The Effect of William Flexion Exercise on Reducing Pain Intensity For Elderly with Low Back Pain
DOI:
https://doi.org/10.35654/ijnhs.v4i1.374Keywords:
Aging; Exercise theraphy; Low back pain; William Flexion ExerciseAbstract
The elderly are a group of the population that has the potential to become vulnerable communities. In the elderly, the aging process can cause various physical problems. One of the issues that often arise in the elderly is low back pain (NPB). The purpose of this study is to evaluate the effect of the William Flexion Exercise on reducing the pain intensity for elderly with low back pain at Hisosu Binjai Resident Home, Indonesia. The research design is quasi-experimental with the pre and post-test control group approach in 2017. This study's sample consisted of 28 people in the intervention group and 28 people in the control group. The sampling technique utilized consecutive sampling. This study used The Pain Numerical Rating Scale to evaluate the level of pain intensity perceived by the patient. The data were analyzed by dependent and independent t-test with significance ? < 0.05. The dependent t-test found a significant difference in the low back pain before and after the intervention group intervention (p-value =0.000). In contrast, there is no significant difference in the control group (p-value = 0.081). The result of the independent t-test found that there are significant differences in the low back pain between the intervention group and the control group. This study concludes that William's flexion exercise provided benefits to most of the participants in this study. Thus, it may be an effective technique to reduce pain intensity and increase the range of motions
Downloads
References
(1) L S, Hanifa S. Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. Afr Health Sci. 2010;10(101):26–30.
(2) Keriri HM, Keriri H. Prevalence and risk factors of low back pain among nurses in operating rooms, Taif, Saudi Arabia. Am J Res Commun www.usa-journals.com Keriri. 2013;1(11):45–70.
(3) Mcbeth J, Jones K. Epidemiology of chronic musculoskeletal pain. Elsevier. 2007;21(3):403–25.
(4) Cassidy JD, Co P, Carroll LJ, Kristman V. Incidence and Course of Low Back Pain Episodes in the General Population. 2005;30(24):2817–23.
(5) Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain?: estimates from the Global Burden of Disease 2010 study. BMJ J. 2014;73(6):968–74.
(6) Hoogendoorn WE, van Poppel MN, Bongers PM, Koes BW, Bouter LM. Systematic review of psychosocial factors at work and private life as risk factors for back pain. Spine (Phila Pa 1976). 2000;25(16):2114–25.
(7) Wong AYL, Karppinen J, Samartzis D. Low back pain in older adults?: risk factors, management options, and future directions. 2017;1–23.
(8) Schild von Spannenberg S, Jones GT, Macfarlane GJ. The evidence base for managing older persons with low back pain. Br J Pain. 2012;6(4):166–9.
(9) Gheno R, Cepparo JM, Rosca CE, Cotten A. Musculoskeletal Disorders in the Elderly. 2012;2(3).
(10) Freemont AJ, Hoyland JA. Morphology, mechanisms, and pathology of musculoskeletal aging. J Pathol. 2007;211(2):252–9.
(11) Yamamoto H. Low Back Pain Due to Degenerative Disease in Elderly Patients. Japan Med Assoc J. 2003;128(12):433–8.
(12) Marshall M, Litwack-Harrison S, Makris E, Kado DM, Cawthon PM, Deyo RA, et al. A Prospective Study of Back Pain and Risk of Falls Among Older Community-dwelling Men. Journals Gerontol. 2017;72(9):1264–9.
(13) Kherad M. Risk factors for low back pain and sciatica in elderly men — the MrOS Sweden study. 2014;64–71.
(14) Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Med D, et al. Studies Comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for Assessment of Pain Intensity in Adults?: A Systematic Literature Review. J Pain Symptom Manage [Internet]. 2011;41(6):1073–93. Available from: http://dx.doi.org/10.1016/j.jpainsymman.2010.08.016
(15) Obuke YK, Yasuyo ABE, Zhaojia YE, Onda SH, Ta MTOMI, Saki MO, et al. Association of Age, Obesity, Joint Pain, and Chewing Ability with Chair Stand Difficulty among Community-dwelling Elderly People in Nagasaki, Japan. 2009;(0):4–7.
(16) Palma R, De Conti MHS, Quintino NM, Nuevo GMA. FUNCTIONAL CAPACITY AND ITS ASSOCIATED FACTORS IN THE ELDERLY WITH LOW BACK PAIN. 2014;22(6):295–9.
(17) Katz JN. Lumbar Disc Disorders and Low-Back Pain: Socioeconomic Factors and Consequences. J Bone Jt Surg. 2006;88(suppl_2):21.
(18) Murray CJL, Lopez AD. Measuring the Global Burden of Disease. N Engl J Med. 2013;369(5):448–57.
(19) Nedergaard A, Henriksen K, Karsdal MA, Christiansen C. Best Practice & Research Clinical Obstetrics and Gynaecology Musculoskeletal aging and primary prevention. Best Pract Res Clin Obstet Gynaecol [Internet]. 2013;1–16. Available from: http://dx.doi.org/10.1016/j.bpobgyn.2013.06.001
(20) Hayden JA, Cartwright J, van Tulder MW MA. Exercise therapy for chronic low back pain (protocol). Cochrane Database Syst Rev. 2012;(4): Art. No.: CD009790.
(21) Kumar M, Educational MGR. Effectiveness of William ’ S Flexion Exercise in the Management of Low. 2016;(February).
(22) Gupta S. A COMPARISON BETWEEN McKENZIE EXTENSIONS EXERCISES VERSUS WILLIAM’S FLEXION EXERCISES FOR LOW BACK PAIN IN B.PT. STUDENTS. Vol. 3, Indian Journal of Physical Therapy. 2015.
(23) Ponte DJ, J. JG, Kent BE. A preliminary report on the use of the McKenzie protocol vs. Williams protocol in the treatment of LBP. J Orthop Sports Phys Ther. 1984;6(10):130–7.
(24) Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale for Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF. Arthritis Care Res. 2011;63(SUPPL. 11):1–26.
(25) Childs JD, Piva SR, Fritz JM. Responsiveness of the numeric pain rating scale in patients with low back pain. Spine (Phila Pa 1976). 2005;30(11):1331–4.
(26) Voinea A, Iacobini A. WILLIAMS ’ PROGRAM FOR LOW BACK PAIN. VI(4):210–4.
(27) Carrasco-garrido P, Jiménez-sánchez S, Fernández-de-las-pe C, Hernández-barrera V, Alonso-blanco C, Palacios-ce D, et al. Prevalence of chronic head , neck and low back pain and associated factors in women residing in the Autonomous Region of Madrid ( Spain ). 2012;26(6):534–40.
(28) Jacobs JM, Hammerman-Rozenberg R, Cohen A, Stessman J. Chronic Back Pain Among the Elderly?: Prevalence, Associations, and Predictors. 2006;31(7):203–7.
(29) Cho NH, Jung YO, Lim SH, Chung C-K, Kim HA. The Prevalence and Risk Factors of Low Back Pain in Rural Community Residents of Korea. Spine (Phila Pa 1976). 2012;37(24):2001–10.
(30) Kim W, Jin YS, Lee CS, Hwang CJ, Lee SY, Chung SG, et al. Relationship Between the Type and Amount of Physical Activity and Low Back Pain in Koreans Aged 50 Years Older. PM&R [Internet]. 2014;(May). Available from: http://dx.doi.org/10.1016/j.pmrj.2014.04.009
(31) Alkherayf F, Agbi C. Cigarette smoking and chronic low back pain in the adult population. Vol. 32, Clinical and investigative medicine. Médecine clinique et experimentale. 2009. p. E360-7.
(32) Shiri R, Falah-Hassani K. The Effect of Smoking on the Risk of Sciatica: A Meta-analysis. Am J Med. 2016;129(1):64-73.e20.
(33) Sukmajaya WP, Alkaff FF, Oen A, Sukmajaya AC. Williams Flexion Exercise for Low Back Pain?: A Possible Implementation in Rural Areas. Maced J Med Sci. 2020;8(B):1–5.
(34) Dalem AAI, Yundari H, Puspita P, Mas W. Proceedings of International Conference on Applied Science and Health ICASH-A44 EFFECTIVENESS OF WILLIAM FLEXION EXERCISE TO REDUCE PAIN INTENSITY ON LOW BACK PAIN ( LBP ) OF WOODCARVERS IN BALI, INDONESIA Proceedings of International Conference on Appli. 2018;456(3):305–11.
(35) Ghiasi F, Mehraeen M. The effect of William’s exercise on non-specific and chronic referral low back pain. Q Kermanshah Univ Med Sci. 2008;12(4):330–42.
(36) MOLDOVAN M. Therapeutic Considerations and Recovery in Low Back Pain: Williams vs. McKenzie. Timisoara Phys Educ Rehabil J. 2012;5(9):58–64.
(37) Siswantoyo. Perubahan Kadar Beta Endorphin Akibat Latihan Olahraga Pernafasan (sebuah Kajian Psikoneuroendokrinologi pada Aktivitas Fisik). 2010. p. 157–62.