App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial.
Clin Rehabil
; 34(8): 1083-1093, 2020 Aug.
Article
en En
| MEDLINE
| ID: mdl-32508183
ABSTRACT
QUESTION To determine the uptake of an app-based supplemental exercise programme in a rehabilitation setting and the effect of such a programme on length of stay and function compared to usual care physiotherapy. DESIGN:
Randomized controlled trial with random allocation and assessor blinding.PARTICIPANTS:
A total of 144 individuals with mixed diagnoses (orthopaedic, neurological, reconditioning) admitted for inpatient sub-acute rehabilitation.INTERVENTIONS:
Participants were randomly allocated to usual care physiotherapy (control group) or usual care physiotherapy with the addition of an app-based supplemental exercise programme (intervention group). OUTCOMEMEASURES:
The primary measure of interest was total supplementary exercise dosage completed by the intervention group. The primary between-group outcome measure was length of stay with secondary measures including walking endurance (Six-Minute Walk Test), walking speed (10-Metre Walk Test), functional mobility (Timed Up and Go Test) and level of disability (Functional Independence Measure).RESULTS:
Participants in the intervention group performed 7 minutes (SD 9) or 49 repetitions (SD 48) of supplementary exercise using the app each day. There were no differences between the groups for length of stay (mean difference (MD) -0.5 days, 95% confidence interval (CI) -3.2 to 2.2) or change in any secondary functional outcome measures, including walking speed (MD -0.1 m/s, 95% CI -0.2 to 0.0) and disability (MD -0.9, 95% CI -3.6 to 1.8).CONCLUSION:
A small supplementary exercise dose was achieved by participants in the intervention group. However, such a programme did not affect length of stay or functional outcomes when compared to usual care.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Cooperación del Paciente
/
Terapia por Ejercicio
/
Aplicaciones Móviles
Tipo de estudio:
Clinical_trials
Límite:
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Clin Rehabil
Asunto de la revista:
REABILITACAO
Año:
2020
Tipo del documento:
Article
País de afiliación:
Australia