The influence of dosing on effect size of exercise therapy for musculoskeletal foot and ankle disorders: a systematic review

Young, Jodi L.; Rhon, Daniel I.; Zoete, Rutger M J de; Cleland, Joshua A.; Snodgrass, Suzanne J.

doi:10.1016/j.bjpt.2017.10.001

Cited by 23 publications

(26 citation statements)

References 42 publications

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“…Evidence levels of results in studies investigating the effects of exercise on pain control are low [12]. However, it has been found to be effective in pain control in some studies [12][13][14]. It seems that its effect on pain is significant, and this is not related to frequency and duration; exercise is even effective when it is performed once per week [12].…”

Section: Discussionmentioning

confidence: 99%

Time and Repetitions Needed to Train Patients with Knee Pain on a Home Exercise Program: Are Learning Styles Important?

Satış

Erdem

2020

Cureus

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This study was designed to identify the amount of time and number of repetitions needed to explain a home exercise program recommended for most of our patients, as well as to gauge how many items patients managed to remember at their 15-day follow-up. We also considered whether the learning method had any effect on these results. Methods Sixty-two patients with mechanical knee pain who were admitted to our clinic were included in this study. Patients were categorized into the following three groups: group 1 with a dominant physical learning style, group 2 with a dominant auditory learning style, and group 3 with a dominant visual learning style. Heel slide, quadriceps isometric, quadriceps stretching, adductor isometric, abductor isometric, and quadriceps isotonic exercises were explained and demonstrated to all patients by the same physiotherapist, and the required time (in seconds) and repeats of exercises until the patients learned them were recorded. Remembered/forgotten exercises at the follow-up, which occurred 15 days later, were identified. Results A statistically significant difference was observed between groups in terms of how many seconds were needed for learning the quadriceps isometric exercises (p: 0.042). In the intergroup comparison, the difference was significant when groups 2 and 3 were compared (p: 0.046). There was a significant difference between groups in terms of how many repeats were needed for learning heel sliding (p: 0.000). Moreover, there was a significant difference between group 3 and groups 1 and 2 in the inter-group comparison (p: 0.000, p: 0.000). There was also a significant difference between groups in terms of recalling the adductor isometric exercises. Patients in group 2 were able to fully recall all these exercises. Conclusion It was found that the quadriceps isometric, heel slide, and adductor isometric exercises were more quickly learned, while the quadriceps stretching exercise was forgotten. We concluded that learning style is not highly important in exercise learning or recall.

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Section: Discussionmentioning

confidence: 99%

Time and Repetitions Needed to Train Patients with Knee Pain on a Home Exercise Program: Are Learning Styles Important?

Satış

Erdem

2020

Cureus

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“…Dosing can influence the magnitude of the treatment effect size and should always be considered when evaluating a proper course of nonsurgical care, with greater intensity often associated with better outcomes. [46][47][48] However, more does not always mean better. 49 In short, the goals should be to maximize effectiveness of treatment so that the need for surgical intervention is either postponed or eliminated entirely.…”

Section: Rehabilitation Specialistsmentioning

confidence: 99%

Nonoperative Care Including Rehabilitation Should Be Considered and Clearly Defined Prior to Elective Orthopaedic Surgery to Maximize Optimal Outcomes

Rhon

Tucker

2022

Arthroscopy, Sports Medicine, and Rehabilitation

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Orthopaedic surgery has revolutionized the expectations for restoration of physical function after musculoskeletal injury and, along with physical therapy, has transformed the limits of recovery. Many orthopaedic procedures have a high success rate for improving quality of life and patient-reported outcomes, yet these procedures carry some level of risk, including postoperative complications. The stepped-care model of health care delivery, when applied to musculoskeletal care, recommends implementing less-intense and lower-risk treatments with known efficacy, such as promotion and education of self-management strategies and physical therapy, before more-invasive and higher-risk treatments such as surgery. This model of managing musculoskeletal disability can improve efficiency of care delivery and reduce medical costs at the health system level. Unfortunately, there is a documented lack of implementing an appropriate course of conservative care, especially physical therapy, prior to surgery across multiple orthopaedic disciplines including sports, spine, and trauma medicine and joint arthroplasty. Failure to respond to nonsurgical treatment has been suggested as a requisite component of the surgical appropriateness criteria, yet practical application can be elusive. Multiple barriers to adequate utilization of conservative treatment exist, including U.S. payment models that increase out-of-pocket expense for patients, negative patient perception of therapy, unreasonable patient expectations from therapy versus surgery, and communication barriers between patient, surgeon, and therapist. Surgeons should ensure that high-quality guidelineappropriate care is delivered early and adequately to their patients. Rehabilitation professionals have a responsibility to deliver high-value care, properly documenting the type and extent of treatment to improve surgical decision-making between surgeons and patients. Criteria to determine appropriateness for surgery should include a standardized and extensive assessment of failed therapies prior to certain elective surgeries. Improved collaboration between surgeons and rehabilitation professionals can result in improved outcomes for patients with musculoskeletal disorders. Level of Evidence: V, expert opinion

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“…The total intervention dose should be adjusted according to the patient's pathology, relevant medical conditions, and their individual needs and goals. Other contextual factors also in luence total dose, which is directly associated with the effect size [19,20]. The total dose should be devised by specifying the desired therapeutic outcome for individuals considering all in luencing factors.…”

Section: Xmentioning

confidence: 99%

FITT-CORRECT: Updated dynamic and evidence-based principle of exercise prescription

Adhikari¹,

Tretriluxana²,

Dev³

et al. 2021

J Nov Physiother Rehabil

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Objective: The FITT (Frequency, Intensity, Time, and Type) principle is an effective foundation in EP. However, the CORRECT components; C–Combination of interventions, O–Order of the Interventions, R–Repetitions, R–Rest period between sets and between sessions, E–Exercise at home, C–Cognitive domain, T–Total dose and re-evaluation plans, should be considered. The purpose of this paper was to describe the updated dynamic and evidence based FITT-CORRECT principle of EP and demonstrates its application using a case study. Results: Literatures, related to EP, clinical reasoning and clinical decision-making, were critically reviewed. Established evidence is summarized to describe an updated dynamic and evidence-based principle of EP. The gaps within the FITT and other related principles of EP are addressed. The FITT-CORRECT principle was introduced and an effective outcome of the updated principle was demonstrated using a case study. The FITT-CORRECT principle integrates many components that are missing in the FITT and other related EP principles. Based on the reported case study, the FITT-CORRECT principle of EP should optimize patients’ intervention outcomes. Physiotherapists can potentially improve their EP by utilizing the FITT-CORRECT in clinical practice.

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The influence of dosing on effect size of exercise therapy for musculoskeletal foot and ankle disorders: a systematic review

Abstract: HighlightsTwo visits over one week is related to medium effects in function for heel pain.In achilles tendinopathy, a trend was seen between sets and repetitions.Further research is required to validate these findings.

Cited by 23 publications

References 42 publications

Time and Repetitions Needed to Train Patients with Knee Pain on a Home Exercise Program: Are Learning Styles Important?

Time and Repetitions Needed to Train Patients with Knee Pain on a Home Exercise Program: Are Learning Styles Important?

Nonoperative Care Including Rehabilitation Should Be Considered and Clearly Defined Prior to Elective Orthopaedic Surgery to Maximize Optimal Outcomes

FITT-CORRECT: Updated dynamic and evidence-based principle of exercise prescription

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