INFLUENCE OF HEALTH EDUCATION ON PHYSICAL EXERCISE IN ALLEVIATING LOW BACK PAIN AMONG PATIENTS IN RIVERS STATE, NIGERIA
Keywords:
Physical exercise-focused health education, PEFHE, Low back pain patientsAbstract
This study investigated the influence of health education on physical exercise in alleviating low back pain among patients in Rivers State, Nigeria. The study utilized a pretest-posttest quasi-experimental design and involved 170 patients at the University of Port Harcourt Teaching Hospital. Two objectives were set, along with corresponding research questions and hypotheses. The participants were selected using convenience and stratified sampling techniques, resulting in a cohort of 50 individuals consisting of 35 patients from the general outpatient clinic department and 15 patients from the spine physiotherapy unit. The group included 20 male and 30 female participants. Data was collected using a self-structured, self-administered questionnaire titled physical exercise-focused health education in alleviating low back pain, which demonstrated good reliability (0.82). Descriptive and inferential statistics were employed to analyze the data and test the hypotheses. The study findings indicated that health education, with a focus on physical exercise (PEFHE) for low back pain patients, consistently improved mobility by enhancing respiration, reducing abdominal fat, strengthening muscles and increasing flexibility. More so, PEFHE significantly alleviated pain and stiffness among individuals with low back pain. In conclusion, the study recommends the implementation of comprehensive PEFHE programmes, fostering patient participation, conducting further research on long-term effects, and promoting collaboration among healthcare providers, educators, and policymakers to integrate these interventions into the existing healthcare system seamlessly.References
[1] Calapai M., Puzzo L., Bova G., Vecchio DA., Blandino R., Barbagallo A., Mannucci C. Effects of physical exercise and motor activity on depression and anxiety in post-mastectomy pain syndrome. Life, 2024, 14(1): 77.
[2] Ubom I. M. Effect of health education on knowledge and practices towards reduction of low back pain among patients in Rivers state (PhD thesis, University of Port Harcourt). 2023.
[3] Chauhan V., Saxena MT. Yoga and mindfulness in educational settings: Impact on student well-being and performance. Journal of Research Administration, 2024, 6(1).
[4] White PE. The breath of life: The importance of Ruah in heart rate variability training (Doctoral dissertation). 2021. Retrieved from https://scholar.smu.edu/theology_ministry_etds/27/
[5] Adeloye D., Ige-Elegbede JO., Auta A., Ale BM., Ezeigwe N., Omoyele C., Adebiyi AO. Epidemiology of physical inactivity in Nigeria: A systematic review and meta-analysis. Journal of Public Health, 2022, 44(3): 595-605.
[6] Ikechukwu EC., Gloria MU., Ikenna UC., Chinonso UV., Ekezie U., Nkechi C. Physical activity level and factors affecting exercise participation among Nigerian adults with and without diabetes. World Health, 2021, 60: 85.
[7] Bolarinde SO., Olagbegi O., Ebenezer D., Akinrinbola B. Knowledge, attitude and practice of physical activity among health professionals in a Nigerian tertiary health institution. South American Journal of Public Health, 2015, 3(2), 1-10.
[8] Park JH., Moon JH., Kim HJ., Kong MH., Oh YH. Sedentary lifestyle: overview of updated evidence of potential health risks. Korean Journal of Family Medicine, 2020, 41(6): 365.
[9] Luan X., Tian X., Zhang H., Huang R., Li N., Chen P., Wang R. Exercise as a prescription for patients with various diseases. Journal of Sport and Health Science, 2019, 8(5): 422-441.
[10] Pareja-Galeano H., Garatachea N., Lucia A. Exercise as a polypill for chronic diseases. Progress in Molecular Biology and Translational Science, 2015, 135: 497-526.
[11] Hirvonen N., Pyky R., Korpelainen R., Huotari M.L. Health information literacy and stage of change in relation to physical activity information seeking and avoidance: A population‐based study among young men. Proceedings of the Association for Information Science and Technology, 2015, 52(1): 1-11.
[12] Bolam KA., Van Uffelen JG., Taaffe DR.The effect of physical exercise on bone density in middle-aged and older men: a systematic review. Osteoporosis International, 2013, 24: 2749-2762.
[13] Bull FC., Al-Ansari SS., Biddle S., Borodulin K., Buman MP., Cardon G., Willumsen JF. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 2020, 54(24): 1451-1462.
[14] Clina JG., Sayer RD., Hill JO. Leisure time physical activity and obesity. In Handbook of Obesity. CRC Press. 2024, 1: 356-362.
[15] Kramer A. An overview of the beneficial effects of exercise on health and performance. Physical Exercise for Human Health. 2020: 3-22.
[16] Udoudom U., Igiri A., George K., Aruku KJ. Promoting health education through effective communication for development. Journal of Education Technology, 2024, 2(1): 68-88.
[17] Fletcher GF., Landolfo C., Niebauer J., Ozemek C., Arena R., Lavie CJ. Promoting physical activity and exercise: JACC health promotion series. Journal of the American College of Cardiology, 2018, 72(14): 1622-1639.
[18] Vermeesch AL., Bustamante EE., Coleman N., Goldsby T., Hasson RE., Hooker SP., Conroy MB. Exercise is medicine for underserved and vulnerable populations: factors influencing implementation. Translational Journal of the American College of Sports Medicine, 2022, 7(2): e000196.
[19] Collado-Mateo D., Lavín-Pérez AM., Pe?acoba C., Del Coso J., Leyton-Román M., Luque-Casado A., Amado-Alonso D. Key factors associated with adherence to physical exercise in patients with chronic diseases and older adults: an umbrella review. International Journal of Environmental Research and Public Health, 2021, 18(4), 2023.
[20] Ibrahim AA., Akindele MO., Ganiyu SO. Effectiveness of patient education plus motor control exercise versus patient education alone versus motor control exercise alone for rural community-dwelling adults with chronic low back pain: A randomised clinical trial. BMC musculoskeletal disorders, 2023, 24(1): 142.
[21] Peng Y., Yi J., Zhang Y., Sha L., Jin S., Liu Y. The effectiveness of a group-based Otago exercise program on physical function, frailty and health status in older nursing home residents: A systematic review and meta-analysis. Geriatric Nursing, 2023, 49: 30-43.
[22] Da Silva KG., Nuvolini RA., Bacha JMR., De Freitas TB., Doná F., Torriani-Pasin C., Pompeu JE. Comparison of the effects of an exergame-based programme with conventional physiotherapy protocol based on core areas of the European guideline on postural control, functional mobility, and quality of life in patients with Parkinson's disease: Randomized clinical trial. Games for Health Journal, 2023, 12(3): 228-241.
[23] Joniton S., Shafras M., Jayasekara DC. Narrative review on the importance of yoga in physical education and sports. Journal of Anthropology of Sport and Physical Education, 2024, 8(1):