A home-based, transtheoretical change model designed strength training intervention to increase exercise to prevent osteoporosis in Iranian women aged 40-65 years: a randomized controlled trial

Abstract Introduction and hypothesis Urinary incontinence (UI) is common in women who exercise. We aimed to investigate new onset UI in formerly inactive, overweight or obese women (BMI > 25) participating in three different strength training modalities compared with a non-exercising control group. Methods This was a secondary analysis of an assessor blinded randomized controlled trial investigating the effect of 12 weeks of three strength training concepts for women on muscle strength and body composition. None of the programs included pelvic floor muscle training. International Consensus on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI-SF) was used to investigate primary outcome; new onset UI, and secondary outcome; ICIQ-UI-SF sum score. Suissa and Shuster’s exact unconditional test was used to analyze difference in new onset UI. Difference in ICIQ-UI-SF sum score is presented as mean with 95% CI. Results At baseline 40 out of 128 (31.2%) participants reported UI. Three out of 27, 2 out of 17, 2 out of 23, and 0 out of 21 women in the three training and control groups respectively had new onset UI. There were no statistically significant differences in new onset UI across the groups or when collapsing new onset UI in the intervention groups compared with the controls (7 out of 67 vs 0 out of 21), p = 0.124. After the intervention the control group reported worse ICIQ-UI-SF sum score than any of the training groups; mean difference − 6.6 (95% CI: −11.9, −1.27), p = 0.012, but there was no difference in change from baseline to 12 weeks between the groups p = 0.145). Conclusions There was no statistically significant change in UI after strength training.

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Home-Based Exercise Training During COVID-19 Pandemic in Post-Bariatric Patients: a Randomized Controlled Trial

Obesity Surgery ◽

10.1007/s11695-021-05621-5 ◽

2021 ◽

Author(s):

Gersiel Nascimento de Oliveira Júnior ◽

Karla Fabiana Goessler ◽

Jhonnatan Vasconcelos Pereira Santos ◽

Alisson Padilha de Lima ◽

Rafael Genário ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Exercise Training ◽

Controlled Trial ◽

Randomized Controlled ◽

Home Based ◽

Bariatric Patients

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Home‐Based Intervention to Test and Start (HITS): a community‐randomized controlled trial to increase HIV testing uptake among men in rural South Africa

Journal of the International AIDS Society ◽

10.1002/jia2.25665 ◽

2021 ◽

Vol 24 (2) ◽

Author(s):

Frank C Tanser ◽

Hae‐Young Kim ◽

Thulile Mathenjwa ◽

Maryam Shahmanesh ◽

Janet Seeley ◽

...

Keyword(s):

South Africa ◽

Randomized Controlled Trial ◽

Hiv Testing ◽

Controlled Trial ◽

Rural South ◽

Randomized Controlled ◽

Home Based ◽

Testing Uptake ◽

Home Based Intervention ◽

Rural South Africa

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Effectiveness of interactive augmented reality-based telerehabilitation in patients with adhesive capsulitis: protocol for a multi-center randomized controlled trial

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04261-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Seung Mi Yeo ◽

Ji Young Lim ◽

Jong Geol Do ◽

Jae-Young Lim ◽

Jong In Lee ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Physical Therapy ◽

Augmented Reality ◽

Controlled Trial ◽

Adhesive Capsulitis ◽

Performance Measure ◽

Home Exercise ◽

Randomized Controlled ◽

Link Type ◽

Home Based

Abstract Background As the primary treatment for adhesive capsulitis, intensive and accurate home exercise is as important as physical therapy in hospitals. Augmented reality (AR)-based telerehabilitation has been implemented recently in various musculoskeletal conditions to increase patient compliance and enable patients to exercise with the correct posture. The objective of this study is to present a protocol for investigating the additive effect of interactive AR-based telerehabilitation in comparison with the usual care for patients with adhesive capsulitis. Methods This study presents the protocol of a prospective, multi-center, single-blinded, two-armed randomized controlled trial (RCT). One hundred patients with stage I or II adhesive capsulitis will be recruited at the physical medicine and rehabilitation clinic. Patients will be randomly divided into two groups with 1:1 allocation. The intervention group will receive 3 months of hospital-based physical therapy in conjunction with home-based telerehabilitation. The control group will receive 3 months of hospital-based physical therapy in conjunction with a home-based exercise described in a brochure provided by the hospital. The primary outcome will be the change in passive range of motion (ROM) of the affected shoulder joint from baseline to 12 weeks after baseline assessment. The secondary outcomes will be active ROM, pain measured with the numeric rating scale, shoulder pain and disability index, 36-Item Short Form Survey, EuroQoL-5D-5L, and Canadian Occupational Performance Measure. Discussion This will be the first RCT study protocol to investigate the effect of telerehabilitation in patients with adhesive capsulitis. The result of this RCT will determine whether AR-based telerehabilitation is more effective than a brochure-based home exercise program and will provide evidence of the usefulness of “telerehabilitation” using hardware (IoT) and software (monitoring platform) technologies to develop “digital therapeutics” for the future. Trial registration This trial was retrospectively registered at the Clinicaltrials.gov website on 20 March 2020, with the identifier NCT04316130.

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