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Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy.
Musculoskeletal Science & Practice 2018 December
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.
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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