Certain interventions can improve adherence to therapeutic exercise in patients with / osteoarthritis and low back pain

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Certain interventions can improve adherence to therapeutic exercise in patients with / osteoarthritis and low back pain

According to earlier studies, four out of five adults experience back pain at some point in their lives and osteoarthritis is quite common among adults with increasing age. The interventions focused on elevating adherence to therapeutic exercise increased adherence greater than a contextually equivalent control among older patients suffering from chronic low back pain and/or hip/knee osteoarthritis are discussed in this study.

This is a systematic review and meta-analysis in which 5 databases (MEDLINE PubMed, CINAHL, SportDISCUS (EBSCO), Embase (Ovid) and Cochrane Library) were searched until 1st August 2016.

The randomised controlled trials segregated the effects of interventions focused at improving adherence to therapeutic exercise among adults aged ≥45 years with chronic low back pain and/or hip/knee osteoarthritis.

Out of 3899 studies identified, 9 studies comprising 1045 participants were appropriate for the study. The techniques aimed at ameliorating motivation or using behavioral graded exercise, reported significantly better exercise adherence (d=0.26-1.23) were estimated in 4 studies. On the contrary, behavioral counseling, action coping strategies and/or audio/video exercise cues did not improve adherence worth noting. A small to medium significant pooled effect favouring booster sessions (standardised mean difference; SMD, 0.39, 95% CI 0.05 to 0.72, z=2.26, p=0.02, I2=35%) arised due to meta-analysis using a random effects model with the two studies estimating booster sessions with a physiotherapist for people with osteoarthritis.

Therefore, this meta-analysis provides a moderate-quality evidence for booster sessions with a physiotherapist assisted people with hip/knee osteoarthritis to better adhere to therapeutic exercise. The use of motivational techniques in people with chronic low back pain and graded behavioral exercise in people with osteoarthritis for upgrading adherence to exercise was supported by the individual high-quality trials.

Source:

Br J Sports Med.

Link to the source:

https://www.ncbi.nlm.nih.gov/pubmed/28087567

The original title of the article:

Interventions to increase adherence to therapeutic exercise in older adults with low back pain and/or hip/knee osteoarthritis: a systematic review and meta-analysis

Authors

Nicolson PJ et al.

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