The prevalence of musculoskeletal pain and incidence of musculoskeletal injuries in adolescence are 20 to 40 percent and 30.9 injuries/ 100 adolescents/ year. This burden is especially relevant due to its association with future musculoskeletal pain, obesity, osteoarthritis, cardiovascular disease, and all-cause mortality.
Thus, it is crucial to address these issues early in life to avoid more serious complications in the future. Exercise therapy is the mainstay of the management of these conditions. However, adherence is a crucial factor in its effectiveness, and although multiple studies on this topic have been performed, a consensus about barriers and facilitators, especially in a specific population such as children and teenagers is still lacking.
A database search yielded 41 studies eligible for analysis which included 2,020 participants and 12 musculoskeletal conditions. Study quality was assessed with the Mixed Methods Appraisal Tool. Barriers, facilitators, and strategies to increase adherence were analysed using Braun and Clarke’s six-step guide.