Department of Health Professions, Macquarie University, Sydney, NSW, Australia.
Royal Rehab, Sydney, NSW, Australia.
Clin Rehabil. 2020 Aug;34(8):1083-1093. doi: 10.1177/0269215520928119. Epub 2020 Jun 7.
To determine the uptake of an app-based supplemental exercise programme in a rehabilitation setting and the effect of such a programme on length of stay and function compared to usual care physiotherapy.
Randomized controlled trial with random allocation and assessor blinding.
A total of 144 individuals with mixed diagnoses (orthopaedic, neurological, reconditioning) admitted for inpatient sub-acute rehabilitation.
Participants were randomly allocated to usual care physiotherapy (control group) or usual care physiotherapy with the addition of an app-based supplemental exercise programme (intervention group).
The primary measure of interest was total supplementary exercise dosage completed by the intervention group. The primary between-group outcome measure was length of stay with secondary measures including walking endurance (Six-Minute Walk Test), walking speed (10-Metre Walk Test), functional mobility (Timed Up and Go Test) and level of disability (Functional Independence Measure).
Participants in the intervention group performed 7 minutes (SD: 9) or 49 repetitions (SD: 48) of supplementary exercise using the app each day. There were no differences between the groups for length of stay (mean difference (MD): -0.5 days, 95% confidence interval (CI): -3.2 to 2.2) or change in any secondary functional outcome measures, including walking speed (MD: -0.1 m/s, 95% CI: -0.2 to 0.0) and disability (MD: -0.9, 95% CI: -3.6 to 1.8).
A small supplementary exercise dose was achieved by participants in the intervention group. However, such a programme did not affect length of stay or functional outcomes when compared to usual care.
在康复环境中，确定基于应用程序的补充运动方案的采用情况，以及与常规物理治疗相比，该方案对住院时间和功能的影响。
随机对照试验，随机分组，评估者设盲。
共 144 名患有混合诊断（骨科、神经科、康复）的患者，接受住院亚急性康复治疗。
参与者被随机分配到常规物理治疗（对照组）或常规物理治疗加基于应用程序的补充运动方案（干预组）。
干预组完成的总补充运动剂量是主要的研究指标。主要的组间结局指标是住院时间，次要指标包括步行耐力（6 分钟步行测试）、步行速度（10 米步行测试）、功能移动性（计时起立行走测试）和残疾程度（功能独立性测量）。
干预组的参与者每天使用该应用程序进行 7 分钟（SD：9）或 49 次（SD：48）补充运动。两组在住院时间（平均差异（MD）：-0.5 天，95%置信区间（CI）：-3.2 至 2.2）或任何次要功能结局指标的变化方面均无差异，包括步行速度（MD：-0.1 米/秒，95% CI：-0.2 至 0.0）和残疾程度（MD：-0.9，95% CI：-3.6 至 1.8）。
干预组的参与者实现了一个较小的补充运动剂量。然而，与常规护理相比，这样的方案并没有影响住院时间或功能结局。
