N 19(2)S2: 13-15, 2024 www.thebioscan.
com
Save Nature to Survive
Effectiveness of Dynamic Stretching Exercises Program on Back Pain among BSc (N)
Internship students in Kanyakumari district.
1. Felecia Jane Diserali. S.Phd scholar, Rani Meyyammai College of Nursing, Chitambaram, Annamalai
University, Tamilnadu.
Email _ [email protected]
Mob.9443475004
2.Dr.B.Sara, PhD (N),Reader,HOD In MSN, Government college of Nursing,Cuddalore,Chidambaram,email _
[email protected]
Mob_ 9994744050
3.Dr. Artza Sophiya, Associate professor, Christian College of Nursing, Neyyoor The Tamilnadu Dr MGR
Medical University, Chennai.
DOI: : https://doi.org/10.63001/tbs.2024.v19.i02.S2.pp13-15
KEYWORDS
Stretching,
Backpain, ABSTRACT
Dynamic stretching
exercises, The purpose of this study was to examine the effectiveness of a dynamic stretching exercise program (DSEP) on back pain
students, (BP) and exercise among BSc (N) Internship students in Kanyakumari district. A total of 127 students, who had been
pain experiencing BP for longer than 6 months and had BP with pain scores greater than 4 on the Visual Analogue Scale for Pain
(VASP), were randomly assigned to an experimental group and a control group. The experimental group (n = 64) followed
Received on: an SEP, whereas the control group (n = 63) was directed to perform usual activities for 50 minutes per time, three times a
week. Data were collected at four time points: at baseline, and 2, 4, and 6 months after the intervention. During the 6-month
05-04-2024 follow-up, the experimental group had significantly lower VASP scores than did the control group at the second, fourth, and
sixth months. In addition, the experimental group showed significantly higher exercise self-efficacy than did the control
Accepted on: group at the fourth and sixth months. A total of 81% of the participants in the experimental group reported a moderate to
high level of BP relief. The findings can be used to enhance the students to reduce the back pain while doing the work.DSE
07-07-2024 is an effective and safe nonpharmacological intervention for the management of BP.
INTRODUCTION
Pain is an unpleasant emotional state and serves as a defense intensity physical activities, such as manual lifting or patient
mechanism to protect injured parts of the body from further harm. handling which often lead to injuries in the lower back muscles,
Low back pain, more accurately termed as lumbosacral pain, ligaments, and other soft tissues. On the other hand, student
occurs below the 12th rib and above the buttocks. Work-related nurses lack awareness of low back pain prevention and related
issues in the lower back are highly prevalent among professional training, making them susceptible to low back pain, thereby
nurses, who are considered one of the professional groups in the increasing absenteeism and early retirement due to poor health
healthcare service system. A review of 132 research papers on conditions among them. Moreover, the probability of low back pain
musculoskeletal diseases related to nursing work indicated that the increases with extended working hours and reduced rest time,
annual average prevalence of low back pain among nursing accumulating over time .Nursing students need to complete
students is 55%. Low back pain often leads to restricted work and relevant skill training during clinical rotations, thus facing similar
life activities or disability, posing a threat to the productivity and occupational exposures. Due to their lack of nursing-related work
stability of the workforce. This issue is associated with the physical experience and awareness of low back care, nursing students are
activities and ergonomics risk factors in the workplace for student more prone to developing low back pain. Furthermore, most
nurses. On one hand, student internship frequently engage in high- nursing schools currently lack relevant strategies for preventing
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and training nursing students in low back pain protection. Once musculoskeletal diseases, and underlying medical conditions. A
nursing students experience low back pain, it not only affects their total of 78 nursing students were included in the study. Data on
physical well-being in daily life and work but also leads to age, gender, height, weight, exercise habits (defined as having ≥ 2
psychological issues such as aversion to the nursing profession and sessions of ≥ 30 minutes of exercise per week, otherwise
disinterest in learning. Dynamic stretches are movements that considered as no exercise habit), staying-up-late habits (defined as
people perform at a slower pace than most workouts. Individuals staying up past 1am for ≥ 4 nights per week, otherwise considered
tend to do dynamic stretches to warm up their muscles and as no staying-up-late habit), smoking history, education level
prepare for exercise. Dynamic stretching involves making active ,mental status (whether anxiety-prone in daily life),correctness of
movements that stretch the muscles to their full range of motion. working posture, and menstrual pain in females were collected.
These exercises often simulate functional movements and help The number of interns experiencing low back pain in the past 1
prime the body for more intense training. To prepare for a run, for month and 3months was recorded. The diagnostic criteria for low
example, a person may perform a knee exercise that is a gentle back pain in this study were as follows: feeling of soreness,
simulation of running, such as the “high knees” exercise that we swelling, pain, or discomfort in the lower back, relief after rest
describe below. and aggravation after fatigue or activity; relief of symptoms with a
PURPOSE OF THE STUDY supporting pad under the lower back when lying down, inability to
The study aims to show Effectiveness of Dynamic Stretching bend or worsening of pain symptoms; no abnormality in the shape
Exercises Program on Back Pain among BSc (N) Internship students of the lower back, localized tenderness, and negative findings on
in Kanyakumari district. imaging studies. The visual analogue scale (VAS) was used to score
MATERIALS AND METHODS low back pain, with a score > 3 indicating moderate or severe pain
The study was conducted on nursing students who lasting at least one day. Data from nursing students who had and
entered hospital for internship from July 2021 to March 2022. had not experienced low back pain were compared to analyze the
Inclusion criteria: completion of university courses with passing factors contributing to low back pain. Statistical Analysis All data
grades, good physical health, emotional self-control, and voluntary were analyzed using SPSS 26.0 (SPSS, Chicago, Illinois, USA). T-
participation. Exclusion criteria: absence from training for more tests were used to compare continuous variables, and the
than 1 week due to leave, travel, or other reasons, inability to Pearson’s chi-squared test and the continuity-corrected chi-
complete training and withdrawal midway, presence of squared test were used to do association.
e used to do association.
RESULTS
Assess the effectiveness of Dynamic Stretching Exercises
Program on Back Pain among BSc (N) Internship students in
experimental group
Criteria Mean T Value P value Assess the effectiveness of Dynamic Stretching Exercises
Difference Program on Back Pain among BSc (N) Internship students in
control group
Pretest 15.8 2.7 0.13
Criteria Mean Difference T Value P value
Posttest 17.9 7.3 0.05**
Pretest 14.7 2.4 0.14
P=>0.05
Posttest 14.9 2.5 0.16
22.5 P=>0.05
22
21.5 100%
21 80%
20.5
60%
20
19.5 40%
19
20%
pretest posttest
0%
pretest posttest
CONCLUSION increase in knee ROM, as well as a less lasting increase in PT at the
It can
onset of pain.
be concluded that stretching exercises have a better effect with
high muscle strength abilities were better than low muscle
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