Adherence and Compliance of Different Delivery Methods of Home Exercise in Individuals With Nonspecific Low Back Pain

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Luk Devorski Sport, Wellness, Exercise Physiology and Athletic Training (SWEAT) Laboratory, Department of Health Science, Saint Joseph’s University, Lower Merion, PA, USA

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https://orcid.org/0000-0002-1921-1401 *
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Aravinthan Suppiah College of Medicine, University of Central Florida, Orlando, FL, USA
Functional Sports Medicine ™ Institute, Orlando, FL, USA

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David H. Fukuda College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA
Physiology of Work & Exercise Response (POWER) Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA

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https://orcid.org/0000-0002-4299-7764
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Jeffrey Stout College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA
Physiology of Work & Exercise Response (POWER) Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA

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https://orcid.org/0000-0001-6114-1649
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Christopher D. Ingersoll College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA

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https://orcid.org/0000-0001-9157-6846
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L. Colby Mangum College of Health Professions and Sciences, University of Central Florida, Orlando, FL, USA
Rehabilitation, Athletic Assessment, & Dynamic Imaging (READY) Laboratory, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA

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https://orcid.org/0000-0001-6443-2951
DOI:
https://doi.org/10.1123/ijatt.2023-0140
Keywords:
rehabilitation; core exercise; usability
First Published Online:
30 Apr 2024
In Print:
Volume 29: Issue 5
Page Range:
273–277
Restricted access

Autonomous exercise within nonspecific low back pain rehabilitation is a necessary tool to treat low back pain. The purpose of this study was to quantify adherence and compliance during two different 6-week home-exercise programs. Forty adults were randomly allocated to a gamified and packet group. Adherence, compliance, and system usability assessments occurred after 3 and 6 weeks. Packet group adherence was similar at 3 weeks and at 6 weeks. System usability was significantly greater at 6 weeks than at 3 weeks in the packet group. Adherence or compliance was not influenced. The usability of the intervention methodology was considered great by both groups.

Exercise leaderboards may have influenced dropouts and provided a gamified delivery of rehabilitation to individuals with nonspecific low back pain.

Adherence and compliance with at-home exercise may be influenced by weekly reports of exercise completion.

The usability of the rehabilitation system was high regardless of home-exercise delivery method (>85 System Usability Scale score).

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