Telehealth-supervised exercise in systemic lupus erythematosus: A pilot study

Article


Frade, Stephanie, O'Neill, Sean, Walsh, Samantha, Campbell, Chloe, Greene, David, Bird, Stephen P. and Cameron, Melainie. 2023. "Telehealth-supervised exercise in systemic lupus erythematosus: A pilot study." Lupus. 32 (4), pp. 508-520. https://doi.org/10.1177/09612033231157073
Article Title

Telehealth-supervised exercise in systemic lupus erythematosus: A pilot study

ERA Journal ID16577
Article CategoryArticle
AuthorsFrade, Stephanie, O'Neill, Sean, Walsh, Samantha, Campbell, Chloe, Greene, David, Bird, Stephen P. and Cameron, Melainie
Journal TitleLupus
Journal Citation32 (4), pp. 508-520
Number of Pages13
Year2023
PublisherSAGE Publications Ltd
Place of PublicationUnited Kingdom
ISSN0961-2033
1477-0962
Digital Object Identifier (DOI)https://doi.org/10.1177/09612033231157073
Web Address (URL)https://journals.sagepub.com/doi/full/10.1177/09612033231157073
Abstract

Objectives: To explore the feasibility and effectiveness of telehealth-supervised exercise for adults with Systemic lupus erythematosus (SLE).

Methods: This was a non-randomised controlled pilot trial comparing telehealth-supervised exercise (8 weeks, 2 days/week, 45 min, moderate intensity) plus usual care with usual care alone. Mixed methods were used to assess change in fatigue (FACIT-fatigue), quality of life (SF36), resting fatigue and pain (11-point scale), lower body strength (five-time sit-to-stand) and endurance (30 s sit-to-stand), upper body endurance (30 s arm curl), aerobic capacity (2 min step test), and experience (survey and interviews). Group comparison was performed statistically using a two-sample T-test or Mann–Whitney U-test. Where known, we used MCID or MCII, or assumed a change of 10%, to determine clinically meaningful change within groups over time. Interviews were analysed using reflexive thematic analysis.

Results: Fifteen female adults with SLE were included (control group n = 7, exercise group n = 8). Statistically significant differences between groups, in favour of the exercise intervention, were noted for SF36 domain emotional well-being (p = 0.048) and resting fatigue (p = 0.012). There were clinically meaningful improvements over time for FACIT-fatigue (+6.3 ± 8.3, MCID >5.9), SF36 domains physical role functioning (+30%), emotional role functioning (+55%), energy/fatigue (+26%), emotional well-being (+19%), social functioning (+30%), resting pain (−32%), and upper body endurance (+23%) within the exercise group. Exercise attendance was high (98%, 110/112 sessions); participants strongly agreed (n = 5/7, 71%) or agreed (n = 2/7, 29%) they would do telehealth-supervised exercise again and were satisfied with the experience. Four themes emerged: (1) ease and efficiency of exercising from home, (2) value of live exercise instruction, (3) challenges of exercising at home, and (4) continuation of telehealth-supervised exercise sessions.

Conclusion: Key findings from this mixed-method investigation suggest that telehealth-supervised exercise was feasible for, and well-accepted by, adults with SLE and resulted in some modest health improvements. We recommend a follow-up RCT with more SLE participants.

Keywordsautoimmune disease; COVID-19; exercise; systemic lupus erythematosus; telehealth
Related Output
Is part ofExercise for people with systemic sclerosis or systemic lupus erythematosus
ANZSRC Field of Research 2020420302. Digital health
Byline AffiliationsSchool of Health and Medical Sciences
University of Sydney
Australian Catholic University
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Gosling, Cameron McR, Cameron, Melainie and Gibbons, Peter F.. 2004. "Referencing and quotation accuracy in four manual therapy journals." Manual Therapy. 9, pp. 36-40. https://doi.org/10.1016/S1356-689X(03)00056-0
Medicinal use of potato-derived products: a systematic review
Vlachojannis, J. E., Cameron, M. and Chrubasik, S.. 2010. "Medicinal use of potato-derived products: a systematic review." Phytotherapy Research. 24 (2), pp. 159-162. https://doi.org/10.1002/ptr.2829
A systematic review on the Sambuci fructus effect and efficacy profiles
Vlachojannis, J. E., Cameron, M. and Chrubasik, S.. 2010. "A systematic review on the Sambuci fructus effect and efficacy profiles." Phytotherapy Research. 24 (1), pp. 1-8. https://doi.org/10.1002/ptr.2729
Drug interactions with St. John's wort products [Letters to the Editor]
Vlachojannis, Julia, Cameron, Melainie and Chrubasik, Sigrun. 2011. "Drug interactions with St. John's wort products [Letters to the Editor]." Pharmacological Research. 63, pp. 254-256. https://doi.org/10.1016/j.phrs.2010.11.011
Topical herbal therapies for treating osteo-arthritis [Cochrane review - in their own words]
Cameron, Melainie. 2013. "Topical herbal therapies for treating osteo-arthritis [Cochrane review - in their own words]." Journal of Evidence-Based Medicine. 6 (3), pp. 200-200. https://doi.org/10.1111/jebm.12058
Breast size, bra fit and thoracic pain in young women: a correlational study
Wood, Katherine, Cameron, Melainie and Fitzgerald, Kylie. 2008. "Breast size, bra fit and thoracic pain in young women: a correlational study." Chiropractic & Osteopathy. 16. https://doi.org/10.1186/1746-1340-16-1
Evaluation of hydrotherapy, using passive tests and power tests, for recovery across a cyclic week of competitive rugby union
Higgins, Trevor R., Climstein, Mike and Cameron, Melainie. 2013. "Evaluation of hydrotherapy, using passive tests and power tests, for recovery across a cyclic week of competitive rugby union." Journal of Strength and Conditioning Research. 27 (4), pp. 954-965. https://doi.org/10.1519/JSC.0b013e318260ed9b
The Importance of In-Season Strength and Power Training in Football Athletes: A Brief Review and Recommendations
Yu, Liang, Altieri, Claudio, Bird, Stephen P., Corcoran, Glenn and Jiuxiang, Gao. 2021. "The Importance of In-Season Strength and Power Training in Football Athletes: A Brief Review and Recommendations." International Journal of Strength and Conditioning. 1 (1), pp. 1-8. https://doi.org/10.47206/ijsc.vi0.23
Impact of COVID-19 on Athlete Mental Health – Strategies to Promote Emotional Wellness
Bird, Stephen P.. 2021. "Impact of COVID-19 on Athlete Mental Health – Strategies to Promote Emotional Wellness." International Journal of Strength and Conditioning. 1 (1), pp. 1-5. https://doi.org/10.47206/ijsc.v1i1.33
Urgent wake up call for the National Basketball Association
Singh, Meeta, Bird, Stephen, Charest, Jonathan, Huyghe, Thomas and Calleja-Gonzalez, Julio. 2021. "Urgent wake up call for the National Basketball Association." The Journal of Clinical Sleep Medicine. 17 (2), pp. 243-248. https://doi.org/10.5664/jcsm.8938
Basketball New Zealand infographic: female athlete health - understanding your menstrual cycle: what’s normal, what’s not?
Larsen, Brianna and Bird, Stephen. 2020. Basketball New Zealand infographic: female athlete health - understanding your menstrual cycle: what’s normal, what’s not? Wellington, New Zealand. Basketball New Zealand.
Basketball New Zealand infographic: immune health: avoiding infection and maintaining immune health in athletes
Bird, Stephen P.. 2020. Basketball New Zealand infographic: immune health: avoiding infection and maintaining immune health in athletes. Wellington, New Zealand. Basketball New Zealand.
Community and home-based exercise for the prevention and treatment of hypertension
Cameron, Melainie, Moss, Sarah Johanna, Makamu-Betek, Sweetness J. and Onagbiye, Sunday O.. 2020. "Community and home-based exercise for the prevention and treatment of hypertension." Cochrane Database of Systematic Reviews. 2020 (10), pp. 1-11. https://doi.org/10.1002/14651858.CD013752
Superficial heat or cold for low back pain
French, Simon D., Cameron, Melainie, Walker, Bruce F., Reggars, John W. and Esterman, Adrian J.. 2006. "Superficial heat or cold for low back pain." Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD004750.pub2
On-field conditioning for large groups: the forgotten aspect in strength and conditioning
Bird, Stephen P. and Corcoran, Glenn. 2020. "On-field conditioning for large groups: the forgotten aspect in strength and conditioning." 2020 ASCA International Conference on Applied Strength and Conditioning. Gold Coast, Australia 19 - 21 Nov 2020 Beenleigh, QLD, Australia.
Foam Rolling as a Recovery Tool Following Eccentric Exercise: Potential Mechanisms Underpinning Changes in Jump Performance
Drinkwater, Eric J., Latella, Christopher, Wilsmore, Christopher, Bird, Stephen P. and Skein, Melissa. 2019. "Foam Rolling as a Recovery Tool Following Eccentric Exercise: Potential Mechanisms Underpinning Changes in Jump Performance." Frontiers in Physiology. 10, pp. 1-10. https://doi.org/10.3389/fphys.2019.00768
Effect of Reactive Agility Training Drills on Speed and Agility in Indonesian University Students
Kusnanik, Nining W., Widiyanto, Wahyu E. and Bird, Stephen P.. 2019. "Effect of Reactive Agility Training Drills on Speed and Agility in Indonesian University Students." Journal of Social Sciences Research. 5 (8), pp. 1272-1275.
Movement demands and running intensities of semi-professional rugby league players in a 9’s tournament
Inglis, Paul and Bird, Stephen P.. 2017. "Movement demands and running intensities of semi-professional rugby league players in a 9’s tournament." Journal of Sports Science and Medicine. 16 (1), pp. 22-26.
The role of the trunk control in athletic performance of a reactive change-of-direction task
Edwards, Suzi, Austin, Aaron and Bird, Stephen P.. 2017. "The role of the trunk control in athletic performance of a reactive change-of-direction task." Journal of Strength and Conditioning Research. 31 (1), pp. 126-139. https://doi.org/10.1519/JSC.0000000000001488
Current issues affecting strength and conditioning coaches: professional standards, coaching structures, mentorships and remuneration guidelines
Bird, Stephen P. and Mitchell, John. 2019. "Current issues affecting strength and conditioning coaches: professional standards, coaching structures, mentorships and remuneration guidelines." Journal of Australian Strength and Conditioning. 27 (5), pp. 33-37.
National Basketball Strength and Conditioning Association (NBSCA) Performance Summit 2019 – Chicago in Review
Bird, Stephen, Huyghe, Thomas and DeLosAngeles, Ernest. 2019. "National Basketball Strength and Conditioning Association (NBSCA) Performance Summit 2019 – Chicago in Review." NSCA Coach. 6 (4), pp. 18-29.
When winning matters: lessons learned from sport's elite
Beveridge, Rob and Bird, Stephen P.. Salmon, James (ed.) 2020. When winning matters: lessons learned from sport's elite. Diamond Creek, Victoria Australia. Ultimate World Publishing.
Resistance training for children and youth: a position stand from the Australian Strength and Conditioning Association (ASCA) (Original publication 2007, updated March 2017)
Wilson, Greg, Bird, Stephen P., O'Connor, Donna and Jones, Julian. 2017. Resistance training for children and youth: a position stand from the Australian Strength and Conditioning Association (ASCA) (Original publication 2007, updated March 2017). Helensvale, Queensland, Australia. Australian Strength and Conditioning Association.
Basketball New Zealand guidelines: safe return to training for players in preparation for a condensed National Basketball League season following Covid-19 restrictions
Bird, Stephen P., Osborne, Hamish, King, Leonard, Belles, Lidia, Nolan, Emily and McLellan, Chris. 2020. "Basketball New Zealand guidelines: safe return to training for players in preparation for a condensed National Basketball League season following Covid-19 restrictions." New Zealand Journal of Sports Medicine. 47 (1), pp. 49-53.
Basketball New Zealand infographic: return to training 50-30-20-10 rule [for basketball players]
Bird, Stephen and Donaghy, Michael. 2020. Basketball New Zealand infographic: return to training 50-30-20-10 rule [for basketball players]. Wellington, New Zealand. Basketball New Zealand.
Basketball New Zealand infographic: recovery points checklist
Bird, Stephen and Donaghy, Michael. 2020. Basketball New Zealand infographic: recovery points checklist. Wellington, New Zealand. Basketball New Zealand.
Basketball New Zealand infographic: recovery benefits
Bird, Stephen and Donaghy, Michael. 2020. Basketball New Zealand infographic: recovery benefits. Wellington, New Zealand. Basketball New Zealand.
Updated protocol and guest participant results from the ACCeRT clinical study
Rogers, Elaine S., Sasidharan, Rita, Sequeira, Graeme M., Wood, Matthew R., Bird, Stephen P., Keogh, Justin W.L., Arroll, Bruce, Stewart, Joanna and MacLeod, Roderick D.. 2020. "Updated protocol and guest participant results from the ACCeRT clinical study." Journal of Basic Research in Medical Sciences. 7 (1), pp. 10-21.
A multi-targeted treatment approch to cancer cachexia: Auckland's Cancer Cachexia evaluating Resistance Training (ACCeRT) trial
Rogers, Elaine S., Sasidharan, Rita, Sequeira, Graeme M., Wood, Matthew R., Bird, Stephen P., Keogh, Justin W.L., Arroll, Bruce, Stewart, Joanna and MacLeod, Roderick D.. 2020. "A multi-targeted treatment approch to cancer cachexia: Auckland's Cancer Cachexia evaluating Resistance Training (ACCeRT) trial." JCSM Rapid Communications. 3 (1), pp. 11-24. https://doi.org/10.1002/rco2.10
Nutritional knowledge of youth academy athletes
Bird, Stephen P. and Rushton, Benjamin D.. 2020. "Nutritional knowledge of youth academy athletes." BMC Nutrition. 6, pp. 1-8. https://doi.org/10.1186/s40795-020-00360-9
Podcasts as an eLearning educational tool
Bird, Stephen P.. 2020. "Podcasts as an eLearning educational tool." University of Southern Queensland 25th Postgraduate and Early Career Researcher Group Research Symposium: Uncertain times: Adaptability in the areas of work, study and research. Online 24 Jun 2020
Basketball New Zealand COVID-19 return to training and competition framework: guidelines for safe return to training and competition for coaches and players
King, Leonard, Osborne, Hamish, Bird, Stephen P. and Huyghe, Thomas. 2020. Basketball New Zealand COVID-19 return to training and competition framework: guidelines for safe return to training and competition for coaches and players. Wellington, New Zealand. Basketball New Zealand.
Season suspension and summer extension: Unique opportunity for professional team-sport athletes and support staff during and following the COVID-19 crisis
Huyghe, Thomas G., Bird, Stephen P., Calleja-Gonzalez, Julio and Alcaraz, Pedro E.. 2020. "Season suspension and summer extension: Unique opportunity for professional team-sport athletes and support staff during and following the COVID-19 crisis." Frontiers in Sports and Active Living. 2 (98). https://doi.org/10.3389/fspor.2020.00098
Welcome to the International Universities Strength and Conditioning Association Journal: publishing research with a view to the future
Bird, Stephen P.. 2020. "Welcome to the International Universities Strength and Conditioning Association Journal: publishing research with a view to the future." International Universities Strength and Conditioning Association Journal. 1 (1).
Bridging the gap: why strength and conditioning practitioners and researchers should collaborate
Langford, Andrew and Bird, Stephen P.. 2020. "Bridging the gap: why strength and conditioning practitioners and researchers should collaborate." International Universities Strength and Conditioning Association Journal. 1 (1).
When research goes pear-shaped: report and reflections on a failed study of exercise and manual therapies for rheumatoid arthritis
Cameron, Melainie. 2007. "When research goes pear-shaped: report and reflections on a failed study of exercise and manual therapies for rheumatoid arthritis." Complementary Health Practice Review. 12 (1), pp. 63-77. https://doi.org/10.1177/1533210107302439
Acute response to hydrotherapy after a simulated game of rugby
Higgins, Trevor R., Cameron, Melainie L. and Climstein, Mike. 2013. "Acute response to hydrotherapy after a simulated game of rugby." Journal of Strength and Conditioning Research. 27 (10), pp. 2851-2860. https://doi.org/10.1519/JSC.0b013e31828151b6
Topical herbal therapies for treating osteoarthritis (review)
Cameron, Melainie and Chrubasik, Sigrun. 2013. "Topical herbal therapies for treating osteoarthritis (review)." Cochrane Database of Systematic Reviews. 2013 (5). https://doi.org/10.1002/14651858.CD010538
Oral herbal therapies for treating osteoarthritis (review)
Cameron, Melainie and Chrubasik, Sigrun. 2014. "Oral herbal therapies for treating osteoarthritis (review)." Cochrane Database of Systematic Reviews. 2014 (5). https://doi.org/10.1002/14651858.CD002947.pub2
Herbal therapy for treating rheumatoid arthritis (review)
Cameron, Melainie, Gagnier, Joel J. and Chrubasik, Sigrun. 2011. "Herbal therapy for treating rheumatoid arthritis (review)." Cochrane Database of Systematic Reviews. 2011 (2). https://doi.org/10.1002/14651858.CD002948.pub2
Comment on: 'Do biokineticists transgress on physiotherapists’ scope of profession? Evidence-based analysis of two physical rehabilitation disciplines in South Africa'
Grace, Jeanne M., Hopkins, Neil and Cameron, Melanie. 2019. "Comment on: 'Do biokineticists transgress on physiotherapists’ scope of profession? Evidence-based analysis of two physical rehabilitation disciplines in South Africa'." African Journal for Physical Activity and Health Sciences. 25 (3), pp. 444-449.
Quality of life, physical activity and cardiorespiratory fitness in black African women: B-Healthy project
Oviedo, G. R., Tamulevicius, N., Onagbiye, S. O., Phidza, M., Sedumedi, C., Cameron, M. and Moss, S. J.. 2020. "Quality of life, physical activity and cardiorespiratory fitness in black African women: B-Healthy project." Quality of Life Research. 29 (4), pp. 987-997. https://doi.org/10.1007/s11136-019-02368-6
Changes in rugby league tackling ability during a competitive season: the relationship with strength and power qualities
Speranza, Michael J. A., Gabbett, Tim J., Greene, David A., Johnston, Rich D. and Sheppard, Jeremy M.. 2017. "Changes in rugby league tackling ability during a competitive season: the relationship with strength and power qualities." Journal of Strength and Conditioning Research. 31 (12), pp. 3311-3318. https://doi.org/10.1519/JSC.0000000000001540
Tackle characteristics and outcomes in match-play rugby league: the relationship with tackle ability and physical qualities
Speranza, Michael J. A., Gabbett, Tim J., Greene, David A., Johnston, Rich D. and Townshend, Andrew D.. 2017. "Tackle characteristics and outcomes in match-play rugby league: the relationship with tackle ability and physical qualities." Science and Medicine in Football. 1 (3), pp. 265-271. https://doi.org/10.1080/24733938.2017.1361041
Assessment of body composition in junior representative and first grade rugby league players using dual x-ray absorptiometry
Greene, David A., Varley, Benjamin, Duncan, Craig S. and Gabbett, Tim J.. 2017. "Assessment of body composition in junior representative and first grade rugby league players using dual x-ray absorptiometry." Science and Medicine in Football. 1 (3), pp. 197-202. https://doi.org/10.1080/24733938.2017.1331043
An alternative test of tackling ability in rugby league players
Speranza, Michael J. A., Gabbett, Tim J., Greene, David A., Johnston, Rich D., Townshend, Andrew D. and O'Farrell, Brett. 2018. "An alternative test of tackling ability in rugby league players." International Journal of Sports Physiology and Performance. 13 (3), pp. 347-352. https://doi.org/10.1123/ijspp.2016-0701
Relationship between 2 standardized tackling proficiency tests and rugby league match-play tackle performance
Speranza, Michael J. A., Gabbett, Tim J., Greene, David A., Johnston, Richard D. and Townshend, Andrew D.. 2018. "Relationship between 2 standardized tackling proficiency tests and rugby league match-play tackle performance." International Journal of Sports Physiology and Performance. 13 (6), pp. 770-776. https://doi.org/10.1123/ijspp.2017-0593
It hurts to move. The catch-22 of physical activity for people with chronic pain
Cameron, Lainie and White, Janelle. 2015. "It hurts to move. The catch-22 of physical activity for people with chronic pain." Andersen, Mark B. and Hanrahan, Stephanie J. (ed.) Doing exercise psychology. United States. Human Kinetics Publishers. pp. 189-200
The effectiveness of manual therapy for neck pain: a systematic review of the literature
Macaulay, J., Cameron, Melainie and Vaughan, B.. 2013. "The effectiveness of manual therapy for neck pain: a systematic review of the literature." Physical Therapy Reviews. 12 (3), pp. 261-267. https://doi.org/10.1179/108331907X223038
Best Available Evidence in Cochrane Reviews on Herbal Medicine?
Davidson, Elyad, Vlachojannis, Julia, Cameron, Melainie and Chrubasik, Sigrun. 2013. "Best Available Evidence in Cochrane Reviews on Herbal Medicine?" Evidence-Based Complementary and Alternative Medicine. 2013, pp. 1-7. https://doi.org/10.1155/2013/163412
Evaluation of passive recovery, cold water immersion, and contrast baths for recovery, as measured by game performances markers, between two simulated games of rugby union
Higgins, Trevor, Cameron, Melainie and Climstein, Michael. 2012. "Evaluation of passive recovery, cold water immersion, and contrast baths for recovery, as measured by game performances markers, between two simulated games of rugby union." Journal of Strength and Conditioning Research. https://doi.org/10.1519/JSC.0b013e31825c32b9
The journal 'chiropractic & osteopathy' changes its title to 'chiropractic & manual therapies'. a new name, a new era
Walker, Bruce F., French, Simon D., Cameron, Melainie, Perle, Stephen M., Lebouef-Yde, C. and Rubenstein, Sidney M.. 2011. "The journal 'chiropractic & osteopathy' changes its title to 'chiropractic & manual therapies'. a new name, a new era." Chiropractic and Manual Therapies. 19, pp. 1-2. https://doi.org/10.1186/2045-709X-19-1
Letter to the Editor: Herbal Medicinal Treatment Options for Headache and Migraine
Vlachojannis, Julia, Cameron, Melainie and Chrubasik, Sigrun. 2011. "Letter to the Editor: Herbal Medicinal Treatment Options for Headache and Migraine." Headache. 51 (8), pp. 1350-1351. https://doi.org/10.1111/j.1526-4610.2011.01981.x
Chiropractic & Osteopathy
Cameron, Melainie, French, S. and Minter, W.. 2009. "Chiropractic & Osteopathy." Grimmer-Somers, Karen, Kumar, Saravana, Worley, Anthea and Young, Alexandra (ed.) Practical Tips in Finding the Evidence: An Allied Health Primer. Manila, Philippines. University of Santo Tomas Publishing House. pp. 56-84
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis
Cameron, Melainie, Gagnier, Joel J., Little, Christine, Parsons Tessa J., Blumle, Anette and Chrubasik, Sigrun. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis." Phytotherapy Research. 23 (12), pp. 1647-1662. https://doi.org/10.1002/ptr.3006
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis
Cameron, Melainie, Gagnier, J., Christine V., L., Parsons, T., J., Blumle, A. and Chrubasik, S.. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis." Phytotherapy Research. 23 (11), pp. 1497-1515. https://doi.org/10.1002/ptr.3007
A systematic review on the effectiveness of willow bark for musculoskeletal pain
Vlachojannis, J., Cameron, M. and Chrubasik, S.. 2009. "A systematic review on the effectiveness of willow bark for musculoskeletal pain." Phytotherapy Research. 23 (7), pp. 897-900. https://doi.org/10.1002/ptr.2747
A pilot program of physical activity promotion among clients receiving home and community care
Cameron, Melainie, Chahine, Natalie, Selig, Steve and Newton, Pam. 2008. "A pilot program of physical activity promotion among clients receiving home and community care." Australian Health Review. 32 (3), pp. 439-450. https://doi.org/10.1071/AH080439