Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy.

Musculoskelet Sci Pract

Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Dept. of Anatomy and Embryology, Maastricht University, Maastricht, the Netherlands. Electronic address:

Published: December 2018

AI Article Synopsis

  • Adherence to exercise is crucial for effective physiotherapy in non-specific low back pain patients.
  • The study aimed to understand patients' views on maintaining long-term exercise adherence and involved qualitative analysis of feedback from 44 participants.
  • Key themes identified include the importance of knowledge about exercises, strategies to promote adherence, barriers faced, and the perceived benefits of exercise itself.
  • The findings suggest that educating patients and providing self-directed training strategies can enhance adherence, with recommendations for supervised physiotherapy that focuses on long-term exercise habits.

Article Abstract

Background: Adherence to an exercise programme impacts the outcome of physiotherapy treatment in patients with non-specific low back pain.

Objectives: The aim of this study was to explore the patients' perspectives on long term adherence to such exercise programmes.

Design: This qualitative study was embedded in a randomised controlled trial (RCT) which compared the effectiveness of two types of exercise programme on patients with nonspecific low back pain.

Methods: Answers from 44 participants to three open-ended questions were analysed using thematic analysis.

Results/findings: Patients' perceptions related to the following themes: 1) the role of knowledge in long-term exercise adherence; 2) strategies to support exercise adherence; 3) barriers to exercise adherence 4) the role of perceived effects of exercise.

Conclusions: Adherence to long-term exercise is supported through knowledge of the exercises and correct performance. A self-initiated training strategy is the most successful in the perception of participants. Individually supervised physiotherapy treatment that includes coaching towards strategies for post-treatment long term exercise behaviour is recommended.

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Source
http://dx.doi.org/10.1016/j.msksp.2018.09.002DOI Listing

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