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Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial

INTRODUCTION: In rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quali...

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Autores principales: Estebanez-Pérez, María-José, Martín-Valero, Rocío, Moreno-Morales, Noelia, Liñán-González, Antonio, Fernández-Navarro, Rocío, Pastora-Bernal, José-Manuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9565479/
https://www.ncbi.nlm.nih.gov/pubmed/36249182
http://dx.doi.org/10.3389/fpubh.2022.1012369
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author Estebanez-Pérez, María-José
Martín-Valero, Rocío
Moreno-Morales, Noelia
Liñán-González, Antonio
Fernández-Navarro, Rocío
Pastora-Bernal, José-Manuel
author_facet Estebanez-Pérez, María-José
Martín-Valero, Rocío
Moreno-Morales, Noelia
Liñán-González, Antonio
Fernández-Navarro, Rocío
Pastora-Bernal, José-Manuel
author_sort Estebanez-Pérez, María-José
collection PubMed
description INTRODUCTION: In rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quality of life. METHODS AND ANALYSIS: A randomized clinical trial with a mixed quantitative-qualitative design will be carried out. It is a single-blind study, where the evaluator does not know the nature of the intervention. Sixty subjects will be enrolled and randomly divided into two groups: the experimental group (EG) will receive a 4-week digital physiotherapy intervention through an app in a recycled mobile device after hospital discharge; the control group (CG) will receive the physiotherapy standard care recommended for patients discharged from the hospital. Subjects will receive a baseline (T0-pre) assessment of Functional Independence and Quality of Life. At the end of the 4-week intervention (T1-post) a new assessment of the outcome will be performed adding data on adherence, satisfaction (ad hoc questionnaire and TSQ), and barriers of use. Qualitative outcomes will also be explored. The author's hypothesized that the implementation of a digital physiotherapy intervention is feasible and effective to improve functional independence and quality of life. This study protocol is the first to explore the effect of digital physiotherapy intervention in children's patients in a low resource setting (Anantapur). DISCUSSION: The successful delivery of the intervention, an optimal adherence records, the absence of significant adverse effects, user satisfaction level and the qualitative analysis of limitations, will demonstrate the effectiveness of these procedure. This study will add more evidence in support the use of digital physiotherapy practice as an effective tool. User particularities, provider's capacity, technological and cultural limitations, and considerations for vulnerable populations will be taken into account. CLINICAL TRIAL REGISTRATION: NCT04946695 (https://clinicaltrials.gov/).
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spelling pubmed-95654792022-10-15 Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial Estebanez-Pérez, María-José Martín-Valero, Rocío Moreno-Morales, Noelia Liñán-González, Antonio Fernández-Navarro, Rocío Pastora-Bernal, José-Manuel Front Public Health Public Health INTRODUCTION: In rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quality of life. METHODS AND ANALYSIS: A randomized clinical trial with a mixed quantitative-qualitative design will be carried out. It is a single-blind study, where the evaluator does not know the nature of the intervention. Sixty subjects will be enrolled and randomly divided into two groups: the experimental group (EG) will receive a 4-week digital physiotherapy intervention through an app in a recycled mobile device after hospital discharge; the control group (CG) will receive the physiotherapy standard care recommended for patients discharged from the hospital. Subjects will receive a baseline (T0-pre) assessment of Functional Independence and Quality of Life. At the end of the 4-week intervention (T1-post) a new assessment of the outcome will be performed adding data on adherence, satisfaction (ad hoc questionnaire and TSQ), and barriers of use. Qualitative outcomes will also be explored. The author's hypothesized that the implementation of a digital physiotherapy intervention is feasible and effective to improve functional independence and quality of life. This study protocol is the first to explore the effect of digital physiotherapy intervention in children's patients in a low resource setting (Anantapur). DISCUSSION: The successful delivery of the intervention, an optimal adherence records, the absence of significant adverse effects, user satisfaction level and the qualitative analysis of limitations, will demonstrate the effectiveness of these procedure. This study will add more evidence in support the use of digital physiotherapy practice as an effective tool. User particularities, provider's capacity, technological and cultural limitations, and considerations for vulnerable populations will be taken into account. CLINICAL TRIAL REGISTRATION: NCT04946695 (https://clinicaltrials.gov/). Frontiers Media S.A. 2022-09-30 /pmc/articles/PMC9565479/ /pubmed/36249182 http://dx.doi.org/10.3389/fpubh.2022.1012369 Text en Copyright © 2022 Estebanez-Pérez, Martín-Valero, Moreno-Morales, Liñán-González, Fernández-Navarro and Pastora-Bernal. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Estebanez-Pérez, María-José
Martín-Valero, Rocío
Moreno-Morales, Noelia
Liñán-González, Antonio
Fernández-Navarro, Rocío
Pastora-Bernal, José-Manuel
Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial
title Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial
title_full Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial
title_fullStr Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial
title_full_unstemmed Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial
title_short Digital physiotherapy intervention in children in a low resource setting in Anantapur (India): Study protocol for a randomized controlled trial
title_sort digital physiotherapy intervention in children in a low resource setting in anantapur (india): study protocol for a randomized controlled trial
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9565479/
https://www.ncbi.nlm.nih.gov/pubmed/36249182
http://dx.doi.org/10.3389/fpubh.2022.1012369
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