Web-based physiotherapy for people affected by multiple sclerosis: a single blind, randomized controlled feasibility study.
dc.contributor.author | Paul, L | |
dc.contributor.author | Renfrew, L | |
dc.contributor.author | Freeman, Jennifer | |
dc.contributor.author | Murray, H | |
dc.contributor.author | Weller, B | |
dc.contributor.author | Mattison, P | |
dc.contributor.author | McConnachie, A | |
dc.contributor.author | Heggie, R | |
dc.contributor.author | Wu, O | |
dc.contributor.author | Coulter, EH | |
dc.date.accessioned | 2019-01-14T13:20:55Z | |
dc.date.available | 2019-01-14T13:20:55Z | |
dc.date.issued | 2018-12-04 | |
dc.identifier.issn | 0269-2155 | |
dc.identifier.issn | 1477-0873 | |
dc.identifier.uri | http://hdl.handle.net/10026.1/13128 | |
dc.description.abstract |
OBJECTIVE:: To examine the feasibility of a trial to evaluate web-based physiotherapy compared to a standard home exercise programme in people with multiple sclerosis. DESIGN:: Multi-centre, randomized controlled, feasibility study. SETTING:: Three multiple sclerosis out-patient centres. PARTICIPANTS:: A total of 90 people with multiple sclerosis (Expanded Disability Status Scale 4-6.5). INTERVENTIONS:: Participants were randomized to a six-month individualized, home exercise programme delivered via web-based physiotherapy ( n = 45; intervention) or a sheet of exercises ( n = 45; active comparator). OUTCOME MEASURES:: Outcome measures (0, three, six and nine months) included adherence, two-minute walk test, 25 foot walk, Berg Balance Scale, physical activity and healthcare resource use. Interviews were undertaken with 24 participants and 3 physiotherapists. RESULTS:: Almost 25% of people approached agreed to take part. No intervention-related adverse events were recorded. Adherence was 40%-63% and 53%-71% in the intervention and comparator groups. There was no difference in the two-minute walk test between groups at baseline (Intervention-80.4(33.91)m, Comparator-70.6(31.20)m) and no change over time (at six-month Intervention-81.6(32.75)m, Comparator-74.8(36.16)m. There were no significant changes over time in other outcome measures except the EuroQol-5 Dimension at six months which decreased in the active comparator group. For a difference of 8(17.4)m in two-minute walk test between groups, 76 participants/group would be required (80% power, P > 0.05) for a future randomized controlled trial. CONCLUSION:: No changes were found in the majority of outcome measures over time. This study was acceptable and feasible by participants and physiotherapists. An adequately powered study needs 160 participants. | |
dc.format.extent | 269215518817080-269215518817080 | |
dc.format.medium | Print-Electronic | |
dc.language | en | |
dc.language.iso | en | |
dc.publisher | SAGE Publications | |
dc.subject | Internet | |
dc.subject | Physiotherapy | |
dc.subject | exercise | |
dc.subject | multiple sclerosis | |
dc.title | Web-based physiotherapy for people affected by multiple sclerosis: a single blind, randomized controlled feasibility study. | |
dc.type | journal-article | |
dc.type | Journal Article | |
dc.type | Multicenter Study | |
dc.type | Randomized Controlled Trial | |
plymouth.author-url | https://www.ncbi.nlm.nih.gov/pubmed/30514108 | |
plymouth.issue | 3 | |
plymouth.volume | 33 | |
plymouth.publication-status | Published | |
plymouth.journal | Clinical Rehabilitation | |
dc.identifier.doi | 10.1177/0269215518817080 | |
plymouth.organisational-group | /Plymouth | |
plymouth.organisational-group | /Plymouth/Faculty of Health | |
plymouth.organisational-group | /Plymouth/Faculty of Health/School of Health Professions | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA | |
plymouth.organisational-group | /Plymouth/REF 2021 Researchers by UoA/UoA03 Allied Health Professions, Dentistry, Nursing and Pharmacy | |
plymouth.organisational-group | /Plymouth/Research Groups | |
plymouth.organisational-group | /Plymouth/Research Groups/Institute of Health and Community | |
plymouth.organisational-group | /Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR) | |
plymouth.organisational-group | /Plymouth/Users by role | |
plymouth.organisational-group | /Plymouth/Users by role/Academics | |
plymouth.organisational-group | /Plymouth/Users by role/Researchers in ResearchFish submission | |
dc.publisher.place | England | |
dcterms.dateAccepted | 2018-11-15 | |
dc.rights.embargodate | 2019-1-25 | |
dc.identifier.eissn | 1477-0873 | |
dc.rights.embargoperiod | Not known | |
rioxxterms.versionofrecord | 10.1177/0269215518817080 | |
rioxxterms.licenseref.uri | http://www.rioxx.net/licenses/all-rights-reserved | |
rioxxterms.licenseref.startdate | 2018-12-04 | |
rioxxterms.type | Journal Article/Review |