Checklist item | Intervention group | Control group |
---|---|---|
Brief name | Digitally enabled rehabilitation in addition to usual care | Usual care |
Why | AMOUNT study [9] showed improvements in mobility with digitally enabled rehabilitation in addition to usual care when the intervention was provided by a research physiotherapist external to the service. This study will test whether the clinical intervention can be delivered by physiotherapists employed within a service in addition to the usual rehabilitation | Pragmatic trial design |
What | Procedures: Patient-participants will be prescribed exercises targeting mobility using digital devices in addition to usual physiotherapy exercises Materials: The digital devices include: Recreational devices like: Nintendo Wii (Nintendo, Kyoto, Japan); Xbox Kinect (Microsoft, Redmond, Washington, USA); and Rehabilitation devices like: StepWatch (Modus Health, USA); LusioMate (Lusio Rehab, Sydney, Australia); Clock Yourself (iphone application, Brisbane, Australia); PTX app (iphone application, Sydney, Australia); Humac Balance System (CSMi Solutions, Stoughton, Massachusetts, USA); Fysiogaming (Doctor Kinetic, Amsterdam, The Netherlands) | Procedures: Patient-participants will receive usual inpatient physiotherapy care including assessment and prescription of tailored task specific and strengthening repetitive exercises (e.g., practice of standing up, stepping and gait training), usual care also includes assessment and tailored management by medical specialists, nurses, occupational therapists, speech pathologists, social workers, and dietician Materials: All the equipment used in a regular physiotherapy gym including treadmill, bike, weights and theraband |
Who provided | Physiotherapists employed in the rehabilitation ward | |
How | One-on-one, semi-supervised, independent and group sessions according to ability and safety | |
Where | Inpatient physiotherapy gym and in their rooms on the rehabilitation ward | |
When and how much | 30 to 60 min additional therapy using digital devices daily for five or more days per week for 3 weeks | Monday to Friday, typically 2 × 1 h sessions/day, for 3 weeks. A Saturday session may be provided if assessed as a clinical priority |
Tailoring | Tailored for each participant by physiotherapist according to their mobility limitations, goals, and preference of devices | Tailored for each participant by physiotherapist according to their impairments, activity limitations and goals |
Modifications | Modifications to the clinical intervention will be documented throughout the trial | None |
How well | Fidelity measures will be collected as part of the implementation evaluation |