Abstract
Background: Non-adherence to home exercise programmes may lead to delayed progress in recovery and diminished clinical outcomes in patients.
 Aims of Study: To determine the adherence rate and attributing factors to non-adherence to home exercise programmes in patients with low back pain (LBP).
 Method: A total of 250 patients with LBP receiving treatment in 5 different out-patient physiotherapy clinics in Lagos State South West, Nigeria participated in this survey. They were required to complete a 27- item questionnaire which collected information on characteristics of participants and home exercise programme, adherence with treatment programme and instructions for carrying out the exercises. Gamma correlation and Chi-square were used to detect the correlation and significant difference of selected variables respectively. The level of significance was set at p< 0.05
 Result: Ninety-four (37.6%) respondents performed home exercise programme the recommended number of times daily. There was no significant relationship (p> 0.05) of participants’ characteristics, frequency and duration of exercise per session, total number and manner of recommending the home exercise programme and pain rating respectively with adherence to home exercise programme. Eighty-nine (35.6%) respondents complained of tiredness after the day’s work. Chi-square showed significant association (p<0.05) of the prescribed home exercises programme, the actual exercise carried out at home with their perception to home exercise programme
 Conclusion: Home exercise programmes may interfere with normal life and daily routine in patients with LBP. It is recommended that home exercise programme be patient centred I.e. fit into individual daily routine to overcome identified barriers.
Highlights
Low back pain (LBP) is responsible for huge personal and societal costs, and is major cause of work disability (Moffett and McLean, 2006)
Home exercise programmes may interfere with normal life and daily routine in patients with LBP
There was no significant relationship of the level of adherence to HEP with the highest educational attainment(C=0.01; p=0.80) and the employment status of the respondents (C= 0.00; p=0.99) (Table 2).Two hundred and ten (84%) of respondents were not given home exercise programme in previous episodes of physiotherapy treatment (Table 2)
Summary
Low back pain (LBP) is responsible for huge personal and societal costs, and is major cause of work disability (Moffett and McLean, 2006). Correlates of Non-Adherence to Home Exercise Programmes in Patients with Low Back Pain for healthcare professionals (Louw et al, 2007). Systematic reviews provides evidence of the benefits of exercise in effectively decreasing pain and improving function in Low Back Pain patients (Sarig-Bahat, 2003; Hayden et al, 2005; Kay et al, 2005). Home-based exercises vary greatly in the methods of delivery and content (Moffet et al, 2006), different programmes appear to have similar effects on patients (Slade and Keating, 2006; 2007). Many recurrent cases of LBP could have been avoided if patients had adhered to their home exercise programmes (Middleton, 2004). Non-adherence to home exercise programmes may lead to delayed progress in recovery and diminished clinical outcomes in patients
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