Randomized clinical trial comparing Nordic pole walking and a standard home exercise programme in patients with intermittent claudication

ObjectiveDetermine 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.DesignSingle-blinded, parallel-groups, randomised controlled trial (RCT).SettingIntervention took place in participants’ homes in Western Australia.ParticipantsChildren aged 6 to 17 years, with neurodevelopmental disabilities including cerebral palsy (CP), receiving community therapy services.InterventionAll 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.Primary outcome measuresAdherence to exercise programme, goal achievement and exercise performance.Secondary outcome measuresEnjoyment, confidence and usability of Physitrack.ResultsFifty-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.ConclusionPhysitrack 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.Trial registration detailsAustralian New Zealand Clinical Trials Registry; ACTRN12616000743460.

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Does drug treatment have a placebo effect on programmed training in intermittent claudication? A randomized clinical trial

Clinical Rehabilitation ◽

10.1177/026921559100500110 ◽

1991 ◽

Vol 5 (1) ◽

pp. 65-69 ◽

Cited By ~ 3

Author(s):

Mauri Lepäntalo ◽

Katariina Kalajo ◽

Gustaf Lilius

Keyword(s):

Clinical Trial ◽

Drug Treatment ◽

Randomized Clinical Trial ◽

Intermittent Claudication ◽

Placebo Effect

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Short-term effects of manipulative treatment versus a therapeutic home exercise protocol for chronic cervical pain: A randomized clinical trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-169723 ◽

2018 ◽

Vol 31 (1) ◽

pp. 133-145 ◽

Cited By ~ 3

Author(s):

Xabier Galindez-Ibarbengoetxea ◽

Igor Setuain ◽

Robinson Ramírez-Velez ◽

Lars L. Andersen ◽

Miriam González-Izal ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Home Exercise ◽

Cervical Pain ◽

Exercise Protocol ◽

Short Term ◽

Short Term Effects

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The effect of adding myofascial techniques to an exercise programme for patients with anterior knee pain – A randomized clinical trial

Manual Therapy ◽

10.1016/j.math.2016.05.293 ◽

2016 ◽

Vol 25 ◽

pp. e151-e152

Author(s):

G. Telles ◽

D. Cristovão ◽

F. Belache ◽

M. Santos ◽

R. Almeida ◽

...

Keyword(s):

Clinical Trial ◽

Randomized Clinical Trial ◽

Knee Pain ◽

Anterior Knee Pain ◽

Exercise Programme ◽

Anterior Knee

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Web-based physiotherapy for people affected by multiple sclerosis: a single blind, randomized controlled feasibility study

Clinical Rehabilitation ◽

10.1177/0269215518817080 ◽

2018 ◽

Vol 33 (3) ◽

pp. 473-484 ◽

Cited By ~ 10

Author(s):

Lorna Paul ◽

Linda Renfrew ◽

Jennifer Freeman ◽

Heather Murray ◽

Belinda Weller ◽

...

Keyword(s):

Multiple Sclerosis ◽

Outcome Measures ◽

Exercise Programme ◽

Home Exercise ◽

Walk Test ◽

Web Based ◽

Randomized Controlled ◽

Home Exercise Programme ◽

Minute Walk ◽

Over Time

Objective: To examine the feasibility of a trial to evaluate web-based physiotherapy compared to a standard home exercise programme in people with multiple sclerosis. Design: Multi-centre, randomized controlled, feasibility study. Setting: Three multiple sclerosis out-patient centres. Participants: A total of 90 people with multiple sclerosis (Expanded Disability Status Scale 4–6.5). Interventions: Participants were randomized to a six-month individualized, home exercise programme delivered via web-based physiotherapy ( n = 45; intervention) or a sheet of exercises ( n = 45; active comparator). Outcome measures: Outcome measures (0, three, six and nine months) included adherence, two-minute walk test, 25 foot walk, Berg Balance Scale, physical activity and healthcare resource use. Interviews were undertaken with 24 participants and 3 physiotherapists. Results: Almost 25% of people approached agreed to take part. No intervention-related adverse events were recorded. Adherence was 40%–63% and 53%–71% in the intervention and comparator groups. There was no difference in the two-minute walk test between groups at baseline (Intervention-80.4(33.91)m, Comparator-70.6(31.20)m) and no change over time (at six-month Intervention-81.6(32.75)m, Comparator-74.8(36.16)m. There were no significant changes over time in other outcome measures except the EuroQol-5 Dimension at six months which decreased in the active comparator group. For a difference of 8(17.4)m in two-minute walk test between groups, 76 participants/group would be required (80% power, P > 0.05) for a future randomized controlled trial. Conclusion: No changes were found in the majority of outcome measures over time. This study was acceptable and feasible by participants and physiotherapists. An adequately powered study needs 160 participants.

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