Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trial
Question: Is periodised circuit training delivered via a telerehabilitation model of care as effective as the same training applied face-to-face for improving pain intensity, physical function, muscle strength, pain catastrophising, body composition, intermuscular adipose tissue and muscle architect...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Journal of Physiotherapy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1836955323000917 |
| _version_ | 1797666826731126784 |
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| author | Jéssica Bianca Aily Marcos de Noronha Luiz Fernando Approbato Selistre Ricardo José Ferrari Daniel Kent White Stela Marcia Mattiello |
| author_facet | Jéssica Bianca Aily Marcos de Noronha Luiz Fernando Approbato Selistre Ricardo José Ferrari Daniel Kent White Stela Marcia Mattiello |
| author_sort | Jéssica Bianca Aily |
| collection | DOAJ |
| description | Question: Is periodised circuit training delivered via a telerehabilitation model of care as effective as the same training applied face-to-face for improving pain intensity, physical function, muscle strength, pain catastrophising, body composition, intermuscular adipose tissue and muscle architecture in people with knee osteoarthritis (OA)? Design: Randomised controlled, non-inferiority trial with concealed allocation, blinded assessors and intention-to-treat analysis. Participants: One hundred adults aged ≥ 40 years with knee OA and pain for ≥ 3 months, with current pain ≥ 40 mm on a 100-mm visual analogue scale (VAS). Intervention: The experimental group received 14 weeks of circuit training delivered via telerehabilitation using video recordings, followed by periodic phone calls in order to motivate and instruct participants. The control group received the same circuit training program in a face-to-face format. Outcome measures: The primary outcomes were pain VAS and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function subscale, measured at 14 weeks. Secondary outcomes included objective physical function, strength, pain catastrophising and morphological measures (muscle architecture and thigh and body composition). Outcomes were measured at 14 and 26 weeks. Results: Periodised circuit training delivered via telerehabilitation had equivalent effects to face-to-face delivery for pain intensity, physical function, muscle strength, pain catastrophising, thigh composition, intermuscular adipose tissue and muscle architecture. Whole body composition did not change appreciably in either group. Adherence to the training was excellent and participants in each group reported good perceptions of their randomised intervention. Conclusion: A periodised circuit training protocol can be delivered to people with knee OA in their own homes, using available technology while maintaining high levels of acceptability. More importantly, telerehabilitation appears to cause non-inferior physical and functional outcomes to face-to-face rehabilitation programs. Trial registration: RBR-662hn2. |
| first_indexed | 2024-03-11T20:05:08Z |
| format | Article |
| id | doaj.art-230130dc3d014b91b85d186e02b358f8 |
| institution | Directory Open Access Journal |
| issn | 1836-9553 |
| language | English |
| last_indexed | 2024-03-11T20:05:08Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Physiotherapy |
| spelling | doaj.art-230130dc3d014b91b85d186e02b358f82023-10-04T04:14:11ZengElsevierJournal of Physiotherapy1836-95532023-10-01694232239Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trialJéssica Bianca Aily0Marcos de Noronha1Luiz Fernando Approbato Selistre2Ricardo José Ferrari3Daniel Kent White4Stela Marcia Mattiello5Physiotherapy Department, Universidade Federal de São Carlos, São Carlos, BrazilPhysiotherapy Department, La Trobe University, Bendigo, AustraliaPhysiotherapy Department, Universidade Federal de São Carlos, São Carlos, BrazilComputing Department, Universidade Federal de São Carlos, São Carlos, BrazilDepartment of Physical Therapy, University of Delaware, Newark, USAPhysiotherapy Department, Universidade Federal de São Carlos, São Carlos, Brazil; Correspondence: Stela Marcia Mattiello, Physiotherapy Department, Universidade Federal de São Carlos, São Carlos, Brazil.Question: Is periodised circuit training delivered via a telerehabilitation model of care as effective as the same training applied face-to-face for improving pain intensity, physical function, muscle strength, pain catastrophising, body composition, intermuscular adipose tissue and muscle architecture in people with knee osteoarthritis (OA)? Design: Randomised controlled, non-inferiority trial with concealed allocation, blinded assessors and intention-to-treat analysis. Participants: One hundred adults aged ≥ 40 years with knee OA and pain for ≥ 3 months, with current pain ≥ 40 mm on a 100-mm visual analogue scale (VAS). Intervention: The experimental group received 14 weeks of circuit training delivered via telerehabilitation using video recordings, followed by periodic phone calls in order to motivate and instruct participants. The control group received the same circuit training program in a face-to-face format. Outcome measures: The primary outcomes were pain VAS and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) physical function subscale, measured at 14 weeks. Secondary outcomes included objective physical function, strength, pain catastrophising and morphological measures (muscle architecture and thigh and body composition). Outcomes were measured at 14 and 26 weeks. Results: Periodised circuit training delivered via telerehabilitation had equivalent effects to face-to-face delivery for pain intensity, physical function, muscle strength, pain catastrophising, thigh composition, intermuscular adipose tissue and muscle architecture. Whole body composition did not change appreciably in either group. Adherence to the training was excellent and participants in each group reported good perceptions of their randomised intervention. Conclusion: A periodised circuit training protocol can be delivered to people with knee OA in their own homes, using available technology while maintaining high levels of acceptability. More importantly, telerehabilitation appears to cause non-inferior physical and functional outcomes to face-to-face rehabilitation programs. Trial registration: RBR-662hn2.http://www.sciencedirect.com/science/article/pii/S1836955323000917Knee osteoarthritisCircuit trainingRandomised controlled trialTelemedicinePhysical therapy |
| spellingShingle | Jéssica Bianca Aily Marcos de Noronha Luiz Fernando Approbato Selistre Ricardo José Ferrari Daniel Kent White Stela Marcia Mattiello Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trial Journal of Physiotherapy Knee osteoarthritis Circuit training Randomised controlled trial Telemedicine Physical therapy |
| title | Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trial |
| title_full | Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trial |
| title_fullStr | Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trial |
| title_full_unstemmed | Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trial |
| title_short | Face-to-face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis: a randomised trial |
| title_sort | face to face and telerehabilitation delivery of circuit training have similar benefits and acceptability in patients with knee osteoarthritis a randomised trial |
| topic | Knee osteoarthritis Circuit training Randomised controlled trial Telemedicine Physical therapy |
| url | http://www.sciencedirect.com/science/article/pii/S1836955323000917 |
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