, acceptability and treatment satisfaction with BBAT. The majority of participants showed improvements in symptoms from baseline to post-intervention on the self-administrated questionnaires and in the BARS-MH test. Conclusions: Further research is needed to expand the scientific knowledge regarding the use of BBAT in traumatised refugees. If future research can confirm our positive findings it will have a considerable impact on future treatment designs and for the individual patient.


2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 926.1-926
Author(s):  
A. L. Olsen ◽  
L. H. Magnussen ◽  
L. H. Skjaerven ◽  
J. Assmus ◽  
M. A. Sundal ◽  
...  

Background:Patients with hip osteoarthritis tend to develop stereotype and energy demanding movement strategies with potential negative effects on disease progression and daily life functioning. A multi-perspective view on movement quality is applied in the physiotherapy modality Basic Body Awareness Therapy (BBAT), with its movement awareness learning pedagogy. BBAT has been found beneficial for functional movement quality, symptoms, and psychological aspects of health in patients with various long-lasting conditions.Objectives:To investigate the short-term (6 months) effects of BBAT, added to Patient Education (PE) compared with PE only in patients with hip osteoarthritis.Methods:A block-randomized controlled trial with 6 months follow-up was conducted. Patients were allocated to 3.5 hours of PE plus 12 weekly sessions of BBAT, each lasting 90 minutes (intervention group), or to PE only (comparison group). Primary outcomes: Numeric Rating Scale (NRS) for pain during walking and Hip Osteoarthritis Outcome Score, subscale Activities of Daily Life (HOOS A). Secondary outcomes included physical capacity tests: Chair test, Stairs test, six-minutes walking test (6MWT), movement quality evaluation: Body Awareness Rating Scale – Movement Quality and Experience (BARS-MQE), and self-reported measures: Activity level (UCLA), function (HOOS subscales P, S, SP, QL and Harris Hip Score (HHS), self-efficacy (Arthritis Self-efficacy Scale, ASES), and health (EuroQol, EQ-5D-5L).Patient Global Impression of Change (PGIC) on pain and function was registered at 6 months.ANCOVA of change was used in intention-to-treat and per protocol analysis.Results:101 patients were included, average age 63 years, 80% female. There was no difference in change between the groups on the primary outcomes at 6 months. However, movement quality (BARS-MQE) improved more (p<0.001) in the intervention group, and the patients reported more improvement in pain (PGIC) than the comparison patients (p=0.031). In per protocol analysis, including 30 patients who attended at least 10 BBAT sessions, intervention patients had statistically significant better scores on self-efficacy (ASES pain, p=0.049), health (EQ5D5L VAS, p=0.037) and function (HHS, p=0.029) than the comparison patients.Conclusion:Patients with hip osteoarthritis were not found by the primary outcome measures to improve more by BBAT added to PE than by PE alone. Movement quality improved, however, significantly more in the intervention group. With sufficient compliance to BBAT, significant more improvement in additional health indicators was demonstrated.References:[1] Egloff C, Hugle T, Valderrabano V. Biomechanics and pathomechanisms of osteoarthritis. Swiss Med Wkly. 2012;142:w13583.[2] Smith TO, Purdy R, Lister S, Salter C, Fleetcroft R, Conaghan P. Living with osteoarthritis:Systematic review and meta-ethnography. Scand J Rheumatol. 2014;43(6):441-452.[3] Skjaerven LH, Kristoffersen K, Gard G. An eye for movement quality: a phenomenological study of movement quality reflecting a group of physiotherapists’ understanding of the phenomenon. Physiother Theory Pract. 2008;24(1):13-27.Acknowledgments:The authors thank the funding institution; The Norwegian Fund for Post-graduate training in Physiotherapy.Disclosure of Interests:None declared


2012 ◽  
Author(s):  
Maite Cenoz Huarte ◽  
Liv Helvik Skjaerven ◽  
Daniel Catalan-Matamoros ◽  
Antonia Gomez-Conesa

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