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App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial

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Li, I and Bui, T and Phan, HT and Llado, A and King, C and Scrivener, K, App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial, Clinical Rehabilitation, 34, (8) pp. 1083-1093. ISSN 0269-2155 (2020) [Refereed Article]


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Copyright 2020 The Authors

DOI: doi:10.1177/0269215520928119

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.

Item Details

Item Type:Refereed Article
Keywords:mHealth, exercise therapy, physical therapy, rehabilitation, outcomes
Research Division:Medical and Health Sciences
Research Group:Public Health and Health Services
Research Field:Epidemiology
Objective Division:Health
Objective Group:Public Health (excl. Specific Population Health)
Objective Field:Public Health (excl. Specific Population Health) not elsewhere classified
UTAS Author:Phan, HT (Miss Hoang Phan)
ID Code:139306
Year Published:2020
Deposited By:Menzies Institute for Medical Research
Deposited On:2020-06-09
Last Modified:2020-07-28
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