Assessment of Chronic Pain associated with Prolonged Standing and Effectiveness of Stretching Exercise on it among Security Personnel Working in an Educational Campus in Bhubaneswar

Abstract

Introduction: Prolonged standing is defined as a standing working posture for over 50% of total working hours during a full work shift. Chronic pain is defined as any pain lasting for more than 12 weeks. Standing effectively reduces the blood supply to the muscles and this inefficient blood flow accelerates the onset of fatigue and causes pain in the muscles. Some research has shown that exercise is an essential aspect in the treatment of chronic pain and gradually over time help those with pain. Significant increase in fitness and pain tolerance was seen in an exercise group in a study. Objectives: To assess the prevalence of chronic pain associated with prolonged standing, to determine the risk factors, to find out the effectiveness of stretching exercise and to suggest remedial measures to the security personnel. Materials and Method: Type of study: Interventional, Study design: Quasi experimental study Study Area: Educational group of institutions, Health Park, Bhubaneswar. Study population: Security personnel, Sample size:74 Sampling: Universal Sampling; Selection Criteria: Who is willing to give written consent and Work experience of 1 year. Study Period: August - October 2019 Study Instruments: Pre-tested, pre-designed questionnaire and standard Visual Pain Scale. Methodology: After obtaining IEC approval ,a pre-tested, pre-designed questionnaire with a visual pain scale was used to obtain information about pain. Daily stretching exercises was performed. Statistical Analysis: Percentage, Chi-square, Mean,(ANOVA) and binary logistic regression. Result:28 had Chronic Back Pain that accounted to 37.83%.A statistical significant association between years of service and back Pain (Chi square 6.653, p = 0.010). On Binary logistic regression, Years of service (OR 1.1675, p 1.1675) and Distance travelled (OR1.0699, p 0.0489) had positive corelation. Significant difference in proportion in Extension positive test. Conclusion: Prolonged standing can lead to LBP and significant reduction in pain after intervention.