App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial
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. Part...
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| Veröffentlicht in: | Clinical rehabilitation 2020-08, Vol.34 (8), p.1083-1093 |
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| container_title | Clinical rehabilitation |
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| creator | Li, Ingrid Bui, Tram Phan, Hoang T Llado, Ana King, Clayton Scrivener, Katharine |
| description | 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).
Outcome measures:
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. |
| doi_str_mv | 10.1177/0269215520928119 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2410707607</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_0269215520928119</sage_id><sourcerecordid>2410707607</sourcerecordid><originalsourceid>FETCH-LOGICAL-c407t-62e8a9694bea0fc7fb6563246b941cbc86a8eec375dd3dcf7c44ecc03b445e2e3</originalsourceid><addsrcrecordid>eNp1kc1LHjEQxkNR6qvt3ZMEvPTgar42yfYm0lZB8GLPSzY7WyPZZJtkofrXNy-vrSB4moHnN88M8yB0TMk5pUpdECY7RtuWkY5pSrsPaEOFUg3Riu-hzVZutvoBOsz5kRCimaAf0QFnLdFU8w3Kl8vSDCbDiPO6LB5mCMV4DH8gWZcBu4ATPJjBeVdMcTGcYTM-QIJgobZhxDBNYAuOAce12DhD_ooNTlWKs3uuxjaGkqL3tS3JGf8J7U_GZ_j8Uo_Qz-_f7q-um9u7HzdXl7eNFUSVRjLQppOdGMCQyappkK3kTMihE9QOVkujASxX7Tjy0U7KCgHWEj4I0QIDfoS-7HyXFH-vkEs_u2zBexMgrrmvvyCKKElURU_foI9xTaFeVynWaiZlxytFdpRNMecEU78kN5v01FPSbwPp3wZSR05ejNdhhvH_wL8EKtDsgGx-wevWdw3_AoYGk8A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2425826693</pqid></control><display><type>article</type><title>App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>SAGE Complete</source><creator>Li, Ingrid ; Bui, Tram ; Phan, Hoang T ; Llado, Ana ; King, Clayton ; Scrivener, Katharine</creator><creatorcontrib>Li, Ingrid ; Bui, Tram ; Phan, Hoang T ; Llado, Ana ; King, Clayton ; Scrivener, Katharine</creatorcontrib><description>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).
Outcome measures:
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.</description><identifier>ISSN: 0269-2155</identifier><identifier>EISSN: 1477-0873</identifier><identifier>DOI: 10.1177/0269215520928119</identifier><identifier>PMID: 32508183</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Assessors ; Clinical trials ; Disability ; Dosage ; Exercise ; Exercise Therapy - methods ; Female ; Functional impairment ; Humans ; Inpatient care ; Intervention ; Length of Stay ; Male ; Middle Aged ; Mobile Applications ; Mobility ; Neurology ; Outcome Assessment, Health Care ; Patient Compliance ; Physical therapy ; Physiotherapy ; Postural Balance ; Recovery of Function ; Rehabilitation ; Time and Motion Studies ; Uptake ; Walking ; Walking speed</subject><ispartof>Clinical rehabilitation, 2020-08, Vol.34 (8), p.1083-1093</ispartof><rights>The Author(s) 2020</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-62e8a9694bea0fc7fb6563246b941cbc86a8eec375dd3dcf7c44ecc03b445e2e3</citedby><cites>FETCH-LOGICAL-c407t-62e8a9694bea0fc7fb6563246b941cbc86a8eec375dd3dcf7c44ecc03b445e2e3</cites><orcidid>0000-0002-3613-6992</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/0269215520928119$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/0269215520928119$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,30976,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32508183$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Ingrid</creatorcontrib><creatorcontrib>Bui, Tram</creatorcontrib><creatorcontrib>Phan, Hoang T</creatorcontrib><creatorcontrib>Llado, Ana</creatorcontrib><creatorcontrib>King, Clayton</creatorcontrib><creatorcontrib>Scrivener, Katharine</creatorcontrib><title>App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial</title><title>Clinical rehabilitation</title><addtitle>Clin Rehabil</addtitle><description>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).
Outcome measures:
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.</description><subject>Adult</subject><subject>Aged</subject><subject>Assessors</subject><subject>Clinical trials</subject><subject>Disability</subject><subject>Dosage</subject><subject>Exercise</subject><subject>Exercise Therapy - methods</subject><subject>Female</subject><subject>Functional impairment</subject><subject>Humans</subject><subject>Inpatient care</subject><subject>Intervention</subject><subject>Length of Stay</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mobile Applications</subject><subject>Mobility</subject><subject>Neurology</subject><subject>Outcome Assessment, Health Care</subject><subject>Patient Compliance</subject><subject>Physical therapy</subject><subject>Physiotherapy</subject><subject>Postural Balance</subject><subject>Recovery of Function</subject><subject>Rehabilitation</subject><subject>Time and Motion Studies</subject><subject>Uptake</subject><subject>Walking</subject><subject>Walking speed</subject><issn>0269-2155</issn><issn>1477-0873</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNp1kc1LHjEQxkNR6qvt3ZMEvPTgar42yfYm0lZB8GLPSzY7WyPZZJtkofrXNy-vrSB4moHnN88M8yB0TMk5pUpdECY7RtuWkY5pSrsPaEOFUg3Riu-hzVZutvoBOsz5kRCimaAf0QFnLdFU8w3Kl8vSDCbDiPO6LB5mCMV4DH8gWZcBu4ATPJjBeVdMcTGcYTM-QIJgobZhxDBNYAuOAce12DhD_ooNTlWKs3uuxjaGkqL3tS3JGf8J7U_GZ_j8Uo_Qz-_f7q-um9u7HzdXl7eNFUSVRjLQppOdGMCQyappkK3kTMihE9QOVkujASxX7Tjy0U7KCgHWEj4I0QIDfoS-7HyXFH-vkEs_u2zBexMgrrmvvyCKKElURU_foI9xTaFeVynWaiZlxytFdpRNMecEU78kN5v01FPSbwPp3wZSR05ejNdhhvH_wL8EKtDsgGx-wevWdw3_AoYGk8A</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Li, Ingrid</creator><creator>Bui, Tram</creator><creator>Phan, Hoang T</creator><creator>Llado, Ana</creator><creator>King, Clayton</creator><creator>Scrivener, Katharine</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-3613-6992</orcidid></search><sort><creationdate>202008</creationdate><title>App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial</title><author>Li, Ingrid ; Bui, Tram ; Phan, Hoang T ; Llado, Ana ; King, Clayton ; Scrivener, Katharine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-62e8a9694bea0fc7fb6563246b941cbc86a8eec375dd3dcf7c44ecc03b445e2e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Assessors</topic><topic>Clinical trials</topic><topic>Disability</topic><topic>Dosage</topic><topic>Exercise</topic><topic>Exercise Therapy - methods</topic><topic>Female</topic><topic>Functional impairment</topic><topic>Humans</topic><topic>Inpatient care</topic><topic>Intervention</topic><topic>Length of Stay</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mobile Applications</topic><topic>Mobility</topic><topic>Neurology</topic><topic>Outcome Assessment, Health Care</topic><topic>Patient Compliance</topic><topic>Physical therapy</topic><topic>Physiotherapy</topic><topic>Postural Balance</topic><topic>Recovery of Function</topic><topic>Rehabilitation</topic><topic>Time and Motion Studies</topic><topic>Uptake</topic><topic>Walking</topic><topic>Walking speed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Li, Ingrid</creatorcontrib><creatorcontrib>Bui, Tram</creatorcontrib><creatorcontrib>Phan, Hoang T</creatorcontrib><creatorcontrib>Llado, Ana</creatorcontrib><creatorcontrib>King, Clayton</creatorcontrib><creatorcontrib>Scrivener, Katharine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Ingrid</au><au>Bui, Tram</au><au>Phan, Hoang T</au><au>Llado, Ana</au><au>King, Clayton</au><au>Scrivener, Katharine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial</atitle><jtitle>Clinical rehabilitation</jtitle><addtitle>Clin Rehabil</addtitle><date>2020-08</date><risdate>2020</risdate><volume>34</volume><issue>8</issue><spage>1083</spage><epage>1093</epage><pages>1083-1093</pages><issn>0269-2155</issn><eissn>1477-0873</eissn><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).
Outcome measures:
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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>32508183</pmid><doi>10.1177/0269215520928119</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-3613-6992</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0269-2155 |
| ispartof | Clinical rehabilitation, 2020-08, Vol.34 (8), p.1083-1093 |
| issn | 0269-2155 1477-0873 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2410707607 |
| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; SAGE Complete |
| subjects | Adult Aged Assessors Clinical trials Disability Dosage Exercise Exercise Therapy - methods Female Functional impairment Humans Inpatient care Intervention Length of Stay Male Middle Aged Mobile Applications Mobility Neurology Outcome Assessment, Health Care Patient Compliance Physical therapy Physiotherapy Postural Balance Recovery of Function Rehabilitation Time and Motion Studies Uptake Walking Walking speed |
| title | App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial |
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