Loading...
Does a web-based exercise programming system improve home exercise adherence for people with musculoskeletal conditions? A randomized controlled trial
Bennell, Kim L. Marshall, Charlotte J. Dobson, Fiona Kasza, Jessica Lonsdale, Chris Hinman, Rana S.
Bennell, Kim L.
Marshall, Charlotte J.
Dobson, Fiona
Kasza, Jessica
Lonsdale, Chris
Hinman, Rana S.
Abstract
Objective
The aim of the study was to evaluate whether a web-based exercise programming system improves adherence to a home exercise program for people with musculoskeletal conditions.
Design
Eligible patients with a musculoskeletal condition presenting to a physical therapist in private practice were randomized to the following: (a) control (home exercise prescribed by therapist’s usual methods) or (b) intervention (home exercise prescribed using a web-based exercise programming system). The primary outcome was self-rated exercise adherence measured at week 3 via 11-point Numeric Rating Scales. Secondary outcomes were satisfaction with exercise delivery and confidence in ability to undertake prescribed exercise. Process measures were also included.
Results
We enrolled 305 participants, with loss to follow-up of 14.5% (22/152) and 13.7% (21/153) in intervention and control groups, respectively. Compared with controls, the intervention group reported higher exercise adherence (mean difference Numeric Rating Scale units (95% confidence intervals): adherence overall −1.0 [−1.6 to −0.3] and regarding number of exercises in session −0.7 [−1.3 to −0.1], number of repetitions −0.8 [−1.4 to −0.2], and number of sessions −1.0 [−1.6 to −0.3]). The intervention group showed greater confidence to exercise than control, with no difference in satisfaction.
Conclusions
A web-based exercise programming system improved home exercise adherence and confidence in ability to undertake exercise, although the clinical relevance of the results needs to be established.
Keywords
exercise, adherence, physical therapist, musculoskeletal
Date
2019
Type
Journal article
Journal
American Journal of Physical Medicine and Rehabilitation
Book
Volume
98
Issue
10
Page Range
850-858
Article Number
ACU Department
Non-faculty
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled