Yıl: 2020 Cilt: 7 Sayı: 3 Sayfa Aralığı: 369 - 380 Metin Dili: İngilizce DOI: 10.21020/husbfd.739667 İndeks Tarihi: 29-07-2022

Adherence to Home Exercise Program in Patients with Low Back Pain

Öz:
Objectives: The purpose of this study was to evaluate the exercise adherence of the patients according to recommended home exercice program and to determine which exercises were performed more accurately. Materail and Method: 121 consecutive patients who applied to the Physical Medicine and Rehabilitation Department of Hacettepe University Hospital due to low back pain and who were recommended home exercise program were included in the study. The flexion and extension exercises were given. On the 10th day following the introduction of the home program, the patients were invited for first control to assess the accuracy of the practice of the exercises. The accuracy of each exercise was analyzed by the physiotherapists (Likert type scoring system from 0 to 4). After 1 month, the patients were called for the second check of the correctness of the application of exercises. The same assessment was repeated. Findings: While the number of patients was 121 at the beginning, the number of patients in the first control decreased to 73, the number of patients in the second control decreased to 21 after 1 month. A statistically significant increase was found for only isometric strenghtening exercises in terms of the difference in accurate application of exercises between second and first assesstments (p <0.05). Conclusion: It is thought that it would be beneficial to carry out further studies to examine effects of combined interventions to ensure adherence to home exercise program.
Anahtar Kelime: patient adherence exercise

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Airaksinen, O., Brox, J.I., Cedraschi, C., et al.(2006). European guidelines for the management of chronic nonspecific low back pain. Eur Spine J, 15 (Suppl. 2), 192-300.
  • Baxter, G.D., & Gracey, J.H. (2004). Exercise and chronic low back pain: what works? Pain,107, 176-190.
  • Bronfort, G., Maiers, M.J., Evans, R.L., Schulz, C.A., Bracha, Y., Svendsen, K.H., et al. (2011). Supervised exercise, spinal manipulation, and home exercise for chronic low back pain: a randomized clinical trial. Spine J,11, 585-98. [PMID: 21622028] doi:10.1016/j.spinee.2011.01.036
  • Buchner, M., Zahlten-Hinguranage, A., Schiltenwolf, M., & Neubauer, E. (2006). Therapy outcome after multidisciplinary treatment for chronic neck and chronic low back pain: A prospective clinical study in 365 patients. Scandinavian Journal of Rheumatology, 35(5), 363–367.
  • Cairns, M.C., Foster, N.E., &Wright, C. (2006). Randomized controlled trial of specific spinal stabilization exercises and conventional physiotherapy for recurrent low back pain. Spine, 31 (19), E670-81.
  • Chan, C.W., Mok, N.W., &Yeung, E.W.(2011). Aerobic exercise training in addition to conventional physiotherapy for chronic low back pain: A randomized controlled trial. Arch Phys Med Rehabil,92, 1681–1685.
  • Chatzitheodorou, D., Kabitsis, C., Malliou, P., &Mougios, V. (2007). A pilot study of the effects of high-intensity aerobic exercise versus passive interventions on pain, disability, psychological strain, and serum cortisol concentrations in people with chronic low back pain. Physical Therapy, 87, 304–312.
  • Chatzitheodorou, D., Mavromoustakos, S., &Milioti, S. (2008). The effect of exercise on adrenocortical responsiveness of patients with chronic low back pain, controlled for psychological strain. Clin Rehabil, 22, 319–328.
  • Coşkun, G., &Can, F. (2012). Kronik bel ağrısında dinamik ve statik stabilizasyon egzersizlerinin ağrı ve fonksiyonel düzeye etkileri. Fizyoterapi ve Rehabilitasyon, 23(2),65-72.
  • Çetin, A., Ozdemir, O., Haghari, F.S., &Taşoğlu, O. (2012). The Impact of Physical therapy programs on pain and quality of life. Turkish Journal of Physical Medicine and Rehabilitation,58, 99- 102.
  • Deyo, R.A., & Weinstein, J. (2001). Low back pain. N Engl J Med, 344, 363–70.
  • Frost, H., Lamb, S., &Shackleton, C.H. (2000). A functional restoration programme for chronic low back pain: a prospective outcome study. Physiotherapy, 86, 285–93.
  • Gilgil E, Kaçar C, Bütün B, Tuncer T, Urhan S, Yildirim C, et al. (2005). Prevalence of low back pain in a developing urban setting. Spine, 30,1093-8.
  • Goldby, L. J., Moore , A.P., & Doust, J., et al. (2006). A randomized controlled trial investigating the efficacy of musculoskeletal physiotherapy on chronic low back disorder. Spine, 31(10), 1083- 93.
  • Henschke, N., Maher, C.G., Refshauge, K.M., et al. (2008). Prognosis in patients with recent onset low back pain in Australian primary care: inception cohort study. Br Med J, 337, 154-157.
  • Holmberg A.C., &Thelin, A.G. (2006). Primary care consultation, hospital admission, sick leave and disability pension owing to neck and low back pain: a 12-year prospective cohort in a rural population. BMC Musculoskelet Disord, 7, 66-84.
  • Hayden, J.A., van Tulder, M.W., &Tomlinson, G. (2005). Systematic review: strategies for using exercise therapy to improve outcomes in chronic low back pain. Ann Intern Med,142, 776– 785.
  • Hayden, J.A., van Tulder, M.W., Malmivaara, A., Koes, B.W. (2006). Exercise therapy for treatment of non-specific low back pain. The Cochrane Library. Chichester, UK: John Wiley & Sons, Ltd.
  • Hoy, D., March, L., Brooks, P., Woolf, A., Blyth, F., Vos, T., et al.(2010). Measuring the global burden of low back pain. Best Pract Res Clin Rheumatol, 24, 155-65.
  • Kolt, G.S, Brewer, B.W., Pizzari, T., Schoo, A.M.M., &Garrett, N. (2007). The sport injury rehabilitation adherence scale: a reliable scale for use in clinical physiotherapy. Physiotherapy,93, 17–22.
  • Luque-Suárez, A., Díaz-Mohedo, E., Medina-Porqueres, I., &. Ponce-García, T. (2012). Stabilization Exercise for the Management of Low Back Pain. Low Back Pain. In: Dr. Ali Asghar Norasteh (Ed.). ISBN: 978-953-51-0599- 2, InTech, Available from: http://www.intechopen.com/books/low-back-pain/exercise-therapy-for-themanagement-oflow-back-pain
  • Lundell, L.M. (2015). Adherence to self-directed home-exercises in patients with non-specific low back pain: the relationship with readiness to change (Master thesis). Physiotherapy Sciences Program in Clinical Health Sciences Utrecht University, Holland.
  • Mannion,A.F., Balague,F., Pellise,F., Cedraschi,C. (2007). Pain Measurement in Patients with Low Back Pain. Natural Clinical Practice Rheumatology,3(11),610-618.
  • Nachemson, A. (2004). Exciting findings interpreted differently: “Back pain” can be related to central hyperexcitability. Lakartidningen,101, 2439-2440.
  • Ogon, M., Krismer, M., Söllner, W., Kantner-Rumplmair, W., & Lampe, A. (1996). Chronic low back pain measurement with visual analogue scales in different settings. Pain, 64, 425-8.
  • Otman AS, Demirel H, Sade A. (2003). Tedavi Hareketlerinde Temel Değerlendirme Prensipleri. Ankara: Prizma. 3. Baskı
  • Oksuz E. (2006). Prevalence, risk factors, and preference-based health states of low back pain in a Turkish population. Spine, 31, 968-72.
  • Owen, P.J., Miller, C.T., Mundell, N.L., et al.(2019). Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. British Journal of Sports Medicine, Published Online First: 30 October 2019. doi: 10.1136/bjsports-2019-100886.
  • Richards, E., van Kessel, G., Virgara, R., & Harris, P. (2012). Does antenatal physical therapy for pregnant women with low back pain or pelvic pain improve functional outcomes? A systematic review. Acta Obstetricia et Gynecologica Scandinavica, 91(9), 1038–1045.
  • Saner, J., Bergman, E. M., Bie, E. A., Sieben, J. M.(2018). Low back pain patients' perspectives on long-term adherence to home-based exercise programmes in physiotherapy. Musculoskeletal Science and Practice, 38,77-82.
  • Slade, S.C., Keating J.L. (2009). Effects of preferred-exercise prescription compared to usual exercise prescription on outcomes for people with non-specific low back pain: a randomized controlled trial [ACTRN12608000524392]. BMC Musculoskelet Disord, 10, 14. doi: 10.1186/1471- 2474-10-14
  • Shiri, R., Coggon, D., Falah-Hassani, K. (2018). Exercise for the prevention of low back pain: systematic review and meta-analysis of controlled trials. Am J Epidemiol, 187(5), 1093–1101. doi: 10.1093/aje/kwx337.
  • Shnayderman, I., &Katz-Leurer, M. (2013). An aerobic walking programme versus muscle strengthening programme for chronic low back pain: A randomized controlled trial. Clin Rehabil, 27, 207–214.
  • Stanton, T.R., Henschke, N., Maher, C.G., et al. (2008). After an episode of acute low back pain, recurrence is unpredictable and not as common as previously thought. Spine (Phila Pa 1976), 33, 2923-2928.
  • Steffens, D., Maher C. G., Pereira, L.S., et al. (2016). Prevention of low back pain: a systematic review and meta-analysis. JAMA Intern Med, 176,199–208. doi: 10.1001/jamainternmed.2015.7431.
  • Van Koppen, L.H., Zandwijk, P.J.J., Van Mameren, H., Mesters, I., Winkens, B., &De Bie, R.A. (2016). Patients’ adherence to a walking programme for non-specific low back pain. European Journal of Physiotherapy, 18, 103-115.
APA ALTUNTAŞ O, ÜNLÜER N, Özdemir O, Karahan S, Yakut Y (2020). Adherence to Home Exercise Program in Patients with Low Back Pain. , 369 - 380. 10.21020/husbfd.739667
Chicago ALTUNTAŞ ONUR,ÜNLÜER Nezehat Özgül,Özdemir Oya,Karahan Sevilay,Yakut Yavuz Adherence to Home Exercise Program in Patients with Low Back Pain. (2020): 369 - 380. 10.21020/husbfd.739667
MLA ALTUNTAŞ ONUR,ÜNLÜER Nezehat Özgül,Özdemir Oya,Karahan Sevilay,Yakut Yavuz Adherence to Home Exercise Program in Patients with Low Back Pain. , 2020, ss.369 - 380. 10.21020/husbfd.739667
AMA ALTUNTAŞ O,ÜNLÜER N,Özdemir O,Karahan S,Yakut Y Adherence to Home Exercise Program in Patients with Low Back Pain. . 2020; 369 - 380. 10.21020/husbfd.739667
Vancouver ALTUNTAŞ O,ÜNLÜER N,Özdemir O,Karahan S,Yakut Y Adherence to Home Exercise Program in Patients with Low Back Pain. . 2020; 369 - 380. 10.21020/husbfd.739667
IEEE ALTUNTAŞ O,ÜNLÜER N,Özdemir O,Karahan S,Yakut Y "Adherence to Home Exercise Program in Patients with Low Back Pain." , ss.369 - 380, 2020. 10.21020/husbfd.739667
ISNAD ALTUNTAŞ, ONUR vd. "Adherence to Home Exercise Program in Patients with Low Back Pain". (2020), 369-380. https://doi.org/10.21020/husbfd.739667
APA ALTUNTAŞ O, ÜNLÜER N, Özdemir O, Karahan S, Yakut Y (2020). Adherence to Home Exercise Program in Patients with Low Back Pain. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7(3), 369 - 380. 10.21020/husbfd.739667
Chicago ALTUNTAŞ ONUR,ÜNLÜER Nezehat Özgül,Özdemir Oya,Karahan Sevilay,Yakut Yavuz Adherence to Home Exercise Program in Patients with Low Back Pain. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7, no.3 (2020): 369 - 380. 10.21020/husbfd.739667
MLA ALTUNTAŞ ONUR,ÜNLÜER Nezehat Özgül,Özdemir Oya,Karahan Sevilay,Yakut Yavuz Adherence to Home Exercise Program in Patients with Low Back Pain. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol.7, no.3, 2020, ss.369 - 380. 10.21020/husbfd.739667
AMA ALTUNTAŞ O,ÜNLÜER N,Özdemir O,Karahan S,Yakut Y Adherence to Home Exercise Program in Patients with Low Back Pain. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2020; 7(3): 369 - 380. 10.21020/husbfd.739667
Vancouver ALTUNTAŞ O,ÜNLÜER N,Özdemir O,Karahan S,Yakut Y Adherence to Home Exercise Program in Patients with Low Back Pain. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi. 2020; 7(3): 369 - 380. 10.21020/husbfd.739667
IEEE ALTUNTAŞ O,ÜNLÜER N,Özdemir O,Karahan S,Yakut Y "Adherence to Home Exercise Program in Patients with Low Back Pain." Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 7, ss.369 - 380, 2020. 10.21020/husbfd.739667
ISNAD ALTUNTAŞ, ONUR vd. "Adherence to Home Exercise Program in Patients with Low Back Pain". Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 7/3 (2020), 369-380. https://doi.org/10.21020/husbfd.739667