Evidence map›Paper›PMID 37733042›Full record

ArticleRheumatology international2024

Online physiotherapy for people with axial spondyloarthritis: quantitative and qualitative data from a cohort study.

L Paul, M T McDonald, A McConnachie, S Siebert, E H Coulter

Open access · hybridAbstract read
In one paragraph

Article in Rheumatology international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
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

9 citing papers in PubMed, 12 citations in OpenAlex.

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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

5 authors at 2 institutions in 1 country.

L PaulSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, G4 0BA, UK.ORCID 0000-0003-2869-0309
M T McDonaldSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, G4 0BA, UK.ORCID 0000-0003-4950-5854
A McConnachieRobertson Centre for Biostatistics, School of Health and Wellbeing, University of Glasgow, Glasgow, UK.ORCID 0000-0002-7262-7000
S SiebertSchool of Infection and Immunity, University of Glasgow, Glasgow, UK.ORCID 0000-0002-1802-7311
E H CoulterSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, G4 0BA, UK. Elaine.Coulter@gcu.ac.uk.ORCID 0000-0001-5246-0576
Glasgow Caledonian University · GBUniversity of Glasgow · GB

Funding

Versus Arthritis 20874
6 · The paper itself

Abstract

Life-long exercise is essential in axial spondyloarthritis (axSpA) management; however, long-term adherence is challenging. Online exercise programmes are an alternative to face-to-face physiotherapy. (1) To measure adherence to a 12-month, individualised, online physiotherapy programme for people with axSpA, and investigate the effects on disease activity, spinal mobility, work ability, quality of life and function. (2) To investigate associations between programme adherence and outcomes. (3) To explore participants' views of the programme and factors affecting adherence. Participants were 'non-exercisers' recruited from rheumatology outpatient services. Adherence was measured using online diary entries. Outcomes included the BATH indices, health status (EQ5D), Ankylosing Spondylitis Quality of Life (ASQOL), exercise capacity (6MWT), Work, Productivity and Activity Impairment in AS (WPAI), Exercise Attitude Questionnaire (EAQ) and Exercise Motivations Inventory-2 (EMI-2) at baseline, 6 and 12 months. Interviews determined views on the intervention and factors affecting adherence. Fifty participants were recruited. Over the 52-week intervention, adherence (five times/week) ranged from 19% (± 30%) to 44% (± 35%). Significant improvements were found in disease activity (BASDAI), spinal mobility (BASMI), 6MWT, AsQoL and EQ5D-VAS at 6 and 12 months. There were no associations between adherence and baseline variables or demographics. Interviews suggested support from others, routine, and feeling the benefit positively affected adherence. Conversely, lack of motivation, life events and symptoms negatively affected adherence. A 12-month online physiotherapy programme significantly improved symptoms in people with axSpA who were not regular exercisers. Adherence reduced over the intervention period. Online exercise programmes may benefit people with axSpA; however, strategies to improve adherence are required.

Indexed as

SpondylarthritisSpondylitis, AnkylosingCohort StudiesHumansPhysical Therapy ModalitiesQuality of LifeSpineAdherenceAxial spondyloarthritisExerciseInternetTelemedicine

Identifiers

PMID37733042
PMCPMC10766789
OpenAlexW4386910853

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.