Adherence to prescribed exercise is linked to improved treatment results for physical performance and function. Failure to adhere to the home-exercise program will adversely affect the outcome of the treatment, decrease the treatment's efficacy, and be a cause for physiotherapists to alter treatment unnecessarily. The effectiveness of physical exercise can be determined when the patient complies with exercise therapy. Hence, this study aimed to assess patient adherence to home-based exercise programs and identify the predictors that affect the adherence of patients to home-based exercise programs. Methods: From April 1st to May 30th, 2021, a prospective multi-institution cross-sectional study was conducted at the comprehensive specialized hospitals of Gondar University, Felege Hiwot, and Tibebe Ghion. Data from 300 participants were collected through face-to-face interviews and patient medical file reviews. Binary logistic regression was done to identify predictors of patient adherence to home exercise programs with SPSS version 20. The strength of the association was represented by the adjusted odds ratio. Results: A 95.84% (n=300) response rate with 18-80 years age range participated in this study. Among the study participants, 35.3% (n=106) (95% CI: 29.7-40.3) of them were found adherent to home-based exercise programs. Age (adjusted OR 3.13 (1.031-9.507)), gender )), education level )), occupation )), remembering exercise )), and patient interest in exercise )) were independent predictors of exercise adherence. Conclusion:The proportion of adherence to home exercise programs was relatively poor. Older age, being female, uneducated, employed, and busy work status patients had a high tendency of non-adherence. Forgetfulness, perceived exercise is boring, or no interest had negative affect on their adherence.
Background The state of depression that can lead to substance and drug abuse, as well as an increased risk of suicide. Without a doubt, the link between musculoskeletal pain and depression compromises a person’s health and drastically lowers their quality of life, resulting in increased incapacity. Depression and musculoskeletal discomfort are two well-known risk factors for long-term sickness absence, which is defined as a period of sickness lasting more than a week, which means chronic musculoskeletal pains, particularly multiple pains, are linked to depression. And early diagnosis and care of depression in musculoskeletal disorder are critical to patients’ physical, functional, and occupational results. This study aimed to assess the magnitude of depression and associated risk factors among patients with musculoskeletal disorder. Method Multi-institution cross-sectional study conducted in Amhara region Comprehensive specialized Hospitals from April 1st to May 30th, 2021. The data was collected from 217 participants through interview administrative questioner and patient medical record review. Binary logistic regression was used to identify associated risk factors of depression. The strength of the association was detected by the adjusted odds ratio. Result A total of 217 participate in this study with the age range of 18–80 years. Among the study participants, 57.1% (n = 124) (AOR: 95% CI: 50.7–63.6) were had depression. Treatment duration, and social support were significantly association with depression among patient with musculoskeletal disorder with P < 0.05. Conclusion The magnitude of depression was relatively high among musculoskeletal disorder patients treated in physiotherapy out-patient department. The length of treatment duration (hospital stay) and the status of social support from families and friends were significantly associated with depression among patients with musculoskeletal disorders. A multidisciplinary strategy is required for diagnosing and treating depression in patients with musculoskeletal disorder.
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