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Booster sessions under the supervision of a physiotherapist
can help to improve patient adherence to therapeutic exercise in OA patients.
According to studies, four out of
five adults experience back pain at some point in their lives. In
osteoarthritis, pain originates in the affected joints. The interventions
focused on elevating adherence to therapeutic exercise increased adherence
greater than a contextually equivalent control among older adults suffering
chronic low back pain and/or hip/knee osteoarthritis have been discussed upon
in this study.
This is a systematic review and
meta-analysis where 5 databases (MEDLINE (PubMed), CINAHL, SportDISCUS (EBSCO),
Embase (Ovid) and Cochrane Library) were searched until 1 August 2016.
The randomised controlled trials
segregated the effects of interventions focused at improving adherence to
therapeutic exercise among adults ≥45 years of age with chronic low back pain
and/or hip/knee osteoarthritis were considered.
Out of 3899 studies identified, 9
studies comprising 1045 participants were appropriate for the study. The
techniques aimed at ameliorating motivation or using behavioural graded
exercise, reported significantly better exercise adherence (d=0.26-1.23) were
estimated in 4 studies. On the contrary, behavioral counselling, action coping strategies
and/or audio/video exercise cues did not improve adherence worth noting. A
small to medium significant pooled effect favoring booster sessions
(standardised mean difference (SMD) 0.39, 95% CI 0.05 to 0.72, z=2.26, p=0.02,
I2=35%) raised due to meta-analysis using a random effects model with the two
studies estimating booster sessions with a physiotherapist for people with
osteoarthritis.
It was thus culminated that this
meta-analysis provided 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 behavioural graded exercise in people with
osteoarthritis for upgrading adherence to exercise was supported by the
individual high-quality trials.
Br J Sports Med.
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
Nicolson PJ et al.
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