PDF(Pubmed)
Abstract：
BACKGROUND: Children with cerebral palsy (CP) are prescribed home exercise programmes (HEPs) to increase the frequency of movement practice, yet adherence to HEPs can be low. This paper outlines the protocol for a single-case experimental design (SCED) with alternating treatments, using a new home therapy exercise application, Bootle Boot Camp (BBCamp), offered with and without movement tracking feedback. This study will explore the impact of feedback on engagement, movement quality, lower limb function and family experiences to help understand how technology-supported HEPs should be translated and the added value, if any, of movement tracking technology.
METHODS: In this explanatory sequential mixed-methods study using a SCED, 16 children with CP (aged 6-12 years, Gross Motor Function Classification System levels I-II) will set lower limb goals and be prescribed an individualised HEP by their physiotherapist to complete using BBCamp on their home television equipped with a three-dimensional camera-computer system. Children will complete four weekly exercise sessions over 6 weeks. Children will be randomised to 1 of 16 alternating treatment schedules where BBCamp will provide or withhold feedback during the first 4 weeks. The version of BBCamp that results in the most therapeutic benefit will be continued for 2 final weeks. Goals will be re-evaluated and families interviewed. The primary outcome is adherence (proportion of prescribed exercise repetitions attempted) as a measure of behavioural engagement. Secondary outcomes are affective and cognitive engagement (smiley face ratings), exercise fidelity, lower limb function, goal achievement and participant experiences. SCED data will be analysed using visual and statistical methods. Quantitative and qualitative data will be integrated using joint displays.
BACKGROUND: Ethical approval was obtained from the Research Ethics Boards at Bloorview Research Institute and the University of Toronto. Results will be distributed through peer-reviewed journals and scientific conferences.
BACKGROUND: NCT05998239; pre-results.
METHODS: In this explanatory sequential mixed-methods study using a SCED, 16 children with CP (aged 6-12 years, Gross Motor Function Classification System levels I-II) will set lower limb goals and be prescribed an individualised HEP by their physiotherapist to complete using BBCamp on their home television equipped with a three-dimensional camera-computer system. Children will complete four weekly exercise sessions over 6 weeks. Children will be randomised to 1 of 16 alternating treatment schedules where BBCamp will provide or withhold feedback during the first 4 weeks. The version of BBCamp that results in the most therapeutic benefit will be continued for 2 final weeks. Goals will be re-evaluated and families interviewed. The primary outcome is adherence (proportion of prescribed exercise repetitions attempted) as a measure of behavioural engagement. Secondary outcomes are affective and cognitive engagement (smiley face ratings), exercise fidelity, lower limb function, goal achievement and participant experiences. SCED data will be analysed using visual and statistical methods. Quantitative and qualitative data will be integrated using joint displays.
BACKGROUND: Ethical approval was obtained from the Research Ethics Boards at Bloorview Research Institute and the University of Toronto. Results will be distributed through peer-reviewed journals and scientific conferences.
BACKGROUND: NCT05998239; pre-results.
摘要：
背景：为脑瘫（CP）儿童规定了家庭锻炼计划（HEP），以增加运动练习的频率，然而，坚持HEP可能很低。本文概述了采用交替治疗的单例实验设计（SCED）的方案，使用新的家庭治疗锻炼应用程序，BootleBootCamp(BBCamp),提供有和没有运动跟踪反馈。这项研究将探讨反馈对参与度的影响，运动质量,下肢功能和家庭经验，以帮助了解技术支持的HEP应如何转化和附加值，如果有的话,运动跟踪技术。
方法：在使用SCED的解释性序贯混合方法研究中，16名CP儿童（6-12岁，粗大运动功能分类系统I-II级）将设置下肢目标，并由其物理治疗师指定个性化HEP，以在配备有三维摄像机计算机系统的家庭电视上使用BBCamp完成。儿童将在6周内完成每周四次的锻炼。儿童将被随机分配到16个交替治疗方案中的1个，BBCamp将在前4周内提供或保留反馈。导致最大治疗益处的BBCamp版本将持续2周。将重新评估目标，并采访家人。主要结果是依从性（重复尝试的规定锻炼的比例）作为行为参与的量度。次要结果是情感和认知参与(笑脸评分)，运动保真度，下肢功能,目标成就和参与者体验。SCED数据将使用视觉和统计方法进行分析。定量和定性数据将使用联合显示进行整合。
背景：获得了Bloorview研究所和多伦多大学研究伦理委员会的伦理批准。结果将通过同行评审的期刊和科学会议分发。
背景：NCT05998239；预结果。
方法：在使用SCED的解释性序贯混合方法研究中，16名CP儿童（6-12岁，粗大运动功能分类系统I-II级）将设置下肢目标，并由其物理治疗师指定个性化HEP，以在配备有三维摄像机计算机系统的家庭电视上使用BBCamp完成。儿童将在6周内完成每周四次的锻炼。儿童将被随机分配到16个交替治疗方案中的1个，BBCamp将在前4周内提供或保留反馈。导致最大治疗益处的BBCamp版本将持续2周。将重新评估目标，并采访家人。主要结果是依从性（重复尝试的规定锻炼的比例）作为行为参与的量度。次要结果是情感和认知参与(笑脸评分)，运动保真度，下肢功能,目标成就和参与者体验。SCED数据将使用视觉和统计方法进行分析。定量和定性数据将使用联合显示进行整合。
背景：获得了Bloorview研究所和多伦多大学研究伦理委员会的伦理批准。结果将通过同行评审的期刊和科学会议分发。
背景：NCT05998239；预结果。
