A smartphone application to facilitate adherence to home-based exercise after flexor tendon repair : A randomised controlled trial
OBJECTIVE: Evaluate the effect of a smartphone application on exercise adherence, range of motion and self-efficacy compared to standard rehabilitation after repair of the flexor digitorum profundus tendon.
DESIGN: Prospective multi-centre randomised controlled trial.
SETTING: Four hand surgery departments in Sweden.
SUBJECTS: A total of 101 patients (35 women) (mean age 37.5 ± 12.8) were randomised to control (n = 49) or intervention group (n = 52).
INTERVENTION: A smartphone application to facilitate rehabilitation.
MAIN OUTCOME MEASURES: Adherence assessed with the Sport Injury Rehabilitation Adherence Scale at two and six weeks (primary outcome). Secondary outcomes were self-reported adherence in three domains assessed at two and six weeks, self-efficacy assessed with Athlete Injury Self-Efficacy Questionnaire at baseline, two and six weeks. Range of motion and perceived satisfaction with rehabilitation and information were assessed at 12 weeks.
RESULTS: Twenty-five patients were lost to follow-up. There was no significant between group difference in Sport Injury Rehabilitation Adherence Scale at two or six weeks, mean scores (confidence interval, CI 95%) 12.5 (CI 11.8-13.3), 11.8 (CI 11.0-12.8) for the intervention group, and 13.3 (CI 12.6-14.0), 12.8 (CI 12.0-13.7) for the control group. Self-reported adherence for exercise frequency at six weeks was significantly better for the intervention group, 93.2 (CI 86.9-99.5) compared to the controls 82.9 (CI 76.9-88.8) (P = 0.02). There were no differences in range of motion, self-efficacy or satisfaction.
CONCLUSION: The smartphone application used in this study did not improve adherence, self-efficacy or range of motion compared to standard rehabilitation for flexor tendon injuries. Further research regarding smartphone applications is needed.
LEVEL OF EVIDENCE: I. Randomised controlled trial.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:35 |
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| Enthalten in: |
Clinical rehabilitation - 35(2021), 2 vom: 12. Feb., Seite 266-275 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Svingen, Jonas [VerfasserIn] |
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| Links: |
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| Themen: |
Adherence |
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| Anmerkungen: |
Date Completed 11.06.2021 Date Revised 20.04.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1177/0269215520962287 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM316104833 |
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| 100 | 1 | |a Svingen, Jonas |e verfasserin |4 aut | |
| 245 | 1 | 2 | |a A smartphone application to facilitate adherence to home-based exercise after flexor tendon repair |b A randomised controlled trial |
| 264 | 1 | |c 2021 | |
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| 500 | |a Date Completed 11.06.2021 | ||
| 500 | |a Date Revised 20.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: Evaluate the effect of a smartphone application on exercise adherence, range of motion and self-efficacy compared to standard rehabilitation after repair of the flexor digitorum profundus tendon | ||
| 520 | |a DESIGN: Prospective multi-centre randomised controlled trial | ||
| 520 | |a SETTING: Four hand surgery departments in Sweden | ||
| 520 | |a SUBJECTS: A total of 101 patients (35 women) (mean age 37.5 ± 12.8) were randomised to control (n = 49) or intervention group (n = 52) | ||
| 520 | |a INTERVENTION: A smartphone application to facilitate rehabilitation | ||
| 520 | |a MAIN OUTCOME MEASURES: Adherence assessed with the Sport Injury Rehabilitation Adherence Scale at two and six weeks (primary outcome). Secondary outcomes were self-reported adherence in three domains assessed at two and six weeks, self-efficacy assessed with Athlete Injury Self-Efficacy Questionnaire at baseline, two and six weeks. Range of motion and perceived satisfaction with rehabilitation and information were assessed at 12 weeks | ||
| 520 | |a RESULTS: Twenty-five patients were lost to follow-up. There was no significant between group difference in Sport Injury Rehabilitation Adherence Scale at two or six weeks, mean scores (confidence interval, CI 95%) 12.5 (CI 11.8-13.3), 11.8 (CI 11.0-12.8) for the intervention group, and 13.3 (CI 12.6-14.0), 12.8 (CI 12.0-13.7) for the control group. Self-reported adherence for exercise frequency at six weeks was significantly better for the intervention group, 93.2 (CI 86.9-99.5) compared to the controls 82.9 (CI 76.9-88.8) (P = 0.02). There were no differences in range of motion, self-efficacy or satisfaction | ||
| 520 | |a CONCLUSION: The smartphone application used in this study did not improve adherence, self-efficacy or range of motion compared to standard rehabilitation for flexor tendon injuries. Further research regarding smartphone applications is needed | ||
| 520 | |a LEVEL OF EVIDENCE: I. Randomised controlled trial | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Smartphone | |
| 650 | 4 | |a adherence | |
| 650 | 4 | |a flexor tendon | |
| 650 | 4 | |a hand therapy | |
| 650 | 4 | |a rehabilitation | |
| 700 | 1 | |a Rosengren, Jenny |e verfasserin |4 aut | |
| 700 | 1 | |a Turesson, Christina |e verfasserin |4 aut | |
| 700 | 1 | |a Arner, Marianne |e verfasserin |4 aut | |
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