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Kim, Lee, Kim, and Jeong: The Effect of Exercise Program on Pain, Daily Living Disability, and Depression in Chronic Low Back Pain Patients Treated with Epidural Injections
Original Research

Korean J Adult Nurs 2013;25(4):454-463.

Published online: 18 August 2013

DOI: https://doi.org/10.7475/KJAN.2013.25.4.454

The Effect of Exercise Program on Pain, Daily Living Disability, and Depression in Chronic Low Back Pain Patients Treated with Epidural Injections

Kyoung A Kim1, Myung Ha Lee2, , Hyun Kyung Kim2, Seok Hee Jeong2

1Lee Chun Tek Hospital, Suwon

2College of Nursing, Chonbuk National University, Jeonju, Korea

Corresponding author: Lee, Myung Ha College of Nursing, Chonbuk National University, 567 Baekje-daero, deokjin-gu, Jeonju 561-756, Korea Tel: +82-63-270-3104, Fax: +82-63-270-3127, E-mail: leemh@jbnu.ac.kr

Received 8 February 201312 June 2013       Accepted 17 August 2013

© 2013 Korean Society of Adult Nursing

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

This study aimed to evaluate the effects of exercise program on chronic low back pain, daily living disability and depression in chronic low back pain patients treated with epidural injections.

Methods

The design of this study was a nonequivalent control group pretest-posttest experiment. The sample was recruited among low back pain patients treated with epidural injections from an orthopedic specialty hospital. Participants were randomly assigned to a treatment group (n=25) or a comparison group (n=27). The treatment was a six week exercise program for low back pain. Data were collected from September to November 2011, and were analyzed using descriptive statistics, x2-test, one-tailed t-test for independent samples, and Mann-Whitney U test using the SPSS/WIN 12.0 program.

Results

Patients in the treatment group reported statistically significantly lower levels of back pain on flexion and extension, less daily living disability, and less depression than those in the comparison group.

Conclusion

The back pain relief exercise program could be an effective adjunct nursing intervention for low back pain patients treated with epidural injections.

Keywords: Exercise, Low back pain, Disability, Depression

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Figure 1.
A twelve step exercise program.
kjan-25-454f1.tif
Table 1.
Homogeneity of General Characteristics (N=52)
Characteristics Categories Exp. (n=25) Cont. (n=27) x2 or t p
n (%) or M±SD n (%) or M±SD
Gender Male 11 (44.0) 15 (55.6) 0.69 .405
Female 14 (56.0) 12 (44.4)
Age (year)   42.60±10.95 48.11±9.40 -1.95 .057
Education ≤Middle school 8 (32.0) 14 (51.9) 2.09 .171
≥High school 17 (68.0) 13 (48.1)
Spouse Yes 8 (32.0) 7 (25.9) 0.23 .629
No 17 (68.0) 20 (74.1)
Occupation Yes 18 (72.0) 17 (63.0) 0.48 .488
No 7 (28.0) 10 (37.0)
Standing at work (hour)   5.12±3.63 5.14±3.91 -0.02 .979
Sitting at work (hour)   4.72±3.15 4.22±2.93 0.58 .559
Hypertension Yes 5 (20.0) 6 (22.2) 0.03 .845
No 20 (22.2) 21 (77.8)
Diabetes mellitus Yes 2 (8.0) 4 (14.8) 0.59 .442†
No 23 (92.0) 23 (85.2)
Arthritis Yes 3 (12.0) 4 (14.8) 0.08 1.000†
No 22 (88.0) 23 (85.2)

Exp.=experimental group; Cont.=control group.

† Fisher's exact test.

Table 2.
Homogeneity of Dependent Variables (N=52)
Variables Exp. (n=25) Cont. (n=27) t or Z p
M±SD M±SD
Pain on extension 6.72±1.84 6.06±1.94 1.26 .106
Pain on flexion 6.74±1.66 6.14±1.93 1.20 .117
Daily living disability 30.84±4.36 30.37±4.27 0.39 .347
Depression 25.96±8.42 25.40±6.53 -0.30 .381†

Exp.=experimental group; Cont.=control group.

† Mann-Witney U test.

Table 3.
Comparison of Pain, Daily Life Disability, and Depression between Two Groups (N=52)
Variables Group Pre Post Difference t p
M±SD M±SD M±SD
Pain on extension Exp. (n=25) 6.72±1.84 1.86±1.04 -4.86±1.77 -2.32 .012
Cont. (n=27) 6.06±1.94 2.37±.944 -3.69±1.85
Pain on flexion Exp. (n=25) 6.74±1.66 1.74±1.10 -5.00±1.88 -2.37 .010
Cont. (n=27) 6.14±1.93 2.43±.937 -3.70±2.04
Daily life disability Exp. (n=25) 30.84±4.36 13.95±4.51 -16.88±6.01 -2.41 010
Cont. (n=27) 30.37±4.27 17.61±5.07 -12.75±6.30
Depression Exp. (n=25) 25.96±8.42 14.56±3.94 -11.40±6.22 -3.13 .002
Cont. (n=27) 25.40±6.53 18.37±4.26 -7.03±3.54

Exp.=experimental group; Cont.=control group.

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