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Mil Med. 2015 Feb;180(2):186-91. doi: 10.7205/MILMED-D-14-00306.

Home exercise program compliance of service members in the deployed environment: an observational cohort study.

Author information

1
Physical Therapy Department, U.S. Army Health Center, Vicenza, Italy, Unit 31403 Box 13 APO AE 09630.
2
Physical Therapy Department, Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223.
3
Physical Therapy Department, Brooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234.
4
Department of Statistics and Epidemiology, Institute of Surgical Research, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234.

Abstract

BACKGROUND:

Home exercise programs (HEP) are an integral part of any physical therapy treatment plan, but are especially important in theater. The primary aim of this study was to determine if the number of exercises prescribed in a HEP was associated with compliance rate of Service Members (SM) in theater with a secondary aim of determining variables associated with compliance and noncompliance.

MATERIALS/METHODS:

Subjects were 155 deployed SM undergoing physical therapy in Iraq and Afghanistan. Clinical evaluation and prescription of a HEP were performed. Pathologic, demographic, and treatment data were obtained. Subjects returned to the clinic 1 week later to demonstrate their HEP. Subjects' performance of each prescribed exercise was rated on a 12-point scale to quantify compliance.

RESULTS:

2 variables were found to be significantly associated with rate of compliance. These were the number of exercises prescribed (p = 0.02) and if a subject left the base at least once per week (p = 0.01).

CONCLUSIONS:

SM prescribed 4 or more exercises had a lower rate of compliance than those prescribed 2 or fewer. SM who left the base at least once per week also had a lower rate of compliance.

PMID:
25643386
DOI:
10.7205/MILMED-D-14-00306
[Indexed for MEDLINE]

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