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Does a Web-Based Exercise Programming System Improve Home Exercise Adherence for People With Musculoskeletal
Kim L Bennell1, Charlotte J Marshall, Fiona Dobson
1From the Centre for Health, Exercise and Sports Medicine, Department of Physiotherapy, The University of Melbourne, Victoria, Australia (KLB, CJM, FD, RSH); Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia (JK); and Institute for Positive Psychology and Education, Faculty of Health Sciences, Australian Catholic University, Sydney, New South Wales, Australia (CL).
American Journal of Physical Medicine & Rehabilitation
|April 26, 2019
Summary
A web-based exercise programming system significantly improved adherence to home exercise programs for individuals with musculoskeletal conditions. This digital tool also enhanced patients' confidence in performing their prescribed exercises.
Area of Science:
- Rehabilitation Medicine
- Digital Health
- Musculoskeletal Disorders
Background:
- Home exercise programs are crucial for managing musculoskeletal conditions.
- Adherence to prescribed exercises remains a significant challenge in physical therapy.
- Web-based tools offer potential solutions for improving patient engagement and adherence.
Purpose of the Study:
- To determine if a web-based exercise programming system enhances adherence to home exercise programs.
- To assess the impact of the system on patient satisfaction and confidence.
- To evaluate the effectiveness of digital interventions in musculoskeletal rehabilitation.
Main Methods:
- A randomized controlled trial was conducted with 305 participants with musculoskeletal conditions.
- Participants were assigned to either a control group (traditional methods) or an intervention group (web-based system).
- Exercise adherence was measured at week 3 using Numeric Rating Scales, alongside secondary outcomes of satisfaction and confidence.
Main Results:
- The intervention group demonstrated significantly higher self-rated exercise adherence compared to the control group.
- Improvements were noted in overall adherence, number of exercises, repetitions, and sessions completed.
- Participants using the web-based system reported increased confidence in performing exercises, with no difference in satisfaction.
Conclusions:
- A web-based exercise programming system is effective in improving adherence to home exercise programs for musculoskeletal conditions.
- The system also positively impacts patients' confidence in their ability to exercise.
- Further research is needed to establish the clinical significance of these findings.
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