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"WALK30X5": a feasibility study of a physiotherapy walking programme for people with mild to moderate musculoskeletal conditions.
- Source :
-
Physiotherapy [Physiotherapy] 2020 Jun; Vol. 107, pp. 275-285. Date of Electronic Publication: 2019 Aug 22. - Publication Year :
- 2020
-
Abstract
- Objectives: To explore the feasibility of delivering and evaluating a web-based walking intervention for people with long term musculoskeletal conditions (LTMCs), to determine its acceptability and the feasibility of conducting a definitive trial.<br />Design: Prospective randomised feasibility study, with blind outcome assessment at baseline, 3 and 6 months.<br />Setting: Hospital based physiotherapy service.<br />Participants: Forty one adults referred for assessment and advice for any mild/moderate LTMCs. doing <120minutes of moderate intensity activity per week.<br />Interventions: Participants randomised to: 1. Usual care: one usual physiotherapy advice and assessment session, including setting a physical activity goal and one follow up session (8 weeks). 2. "Walk30×5": session one, usual care plus intervention of walking programme. Participants were shown the website and podcasts and practiced how to use them. One follow up session (8 weeks).<br />Outcome Measures: Primary: timed six minute walk test (T6MWT). Secondary: step count, self-reported pain, fatigue, mood, self-efficacy, happiness, objective blood pressure, peak expiratory flow rate, and self-report and accelerometer measured physical activity.<br />Results: Recruitment target achieved. No adverse events occurred. Adherence was high and the intervention acceptable. Loss to follow up n=3 (7%) at 3 months, n=8 (20%) at 6 months. T6MWT and step count proved suitable outcomes, unlike accelerometry. Estimated sample size for a definitive trial is 216.<br />Conclusions: "Walk30×5" is ready for evaluation in a future, appropriately powered (n=216), phase III trial. If effective, the intervention will provide a cheap, highly accessible intervention to enable people with mild/moderate LTMCs to achieve UK physical activity guidelines.<br />Clinical Trial Registration Number: ISRCTN78581097.<br /> (Crown Copyright © 2019. Published by Elsevier Ltd. All rights reserved.)
- Subjects :
- Accelerometry
Adult
Aged
Feasibility Studies
Female
Humans
Male
Middle Aged
Pain Measurement
Patient Compliance
Physical Therapy Modalities
Prospective Studies
Respiratory Function Tests
Single-Blind Method
Surveys and Questionnaires
Walk Test
Exercise
Internet-Based Intervention
Musculoskeletal Diseases therapy
Walking
Subjects
Details
- Language :
- English
- ISSN :
- 1873-1465
- Volume :
- 107
- Database :
- MEDLINE
- Journal :
- Physiotherapy
- Publication Type :
- Academic Journal
- Accession number :
- 32026829
- Full Text :
- https://doi.org/10.1016/j.physio.2019.08.010