Interventions such as supervised or individualised exercise therapy and self-management techniques may enhance exercise adherence .
BACKGROUND Chronic musculoskeletal pain ( CMP ) is a major health problem , accounting for approximately one-quarter of general practice ( GP ) consultations in the United Kingdom ( UK ) .
Exercise and physical activity is beneficial for the most common types of CMP , such as back and knee pain .
However , poor adherence to exercise and physical activity may limit long-term effectiveness .
OBJECTIVES To assess the effects of interventions to improve adherence to exercise and physical activity for people with chronic musculoskeletal pain .
Combined exercise and motivation program: effect on the compliance and level of disability of patients with chronic low back pain: a randomized controlled trial.
OBJECTIVE To assess the effect of a combined exercise and motivation program on the compliance and level of disability of patients with chronic and recurrent low back pain . DESIGN A double-blind prospect i ve r and omized controlled trial . SETTING Physical therapy outpatient department , tertiary care . PATIENTS Ninety-three low back pain patients were r and omly assigned to either a st and ard exercise program ( n = 49 ) or a combined exercise and motivation program ( n = 44 ) . INTERVENTIONS Patients were prescribed 10 physical therapy sessions and were advised to continue exercising after treatment termination . The motivation program consisted of five compliance-enhancing interventions . Follow-up assessment s were performed at 3 1/2 weeks , 4 months , and 12 months . MAIN OUTCOME MEASURES Disability ( low back outcome score ) , pain intensity , physical impairment ( modified Waddell score , fingertip-to-floor distance , abdominal muscle strength ) , working ability , motivation , and compliance . RESULTS The patients in the motivation group were significantly more likely to attend their exercise therapy appointments ( p = .0005 ) . Four and 12 months after study entry there was a significant difference in favor of the motivation group with regard to the disability score ( p = .004 ) and pain intensity ( p < or = .026 ) . At 4 months , there was a significant advantage for the motivation group in the fingertip-to-floor distance ( p = .01 ) and in abdominal muscle strength ( p = .018 ) . No significant differences were found in motivation scores , self-reported compliance with long-term exercise , and modified Waddell score . In terms of working ability , there was a trend favoring the combined exercise and motivation program . CONCLUSION The combined exercise and motivation program increased the rate of attendance at scheduled physical therapy sessions , ie , short-term compliance , and reduced disability and pain levels by the 12-month follow-up . However , there was no difference between the motivation and control groups with regard to long-term exercise compliance
Interventions such as supervised or individualised exercise therapy and self-management techniques may enhance exercise adherence .
BACKGROUND Chronic musculoskeletal pain ( CMP ) is a major health problem , accounting for approximately one-quarter of general practice ( GP ) consultations in the United Kingdom ( UK ) .
Exercise and physical activity is beneficial for the most common types of CMP , such as back and knee pain .
However , poor adherence to exercise and physical activity may limit long-term effectiveness .
OBJECTIVES To assess the effects of interventions to improve adherence to exercise and physical activity for people with chronic musculoskeletal pain .