Observational studyPloS one2022
Factors impacting adherence to an exercise-based physical therapy program for individuals with low back pain.
Observational study in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed.
- Acupuncture Improves Functional Limitations for Cancer Patients with Chronic Pain: A Secondary Analysis of PEACE Randomized Clinical Trial.Current oncology (Toronto, Ont.) · 2025Trial
- Exercise rehabilitation with tailored support for exercise adherence for people with vertebral fragility fractures is more effective than standard rehabilitation: the OPTIN randomised controlled trial.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2025Trial
- Exploring the association between adherence to home-based exercise recommendations and recovery of nonspecific low back pain: a prospective cohort study.BMC musculoskeletal disorders · 2024Trial
- Article
- ML-based electromyography signal analysis for assessing rehabilitation exercise execution quality.Scientific reports · 2026Article
- Virtual Physician-Integrated Practice Units Enhance Pain Relief, Function, and Well-Being in Older Adults with Musculoskeletal Disorders: A Single-Arm Pre-Post Study.Journal of clinical medicine · 2026Article
- Understanding the treatment journey and experiences of knee osteoarthritis patients receiving standard care in Singapore: a qualitative study.BMC health services research · 2026Article
- Article
- Do patients give a damn? An exploratory study of patient perspectives on clinician swearing during physical rehabilitation.Frontiers in rehabilitation sciences · 2026Article
- Digital Versus In-Person Physical Therapy in Adults With Musculoskeletal Conditions: Retrospective Matched-Cohort Analysis of Surgery and Low-Value Surgical Rates.Journal of medical Internet research · 2025Article
- Voices from the clinic: a qualitative analysis of physiotherapy strategies in musculoskeletal care for knee osteoarthritis patients.BMC musculoskeletal disorders · 2025Article
- Pain, Progress, and Price: A Review of Conservative and Complementary Treatments for Low Back Pain.Journal of pain research · 2025Review
- High-Intensity Training Telerehabilitation for Persons with Chronic Low Back Pain: A Pilot Clinical Trial.Journal of clinical medicine · 2024Article
- Effects of Dynamic Neuromuscular Stabilization/Vojta Therapy on Pain Intensity and Physical Function in Individuals with Low Back Pain: A Systematic Review and Meta-Analysis.Iranian journal of public health · 2024Review
- Article
- Optimal Duration of Physical Therapy Following Total Knee Arthroplasty.Geriatric orthopaedic surgery & rehabilitation · 2024Article
- The potential of a multimodal digital care program in addressing healthcare inequities in musculoskeletal pain management.NPJ digital medicine · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
Abstract
BACKGROUND/
objectiveExercise-based rehabilitation is a conservative management approach for individuals with low back pain. However, adherence rates for conservative management are often low and the reasons for this are not well described. The objective of this study was to evaluate predictors of adherence and patient-reported reasons for non-adherence after ceasing a supervised exercise-based rehabilitation program in individuals with low back pain.
designRetrospective observational study.
methodsData was retrospectively analyzed from 5 rehabilitation clinics utilizing a standardized exercise-based rehabilitation program. Baseline demographics, diagnosis and symptom specific features, visit number, and discontinuation profiles were quantified for 2,243 patients who underwent the program.
resultsForty-three percent (43%) of participants were adherent to the program, with the majority (31.7%) discontinuing treatment prior to completion due to logistic and accessibility issues. Another 13.2% discontinued prior to the prescribed duration due to clinically significant improvements in pain and/or disability without formal discharge evaluation, whereas 8.3% did not continue due to lack of improvement. Finally, 6.0% were discharged for related and unrelated medical reasons including surgery. Individuals diagnosed with disc pathology were most likely to be adherent to the program. LIMITATIONS: This study was a retrospective chart review with missing data for some variables. Future studies with a prospective design would increase quality of evidence.
conclusionsThe majority of individuals prescribed an in-clinic exercise-based rehabilitation program are non-adherent. Patient diagnosis was the most important predictor of adherence. For those who were not adherent, important barriers include personal issues, insufficient insurance authorization and lack of geographic accessibility.
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