The Impact of Disability Level on Intention to Perform Home Exercises in Patients with Spinal Pain

Yildirim Y., KARA B., Teoman N., GENÇ A., Subasi S. S., Arda M. N.

JOURNAL OF MUSCULOSKELETAL PAIN, vol.17, no.3, pp.271-280, 2009 (SCI-Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 3
  • Publication Date: 2009
  • Doi Number: 10.1080/10582450903088203
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED)
  • Page Numbers: pp.271-280
  • Keywords: Spinal pain, home exercises, exercise perception, LOW-BACK-PAIN, PHYSICAL-THERAPY, ADHERENCE, PROGRAM, TRIAL, WOMEN
  • Dokuz Eylül University Affiliated: Yes


Objectives: The aim of our study is to determine whether or not disability level affects the practice and perception of home exercises. Methods: Seventy-five patients diagnosed with cervical and lumbar disc herniation were included in this study. Some had undergone an operation, others had not. The patients were divided into three groups according to the lumbar and cervical Oswestry Disability Index [ODI] scores. Group 1 comprised those with minimal disability, Group 2 with moderate disability, and Group 3 had patients with severe disability. The patients were questioned on their performance of home exercises with a questionnaire developed from the Triandis model consisting of items about perceived consequences, affects, and social factors. Results: When the various sections of the home-based questionnaire were examined according to the groups, no difference was found in the General Intention scores among the three groups [p .05]. However, the Perceived Consequences scores were found to be significantly lower in Group 2 compared to other groups. In Group 3, the Social Factors scores were in the worst condition when compared to other groups [p .05]. The affect scores in Group 3 was significantly higher compared to Group 1 [p .05]. Conclusions: Improving the perception of home exercises assigned to spinal pain patients according to disability status requires implementing more effective methods, such as written exercise sheets and video demonstrations, especially in the patients with lower disability status.