Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial.
Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial.
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在线运动处方工具能否提高脑瘫和其他神经发育障碍儿童对家庭运动计划的坚持？随机对照试验。
DOI：
10.1136/bmjopen-2020-040108
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发表时间：
2020-12-22
期刊：
影响因子：
2.9
通讯作者：
Gibson N
中科院分区：
文献类型：
--
作者：
Johnson RW;Williams SA;Gucciardi DF;Bear N;Gibson N
确定使用在线运动处方工具Physitrack为残疾儿童提供的为期8周的家庭锻炼计划的坚持性和有效性，并与传统的纸质方法进行比较。单盲、平行组、随机对照试验（RCT）。干预在西澳大利亚州参与者家中进行。6至17岁的儿童，患有神经发育残疾，包括脑瘫，接受社区治疗服务。所有参与者都完成了个性化的家庭锻炼计划，该计划使用Physitrack和传统的纸质方法为对照组提供给干预组。坚持运动计划、目标达成与运动表现。享受，信心和Physitrack的可用性。招募了54名患有CP（n=37）或其他神经发育障碍（n=17）的参与者。53名受试者在一次提前退出后接受随机化。46人完成了为期8周的计划，其中干预组24人，对照组22人。两组之间完成运动的百分比没有差异（干预组（n=22）：62.8%（SD 27.7），对照组（n=22）：55.8%（SD 19.4），组间平均差异为-7.0%（95%CI：-21.6至7.5，p=0.34））。两组在个性化目标活动的自评表现方面都有显著改善，但在目标实现、运动表现质量、享受、信心或首选交付方法方面，两组之间没有统计学显著差异。未发生不良事件。Physitrack为治疗师提供了一种新的方法，可以通过在线工具（如运动视频）提供运动计划，但我们的初步研究结果表明，它可能并不比传统的基于纸张的方法更好地改善运动坚持性或其他测量结果。锻炼计划仍然是一种有证据支持的干预措施，但需要一个更大的随机对照试验来充分评估在线交付方法。澳大利亚和新西兰临床试验注册中心; ACTRN 12616000743460。
Determine the adherence to and effectiveness of an 8-week home exercise programme for children with disabilities delivered using Physitrack, an online exercise prescription tool, compared with traditional paper-based methods. Single-blinded, parallel-groups, randomised controlled trial (RCT). Intervention took place in participants’ homes in Western Australia. Children aged 6 to 17 years, with neurodevelopmental disabilities including cerebral palsy (CP), receiving community therapy services. All participants completed an individualised home exercise programme, which was delivered to the intervention group using Physitrack and conventional paper-based methods for the control group. Adherence to exercise programme, goal achievement and exercise performance. Enjoyment, confidence and usability of Physitrack. Fifty-four participants with CP (n=37) or other neurodevelopmental disabilities (n=17) were recruited. Fifty-three were randomised after one early withdrawal. Forty-six completed the 8-week programme, with 24 in the intervention group and 22 in the control group. There was no difference between the two groups for percentage of exercises completed (intervention (n=22): 62.8% (SD 27.7), control (n=22): 55.8% (SD 19.4), between group mean difference −7.0% (95% CI: −21.6 to 7.5, p=0.34)). Both groups showed significant improvement in their self-rated performance of individualised goal activities, however there was no statistically significant difference between groups for goal achievement, quality of exercise performance, enjoyment, confidence or preferred method of delivery. There were no adverse events. Physitrack provides a therapist with a new means of providing an exercise programme with online tools such as exercise videos, but our preliminary findings indicate that it may be no better than a traditional paper-based method for improving exercise adherence or the other outcomes measured. Exercise programmes remain an intervention supported by evidence, but a larger RCT is required to fully evaluate online delivery methods. Australian New Zealand Clinical Trials Registry; ACTRN12616000743460.
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影响因子：
5
作者：
Breitenstein SM;Fogg L;Ocampo EV;Acosta DI;Gross D
通讯作者：
Gross D
DOI：
10.1016/j.invent.2016.10.002
发表时间：
2016-11-01
期刊：
Internet interventions
影响因子：
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作者：
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DOI：
10.5152/tftrd.2014.60973
发表时间：
2014-06-01
影响因子：
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