E H Coulter1, A N McLean2, J P Hasler2, D B Allan2, A McFadyen3, L Paul1. 1. School of Medicine, University of Glasgow, Scotland, UK. 2. Queen Elizabeth National Spinal Injury Unit, NHS Greater Glasgow and Clyde, Scotland, UK. 3. AKM-STATS, Statistical Consultants, Scotland, UK.
Abstract
STUDY DESIGN: A pilot randomised controlled trial. OBJECTIVES: The aims of this study were to evaluate the effectiveness and participant satisfaction of web-based physiotherapy in people with spinal cord injury (SCI). SETTING:Community patients of a national spinal injury unit in a university teaching hospital, Scotland, UK. METHODS: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. RESULTS: 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. CONCLUSIONS: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. SPONSORSHIP: This study was funded by the Queen Elizabeth National Spinal Injuries Unit, Glasgow, UK.
RCT Entities:
STUDY DESIGN: A pilot randomised controlled trial. OBJECTIVES: The aims of this study were to evaluate the effectiveness and participant satisfaction of web-based physiotherapy in people with spinal cord injury (SCI). SETTING: Community patients of a national spinal injury unit in a university teaching hospital, Scotland, UK. METHODS: 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. RESULTS: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. CONCLUSIONS: 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. SPONSORSHIP: This study was funded by the Queen Elizabeth National Spinal Injuries Unit, Glasgow, UK.
Authors: Neil V Shah; Maximilian Solow; John J Kelly; Alexandr Aylyarov; James P Doran; Lee R Bloom; Samuel Akil; Bilal Siddiqui; Jared M Newman; Dipal Chatterjee; Neel Pancholi; Anant Dixit; Borna Kavousi; Scott E Barbash; William P Urban; David T Neuman Journal: J Orthop Date: 2018-05-07
Authors: L Paul; E H Coulter; S Cameron; M T McDonald; M Brandon; D Cook; A McConnachie; S Siebert Journal: BMC Musculoskelet Disord Date: 2016-08-24 Impact factor: 2.362