Type of Article:  Original Research

Volume 12; Issue 2 (April 2024)

Page No.: 4676-4680

DOI: https://dx.doi.org/10.16965/ijpr.2024.103

Effectiveness of William’s Flexion Exercises on Non-Specific Low Back Pain Among Nurses

Sulaiman. I *1, Ananya Bera 2, Sahana. S 3, A. K. Vijay Krishna Kumar 4.

*1 Associate Professor, Dr. B.R. Ambedkar College of Physiotherapy, Bangalore, Karnataka, India.

2 bpt Intern, Dr. B.R.Ambedkar College of Physiotherapy, Bangalore, Karnataka, India.

3 bpt Intern Dr. B.R.Ambedkar College of Physiotherapy, Bangalore, Karnataka, India.

4 Principal, Dr. B.R.Ambedkar College of Physiotherapy, Bangalore, Karnataka, India.

Address for Correspondence: Sulaiman. I, MPT., Associate Professor, Dr. B. R. Ambedkar College of Physiotherapy, Dr. B. R. Ambedkar Medical College and Hospital, Bangalore, Karnataka, India. E-Mail: sulaipt14@gmail.com


Background: Non-specific low back pain is a condition characterized by symptoms that lack a specific cause or identifiable origin. This type of back pain affects individuals of all ages and is a major contributor to the global burden of disease. It is a component of an occupational ailment that poses a significant worldwide public health issue due to its high prevalence. Healthcare professionals are exposed to occupational risk factors that make them more susceptible to developing low back pain. The risk for developing low back pain is higher, in nursing. The William flexion exercises are specifically designed to enhance the flexion of the lumbar vertebrae while limiting lumbar extension. By performing these exercises, the goal is to strengthen the gluteus and abdominal muscles. The introduction of these exercises aims to educate patients on how to avoid lumbar extension, which can worsen low back pain. Regular performance of these exercises by patients leads to a reduction in pain, improved stability of the lower pelvis, and an increased range of motion.

Methodology: The study employed an experimental design and included a sample of 40 nurses selected through convenient sampling from hospitals in and around Bangalore. The primary outcome measures assessed in this study were the Visual Analogue Scale (VAS) and the Oswestry Disability Index (ODI).

Result: The study shows a statistically significant difference in pre and post-intervention of VAS and ODI with p<0.001.

Conclusion: The study shows that there is a significant difference on Pain and disability among nurses with the help of Williams flexion exercises.

KEYWORDS: Low Back Pain, William’s Flexion Exercises, Nurses.


[1]. Popescu A, Lee H. Neck Pain and Lower Back Pain. Med Clin North Am. 2020 Mar;104(2):279-292. https://doi.org/10.1016/j.mcna.2019.11.003 PMid:32035569
[2]. Shemshaki H, Nourian SM, Fereidan-Esfahani M, Mokhtari M, Etemadifar MR. What is the source of low back pain? J Craniovertebr Junction Spine. 2013 Jan;4(1):21-4. https://doi.org/10.4103/0974-8237.121620 PMid:24381452 PMCid:PMC3872656
[3]. Nascimento PRC, Costa LOP. Low back pain prevalence in william training on lumbosacral muscles function,lumbar curve and pain.J Back Musculoskeletal Rehabil.2015;28(3):591-7 https://doi.org/10.3233/BMR-150585 PMid:25736954
[4]. Vujcic I, Stojilovic N, Dubljanin E, Ladjevic N, Ladjevic I, Sipetic-Grujicic S. Low Back Pain among Medical Students in Belgrade (Serbia): A Cross-Sectional Study. Pain Res Manag. 2018 Feb 6;2018:8317906. https://doi.org/10.1155/2018/8317906
PMid:29623146 PMCid:PMC5829428
[5]. Savigny P, Kuntze S, Watson P, Underwood M, Ritchie G, Cotterell M, Hill D, Browne N, Buchanan E, Coffey P, Dixon P. Low back pain: early management of persistent non-specific low back pain. London: National Collaborating Centre for Primary Care and Royal College of General Practitioners. 2009 May;14(1):9-13.
[6]. Kasa, A.S., Workineh, Y., Ayalew, E. et al. Low back pain among nurses working in clinical settings of Africa: systematic review and meta-analysis of 19 years of studies. BMC Musculoskelet Disord 2020;21:310. https://doi.org/10.1186/s12891-020-03341-y PMid:32416726 PMCid:PMC7231416
[7]. Hsueh-Hua Yang, Yu-Chu Chung, Pai-Pei Szeto, Mei-Ling Yeh, Jaung-Geng Lin, Laser acupuncture combined with auricular acupressure improves low-back pain and quality of life in nurses: A randomized controlled trial, Journal of Integrative Medicine, 2023;21(1):26-33. https://doi.org/10.1016/j.joim.2022.10.004 PMid:36402666
[8]. Therapeutic Exercise for Musculoskeletal Injuries 4th Edition By Houglum, Peggy. ISBN-13: 978-1450468831 ISBN-10: 9781450468831
[9]. Fatemi R, Javid M, Najafabadi EM. Effects of William training on lumbosacral muscles function, lumbar curve and pain. J Back Musculoskelet Rehabi 2015;28(3):591-7.
https://doi.org/10.3233/BMR-150585 PMid:25736954
[10]. Rezaee M, Ghasem M. Prevalence of low back pain among nurses: predisposing factors and role of work place violence. Trauma Mon. 2014 Nov;19(4):e17926.
[11]. Qurat-ul-Ain,Iqra ishaq. Comparison betweenthe effectiveness of mckenzie extension exercises and william flexion exercises for treatment of non-specific low back pain . J. Univ.Med. Dent. Coll. 2017Sep.3[cited2023Oct.30];8(3):68-2.
[12]. William Putera Sukmajaya, Firas Farisi Alkaff, Alina Oen, Alverina Cynthia Sukmajaya. Williams Flexion Exercise for Low Back Pain: A Possible Implementation in Rural Areas. Journal of Medical Sciences. 2020 Feb 05; 8(B):1-5. https://doi.org/10.3889/oamjms.2020.3988
[13]. G, Mohan. Effectiveness of william’s flexion exercise in the management of low back pain. International Journal of Physiotherapy & Occupational Therapy (TJPRC: IJPOT) 2015;1:33-40.
[14]. Brennan GP, Fritz JM, Hunter SJ, Thackeray A, Delitto A, Erhard RE. Identifying subgroups of patients with acute/subacute “nonspecific” low back pain: results of a randomized clinical trial. Spine (Phila Pa 1976). 2006 Mar 15;31(6):623-31.
https://doi.org/10.1097/01.brs.0000202807.72292.a8 PMid:16540864
[15]. Fritz JM, Delitto A, Erhard RE. Comparison of classification-based physical therapy with therapy based on clinical practice guidelines for patients with acute low back pain: a randomized clinical trial. Spine (Phila Pa 1976). 2003 Jul 1;28(13):1363-71. https://doi.org/10.1097/01.BRS.0000067115.61673.FF PMid:12838091
[16]. Petersen T, Larsen K, Jacobsen S: One-year follow-up comparison of the effectiveness of McKenzie treatment and strengthening training for patients with chronic low back pain: outcome and prognostic factors. Spine (Phila Pa 1976) 2007;32(26):2948-56.
https://doi.org/10.1097/BRS.0b013e31815cda4a PMid:18091486

Cite this article: Sulaiman. I, Ananya Bera, Sahana. S, A. K. Vijay Krishna Kumar. Effectiveness of William’s Flexion Exercises on Non-Specific Low Back Pain Among Nurses. Int J Physiother Res 2024;12(2):4676-4680. DOI: 10.16965/ijpr.2024.103