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The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project

BACKGROUND: Painful shoulders pose a substantial socioeconomic burden accounting for 2.4% of all primary care consultations in the UK. There is a strong evidence to indicate that the majority of this shoulder pain can be managed successfully with exercise based treatments and that common surgical pr...

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Autores principales: Gilbert, Anthony W., Hauptmannova, Iva, Jaggi, Anju
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930518/
https://www.ncbi.nlm.nih.gov/pubmed/29720170
http://dx.doi.org/10.1186/s12891-018-2042-6
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author Gilbert, Anthony W.
Hauptmannova, Iva
Jaggi, Anju
author_facet Gilbert, Anthony W.
Hauptmannova, Iva
Jaggi, Anju
author_sort Gilbert, Anthony W.
collection PubMed
description BACKGROUND: Painful shoulders pose a substantial socioeconomic burden accounting for 2.4% of all primary care consultations in the UK. There is a strong evidence to indicate that the majority of this shoulder pain can be managed successfully with exercise based treatments and that common surgical procedures provide no extra benefit. Patient adherence and engagement is cited as an important factor in gaining positive outcomes. The MUJO System has been designed to help target the rehabilitation of the rotator cuff muscles which are commonly recommended for the management of shoulder pain. The purpose of this qualitative study was to evaluate the acceptability of the MUJO System amongst clinicians and patients. METHODS: A qualitative study was undertaken to look at the usability of the MUJO System both from clinicians’ and patients’ perspectives. Patients with shoulder problems were identified by an experienced physiotherapist using the study eligibility criteria. and invited to participate. Semi-structured interviews were performed with patients and clinicians to explore factors surrounding its acceptability and feasibility of use. The study was designed using Normalisation Process Theory as a theoretical basis for the inquiry. RESULTS: Seven physiotherapists and ten patients were interviewed in the study. The Internal and External Devices were seen as having the potential to rehabilitate the rotator cuff however it posed limitations towards more functional based exercises. Patients and clinicians found the visual feedback from the Patient App enhanced the rehabilitation experience. The Internal and External Devices were acceptable to all for rehabilitation providing the devices were available for use by the patients in the community. CONCLUSION: Patients and clinicians found the MUJO System acceptable as a modality to perform shoulder exercises. For the MUJO System to be taken up as a routine part of clinical practice patients need to be able to access the devices in the community. For the MUJO System to be taken up in clinical practice it needs to be workable within the context of the treatment pathway and not interfere with standard processes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12891-018-2042-6) contains supplementary material, which is available to authorized users.
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spelling pubmed-59305182018-05-09 The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project Gilbert, Anthony W. Hauptmannova, Iva Jaggi, Anju BMC Musculoskelet Disord Research Article BACKGROUND: Painful shoulders pose a substantial socioeconomic burden accounting for 2.4% of all primary care consultations in the UK. There is a strong evidence to indicate that the majority of this shoulder pain can be managed successfully with exercise based treatments and that common surgical procedures provide no extra benefit. Patient adherence and engagement is cited as an important factor in gaining positive outcomes. The MUJO System has been designed to help target the rehabilitation of the rotator cuff muscles which are commonly recommended for the management of shoulder pain. The purpose of this qualitative study was to evaluate the acceptability of the MUJO System amongst clinicians and patients. METHODS: A qualitative study was undertaken to look at the usability of the MUJO System both from clinicians’ and patients’ perspectives. Patients with shoulder problems were identified by an experienced physiotherapist using the study eligibility criteria. and invited to participate. Semi-structured interviews were performed with patients and clinicians to explore factors surrounding its acceptability and feasibility of use. The study was designed using Normalisation Process Theory as a theoretical basis for the inquiry. RESULTS: Seven physiotherapists and ten patients were interviewed in the study. The Internal and External Devices were seen as having the potential to rehabilitate the rotator cuff however it posed limitations towards more functional based exercises. Patients and clinicians found the visual feedback from the Patient App enhanced the rehabilitation experience. The Internal and External Devices were acceptable to all for rehabilitation providing the devices were available for use by the patients in the community. CONCLUSION: Patients and clinicians found the MUJO System acceptable as a modality to perform shoulder exercises. For the MUJO System to be taken up as a routine part of clinical practice patients need to be able to access the devices in the community. For the MUJO System to be taken up in clinical practice it needs to be workable within the context of the treatment pathway and not interfere with standard processes. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12891-018-2042-6) contains supplementary material, which is available to authorized users. BioMed Central 2018-05-02 /pmc/articles/PMC5930518/ /pubmed/29720170 http://dx.doi.org/10.1186/s12891-018-2042-6 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Gilbert, Anthony W.
Hauptmannova, Iva
Jaggi, Anju
The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project
title The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project
title_full The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project
title_fullStr The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project
title_full_unstemmed The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project
title_short The use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project
title_sort use of assistive technology in shoulder exercise rehabilitation – a qualitative study of acceptability within a pilot project
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5930518/
https://www.ncbi.nlm.nih.gov/pubmed/29720170
http://dx.doi.org/10.1186/s12891-018-2042-6
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