Evidence map›Paper›PMID 36617585›Full record

ArticleSports medicine - open2023

The Effectiveness of Exercise Physiology Services During the COVID-19 Pandemic: A Pragmatic Cohort Study.

Patrick J Owen, Shelley E Keating, Christopher D Askew, Kelly M Clanchy, Paul Jansons, Ralph Maddison, Andrew Maiorana, Jenna McVicar, Suzanne Robinson, Christopher Neason and 2 more

Abstract read
In one paragraph

Article in Sports medicine - open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Patrick J OwenInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia. p.owen@deakin.edu.au.ORCID https://orcid.org/0000-0003-3924-9375
Shelley E KeatingSchool of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, QLD, Australia.ORCID https://orcid.org/0000-0001-5357-2721
Christopher D AskewVasoActive Research Group, School of Health and Behavioural Sciences, University of the Sunshine Coast, Sippy Downs, QLD, Australia.ORCID https://orcid.org/0000-0001-8076-8789
Kelly M ClanchySchool of Health Sciences and Social Work, Griffith University, Gold Coast, QLD, Australia.ORCID https://orcid.org/0000-0001-9249-1801
Paul JansonsInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID https://orcid.org/0000-0002-8766-0516
Ralph MaddisonInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID https://orcid.org/0000-0001-8564-5518
Andrew MaioranaAllied Health Department, Fiona Stanley Hospital, Perth, WA, Australia.ORCID https://orcid.org/0000-0002-0681-1707
Jenna McVicarInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID https://orcid.org/0000-0001-5007-7223
Suzanne RobinsonCurtin School of Population Health, Curtin University, Perth, WA, Australia.ORCID https://orcid.org/0000-0001-5703-6475
Christopher NeasonInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID https://orcid.org/0000-0002-7937-7737
Matthew J ClarksonInstitute for Health and Sport, Victoria University, Melbourne, VIC, Australia.ORCID https://orcid.org/0000-0003-0447-9269
Niamh L MundellInstitute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.ORCID https://orcid.org/0000-0001-5406-3216

Funding

Exercise and Sports Science Australia Telehealth Research ProjectNational Health and Medical Research Council of Australia 1122190
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic markedly changed how healthcare services are delivered and telehealth delivery has increased worldwide. Whether changes in healthcare delivery borne from the COVID-19 pandemic impact effectiveness is unknown. Therefore, we examined the effectiveness of exercise physiology services provided during the COVID-19 pandemic.

methodsThis prospective cohort study included 138 clients who received exercise physiology services during the initial COVID-19 pandemic. Outcome measures of interest were EQ-5D-5L, EQ-VAS, patient-specific functional scale, numeric pain rating scale and goal attainment scaling.

resultsMost (59%, n = 82) clients received in-person delivery only, whereas 8% (n = 11) received telehealth delivery only and 33% (n = 45) received a combination of delivery modes. Mean (SD) treatment duration was 11 (7) weeks and included 12 (6) sessions lasting 48 (9) minutes. The majority (73%, n = 101) of clients completed > 80% of exercise sessions. Exercise physiology improved mobility by 14% (β = 0.23, P = 0.003), capacity to complete usual activities by 18% (β = 0.29, P < 0.001), capacity to complete important activities that the client was unable to do or having difficulty performing by 54% (β = 2.46, P < 0.001), current pain intensity by 16% (β = - 0.55, P = 0.038) and goal attainment scaling t-scores by 50% (β = 18.37, P < 0.001). Effectiveness did not differ between delivery modes (all: P > 0.087).

conclusionsExercise physiology services provided during the COVID-19 pandemic improved a range of client-reported outcomes regardless of delivery mode. Further exploration of cost-effectiveness is warranted.

Indexed as

CoronaviruseHealthRehabilitationTelehealthTelemedicine

Identifiers

PMID36617585
PMCPMC9826725

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.