Johnson Rowan W, Williams Sian A, Gucciardi Daniel F, Bear Natasha, Gibson Noula
Therapy and Health Services, Ability Centre, Perth, Western Australia, Australia.
School of Physiotherapy and Exercise Science, Curtin University, Perth, Western Australia, Australia.
BMJ Open. 2018 Jan 23;8(1):e018316. doi: 10.1136/bmjopen-2017-018316.
Children with cerebral palsy (CP) and other neurodevelopmental disabilities often receive a home programme of exercises to assist in reaching their therapy goals. Adherence to exercise programmes is necessary to attain the level of practice required to achieve goals; however, adherence can be difficult to accomplish. In this paper, we describe the protocol for a randomised controlled trial to evaluate the effectiveness of delivering a home exercise programme to school-age children with disabilities using Physitrack, an online exercise prescription tool with a website or app interface.
Participants aged 6-17 years, with CP or other neurodevelopmental disabilities, receiving community physiotherapy services in Western Australia, will be recruited. Participants will be stratified by age and functional mobility and randomised to either the intervention group, who will complete an 8-week home exercise programme using Physitrack, or the control group, who will complete an 8-week exercise programme without Physitrack. Researcher blinding to group allocation, and participant blinding to outcome, will be maintained. The primary outcome measures are adherence to the home exercise programme with weekly collection of home exercise logs; achievement of individualised goals by phone interview before and after intervention; and correctness of exercise performance by collection and analysis of videos of participants performing home exercises. Secondary outcome measures include enjoyment of physical activity, confidence to complete exercise programme, preferred method of delivery of programme and usability of Physitrack. A sample size of 58 participants will be necessary to see an effect on home programme adherence. Data will be analysed using the intention-to-treat principle.
Ethical approval was obtained from Curtin University Human Research Ethics Committee in July 2016 (10391). Outcomes will be disseminated through publication in peer-reviewed journals and presentations at scientific conferences.
ACTRN12616000743460; Pre-results.
患有脑瘫（CP）和其他神经发育障碍的儿童通常会接受家庭锻炼计划，以帮助他们实现治疗目标。坚持锻炼计划对于达到实现目标所需的练习水平是必要的；然而，坚持下去可能很困难。在本文中，我们描述了一项随机对照试验的方案，以评估使用Physitrack（一个具有网站或应用程序界面的在线运动处方工具）为学龄残疾儿童提供家庭锻炼计划的有效性。
将招募年龄在6至17岁、患有CP或其他神经发育障碍且在西澳大利亚接受社区物理治疗服务的参与者。参与者将按年龄和功能移动能力分层，并随机分为干预组（使用Physitrack完成为期8周的家庭锻炼计划）或对照组（不使用Physitrack完成为期8周的锻炼计划）。将保持研究人员对分组分配的盲态以及参与者对结果的盲态。主要结局指标包括通过每周收集家庭锻炼日志来衡量对家庭锻炼计划的坚持情况；通过干预前后的电话访谈来衡量个性化目标的实现情况；以及通过收集和分析参与者进行家庭锻炼的视频来衡量锻炼表现的正确性。次要结局指标包括对体育活动的喜爱程度、完成锻炼计划的信心、对计划交付方式的偏好以及Physitrack的可用性。需要58名参与者的样本量才能观察到对家庭计划坚持情况的影响。数据将使用意向性分析原则进行分析。
2016年7月获得了科廷大学人类研究伦理委员会的伦理批准（10391）。研究结果将通过在同行评审期刊上发表以及在科学会议上进行展示来传播。
ACTRN12616000743460；预结果。
