Jeannette Saner1, Esther M Bergman2, Rob A de Bie3, Judith M Sieben4. 1. Institute of Physiotherapy, School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland; Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands. Electronic address: jeannette.saner@zhaw.ch. 2. Zuyderland Academy, Zuyderland Medical Center, Sittard-Geleen & Heerlen, the Netherlands. Electronic address: e.bergman@zuyderland.nl. 3. Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Dept. of Epidemiology, Maastricht University, Maastricht, the Netherlands. Electronic address: ra.debie@maastrichtuniversity.nl. 4. Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands; Dept. of Anatomy and Embryology, Maastricht University, Maastricht, the Netherlands. Electronic address: j.sieben@maastrichtuniversity.nl.
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.
RCT Entities:
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.
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