Rates and Reasons for Non-adherence to Home Physiotherapy in Paediatrics

Chappell, Faye; Williams, Brian

doi:10.1016/s0031-9406(05)60547-0

Cited by 28 publications

(15 citation statements)

References 9 publications

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“…4 6 Studies of adherence to home exercise programmes among children with CP tend to measure adherence via parent perceptions using self-report scales. [11][12][13] Where records of actual exercise completion have been used, small sample sizes (n=9 to n=10) and disparate reporting methods prevent knowledge transference for clinical practice. [14][15][16] Although adherence is recognised as a significant limitation to the effectiveness of home programmes, the extent of reduced adherence in children with neurodevelopmental disabilities is poorly understood.…”

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confidence: 99%

Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial

et al. 2020

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ObjectiveDetermine the adherence to and effectiveness of an 8-week home exercise programme for children with disabilities delivered using Physitrack, an online exercise prescription tool, compared with traditional paper-based methods.DesignSingle-blinded, parallel-groups, randomised controlled trial (RCT).SettingIntervention took place in participants’ homes in Western Australia.ParticipantsChildren aged 6 to 17 years, with neurodevelopmental disabilities including cerebral palsy (CP), receiving community therapy services.InterventionAll participants completed an individualised home exercise programme, which was delivered to the intervention group using Physitrack and conventional paper-based methods for the control group.Primary outcome measuresAdherence to exercise programme, goal achievement and exercise performance.Secondary outcome measuresEnjoyment, confidence and usability of Physitrack.ResultsFifty-four participants with CP (n=37) or other neurodevelopmental disabilities (n=17) were recruited. Fifty-three were randomised after one early withdrawal. Forty-six completed the 8-week programme, with 24 in the intervention group and 22 in the control group. There was no difference between the two groups for percentage of exercises completed (intervention (n=22): 62.8% (SD 27.7), control (n=22): 55.8% (SD 19.4), between group mean difference −7.0% (95% CI: −21.6 to 7.5, p=0.34)). Both groups showed significant improvement in their self-rated performance of individualised goal activities, however there was no statistically significant difference between groups for goal achievement, quality of exercise performance, enjoyment, confidence or preferred method of delivery. There were no adverse events.ConclusionPhysitrack provides a therapist with a new means of providing an exercise programme with online tools such as exercise videos, but our preliminary findings indicate that it may be no better than a traditional paper-based method for improving exercise adherence or the other outcomes measured. Exercise programmes remain an intervention supported by evidence, but a larger RCT is required to fully evaluate online delivery methods.Trial registration detailsAustralian New Zealand Clinical Trials Registry; ACTRN12616000743460.

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confidence: 99%

Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial

et al. 2020

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“…It is important that any exercise program is individualized to fit with the patient's own motivation and daily life activities, since too much exercise may lead to poor compliance [56].…”

Section: Resultsmentioning

confidence: 99%

Muscular dystrophies: influence of physical conditioning on the disease evolution

Ansved

2003

Current Opinion in Clinical Nutrition &Amp; Metabolic Care

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The scientific basis for solid recommendations of different exercise regimens in muscular dystrophies is poor, but existing data suggest beneficial effects of adopting an active lifestyle. Low- to moderate-intensity resistance and aerobic training may be recommended in slowly progressive myopathic disorders. To date, there is no evidence to support the recommendation of high-resistance exercise regimens over low-moderate intensity exercise. In rapidly progressive myopathies, which are due to aberrant structural proteins such as Duchenne muscular dystrophy, the use of high-resistance and eccentric training should be avoided. There is still, however, no evidence that physical training can influence the evolution of muscular dystrophies in the long term.

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“…A study by Moore and Symons (2009) of 235 parents of children with autism and developmental disorders found that adherence was as high as 84% for medications but only 76% for behavioral treatments. Moreover, recent estimates for adherence to physiotherapy home programs is as low as 54% (Chappell & Williams, 2002), while engagement in multidisciplinary treatments for chronic pain can be as low as 47% (Simons, Logan, Chastain, & Cerullo, 2010).…”

Section: Background and Literature Reviewmentioning

confidence: 99%

Parental Adherence to a Research Protocol to Investigate the Effect of the Wilbarger Therapressure ProgramTM: A Qualitative Study

Stewart¹,

Boshoff²,

Weeks³

2017

The Open Journal of Occupational Therapy

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Background: The Wilbarger Therapressure Program TM is a technique applied by parents at home for sensory overresponsivity in children. The program is anecdotally reported to be demanding on parents, which can affect parental adherence. Currently, there is an absence of high quality research to support the use of the program. This pilot study aimed at developing appropriate research protocols to investigate the effectiveness of the program on the stress response of children with sensory overresponsivity. This article reports on the second phase of the project.

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Rates and Reasons for Non-adherence to Home Physiotherapy in Paediatrics

Cited by 28 publications

References 9 publications

Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial

Can an online exercise prescription tool improve adherence to home exercise programmes in children with cerebral palsy and other neurodevelopmental disabilities? A randomised controlled trial

Muscular dystrophies: influence of physical conditioning on the disease evolution

Parental Adherence to a Research Protocol to Investigate the Effect of the Wilbarger Therapressure ProgramTM: A Qualitative Study

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