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Patients' adherence to physiotherapy

Publication at First Faculty of Medicine, Faculty of Physical Education and Sport |
2021

Abstract

Background: Physiotherapy includes many techniques, which can be effective during a treatment of musculoskeletal system. It is up to each patient, how he or she will approach to health.

Evaluation of adherence to exercise can be beneficial in the beginning, during and after the end of physiotherapy. Objectives: The aim of this study was the Exercise Adherence Rating Scale use in Czech translation to find out how the patients adhere to a physiotherapeutic treatment plan and assess the causes.

Methods: The research group consisted of 151 respondents, older than 18 years and they completed physiotherapy at least once in their lives. For data collection was used the Exercise Adherence Rating Scale.

The Scale was available via online research survey in March 2020 in self - selection mode. Results: According to the results, 67 % employees participated in the research study. 63 % respondents were aged between 36 and 64 years.

Physiotherapy was the most often covered by health care insurance. In EARS, excellent internal consistency values of Section B on the item level and satisfactory to good internal consistency values of Section C on the item level was obtained.

Significant correlations of the EARS sections confirm criterion validity in terms of adherence. Rate of adherence significantly varies by gender, education, employment and form of physiotherapy payment.

Increasing the age there was not necessarily a good feeling from performing the exercise. Retired people showed a lower degree of adherence, while economically active population had a rather greater degree of adherence.

Higher level of education correlated with irregular doing exercise and its premature ending. Limits of the study pointed to low male participation in comparison to women 1:2.