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Scoliosis and Spinal Disorders
Published in: Scoliosis and Spinal Disorders 1/2018

Open Access 01-12-2018 | Research

Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis

Authors: Karina A. Zapata, Sharon S. Wang-Price, Tina S. Fletcher, Charles E. Johnston

Published in: Scoliosis and Spinal Disorders | Issue 1/2018

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Abstract

Background

Software applications (apps) could potentially promote exercise adherence. However, it is unclear whether adolescents with painful hyperkyphosis will use an app designed for a home exercise program. The purpose of this study is to assess factors regarding adherence to an app-based home exercise program in adolescents with hyperkyphosis and back pain who were provided a one-time exercise treatment.

Methods

Twenty-one participants were instructed in a one-time exercise treatment and asked to complete a home exercise program 3 times a week for 6 months using an app called PT PAL. At a 6-month follow-up, 14 participants completed a survey assessing factors related to their experiences using the app and their treatment engagement.

Results

Although most participants did not use the app, they reported performing their exercises a few times per week. The adolescent participants considered the app to be more of a barrier than a supportive measure for promoting exercise adherence. Most participants still reported bothersome back pain.

Conclusions

Although adherence to the 6-month app-based home exercise program was not successful, adolescents still viewed technology support such as text reminders as a potential solution.

Trial registration

ClinicalTrials.gov Identifier: NCT03212664. Registered 11 July 2017. Retrospectively registered.
Literature
1.
Petcharaporn M, Pawelek J, Bastrom T, Lonner B, Newton PO. The relationship between thoracic hyperkyphosis and the Scoliosis Research Society outcomes instrument. Spine (Phila Pa 1976). 2007;32(20):2226–31.CrossRef
2.
Lonner B, Yoo A, Terran JS, et al. Effect of spinal deformity on adolescent quality of life comparison of operative Scheuermann’s kyphosis, adolescent idiopathic scoliosis and normal controls. Spine (Phila Pa 1976). 2013;38(12):1049–55.CrossRef
3.
Murray P, Weinstein S, Spratt KF. Natural history and long-term follow-up of Scheuermann kyphosis. J Bone Joint Surg Am. 1993;75A(2):236–48.CrossRef
4.
Ristolainen L, Kettunen JA, Heliövaara M, Kujala UM, Heinonen A, Schlenzka D. Untreated Scheuermann’s disease: a 37-year follow-up study. Eur Spine J. 2012;21(5):819–24.CrossRefPubMed
5.
de Mauroy J, Weiss H, Aulisa A, et al. 7th SOSORT consensus paper: conservative treatment of idiopathic & scheuermann’s kyphosis. Scoliosis. 2010;5:9.CrossRefPubMedPubMedCentral
6.
Zaina F, Atanasio S, Ferraro C, et al. Review of rehabilitation and orthopedic conservative approach to sagittal plane diseases during growth: hyperkpyhosis, junctional kyphosis, and scheuermann disease. Eur J Phys Rehabil Med. 2009;45(4):595–603.PubMed
7.
Prasad SA, Cerny FJ. Factors that influence adherence to exercise and their effectiveness: application to cystic fibrosis. Pediatr Pulmonol. 2002;34(1):66–72.CrossRefPubMed
8.
van Sluijs EMF, McMinn AM, Griffin SJ. Effectiveness of interventions to promote physical activity in children and adolescents: systematic review of controlled trials. BMJ. 2007;335(7622):703.CrossRefPubMedPubMedCentral
9.
Zapata KA, Wang-Price SS, Sucato DJ, Thompson M, Trudelle-Jackson E, Lovelace-Chandler V. Spinal stabilization exercise effectiveness for low back pain in adolescent idiopathic scoliosis. Pediatr Phys Ther. 2015;27(4):396–402.CrossRefPubMed
10.
Bassett SF. The assessment of patient adherence to physiotherapy. New Zeal J Physiother. 2003;31(July):60–6.
11.
12.
Direito A, Jiang Y, Whittaker R, Maddison R. Apps for IMproving FITness and increasing physical activity among young people: the AIMFIT pragmatic randomized controlled trial. J Med Internet Res. 2015;17(8):e210.CrossRefPubMedPubMedCentral
13.
Williamson A, Hoggart B. Pain: a review of three commonly used pain rating scales. J Clin Nurs. 2005;14(7):798–804.CrossRefPubMed
14.
Asher M, Min Lai S, Burton D, Manna B. The reliability and concurrent validity of the scoliosis research society-22 patient questionnaire for idiopathic scoliosis. Spine (Phila Pa 1976). 2003;28(1):63–9.CrossRef
15.
Campbell R, Evans M, Tucker M, Quilty B, Dieppe P, Donovan JL. Why don’t patients do their exercises? Understanding non-compliance with physiotherapy in patients with osteoarthritis of the knee. J Epidemiol Community Health. 2001;55(2):132–8.CrossRefPubMedPubMedCentral
16.
Jack K, McLean SM, Moffett JK, Gardiner E. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Man Ther. 2010;15(3):220–8.CrossRefPubMedPubMedCentral
17.
Henry K, Rosemond C, Eckert L. Effect of number of home exercises on compliance and performance in adults over 65 years of age. Phys Ther. 1999;79(3):270–7.PubMed
18.
Goh G, Tan NC, Malhotra R, et al. Short-term trajectories of use of a caloric-monitoring mobile phone app among patients with type 2 diabetes mellitus in a primary care setting. J Med Internet Res. 2015;17(2):e33.
19.
Markward M, McMillan LS, Markward N. Social support among youth. Child Youth Serv Rev. 2003;25(7):571–87.CrossRef
20.
Button B, Trites S, Janssen I. Relations between the school physical environment and school social capital with student physical activity levels. BMC Public Health. 2013;13:1191.CrossRefPubMedPubMedCentral
21.
Bruner MW, Spink KS. Effects of team building on exercise adherence and group task satisfaction in a youth activity setting. Group Dyn-Theor Res. 2011;15(2):161–72.CrossRef
22.
Sawka KJ, Mccormack GR, Nettel-aguirre A, Hawe P, Doyle-baker PK. Friendship networks and physical activity and sedentary behavior among youth: a systematized review. Int J Behav Nutr Phys Act. 2013;10:130.CrossRefPubMedPubMedCentral
23.
Daubs MD, Hung M, Neese A, et al. Scoliosis research society-22 results in 3052 healthy adolescents aged 10 to 19 years. Spine (Phila Pa 1976). 2014;39(10):826–32.CrossRef
24.
Verma K, Lonner BS, Hoashi JS, et al. Demographic factors affect Scoliosis Research Society-22 performance in healthy adolescents: a comparative baseline for adolescents with idiopathic scoliosis. Spine (Phila Pa 1976). 2010;35(24):2134–9.CrossRef
25.
Carreon LY, Sanders JO, Diab M, Sucato DJ, Sturm PF, Glassman SD. The minimum clinically important difference in scoliosis research Society-22 appearance, activity, and pain domains after surgical correction of adolescent idiopathic scoliosis. Spine (Phila Pa 1976). 2010;35(23):2079–83.CrossRef
26.
Kuklo TR, Diab M, Richards BS, Sucato DJ, Lenke LG, Spinal Deformity Study Group. Are there SRS preoperative questionnaire differences between kyphosis and scoliosis patients? E-Poster Presentation at: 43rd Annual Meeting of the Scoliosis Research Society. Salt Lake City, UT: Scoliosis Research Society (SRS);2008.
27.
Weiss H-R, Dieckmann J, Gerner HJ. The practical use of surface topography: following up patients with scheuermann’s disease. Pediatr Rehabil. 2003;6(1):39–45.CrossRefPubMed
28.
Weiss H-R, Dieckmann J, Gerner HJ. Effect of intensive rehabilitation on pain in patients with scheuermann’s disease. In: Tanguy A, Peuchot B, editors. Research into Spinal Deformities 3, vol. 88. Oxford: IOS Press; 2002. p. 254–7.
29.
Zapata KA, Wang-Price SS, Sucato DJ. Six-month follow-up of supervised spinal stabilization exercises for low back pain in adolescent idiopathic scoliosis. Pediatr Phys Ther. 2017;29(1):62–6.CrossRefPubMed
30.
Sanders JO, Harrast JJ, Kuklo TR, et al. The spinal appearance questionnaire: results of reliability, validity, and responsiveness testing in patients with idiopathic scoliosis. Spine (Phila Pa 1976). 2007;32(24):2719–22.CrossRef
Metadata
Title
Factors influencing adherence to an app-based exercise program in adolescents with painful hyperkyphosis
Authors
Karina A. Zapata
Sharon S. Wang-Price
Tina S. Fletcher
Charles E. Johnston
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Scoliosis and Spinal Disorders / Issue 1/2018
Electronic ISSN: 2397-1789
DOI
https://doi.org/10.1186/s13013-018-0159-x

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