Purpose This study evaluated the effectiveness of an intervention combining the abdominal draw-in maneuver (ADIM) and body mechanics for nurses with chronic low back pain (LBP).
Methods A non-equivalent control group pretest-posttest design was used, with data collected from August 30 to December 29, 2023. Participants were nurses experiencing chronic LBP (≥3 months) from a university hospital. Participants were allocated by ward units, with the experimental group (n=30) enrolled first, followed by the control group (n=30). The experimental group received ADIM and body mechanics training, performed ADIM exercises three times weekly for 6 weeks, and received daily text reminders. Exercise adherence and body mechanics usage were monitored weekly. The control group received educational materials upon request after study completion. Outcomes included LBP intensity, LBP disability, lumbar flexibility, and body mechanics performance, analyzed using SPSS version 27.0 through descriptive statistics, the chi-squared test, the Fisher exact tests, the independent t-test, the Mann-Whitney U test, and analysis of covariance.
Results Compared to the control group, the experimental group showed significant reductions in LBP intensity (Z=4.65, p<.001) and LBP disability (F=7.04, p=.010), as well as improvements in lumbar flexibility (t=6.15, p<.001) and body mechanics performance (t=6.91, p<.001).
Conclusion The intervention effectively alleviated LBP, reduced disability due to LBP, and improved lumbar flexibility and body mechanics performance. Thus, integrating ADIM with body mechanics may represent a practical and beneficial approach for reducing pain and enhancing functional outcomes among nurses experiencing chronic LBP in clinical settings.
Purpose This study aimed to develop the progressive lower-extremity exercise program for patients with total knee replacement arthroplasty and to evaluate its effectiveness on knee functions.
Methods: A non-equivalent quasi-experimental design with matching sample was used. The control group was recruited prior to the experimental group with the matched inclusion criteria for age, gender, and duration of osteoarthritis. The experimental group (n=34) participated in the 8-week progressive lower-extremity exercise program and completed both pretest and posttest with the dropout rates of 15%. The control group (n=35) received conventional exercise intervention during the study period with the dropout rates of 17.5%. Outcome measures were days to achieve possible range of motion, lower-extremity strength, and knee symptoms and function. Data were collected from April, 2019 to March, 2020 and analyzed with a x2 test, independent t-test, and repeated measures ANOVA using SPSS/WIN V. 23.0.
Results: The progressive lower-extremity exercise program consisted of pre-op education, post-op progressive exercise provided 2~3 times/day with progressive intensity and duration, followed by pre-discharge education. The study participants were 71.7 years old in average, mostly women, and having osteoarthritis for 9.3 years. The experimental group reported significant improvement in lower-extremity strength and knee symptoms and function compared to their controls after 8 weeks based on interaction effects. No significant interaction effect was found in days to achieve possible range of motion.
Conclusion: The progressive lower-extremity exercise program provided additional benefits over the conventional exercise to patients with total knee replacement arthroplasty. This program is easily applicable and useful as rehabilitation nursing strategies in this population.
Citations
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The Effects of a Self-Efficacy Theory-Based Exercise Program for Patients Undergoing with Total Knee Arthroplasty Kyung-Hye Park, Hee-Young Kang Journal of Korean Academy of Nursing.2024; 54(4): 547. CrossRef
Effects of lower-limb active resistance exercise on mobility, physical function, knee strength and pain intensity in patients with total knee arthroplasty: a systematic review and meta-analysis Guo Wei, Zhenghui Shang, Yupeng Li, Yu Wu, Li Zhang BMC Musculoskeletal Disorders.2024;[Epub] CrossRef
PURPOSE The purpose of this study was to examine the effect of resistive exercise using an elastic band on range of motion, function and shoulder pain. METHODS Forty two subjects who had rotator cuff surgery were assigned either to a treatment or a comparison group, twenty one each. Following a six week period after surgery those in the treatment group participated in resistant exercise using an elastic band for four weeks. The subjects in the comparison group did not participate in the exercise program. The goniometer measured range of motion, a modified tool measured function, and a self report numerical rating scale measured pain. The data were analyzed using χ² test, Fisher's exact, t-test and the Mann-Whitney Test RESULTS: Although not statistically significant, there was a trend that more subjects in the treatment group had increased range of motion. There was a statistically significance among the treatment group in terms of increased function (p=.015). Further the treatment group reported less pain that those in the comparison group (p<.001). CONCLUSION The findings support that resistance exercise is an effective strategy for patients with rotator cuff repair.
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Combined effect of graded Thera-Band and scapular stabilization exercises on shoulder adhesive capsulitis post-mastectomy Nancy H. Aboelnour, FatmaAlzahraa H. Kamel, Maged A. Basha, Alshimaa R. Azab, Islam M. Hewidy, Mohamed Ezzat, Noha M. Kamel Supportive Care in Cancer.2023;[Epub] CrossRef
Effect of Resistance Exercise Program for Middle-Aged Women with Myofascial Pain Syndrome on Shoulder Pain, Angle of Shoulder Range of Motion, and Body Composition Randomized Controlled Trial, RCT WonJong Kim, Myung-Haeng Hur Journal of Korean Academy of Nursing.2020; 50(2): 286. CrossRef
PURPOSE This study is reviewed of the available literature to identify the evidence of the value of Kegel exercise programs as an intervention to decrease urinary incontinence and the improvement of the quality of life following a radical prostatectomy in localized prostate cancer. METHODS We searched studies of randomized controlled trials that utilized the Kegel exercise programs with patient with a radical prostatectomy. The review was conducted electronic bibliographic database of Ovid-Medline, Embase, Scopus, KoreaMed and NDSL, etc. Of 630 publications identified, seven studies that met the inclusion criteria, and all studies analyzed by meta-analysis. To ensure the quality of the studies, we used Cochrane's Risk of Bias. RESULTS Kegel exercise helped patient to achieve continence more quickly (after 1, 3, 6, 12 months) than men not using Kegel exercises. Especially, Kegel exercise significantly reduced the development of urinary incontinence at one month after prostatectomy. The effectiveness of Kegel exercise after prostatectomy was found to improve the quality of life at a significant level. CONCLUSION Based on available evidence, Kegel exercise that nurses can teach improved the return to continence more than usual care in men with prostatectomy urinary incontinence.
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