The exercise-app Axia for axial spondyloarthritis enhances the home-based exercise frequency in axial spondyloarthritis patients - A cross-sectional survey.

Autor: Strunz PP; Department of Internal Medicine 2, Rheumatology/Clinical Immunology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany. Strunz_P@ukw.de., Le Maire M; Medical Faculty, University of Würzburg, Josef-Schneider-Straße 2, 97080, Würzburg, Germany., Heusinger T; Medical Faculty, University of Würzburg, Josef-Schneider-Straße 2, 97080, Würzburg, Germany., Klein J; Medical Faculty, University of Würzburg, Josef-Schneider-Straße 2, 97080, Würzburg, Germany., Labinsky H; Department of Internal Medicine 2, Rheumatology/Clinical Immunology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany., Fleischer A; Department of Internal Medicine 2, Psychosomatic Medicine, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany., Luetkens KS; Department of Diagnostic and Interventional Radiology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany., Possler P; Medical Faculty, University of Würzburg, Josef-Schneider-Straße 2, 97080, Würzburg, Germany., Gernert M; Department of Internal Medicine 2, Rheumatology/Clinical Immunology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany., Leppich R; Chair of Software Engineering (Informatik II), Department of Computer Science, University of Würzburg, Am Hubland, 97074, Würzburg, Germany., Schmieder A; Department of Dermatology, Venereology, and Allergology, University Hospital Würzburg, Josef-Schneider-Straße 2, 97080, Würzburg, Germany., Hammel L; Deutsche Vereinigung Morbus Bechterew e. V, Metzgergasse 16, 97421, Schweinfurt, Germany., Schulz E; Deutsche Vereinigung Morbus Bechterew e. V, Metzgergasse 16, 97421, Schweinfurt, Germany., Sperlich B; Integrative and Experimental Exercise Science and Training, Institute for Sports Science, University of Wuerzburg, Judenbühlweg 11, 97082, Würzburg, Germany., Froehlich M; Department of Internal Medicine 2, Rheumatology/Clinical Immunology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany., Schmalzing M; Department of Internal Medicine 2, Rheumatology/Clinical Immunology, University Hospital Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Germany.
Jazyk: angličtina
Zdroj: Rheumatology international [Rheumatol Int] 2024 Jun; Vol. 44 (6), pp. 1143-1154. Date of Electronic Publication: 2024 Apr 29.
DOI: 10.1007/s00296-024-05600-w
Abstrakt: Background: Patients with axial spondyloarthritis (axSpA) benefit from regular home-based exercise (HbE). In spite of recommendations, a relevant proportion of German axSpA patients does not adhere to recommended HbE practices. To enhance HbE care, we developed the novel digital therapeutic (DTx) "Axia" compliant with the European medical device regulation (MDR). Axia offers a modern app-based HbE solution with patient educative content and further integrated features.
Objective: We aimed to assess Axia's efficacy, attractiveness, and functionality through a survey among axSpA-patients involved in the first user tests.
Methods: A mixed-method online questionnaire with 38 items was administered to 37 axSpA volunteers after using Axia. Numeric rating scales (NRS) and likelihood scales were primarily used.
Results: HbE frequency significantly increased from a median of 1 day/week to 6 days/week (p < 0.001) by using Axia. Existing HbE practitioners also increased their frequency (median of 4 days/week before, 6 days/week with Axia, p < 0.05). Axia received a median rating of 5 out of 5 stars. On NRS scales, Axia scored a median of 9 for intuitiveness and design, and a median of 8 for entertainment. 64.9% reported improved range of motion, 43.2% reported reduced pain, and 93.6% enhanced disease-specific knowledge. All users recommended Axia to other patients.
Conclusion: Axia increases axSpA patients HbE frequency, possibly due to its good intuitiveness and design, leading to reduction in pain and subjective improvement of range of motion. This warrants further investigation in large randomized controlled interventional trials to establish its efficacy conclusively and patients adherence to HbE.
(© 2024. The Author(s).)
Databáze: MEDLINE
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