Dinteren, M. van (Merel) (2020) Does regular care physical therapy improve activities of daily living and health-related quality of life of adults with heart disease, pulmonary disease, or orthopedic complaints of the lower extremity? A pilot study to examine the feasibility of a research protocol. thesis, Human Movement Sciences.
Full text available on request.Abstract
Background/objective: Worldwide, the prevalence of chronic conditions is high. Heart disease, pulmonary disease, and orthopedic complaints are chronic conditions, which lead to reduced physical fitness. This may have a negative impact on activities of daily living (ADLs) and health-related quality of life (HRQoL). Physical therapy (PT) primarily aims on optimizing physical fitness by reducing bodily complaints and is therefore considered a key element in the treatment of these conditions. The current paper describes the feasibility of a research protocol to examine if regular care PT, i.e. standard PT for their condition and not manipulated by any research protocol, improves ADLs and HRQoL for adults aged over 40 years with heart disease, pulmonary disease, or orthopedic complaints of the lower extremity. Method: A feasibility study was conducted recruiting patients from a physiotherapy practice in Groningen, NL. Measures of feasibility were collected and the GARS and RAND-36 were used to assess ADLs and HRQoL respectively, at start and end of the regular care PT programs. Also, power analyses were performed to determine the required sample size for a large-scaled study. Results: Nine participants fully enrolled in the study and the retention rate was 77.8%. The percentage of correctly filled in questionnaires was 100% and it took 530.1 ± 213.6 s to fill them in. We found trivial to small pre-post effect sizes (dGARS = 0.00, 95% CI: -1.05 to 1.05; dRAND-36 = 0.20, 95% CI: -1.25 to 0.85) and the minimal clinically important difference (MCID) for RAND-36 was met for all subscales, except mental health and social functioning. Power analyses, also based on change scores from literature, yielded a required sample size of 142, which can be recruited within two years. Three out of five feasibility criteria were achieved. Conclusion: We conclude that a large-scaled study might be feasible, but only with changes to the protocol. A large-scaled study should be conducted at multiple physiotherapy practices or one physiotherapy practice that specializes in chronic conditions in order to include enough participants. Keywords: Feasibility, Physical therapy, ADLs, HRQoL, Adults
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Heuvelen, dr. M.J.G. van and Assies, N. |
| Faculty: | Medical Sciences |
| Date Deposited: | 16 May 2022 09:55 |
| Last Modified: | 16 May 2022 09:55 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3343 |
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