Effects of Maneevej Exercise on Low Back Pain and Functional Status Among Cleaning Workers


  • suwalak wanhpholpattanasiri Faculty of Nursing, Chiang Mai University
  • Kunlayanee Tantranont Faculty of Nursing, Chiang Mai University
  • Wanpen Songkham Faculty of Nursing, Chiang Mai University


Maneevej exercise, Low back pain, Functional status, Cleaning worker


Low back pain is one of the most common health problems of cleaning workers affecting their work and daily-life function. Maneevej exercise is an effective measure to reduce low back pain and improve functional status. This quasi-experimental research aimed to examine the effects of Maneevej exercise on low back pain and the functional status of hospital cleaning workers, who were specifically chosen using designated criteria. The subjects consisted of 52 participants, selected by purposive sampling based on inclusion criteria, who were assigned into an experimental group (26) or a control group (26). Data gathering tools included the Numeric Rating Scale and the Modified Oswestry Low Back Pain Disability Questionnaire (Modified ODQ). These instruments were validated using test-retest reliability which obtained Pearson correlation coefficient and yielded a value of .84. Data were analyzed by using descriptive statistics, the Mann-Whitney U test, and the Friedman test.

          The findings revealed that the experimental group had lower mean scores regarding low back pain symptoms and higher mean scores regarding functional status at week 4 and 8, with statistical significance (p < .01). When comparing with in the group, the study showed that the experimental group had lower mean scores regarding low back pain symptoms and higher mean scores regarding functional status at week 4 and 8 with statistical significance (p < .01).

          The results suggested that the Maneevej exercise is effective for diminishing low back pain symptoms and enhancing the functional status of cleaning workers. Therefore, Maneevej exercise should be promoted regularly among cleaning workers.


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American Physical Therapy Association. (2011). Occupational health physical therapy guideline evaluating functional capacity. Retrieved from https://www.orthopt.org/ uploads/content_files/OHSIG_Guidelines/OHSIG_guidelines_2/Occupational_Hlth_PT_Evaluating_Functional_Capacity_040610__2_.pdf

Brage, S., Sandanger, I., & Nygard, J. F. (2007). Emotional distress as a predictor for low back disability: A prospective 12-year population-based study. Spine, 32(1), 269-274.

Buddhapeng, P. (2009). Health risk assessment of cleaning workers in hospitals: A case study of community hospitals in Khon Kaen Province (Master’s thesis, Public Health). Khon Kaen University. (in Thai)

Dindem, N. (2019). Effect of Ergonomic self-care enhancement with Maneevej exercise program on lower back pain and functional ability in operating room nurses (Master’s thesis, Community Medicine Nursing). Prince of Songkla University. (in Thai)

Downie, W. W., Leatham, P. A., Rhind, V. M., Wright, V., Branco, J. A., & Anderson, J. A. (1978). Studies with pain rating scales. Annals of the Rheumatic Diseases Journal, 37(4), 378-381. doi:10.1136/ard.37.4.378

Dupeyron, A., Ribinik, P., Gélis, A., Genty, M., Claus, D., & Coudeyre, E. (2011). Education in the management of low back pain: Literature review and recall of key recommendations for practice. Annals of Physical and Rehabilitation Medicine, 54(5), 319-335. doi:10.1016/j.rehab.2011.06.001

Jinoros, C., Chanprasit C., & SongKham, W. (2016). Occupational health hazards and health status related to risk among cleaning workers, tertiary care hospitals. Nursing Journal, 43(1), 57-69. (in Thai)

Kamtornthip, W. (2011). Back pain. In K. Pajaree (Ed.), Regenerative medicine for General practice. Bangkok: N.P. Press. (in Thai)

Manit, N., Sutthakorn,V., & Wisutthananon, A. (2011). Effect of stretching exercise on low back pain and functional ability in home-based garment workers. Nursing Journal, 38(4), 93-105. (in Thai)

Montgomery, W., Sato, M., Nagasaka, Y., & Vietri, J. (2017). The economic and humanistic costs of chronic lower back pain in Japan. Clinicoeconomics and Outcomes Research, 9,361-371. doi.org/10.2147/CEOR.S134130

Ningsanon, N. (2011). Maneeivej for a comfortable easy life. Srinakharinwirot University Journal (Science and Technology Program), 3(5), 1-12. (in Thai)

Ningsanon, N., & Chirachanchai, O. (2017) Turning over medical textbooks with Maneevej science of challenge. Phetchabun: DD printing. (in Thai)

Noisuwan, P., Sutthakorn,V., & Songkham, W. (2015). Effects of back school program on low back pain and functional status in rice farmers. Nursing Journal, 46(3), 142-156. (in Thai)

Panvongsa, P. (2017). An effect of Body balance by Maneevej technigue on muscle pain in elderly (Master’s thesis, Faculty of Science and Technology Phetchabun). Phetchabun Rajabhat University. (in Thai)

Sahavate. (2019). How long does it take for human tissues to repair themselves? Retrieved from http://ss-running.blogspot.com/2019/02/blog-post.html

Sakulsriprasert, P., Vachalathiti, R., Vongsirinavarat, M., & Kantasorn, J. (2006). Cross-cultural adaptation of modified Oswestry Low Back Pain Disability Questionnaire to Thai and its reliability. Journal of The Medical Association of Thailand, 89(10), 1694-1701.

Sithiwatcharapong, W., & Boonyahotra, W. (2013). Effectiveness of Maneevej exercise for reducing work related musculoskeletal syndrome in office workers (Master's thesis, Anti-Aging and Regenerative Medicine). Mae Fah Luang University, Chiang Rai. (in Thai)

Social Security Office. (2019). The situation of experiencing danger or illness Due to work in the year 2015-2019. Retrieved from https://www.sso.go.th/wpr/assets/ upload/files_storage/sso_th/c00433eb3bc63a11720e488101b53d91.pdf

Wami, S. D., Abere, G., Dessie, A., & Getachew, D. (2019). Work-related risk factors and the prevalence of low back pain among low wage workers: Results from a cross-sectional study. BMC public health, 19(1), 1072.

Woods, V., & Buckle, P. (2006). Musculoskeletal ill health amongst cleaners and recommendations for work organisational change. International Journal of Industrial Ergonomics, 36(1), 61-72.





Research Article