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Oct 5

Adherence to Home Exercise Programs – Physiopedia

Adherence to home exercises (HEP) in rehabilitation is a significant problem, and the reasons for this are multifactorial, covering both psychological and situational factors that vary between each individual, and that need to be considered by clinicians in the design of personalized exercise programs[1].

When setting a HEP remember that the long list you may put together may be all inclusive but research shows [9]

This is a good video (10 minutes) on barriers to exercise, or perceived barriers, to exercise and ways to overcome them.

Health technologies, such as the use of mobile devices, including mobile phones and tablets, as well as software apps, provide us with the opportunity to better support the patient and clinician, with a data-driven approach that incorporates features designed to increase adherence to exercise such as coaching, self-monitoring and education, as well as remotely monitor adherence rates more objectively.

Software apps exist on the market and may well change the way of many home exercise plans in clinics. The promise to do such things as " make it easy to build a home exercise program in seconds, with beautifully designed instructional videos. The built-in efficiencies will reduce your workload. Plus, our software motivates your patients and improves outcomes, with tracking tools and insightful analytics." Research is yet to confirm this but many clients like the idea of visualisation and direct feedback[12]

Combining the popularity of mobile devices with the on-going search for fitness, thousands of fitness applications (apps) are available for free or low cost. Apps allow users to set fitness goals, track activity, gather workout ideas, and share progress on social media. Physiotherapists should stay abreast with recent research and follow the guideline as they emerge.

These videos below (total 6 minutes) give insight to HEP and adherence.

The following are samples of tools available to estimate patient adherence [18]

Level of Evidence

2. Moderate

3. Limited Level of Evidence

4. Conflicting Evidence

This article by Bollen et al (2014) cites 58 studies reporting on 61 measures of self-reported adherence, thus the measures can be determined through using the reference list.

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Adherence to Home Exercise Programs - Physiopedia

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