Adherence to Home-Based Exercises in Musculoskeletal Disorders
1 other identifier
observational
252
1 country
1
Brief Summary
Home exercise program is recommended by physicians to patients and their relatives to do at home and It is a treatment option in which the physician describes how to do it. Home workout program to be completed at home to complement and reinforce their program in the clinic It is a personalized set of therapeutic exercises that are taught. There are factors that can change exercise compliance; There are some reasons why some patients adhere to the prescribed home exercise program and others do not. Adherence to home exercises is a major issue in rehabilitation and the reasons for this are multifactorial; It includes both psychological and specific conditions factors that vary between each individual and these conditions should be taken into account by clinicians in designing personalized exercise programs. Home exercise programs constitute a fundamental component of rehabilitation and are widely prescribed by physicians support therapeutic gains beyond the clinical environment. These individualized programs aim to maintain functional improvements, reduce symptoms, and promote self-management among individuals with musculoskeletal disorders. Although adherence to home-based exercises is recognized as a key determinant of rehabilitation outcomes, non-adherence remains a persistent challenge. Despite growing emphasis on the importance of exercise compliance, the existing literature provides relatively limited and insufficient evidence regarding the factors that influence adherence across different musculoskeletal conditions, including degenerative, orthopedic, and neurological disorders. Addressing this gap, the present prospective longitudinal cohort study aims to evaluate adherence to individualized home-based exercise programs among patients with diverse musculoskeletal conditions and to determine whether adherence behaviors differ across diagnostic groups. In addition, the study seeks to identify demographic, clinical, psychosocial, and functional factors associated with exercise compliance. By integrating structured clinical evaluations with validated outcome measures, this study aims not only to clarify the determinants of exercise adherence but also to contribute to the development of more effective, condition-specific strategies to enhance sustained engagement in home-based rehabilitation.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Dec 2024
1 active site
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Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 30, 2024
CompletedFirst Submitted
Initial submission to the registry
November 22, 2025
CompletedFirst Posted
Study publicly available on registry
December 3, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 15, 2026
ExpectedMarch 25, 2026
March 1, 2026
1.3 years
November 22, 2025
March 21, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Exercise Adherence Rating Scale
It was developed to evaluate compliance with home exercise programs. The first part (Group A) contains the participant's general information about the exercise program; the second part (Group B; 0-24 points) examines the frequency and sustainability of exercise behaviors; the third part (Group C; 0-40 points) evaluates cognitive and environmental factors affecting exercise adherence. The total score ranges from 0-64, with higher scores indicating greater compliance. The Turkish adaptation, including validation and reliability analysis, was conducted in 2019.
6th week
Secondary Outcomes (5)
VAS
Baseline and 6th week
Beck Depression Index
Baseline and 6th week
Barthel Index
Baseline ve 6th week
Tampa Kinesiophobia Scale
Baseline and 6th week
Health assessment questionnaire
Baseline and 6th week
Study Arms (3)
Degenerative rehabilitation
Patients with chronic degenerative musculoskeletal disorders, including nonspecific low back pain, chronic nonspecific neck pain, and knee osteoarthritis, receiving a home-based exercise program (subcohort)
Orthopedic rehabilitation
Patients receiving a home exercise program as part of post-operative orthopedic rehabilitation, including rehabilitation following rotator cuff repair, total knee arthroplasty, and lumbar spinal surgery (subcohort).
Neurological
Patients receiving a home-based exercise program following a neurological condition (stroke, hemiplegia) as part of neurological rehabilitation (subcohort).
Interventions
Patients with chronic degenerative musculoskeletal disorders receiving a home exercise program
Eligibility Criteria
* Be 18 years of age or older * To have a musculoskeletal disease (degenerative, neurological or orthopedic) * To be given a home exercise program * To have cognitive and language functions to communicate, to be a volunteer
You may qualify if:
- Be 18 years of age or older
- To have a musculoskeletal disease (degenerative, neurological or orthopedic)
- To be given a home exercise program
- To have cognitive and language functions to communicate, to be a volunteer
You may not qualify if:
- Those with major psychiatric illness
- Those with cognitive dysfunction
- Those with communication disorders, reluctant/reluctant to participate
- Those with any condition other than a primary degenerative, orthopedic, or neurological disease that could significantly affect exercise adherence, including musculoskeletal or systemic disorders (e.g., severe anemia, heart failure, respiratory failure, uncontrolled diabetes, inflammatory rheumatic disease, recent fractures, or active infections).
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Health Sciences, Konya Beyhekim Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Konya, Turkey 42060
Konya, Konya, 42080, Turkey (Türkiye)
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Ramazan Yilmaz
Konya Beyhekim Training and Research Hospital
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr.
Study Record Dates
First Submitted
November 22, 2025
First Posted
December 3, 2025
Study Start
December 30, 2024
Primary Completion
April 1, 2026
Study Completion (Estimated)
May 15, 2026
Last Updated
March 25, 2026
Record last verified: 2026-03
Data Sharing
- IPD Sharing
- Will not share