Scientific/Clinical Article| Volume 30, ISSUE 2, P193-199, April 2017

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Exploring experiences, barriers, and enablers to home- and class-based exercise in rotator cuff tendinopathy: A qualitative study


      Study Design

      Qualitative study.


      Adherence is paramount to the successful outcome of exercise-based treatment.

      Purpose of Study

      The barriers and enablers to adherence to a home- and class-based exercise program were explored in this qualitative study.


      Semi-structured interviews were carried out to establish common themes relating to the participants' experiences during a year-long randomized controlled trial.


      Twelve participants were interviewed. The main enablers to exercise were highlighted as equipment, perceived benefit from the exercises, and longer and more intensive monitoring. Barriers included the lack of motivation, lack of equipment, and pain.


      Implications for practice are incorporating enablers and addressing barriers including self-discharge from classes; the importance of longer term follow-up and the benefits of adopting exercise into a well-established routine may provide potential benefits.

      Level of Evidence



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      JHT Read for Credit

      Quiz: #482

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • #1.
        The design of the study is
        • a.
        • b.
          case series
        • c.
        • d.
      • #2.
        The authors stress the importance of
        • a.
          compliance to therapeutic exercise programs
        • b.
          anatomically correct therapeutic exercise programs
        • c.
          accurate diagnosis
        • d.
          the difference between strength and tendon gliding
      • #3.
        The article centers around
        • a.
          appropriateness of specific exercises
        • b.
          coordination between therapist and surgeon
        • c.
          cost effectiveness
        • d.
          barriers and enablers to successful outcomes
      • #4.
        The primary method of data collection was
        • a.
          chart reviews
        • b.
        • c.
          patient interviews
        • d.
          clandestine observation and recording of patients
      • #5.
        Participants for the most part felt their experience as subjects was positive
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.