|Title:||Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy|
|Authors :||Saner-Bissig, Jeannette|
Bergman, Esther M.
de Bie, Rob A.
Sieben, Judith M.
|Published in :||Musculoskeletal science & practice|
|Publisher / Ed. Institution :||Elsevier|
|License (according to publishing contract) :||Not specified|
|Type of review:||Peer review (publication)|
|Subject (DDC) :||615.82: Physical therapy |
617.5: Orthopaedic surgery
|Abstract:||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.|
|Organisational Unit:||Institute of Physiotherapy (IPT)|
|Publication type:||Article in scientific journal|
|Appears in Collections:||Publikationen Gesundheit|
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