Training therapy in physical medicine

03_rehab
Research area: Rehabilitation and occupational therapy

Responsible for the project: Marisa Warmuth
Duration: October 2011 - December 2011
Publication: Decision Support Document Nr. 51: https://eprints.aihta.at/950

Suggested by: HVB
Language: German

Background
Training therapy is a domain of physical medicine and – like other forms of exercise therapy – aims at
facilitating physical activity via instructed physical exercise based on the principles of exercise physiology.
Training therapy takes the forms of exercise using an ergometer (bicycle or treadmill) or circle training and is indicated in various conditions, such as musculoskeletal diseases, cardiovascular und pulmonary diseases and neurological diseases. Training therapy is divided into endurance training and strength training, however, usually a combination of these two forms of training is employed. Following an initial phase of instruction, training therapy is usually conducted in groups and aims at motivating patients to lifelong training.

Aim of project
The project aims at assessing the evidence concerning the efficacy of training therapy and its measurement via an overview of systematic reviews.

Methods

  • Systematic literature search in databases (Pubmed, The Cochrane Library, Medline via Ovid, NHS-EED-DARE-HTA, PEDRO) and on web sites
  • Unsystematic hand search

PICO Question

 Population

 Men and women aged ?18 yrs

 Indications:
 - Musculoskeletal diseases
 - Cardiovascular diseases
 - Pulmonary diseases
 - Neurological diseases
 - Immunological diseases
 - Psychiatric diseases
 - Metabolic conditions
 - Urinary tract conditions
 - Congenital diseases
 - Cancer
 - Chronic pain conditions 
 Intervention  - Training therapy/ medical exercise therapy alone
 - Training therapy/ medical exercise therapy as part of a programme combined with psychological support, counselling, educational efforts etc.
 Control  No treatment (besides routine care)
 Outcome  

 Efficacy

  - Health-related quality of life (generic, disease-specific)
 - Mortality (overall, disease-specific)
 - Pain
 - Function, activities of daily living (ADL)
 - Disease-specific prognostic risk factors
 - Clinical events
 - Future hospital admission, length of re-admission, number of outpatient visits
 - Withdrawals (from training programme)

 Safety

  Adverse events, side effects
 Study design  Systematic reviews, meta-analyses