Patients’ adherence to physiotherapy

Authors: Prunerová A. 1;  Nováková T. 1;  Kupka K. 2;  Reckziegelová P. 1
Authors‘ workplace: Katedra fyzioterapie, Fakulta tělesné výchovy a sportu, Univerzita Karlova, Praha 1;  TriloByte Statistical Software s. r. o., Pardubice 2
Published in: Rehabil. fyz. Lék., 28, 2021, No. 2, pp. 89-95.
Category: Original Papers
doi: 10.48095/ccrhfl202189


Background: Physiotherapy includes many techniques which can be effective in the treatment of musculoskeletal system. It is up to each patient how he or she will approach their health. An evaluation of adherence to exercise can be beneficial at the beginning, during and after the end of physiotherapy. Objectives: The aim of this study was to use the Exercise Adherence Rating Scale (EARS) to find out how patients adhere to a physiotherapeutic treatment plan and assess the causes. Methods: The research group consisted of 151 respondents, all of them older than 18 years, who underwent physiotherapy at least once in their lives. The EARS was used for data collection. The Scale was available via an online research survey in March 2020 in a self-selection mode. Results: According to the results, 67% employees participated in the research study. 63% respondents were aged between 36 and 64 years. Most of them underwent physiotherapy covered by health insurance. In the EARS, excellent internal consistency values were shown in Section B items defining de adherence rate, while and satisfactory to good internal consistency values were obtained for Section C items determining obstacles to exercise. The significant correlation between the EARS sections confirms criterion validity in terms of adherence. The rate of adherence significantly varies by gender, education, employment and form of physiotherapy payment. Pleasant feelings after exercising did not necessarily increase with age. Retired people showed a lower degree of adherence, while economically active population had a rather higher degree of adherence. Higher level of education correlated with irregular exercise and its premature ending. The limits of the study include a low male participation in comparison to women 1 : 2.


adherence – treatment – barriers – Physiotherapy – Sports – Pain


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Physiotherapist, university degree Rehabilitation Sports medicine
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