Teleeducation and therapeutic physical exercise intervention program, group-based and remote, for family caregivers. Randomized controlled trial

A quasi-experimental design with an experimental group and a control group is proposed, longitudinal and prospective. The experimental group will receive a tele-education program in health combined with therapeutic exercise, while the control group will only participate in the tele-education program. Participants will be assigned to each group using balanced randomization, performed using free software (http://www.randomized.org/). Only the principal investigator will be aware of the randomization sequence. The experimental group will participate in a distance-based group therapeutic physical exercise intervention program, developed and supervised by a physical therapist from the research group. The Remote Group Therapeutic Physical Exercise Intervention Program will consist of 15 guided 60-minute therapeutic physical exercise sessions distributed over 3 weekly sessions for 5 weeks. All participants will attend the same group. An attendance checklist for the sessions will be included. Will include spinal mobility exercises, core strength training, scapular mobility and stability, upper body and lower body mobility and strength training, as well as breathing exercises. These exercises will combine Pilates exercises, basic strength and mobility exercises, and relaxation and breathing. Participants will not need any specific equipment to perform the exercises. The difficulty of the exercises will increase throughout the sessions in three levels: basic 1, basic 2, and intermediate, allowing you to progress through the exercises toward a heavier load, a greater range of motion, or greater complexity, seeking more complex muscle synergies. The Therapeutic Physical Exercise Program will always be carried out in the same order and with the same structure. Sessions will be conducted in groups, via video calls, and will be led by a physical therapist who will pay special attention to the individual needs of each participant. The difficulty of the exercises will increase as the program progresses. The Therapeutic Physical Exercise Program has been designed based on the literature and will take into account the conditions of the experimental group. To measure outcomes, selected participants, once they meet the inclusion and exclusion criteria, will be evaluated before the intervention and four week after the end of the last session. The results obtained will be analyzed jointly to assess the program's impact. The pretest-posttest design will allow for a comparative evaluation using scales validated before and after the intervention in both groups, thus allowing for an assessment of the impact achieved.