In people with vertebral fragility fractures, a tailored exercise adherence intervention integrated with physiotherapy rehabilitation leads to significantly better mobility outcomes at 12 months.
A tailored exercise adherence intervention integrated into physiotherapy rehabilitation enhanced mobility outcomes in people with vertebral fragility fractures. At 12 months, participants who received adherence support demonstrated better functional mobility and exercise capacity than those who received standard rehabilitation.
Researchers conducted a randomised controlled trial to evaluate whether adding a tailored, theory-driven adherence support intervention to a standard physiotherapy exercise programme improves outcomes in people with osteoporotic vertebral fragility fractures. They enrolled 126 participants from eight hospitals in England and Wales, all of whom had at least one vertebral fragility fracture confirmed using radiography, X-ray, MRI, or DEXA; had experiencedParticipants were randomly assigned to either the control group or the intervention group , where both received progressive exercise rehabilitation including musculoskeletal assessments, treatment sessions, and a home exercise plan comprising strength, posture, and balance exercises over 4 months. The intervention group also received an integrated exercise adherence intervention that used a motivational interviewing approach with goal setting and three or more behaviour change techniques. The primary outcome was the Timed-Up and Go test at 12 months that assessed balance, lower limb function, functional mobility, and fall risk, whereas secondary outcomes included measures of physical functions and self-reported outcomes.At the 12-month follow-up, the intervention group demonstrated a faster performance in the Timed-Up and Go test than the control group by 2.1 seconds (In the 6-minute walk test that determines functional exercise capacity, the intervention group covered a significantly greater walking distance than the control group (mean difference, 24.5 m;"The results of this study provide evidence that integrating tailored support for exercise behaviour throughout physiotherapy exercise rehabilitation for people with VFF can help to sustain effects and improve longer-term functional mobility outcomes," the authors wrote.Physiotherapists and participants were necessarily aware of their allocated group. Physiotherapists had differing levels of knowledge and experience of using the motivational interviewing approach.This study received support from the Chartered Society of Physiotherapy Charitable Trust. The authors reported no conflicts of interest. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our
Exercise Physical Activity Spinal Fracture Fracture Of The Spine Spine Fracture Spinal Dislocation Dislocation Of The Spine Spine Dislocation Spinal Fractures And Dislocations Osteoporosis Osteoporotic Adherence Adherence To Medication Issues For Patients Compliance Drug Compliance Treatment Adherence Physical Medicine And Rehabilitation Physiatry PM&Amp Mobility Physical Therapy Physiotherapy Vertebral Fracture UK Site Content United Kingdom Site Content United Kingdom UK Precision Medicine Health Behavior Change Geriatrics Elder Care Geriatric Medicine Older Adults Seniors Senior Citizens Elderly Geriatric Rehabilitation Concerns Of Elderly
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