Combined exercise Intervention protocol validation in sedentary workers health risk with Nonspecific Chronic low back pain People

Authors

  • Swathi Saina Chettinad School of Physiotherapy, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam.
  • Senthil Purushothaman Nil https://orcid.org/0000-0002-0472-0043
  • Shazia Neelam Chettinad School of Physiotherapy, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam.
  • Vinosh Kumar Purushothaman Lecturer, Faculty of Health & Life Sciences, INTI International University, 71800 Nilai, Malaysia.
  • Sivakumar Chinnusamy Principal, PPG College of Physiotherapy, Coimbatore 641035, Affiliated to The Tamil Nadu Dr MGR Medical University Tamilnadu, India.
  • Tilak Francis T G Professor & Head, Musculoskeletal sciences Department, Krupanidhi college of Physiotherapy, Bangalore, Karnataka, India 560035.

DOI:

https://doi.org/10.47197/retos.v62.106124

Keywords:

Non-specific back pain, sedentary individual, health risk, content validation, exercise protocol

Abstract

Background: Most chronic low back pain is nonspecific as the cause of the pain is unknown. Hence exercise protocol focussing on one area of fitness is not appropriate. A general exercise programme that combines muscular strength, flexibility and aerobic fitness would benefit the rehabilitation of Nonspecific Chronic Low Back Pain and its health risk. The present study aimed to validate the content of the combined exercise intervention protocol. Methods: The development and expert judgement stages are part of the content validation process. The development of the exercise protocol was based on a comprehensive literature review. The protocol was created in a step-by-step progressive manner. Exercises for flexibility (20 minutes), stabilisation and strengthening (20 minutes), and aerobic (20 minutes) make up the three main parts of the exercise protocol. 12 independent professionals with a minimum of 10 years of experience were invited. Ten of the twelve specialists consented to take part in the study. In India, all of the professionals were engaged in orthopaedic and musculoskeletal physical therapy. There are two professors, three associate professors, and five senior physiotherapists among the experts. Responses were gathered by mail. During the validation phase, The Exercise protocol was graded by the experts on relevance and ease of performance using a 5-point scale. After collecting the responses content validity index and kappa values were calculated. Results: 37 out of 39 items in the combined exercise intervention protocol showed good agreement. Treadmill walking with 60-75% and 80% and above target heart rate showed a kappa value of 0.66 for relevance and 0.50 for ease of performance. Conclusions: The designed exercise protocol exhibited good content validity.

References

Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2012). Non-specific low back pain. Lancet (London, Eng-land), 379(9814), 482–491. https://doi.org/10.1016/S0140-6736(11)60610-7

Hoy, D., March, L., Brooks, P., Blyth, F., Woolf, A., Bain, C., Williams, G., Smith, E., Vos, T., Barendregt, J., Mur-ray, C., Burstein, R., & Buchbinder, R. (2014). The global burden of low back pain: estimates from the Global Bur-den of Disease 2010 study. Annals of the rheumatic diseases, 73(6), 968–974. https://doi.org/10.1136/annrheumdis-2013-204428

Vujcic, I., Stojilovic, N., Dubljanin, E., Ladjevic, N., Ladjevic, I., & Sipetic-Grujicic, S. (2018). Low Back Pain among Medical Students in Belgrade (Serbia): A Cross-Sectional Study. Pain research & management, 2018, 8317906. https://doi.org/10.1155/2018/8317906

Citko, A., Górski, S., Marcinowicz, L., & Górska, A. (2018). Sedentary Lifestyle and Nonspecific Low Back Pain in Medical Personnel in North-East Poland. BioMed research international, 2018, 1965807. https://doi.org/10.1155/2018/1965807

Farragher JB, Williams G, Pranata A, El-Ansary D, Parry S, Bryant AL (2021) Adaptations Associated with Non-Specific Chronic Low Back Pain: A Narrative Review. Int J Phys Med Rehabil. 9:602. https://doi.org/ 10.35248/2329-9096.21.9.602

Owen, P. J., Miller, C. T., Mundell, N. L., Verswijveren, S. J. J. M., Tagliaferri, S. D., Brisby, H., Bowe, S. J., & Belavy, D. L. (2020). Which specific modes of exercise training are most effective for treating low back pain? Net-work meta-analysis. British journal of sports medicine, 54(21), 1279–1287. https://doi.org/10.1136/bjsports-2019-100886

Gordon, R., & Bloxham, S. (2016). A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare (Basel, Switzerland), 4(2), 22. https://doi.org/10.3390/healthcare4020022

Yang Y. J. (2019). An Overview of Current Physical Activity Recommendations in Primary Care. Korean journal of family medicine, 40(3), 135–142. https://doi.org/10.4082/kjfm.19.0038

Gordon, R., & Bloxham, S. (2016). A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare (Basel, Switzerland), 4(2), 22. https://doi.org/10.3390/healthcare4020022

Nourbakhsh, M. R., Arabloo, A. M., & Salavati, M. (2006). The relationship between pelvic cross syndrome and chronic low back pain. Journal of back and musculoskeletal rehabilitation, 19(4), 119-128.https://doi.org/10.3233/BMR-2006-19403

Dahiya, T., Verma, T., Fatima, A., Verma, R., & Bhushan, B. (2022). Incidence of Piriformis Tightness and to deter-mine correlation with gluteus medius weakness in Indian IT – Professionals: A cross sectional study. International Journal of Health Sciences, 6(S6), 4137–4146. https://doi.org/10.53730/ijhs.v6nS6.10578

Bae, H. I., Kim, D. Y., & Sung, Y. H. (2017). Effects of a static stretch using a load on low back pain patients with short-ened tensor fascia lata. Journal of exercise rehabilitation, 13(2), 227-231. https://doi.org/10.12965/jer.1734910.455

Kisner, C., & Thorp, J. N. (2018). The spine: Exercise and manipulation interventions. Kisner C, Colby LA, Borstad J. Therapeutic Exercise Foundations and Techniques Seventh Edition. Philadephia: FA Davis Company, p491-545.

Sitthipornvorakul, E., Klinsophon, T., Sihawong, R., & Janwantanakul, P. (2018). The effects of walking intervention in patients with chronic low back pain: A meta-analysis of randomized controlled trials. Musculoskeletal Science and Practice, 34, 38-46. https://doi.org/10.1016/j.msksp.2017.12.003

Bolivar, A. A., Villamizar, J. A. F., & Castelblanco, Y. S. (2021). Aerobic capacity: musicalized physical activity, older adult, health promotion.

Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2012). Non-specific low back pain. The lancet, 379(9814), 482-491. https://doi.org/10.1016/S0140-6736(11)60610-7

Mbada, C. E., Ayanniyi, O., Ogunlade, S. O., Orimolade, E. A., Oladiran, A. B., & Ogundele, A. O. (2014). Influence of Mckenzie protocol and two modes of endurance exercises on health-related quality of life of patients with long-term mechanical low-back pain. The Pan African medical journal, 17 Suppl 1(Suppl 1), 5. https://doi.org/10.11694/pamj.supp.2014.17.1.2950

Mostagi, F. Q., Dias, J. M., Pereira, L. M., Obara, K., Mazuquin, B. F., Silva, M. F.,Silva, M. A., de Campos, R. R., Barreto, M. S., Nogueira, J. F., Lima, T. B., Carregaro, R. L., & Cardoso, J. R. (2015). Pilates versus general exer-cise effectiveness on pain and functionality in non-specific chronic low back pain subjects. Journal of bodywork and movement therapies, 19(4), 636–645. https://doi.org/10.1016/j.jbmt.2014.11.009

Unsgaard-Tøndel, M., Fladmark, A. M., Salvesen, Ø., & Vasseljen, O. (2010). Motor control exercises, sling exercises, and general exercises for patients with chronic low back pain: a randomized controlled trial with 1-year follow-up. Physical therapy, 90(10), 1426–1440. https://doi.org/10.2522/ptj.20090421

Araque-Martínez, M. Á., Ruiz-Montero, P. J., & Artés-Rodríguez, E. M. (2021). Effects of a multicomponent physical exercise program on fitness, self-esteem, anxiety and depres.

Downloads

Published

2024-11-20

How to Cite

Saina, S., Purushothaman, S., Neelam, S., Purushothaman, V. K. ., Chinnusamy, S. ., & T G, T. F. (2024). Combined exercise Intervention protocol validation in sedentary workers health risk with Nonspecific Chronic low back pain People. Retos, 62, 178–182. https://doi.org/10.47197/retos.v62.106124

Issue

Section

Original Research Article

Most read articles by the same author(s)