Skip to main content

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

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



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.


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.


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.


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 Identifier: NCT03212664. Registered 11 July 2017. Retrospectively registered.
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2018

Scoliosis and Spinal Disorders 1/2018 Zur Ausgabe

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Orthopädie und Unfallchirurgie und bleiben Sie gut informiert – ganz bequem per eMail.