A Randomized Trial Comparing Effect of Yoga and Exercises on Quality of Life in among nursing population with Chronic Low Back Pain

Nitin J Patil, R Nagaratna, Padmini Tekur, P V Manohar, Hemant Bhargav, Dhanashri Patil, Nitin J Patil, R Nagaratna, Padmini Tekur, P V Manohar, Hemant Bhargav, Dhanashri Patil

Abstract

Background: Chronic low back pain (CLBP) adversely affects quality of life (QOL) in nursing professionals. Integrated yoga has a positive impact on CLBP. Studies assessing the effects of yoga on CLBP in nursing population are lacking. Aim: This study was conducted to evaluate the effects of integrated yoga and physical exercises on QOL in nurses with CLBP.

Methods: A total of 88 women nurses from a tertiary care hospital of South India were randomized into yoga group (n = 44; age - 31.45 ± 3.47 years) and physical exercise group (n = 44; age - 32.75 ± 3.71 years). Yoga group was intervened with integrated yoga therapy module practices, 1 h/day and 5 days a week for 6 weeks. Physical exercise group practiced a set of physical exercises for the same duration. All participants were assessed at baseline and after 6 weeks with the World Health Organization Quality of Life-brief (WHOQOL-BREF) questionnaire.

Results: Data were analyzed by Paired-samples t-test and Independent-samples t-test for within- and between-group comparisons, respectively, using the Statistical Package for the Social Sciences (SPSS). Within-group analysis for QOL revealed a significant improvement in physical, psychological, and social domains (except environmental domain) in both groups. Between-group analysis showed a higher percentage of improvement in yoga as compared to exercise group except environmental domain.

Conclusions: Integrated yoga was showed improvements in physical, psychological, and social health domains of QOL better than physical exercises among nursing professionals with CLBP. There is a need to incorporate yoga as lifestyle intervention for nursing professionals.

Keywords: Exercises; low back pain; nurses; quality of life; yoga.

Conflict of interest statement

There are no conflicts of interest.

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References

    1. . Registered Nurses Have Highest Employment in Healthcare Occupations; Anesthesiologists Earn the Most: The Economics Daily: U.S. Bureau of Labor Statistics. 2018. [Last accessed on 2018 Feb 22]. Available from: .
    1. Genç A, Kahraman T, Göz E. The prevalence differences of musculoskeletal problems and related physical workload among hospital staff. J Back Musculoskelet Rehabil. 2016;29:541–7.
    1. Sikiru L, Hanifa S. Prevalence and risk factors of low back pain among nurses in a typical Nigerian hospital. Afr Health Sci. 2010;10:26–30.
    1. Karahan A, Kav S, Abbasoglu A, Dogan N. Low back pain: Prevalence and associated risk factors among hospital staff. J Adv Nurs. 2009;65:516–24.
    1. Moradi T, Maghaminejad F, Azizi-Fini I. Quality of working life of nurses and its related factors. Nurs Midwifery Stud. 2014;3:e19450.
    1. Kaplan RM. The significance of quality of life in health care. Qual Life Res. 2003;12(Suppl 1):3–16.
    1. Baumstarck K, Boyer L, Boucekine M, Michel P, Pelletier J, Auquier P, et al. Measuring the quality of life in patients with multiple sclerosis in clinical practice: A necessary challenge. Mult Scler Int. 2013;2013:524894.
    1. Kovacs FM, Abraira V, Zamora J, Teresa Gil del Real M, Llobera J, Fernández C, et al. Correlation between pain, disability, and quality of life in patients with common low back pain. Spine (Phila Pa 1976) 2004;29:206–10.
    1. Kovacs FM, Abraira V, Zamora J, Fernández C. Spanish Back Pain Research Network. The transition from acute to subacute and chronic low back pain: A study based on determinants of quality of life and prediction of chronic disability. Spine (Phila Pa 1976) 2005;30:1786–92.
    1. Habibi E, Pourabdian S, Atabaki AK, Hoseini M. Evaluation of work-related psychosocial and ergonomics factors in relation to low back discomfort in emergency unit nurses. Int J Prev Med. 2012;3:564–8.
    1. Cramer H, Lauche R, Dobos G. Characteristics of randomized controlled trials of yoga: A bibliometric analysis. BMC Complement Altern Med. 2014;14:328.
    1. Shannahoff-Khalsa DS. Patient perspectives: Kundalini yoga meditation techniques for psycho-oncology and as potential therapies for cancer. Integr Cancer Ther. 2005;4:87–100.
    1. Moadel AB, Shah C, Wylie-Rosett J, Harris MS, Patel SR, Hall CB, et al. Randomized controlled trial of yoga among a multiethnic sample of breast cancer patients: Effects on quality of life. J Clin Oncol. 2007;25:4387–95.
    1. Verrastro G. Yoga as therapy: When is it helpful? J Fam Pract. 2014;63:E1–6.
    1. Posadzki P, Ernst E. Yoga for low back pain: A systematic review of randomized clinical trials. Clin Rheumatol. 2011;30:1257–62.
    1. Tekur P, Singphow C, Nagendra HR, Raghuram N. Effect of short-term intensive yoga program on pain, functional disability and spinal flexibility in chronic low back pain: A randomized control study. J Altern Complement Med. 2008;14:637–44.
    1. Chou R, Huffman LH. American Pain Society, American College of Physicians. Nonpharmacologic therapies for acute and chronic low back pain: A review of the evidence for an American Pain Society/American College of Physicians Clinical Practice Guideline. Ann Intern Med. 2007;147:492–504.
    1. Cramer H, Lauche R, Haller H, Dobos G. A systematic review and meta-analysis of yoga for low back pain. Clin J Pain. 2013;29:450–60.
    1. Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL group. Psychol Med. 1998;28:551–8.
    1. Skevington SM, Lotfy M, O'Connell KA. WHOQOL Group. The World Health Organization's WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004;13:299–310.
    1. Patil NJ, Nagarathna R, Tekur P, Patil DN, Nagendra HR, Subramanya P, et al. Designing, validation, and feasibility of integrated yoga therapy module for chronic low back pain. Int J Yoga. 2015;8:103–8.
    1. Tekur P, Chametcha S, Hongasandra RN, Raghuram N. Effect of yoga on quality of life of CLBP patients: A randomized control study. Int J Yoga. 2010;3:10–7.
    1. Sengupta P. Health impacts of yoga and pranayama: A state-of-the-art review. Int J Prev Med. 2012;3:444–58.
    1. Rosenzweig S, Greeson JM, Reibel DK, Green JS, Jasser SA, Beasley D, et al. Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. J Psychosom Res. 2010;68:29–36.
    1. van Valburg AA, van Roy HL, Lafeber FP, Bijlsma JW. Beneficial effects of intermittent fluid pressure of low physiological magnitude on cartilage and inflammation in osteoarthritis. An in vitro study. J Rheumatol. 1998;25:515–20.
    1. Nagarathna R, Nagendra HR. Yoga for Back Pain. 1st ed. Bangalore: Swami Vivekananda Yoga Prakashan; 2008. pp. 31–85.
    1. Cimete G, Gencalp NS, Keskin G. Quality of life and job satisfaction of nurses. J Nurs Care Qual. 2003;18:151–8.
    1. Shao MF, Chou YC, Yeh MY, Tzeng WC. Sleep quality and quality of life in female shift-working nurses. J Adv Nurs. 2010;66:1565–72.
    1. Chiu MC, Wang MJ, Lu CW, Pan SM, Kumashiro M, Ilmarinen J, et al. Evaluating work ability and quality of life for clinical nurses in Taiwan. Nurs Outlook. 2007;55:318–26.
    1. Kemper K, Bulla S, Krueger D, Ott MJ, McCool JA, Gardiner P, et al. Nurses' experiences, expectations, and preferences for mind-body practices to reduce stress. BMC Complement Altern Med. 2011;11:26.
    1. Alexander GK, Rollins K, Walker D, Wong L, Pennings J. Yoga for self-care and burnout prevention among nurses. Workplace Health Saf. 2015;63:462–70.
    1. Botha E, Gwin T, Purpora C. The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: A systematic review of quantitative evidence protocol. JBI Database System Rev Implement Rep. 2015;13:21–9.

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