Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy.
- Saner J Institute 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. Electronic address: jeannette.saner@zhaw.ch.
- Bergman EM Zuyderland Academy, Zuyderland Medical Center, Sittard-Geleen & Heerlen, the Netherlands. Electronic address: e.bergman@zuyderland.nl.
- de Bie RA Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Dept. of Epidemiology, Maastricht University, Maastricht, the Netherlands. Electronic address: ra.debie@maastrichtuniversity.nl.
- Sieben JM Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Dept. of Anatomy and Embryology, Maastricht University, Maastricht, the Netherlands. Electronic address: j.sieben@maastrichtuniversity.nl.
- 2018-10-15
Published in:
- Musculoskeletal science & practice. - 2018
Adherence
Exercise therapy
Low back pain
Movement control
Qualitative research
Adult
Aged
Chronic Disease
Exercise Therapy
Female
Home Care Services
Humans
Low Back Pain
Male
Middle Aged
Patient Compliance
Physical Therapy Modalities
Qualitative Research
Self Care
English
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.
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.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1016/j.msksp.2018.09.002
- PMID 30317015
- Persistent URL
- https://sonar.ch/global/documents/146209
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