None listed
Conditions
Brief summary
Exercise is an integral component of the conservative management of most musculoskeletal conditions. However, adherence to exercises is often low and this impacts on treatment effectiveness. The aim of this randomised controlled trial is to evaluate whether the addition of a web-based system, Physitrack, to usual physiotherapy treatment improves patient adherence levels to exercises compared to the usual non web-based methods physiotherapists use to deliver exercise programs to people with musculoskeletal conditions. Secondary aims are to evaluate whether Physitrack improves patient satisfaction with the delivery of an exercise program and whether patient confidence changes with Physitrack. The primary hypothesis is: The level of patient-reported adherence to a prescribed exercise program will be greater in the group receiving Physitrack in addition to usual physiotherapy treatment (Physitrack group) than in the group receiving non web-based usual physiotherapy treatment alone (Usual care group) after 3 weeks. Secondary hypotheses are: i) The level of patient satisfaction with the delivery of the prescribed exercise program will be greater in the Physitrack group than in the group receiving non web-based usual care after 3 weeks; and ii) The level of patient confidence with exercises will be greater in the Physitrack group than in the group receiving non web-based usual care after 3 weeks.
Interventions
A 3-week intervention of usual physiotherapy treatment with Physitrack: individualised care according to the participant's presenting diagnosis including an exercise program delivered using the web-based exercise programming system (Physitrack).
The Physitrack group receives their exercise program through the physitrack web based programming system.
Physitrack is a web based programming system with an extensive library of videos of a range of exercises. The treating physiotherapist determine
A 3-week intervention of usual physiotherapy treatment with Physitrack: individualised care according to the participant's presenting diagnosis including an exercise program delivered using the web-based exercise programming system (Physitrack). The Physitrack group receives their exercise program through the physitrack web based programming system. Physitrack is a web based programming system with an extensive library of videos of a range of exercises. The treating physiotherapist determines the appropriate exercises for each of their patients, including the number of repetitions and sets, frequency, duration and exercise progression. The patients can then access their exercise program through the web page or via an App. It can be updated accordingly by the physiotherapist. The patients physiotherapist will be able to monitor their adherence to the exercises as the patient can interact with the app or online, and their exercise program and indicate how many repetitions they did of the exercise. Plus the patient can also view their adherence online and via the app.
Sponsors
The University of Melbourne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Subject, Investigator)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Newly presenting patient Aged 18 years and over Any musculoskeletal condition (e.g. back and neck pain, osteoarthritis, inflammatory arthritis such as rheumatoid, sports injuries, other injuries) that the treating physiotherapist (on initial assessment) expects to require at least a 3-week exercise program as part of the physiotherapy treatment Current email address and access to a computer, tablet device or smart phone Adequate level of written and spoken English to be able to complete online surveys and access a website written in English
Exclusion criteria
On the waiting list, planning, or likely to require (in the opinion of the treating physiotherapist) surgery in the next 3 weeks
Outcome results
None listed