Does a Web-Based Exercise Programming System Improve Home Exercise Adherence for People With Musculoskeletal Conditions?: A Randomized Controlled Trial : American Journal of Physical Medicine & Rehabilitation

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Does a Web-Based Exercise Programming System Improve Home Exercise Adherence for People With Musculoskeletal Conditions?

A Randomized Controlled Trial

Bennell, Kim L. BAppSci (Physio), PhD; Marshall, Charlotte J. BSc (Hons), GDipPhty, MPhty; Dobson, Fiona BAppSci (Physio), PhD; Kasza, Jessica B Sci (Hons), PhD; Lonsdale, Chris BSc (Hons), MA, PhD; Hinman, Rana S. BPhysio (Hons), PhD

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American Journal of Physical Medicine & Rehabilitation 98(10):p 850-858, October 2019. | DOI: 10.1097/PHM.0000000000001204

Abstract

Objective 

The aim of the study was to evaluate whether a web-based exercise programming system improves adherence to a home exercise program for people with musculoskeletal conditions.

Design 

Eligible patients with a musculoskeletal condition presenting to a physical therapist in private practice were randomized to the following: (a) control (home exercise prescribed by therapist’s usual methods) or (b) intervention (home exercise prescribed using a web-based exercise programming system). The primary outcome was self-rated exercise adherence measured at week 3 via 11-point Numeric Rating Scales. Secondary outcomes were satisfaction with exercise delivery and confidence in ability to undertake prescribed exercise. Process measures were also included.

Results 

We enrolled 305 participants, with loss to follow-up of 14.5% (22/152) and 13.7% (21/153) in intervention and control groups, respectively. Compared with controls, the intervention group reported higher exercise adherence (mean difference Numeric Rating Scale units (95% confidence intervals): adherence overall −1.0 [−1.6 to −0.3] and regarding number of exercises in session −0.7 [−1.3 to −0.1], number of repetitions −0.8 [−1.4 to −0.2], and number of sessions −1.0 [−1.6 to −0.3]). The intervention group showed greater confidence to exercise than control, with no difference in satisfaction.

Conclusions 

A web-based exercise programming system improved home exercise adherence and confidence in ability to undertake exercise, although the clinical relevance of the results needs to be established.

Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.

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