Coulter E H, McLean A N, Hasler J P, Allan D B, McFadyen A, Paul L
School of Medicine, University of Glasgow, Scotland, UK.
Queen Elizabeth National Spinal Injury Unit, NHS Greater Glasgow and Clyde, Scotland, UK.
Spinal Cord. 2017 Apr;55(4):383-389. doi: 10.1038/sc.2016.125. Epub 2016 Sep 6.
A pilot randomised controlled trial.
The aims of this study were to evaluate the effectiveness and participant satisfaction of web-based physiotherapy in people with spinal cord injury (SCI).
Community patients of a national spinal injury unit in a university teaching hospital, Scotland, UK.
Twenty-four participants were recruited and randomised to receive 8 weeks of web-based physiotherapy (intervention), twice per week, or usual care (control). Individual exercise programmes were prescribed based on participants' abilities. The intervention was delivered via a website (www.webbasedphysio.com) and monitored and progressed remotely by the physiotherapist.
Participants logged on to the website an average of 1.4±0.8 times per week. Between-group differences, although not significant, were more pronounced for the 6-min walk test. Participants were positive about using web-based physiotherapy and stated that they would be happy to use it again and would recommend it to others. Overall, it was rated as either good or excellent.
Web-based physiotherapy was feasible and acceptable for people with SCI. Participants achieved good compliance with the intervention and rated the programme highly and beneficial for health and well-being at various states after injury. The results of this study warrant further work with a more homogeneous sample.
This study was funded by the Queen Elizabeth National Spinal Injuries Unit, Glasgow, UK.
一项试点随机对照试验。
本研究旨在评估脊髓损伤（SCI）患者基于网络的物理治疗的有效性和参与者满意度。
英国苏格兰一所大学教学医院的国家脊髓损伤单位的社区患者。
招募了24名参与者，随机分为两组，一组接受为期8周、每周两次的基于网络的物理治疗（干预组），另一组接受常规护理（对照组）。根据参与者的能力制定个性化运动计划。干预通过网站（www.webbasedphysio.com）进行，由物理治疗师进行远程监测和调整。
参与者平均每周登录网站1.4±0.8次。两组之间的差异虽然不显著，但在6分钟步行测试中更为明显。参与者对使用基于网络的物理治疗持积极态度，并表示愿意再次使用并推荐给他人。总体而言，该治疗被评为良好或优秀。
基于网络的物理治疗对脊髓损伤患者是可行且可接受的。参与者对干预措施的依从性良好，并对该计划给予高度评价，认为其对损伤后不同阶段的健康和福祉有益。本研究结果值得在更同质的样本上进一步开展工作。
本研究由英国格拉斯哥伊丽莎白女王国家脊髓损伤单位资助。
