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Clinical education alone is sufficient to increase resistance training exercise prescription.

PloS one
January 1, 2019
Gavin Williams et al. (2 authors)
Clinical TrialJournal ArticleMulticenter StudyResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether a training seminar for clinicians could improve their knowledge of gait biomechanics and align resistance exercise prescription to muscle function for walking in adults with neurological conditions.

Results Summary

The seminar significantly improved clinician knowledge of gait biomechanics and resistance training, leading to increased prescription of ballistic and conventional resistance training. However, post-seminar support and mentoring provided no additional benefits.

Population

Adults with neurological conditions and clinicians at 12 rehabilitation facilities.

Effective Dosage

Not specified

Duration

Seminar conducted with follow-up assessments immediately after and at three months.

Interactions

None mentioned

Extracted Claims (9)
InterventionDirectionEndpointPopulationDosageImpactClaim #
resistance training
no change
walking outcomes
adults with neurological conditions
-
has been ineffective for improving
#1
training seminar for clinicians
increase
knowledge of gait and align resistance exercise prescription to the biomechanics of gait and muscle function for walking
clinicians
-
could improve
#2
training seminar
increase
clinician knowledge of the biomechanics of gait and resistance training
178 clinicians
-
led to significant improvements in
#3
training seminar
increase
the amount of ballistic resistance training being prescribed
178 clinicians
t = -2.38; p = .04
led to significant improvements in
#4
training seminar
increase
the amount of conventional resistance training being prescribed
178 clinicians
t = -2.30; p = .04
led to significant improvements in
#5
ongoing post-seminar support and mentoring
no change
benefits
half of the rehabilitation facilities
F(1, 9) = .05, p = .83, partial eta squared = .01
was not associated with any additional benefits
#6
training seminar
increase
the time spent in ballistic and conventional resistance training
178 clinicians
-
led to significant improvements in
#7
additional post-seminar support
no change
benefit
half of the rehabilitation facilities
-
There was no further benefit obtained from
#8
training seminar
increase
task-specific resistance exercises
178 clinicians
-
led to improved knowledge and significantly greater time spent prescribing
#9
Abstract

A large body of evidence demonstrates that resistance training has been ineffective for improving walking outcomes in adults with neurological conditions. However, evidence suggests that previous studies have not aligned resistance exercise prescription to muscle function when walking. The main aim of this study was to determine whether a training seminar for clinicians could improve knowledge of gait and align resistance exercise prescription to the biomechanics of gait and muscle function for walking. A training seminar was conducted at 12 rehabilitation facilities with 178 clinicians. Current practice, knowledge and barriers to exercise were assessed by observation and questionnaire prior to and immediately after the seminar, and at three-month follow-up. Additionally, post-seminar support and mentoring was randomly provided to half of the rehabilitation facilities using a cluster randomised controlled trial (RCT) design. The seminar led to significant improvements in clinician knowledge of the biomechanics of gait and resistance training, the amount of ballistic (t = -2.38; p = .04) and conventional (t = -2.30; p = .04) resistance training being prescribed. However, ongoing post-seminar support and mentoring was not associated with any additional benefits F(1, 9) = .05, p = .83, partial eta squared = .01. Further, improved exercise prescription occurred in the absence of any change to perceived barriers. The training seminar led to significant improvements in the time spent in ballistic and conventional resistance training. There was no further benefit obtained from the additional post-seminar support. The seminar led to improved knowledge and significantly greater time spent prescribing task-specific resistance exercises.

Medical Subject Headings (MeSH)
AdultEducation, Medical, ContinuingFemaleGaitHumansMaleNervous System DiseasesPrescriptionsResistance TrainingSurveys and QuestionnairesWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations4
Citations/Year0.7
Relative Citation Ratio0.30
NIH Percentile15.6%
Research Impact Scores
APT Score0.25
Weight Score2.10
Normalized Score0.67
Related Supplements
Clinical education alone is sufficient to increase resistanc... | Panacea Index