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Do Patients Perform Their Exercises at Home and why not ? A Survey on Patient Habits during Rehabilitation Exercises

Year 2016, Volume: 2 Issue: 1, 41 - 46, 01.01.2016
https://doi.org/10.5455/umj.20160210060312

Abstract

Introduction: The aim of this paper is to quantify the participation of patients during at-home exercises and also to understand why patients are not performing these exercises, which are nevertheless a major component of the rehabilitation and find some perspectives to increase patients motivation and participation. Material and method: A self-reporting survey was conducted. 319 patients mean age=42±15 years old, 147 female having experience with the different specialty of physiotherapy participated in this study. The main outcome measure is the percentage of adherence to at-home exercises. Secondary outcomes of measurement are reasons why patients are not performing these exercises and finally what could stimulate them to do it. Results: 29% of the patients reports in a total adherence, 54% are partially adherence and 17% of the patients do not perform any of the recommended exercises. Partially mean that patients only performed 33% of the right amount of repetitions and duration. The total percentage of participation is about 50% of the recommendation of physiotherapists. Lack of time and tedious exercises are the two main reasons why patients do not do these exercises. Conclusion: Guidelines recommend the use of exercises program as a supplement of physiotherapy sessions. However, patient participation and adherence are quite low. Therefore specific solution must be developed to increase patient motivation and in fine the quality of treatment and care.

References

  • Childs JD, Cleland JA, Elliott JM, Teyhen DS, Wainner RS, Whitman JM, Sopky BJ, Godges JJ, Flynn TW. American Physical Therapy Association. Neck pain: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American physical therapy association. J Orthop Sports Phys Ther. 2008; 38: A1–A34.
  • Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, Doherty M, Geenen R, Hammond A, Kjeken I, Lohmander LS, Lund H, Mallen CD, Nava T, Oliver S, Pavelka K, Pitsillidou I, da Silva JA, de la Torre J, Zanoli G, Vliet Vlieland TP. European League Against Rheumatism (EULAR): . EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013; 72(7): 1125– 1135. doi: 10.1136/annrheumdis-2012-202745.
  • Jordan JL, Holden ME, Mason EEJ, Foster NE. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010; 1 CD005956.
  • Holden MA, Haywood KL, Potia TA, Gee M, McLean S. Recommendations for exercise adherence measures in musculoskeletal settings: a systematic review and consensus meeting (protocol). Syst Rev. 2014; 3:10. doi: 10.1186/2046-4053-3-10. Review.
  • Ludwig EG, Adams SD. Patient cooperation in a rehabilitation center: assumption of the client role. J Health Soc Behav. 1996; 9: 328-336
  • Di Fabio RP, Mackey G. Physical therapy outcomes for patients receiving worker's compensation following treatment for herniated lumbar disc and mechanical low back pain syndrome. J Orthop Sports Phys Ther. 1996; 23(3): 180-7.
  • Taylor AH, May S. Threat and coping appraisal as determinants of compliance with sport injury rehabilitation: an application of Protection Motivation Theory. J Sports Sci. 1996; 14(6): 471-82.
  • Almekinders LC, Almekinders SV. Outcome in treatment of chronic overuse sports injuries: a retrospective study. J Orthop Sports Phys Ther. 1994 Mar;19(3):157-61.
  • Van Gool CH, Penninx BW, Kempen GI, Rejeski WJ, Miller GD, van Eijk JT, Pahor M, Messier SP. Effects of exercise adherence on physical function among overweight older adults with knee osteoarthritis. Arthritis Rheum. 2005; 53(1): 24-32.
  • Sluijs EM, Kok GJ, van der Zee J. Correlates of exercise compliance in physical therapy. Phys Ther. 1993; 73(11): 771-82; discussion 783-6.
  • Ice R. Long-term compliance.Phys Ther. 1985;65(2):1832-9.
  • Barton CJ, Lack S, Hemmings S, Tufail S, Morrissey D. The 'Best Practice Guide to Conservative Management of Patellofemoral Pain': incorporating level 1 evidence with expert clinical reasoning. Br J Sports Med. 2015 Feb 25. pii: bjsports-2014-093637.
  • Celinder D, Peoples H. Stroke patients' experiences with Wii Sports® during inpatient rehabilitation. Scand J Occup Ther. 2012; 19(5): 457-63.
  • Jannink MJ, van der Wilden GJ, Navis DW, Visser G, Gussinklo J, Ijzerman M. A low-cost video game applied for training of upper extremity function in children with cerebral palsy: a pilot study. Cyberpsychol Behav. 2008; 11(1): 27-32.
  • Chan TC, Chan F, Shea YF, Lin OY, Luk JK, Chan FH. Interactive virtual reality Wii in geriatric day hospital: a study to assess its feasibility, acceptability and efficacy. Geriatr Gerontol Int. 2012; 12(4): 714-21.
  • Aitken D, Buchbinder R, Jones G, Winzenberg T. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Aust Fam Physician. 2015; 44(1): 39-42.
Year 2016, Volume: 2 Issue: 1, 41 - 46, 01.01.2016
https://doi.org/10.5455/umj.20160210060312

Abstract

References

  • Childs JD, Cleland JA, Elliott JM, Teyhen DS, Wainner RS, Whitman JM, Sopky BJ, Godges JJ, Flynn TW. American Physical Therapy Association. Neck pain: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American physical therapy association. J Orthop Sports Phys Ther. 2008; 38: A1–A34.
  • Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, Doherty M, Geenen R, Hammond A, Kjeken I, Lohmander LS, Lund H, Mallen CD, Nava T, Oliver S, Pavelka K, Pitsillidou I, da Silva JA, de la Torre J, Zanoli G, Vliet Vlieland TP. European League Against Rheumatism (EULAR): . EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis. 2013; 72(7): 1125– 1135. doi: 10.1136/annrheumdis-2012-202745.
  • Jordan JL, Holden ME, Mason EEJ, Foster NE. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010; 1 CD005956.
  • Holden MA, Haywood KL, Potia TA, Gee M, McLean S. Recommendations for exercise adherence measures in musculoskeletal settings: a systematic review and consensus meeting (protocol). Syst Rev. 2014; 3:10. doi: 10.1186/2046-4053-3-10. Review.
  • Ludwig EG, Adams SD. Patient cooperation in a rehabilitation center: assumption of the client role. J Health Soc Behav. 1996; 9: 328-336
  • Di Fabio RP, Mackey G. Physical therapy outcomes for patients receiving worker's compensation following treatment for herniated lumbar disc and mechanical low back pain syndrome. J Orthop Sports Phys Ther. 1996; 23(3): 180-7.
  • Taylor AH, May S. Threat and coping appraisal as determinants of compliance with sport injury rehabilitation: an application of Protection Motivation Theory. J Sports Sci. 1996; 14(6): 471-82.
  • Almekinders LC, Almekinders SV. Outcome in treatment of chronic overuse sports injuries: a retrospective study. J Orthop Sports Phys Ther. 1994 Mar;19(3):157-61.
  • Van Gool CH, Penninx BW, Kempen GI, Rejeski WJ, Miller GD, van Eijk JT, Pahor M, Messier SP. Effects of exercise adherence on physical function among overweight older adults with knee osteoarthritis. Arthritis Rheum. 2005; 53(1): 24-32.
  • Sluijs EM, Kok GJ, van der Zee J. Correlates of exercise compliance in physical therapy. Phys Ther. 1993; 73(11): 771-82; discussion 783-6.
  • Ice R. Long-term compliance.Phys Ther. 1985;65(2):1832-9.
  • Barton CJ, Lack S, Hemmings S, Tufail S, Morrissey D. The 'Best Practice Guide to Conservative Management of Patellofemoral Pain': incorporating level 1 evidence with expert clinical reasoning. Br J Sports Med. 2015 Feb 25. pii: bjsports-2014-093637.
  • Celinder D, Peoples H. Stroke patients' experiences with Wii Sports® during inpatient rehabilitation. Scand J Occup Ther. 2012; 19(5): 457-63.
  • Jannink MJ, van der Wilden GJ, Navis DW, Visser G, Gussinklo J, Ijzerman M. A low-cost video game applied for training of upper extremity function in children with cerebral palsy: a pilot study. Cyberpsychol Behav. 2008; 11(1): 27-32.
  • Chan TC, Chan F, Shea YF, Lin OY, Luk JK, Chan FH. Interactive virtual reality Wii in geriatric day hospital: a study to assess its feasibility, acceptability and efficacy. Geriatr Gerontol Int. 2012; 12(4): 714-21.
  • Aitken D, Buchbinder R, Jones G, Winzenberg T. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Aust Fam Physician. 2015; 44(1): 39-42.
There are 16 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Bruno Bonnechere This is me

Bart Jansen This is me

Lubos Omelina This is me

Serge Van Sint Jan This is me

Publication Date January 1, 2016
Published in Issue Year 2016 Volume: 2 Issue: 1

Cite

Vancouver Bonnechere B, Jansen B, Omelina L, Jan SVS. Do Patients Perform Their Exercises at Home and why not ? A Survey on Patient Habits during Rehabilitation Exercises. ULUTAS MED J. 2016;2(1):41-6.