Do patients perform home-exercises correctly?!
This assessor blinded intervention study examined whether 29 healthy volunteers were able to accurately reproduce the specified technique and time under tension (TUT) for a shoulder abduction exercise with a band.
After 2 weeks only 7 of the 29 participants were accurately able to reproduce the correct TUT and technique after performing two weeks of unsupervised home exercise.
Patient rehabilitation often includes the use of resistance bands with the patients instructed to perform certain exercises unsupervised at home. It is often the case that the physiotherapist would spend a brief time showing the correct technique, and expect the patient to be able to replicate this accurately at home.
At baseline, patient were shown how to perform the specified exercise and given an opportunity to practice the correct technique and TUT. They were then instructed to perform the exercise unsupervised at home, every day for 2 weeks.
After two weeks of unsupervised home exercise, 14 of the participants demonstrated the required TUT, 13 showed the correct form, but only 7 (24%) demonstrated the correct form AND TUT.
Less than 25% of the participants in this study perform the exercise at the required TUT and with the correct form. These findings emphasise the importance of clear instructions when prescribing home exercises and should make the physiotherapist think twice before overloading a patient with a multitude of different exercises.
Are your patients symptoms not progressing (or worsening) because they are not following the exercise intervention as prescribed or is it a different factor all together?
> From: Faber et al., PeerJ 7717 (2015) 1-13. All rights reserved to The Author(s). Click here for the Pubmed summary.