Exercise and The Spine Motivation and Exercise Compliance
Motivation is required to achieve both the short and long terms benefits of exercise. Without the right level of motivation and exercise program compliance many chronic spine problems can not be overcome. This dilemma has contributed to the growing epidemic of back pain. The majority of patients do not perform the spinal exercises recommended to them by their attending physician or therapist.
The lack of motivation and compliance occurs for a variety of reasons. The most common reason is laziness followed by an unclear understating (appreciation) for what the exercise will really accomplish. The following table provides a few recommendations, which may lead to a higher level of motivation and exercise compliance.
Start small with a few basic exercises
Schedule your exercise sessions
Make sure you understand why the exercises are necessary
Become educated about the impact of exercise on your spine condition (disorder)
Keep the initial exercise progam simple
Workout with others (make it a social event)
Record your progress (create an exercise log)
Become familiar with the exercises (study the correct methods on pictures, tape, CDs)
Have your spine specialist customize the exercises to meet your needs
The level of motivation and compliance with exercise programs is influenced by a number of factors, including the individual attitudes toward health and their physicians, the patient's understanding of their spine condition (disorder) and the treatment prescribed. How they feel about returning to work and social situations also has a profound impact on motivational levels. The individual (patient) must believe in and understand the diagnosis as well as the concept of recurrence and progession. Low motivation levels and poor exercise compliance may result from poor instruction or lack of encouragement from the physician or trainer. For example, exercise rehabilitation programs for cardiac patients have relatively high dropout rates.