Astronaut adherence to exercise-based reconditioning: Psychological considerations and future directions. (January 2017)

• Record Type: Journal Article
• Authors: McKay, Carly D.; Standage, Martyn
• Is Part Of: Musculoskeletal science and practice. Volume 27(2017)Supplement 1
• Page Start: S38
• Page End: S41
• Publication Date: 2017-01
• Subjects: Adherence -- Astronauts -- Exercise -- Motivation; Manipulation (Therapeutics) -- Periodicals; Physical therapy -- Periodicals; Neuromuscular diseases -- Treatment -- Periodicals; Musculoskeletal system -- Diseases -- Periodicals; Manipulation (Therapeutics); Neuromuscular diseases -- Treatment; Physical therapy; Manipulation, Orthopedic; Musculoskeletal Diseases -- therapy; Neuromuscular Diseases -- therapy; Physical Therapy Modalities; Electronic journals; Periodicals; 615.82
• DOI: 10.1016/j.msksp.2016.12.011
• Languages: English
• ISSNs: 2468-8630

Abstract

Abstract: Introduction: Exercise-based reconditioning is essential for mitigating the negative physiological and functional effects of spaceflight. Astronaut adherence to prescribed reconditioning programmes is imperative, but there has been limited research in this area. Purpose: This commentary discusses adherence predictors in analogous terrestrial populations (sport, clinical rehabilitation, general exercise) that may translate to spaceflight environments. Implications: Reconditioning programmes should foster intrinsic motivation, realistic outcome expectancies, self-regulation skills, and strong therapeutic alliances to promote ongoing exercise adherence. Research is needed to understand spaceflight-specific barriers and facilitators to adherence, and to develop appropriate strategies to promote ongoing exercise behaviours. Highlights: Exercise adherence is an important component of astronaut safety and productivity. Terrestrial adherence predictors may translate to spaceflight settings. Intrinsic motivation, self-regulation and realistic expectancies improve adherence. Therapeutic alliances between astronauts and medical staff will support adherence.