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Defining adherence to therapeutic exercise for musculoskeletal pain : a systematic review
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Bailey, Daniel L., Holden, Melanie A., Foster, Nadine E., Quicke, Jonathan G., Haywood, Kirstie L. and Bishop, Annette (2018) Defining adherence to therapeutic exercise for musculoskeletal pain : a systematic review. British Journal of Sports Medicine . doi:10.1136/bjsports-2017-098742 ISSN 0306-3674.
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Official URL: http://dx.doi.org/10.1136/bjsports-2017-098742
Abstract
Objective
To establish the meaning of the term ‘adherence’ (including conceptual and measurement definitions) in the context of therapeutic exercise (TE) for musculoskeletal (MSK) pain.
Design
Systematic review using a search strategy including terms for: adherence, TE and MSK pain. Identified studies were independently screened for inclusion by two researchers. Two independent researchers extracted data on: study type; MSK pain population; type of TE used; definitions, parameters, measurement methods and values of adherence.
Data sources
Seven electronic databases were searched from inception to December 2016.
Eligibility criteria
Any study type featuring TE for adults with MSK pain and containing a definition of adherence, or a description of how adherence was measured.
Results
459 studies were identified and 86 were included in the review. Most were prospective cohort studies and featured back and/or neck pain. Strengthening and stretching were the most common types of TE. A clearly identifiable definition of adherence was provided in 40% of the studies, with 12% using the same definition. Exercise frequency was the most commonly measured parameter of adherence, with self-report logs the most common measurement method. The most common value range used to determine satisfactory adherence was 80%–99% of the recommended exercise dose.
Conclusion
No single definition of adherence to TE was apparent. We found no definition of adherence that specifically related to TE for MSK pain or described the dimensions of TE that should be measured. We recommend conceptualising adherence to TE for MSK pain from the perspective of all relevant stakeholders.
Item Type: | Journal Article | |||||||||||||||
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Subjects: | R Medicine > RC Internal medicine | |||||||||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Warwick Research in Nursing |
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Library of Congress Subject Headings (LCSH): | Musculoskeletal system -- Diseases -- Exercise therapy -- Standards | |||||||||||||||
Journal or Publication Title: | British Journal of Sports Medicine | |||||||||||||||
Publisher: | B M J Group | |||||||||||||||
ISSN: | 0306-3674 | |||||||||||||||
Official Date: | 6 June 2018 | |||||||||||||||
Dates: |
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DOI: | 10.1136/bjsports-2017-098742 | |||||||||||||||
Status: | Peer Reviewed | |||||||||||||||
Publication Status: | Published | |||||||||||||||
Reuse Statement (publisher, data, author rights): | © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted. | |||||||||||||||
Access rights to Published version: | Restricted or Subscription Access | |||||||||||||||
Date of first compliant deposit: | 10 May 2018 | |||||||||||||||
Date of first compliant Open Access: | 6 June 2019 | |||||||||||||||
RIOXX Funder/Project Grant: |
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