The aim of the study was to assess the effectiveness of back strengthening exercise to relieve low back pain among nursing students in selected hostel at Salem.
Objective -1: To observe the existing postural maintenance among nursing students in hostel.
In this study, the researcher observed the postural maintenance of 30 nursing students by Observatory non participatory concealed approach and found that 10% were sitting with back support, 90% were sitting without back support, 90% were standing with foot well supported and 10% were standing with foot not well supported. Then students with low back pain were selected as samples and observation were made by non participatory concealed approach and found that that 10% were sitting with back support, 90% were sitting without back support, 90% were standing with foot well supported and 10% were standing with foot not well supported. The importance of postural maintenance was taught on the day of completion of intervention.
Jerin Rajan, (2010) conducted a study to assess the information expected and received from the nurses by the family members and to prepare policies for information. The research design adopted was descriptive design. Observatory non participatory concealed approach was used for collecting data.
The findings clearly prove that information provided by the nurse 84.4%, has reached only 50.3% of the family members. This clearly specifies that there is a communication gap between the ICU nurses and the family members of the critically ill patient admitted in ICU.
Objective-2: To prepare and validate the back strengthening exercise to reduce low back pain among samples.
In the study, back strengthening exercise were taught to the samples with low back pain and it was found that before practicing back strengthening exercise, 2(6.66%) of the samples have 'mild pain', 23(76.66%) of the samples have moderate pain and 5(16.66%) of the samples have severe pain . After practicing back strengthening exercise, 29(96.66%) of the samples have 'no pain' and 1(3.33%) have 'mild pain'. proved to be very effective in reducing low back pain. So it proved to be very effective.
James Rainvillae. et.al., (2003) conducted a review regarding exercise as a treatment for chronic low back pain. A computerized literature search of MEDLINE was conducted using "exercise," "ï¬tness", "back pain", "backache" and "rehabilitation" as search words. Identiï¬ed abstracts were scanned, and useful articles were acquired for further review. The result was that, for people with acute, subacute or chronic low back pain, there is no evidence that exercise increases the risk of additional back problems or work disability. To the contrary, current medical literature suggests that exercise has either a neutral effect or may slightly reduce risk of future back injuries. Exercise can be prescribed for patients with chronic low back pain. It was concluded that exercise is safe for individuals with back pain, because it does not increase the risk of future back injuries or work absence.
Objective -3: To assess and compare the level of intensity of low back pain before and after the back strengthening exercise among the samples.
In this study also, the researcher assessed and compared the level of intensity of low back pain before and after the back strengthening exercise among the samples. It was found that before practicing back strengthening exercise, 2(6.66%) of the samples have 'mild pain', 23(76.66%) of the samples have moderate pain and 5(16.66%) of the samples have severe pain. After practicing back strengthening exercise, 29(96.66%) of the samples have 'no pain'and 1(3.33%) have 'mild pain'. The mean posttest level of low back pain was less than the mean pretest level of low back pain. The result showed that the level of intensity of low back pain reduced to a greater extent after the intervention.
Ninna Dufour et al(2010), conducted a study to compare the efficacies of 2 active therapies (Group-Based Multidisciplinary Biopsychosocial Rehabilitation and Intensive Individual Therapist-Assisted Back Muscle Strengthening Exercises) for chronic low back pain (CLBP). A stratified randomized single-blinded clinical trial was used as the study design. A total of 286 patients with CLBP were randomized to either a group-based 12-week program comprising 73 hours of therapist exposure (approximately 12 h/patient): 35 hours of hard physical exercise, 22 hours of light exercise/occupational therapy, and 16 hours of education (group A) or a 12-week program comprising 1 hour of personal training twice a week, i.e., therapist exposure 24 h/patient (group B). The result was that out of the 286 patients, 14 patients did not start treatment of the remaining patients, 25 (9%) dropped out of therapy. The 2 groups were comparable regarding baseline characteristic. After treatment, significant improvements were observed with regard to pain, disability, and most of the quality of life dimensions.
A systematic review (Hayden. et.al.,2005) evaluated the effectiveness of exercise therapy in adult nonspecific acute, sub-acute and chronic low back pain versus no treatment and other conservative treatments. The aim was to identify randomised controlled trials involving participants with nonspecific low back pain comparing exercise therapy to no treatment/placebo/sham, another conservative therapy or another exercise group. Outcomes of interest were self-reported pain intensity, function, global improvement and return-to-work. Meta analysis of functional and pain outcomes from 20 and 23 studies respectively involving chronic low back pain patient populations suggests exercise therapy is slightly effective at decreasing pain and improving function relative to other comparisons (no-treatment, sham, placebo or other conservative treatment).
Specification:
It was found that student awareness and practice towards postural maintenance and low back pain were less. Hence the study towards the improvement of postural maintenance on practice of back strengthening exercise helped them to relieve low back pain.
