Department of Physical Medicine and Rehabilitation, Hackensack Meridian JFK Johnson Rehabilitation Institute, Edison, NJ, USA.
Department of Physical Medicine and Rehabilitation, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
J Back Musculoskelet Rehabil. 2024;37(2):473-485. doi: 10.3233/BMR-230178.
Home exercise programs (HEPs) are cost-effective and efficacious treatments for musculoskeletal pain conditions. Although HEPs are an important part of the continuum of care, non-adherence limits their effectiveness.
The objective of this study was to examine adherence and specific barriers to clinician-prescribed HEPs in adults with musculoskeletal pain.
A cross-sectional study was conducted with a total of 300 patients presenting to an outpatient pain clinic in an academic medical center. Participants' self-reported information, including HEP completion frequency and barriers, was collected through a survey.
The participants' mean age was 54.1 ± 15.8 years (females = 133 (65.5%)). Of 203 participants, 99 (48.8%) adhered to HEP, 56 (27.6%) partially adhered, and 48 (23.6%) did not adhere. One hundred eighty-seven (92.1%) participants reported receiving adequate instructions, and 175 (86.2%) reported receiving instructional materials. Age and "sufficient instructions" were found to be significant determinants of adherence (p< 0.05), while gender and handouts were not (p> 0.05). Pain in more than one body part was significantly (p< 0.05) associated with motivational barriers for non-adherence.
Age and participants' perception of sufficient instructions were significant factors for non-adherence. These results emphasize the importance of therapist-provided instructions to overcome barriers to adherence.
家庭运动计划（HEP）是治疗肌肉骨骼疼痛疾病的一种具有成本效益且有效的治疗方法。尽管 HEP 是连续护理的重要组成部分，但不依从会限制其效果。
本研究旨在探讨肌肉骨骼疼痛成年人对临床医生规定的 HEP 的依从性和具体障碍。
对一家学术医疗中心的门诊疼痛诊所就诊的 300 名患者进行了横断面研究。通过问卷调查收集了参与者的自我报告信息，包括 HEP 完成频率和障碍。
参与者的平均年龄为 54.1 ± 15.8 岁（女性 = 133（65.5%））。在 203 名参与者中，99 名（48.8%）依从 HEP，56 名（27.6%）部分依从，48 名（23.6%）不依从。187 名（92.1%）参与者报告接受了足够的指导，175 名（86.2%）报告接受了指导材料。发现年龄和“足够的指导”是依从性的重要决定因素（p<0.05），而性别和讲义则不是（p>0.05）。一个以上身体部位的疼痛与不依从的动机障碍显著相关（p<0.05）。
年龄和参与者对足够指导的看法是不依从的重要因素。这些结果强调了治疗师提供的指导对于克服依从性障碍的重要性。
