Content » Vol 46, Issue 2

Original report

Non-adherence to prescribed home rehabilitation exercises for musculoskeletal injuries: The role of the patient-practitioner relationship

Bradley James Wright, Nicholas Justin Galtieri , Michelle Fell
School of Psychological Science, La Trobe University, 3086 Bundoora, Australia. E-mail:
DOI: 10.2340/16501977-1241


Objective: To identify which factors best explain non-adherence to home rehabilitation exercises (HRE) for patients with musculoskeletal injuries.
Design: Cross-sectional study.
Methods: Participants (n = 87) aged 17–91 years completed questionnaires measuring demographic and injury-related information, self-efficacy, personality, health locus of control, patient-practitioner relationship, optimism, health value
and adherence to HRE. In addition, each participant’s attending physiotherapist assessed the participant’s adherence and effort during the appointment.
Results: A hierarchical regression with 3 steps (step 1: disposition; step 2: cognitive factors; step 3: patient-practitioner relationship) and adherence to HRE as the dependent variable was conducted. The factors in step 3 were the most significant and explained 16% (p < 0. 001) of the variance in adherence to HRE. In addition, a high score for patient neuroticism was found to correlate with poor adherence to HRE.
Conclusion: These preliminary results suggest that the patient-practitioner relationship is the best predictor of adherence to HRE, and that improving patient perception of the clinician’s productivity, communication of information and trust during consultations may improve adherence to HRE.

Lay Abstract


Do you want to comment on this paper? The comments will show up here and if appropriate the comments will also separately be forwarded to the authors. You need to login/create an account to comment on articles. Click here to login/create an account.