Adherence to home exercises in non-specific low back pain. A randomised controlled pilot trial

Anna Sabrina Hügli; Markus Josef Ernst; Jan Kool; Fabian Marcel Rast; Anne-Kathrin Rausch-Osthoff; Angelika Mannig; Sarah Oetiker; Christoph Michael Bauer

doi:10.1016/j.jbmt.2014.11.017

Adherence to home exercises in non-specific low back pain. A randomised controlled pilot trial

J Bodyw Mov Ther. 2015 Jan;19(1):177-85. doi: 10.1016/j.jbmt.2014.11.017. Epub 2014 Nov 27.

Authors

Anna Sabrina Hügli¹, Markus Josef Ernst², Jan Kool³, Fabian Marcel Rast⁴, Anne-Kathrin Rausch-Osthoff⁵, Angelika Mannig⁶, Sarah Oetiker⁷, Christoph Michael Bauer⁸

Affiliations

¹ Medbase Winterthur, Brunngasse 6, 8400 Winterthur, Switzerland; Donau Universität Krems, Zentrum für medizinische Spezialisierungen, Dr.-Karl-Dorrek-Strasse 30, 3500 Krems, Austria. Electronic address: a.huegli@medbase.ch.
² Zurich University of Applied Sciences, Department of Health, Institute of Physiotherapy, Research Development, Technikumstrasse 71, 8400 Winterthur, Switzerland. Electronic address: markus.ernst@zhaw.ch.
³ Zurich University of Applied Sciences, Department of Health, Institute of Physiotherapy, Research Development, Technikumstrasse 71, 8400 Winterthur, Switzerland. Electronic address: jan.kool@bluewin.ch.
⁴ Zurich University of Applied Sciences, Department of Health, Institute of Physiotherapy, Research Development, Technikumstrasse 71, 8400 Winterthur, Switzerland. Electronic address: fabian.rast@zhaw.ch.
⁵ Zurich University of Applied Sciences, Department of Health, Institute of Physiotherapy, Research Development, Technikumstrasse 71, 8400 Winterthur, Switzerland. Electronic address: anne-kathrin.rauschosthoff@zhaw.ch.
⁶ Medbase Winterthur, Brunngasse 6, 8400 Winterthur, Switzerland. Electronic address: amannig@gmx.ch.
⁷ Zurich University of Applied Sciences, Department of Health, Institute of Physiotherapy, Research Development, Technikumstrasse 71, 8400 Winterthur, Switzerland. Electronic address: sarahoetiker@gmail.com.
⁸ Tampere University Hospital, Department of Physical and Rehabilitation Medicine, P.O. Box 2000, 33521 Tampere, Finland; Zurich University of Applied Sciences, Department of Health, Institute of Physiotherapy, Research Development, Technikumstrasse 71, 8400 Winterthur, Switzerland. Electronic address: christoph.bauer@zhaw.ch.

PMID: 25603757
DOI: 10.1016/j.jbmt.2014.11.017

Abstract

Specific exercises for the improvement of movement control of the lumbopelvic region are well-established for patients with non-specific low back pain (NSLBP) and movement control impairment (MCI). However, a lack of adherence to home exercise regimens is often observed. The aim of the study was to explore the differences in home exercise (HE) adherence between patients who perform conventional exercises and those who exercise with Augmented Feedback (AF). Twenty patients with NSLBP and MCI were randomly allocated into two groups. The physiotherapy group (PT group) completed conventional exercises, and the AF group exercised with an AF system that was designed for use in therapy settings. The main outcome measure was self-reported adherence to the home exercise regimen. There was no significant difference in HE duration between the groups (W = 64, p = 0.315). The AF group exercised for a median of 9 min and 4 s (IQR = 3'59"), and the PT group exercised for 4 min and 19 s (IQR = 8'30"). Exercising with AF led to HE times that were similar to those of conventional exercise, and AF might be used as an alternative therapy method for home exercise.

Keywords: Adherence; Augmented feedback; Home exercises; Movement control impairment; Non-specific low back pain.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Adolescent
Adult
Aged
Exercise Therapy / methods*
Female
Humans
Low Back Pain / therapy*
Lumbosacral Region*
Male
Middle Aged
Pain Measurement
Patient Compliance*
Pilot Projects
Time Factors
Video Games*
Young Adult