The addition of a supervised exercise class to a home exercise programme in the treatment of patients with knee osteoarthritis following corticosteroid injection: A pilot study

2012 ◽  
Vol 34 (4) ◽  
pp. 159-165
Author(s):  
Kate Hawkins ◽  
Fery Ghazi
Keyword(s):  
Pilot Study ◽  
Knee Osteoarthritis ◽  
Corticosteroid Injection ◽  
Exercise Programme ◽  
Home Exercise ◽  
Supervised Exercise ◽  
Home Exercise Programme ◽  
Exercise Class

Effectiveness of a balance training home exercise programme for adults with haemophilia: a pilot study

Haemophilia ◽  
2010 ◽  
Vol 16 (1) ◽  
pp. 162-169 ◽  
Author(s):  
K. HILL ◽  
M. FEARN ◽  
S. WILLIAMS ◽  
L. MUDGE ◽  
C. WALSH ◽  
...  
Keyword(s):  
Pilot Study ◽  
Balance Training ◽  
Exercise Programme ◽  
Home Exercise ◽  
Haemophilia A ◽  
Home Exercise Programme

scholarly journals Intraarticular corticosteroid injection in adhesive capsulitis: are two doses better than a single dose? a randomized prospective study

2016 ◽  
Vol 2 (3) ◽  
pp. 158 ◽  
Author(s):  
Ramanagouda Biradar ◽  
Santosh S. Nandi ◽  
Amit Patel ◽  
Arravind Pillai
Keyword(s):  
Single Dose ◽  
Shoulder Pain ◽  
Corticosteroid Injection ◽  
Adhesive Capsulitis ◽  
Exercise Programme ◽  
Home Exercise ◽  
Methylprednisolone Acetate ◽  
Group I ◽  
Home Exercise Programme ◽  
Intraarticular Corticosteroids

<p class="abstract"><strong>Background:</strong> The present study aimed to compare the effectiveness of a single dose and two doses of intraarticular corticosteroids injections followed by home exercise programme in patients with adhesive capsulitis.</p><p class="abstract"><strong>Methods:</strong> The study was done over two years. Eighty four patients with adhesive capsulitis were enrolled in the study. The patients were randomly assigned to two groups: In group I 38 patients were given a single dose of intraarticular corticosteroid injection (1 mL, 40 mg methylprednisolone acetate) followed by a twelve-week home exercise programme.  In group II 46 patients were given two doses of intraarticular corticosteroid injection (1 mL, 40 mg methylprednisolone acetate) at first and third week followed by home exercise programme. All the patients were assed for functional out come at six and twelve weeks using Shoulder pain and disability index (SPADI) and Constant Moore’s shoulder score (CMS).<strong></strong></p><p class="abstract"><strong>Results:</strong> Both groups showed considerable improvement from the baseline, but no significant differences were found between the two groups at twelve weeks. Mean changes in range of motion and shoulder pain and disability index–pain score were statistically no different between the two groups at the twelve weeks.</p><p><strong>Conclusions:</strong> Intraarticular corticosteroids have the additive effect of providing rapid pain relief when combined with home exercise program in adhesive capsulitis.  No significant differences in outcome were found in patients treated with a single or two doses of corticosteroid injection.</p>

scholarly journals Efficacy of the Otago exercise programme as a supplementary intervention to exercise classes: On falls, balance, physical function and mobility in a patient with chronic lower back pain: A case report.

2020 ◽  
Vol 19 (2) ◽  
pp. 339-342
Author(s):  
Melisha Rabilal ◽  
Sonill S Maharaj ◽  
Bashir Kaka
Keyword(s):  
Physical Activity ◽  
Back Pain ◽  
Lower Back Pain ◽  
Exercise Programme ◽  
Home Exercise ◽  
Chronic Lower Back Pain ◽  
Supervised Exercise ◽  
Lower Back ◽  
Home Exercise Programme ◽  
Exercise Classes

In the elderly, physical activity is essential in maintaining good health. In a resource constrained environment, where supervised exercise classes are conducted once a week, a suitable home exercise programme can provide the recommended weekly level of physical activity needed. The Otago Exercise Programme(OEP) is effective in the prevention of falls and increasing strength in the older adult. The efficacy of the OEP as a supplementary intervention to exercise classes; on falls, balance and health enhancing physical activity in the older adult with chronic lower back pain (CLBP) has not been reported. Mr X regularly attends the weekly land-based and aquatic exercise programme at a tertiary hospital in the public sector in Kwa Zulu-Natal. He demonstrated willingness to follow the OEP as prescribed by the Otago exercise manual as a home exercise programme and continued with other leisure, walking and activities of daily living. Post the exercise programme Mr X showed remarkable improvement in the chair to stand test, four-test balance scale and health enhanced physical activity. The OEP is effective and can be used as a supplemental programme to regular supervised exercise classes. The OEP can be beneficial for elderly patients with weakness and chronic lower back pain. Bangladesh Journal of Medical Science Vol.19(2) 2020 p.339-342

scholarly journals Feasibility of an individualised, task-oriented, video-supported home exercise programme for arm function in patients in the subacute phase after stroke: protocol of a randomised controlled pilot study

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e051504
Author(s):  
Miriam Wanner ◽  
Gudrun Schönherr ◽  
Stefan Kiechl ◽  
Michael Knoflach ◽  
Christoph Müller ◽  
...  
Keyword(s):  
Pilot Study ◽  
Ordinal Data ◽  
Qualitative Content Analysis ◽  
Exercise Programme ◽  
Home Exercise ◽  
Home Exercise Programme ◽  
Study Results ◽  
Patient Reported ◽  
Home Training ◽  
Task Oriented

IntroductionStroke rehabilitation guidelines suggest a high-frequency task-oriented training at high intensity. A targeted and self-paced daily training with intermittent supervision is recommended to improve patients’ self-management and functional output. So far, there is conflicting evidence concerning the most effective home-training delivery method.Methods and analysisThe purpose of this pilot study is to compare the feasibility and preliminary effects of task-oriented home-exercises in patients in the subacute stage after stroke. Twenty-four patients will be randomised (1:1) to a Video group (a) or Paper group (b) of an individualised, task-oriented home-training (50 min, 6×/week, for 4 weeks) based on Wulf and Lewthwaite’s Optimizing Performance Through Intrinsic Motivation and Attention for Learning theory of motor learning. Patient-relevant goals will be identified using Goal Attainment Scaling and exercises progressively adapted. Semistructured interviews and a logbook will be used to monitor adherence, arm use and acceptability. Primary outcome will be the feasibility of the methods and a full-scale trial employing predefined feasibility criteria (recruitment, retention and adherence rates, patients’ satisfaction with the home-exercise programme and their progress, affected hand use and acceptance of the intervention). Assessed at baseline, post intervention and 4-week follow-up, secondary outcomes include self-perceived hand and arm use, actual upper extremity function and dexterity, hand strength, independence in activities of daily living and health-related quality of life. Interview data will be analysed using qualitative content analysis. Medians (ranges) will be reported for ordinal data, means (SD) for continuous and frequency (percentage) for nominal data.Ethics and disseminationThis study follows the Standard Protocol Items: Recommendations for Interventional Trials-Patient-Reported Outcome (PRO) Extension guideline. Ethical approval was received from the Ethics Committee of the Medical University of Innsbruck, Austria (1304/2020). Written informed consent will be obtained from all participants prior to data collection. Study results will be disseminated to participating patients, patient organisations, via the clinic’s homepage, relevant conferences and peer-reviewed journals.Trial registration numberDRKS-ID: DRKS00023395.Study protocol, second revision, 5 December 2021.

scholarly journals 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

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e040108
Author(s):  
Rowan W Johnson ◽  
Sian A Williams ◽  
Daniel F Gucciardi ◽  
Natasha Bear ◽  
Noula Gibson
Keyword(s):  
Exercise Prescription ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Programme ◽  
Home Exercise ◽  
Control Group ◽  
Neurodevelopmental Disabilities ◽  
Home Exercise Programme ◽  
Exercise Programmes ◽  
Randomised Controlled

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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