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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, Bui, T, Phan, HT ORCID: 0000-0003-0506-2924, Llado, A, King, C and Scrivener, K 2020 , 'App-based supplemental exercise in rehabilitation, adherence, and effect on outcomes: a randomized controlled trial' , Clinical Rehabilitation, vol. 34, no. 8 , 1083–1093 , doi: 10.1177/0269215520928119.

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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 Type: Article
Authors/Creators:Li, I and Bui, T and Phan, HT and Llado, A and King, C and Scrivener, K
Keywords: mHealth, exercise therapy, physical therapy, rehabilitation, outcomes
Journal or Publication Title: Clinical Rehabilitation
Publisher: Arnold
ISSN: 0269-2155
DOI / ID Number: 10.1177/0269215520928119
Copyright Information:

Copyright 2020 The Authors

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