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01.12.2018 | Research | Ausgabe 1/2018 Open Access

Scoliosis and Spinal Disorders 1/2018

Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis

Zeitschrift:
Scoliosis and Spinal Disorders > Ausgabe 1/2018
Autoren:
Karina A. Zapata, Sharon S. Wang-Price, Tina S. Fletcher, Charles E. Johnston

Abstract

Background

Software applications (apps) could potentially promote exercise adherence. However, it is unclear whether adolescents with painful hyperkyphosis will use an app designed for a home exercise program. The purpose of this study is to assess factors regarding adherence to an app-based home exercise program in adolescents with hyperkyphosis and back pain who were provided a one-time exercise treatment.

Methods

Twenty-one participants were instructed in a one-time exercise treatment and asked to complete a home exercise program 3 times a week for 6 months using an app called PT PAL. At a 6-month follow-up, 14 participants completed a survey assessing factors related to their experiences using the app and their treatment engagement.

Results

Although most participants did not use the app, they reported performing their exercises a few times per week. The adolescent participants considered the app to be more of a barrier than a supportive measure for promoting exercise adherence. Most participants still reported bothersome back pain.

Conclusions

Although adherence to the 6-month app-based home exercise program was not successful, adolescents still viewed technology support such as text reminders as a potential solution.

Trial registration

ClinicalTrials.gov Identifier: NCT03212664. Registered 11 July 2017. Retrospectively registered.
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