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Bruno Bonnechère, Bart Jansen, Lubos Omelina, Serge Van Sint Jan
 

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Abstract 

Introduction: The aim of this paper is to quantify the participation of patients during at-home exercises and also to understand why patients are not performing these exercises, which are nevertheless a major component of the rehabilitation, and find some perspectives to increase patients{\textquoteright} motivation and participation.Material and method: A self-reporting survey was conducted. 319 patients (mean age=42±15 years old, 147 female) having experience with different specialty of physiotherapy participated in this study. The main outcome measurement is the percentage of adherence to at-home exercises. Secondary outcomes of measurement are reasons why patients are not performing these exercises and finally what could stimulate them to do it.Results: 29% of the patients reports a total adherence, 54% are partially adherence and 17% of the patients do not perform any of the recommended exercises. Partially mean that patients only performed 33% of the right amount of repetitions and duration. The total percentage of participation is about 50% of the recommendation of physiotherapists. Lack of time and tedious exercises are the two main reasons why patients do not do these exercises.Conclusion: Guidelines recommend the use of exercises program as supplement of physiotherapy sessions. However, patient{\textquoteright}s participation and adherence are quite low. Therefore specific solution must be developed to increase patient{\textquoteright}s motivation and in fine the quality of treatment and care.

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