Slade, Susan C., Underwood, Martin, McGinley, Jennifer L. and Morris, Meg E. (2019) Exercise and progressive supranuclear palsy : the need for explicit exercise reporting. BMC Neurology, 19 (1). 305. doi:10.1186/s12883-019-1539-4

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Abstract

Background
Progressive Supranuclear Palsy (PSP) is the most frequent form of atypical Parkinsonism. Although there is preliminary evidence for the benefits of gait rehabilitation, balance training and oculomotor exercises in PSP, the quality of reporting of exercise therapies appears mixed. The current investigation aims to evaluate the comprehensiveness of reporting of exercise and physical activity interventions in the PSP literature.

Methods
Two independent reviewers used the Consensus on Exercise Reporting Template (CERT) to extract all exercise intervention data from 11 studies included in a systematic review. CERT items covered: ‘what’ (materials), ‘who’ (instructor qualifications), ‘how’ (delivery), ‘where’ (location), ‘when’, ‘how much’ (dosage), ‘tailoring’ (what, how), and ‘how well’ (fidelity) exercise delivery complied with the protocol. Each exercise item was scored ‘1’ (adequately reported) or ‘0’ (not adequately reported or unclear). The CERT score was calculated, as well as the percentage of studies that reported each CERT item.

Results
The CERT scores ranged from 3 to 12 out of 19. No PSP studies adequately described exercise elements that would allow exact replication of the interventions. Well-described items included exercise equipment, exercise settings, exercise therapy scheduling, frequency and duration. Poorly described items included decision rules for exercise progression, instructor qualifications, exercise adherence, motivation strategies, safety and adverse events associated with exercise therapies.

Discussion
The results revealed variability in the reporting of physical therapies for people living with PSP. Future exercise trials need to more comprehensively describe equipment, instructor qualifications, exercise and physical activity type, dosage, setting, individual tailoring of exercises, supervision, adherence, motivation strategies, progression decisions, safety and adverse events.

Conclusion
Although beneficial for people living with PSP, exercise and physical therapy interventions have been inadequately reported. It is recommended that evidence-based reporting templates be utilised to comprehensively document therapeutic exercise design, delivery and evaluation.

Item Type:	Journal Article
Subjects:	R Medicine > RC Internal medicine R Medicine > RM Therapeutics. Pharmacology
Divisions:	Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Progressive supranuclear palsy , Parkinson's disease , Exercise therapy, Rehabilitation -- Research
Journal or Publication Title:	BMC Neurology
Publisher:	B M J Group
ISSN:	1471-2377
Official Date:	29 November 2019
Dates:	Date Event 29 November 2019 Published 25 November 2019 Accepted
Date of first compliant deposit:	13 January 2020
Volume:	19
Number:	1
Article Number:	305
DOI:	10.1186/s12883-019-1539-4
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
RIOXX Funder/Project Grant:	Project/Grant ID RIOXX Funder Name Funder ID Argyrou Family Fellowship Parkinson’s Victoria http://viaf.org/viaf/149459241 UNSPECIFIED Healthscope Management Services Corporation http://viaf.org/viaf/159570961 UNSPECIFIED La Trobe University http://dx.doi.org/10.13039/501100001215

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