DOI QR코드

DOI QR Code

The Effects of Muscle Strengthening Exercise for Postoperative Lumbar Spinal Surgery on Pain, Exercise Self-Efficacy, Activities of Daily Living

요추수술 후 운동요법이 통증, 운동 자기효능감과 일상생활활동 장애에 미치는 효과

  • Kim, Hwa-Young (Gyeoungsang National University Hospital) ;
  • Eun, Young (College of Nursing, Gyeongsang National University, Institute of health Sciences, Gyeongsang National University) ;
  • Song, Myoung-Eun (Gyeoungsang National University Hospital)
  • Received : 2011.10.25
  • Accepted : 2011.11.18
  • Published : 2011.11.30

Abstract

Purpose: The purpose of this study was to examine the effects of exercise on pain, exercise self-efficacy, activities of daily living for postoperative lumbar spinal surgery. Method: The study used a nonequivalent control group pre- and post-test design in quasi-experimental research. The data were collected from April, 2010 to July, 2011. The subjects were 40 lumbar spine surgery patients who had been hospitalized in neurosurgery of G university hospital, 20 assigned for the experimental and 20 for the control group. Exercise of this study reformed to be adapted to lumbar spine surgery patients on the basis of William's flexion exercise and exercise for HIVD surgery patients developed by Kim(1995) and was practiced three times a day for 3 weeks. The data were analysed with ${\chi}^2$-test, t- test, Repeated measures ANOVA using the SPSS program. Result: There was a significant decrease in pain in the experimental group, but there was no significant increase in exercise self-efficacy and activities of daily living between the groups. Conclusion: Muscle strengthening exercise after surgery was effective in improvement of pain. Postoperative muscle strengthening exercise in lumbar spinal patients may be a useful intervention to reduce pain.

Keywords

References

  1. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Gliffs, New Jersey: Prentice Hall Inc.
  2. Bandura, A. (1997). Self-Efficacy : Toward a unifying Theory of Behavior Change. Psychological Review, 84(2), 191-215.
  3. Chung, S. G. (2007). Rehabilitative Treatments of Chronic Low Back Pain. Journal of the Korean Medical Association, 50(6), 494-506. https://doi.org/10.5124/jkma.2007.50.6.494
  4. Fairbank, J. C. & Pysent, P. B. (1980). The oswestry disability index. Spine, 25(22), 2940-2952.
  5. Halfman, M. A. & Hojnacki, L. H. (1981). Exercise and the maintenance of health. Topical in Clinical Nurssing, 3(2), 1-10.
  6. Jang, Y. J. (2005). Post operative pain of spinal surgery patients' and satisfaction about intervention of pain control. Unpublished master's thesis, Chonbuk National University, Jeonju.
  7. Kang, S. Y. (1992). The Guide of rehabilitation for lumbar pain. The Journal of the Korean Medical Association, 35, 968-975.
  8. Kang, I. O. & Seo, S. R. (2006). The trends of spine surgery in Korea. Health Insurance Forum, 5(2), 116-139.
  9. Kim, D. K. (2007). Neuro surgery. Seoul: Ilchokak.
  10. Kim, H. J. (1995). (The) effects of education of postoperative esercise on postoperative admission and functional recovery in patients with herniated lumbar disc. Unpublished master's thesis, Ewha Womans University, Seoul.
  11. Kim, J. I. (1993). Effect of aquatic exercise program with self-help group activities and strategies for promoting self-efficacy on pain, physiological parameters and quality of life in patients having rheumatoid arthritis. Unpublished doctoral dissertation, Seoul national university graduate school, Seoul.
  12. Kim, J. S., Kim, M. H., & Yoo, B. K. (1996). The Effect of extension exercise on the reduction of pain in patients with low back pain. The Journal of Korean Academy of Physical Therapist, 3(1), 9-19.
  13. Korea Neurology Society (2000). Neurology. Seoul: Joongang copy.
  14. Lee, D. H., Sim, D. M., Kim, S. S., Ha, D. H., Kim, T. K., Kim, Y. J., et al. (2002). Effects of the strengthening exercise on back muscles after lumbar discectomy. Journal of Korean Society of Spine Surgery, 9(1), 41-47. https://doi.org/10.4184/jkss.2002.9.1.41
  15. Lee, M. J., Kim, E. S., Kim, H., & Lee, S. M. (2009). Effects of a video exercise program for spinal surgery patients on pain, daily living function and educational satisfaction. Journal of Korean Clinical Nursing Research, 15(3), 39-48.
  16. Lee, P. S. & Jang, S. W. (2001). The Study on the effect of stage based exercise motivational intervention program for the elderly. Journal of Korean Academy of Nursing, 31(5), 818-834. https://doi.org/10.4040/jkan.2001.31.5.818
  17. Lee, S. E. (2004). Pain electric. Biochemistry and Molecular Biology News, 24(3), 88-195.
  18. Lee, S. J. & Lee, J. S. (2004). Effect of exercise after surgery on self-efficacy and activities of daily living of spine surgery patients. Journal of Nursing Studies, 9(1), 21-34.
  19. Lee, Y. J. & Lim, N. Y. (2009). Effects of tai chi exercise program on physical fitness, pain, and self-efficacy in patients with osteoarthritis. Journal of Muscle Joint Health, 16(1), 26-35.
  20. Mannion, A. F. & Raymond, D. (2007). A randomised controlled trial of post-operative rehabilitation after surgical decompression of the lumbar spine. European Spine Journal, 16, 1101-1117. https://doi.org/10.1007/s00586-007-0399-6
  21. Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self-efficacy and the stages of exercise behavior change. Reserch Quarterly for Exercise and Sport, 63(1), 60-66. https://doi.org/10.1080/02701367.1992.10607557
  22. McGregor, A. H., Burton, A. K., Sell, P., & Waddell, G. (2007). The development of an evidence-based patient booklet for patients undergoing lumbar discectomy and un-instrumented decompression. European Spine Journal, 16, 339-346. https://doi.org/10.1007/s00586-006-0141-9
  23. Moon, H. K., Yoon, J. Y., & Han, G. S. (2008). Effects of spinal exercise program in the elderly patients after posterior lumbar interbody fusion surgery. Journal of Korea Sports Medicine, 26(1), 19-26.
  24. Nam, K. W. (2005). Isotonic lumbar extension exercise on improvement and maintenance of trunk stability in the patients with microscopic lumbar discectomy. Unpublished doctoral dissertation, Kosin Medical Collage, Busan.
  25. Park, C. H. & Cho, C. B. (2006). Treatment of failed back surgery syndrome with a spinal cord stimulator(Case Reports). The Journal of the Korean Pain Society, 19(1), 123-126. https://doi.org/10.3344/kjp.2006.19.1.123
  26. Verbrugge, L. M., Lepkowski, J. M., Konkol, L. L. (1991). Levels of disability among U.S. adults with arthritis. Journal of Gerontology, 46(2), S71-83. https://doi.org/10.1093/geronj/46.2.S71

Cited by

  1. Nurses' Needs and Priority for Developing Advanced Nursing Education Program in Musculoskeletal Care vol.19, pp.2, 2012, https://doi.org/10.5953/JMJH.2012.19.2.120
  2. Development and Effects of Early Exercise Program for Lumbar Spine Surgery Patients vol.30, pp.3, 2018, https://doi.org/10.7475/kjan.2018.30.3.245