Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-28082
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Strategies to facilitate and tools to measure non-specific low back pain patients‘ adherence to physiotherapy : a two-stage systematic review
Authors: Alt, A.
Luomajoki, H.
Lüdtke, K.
et. al: No
DOI: 10.1016/j.jbmt.2023.04.060
10.21256/zhaw-28082
Published in: Journal of Bodywork and Movement Therapies
Volume(Issue): 35
Page(s): 208
Pages to: 219
Issue Date: 2023
Publisher / Ed. Institution: Elsevier
ISSN: 1360-8592
1532-9283
Language: English
Subjects: Low back pain; Physiotherapy; Adherence; Systematic Review
Subject (DDC): 615.82: Physical therapy
617.5: Orthopaedic surgery
Abstract: Background: Sustainable management for non-specific low back pain relies on adherence. This requires effective strategies to facilitate but also tools to measure adherence to physiotherapy. Objective: This two-stage systematic review aims to identify (1) tools to measure non-specific back pain patients’ adherence to physiotherapy and (2) the most effective strategy to facilitate patients’ adherence to physiotherapy. Method: PubMed, Cochrane, PEDro, and Web of Science were searched for English language studies measuring adherence in adults with low back pain. Following PRISMA recommendations, scoping review methods were used to identify measurement tools (stage 1). The effectiveness of interventions (stage 2), followed a predefined systematic search strategy. Two independent reviewers selected eligible studies (software Rayyan), analyzed these for risk of bias using the Downs and Black checklist. Data relevant to assess adherence were collected in a predesigned data extraction table. Results were heterogeneous and hence summarized narratively. Results: Twenty-one studies were included for stage 1 and 16 for stage 2. Identified were 6 different tools to measure adherence. The most used tool was an exercise diary; the most common more multidimensional tool was the Sports Injury Rehabilitation Adherence Scale. Most included studies were not designed to improve or measure adherence but used adherence as a secondary outcome for new exercise programs. The most promising strategies for facilitating adherence were based on cognitive behavioral principles. Conclusion: Future studies should focus on the development of multidimensional strategies to facilitate adherence to physiotherapy and appropriate tools to measure all aspects of adherence.
URI: https://digitalcollection.zhaw.ch/handle/11475/28082
Fulltext version: Accepted version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Restricted until: 2024-07-01
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Appears in collections:Publikationen Gesundheit

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Alt, A., Luomajoki, H., & Lüdtke, K. (2023). Strategies to facilitate and tools to measure non-specific low back pain patients‘ adherence to physiotherapy : a two-stage systematic review. Journal of Bodywork and Movement Therapies, 35, 208–219. https://doi.org/10.1016/j.jbmt.2023.04.060
Alt, A., Luomajoki, H. and Lüdtke, K. (2023) ‘Strategies to facilitate and tools to measure non-specific low back pain patients‘ adherence to physiotherapy : a two-stage systematic review’, Journal of Bodywork and Movement Therapies, 35, pp. 208–219. Available at: https://doi.org/10.1016/j.jbmt.2023.04.060.
A. Alt, H. Luomajoki, and K. Lüdtke, “Strategies to facilitate and tools to measure non-specific low back pain patients‘ adherence to physiotherapy : a two-stage systematic review,” Journal of Bodywork and Movement Therapies, vol. 35, pp. 208–219, 2023, doi: 10.1016/j.jbmt.2023.04.060.
ALT, A., H. LUOMAJOKI und K. LÜDTKE, 2023. Strategies to facilitate and tools to measure non-specific low back pain patients‘ adherence to physiotherapy : a two-stage systematic review. Journal of Bodywork and Movement Therapies. 2023. Bd. 35, S. 208–219. DOI 10.1016/j.jbmt.2023.04.060
Alt, A., H. Luomajoki, and K. Lüdtke. 2023. “Strategies to Facilitate and Tools to Measure Non-Specific Low Back Pain Patients‘ Adherence to Physiotherapy : A Two-Stage Systematic Review.” Journal of Bodywork and Movement Therapies 35: 208–19. https://doi.org/10.1016/j.jbmt.2023.04.060.
Alt, A., et al. “Strategies to Facilitate and Tools to Measure Non-Specific Low Back Pain Patients‘ Adherence to Physiotherapy : A Two-Stage Systematic Review.” Journal of Bodywork and Movement Therapies, vol. 35, 2023, pp. 208–19, https://doi.org/10.1016/j.jbmt.2023.04.060.


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