The Development The Development of Maneevej Exercise Model for Low Back Pain in Hat Yai Hospital

Maneeveda Exercise Model

Abstract

This research is a research and development research. The objectives are as follows: 1. to study current situation, problems and needs for physical exercise using Maneevej exercise technique in patients with lower back pain, 2. to create a Maneevej exercise model for patients with lower back pain, and 3.to study the effectiveness of Maneevej exercise model to reduce lower back pain.The research is divided into 3 phases, including 1) model development process by group discussion with a sample of 15 patients with lower back pain. The tools used were group discussion points and the data were analyzed with content analysis. 2) model fabrication process, and 3) evaluation process for the effectiveness of the model. The sample consisted of 35 patients with lower back pain. The tool used was the Maneevej exercise model for patients with lower back pain, which includes 1) education, 2) empowerment, 3) demonstration, 4) reverse demonstration, and 5) follow-up. Tools used to collect data include 1) general information form, 2) pain assessment using a numeric rating scale, and 3) Roland-Morris disability questionnaires. Data were analyzed with percentage, mean and paired t-test. 

               The results of the research showed that:   1) Regarding the current situation, patients with low back pain have no knowledge of Maneevej exercise technique. The problem is discontinuity in exercise regimen due to the inability to remember the positions and the lack of awareness of the importance of physical exercise. There are needs for continuous, daily exercise along with a facilitator who persuades the patients to exercise, media of physical exercise positions to review at home, and a periodic monitoring.   2) Maneevej exercise model for low back pain patients, includes 1) educating, 2) empowerment, 3) demonstration, 4) reverse demonstration, and 5) follow-up.   3) The sample group had significantly reduced pain scores after the 1^st week and 4^th week of physical exercise with Maneevej exercise technique (p<0.05), and significantly reduced Roland-Morris Disability Questionnaire average score after the 4^th week of treatment (p<0.05).          From this study, there is a model development process, resulting to participation of the research participators and improvement the quality of medical service. This shows a well-defined care pattern which helps to effectively increase service quality, resulting in a better quality of life for patients with lower back pain.