Fisioterapeutiese behandeling van kroniese hoofpyne in depressiewe pasiënte; 'n vergelyking tussen individuele behandeling en 'n kombinasie van individuele behandeling en kollektiewe behandeling

[摘要] English: The incidence of depression today is so high, that it is described as The common cold of mentalillness. As Physiotherapist in a private practice, in Bloemfontein, a large part of the researchersdaily work consisted of the treatment of chronic headaches in depression patients. The researcherdiscovered that the intensity of the patients headaches often varied occording to the frame ofmind of the patient. The treatment of these headaches included individual physiotherapy thatconsisted of: spinal mobilization of the effected joints, pressure of the triggerpoints, massage andultrasound.In this study the above mentioned treatments were compared to a combination of individual andcollective treatments. It was determined which type of treatment was most effective indecreasing the total pain pattern (intensity, periodicity, reaction to analgesics) of the headacheduring treatment as well as one month after the treatment was ended.The study population consisted of patients which were diagnosed with major depression. All thedepression patients that attended the two week depression programme in Hospital Park Clinicin Bloemfontein met the criteria to qualify and were referred for physiotherapy were thereforeincluded in the study. So too were all the depression patients that attended the two weekdepression programme at Universitas Groupcentre in Bloemfontein that met with the necessarycriteria and which were referred for physiotherapy included in the study programme.There was a total of fifteen test subjects in the control group and fifteen test subjects in theexperimental group. The control group were treated individually and the experimental groupreceived individual physiotherapy as well as collective treatment sessions. Results wereobtained through evaluations, re-evaluations as well a re-evaluation that was conductedtelephonically with the subjects one month after there discharge from the sentrum or clinic.Special attention was given during evaluations and re-evaluations to the total pain pattern of thetest subjects headaches.From the results the observation was made that the control group and the experimental groupwere very comparitive groups as far as test subjects were concerned, subjective evaluations aswell as objective evaluations. The two groups as median of the total pain pattern after the firstevaluation were also exactly the same (II out of 15 for both groups). There was no statisticalindicative difference with regard to the change of the total pain pattern from treatment totreatment between the two groups. There was a statistical indicative difference between theimprovemnt of the total pain pattern from the first evaluation to the re-evaluation after onemonth. The control group's median of the total pain pattern one month after the treatment was8 out of 15, while the experimentle group's median was 4 out of 15. The pain pattern of theexperimental group was statistically indicative of more improvement than the control group.From this research the conclusion can therefore be made that the results from physiotherapytreatments of chronic headaches in depression patients differ during individual treatments anda combination of individual and collective treatments. A combination of individual andcollective treatments deliver better long term results and therefore is the most recommended typeof treatment for depression patients with chronic headaches.

[发布机构] University of the Free State