Comparison of home-based Williams exercises and abdominal training on pain and functional disability among Thai farmers with chronic non-specific low back pain

เปรียบเทียบผลของการออกกำลังกายแบบวิลเลียมและการบริหารกล้ามเนื้อหน้าท้องที่ปฏิบัติที่บ้าน ต่ออาการปวดและความสามารถในการทำกิจกรรม ในเกษตรกรไทยที่มีอาการปวดหลังส่วนล่างเรื้อรังแบบไม่จำเพาะเจาะจง

Name: Dhissanuvach Chaikhot

Organization : Christian university of Thailand.College of health science

Name: Hathaichanok Makphin

Organization : Christian university of Thailand.College of health science

Name: Waleewan Charoenkitkankha

Organization : Christian university of Thailand.College of health science

keyword: William exercises

; Curl-up exercises

; Low back pain

; Home-based exercises

Abstract: Low back pain (LBP) is a significant global health concern, particularly among agricultural workers, who face increased risk due to the physically strenuous nature of their occupations. The COVID-19 pandemic further compounded this issue, limiting access to traditional healthcare services and highlighting the need for effective, home-based therapeutic options. This study aimed to assess the effectiveness of supervised, home-based William’s flexion exercises (WFE) and progressive abdominal training (PAT) in improving pain, functional disability, core stability, lumbar range of motion (ROM), and exercise satisfaction among Thai farmers with chronic non-specific LBP. Forty-five participants (mean age 35.0 ± 3.2 years), with an average of 9.4 ± 4.0 years of agricultural work experience and a history of LBP for 8.6 ± 3.6 months, were randomly assigned to either the WFE, PAT, or a control group, with 15 each. The control group received informational pamphlets on LBP. The WFE group engaged in 8 flexion exercises with 10 repetitions per set, 3 sets daily, while the PAT group completed a 5-step progressive curl-up training, performing 11 sets at their 50-90% of maximum capacity. Supervised exercise sessions were conducted 3 times weekly for 4 weeks. The Kruskal-Wallis test was employed to evaluate differences among the three groups. Results showed significant pain reduction in both exercise groups compared to the control (WFE: mean reduction = 38.11%, 95% CI [30.5%, 45.7%]; PAT: mean reduction = 51.56%, 95% CI [42.3%, 60.8%], p<0.01). The PAT group demonstrated superior pain reduction compared to the WFE group (mean difference: 13.45%, 95% CI [6.5%, 20.4%], p<0.01). However, no significant differences were observed in functional disability, core stability, lumbar ROM, and exercise satisfaction between the two groups (p>0.05). However, no significant differences were observed between the two groups in terms of functional disability, core stability, lumbar ROM, and exercise satisfaction. These findings indicate that while both home-based exercises were effective in reducing pain, PAT may provide additional pain relief. However, neither intervention showed superior effects on functional outcomes, suggesting that both are viable home-based options for managing LBP, particularly within the post-COVID and "new normal" paradigm

มหาวิทยาลัยคริสเตียน. ศูนย์วิทยบริการและหอสมุด

Address: นครปฐม

Email: library@christian.ac.th

Created: 2568

Modified: 2568-05-01

Issued: 2025-05-01

บทความ/Article

application/pdf

BibliograpyCitation : วารสารมหาวิทยาลัยคริสเตียน. ปีที่ 31, ฉบับที่ 1 (ม.ค.-มี.ค. 2568), หน้า 1-27

eng

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