Adherence to home-based exercises and/or activity advice in low back pain patients: a systematic review

Ben van Koppen; Pim Zandwijk; Jurryt de Vries; Henk van Mameren; Rob de Bie

doi:10.1080/21679169.2020.1846783

Adherence to home-based exercises and/or activity advice in low back pain patients: a systematic review

Ben van Koppen^*
, Pim Zandwijk
, Jurryt de Vries
, Henk van Mameren
, Rob de Bie

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

Background: Poor adherence to treatment is a worldwide problem and is also recognised in managing low back pain (LBP).

Objective: This review aims to evaluate the rate of adhering to physical activity advice.

Data sources: A systematic review was conducted by searching 12 databases from January 2000 to December 2019.

Study selection: Studies were eligible when assessing LBP patients' adherence to activity advice.

Data extraction: Key data extracted related to adherence to home-based exercise and/or physical activity advice given to patients over 18 who suffer from non-specific LBP.

Data synthesis: After screening, 28 studies (out of 1171) were eligible for analysis. Given the studies' outcomes, a qualitative summary was created.

Results: Adherence rates varied from 8% to 91%. Bias was likely in three out of 18 randomised trials. Outcomes of the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies ranged from 5 to 11 positive scores out of 14.

Limitations: Variability in describing activity advice, the use of different types of outcomes and the use of subjective measurement tools compromised the outcomes of this review.

Conclusions: The proportion of fully adhering patients is unclear. Therefore, more objective and uniform assessment tools are needed to assess adherence in future studies.

Original language	English
Pages (from-to)	227-242
Number of pages	16
Journal	European Journal of Physiotherapy
Volume	24
Issue number	4
Early online date	13 Nov 2020
DOIs	https://doi.org/10.1080/21679169.2020.1846783
Publication status	Published - 4 Jul 2022

Keywords

Musculoskeletal (back pain)
primary care
systematic review
adherence
exercise
PROGRAM
REHABILITATION
GUIDELINES
WALKING
MANAGEMENT
OUTCOMES
THERAPY
QUALITY
PEOPLE

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10.1080/21679169.2020.1846783

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title = "Adherence to home-based exercises and/or activity advice in low back pain patients: a systematic review",

abstract = "Background: Poor adherence to treatment is a worldwide problem and is also recognised in managing low back pain (LBP).Objective: This review aims to evaluate the rate of adhering to physical activity advice.Data sources: A systematic review was conducted by searching 12 databases from January 2000 to December 2019.Study selection: Studies were eligible when assessing LBP patients' adherence to activity advice.Data extraction: Key data extracted related to adherence to home-based exercise and/or physical activity advice given to patients over 18 who suffer from non-specific LBP.Data synthesis: After screening, 28 studies (out of 1171) were eligible for analysis. Given the studies' outcomes, a qualitative summary was created.Results: Adherence rates varied from 8\% to 91\%. Bias was likely in three out of 18 randomised trials. Outcomes of the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies ranged from 5 to 11 positive scores out of 14.Limitations: Variability in describing activity advice, the use of different types of outcomes and the use of subjective measurement tools compromised the outcomes of this review.Conclusions: The proportion of fully adhering patients is unclear. Therefore, more objective and uniform assessment tools are needed to assess adherence in future studies.",

keywords = "Musculoskeletal (back pain), primary care, systematic review, adherence, exercise, PROGRAM, REHABILITATION, GUIDELINES, WALKING, MANAGEMENT, OUTCOMES, THERAPY, QUALITY, PEOPLE",

author = "\{van Koppen\}, Ben and Pim Zandwijk and \{de Vries\}, Jurryt and \{van Mameren\}, Henk and \{de Bie\}, Rob",

note = "Funding Information: The authors thank Mark van Velzen for the risk of bias and clinical relevance assessment of {\textquoteleft}Patients{\textquoteright} adherence to a walking program for non-specific low back pain{\textquoteright} [39]. For translating two of the included articles, the authors thank Bart Vanthillo and Helena Boogaard Santeliz. Publisher Copyright: {\textcopyright} 2020 Informa UK Limited, trading as Taylor \& Francis Group.",

year = "2022",

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doi = "10.1080/21679169.2020.1846783",

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journal = "European Journal of Physiotherapy",

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T1 - Adherence to home-based exercises and/or activity advice in low back pain patients

T2 - a systematic review

AU - van Koppen, Ben

AU - Zandwijk, Pim

AU - de Vries, Jurryt

AU - van Mameren, Henk

AU - de Bie, Rob

N1 - Funding Information: The authors thank Mark van Velzen for the risk of bias and clinical relevance assessment of ‘Patients’ adherence to a walking program for non-specific low back pain’ [39]. For translating two of the included articles, the authors thank Bart Vanthillo and Helena Boogaard Santeliz. Publisher Copyright: © 2020 Informa UK Limited, trading as Taylor & Francis Group.

PY - 2022/7/4

Y1 - 2022/7/4

N2 - Background: Poor adherence to treatment is a worldwide problem and is also recognised in managing low back pain (LBP).Objective: This review aims to evaluate the rate of adhering to physical activity advice.Data sources: A systematic review was conducted by searching 12 databases from January 2000 to December 2019.Study selection: Studies were eligible when assessing LBP patients' adherence to activity advice.Data extraction: Key data extracted related to adherence to home-based exercise and/or physical activity advice given to patients over 18 who suffer from non-specific LBP.Data synthesis: After screening, 28 studies (out of 1171) were eligible for analysis. Given the studies' outcomes, a qualitative summary was created.Results: Adherence rates varied from 8% to 91%. Bias was likely in three out of 18 randomised trials. Outcomes of the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies ranged from 5 to 11 positive scores out of 14.Limitations: Variability in describing activity advice, the use of different types of outcomes and the use of subjective measurement tools compromised the outcomes of this review.Conclusions: The proportion of fully adhering patients is unclear. Therefore, more objective and uniform assessment tools are needed to assess adherence in future studies.

AB - Background: Poor adherence to treatment is a worldwide problem and is also recognised in managing low back pain (LBP).Objective: This review aims to evaluate the rate of adhering to physical activity advice.Data sources: A systematic review was conducted by searching 12 databases from January 2000 to December 2019.Study selection: Studies were eligible when assessing LBP patients' adherence to activity advice.Data extraction: Key data extracted related to adherence to home-based exercise and/or physical activity advice given to patients over 18 who suffer from non-specific LBP.Data synthesis: After screening, 28 studies (out of 1171) were eligible for analysis. Given the studies' outcomes, a qualitative summary was created.Results: Adherence rates varied from 8% to 91%. Bias was likely in three out of 18 randomised trials. Outcomes of the Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies ranged from 5 to 11 positive scores out of 14.Limitations: Variability in describing activity advice, the use of different types of outcomes and the use of subjective measurement tools compromised the outcomes of this review.Conclusions: The proportion of fully adhering patients is unclear. Therefore, more objective and uniform assessment tools are needed to assess adherence in future studies.

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KW - primary care

KW - systematic review

KW - adherence

KW - exercise

KW - PROGRAM

KW - REHABILITATION

KW - GUIDELINES

KW - WALKING

KW - MANAGEMENT

KW - OUTCOMES

KW - THERAPY

KW - QUALITY

KW - PEOPLE

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DO - 10.1080/21679169.2020.1846783

M3 - (Systematic) Review article

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SP - 227

EP - 242

JO - European Journal of Physiotherapy

JF - European Journal of Physiotherapy

IS - 4

ER -

Adherence to home-based exercises and/or activity advice in low back pain patients: a systematic review

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