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ISSN : 2092-8475(Print)
ISSN : 2714-0148(Online)
Journal of International Academy of Physical Therapy Research Vol.17 No.1 pp.3739-3747
DOI : https://doi.org/10.20540/JIAPTR.2026.17.1.3739

Effect of Tele-Recovery Coaching on Adherence to Home Exercise Programs in Shoulder Impingement

Junghyun Choi, PT, Prof., PhDa
aDepartment of Physical Therapy, Namseoul University, Cheonan, Republic of Korea

Abstract

Background: Shoulder impingement syndrome is a common musculoskeletal condition in which exercise therapy is widely used; however, its effectiveness depends largely on patient adherence. Tele-rehabilitation strategies have been proposed to improve adherence in home exercise programs.
Objectives: To compare the effects of a home coaching–based home exercise program (HCHEP) with a standard home exercise program (HEP) on exercise adherence, pain intensity, and shoulder disability.
Design: A randomized controlled trial.
Methods: Thirty participants with shoulder impingement syndrome were randomly assigned to either the HCHEP group (n=15) or the HEP group (n=15). Both groups performed a standardized home exercise program for 6 weeks. The HCHEP group additionally received structured tele-recovery coaching sessions focusing on feedback, goal setting, and problem-solving strategies. Outcomes included exercise adherence (%), pain intensity (Numeric Rating Scale), and shoulder disability (SPADI), assessed at baseline, post-intervention (6 weeks), and follow-up (12 weeks). Linear mixed models and repeated measures ANOVA were used for statistical analysis.
Results: The HCHEP group showed significantly higher adherence and greater improvements in pain and shoulder disability compared with the HEP group (P<0.01). Significant interactions (group, time) were observed for all outcomes.
Conclusion: Tele-recovery coaching enhances adherence and improves clinical outcomes in individuals with shoulder impingement syndrome.

초록

 

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