Efficacy of live feedback to improve objectively monitored compliance to prescribed, home-based, exercise therapy-dosage in 15 to 19 year old adolescents with patellofemoral pain-a study protocol of a randomized controlled superiority trial (The XRCISE-AS

Riel, Henrik, Matthews, Mark, Vicenzino, Bill, Bandholm, Thomas, Thorborg, Kristian and Rathleff, Michael Skovdal (2016) Efficacy of live feedback to improve objectively monitored compliance to prescribed, home-based, exercise therapy-dosage in 15 to 19 year old adolescents with patellofemoral pain-a study protocol of a randomized controlled superiority trial (The XRCISE-AS. BMC Musculoskeletal Disorders, 17 1: 242.1-242.12. doi:10.1186/s12891-016-1103-y


Author Riel, Henrik
Matthews, Mark
Vicenzino, Bill
Bandholm, Thomas
Thorborg, Kristian
Rathleff, Michael Skovdal
Title Efficacy of live feedback to improve objectively monitored compliance to prescribed, home-based, exercise therapy-dosage in 15 to 19 year old adolescents with patellofemoral pain-a study protocol of a randomized controlled superiority trial (The XRCISE-AS
Journal name BMC Musculoskeletal Disorders   Check publisher's open access policy
ISSN 1471-2474
Publication date 2016-06-01
Sub-type Article (original research)
DOI 10.1186/s12891-016-1103-y
Open Access Status DOI
Volume 17
Issue 1
Start page 242.1
End page 242.12
Total pages 12
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Subject 2745 Rheumatology
2732 Orthopedics and Sports Medicine
Abstract Background: Patellofemoral pain is one of the most frequent knee conditions among adolescents with a prevalence of 7 %. Evidence-based treatment consists of patient education combined with hip and quadriceps strengthening. Recent evidence suggests that a large proportion of adolescents does not follow their exercise prescription, performing too few repetitions or too fast below the prescribed time under tension. Live feedback, such as a metronome or exercise games, has previously shown promising results in improving the quality of exercises. The aim of this study is to investigate if live feedback from a sensor (BandCizer™) and an iPad will improve the ability of adolescents with PFP to perform exercises as prescribed. Methods: This study is a randomized, controlled, participant-blinded, superiority trial with a 2-group parallel design. Forty 15 to 19 year old adolescents with patellofemoral pain will be randomized to receive either live visual and auditory feedback on time under tension or no feedback on time under tension during a 6-week intervention period. Adolescents will be instructed to perform three elastic band exercises. Feedback will be provided by BandCizer™ and an iPad. The adolescents perform the exercises twice a week unsupervised and once a week during a supervised group training session. The primary outcome will be the mean deviation of the prescribed time under tension per repetition in seconds during the course of the intervention. Discussion: Low compliance is a major problem among adolescents with patellofemoral pain. Providing the adolescents with real time feedback on time under tension from a sensor and an iPad could potentially help the adolescents perform the exercises as prescribed. This may increase the total exercise dosage they receive during treatment which may help improve patient outcomes. Trial registration: Registered at ClinicalTrials.gov (identifier: NCT02674841) on February 4 2016.
Keyword Patellofemoral pain
Adolescents
Exercise
Feedback
Time under tension
Compliance
Clinical-Trial
Knee Pain
Interventions
Management
Adherence
Velocity
Guide
Care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
 
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