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Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children
BACKGROUND: The aim of this cluster-randomised, controlled study was to examine whether a teacher-led multifactorial back education programme could improve back pain in pupils, motor skills, back behaviour, and back knowledge over a 10-month period. METHODS: There were 176 children from two schools,...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158865/ https://www.ncbi.nlm.nih.gov/pubmed/30257654 http://dx.doi.org/10.1186/s12887-018-1280-y |
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author | Dullien, Silvia Grifka, Joachim Jansen, Petra |
author_facet | Dullien, Silvia Grifka, Joachim Jansen, Petra |
author_sort | Dullien, Silvia |
collection | PubMed |
description | BACKGROUND: The aim of this cluster-randomised, controlled study was to examine whether a teacher-led multifactorial back education programme could improve back pain in pupils, motor skills, back behaviour, and back knowledge over a 10-month period. METHODS: There were 176 children from two schools, who were cluster-randomised into intervention and control groups. The intervention programme consisted of 3 parts: 1) knowledge improvement, 2) posture awareness training, and 3) reducing imbalance of core muscles through mandatory back and abdominal muscle exercises at the beginning of each physical education lesson. Outcome measures included a clinical orthopaedic examination, a health questionnaire, a motor test, a back-behaviour trial, and a knowledge test. RESULTS: Clinical examination showed a reduction of orthopaedic abnormalities in both groups, from 90.5 to 42%, with a posture test showing an improvement in both groups at the post-test. However, the rate of children reporting back pain at least once a month could not be reduced below 30%. Long lasting physical activity, carrying heavy schoolbags, and long periods of sitting were the top three causes for back pain. Push-up number and balancing skills improved significantly in both groups from pre- to post-test. In the water crate carrying task and knowledge test, only the intervention group (IG) showed a statistically significant improvement from pre- to post-test. CONCLUSIONS: The results show that back pain rate could not be decreased. However, back care knowledge and parts of back-friendly behaviour could be significantly improved. On the other hand, the problem of prolonged sitting and using heavy schoolbags persists. TRIAL REGISTRATION: Deutsches Register Klinische Studien DRKS00013794; Date of Registration: 15.1.2018; Retrospectively registered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12887-018-1280-y) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-6158865 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-61588652018-10-01 Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children Dullien, Silvia Grifka, Joachim Jansen, Petra BMC Pediatr Research Article BACKGROUND: The aim of this cluster-randomised, controlled study was to examine whether a teacher-led multifactorial back education programme could improve back pain in pupils, motor skills, back behaviour, and back knowledge over a 10-month period. METHODS: There were 176 children from two schools, who were cluster-randomised into intervention and control groups. The intervention programme consisted of 3 parts: 1) knowledge improvement, 2) posture awareness training, and 3) reducing imbalance of core muscles through mandatory back and abdominal muscle exercises at the beginning of each physical education lesson. Outcome measures included a clinical orthopaedic examination, a health questionnaire, a motor test, a back-behaviour trial, and a knowledge test. RESULTS: Clinical examination showed a reduction of orthopaedic abnormalities in both groups, from 90.5 to 42%, with a posture test showing an improvement in both groups at the post-test. However, the rate of children reporting back pain at least once a month could not be reduced below 30%. Long lasting physical activity, carrying heavy schoolbags, and long periods of sitting were the top three causes for back pain. Push-up number and balancing skills improved significantly in both groups from pre- to post-test. In the water crate carrying task and knowledge test, only the intervention group (IG) showed a statistically significant improvement from pre- to post-test. CONCLUSIONS: The results show that back pain rate could not be decreased. However, back care knowledge and parts of back-friendly behaviour could be significantly improved. On the other hand, the problem of prolonged sitting and using heavy schoolbags persists. TRIAL REGISTRATION: Deutsches Register Klinische Studien DRKS00013794; Date of Registration: 15.1.2018; Retrospectively registered. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1186/s12887-018-1280-y) contains supplementary material, which is available to authorized users. BioMed Central 2018-09-26 /pmc/articles/PMC6158865/ /pubmed/30257654 http://dx.doi.org/10.1186/s12887-018-1280-y Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Dullien, Silvia Grifka, Joachim Jansen, Petra Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children |
title | Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children |
title_full | Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children |
title_fullStr | Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children |
title_full_unstemmed | Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children |
title_short | Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children |
title_sort | cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158865/ https://www.ncbi.nlm.nih.gov/pubmed/30257654 http://dx.doi.org/10.1186/s12887-018-1280-y |
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