EFFECTIVENESS OF SAMVAHAN VIBRATIONAL THERAPY ON BODY DISCOMFORT: QUASI EXPERIMENTAL STUDY FROM WESTERN MAHARASHTRA INDIA AMONG HEALTH EMPLOYEES AND NURSING STUDENT WORKING AT K.I.M.S DEEMED UNIVERSITY, KARAD

Miss. Punam Rane, Dr. Vaishali R Mohite, Mr. Mahesh Chendake, Dr. R.V.Mohite and Mrs. Manisha Gholap Medical Surgical Nursing Krishna Institute of Nursing science, Karad. ...................................................................................................................... Manuscript Info Abstract ......................... ........................................................................ Manuscript History Received: 25 November 2019 Final Accepted: 27 December 2019 Published: January 2020


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Health professional experiencing stress and burnout may not be able to perform efficiently and effectively because their physical and cognitive resources may be reduced; this suboptimal performance may affect quality of care and patient"s safety so objective of my study is to assessed the level of body discomfort before and after providing the Samvahan Vibrational Therapy.
In India, Dr. Bhosle's established Samvahan vibrational therapy in 1930. Since 1930 he started this therapy in India. He supplements this method when necessary with hydrotherapy, Ayurveda, chiropractic, electric vibration, urine therapy and aromatherapy. Mr. Michal Trembath received training of "Samvahan Vibration Therapy" by late Dr. Ram Bhosle 2 . Samvahan vibration therapy is useful for both physical and mental well-being. It calms the central nervous system, reduces muscle tension, improves sleep patterns and helps in healing process. 2 it is a gentle massage-like soothing, musical, and meditative treatment that physically amplifies the internal vibration of our body. 3 There are many alternative therapies to reduce stress and pain, In that samvahan therapy is one of them. Samvahan practitioners primarily use their hands to transmit vibrations. Samvahan also serves as a powerful key to unlock emotional trauma trapped with our subconscious. For pain relief, the vibrations can also be aimed directly at the site of pain or tightness. Samvahan Therapy can be highly helpful in treating Physical ailments and Emotional issues like Stress and Depression. 2

Material And Method:-
An evaluative approach used in this study. Quasi-Experimental one group pre-test, post-test research design used to conduct the study. In this study, Samvahan Vibration Therapy was independent variable and body discomfort was dependent variable. The study was conducted in a specific prepared Vibrational Therapy Room at Krishna Institute of Nursing Sciences, Karad, India. 63 Health professionals working in Krishna institute of Medical Science Deemed University, Karad and who were having body discomfort those samples selected by using a non probability convenient sampling technique. Health professionals & female samples were included in this study and those who were having chronic Medical problem,(i.e chest pain, abdomen pain, trauma, spinal injury), pregnant women were excluded from this study. The standard pain scale, body discomfort scale used for data collection. The constructed tool along with objectives and item evaluation criterion was submitted to seven experts in the field of nursing and medicine for content validity. Content validity of the tool was measured by using SPSS software. The Cronbach's alpha value was 0.845. This value was significant, that means the tool was reliable.

Method Of Data Collection:-
The investigator obtained a written permission from the concerned authority from KIMSDU, Karad. Data collection period was 20/01/2017to 11/02/2017. 1) Initially personal interview of each subject was taken. 2) Participants who were having body discomfort & who were willing to participate in this study were selected. 3) Appointment was given to each subject & pre test was conducted. 4) Before giving therapy each subject was introduced with vibration room and therapy and then Samvahan Vibration therapy given. 5) After relaxing 15 to 20 minute post-test was taken. 6) After 7 days, follow-up was taken of each sample to find out the effect of one setting of Samvahan Vibration Therapy.

Ethical Consideration:-
On the date of 20/01/2016 in front of ethical committee synopsis presentation was done and the statement was approved by intuitional ethical committee. Which was included the secretary of institutional ethics committee and chairman of institutional ethics committee KIMSDU Karad. The researcher obtained permission from the present institution to conduct the research study. Written consent was taken from the subjects before data collection. The subject informed that the confidentiality of data will be maintained.

Plan For Data Analysis:-
The collected data was organized, tabulated, and statistically analyzed by using Microsoft excel and (INSTAT). For quantitative data, the range, mean, and standard deviation was used. The difference between two means was statistically analyzed by Nonparametric paired test, was used as a test of significant (p<0.05) for interpretation of the result. Body discomfort scale analyzed after the data collection.

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Result:-Section I:-Distribution of subject according to demographic variable. In this study demographic variable wise distribution of subjects (Table no 1) showed that maximum 12(50%) teachers, 3(30%) staff nurses were in the age group of below 35 years. Maximum 14(58.33%) students were in the age group of below 21 years. All of 7 (100%) subjects were in the age group of above 21 years. Maximum 14 (58.33%) teachers belongs to joint family and maximum 6(60%) staff nurses belongs to the nuclear family. 18(75%) teachers were having below 50, 000 thousand income.
Section II:-To assess the level of body discomfort before and after providing Samvahan Vibration therapy.     These table showed that pretest right thigh pain among all group found significant. The post test right thigh pain found no significant because maximum subject had zero pain, means the samvahan vibrational therapy was effective.

Discussion:-
Author has extensively searched all electronic and hard copy data which was available in a library but the study on samvahan therapy and its effects were not available. But there were some studies on massage and vibration therapies. Author has searched 32 reviews of literature out of that two studies compared with pain, stress, and anxiety.
A study conducted to find out the Efficiency of traditional Thai massage for the treatment of chronic pain: A Systematic Review. The result showed that six research articles met the inclusion criteria. All of the studies found a pre-to post-treatment pain reductions, varying from 25% to 80% and was also associated with improvements in disability, perceived muscle tension, flexibility, and anxiety. 4 A study conducted at Virginia hospital surgical units to find out the effects of adjunctive Swedish massage and vibration therapy on short-term postoperative. The randomized controlled trial the treatment group was 1) Usual postoperative care (UC) 2) UC plus massage therapy 3) UC plus vibration therapy. The result shows that On the day of surgery, massage was more effective than UC for affective (p = 0.0244) and sensory pain (p = 0.0428), and better than vibration for affective pain (p = 0.0015). On a postoperative day 2, massage was more effective than UC for distress (p = 0.0085), and better than vibration for sensory pain (p = 0.0085). Vibration was also more effective than UC for sensory pain (p = 0.0090) and distress (p = 0090). However, after controlling for multiple comparisons and multiple outcomes, no significant differences were found. 5

Conclusion:-
The present study concluded that the samvahan therapy is effective for body discomfort among health professionals.