{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:30:49Z","timestamp":1777465849235,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2022,7,4]]},"abstract":"<jats:p>BACKGROUND: Adherence to treatment is one of the most common problems in patients suffering from chronic disease such as osteoporosis, and special commitment is required to patients, especially regarding rehabilitation. There is increasing evidence that physical interventions aimed at relieving pain and reducing physical impairments could play a crucial role in improving the quality of life and reducing the risk of fractures in patients with severe osteoporosis. OBJECTIVE: The aim of this study was to assess the compliance and determine the acceptability of a home-self-managed exercises program in patients with vertebral fractures, one of the most frequent and serious consequences of osteoporosis. METHODS: We conducted a retrospective observational study of patients undergoing a home exercise program, monitoring them with clinical scales, questionnaires, and routine visits. RESULTS: 62.86% of the patients were compliant with the treatment; the absence of supervision by health personnel was the primary cause of non-compliance, followed by the lack of time and the lack of motivation. Compliant patients showed a significant reduction in lumbar pain (p 0.011), an improvement in posture with a reduction of dorsal kyphosis (occipital-wall distance T0-T1, p-value = 0.02) and an improvement in QoL (p-value = 0.001) and physical performance at the 20 m walking test (p-value = 0.003). CONCLUSIONS: A home exercise program is feasible and could improve signs and symptoms in patients with vertebral fractures due to OP.<\/jats:p>","DOI":"10.3233\/bmr-191826","type":"journal-article","created":{"date-parts":[[2021,11,2]],"date-time":"2021-11-02T15:52:02Z","timestamp":1635868322000},"page":"777-782","source":"Crossref","is-referenced-by-count":8,"title":["Adherence to a home physical exercise program in patients with osteoporotic vertebral fractures: A retrospective observational study"],"prefix":"10.1177","volume":"35","author":[{"given":"Francesca","family":"Falossi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Azzollini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiara","family":"Notarstefano","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gloria","family":"Raffaet\u00e0","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"key":"10.3233\/BMR-191826_ref1","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1007\/s11657-013-0136-1","article-title":"Osteoporosis in the European Union: Medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA)","volume":"8","author":"Hernlund","year":"2013","journal-title":"Arch Osteoporos"},{"issue":"3","key":"10.3233\/BMR-191826_ref2","first-page":"201","article-title":"Screening, diagnosis and treatment of osteoporosis: A brief review","volume":"11","author":"Bernabei","year":"2014","journal-title":"Clinical Cases in Mineral and Bone Metabolism"},{"issue":"1","key":"10.3233\/BMR-191826_ref3","first-page":"39","article-title":"Quality-of-life issues in osteoporosis","volume":"7","author":"Silverman","year":"2005","journal-title":"CurrRheumatol Rep"},{"issue":"6","key":"10.3233\/BMR-191826_ref4","doi-asserted-by":"crossref","first-page":"1863","DOI":"10.1007\/s00198-010-1435-7","article-title":"Effect of exercise on mobility, balance, and health-related quality of life in osteoporotic women with a history of vertebral fracture: A randomised controlled trial","volume":"22","author":"Bergland","year":"2011","journal-title":"Osteoporos Int"},{"issue":"9","key":"10.3233\/BMR-191826_ref5","doi-asserted-by":"crossref","first-page":"1471","DOI":"10.1111\/j.1532-5415.2004.52409.x","article-title":"Group treatment improves trunk strength and psychological status in older women with vertebral fractures: Results of a randomized clinical trial","volume":"52","author":"Gold","year":"2004","journal-title":"J Am Geriatr Soc"},{"issue":"8","key":"10.3233\/BMR-191826_ref6","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1007\/s00198-003-1423-2","article-title":"Efficacy of home-based exercise for improving quality of life among elderly women with symptomatic osteoporosis-related vertebral fractures","volume":"14","author":"Papaioannou","year":"2003","journal-title":"Osteoporos Int"},{"issue":"3","key":"10.3233\/BMR-191826_ref7","doi-asserted-by":"crossref","first-page":"215","DOI":"10.1007\/s001980050057","article-title":"Positive effects of physiotherapy on chronic pain and performance in osteoporosis","volume":"8","author":"Malmros","year":"1998","journal-title":"Osteoporos Int"},{"key":"10.3233\/BMR-191826_ref8","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/2046-4053-3-10","article-title":"Recommendations for exercise adherence measures in musculoskeletal settings: A systematic review and consensus meeting (protocol)","volume":"3","author":"Holden","year":"2014","journal-title":"Systems Review"},{"issue":"2","key":"10.3233\/BMR-191826_ref9","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1016\/S1356-689X(02)00156-X","article-title":"Adherence to rehabilitation in patients with low back pain","volume":"8","author":"Kolt","year":"2003","journal-title":"Manual Therapy"},{"issue":"2","key":"10.3233\/BMR-191826_ref10","first-page":"60","article-title":"The assessment of patient adherence to physiotherapy rehabilitation","volume":"31","author":"Bassett","year":"2003","journal-title":"New Zealand Journal of Physiotherapy"},{"issue":"3","key":"10.3233\/BMR-191826_ref11","first-page":"132","article-title":"Patients\u2019 adherence\/compliance to physical therapy home exercises","volume":"21","author":"Chan","year":"2010","journal-title":"Fizyoter Rehabilitation"},{"issue":"10","key":"10.3233\/BMR-191826_ref12","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1007\/s11136-011-9903-x","article-title":"Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5 L)","volume":"20","author":"Herdman","year":"2011","journal-title":"Qual Life Res"},{"issue":"10","key":"10.3233\/BMR-191826_ref13","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1007\/s00198-007-0398-9","article-title":"Effect of low-intensity back exercise on quality of life and back extensor strength in patients with osteoporosis: A randomized controlled trial","volume":"18","author":"Hongo","year":"2007","journal-title":"Osteoporos Int"},{"issue":"3","key":"10.3233\/BMR-191826_ref14","first-page":"207","article-title":"Adherence to long-term therapies: Evidence for action","volume":"35","author":"Burkhart","year":"2003","journal-title":"World Health Organization, J NursScholarsh"},{"key":"10.3233\/BMR-191826_ref15","first-page":"114","article-title":"A review of the factors associated with patient compliance and the taking of prescribed medicines","volume":"40","author":"Griffith","year":"1990","journal-title":"Br J Gen Pract"},{"key":"10.3233\/BMR-191826_ref16","doi-asserted-by":"crossref","first-page":"1468","DOI":"10.1016\/j.ijnurstu.2006.07.010","article-title":"Intentional and unintentional medicationnon-adherence: A comprehensive framework for clinicalresearch and practice? A discussion paper","volume":"44","author":"Lehane","year":"2007","journal-title":"Int J Nurs Stud"},{"key":"10.3233\/BMR-191826_ref17","first-page":"213","article-title":"The impact of medication regimen factors on adherence to chronic treatment: A review of literature","volume":"31","author":"Ingersoll","year":"2008","journal-title":"J BehavMed"},{"key":"10.3233\/BMR-191826_ref18","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/j.pec.2010.08.012","article-title":"Moving forward to improve medication adherence","volume":"81","author":"Van Dulmen","year":"2010","journal-title":"Patient EducCouns"},{"key":"10.3233\/BMR-191826_ref19","doi-asserted-by":"crossref","first-page":"514","DOI":"10.1016\/j.math.2010.05.012","article-title":"Interventions for enhancing adherence with physiotherapy: A systematic review","volume":"15","author":"McLean","year":"2010","journal-title":"Man Ther"},{"key":"10.3233\/BMR-191826_ref20","doi-asserted-by":"crossref","first-page":"347","DOI":"10.2340\/16501977-0338","article-title":"Personal characteristics influencing patients\u2019 adherence to home exercise during chronic pain: A qualitative survey","volume":"41","author":"Medina-Mirapeix","year":"2009","journal-title":"J Rehabil Med"}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/BMR-191826","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T13:26:54Z","timestamp":1777382814000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/BMR-191826"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,4]]},"references-count":20,"journal-issue":{"issue":"4"},"URL":"https:\/\/doi.org\/10.3233\/bmr-191826","relation":{},"ISSN":["1878-6324","1053-8127"],"issn-type":[{"value":"1878-6324","type":"electronic"},{"value":"1053-8127","type":"print"}],"subject":[],"published":{"date-parts":[[2022,7,4]]}}}