Resumo

MONAIWA, Keamogetswe; YAZBEK, Mariatha  e  MAGIDA, Nontembiso. Perspectives on adherence to prescribed home exercises after polytrauma: A qualitative study. SAJPHYS [online]. 2025, vol.81, n.1, pp.1-10. ISSN 2410-8219.  https://doi.org/10.4102/sajp.v81i1.2163.

BACKGROUND: Polytrauma can be life altering, requiring a holistic approach to reach the highest functional level. Physiotherapists prescribe home exercise programmes (HEPs) to prevent complications associated with immobility. Adherence to HEPs is crucial, yet factors influencing non-adherence remain underexplored OBJECTIVES: Our study explored patients with polytrauma perspectives on adherence to prescribed HEPs METHOD: A qualitative exploratory, descriptive design was used to recruit participants purposively from a rehabilitation unit in Tshwane district, South Africa. Participants diagnosed with polytrauma, aged 18 years or older, and prescribed a HEP were included, while those with cognitive impairments or language barriers were excluded. Consent was obtained while hospitalised, and participants were contacted 3 months post-discharge for telephonic semistructured interviews lasting 30-45 min. Ethical clearance (reference number: 595/2022) and institutional permission were granted. Interviews were audio-recorded and conducted until data were saturated. Data were verbatim transcribed and analysed thematically to identify key themes and sub-themes RESULTS: Thirteen participants (8 male and 5 female participants) with a mean age of 43.77 (standard deviation = 10.45) were interviewed. The four major themes were physical, psycho-cognitive, social and environmental factors. Adherence barriers were more significant than facilitators. The most frequently reported facilitator was family support, whereas the most commonly reported barrier was pain CONCLUSION: Polytrauma patients identified more barriers than facilitators affecting HEP adherence. Pain significantly hindered adherence, while family support was a key enabler CLINICAL IMPLICATION: Physiotherapists should work collaboratively with patients to develop inclusive HEPs that consider their demographic, social, psychological, physical and environmental context

Palavras-chave : international classification of functioning and disability; adherence; polytrauma; home exercise programme; physiotherapy; facilitators; barriers.

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