People with non-specific chronic low back pain who have participated in exercise programs have preferences about exercise: a qualitative study.
Slade, Molloy and Keating, 2009 from Monash University.
This study examined people’s preferences for exercise programs for lower back pain. Alla has summarised the findings from this study.
From this research, it appears that people look for primarily in a class is:
- Well equipped space with appropriate exercise tools
- A motivational instructor, who emphasises health promotion
- Exercise groups where people are matched appropriately for their level of skill and experience
- Close monitoring in small groups to allow for individualisation of exercise programs and adequate supervision.
- An instructor who demonstrates exercises, observes client practice, gives feedback and correction of technique. This helps to give a sense of mastery of the technique, and build confidence for independent practice.
- Explanation on the purpose of each exercise, what it is strengthening and how it will help
- Emphasis on assertiveness & self-management techniques, as well as discipline
- Help with setting short and long term goals, and recognition of progress
- A set weekly routine, with timetable flexibility to assist with regular attendance
- Using outcome measures to gauge progress e.g. questionnaires
- Diagrams and written instructions to aid learning
- Integration of exercises learnt into everyday activities
- Most people prefer the camaraderie and motivation of group exercise, some prefer one-on-one or independent exercise.
At FIX, our physiotherapists/instructors strive to deliver individualised, safely progressed exercise routines. This is coupled with neurophysiology and anatomy education, and tips on integrating the exercises into daily life to improve function. New exercises are always demonstrated first, practiced, and then corrected and re-practiced with hands-on feedback. A beginner’s book is available to help with a visual & written guide for home practice.
Do you agree with the outcomes form this study? Do you feel that we could deliver our classes any differently to meet your needs and expectations of an exercise class?
Thanks to Alla for this literature review from the Australian Physiotherapy Journal Volume 55 No 2, 2009.