000135003 001__ 135003
000135003 005__ 20250923084426.0
000135003 0247_ $$2doi$$a10.1186/s12889-024-18453-6
000135003 0248_ $$2sideral$$a138482
000135003 037__ $$aART-2024-138482
000135003 041__ $$aeng
000135003 100__ $$aJiménez-Sánchez, Carolina
000135003 245__ $$aPhysical therapy interventions for people experiencing homelessness to improve pain and self-perceived health status
000135003 260__ $$c2024
000135003 5060_ $$aAccess copy available to the general public$$fUnrestricted
000135003 5203_ $$aBackground: 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.
000135003 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000135003 590__ $$a3.6$$b2024
000135003 592__ $$a1.359$$b2024
000135003 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b73 / 419 = 0.174$$c2024$$dQ1$$eT1
000135003 593__ $$aPublic Health, Environmental and Occupational Health$$c2024$$dQ1
000135003 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000135003 700__ $$aBrandin de la Cruz, Natalia
000135003 700__ $$aLafuente-Ureta, Raquel
000135003 700__ $$aFrancín-Gallego, Marina
000135003 700__ $$0(orcid)0000-0002-1674-7788$$aCalvo, Sandra$$uUniversidad de Zaragoza
000135003 700__ $$aFortún-Rabadán, Rocío
000135003 700__ $$0(orcid)0000-0002-5770-5146$$aPérez-Palomares, Sara$$uUniversidad de Zaragoza
000135003 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000135003 773__ $$g24 (2024), 993 [10 pp.]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458
000135003 8564_ $$s1238442$$uhttps://zaguan.unizar.es/record/135003/files/texto_completo.pdf$$yVersión publicada
000135003 8564_ $$s2311754$$uhttps://zaguan.unizar.es/record/135003/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000135003 909CO $$ooai:zaguan.unizar.es:135003$$particulos$$pdriver
000135003 951__ $$a2025-09-22-14:40:04
000135003 980__ $$aARTICLE