The effect of the 'One Stretch' exercise on the improvement of low back pain in Japanese nurses: A large-scale, randomized, controlled trial

Objectives: To evaluate the 'One Stretch' exercise's effect on improvements in low back pain (LBP), psychological factors, and fear avoidance in a large number of nurses. Methods: Between July 2015 and June 2016, we performed a prospective, randomized, parallel-group, multi-center stu...

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Published in:	Modern rheumatology Vol. 29; no. 5; pp. 861 - 866
Main Authors:	Oka, Hiroyuki, Nomura, Takuo, Asada, Fuminari, Takano, Kenichiro, Nitta, Yasuhiko, Uchima, Yasutomo, Sato, Tomonori, Kawase, Masafumi, Sawada, Sayoko, Sakamoto, Kazushi, Yasue, Makoto, Arima, Satoshi, Katsuhira, Junji, Kawamata, Kayo, Fujii, Tomoko, Tanaka, Sakae, Konishi, Hiroaki, Okazaki, Hiroshi, Miyoshi, Kota, Watanabe, Junko, Matsudaira, Ko
Format:	Journal Article
Language:	English
Published:	United States Taylor & Francis 03-09-2019
Subjects:	Adult Exercise Fear fear avoidance behavior Female Humans Japan low back pain Low Back Pain - psychology Low Back Pain - therapy Male Middle Aged Muscle Stretching Exercises - methods Nurses Occupational Diseases - psychology Occupational Diseases - therapy psychological factor Japan psychological factor Exercise fear avoidance behavior low back pain
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Summary:	Objectives: To evaluate the 'One Stretch' exercise's effect on improvements in low back pain (LBP), psychological factors, and fear avoidance in a large number of nurses. Methods: Between July 2015 and June 2016, we performed a prospective, randomized, parallel-group, multi-center study with central evaluations. Eligible patients were randomly assigned (1:1:1 ratio) to either the control group (Group A) or an intervention group (Group B: 30-min seminar about the 'One Stretch' exercise, Group C: B + physical and psychological approaches to LBP treatment). The primary outcome was subjective improvement from baseline to 6 months (improved/unchanged/worsened) and overall exercise habits (good/poor). Results: There were 4767 participants: 1799, 1430, and 1548 in Groups A, B, and C, respectively. We collected data on 3439 participants (949, 706, and 751 in Groups A, B, and C, respectively) at the 6-month follow-up. The improvement rates in Groups A, B, and C were 13.3%, 23.5%, and 22.6%, respectively. The worsened pain rates were 13.0%, 9.6%, and 8.1%, which decreased as the intervention degree increased (the Cochran-Armitage trend test: p < .0001). In Groups A, B, and C, 15.6%, 64.9%, 48.8% of the patients, respectively, exhibited exercise habits. Conclusion: The 'One Stretch' exercise is useful for improving LBP.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-News-1 ObjectType-Feature-3 content type line 23
ISSN:	1439-7595 1439-7609
DOI:	10.1080/14397595.2018.1514998