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

Leontien W.M. Bossink, Annette A.J. van der Putten, Aly Waninge, Carla Vlaskamp

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)

Abstract

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.
Original languageEnglish
Pages (from-to)1168-1178
Number of pages11
JournalClinical Rehabilitation
Volume31
Issue number9
Early online date11-Jan-2017
DOIs
Publication statusPublished - 1-Sep-2017

Keywords

  • Profound intellectual and multiple disabilities
  • power-assisted exercise
  • motor intervention
  • motor activation
  • randomised controlled trial
  • PHYSICAL-ACTIVITY
  • ADULTS
  • CHILDREN
  • MOTOR

Cite this