A Controlled, Prospective Study to Evaluate the Effectiveness of a Back School in the Relief of Chronic Low Back Pain

Moffett, Jonathan; Chase, Sabrina M.; Portek, Ian; Ennis, Jeffrey

doi:10.1097/00007632-198603000-00003

Cited by 120 publications

(72 citation statements)

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“…8,9 However these findings do not confirm to those of Klaber Moffett JA et al who reported that the techniques used for measuring lumbar spine movements in their study, showed no significant differences. 7 The average pre-treatment Straight leg raising 0 score were 77.02 0 (right) and 77.61 0 (left). The patients showed significant improvement at 1 month, 3 months and 6 months post treatment when compared to base-line data (p<0.001).…”

Section: Discussionmentioning

confidence: 94%

“…These findings were comparable to those of Hall H et al who reported that the Canadian Back Education Units (CBEU), in a review of 6418 participants, found a significant subjective improvement in 69% of the participants; Klaber Moffett JA et al who reported that at 16 weeks, pain levels showed a significant difference; Shirado O et al who showed that an averaged VAS score was 6.2 before enrollment in the program and 2.8 at follow-up, the pain improved in 141 patients (80.8%), did not change in 27 (15.4%), and was aggravated in 7 (3.8%), Karkucak M et al who reported that the results of pain intensity (VAS) were found to be significantly improved (p<0.05). [6][7][8] The average pre-treatment Finger to Floor Distance reported in the current study was 21.44 cms. The patients showed significant improvement at 1 month, 3 months and 6 months post treatment when compared to base-line data (p<0.001).…”

Section: Discussionmentioning

confidence: 96%

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Study of group education interventions for people with low back pain

Gupta¹,

Mahajan²,

Dewan

et al. 2017

Int J Community Med Public Health

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Background: Backcare education administered in a group situation is one of the most effective and economic methods of treating back pain. It is based on available scientific knowledge of the physiology and mechanics of the spinal structures and their relationship to daily activities. It provides the patient with a better understanding of the problem, aiming primarily at helping the patient take responsibility for his or her back pain, while relieving pain and functional disability.Methods: This study was carried out on 100 patients of chronic low back pain, attending the OPD of Post Graduate Department of Orthopaedics, Government Medical College Jammu for a period of one year. Assessment was carried out before the treatment and after the treatment at four weeks, three months & six months post treatment. The following scales were used to measure the therapeutic response: the Modified Oswestry low back pain disability index, Visual analogue score (VAS), and clinical parameters like finger to floor distance and straight leg raising.Results: The patients showed significant improvement at 1 month, 3 months and 6 months post treatment when compared to base-line data (p<0.001).Conclusions: It was concluded that all chronic low back pain patients would benefit from a group program of back care education.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 96%

Study of group education interventions for people with low back pain

Gupta¹,

Mahajan²,

Dewan

et al. 2017

Int J Community Med Public Health

View full text Add to dashboard Cite

show abstract

“…In one study, the efficacy of the back school is doubtful (Keijsers et al, 1989b). In the remaining three studies, the authors concluded that the back school is indeed effective (Bergquist-Ullman and Larsson, 1977;Hurri, 1989;Klaber Moffett, Chase, Portek and Ennis, 1986). Several problems concerning the validity of these 'positive' studies make such conclusions at least doubtful.…”

Section: Introductionmentioning

confidence: 99%

“…Several problems concerning the validity of these 'positive' studies make such conclusions at least doubtful. The duration of the follow-up, for example, was relatively short (16 weeks) in the study by Klaber Moffett et at (1986). Furthermore, the often large number of effect parameters used in the studies, increases substantially the chances of finding at least one statistically significant effect.…”

Section: Introductionmentioning

confidence: 99%

The efficacy of the back school for patients with non-specific low back pain: An overview

Keijsers

Meertens²,

Kok³

et al. 1992

Physiotherapy Theory and Practice

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“…BACK schools with both theoretical and practical educational programmes have been implemented as an alternative or complementary to medical treatment of low back pain since the late 1960s [1][2][3][4][5] and have since been evaluated for secondary prevention [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

mentioning

confidence: 99%

A Prospective Controlled Study of Low Back School in the General Population

et al. 1996

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SUMMARYThere are no data on the efficacy of a back school in primary prevention of back pain in the general population or on the characteristics of the population who volunteers. After announcement in the local press, 494 healthy adults volunteered and paid for a back school course in Switzerland. A total of 371 controls were matched for sex, age, profession, nationality and back pain. A statistically significant decrease in numbers of doctor's visits was found by the participants during the following 6 months compared with the controls. However, there were no significant between-group differences in the four remaining parameters (presence and intensity of back pain, drug intake and sick leave). Three-quarters of participants changed their attitudes after the back school. Volunteering for a back pain prevention programme was associated with the presence of back pain problems. Reasons for volunteering are further discussed. Overall, the results of this study showed that a back school for the general population may not solve the problem of low back pain, but improves self-help in a subgroup of the population. Primary prevention programmes have also been developed to reduce the occurrence of low back pain. In primary prevention, studies with control groups and data on lost workdays are rare, and results of educational programmes are conflicting [26]. However, in prospective studies in industry, the expected rate of back pain [27], compensation claims [28] and absenteeism [29] has been reduced.The Swiss League against Rheumatism (SLR) started a nationwide back school programme for the general population in 1990. The first 772 participants were prospectively evaluated and compared to a sample of 593 control subjects.Primary prevention addresses healthy individuals. In patients, educational programmes aim at encouraging the patient to take part in the management of his back problem and to be an active agent in the recovery process, with the underlying assumption that motivation is linked to symptoms [30,31]. As participation in a programme such as the one evaluated in this study is voluntary, it raises the question of reasons for volunteering, especially when the course is intended for the general population and is organized outside of the workplace.The evaluation of this back school programme focused on two aspects: what impact does the back school have on the participants in terms of back pain (prevalence and intensity) and its consequences (number of doctor's visits, drug intake and sick leave); and who volunteers for such a programme. METHODS SettingThe SLR back school was widely advertised in the local press of major urban areas. It consisted of eight weekly lessons of 90 min in the evening. Participants were taught in small groups (7-12 participants) and were charged the equivalent of US$80.The lessons were given by a physiotherapist trained in back school education. A multidisciplinary team of health professionals of Swiss rehabilitation units had prepared a 200 page handbook as a didactic base for the teachers...

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A Controlled, Prospective Study to Evaluate the Effectiveness of a Back School in the Relief of Chronic Low Back Pain

Cited by 120 publications

References 0 publications

Study of group education interventions for people with low back pain

Study of group education interventions for people with low back pain

The efficacy of the back school for patients with non-specific low back pain: An overview

A Prospective Controlled Study of Low Back School in the General Population

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