Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy

Jeannette Saner; Esther M. Bergman; Rob A. de Bie; Judith M. Sieben

doi:10.1016/j.msksp.2018.09.002

Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy

Jeannette Saner^*, Esther M. Bergman, Rob A. de Bie, Judith M. Sieben

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

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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.

Original language	English
Pages (from-to)	77-82
Number of pages	6
Journal	Musculoskeletal science and practice
Volume	38
DOIs	https://doi.org/10.1016/j.msksp.2018.09.002
Publication status	Published - Dec 2018

Keywords

Exercise therapy
Adherence
Movement control
Low back pain
Qualitative research
SELF-EFFICACY
DISABILITY
INTERVENTIONS
MANAGEMENT
MOVEMENT
THERAPY
PEOPLE
HEALTH

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10.1016/j.msksp.2018.09.002

Full TextFinal published version, 231 KBLicence: Taverne

Cite this

@article{133160cd07ff401792dc88e9f4ddfe57,

title = "Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy",

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.",

keywords = "Exercise therapy, Adherence, Movement control, Low back pain, Qualitative research, SELF-EFFICACY, DISABILITY, INTERVENTIONS, MANAGEMENT, MOVEMENT, THERAPY, PEOPLE, HEALTH",

author = "Jeannette Saner and Bergman, {Esther M.} and {de Bie}, {Rob A.} and Sieben, {Judith M.}",

year = "2018",

month = dec,

doi = "10.1016/j.msksp.2018.09.002",

language = "English",

volume = "38",

pages = "77--82",

journal = "Musculoskeletal science and practice",

issn = "2468-7812",

publisher = "Elsevier Science",

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T1 - Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy

AU - Saner, Jeannette

AU - Bergman, Esther M.

AU - de Bie, Rob A.

AU - Sieben, Judith M.

PY - 2018/12

Y1 - 2018/12

N2 - 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.

AB - 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.

KW - Exercise therapy

KW - Adherence

KW - Movement control

KW - Low back pain

KW - Qualitative research

KW - SELF-EFFICACY

KW - DISABILITY

KW - INTERVENTIONS

KW - MANAGEMENT

KW - MOVEMENT

KW - THERAPY

KW - PEOPLE

KW - HEALTH

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DO - 10.1016/j.msksp.2018.09.002

M3 - Article

SN - 2468-7812

VL - 38

SP - 77

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JO - Musculoskeletal science and practice

JF - Musculoskeletal science and practice

ER -