Effectiveness of a Stretching Exercise Program on Low Back Pain and Exercise Self-Efficacy Among Nurses in Taiwan: A Randomized Clinical Trial

Chen, Huei Mein; Wang, Hsiu‐Hung; Chen, Chung Hey; Hu, Hsou Mei

doi:10.1016/j.pmn.2012.10.003

Cited by 46 publications

(63 citation statements)

References 9 publications

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“…However, most research has demonstrated that stretching prior to exercise is ineffective in reducing soreness or other symptoms of muscle damage (Black and Stevens 2001;Gulick et al 1996;High et al 1989;Johansson et al 1999;Khamwong et al 2011;Lund et al 1998;McHugh and Nesse 2008), with 1 recent exception showing some benefit of stretching (Chen et al 2014). …”

Section: All-cause Injury Rate Vs Specific Injury Ratesmentioning

confidence: 99%

Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review

Behm

Blazevich

Kay

et al. 2016

Appl. Physiol. Nutr. Metab.

490

530

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Abstract:Recently, there has been a shift from static stretching (SS) or proprioceptive neuromuscular facilitation (PNF) stretching within a warm-up to a greater emphasis on dynamic stretching (DS). The objective of this review was to compare the effects of SS, DS, and PNF on performance, range of motion (ROM), and injury prevention. The data indicated that SS-(-3.7%), DS-(+1.3%), and PNF-(-4.4%) induced performance changes were small to moderate with testing performed immediately after stretching, possibly because of reduced muscle activation after SS and PNF. A dose-response relationship illustrated greater performance deficits with ≥60 s (-4.6%) than with <60 s (-1.1%) SS per muscle group. Conversely, SS demonstrated a moderate (2.2%) performance benefit at longer muscle lengths. Testing was performed on average 3-5 min after stretching, and most studies did not include poststretching dynamic activities; when these activities were included, no clear performance effect was observed. DS produced small-to-moderate performance improvements when completed within minutes of physical activity. SS and PNF stretching had no clear effect on all-cause or overuse injuries; no data are available for DS. All forms of training induced ROM improvements, typically lasting <30 min. Changes may result from acute reductions in muscle and tendon stiffness or from neural adaptations causing an improved stretch tolerance. Considering the small-to-moderate changes immediately after stretching and the study limitations, stretching within a warm-up that includes additional poststretching dynamic activity is recommended for reducing muscle injuries and increasing joint ROM with inconsequential effects on subsequent athletic performance.Key words: static stretch, dynamic stretch, proprioceptive neuromuscular facilitation, ballistic stretch, flexibility, warm-up.Résumé : Depuis peu, on utilise plutôt l'étirement dynamique (« DS ») que l'étirement statique (« SS ») ou la facilitation neuromusculaire proprioceptive (« PNF ») au sein d'une séance d'échauffement. Cette analyse documentaire se propose de comparer les effets de SS, DS et PNF sur la performance, l'amplitude de mouvement (« ROM ») et la prévention de blessures. D'après les données, on observe des modifications de performance faibles à modérées quand l'évaluation est réalisée immédi-atement après la séance d'étirement : SS (-3,7 %), DS (+1,3 %) et PNF (-4,4 %), et ce, possiblement à cause de la diminution de l'activation musculaire consécutive à SS et PNF. La relation dose-réponse révèle une plus grande baisse de performance quand la séance de SS par groupe musculaire ≥60 s (-4,6 %) vs. <60 s (-1,1 %). Par contre, SS suscite un gain modéré de performance (2,2 %) quand le muscle est plus allongé. L'évaluation est réalisée en moyenne 3-5 minutes post-étirement. La plupart des études n'incluent pas des activités dynamiques post-étirement; avec l'inclusion de ces activités, on n'observe pas de modification nette de la performance. DS suscite des gains de performance faibles à modérés...

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Section: All-cause Injury Rate Vs Specific Injury Ratesmentioning

confidence: 99%

Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review

Behm

Blazevich

Kay

et al. 2016

Appl. Physiol. Nutr. Metab.

490

530

View full text Add to dashboard Cite

show abstract

“…A widely held area of interest is the identification of the various risk factors leading to the onset of symptoms (physical, psychological and organizational) [10][11][12]. Nurses are prone to lower back injury and pain because of bending and lifting during clinical practice [13]. In addition, rising levels of patient obesity are also thought to put nurses' backs at higher risk [14].…”

Section: Introductionmentioning

confidence: 99%

Prevalence, consequences and predictors of low back pain among nurses in a tertiary care setting

Abolfotouh

Mahmoud

Faraj

et al. 2015

International Orthopaedics (SICOT)

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“…The beneficial effect of exercise on the sensation of pain observed in the NPs, in this study, confirms the findings of literature. An Asian survey by Chen et al [34] verified the effectiveness of an MSE program on lower back pain in 127 NPs, separated into EG and CG, followed for 24 weeks; in the study, the EG showed significantly lower pain scores than the CG after the intervention. This type of intervention has also been investigated in other individual profiles and the results have also been positive, similar to the study by Puppin et al [33], in which the effect of 8 weeks of MSE in 55 patients with back pain was evaluated, and the outcomes showed a significant reduction in pain in the EG compared to the CG.…”

Section: Discussionmentioning

confidence: 99%

Influence of stretching exercises in musculoskeletal pain in nursing professionals

2020

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Introduction:Nursing professionals (NPs) experience musculoskeletal pain that leads them to leave work. Objective: To analyze the effects of muscle stretching exercises (MSE) on pain among NPs. Method: This is a randomized controlled parallel experiment, in which 28 NPs (7 men and 21 women) were allocated into experimental (EG, n = 15; 47.4 years ± 9.5) and control (CG, n = 13; 39.15 years ± 9.6) groups. MSEs were performed for two months, three days a week, 40 min per session. A visual numeric scale was used, for which the intensity ranged from 0 (no pain) to 10 (maximum pain). The research was registered at the Brazilian Clinical Trials Registry website (TRIAL: RBR-8chg6q). For statistics, the Shapiro-Wilk, T-independent and two-way ANOVA tests were applied for repeated measures with Tukey's post-hoc test (P ≤ 0.05). Results: Most NPs work on weekends (68%) and/or have other professional activities (60.7%); 42.9% had to miss work at least once in the year prior to the survey and 66.7% of those were due to medical reasons; 42.9% work more than 10 hours/day. Of the NPs, 89.3% of the volunteers in both groups lived daily with pain in some region of the body. Pain decreased after the MSE program was initiated in the EG (p = 0.001) and differed from the CG (p = 0.002). Conclusion: MSEs were beneficial for pain reduction in NPs. uma amostra de 28 PEF (7 homens e 21 mulheres), com idades entre 18 e 60 anos, divididos, aleatoriamente, em grupo experimental (GE: n = 15) e grupo controle (GC: n = 13). Os EAM foram oferecidos por dois meses, em três dias semanais. As sessões de EAM tiveram duração de 40 min compostas por exercícios ativos e estáticos de alongamento. Cada exercício foi repetido por 4 séries de 30s, com intervalo de 30s entre elas. Para a medição de dor nos PEF, foi usada uma escala visual numérica, na qual a intensidade variava entre 0 (ausência de dor) a 10 (máxima intensidade de dor). Essa medição era feita antes, logo após e ao término do programa de oito semanas de EAM. A presente pesquisa foi registrada no portal de Registro Brasileiro de Ensaios Clínicos (TRIAL: RBR-8chg6q). Resultados: para interação grupo x dor, notou-se que houve diferença significativa (F = 6,5; p = 0,002) e, que, somente, para o GE, as dores aguda e crônica foram, significativamente, menores que a dor inicial (p = 0,001). Conclusão: o alongamento produziu efeitos agudo e crônico positivos na redução da dor em PEF. Palavras-chave:Exercício. Equipe de Enfermagem. Algia. ResumenIntroducción: un alto número de profesionales de enfermería (PEF) sienten dolor en alguna región del cuerpo, especialmente en la región lumbar, que a menudo termina alejándolos de sus actividades laborales. Objetivo: analizar los efectos de los ejercicios de estiramiento muscular (EEM) en el dolor en los Profesionales de Enfermería (PEF). Método: se llevó a cabo un experimento clínico, controlado y aleatorio, de diseño paralelo, con una muestra de 28 PEF (7 hombres y 21 mujeres), con edad entre 18 y 60 años, divididos aleatoriamente en un grupo experimental ...

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Effectiveness of a Stretching Exercise Program on Low Back Pain and Exercise Self-Efficacy Among Nurses in Taiwan: A Randomized Clinical Trial

Cited by 46 publications

References 9 publications

Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review

Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review

Prevalence, consequences and predictors of low back pain among nurses in a tertiary care setting

Influence of stretching exercises in musculoskeletal pain in nursing professionals

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