A power-assisted exercise intervention in people with profound intellectual and multiple disabilities living in a residential facility: a pilot randomised controlled trial

Leontien Bossink, Annette van der Putten, Aly Waninge, Carla Vlaskamp

Onderzoeksoutput: ArticleAcademicpeer review

Uittreksel

OBJECTIVE: To assess the feasibility of conducting a randomised controlled trial to determine the effectiveness of a twenty-week power-assisted exercise intervention in people with profound intellectual and multiple disabilities and to evaluate the potential beneficial effects of this intervention.

DESIGN: Pilot randomised controlled trial.

SETTING: A large-scale twenty-four-hour residential facility in the Netherlands.

SUBJECTS: Thirty-seven persons with profound intellectual and multiple disabilities.

INTERVENTION: Participants in the intervention group received a power-assisted exercise intervention three times a week for thirty minutes over a twenty-week period. Participants in the control group received care as usual.

MAIN MEASURES: Trial feasibility by recruitment process and outcomes completion rates; intervention feasibility by programme compliance rates; potential outcomes by functional abilities, alertness, body composition, muscle tone, oxygen saturation, cardiovascular fitness and quality of life.

RESULTS: Thirty-seven participants were recruited ( M age = 32.1, SD = 14.6) and were randomly allocated to intervention ( n = 19) and control ( n = 18) groups. Programme compliance rates ranged from 54.2% to 97.7% with a mean (SD) of 81.5% (13.4). Oxygen saturation significantly increased in the intervention group. Standardised effect sizes on the difference between groups in outcome varied between 0.02 and 0.62.

CONCLUSIONS: The power-assisted exercise intervention and the trial design were feasible and acceptable to people with profound intellectual and multiple disabilities living in a residential facility. This pilot study suggests that the intervention improves oxygen saturation, but further implementation with the aim of improving other outcomes should be considered with caution.

Originele taal-2English
Pagina's (van-tot)1168-1178
TijdschriftClinical rehabilitation
Volume31
Nummer van het tijdschrift9
DOI's
StatusPublished - sep 2017

Vingerafdruk

Residential Facilities
Intellectual Disability
Randomized Controlled Trials
Oxygen
Aptitude
Body Composition
Netherlands
Quality of Life
Muscles
Control Groups
Power (Psychology)

Keywords

  • verstandelijk gehandicapten
  • motoriek
  • oefeningen

Citeer dit

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A power-assisted exercise intervention in people with profound intellectual and multiple disabilities living in a residential facility : a pilot randomised controlled trial. / Bossink, Leontien ; van der Putten, Annette ; Waninge, Aly; Vlaskamp, Carla.

In: Clinical rehabilitation, Vol. 31, Nr. 9, 09.2017, blz. 1168-1178.

Onderzoeksoutput: ArticleAcademicpeer review

TY - JOUR

T1 - A power-assisted exercise intervention in people with profound intellectual and multiple disabilities living in a residential facility

T2 - a pilot randomised controlled trial

AU - Bossink, Leontien

AU - van der Putten, Annette

AU - Waninge, Aly

AU - Vlaskamp, Carla

PY - 2017/9

Y1 - 2017/9

N2 - OBJECTIVE: To assess the feasibility of conducting a randomised controlled trial to determine the effectiveness of a twenty-week power-assisted exercise intervention in people with profound intellectual and multiple disabilities and to evaluate the potential beneficial effects of this intervention.DESIGN: Pilot randomised controlled trial.SETTING: A large-scale twenty-four-hour residential facility in the Netherlands.SUBJECTS: Thirty-seven persons with profound intellectual and multiple disabilities.INTERVENTION: Participants in the intervention group received a power-assisted exercise intervention three times a week for thirty minutes over a twenty-week period. Participants in the control group received care as usual.MAIN MEASURES: Trial feasibility by recruitment process and outcomes completion rates; intervention feasibility by programme compliance rates; potential outcomes by functional abilities, alertness, body composition, muscle tone, oxygen saturation, cardiovascular fitness and quality of life.RESULTS: Thirty-seven participants were recruited ( M age = 32.1, SD = 14.6) and were randomly allocated to intervention ( n = 19) and control ( n = 18) groups. Programme compliance rates ranged from 54.2% to 97.7% with a mean (SD) of 81.5% (13.4). Oxygen saturation significantly increased in the intervention group. Standardised effect sizes on the difference between groups in outcome varied between 0.02 and 0.62.CONCLUSIONS: The power-assisted exercise intervention and the trial design were feasible and acceptable to people with profound intellectual and multiple disabilities living in a residential facility. This pilot study suggests that the intervention improves oxygen saturation, but further implementation with the aim of improving other outcomes should be considered with caution.

AB - OBJECTIVE: To assess the feasibility of conducting a randomised controlled trial to determine the effectiveness of a twenty-week power-assisted exercise intervention in people with profound intellectual and multiple disabilities and to evaluate the potential beneficial effects of this intervention.DESIGN: Pilot randomised controlled trial.SETTING: A large-scale twenty-four-hour residential facility in the Netherlands.SUBJECTS: Thirty-seven persons with profound intellectual and multiple disabilities.INTERVENTION: Participants in the intervention group received a power-assisted exercise intervention three times a week for thirty minutes over a twenty-week period. Participants in the control group received care as usual.MAIN MEASURES: Trial feasibility by recruitment process and outcomes completion rates; intervention feasibility by programme compliance rates; potential outcomes by functional abilities, alertness, body composition, muscle tone, oxygen saturation, cardiovascular fitness and quality of life.RESULTS: Thirty-seven participants were recruited ( M age = 32.1, SD = 14.6) and were randomly allocated to intervention ( n = 19) and control ( n = 18) groups. Programme compliance rates ranged from 54.2% to 97.7% with a mean (SD) of 81.5% (13.4). Oxygen saturation significantly increased in the intervention group. Standardised effect sizes on the difference between groups in outcome varied between 0.02 and 0.62.CONCLUSIONS: The power-assisted exercise intervention and the trial design were feasible and acceptable to people with profound intellectual and multiple disabilities living in a residential facility. This pilot study suggests that the intervention improves oxygen saturation, but further implementation with the aim of improving other outcomes should be considered with caution.

KW - profound intellectual and multiple disabilities

KW - power-assisted exercise

KW - motor intervention

KW - motor activation

KW - verstandelijk gehandicapten

KW - motoriek

KW - oefeningen

UR - http://www.mendeley.com/research/powerassisted-exercise-intervention-people-profound-intellectual-multiple-disabilities-living-reside-1

U2 - 10.1177/0269215516687347

DO - 10.1177/0269215516687347

M3 - Article

C2 - 28074672

VL - 31

SP - 1168

EP - 1178

JO - Clinical rehabilitation

JF - Clinical rehabilitation

SN - 0269-2155

IS - 9

ER -