Exercise therapy compliance in acute low back pain patients

Schneiders, Anthony G.; Zusman, Max; Singer, Kevin

doi:10.1016/s1356-689x(98)80005-2

Cited by 77 publications

(53 citation statements)

References 22 publications

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“…However, physiotherapists do attempt to provide motivation and support for patients through the handouts which they provide to their patients. The effectiveness of this medium to support the demonstration of exercises by the physiotherapist and increase patient compliance, was confirmed in a randomised controlled trial by Schneiders et al (1998).…”

Section: Discussionmentioning

confidence: 83%

“…Lower back pain (LBP) is a common problem resulting in health, social and economic implications in the western world (Staal et al 2002, Schneiders et al 1998, Underwood and Morgan 1998. The ensuing differing degrees of disability can lead to physical, psychological, economic and social implications for the individual (Wheeler and Hanley 1995).…”

Section: Introductionmentioning

confidence: 99%

“…A wide variety of therapeutic treatment methods are available for LBP, however not enough is known about the optimal treatment strategy (Annamalai 1999, Schneiders et al 1998, Tulder et al 1997. Thus while the evidence for the effectiveness of many of these methods is limited, research suggests the need for a more dynamic approach towards progressive activity and exercises (Annamalai 1999, Frost et al 1995.…”

Section: Introductionmentioning

confidence: 99%

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Private practitioners`use of exercise therapy in lower back pain

Strydom

Faure

Bester

2005

South African Journal of Physiotherapy

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Section: Discussionmentioning

confidence: 83%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Private practitioners`use of exercise therapy in lower back pain

Strydom

Faure

Bester

2005

South African Journal of Physiotherapy

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“…Greater patient compliance to exercise prescription can create beneficial possibilities to not only the patient but also the community, with potential savings in treatment costs, and reduction of avoidable morbidity and unwanted side effects. 1 Research has demonstrated a positive relationship between the level of adherence to exercise programs and recovery from a variety of musculoskeletal conditions. [2][3][4][5] It has also been reported that non-compliance to home-based exercise programs reduces the probability of successful outcome for therapeutic intervention.…”

mentioning

confidence: 99%

“…1 Motivation, the influence that compels a person to pursue a physically demanding activity, can be divided into intrinsic and extrinsic motivation.…”

mentioning

confidence: 99%

Patient compliance to exercise prescription at the Victoria University Osteopathic Medicine Clinic

Wheller

Gosling

Herman

2006

International Journal of Osteopathic Medicine

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Research has demonstrated a positive relationship between the level of adherence to PRA and recovery from a variety of musculoskeletal conditions, and has shown noncompliance to home-based exercise programs reduces the probability of successful outcome for therapeutic intervention. No previous research has focused on compliance to prescription and methods of prescription used in the osteopathic medicine setting.Objectives: To establish compliance rates at Victoria University Osteopathic Medicine Clinic (VUOMC) to prescribed home-exercises and to assess current practitioner prescription methods at VUOMC.Design: Prospective survey study. Methods:Over a 5 week period, all consenting return patients of VUOMC were surveyed (N = 94) prior to the commencement of their return treatment visit on their adherence to exercises prescribed at the previous treatment using a tool developed by the researchers. Compliance of patients was calculated by comparing the participants' survey markings of prescription, to those recordings of the prescription made by the treating 4 th and 5 th year student practitioners in the participants' case file.Results: Sixty-seven percent of return patients were prescribed PRA and 33% were not. Total compliance rate to PRA was 55(59%) of respondents, with 39(41%) noncompliant. When combining prescription methods into broader categories, Diagrams were used in 15% of cases to instruct patients in PRA compared to Verbal instruction in 80% of cases. Verbal instruction had a total compliance of 41(56%) and non- Research has demonstrated a positive relationship between the level of adherence to exercise programs and recovery from a variety of musculoskeletal conditions. 2-5 It has also been reported that non-compliance to home-based exercise programs reduces the probability of successful outcome for therapeutic intervention. 3 Despite the positive results shown with adherence to PRA, compliance to practitioner prescribed exercise is low, with a 40-50% dropout rate in the first six months. 4 Therefore, as the need for PRA grows, it is important for practitioners to understand which method of prescription will gain them the greatest amount of patient compliance, and in turn increase speed of patient recovery.Numerous factors affect compliance, the degree to which the advice of a health professional is addressed and followed, 4 with several terms (compliance, motivation, adherence and non-compliance) having overlapping boundaries. Compliance can be described as both an attitude, consisting of the willingness or intent to follow the health prescription, or a behaviour that involves the actual carrying out of the prescription. 1 Non-compliance includes reluctance and behaviour characterised by

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Do behaviour change techniques increase adherence to home exercises in those with upper extremity musculoskeletal disorders? A systematic review

Thacker

Bosello

Ridehalgh

2020

Musculoskeletal Care

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Objectives: To investigate whether behaviour change techniques (BCTs) can influence adherence to home exercise in people with upper extremity musculoskeletal disorders (UEMD). Design:A systematic review of randomised control trials, non-randomised control trials, case-control studies and cohort studies. Results were presented narratively.Participants were those with UEMD. The intervention was any home exercise programme, alongside a BCT designed to increase exercise adherence. Any duration of intervention was accepted. The main outcome sought was adherence to home exercise. A systematic search was performed on four online databases. Grey literature was searched. Results:The search resulted in 28,755 titles. 77 full-text articles were assessed for eligibility. Six studies were included in the qualitative synthesis. Four studies had Some Concern of Bias, whilst two studies had High Risk of Bias. Three studies found statistically significant differences in exercise adherence (p < 0.05) between the Intervention group and Control group. The BCT 'Social Support (unspecified)' was used within all studies that found significant differences in adherence levels at outcome. However, multiple BCTs were received by the Intervention groups within all studies, making it impossible to identify the effects of any single BCT upon adherence levels. Conclusion:Social support may be relevant in patients' adherence levels to HEPs. However, confidence in the results is uncertain given the small number of studies found, and their High RoB. Future studies should validate their measurement and definition of adherence, as well as the number of BCTs they use, to provide reproducible evidence.

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Exercise therapy compliance in acute low back pain patients

Cited by 77 publications

References 22 publications

Private practitioners`use of exercise therapy in lower back pain

Private practitioners`use of exercise therapy in lower back pain

Patient compliance to exercise prescription at the Victoria University Osteopathic Medicine Clinic

Do behaviour change techniques increase adherence to home exercises in those with upper extremity musculoskeletal disorders? A systematic review

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