Top

Environmental Health and Preventive Medicine

Published in:

01-03-2011 | Regular Article

Effectiveness of intervention for low back pain in female caregivers in nursing homes: a pilot trial based on multicenter randomization

Authors: Hiroharu Kamioka, Hiroyasu Okuizumi, Shinpei Okada, Ryosuke Takahashi, Shuichi Handa, Jun Kitayuguchi, Yoshiteru Mutoh

Published in: Environmental Health and Preventive Medicine | Issue 2/2011

Abstract

Objectives

Although the importance of stretching exercise for pain-relieving and patient education is well documented for chronic lumbago patients, it is uncertain how effective on-the-job training (OJT) is for female caregivers in nursing homes. In the present pilot trial based on multicenter randomization, we evaluated the intervention effect of a lecture and stretching exercise on caregivers in nursing homes.

Methods

Eighty-eight female caregivers (four nursing homes) volunteered to participate in this study, and they were separated into two groups randomly. For the intervention group, guidance by an orthopedist and an exercise instructor were provided as one OJT, and stretching exercises for only 6 min every day were recommended for low back pain prevention to the caregivers. Low back pain visual analogue scale (VAS), physical fitness, and mental and physical health were compared at baseline and immediately after the intervention.

Results

A total of 29 (33%) participants withdrew by 12 weeks. Regarding the reasons for withdrawal, 28 participants resigned, and one took a leave of absence due to exacerbation of lumbago. Adherence to the stretching exercises was 2.3 ± 1.3 (mean ± SD) times per week. No significant differences were seen for any outcome measurements. The high adherence group (≧3 times per week) did not show a change in the VAS, but the low adherence group (<3 times per week) and control group showed a tendency towards an increased score (p = 0.068).

Conclusions

Even with the conduct of one OJT, and exercises of only 6 min every day, the adherence of caregivers was low, and there appeared to be few effects of the OJT.

Health and Welfare Statistics Association of Japan. Annual Statistical Report of National Health Conditions. Tokyo: Health and Welfare Statistics Association of Japan; 2006. p. 8–24 (in Japanese).

Hoshino J, Hori Y, Kondo T, Maekawa A, Tamakoshi K, Sakakibara H. Physical and mental health characteristics of female caregivers. Jpn J Public Health. 2009;56:75–86 (in Japanese with English abstract).

Lee S, Colditz GA, Berkman LF, Kawachi I. Caregiving and risk of coronary heart disease in US women. Am J Prev Med. 2003;24:113–9.PubMedCrossRef

Fujimura T, Yasuda N, Ohara H. Work-related factors of low back pain among nursing aides in nursing homes for the elderly. J Occup Health. 1995;37:89–98.

Dehlin O, Hedenrud B, Horal J. Back symptoms in nursing aides in a geriatric hospital. Scand J Rehab Med. 1976;8:47–53.

Fusano K, Kubo C, Ozaki K, Goto K, Tajima N. Risk factor on low back pain in the nurses and care workers. J Lumbar Spine Disord. 2007;13:113–20 (in Japanese with English abstract).CrossRef

Josephson M, Vingard E. Workplace factors and care seeking for low-back pain among female nursing personnel MUSIC-Norrtalje Study Group. Scand J Work Environ Health. 1998;24:465–72.PubMed

Failde I, Gonzalez JL, Novalbos JP, Casais F, Marin J, Elorza J. Physical and occupational predictive factors for back pain among employees of a university hospital in southern Spain. Occup Med. 2000;50:591–6.

Ahlberg-Hulten GK, Theorell T, Sigala F. Social support, job strain and musculoskeletal pain among female health care personnel. Scand J Work Environ Health. 1995;21:435–9.PubMed

10.

Kinugasa T, Nagasaki H, Ito H, Hashizume K, Furuna T, Maruyama H, et al. Effect of physical fitness, sports activities, and aging on low back pain for women working in nursing home. Jpn J Phys Educ. 1995;40:151–60 (in Japanese with English abstract).

11.

Nicholson PJ, D’Auria DAP. Shift work, health, the working time regulations and health assessments. Occup Med. 1999;49:127–37.CrossRef

12.

Tsukasaki K, Kido T, Makimoto K, Naganuma R, Ohno M, Sunaga K. The impact of sleep interruptions on vital measurements and chronic fatigue of female caregivers providing home care in Japan. Nurs Health Sci. 2006;8:2–9.PubMedCrossRef

13.

Pinquart M, Sorensen S. Gender differences in caregiver stressors, social resources, and health: an updated meta-analysis. J Gerontol Psych Sci. 2006;61B:P33–45.

14.

Frost H, Lamb SE, Moffett JAK, Moser JS. A fitness programme for patients with chronic low back pain: 2-year follow-up of a randomized controlled trial. Pain. 1998;75:273–9.PubMedCrossRef

15.

Kuukkanen T, Malkia E. Effects of a three-month active rehabilitation program on psychomotor performance of lower limbs in subjects with low back pain: a controlled study with a nine-month follow-up. Perceptual Mot Skills. 1998;87:739–53.

16.

Cherkin DC, Deyo RA, Street JH, Hunt M, Barlow W. Pitfalls of patient education: limited success of a program for back pain in primary care. Spine. 1996;21:345–55.PubMedCrossRef

17.

Bowen DJ, Kreuter M, Spring B, Cofta-Woerpel L, Linnan L, Weiner D, et al. How we design feasibility studies. Am J Prev Med. 2009;36:452–7.PubMedCrossRef

18.

Campbell MK, Elbourne DR, Altman DG, CONSORT group. CONSORT statement: extension to cluster randomised trials. BMJ. 2004;328:48–64.CrossRef

19.

Boutron I, Moher D, Tugwell P, Giraudeau B, Poiraudeau S, Nizard R, et al. A checklist to evaluate a report of a nonpharmacological trial (CLEAR NPT) was developed using consensus. J Clin Epidemiol. 2005;58:1233–40.PubMedCrossRef

20.

Radloff LS. The CES-D scale: a self report depression scale for research in the general population. Appl Psychol Measure. 1977;1:385–401.CrossRef

21.

Fukuhara S, Suzukamo Y. Manual of the SF-8 Japanese version: Institute for Health Outcomes and Process Evaluation Research, Kyoto; 2004 (in Japanese).

22.

Dias A, Dewey ME, D’Souza JD, Dhume R, Motghare DD, Shaji KS, et al. The effectiveness of a home care program for supporting caregivers of persons with dementia in developing countries: a randomized controlled trial from Goa. PloS One. 2008;4:e2333.CrossRef

23.

Silventoinen K, Sans S, Tolonen H. Trends in obesity and energy supply in the WHO MONICA project. Int J Obes Relat Metab Disord. 2004;28:710–8.PubMedCrossRef

24.

Svetkey LP, Stevens VJ, Brantley PJ, Appel LJ, Hollis JF, Loria CM, et al. Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial. JAMA. 2008;299:1139–48.PubMedCrossRef

25.

Collay RC, Hills AP, O’Moore-Sullivan TM, Hickman IJ, Prince JB, Byrne NM. Variability in adherence to an unsupervised exercise prescription in obese women. Int J Obes. 2008;32:837–44.CrossRef

26.

de Looze MP, Zinzen E, Caboor D, Heyblom P, van Bree E, van Roy P, et al. Effect of individually chosen bed—height adjustments on the low back stress of nurses. Scand J Work Environ Health. 1994;20:427–34.PubMed

27.

Marras WS, Davis KG, Kirking BC, Bertsche PK. A comprehensive analysis of low-back disorder risk and spinal loading during the transferring and repositioning of patients using different techniques. Ergonomics. 1999;42:904–26.PubMedCrossRef

28.

Owen BD. Preventing injuries using an ergonomic approach. AORN J. 2000;72:1031–6.PubMedCrossRef

29.

Lavender SA, Thomas JS, Chang D, Andersson GBJ. Effect of lifting belt, foot movement, and lift asymmetry on trunk motions. Hum Factors. 1995;37:844–53.PubMedCrossRef

30.

Lieber SL, Rudy TE, Boston JR. Effects of body mechanics training on performance of lifting. Am J Occup Therapy. 2000;54:166–75.CrossRef

31.

Skotte JH. Estimation of low back loading on nurses during patient handling tasks: the importance of bedside reaction force measurement. J Biomech. 2001;34:273–6.PubMedCrossRef

32.

Lagerstron M, Hansson T, Hagberg M. Work-related low-back problems in nursing. Scand J Work Environ Health. 1998;24:449–64.

33.

Feyer AM, Herbison P, Williamson AM, de Silva I, Mandryk J, Hendrie L, et al. The role of physical and psychological factors in occupational low back pain: a prospective cohort study. Occup Environ Med. 2000;57:116–20.PubMedCrossRef

34.

Whellan DJ, Ellis SJ, Kraus WE, Hawthorne K, Pina IL, Keteyian SJ, et al. Method for establishing authorship in a multicenter clinical trial. Ann Intern Med. 2009;151:414–20.PubMed

35.

Hayers RJ, Bennett S. Simple sample size calculation for cluster-randomized trials. Int J Epidemiol. 1999;28:319–26.CrossRef

Title: Effectiveness of intervention for low back pain in female caregivers in nursing homes: a pilot trial based on multicenter randomization
Authors: Hiroharu Kamioka
Hiroyasu Okuizumi
Shinpei Okada
Ryosuke Takahashi
Shuichi Handa
Jun Kitayuguchi
Yoshiteru Mutoh
Publication date: 01-03-2011
Publisher: Springer Japan
Published in: Environmental Health and Preventive Medicine / Issue 2/2011
Print ISSN: 1342-078X
Electronic ISSN: 1347-4715
DOI: https://doi.org/10.1007/s12199-010-0170-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Effectiveness of intervention for low back pain in female caregivers in nursing homes: a pilot trial based on multicenter randomization

Abstract

Objectives

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 2/2011

Positive predictive values for self-reported fractures in an adult Japanese population

Explaining global job satisfaction by facets of job satisfaction: the Japanese civil servants study

A comparative study of health-promoting lifestyles in agricultural and non-agricultural workers in Japan

Environmental home inspection services in Western Europe

BMI, waist circumference, and clustering of cardiovascular risk factors in Japanese adults

Inpatient satisfaction and job satisfaction/stress of medical workers in a hospital with the 7:1 nursing care system (in which 1 nurse cares for 7 patients at a time)