Related Experiment Videos
Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy
Jeannette Saner1, Esther M Bergman2, Rob A de Bie3
1Institute of Physiotherapy, School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland; Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands.
Musculoskeletal Science & Practice
|October 15, 2018
Summary
Patient knowledge and self-initiated strategies are key for long-term adherence to physiotherapy exercise programs for low back pain. Effective treatment includes coaching for sustained exercise behavior post-therapy.
Area of Science:
- Rehabilitation Science
- Physical Therapy
- Patient-Reported Outcomes
Background:
- Exercise adherence significantly influences physiotherapy outcomes for non-specific low back pain.
- Understanding patient perspectives is crucial for optimizing long-term exercise engagement.
Purpose of the Study:
- To explore patient perspectives on long-term adherence to prescribed exercise programs.
- To identify factors influencing sustained engagement with physiotherapy exercises for low back pain.
Main Methods:
- Qualitative study embedded within a randomized controlled trial (RCT) for non-specific low back pain.
- Thematic analysis of open-ended question responses from 44 participants.
Main Results:
- Knowledge of exercises and correct performance are vital for long-term adherence.
- Self-initiated training strategies are perceived as most successful by patients.
- Perceived exercise effects and identified barriers also influence adherence.
Conclusions:
- Long-term exercise adherence is facilitated by comprehensive knowledge and correct execution.
- Self-directed exercise strategies are highly valued by patients.
- Physiotherapy should incorporate coaching for sustained post-treatment exercise behavior.