Efficacy and treatment compliance of a home-based rehabilitation programme for chronic low back pain: A randomized, controlled study

Frih, Z. Ben Salah; Fendri, Y.; Jellad, A.; Boudoukhane, S.; Rejeb, N.

doi:10.1016/j.rehab.2009.04.002

Cited by 46 publications

(36 citation statements)

References 40 publications

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“…Home-based exercise programs are a practical, economic, and long-term effective treatment method for chronic back pain, and are as effective as standard physical treatment methods, indeed even more effective in the long term12, 15,16,17,18 ) . The effects of exercise are a decrease in kinesiophobia, the prevention of recurrence, and a decrease in disability.…”

Section: Discussionmentioning

confidence: 99%

“…Adherence is defined as the overlapping of an individual’s behaviors with the suggestions of medical professionals, and is accepted as the most significant factor in the success of exercise programs; therefore, adherence to exercise programs is crucial6,7,8 ) . Factors specific to the personal characteristics of the patients, the program, and the interaction between patients and professionals are all known to affect adherence9,10,11,12,13 ) .…”

Section: Introductionmentioning

confidence: 99%

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The effectiveness of home-based exercise programs for low back pain patients

Anar

2016

J Phys Ther Sci

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[Purpose] The purpose of this study was to investigate the effectiveness of home-based exercise programs for low back pain (LBP) patients. [Subjects and Methods] The study subjects were 49 volunteer chronic LBP patients. Home-based exercises that had been specifically modified for the individual patients were prescribed for a period of four weeks, and the volunteers were asked to return for a control evaluation at the end of this period. Exercise adherence and correct performance, pain intensity, disability, endurance, and flexibility were compared between pre- and post intervention, and correlations between exercise adherence and correct performance with, pain intensity score, endurance, disability, and flexibility were investigated. [Results] Twenty-eight patients (57.14%) did not return for the control evaluation. The mean age of the patients who participated in this control test was 43.24 ± 10.89 years. The adherence rate of the home exercise program was 54.10 ± 26.01%, and the correctly performed execises score was 2.7 ± 1.9. All of the parameters had improved at the final evaluation; however, there was no correlation among the parameters. [Conclusion] Clinicians should be aware of the patient’s adherence level when recommending home-based exercises, and should also realize that exercises might be performed inaccurately in an unsupervised environment.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The effectiveness of home-based exercise programs for low back pain patients

Anar

2016

J Phys Ther Sci

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“…The latter findings were confirmed by three low RoB studies where no group differences are reported [62,63,66]. One high RoB study [67] reported significant group differences in favour of the control group with no PrT elements. There is low quality evidence (8 RCTs; N = 465 and 122 for shortand long-term respectively; limitations in design and inconsistency) that mPrT is more effective than other exercise interventions on reduction of self-reported pain (short or long-term).…”

Section: Significantmentioning

confidence: 77%

“…Three major directions of PrT were identified. The interventions were described as (1) perceptive PrT (pPrT) where discriminatory perceptive exercises with somatosensory stimuli to the back and joint position sense is practiced [60,61], (2) as multimodal PrT (mPrT) postural control or balance exercises on labile surfaces often combined with other forms of exercise [59,[62][63][64][65][66][67][68][69][70][71][72][73], or as (3) head relocation PrT (rPrT) with head-eye coordination exercise [57,58,74].…”

Section: Interventionsmentioning

confidence: 99%

Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review

et al. 2015

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Background: Proprioceptive training (PrT) is popularly applied as preventive or rehabilitative exercise method in various sports and rehabilitation settings. Its effect on pain and function is only poorly evaluated. The aim of this systematic review was to summarise and analyse the existing data on the effects of PrT on pain alleviation and functional restoration in patients with chronic (≥3 months) neck-or back pain.

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“…However, many LBP sufferers do not adhere to their physiotherapist’s recommendations regarding PA and exercises [9,10]. Poor patient adherence may decrease the effectiveness of PA advice and home-based rehabilitation exercises [11].…”

Section: Introductionmentioning

confidence: 99%

Communication style and exercise compliance in physiotherapy (CONNECT). A cluster randomized controlled trial to test a theory-based intervention to increase chronic low back pain patients’ adherence to physiotherapists’ recommendations: study rationale, design, and methods

Lonsdale

Hall

Williams

et al. 2012

BMC Musculoskelet Disord

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Background Physical activity and exercise therapy are among the accepted clinical rehabilitation guidelines and are recommended self-management strategies for chronic low back pain. However, many back pain sufferers do not adhere to their physiotherapist’s recommendations. Poor patient adherence may decrease the effectiveness of advice and home-based rehabilitation exercises. According to self-determination theory, support from health care practitioners can promote patients’ autonomous motivation and greater long-term behavioral persistence (e.g., adherence to physiotherapists’ recommendations). The aim of this trial is to assess the effect of an intervention designed to increase physiotherapists’ autonomy-supportive communication on low back pain patients’ adherence to physical activity and exercise therapy recommendations. Methods/Design This study will be a single-blinded cluster randomized controlled trial. Outpatient physiotherapy centers ( N =12) in Dublin, Ireland (population = 1.25 million) will be randomly assigned using a computer-generated algorithm to either the experimental or control arm. Physiotherapists in the experimental arm (two hospitals and four primary care clinics) will attend eight hours of communication skills training. Training will include handouts, workbooks, video examples, role-play, and discussion designed to teach physiotherapists how to communicate in a manner that promotes autonomous patient motivation. Physiotherapists in the waitlist control arm (two hospitals and four primary care clinics) will not receive this training. Participants ( N = 292) with chronic low back pain will complete assessments at baseline, as well as 1 week, 4 weeks, 12 weeks, and 24 weeks after their first physiotherapy appointment. Primary outcomes will include adherence to physiotherapy recommendations, as well as low back pain, function, and well-being. Participants will be blinded to treatment allocation, as they will not be told if their physiotherapist has received the communication skills training. Outcome assessors will also be blinded. We will use linear mixed modeling to test between arm differences both in the mean levels and the rates of change of the outcome variables. We will employ structural equation modeling to examine the process of change, including hypothesized mediation effects. Discussion This trial will be the first to test the effect of a self-determination theory-based communication skills training program for physiotherapists on their low back pain patients’ adherence to rehabilitation recommendations. Trial Registration Current Controlled Trials ISRCTN63723433

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Efficacy and treatment compliance of a home-based rehabilitation programme for chronic low back pain: A randomized, controlled study

Abstract: Our results suggest that a home-based rehabilitation programme is as effective as standard physical therapy. However, this type of programme requires patient motivation and regular follow-up.

Cited by 46 publications

References 40 publications

The effectiveness of home-based exercise programs for low back pain patients

The effectiveness of home-based exercise programs for low back pain patients

Effects of proprioceptive exercises on pain and function in chronic neck- and low back pain rehabilitation: a systematic literature review

Communication style and exercise compliance in physiotherapy (CONNECT). A cluster randomized controlled trial to test a theory-based intervention to increase chronic low back pain patients’ adherence to physiotherapists’ recommendations: study rationale, design, and methods

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