Interactive Low Back Pain Intervention Module Based on the Back School Program: A Cluster-Randomized Experimental Study Evaluating Its Effectiveness among Nurses in Public Hospitals

Ibrahim, Mohd Ismail; Zubair, Izani Uzair; Shafei, Mohd Nazri; Ahmad, Mohd Izmi; Yaacob, Najib Majdi

doi:10.3390/ijerph17165916

Cited by 6 publications

(24 citation statements)

References 29 publications

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“…There is scientific evidence on the beneficial effects of BS in people with LBP: improved quality of life [17][18][19], decreased pain [17][18][19][20][21][22], and reduced disability [17][18][19][20][21][22][23]. However, there is limited evidence of the effects of BS on this region in healthy adults, despite the fact that one of the main goals of BS is primary prevention [16].…”

Section: Introductionmentioning

confidence: 99%

Prevention of Low Back Pain in Adults with a Back School-Based Intervention

Hernández‐Lucas

Lopez-Barreiro

García-Soidán

et al. 2021

JCM

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Background: Low back pain is highly prevalent and has a major socio-economic impact worldwide. Among the rehabilitation options is the Back School, which consists of programmes that include exercise and educational interventions to treat and prevent back pain. The effects of this type of programme are usually evaluated in patients with low back pain. The aim of this study was to evaluate the effects on low back functionality and the prevention of medical visits due to low back pain during one year of follow-up in a healthy adult population. Methods: A quasi-experimental study was conducted with 56 healthy participants who were divided into an experimental group (n = 30), who underwent the programme consisting of a total of 16 sessions, and a control group (n = 26), who did not undergo the intervention. All participants were administered the Partial Curl-up Test, Biering Sorense Test, Modified Schöber Test, and Toe Touch Test, and they completed the Short Form 36 Health Survey before and after the intervention. In addition, a telephone call was made to ask whether they attended a doctor for low back pain in the following year post-intervention. Results: In the experimental group, statistically significant improvements were observed in trunk muscle strength, spinal flexion joint range of motion, and hamstring flexibility, and they had fewer visits to the doctor for low back pain in the following year. Conclusions: The theoretical–practical programme based on the Back School seems to have beneficial effects on low back functionality by increasing its strength and flexibility in an adult population. In addition, this programme reduced the number of medical visits due to low back pain during the following year after the intervention.

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Section: Introductionmentioning

confidence: 99%

Prevention of Low Back Pain in Adults with a Back School-Based Intervention

Hernández‐Lucas

Lopez-Barreiro

García-Soidán

et al. 2021

JCM

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“…These results are consistent, since disability is strongly related to pain, due to the close relationship between the physical and psychosocial components [ 48 ]. In the same line, other authors who applied BSP in the lumbar region also obtained positive results [ 21 – 27 ], which could be due to the fact that many risk factors of lumbar pain are common to the risk factors of the cervical region [ 11 ]. A recent review concludes that exercise therapy produces an improvement in function in the cervical region [ 49 ].…”

Section: Discussionmentioning

confidence: 82%

“…1 ). The power analysis (1 – β err prob) of the final sample (n = 58) was calculated post-hoc, obtaining 0.9 for p < 0.05 [ 27 ].…”

Section: Resultsmentioning

confidence: 99%

“…In addition, in the practical part, patients are taught how to perform back strengthening and stretching exercises [18][19][20]. There is scientific evidence on the beneficial effects of BSP in people with low back pain: improvement of quality of life [21][22][23], reduction of pain [21][22][23][24][25][26], prevention of pain [20] and reduction of disability [21][22][23][24][25][26][27]. However, there is little evidence on these effects of BSP on the cervical region [28].…”

Section: Introductionmentioning

confidence: 99%

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Effects of back school-based intervention on non-specific neck pain in adults: a randomized controlled trial

Hernández‐Lucas

Leirós‐Rodríguez

Lopez-Barreiro

et al. 2023

BMC Sports Sci Med Rehabil

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Background Neck pain has a high prevalence and socioeconomic impact worldwide. The Back School consists of programs that include exercises and educational interventions to treat back pain. Accordingly, the main objective was to evaluate the effects of an intervention based on Back School on non-specific neck pain in an adult population. The secondary objectives were to analyze the effects on disability, quality of life and kinesiophobia. Methods A randomized controlled trial was conducted with 58 participants with non-specific neck pain divided into two groups. The experimental group (EG) carried out the 8-week programme based on the Back School, (two sessions per week, for a total of 16 sessions, lasting 45 min). Of all the classes, 14 had a practical focus (strengthening and flexibility exercises) and the other two had a theoretical focus (concepts of anatomy and healthy lifestyle). The control group (CG) stated that they did not vary their lifestyle. The assessment instruments were: Visual Analogue Scale, Neck Disability Index, Short-Form Health Survey-36 and Tampa Scale of Kinesiophobia. Results The EG reduced pain (-40 points, CI95% [-42 to -37], g = -1.03, p < 0.001), EG had less disability (-9.3 points, CI95% [-10.8 to -7.8], g = -1.22, p < 0.001), EG improved the physical dimension of the survey Short-Form Health Survey-36 (4.8 points, CI95% [4.1 to 5.5], g = 0.55, p = 0.01) but had not significant change in psychosocial dimension of the survey Short-Form Health Survey-36 and EG reduced Kinesiophobia (-10.8 points, CI95% [-12.3 to -9.3], g = -1.84, p < 0.001). The CG did not obtain significant results in any variable of the study. Significant differences in change between both groups were found on pain (-11 points, CI95% [5.6 to 16.6], p < 0.001, g = 1.04), disability (-4 points, CI95% [2.5 to 6.2], p < 0.001, g = 1.23), physical dimension of the survey Short-Form Health Survey-36 (3 points, CI95% [-4-4 to -2-5], p = 0.01, g = -1.88), and kinesiophobia ( 7 points, CI95%[-8.3 to -5.4], p < 0.001, g = 2.04), while no significant differences were found on psychosocial dimension of the survey Short-Form Health Survey-36 (-0.02, CI95% [-1.7 to 1.8], g = 0.01, p = 0.98). Conclusions The back school-based programme has beneficial effects on pain, neck disability, the physical dimension of quality of life and kinesiophobia in an adult population with non-specific neck pain. However, it did not lead to improvements in the psychosocial dimension of the participants’ quality of life. This programme could be applied by health care providers with the aim of reducing the severe socio-economic impact of non-specific neck pain worldwide. Trial registration in ClinicalTrials.gov NCT05244876 (registered prospectively, date of registration: 17/02/2022).

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“…Upon the initial reading of all potential full texts, the Kappa score for the first and second reviewers was 0.9, indicating near-perfect agreement [ 23 ]. All of the 25 full-text articles that were evaluated for eligibility were ultimately incorporated into the synthesis [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 ] ( Figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

The Effects of Back Schools on Non-Specific Back Pain: A Systematic Review and Meta-Analysis

Hernandez-Lucas,

Leirós-Rodríguez,

Lopez-Barreiro

et al. 2024

JPM

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Background: Non-specific back pain is a global concern. Exercise and health education are crucial components in its management. The Back School is a theoretical practical program that integrates both elements. The objective of this study is to determine if Back School-based programs are effective in reducing pain, disability, and kinesiophobia in patients with non-specific back pain. Methods: A systematic review of research involving participants with non-specific back pain was carried out on databases such as PubMed, Scopus, Web of Science, and Medline. Results: In total, 25 papers were chosen for review. All of these papers focused on the effects on the lumbar area, with the exception of one paper that specifically targeted the cervical region. The pain variable showed statistically significant results with standardized mean differences of −1.01 (950 confidence interval = −1.39 to −0.63; p < 0.001), and the disability variable had standardized mean differences of −0.98 (95% confidence interval = −1.38 to −0.58; p < 0.001), and only one study analysed the kinesiophobia variable and concluded that Back School programs have a positive effect on kinesiophobia between the baseline and post-intervention levels. Conclusions: Back School programs have shown effectiveness in reducing non-specific back pain and lowering disability rates.

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Interactive Low Back Pain Intervention Module Based on the Back School Program: A Cluster-Randomized Experimental Study Evaluating Its Effectiveness among Nurses in Public Hospitals

Cited by 6 publications

References 29 publications

Prevention of Low Back Pain in Adults with a Back School-Based Intervention

Prevention of Low Back Pain in Adults with a Back School-Based Intervention

Effects of back school-based intervention on non-specific neck pain in adults: a randomized controlled trial

The Effects of Back Schools on Non-Specific Back Pain: A Systematic Review and Meta-Analysis

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