Adherence to home-based exercise therapy in adults with non-specific chronic low back pain: a cross-sectional study of 491 participants of the ComPaRE cLBP e-cohort (ADHERE II).
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引用次数: 0
Abstract
Background: Exercise therapy is part of the core treatment of non-specific chronic low back pain (cLBP) and is usually first delivered under the supervision of a health care provider, then home-based. Adherence to home-based exercise therapy is a key contributor to clinical response. However, reproducible standardized measure of adherence is lacking and determinants of adherence, especially the role of supervision, have not been fully explored. We aimed: 1/ to report adherence to exercise therapy in adults with non-specific cLBP, 2/ to assess whether supervision could influence adherence, and 3/ to identify contributors to adherence.
Methods: We assessed adherence to exercise therapy in a sample of participants from the ComPaRe cLBP French e-cohort using the Exercise Adherence Rating Scale (EARS). Adherence to home-based exercise therapy was defined as a score ≥ 3/4 on the first item of the EARS. We compared modalities of supervision between adherent and non-adherent participants. Finally, we performed logistic regression to identify independent contributors to adherence.
Findings: Overall, 491 adults with non-specific cLBP were included in the analysis. Adherence to home-based exercise therapy was 45%. Bivariate analysis showed that adherent participants more often received supervised sessions within the last 6 months. Multivariate analysis showed that higher levels of physical activity before the onset of cLBP, lower intensity of cLBP and lower burden of treatment were associated with a higher adherence to home-based exercise therapy (odds ratio [95% confidence interval]: 2.66 [1.77; 4.00], 1.01 [1.00; 1.02] and 0.95 [0.94; 0.96], respectively).
Conclusions: We found that 45% of adults with non-specific cLBP were adherent to home-based exercise therapy. We were unable to demonstrate a significant influence of supervision on adherence.
期刊介绍：
"European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts.
Official publication of EUROSPINE, The Spine Society of Europe
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