Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children
Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children
Blog Article
Abstract tillman 750m 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 click here 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.