How Patient Education Helps Patients With Chronic Musculoskeletal Disorders Stick to Home Exercise for Pain Relief.
Impact of Patient Education on Adherence to Therapeutic Exercise in Chronic Musculoskeletal Disorders: A Randomized Controlled Trial
- Registry ID
- NCT07764354
- Source registry
- NCT
- Status
- RECRUITING
- Phase
- NA
- Study type
- INTERVENTIONAL
- Sponsor
- Imam Abdulrahman Bin Faisal University
- Enrollment
- 120
- Start date
- 2026-04-12
- Completion date
- 2027-06-30
- Last update
- 2026-08-13
Conditions
- Shoulder and Upper Arm Injury
- Shoulder Disease
- Low Back Pain
- Knee Arthritis Osteoarthritis
Summary
The study aims to evaluate the effectiveness of a structured patient education program in enhancing adherence to prescribed home exercise regimens in individuals with chronic low back pain, knee osteoarthritis, and shoulder pain.
Interventions
- OTHER: Standard physical therapy program
- BEHAVIORAL: Educational with musculoskeletal condition
Inclusion criteria
Inclusion Criteria:
* Chronic low back pain patients (more than three months)
* Knee osteoarthritis
* Patients with partial Rotator cuff tear
Exclusion criteria
Exclusion Criteria:
* Acute injuries
* Systemic inflammatory conditions
* Neurological deficits affecting exercise
* Cognitive impairment preventing understanding of education materials
* Participation in other rehabilitation programs
Primary outcomes
[{"measure":"The Exercise Adherence Rate EARS-Ar","timeFrame":"* Baseline: week2 or session2 of the patient\u0027s exercise prescription. *Within one week of completion of the PT program. * Follow-up at week 8 after completion of the PT program."}]
Locations
- King Fahd Hospital of the University, Dammam, Saudi Arabia
Publications
- Farrag A, Saleh DA, Abd Allah WA, Al Muslem WH, Algheryafi RA, Shaheen A, Abdel-Aal N, Elsayed W. The Arabic version of the Exercise Adherence Rating Scale: translation, cross-cultural adaptation and psychometric properties for Arab chronic low back patients. Disabil Rehabil. 2026 Jan;48(2):547-560. doi: 10.1080/09638288.2025.2543172. Epub 2025 Aug 7.
- Barbari V, Storari L, Ciuro A, Testa M. Effectiveness of communicative and educative strategies in chronic low back pain patients: A systematic review. Patient Educ Couns. 2020 May;103(5):908-929. doi: 10.1016/j.pec.2019.11.031. Epub 2019 Dec 4.
- Peek K, Sanson-Fisher R, Mackenzie L, Carey M. Interventions to aid patient adherence to physiotherapist prescribed self-management strategies: a systematic review. Physiotherapy. 2016 Jun;102(2):127-35. doi: 10.1016/j.physio.2015.10.003. Epub 2015 Oct 22.
- Bailey, D., Holden, M., Foster, N. E., Quicke, J. G., Haywood, K., & Bishop, A. (2017). Defining adherence to therapeutic exercise for musculoskeletal pain: a systematic review [Review of Defining adherence to therapeutic exercise for musculoskeletal pain: a systematic review]. Physiotherapy, 103. Elsevier BV. https://doi.org/10.1016/j.physio.2017.11.007
- Bhardwaj, A., Walsh, C. B., Ezzat, A. M., O'Riordan, C., Kennedy, N., & Toomey, C. (2023). Patient and clinician perspectives of online-delivered exercise programmes for chronic musculoskeletal conditions: protocol for a mixed-methods systematic review. HRB Open Research, 5, 37. https://doi.org/10.12688/hrbopenres.13551.2
- Sidiq M, Muzaffar T, Janakiraman B, Masoodi S, Vasanthi RK, Ramachandran A, Bansal N, Chahal A, Kashoo FZ, Rizvi MR, Sharma A, Rai RH, Verma R, Sharma M, Alam S, Vajrala KR, Sharma J, Muthukrishnan R. Effects of pain education on disability, pain, quality of life, and self-efficacy in chronic low back pain: A randomized controlled trial. PLoS One. 2024 May 28;19(5):e0294302. doi: 10.1371/journal.pone.0294302. eCollection 2024.
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