Adherence to Home-Based Exercises in Musculoskeletal Disorders

Condition(s) studied

Investigational drug(s) / intervention(s)

Home exercise program: Patients with chronic degenerative musculoskeletal disorders receiving a home exercise program

Home exercise program: Patients receiving a home exercise program as part of post-operative orthopedic rehabilitation

Home exercise program: Patients receiving a home exercise program following a neurological condition (stroke,hemiplegia) as part of rehabilitation

Study summary

Home exercise program is recommended by physicians to patients and their relatives to do at home and It is a treatment option in which the physician describes how to do it. Home workout program to be completed at home to complement and reinforce their program in the clinic It is a personalized set of therapeutic exercises that are taught. There are factors that can change exercise compliance; There are some reasons why some patients adhere to the prescribed home exercise program and others do not.

Adherence to home exercises is a major issue in rehabilitation and the reasons for this are multifactorial; It includes both psychological and specific conditions factors that vary between each individual and these conditions should be taken into account by clinicians in designing personalized exercise programs.

Home exercise programs constitute a fundamental component of rehabilitation and are widely prescribed by physicians support therapeutic gains beyond the clinical environment. These individualized programs aim to maintain functional improvements, reduce symptoms, and promote self-management among individuals with musculoskeletal disorders. Although adherence to home-based exercises is recognized as a key determinant of rehabilitation outcomes, non-adherence remains a persistent challenge. Despite growing emphasis on the importance of exercise compliance, the existing literature provides relatively limited and insufficient evidence regarding the factors that influence adherence across different musculoskeletal conditions, including degenerative, orthopedic, and neurological disorders.

Addressing this gap, the present prospective longitudinal cohort study aims to evaluate adherence to individualized home-based exercise programs among patients with diverse musculoskeletal conditions and to determine whether adherence behaviors differ across diagnostic groups. In addition, the study seeks to identify demographic, clinical, psychosocial, and functional factors associated with exercise compliance. By integrating structured clinical evaluations with validated outcome measures, this study aims not only to clarify the determinants of exercise adherence but also to contribute to the development of more effective, condition-specific strategies to enhance sustained engagement in home-based rehabilitation.

Eligibility

Primary outcome measure(s)

• Exercise Adherence Rating Scale — 6th week
  It was developed to evaluate compliance with home exercise programs. The first part (Group A) contains the participant's general information about the exercise program; the second part (Group B; 0-24 points) examines the frequency and sustainability of exercise behaviors; the third part (Group C; 0-40 points) evaluates cognitive and environmental factors affecting exercise adherence. The total score ranges from 0-64, with higher scores indicating greater compliance. The Turkish adaptation, including validation and reliability analysis, was conducted in 2019.

Trial sites (1)

More Konya Beyhekim Training and Research Hospital trials in Turkey

Other trials for the same condition