The effect of exercises and back care on the course of acute non-specific low back pain

1995 ◽  
Vol 1 (4) ◽  
pp. 167-171
Author(s):  
Arnout W Chavannes ◽  
Jacques TM van Eijk ◽  
Arie Faas ◽  
Jan W Gubbels
Keyword(s):  
Low Back ◽  
2006 ◽  
Vol 62 (4) ◽  
Author(s):  
D. O. Odebiyi ◽  
A. O. Akinpelu ◽  
M. O. B. Olaogun

Back schools are educational programmes originally developed in a work place (Volvo factory in Sweden) for patients with back pain, to enable them to manage their own back problems better. ‘Back school’ was originally aimed at modifying the behaviours of patients with low back pain (LBP), with the view to prevent relapses. In an effort to encourage and stimulate the use of ‘back school’ among health workers in Nigeria, this study was designed to evaluate the efficacy of a back school protocol in a Soap Making Industry in Lagos, Nigeria. One hundred and ten (110) workers of a Soap Making Industry in Lagos, Nigeria,  participated in this study. A pre-test, post-test experimental design was employed. The participants were divided into two groups - office workers and factory workers for the purpose of the training in the content of the back school protocol. The ‘back school’ consisted of classroom teaching and the use of two videotapes titled “lifting technique” and “back pain”. Data on demographic information, knowledge of back structures and back care were collected using a questionnaire with closed ended questions, which was completed before, immediately after and 8 weeks after the administrations of the contents of the back school protocol (Akinpelu and Odebiyi, 2004). The records of the factory’s clinic were also reviewed for the 12-months before and 12 months after the study. The mean values of the participants’ age, height, weight and body mass index (BMI) were 36.60 ± 9.10 years, 1.65 ± 0.10 m,69.13 ± 7.70 kg and 25.40 ± 3.30 kg/m2 respectively. The results showed that the 12-months prevalence of low back pain (LBP) among the workers was 71%. The result also showed that over 50% of the participants never had any  information or lesson on back care, and those that had some form of information obtained it by chance. There was 23% reduction in referral for care of back pain 12 months after the administration of the back school protocol. However, Chi square analysis showed that there was no significant difference (p = 0.23) between the number of  physiotherapy referrals to the factory’s clinic 12-months before the study and 12-months after the studyThe findings of this study suggest that the back school protocol was able to impart some knowledge (of back pain and back care) in the industrial workers. This knowledge seems to have assisted this group of individuals to cultivate good postural habits, particularly at work. This might have led to the 23% reduction in the reported cases of patients with LBP to the factory’s Physiotherapy Clinic.


2009 ◽  
Vol 65 (1) ◽  
Author(s):  
C. Van Eck

Study Design: Clinical PerspectiveObjective: To provide back care education for patients with low back pain. Background:  Understanding the internal and external forces the body issubjected to, as well as the spine’s response to these forces, can better equipphysiotherapists in educating patients with low back pain. Methods and Measures: The focus of the clinical perspective is to providephysiotherapists with clinically sound reasoning when educating patients. Results: Providing a patient handout, educating them in how to incorporate back care knowledge into their dailyactivities.Conclusion: Physiotherapists can play a significant role in empowering patients through education to take responsi-bility for their disability.


1999 ◽  
Vol 79 (3) ◽  
pp. 286-295 ◽  
Author(s):  
Jan J Kerssens ◽  
Emmy M Sluijs ◽  
Peter FM Verhaak ◽  
Hanneke JJ Knibbe ◽  
Irma MJ Hermans

Abstract Background and Purpose. The treatment of people with low back pain often includes giving a variety of instructions about back care. The objective of our study was to explore the content and sequence of these instructions. Subjects. Our database contained information on 1,151 therapy sessions for 132 patients who were treated by 21 therapists. Methods. Hierarchical linear modeling was used to establish trends in instructions during the course of treatment. Instructions were measured by means of a registration form. Results. Pain management instructions were given at the start of treatment and then decreased in later sessions. Instructions about taking care of the back in daily activities followed the same course. Exercise instructions were introduced after the start of treatment and were spread evenly across the visits. The number of recommendations about general fitness decreased during treatment. Conclusion and Discussion. The majority of back care instructions were spread evenly across therapy visits. Relatively little variation in instructions among patients was seen, which may indicate a lack of individualization of the back care programs.


Author(s):  
Rishabh Gupta ◽  
Shavi Mahajan ◽  
Deepika Dewan ◽  
Rajat Gupta

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. 


1999 ◽  
Vol 79 (8) ◽  
pp. 757-766 ◽  
Author(s):  
Pamela K Levangie

Abstract Background and Purpose. This study investigated the magnitude of association between low back pain (LBP) and self-reported factors thought to increase the risk of LBP. Subjects and Methods. Questionnaires were completed by 150 patients who were receiving physical therapy for LBP and by 138 patients who were being treated for other reasons. The solicited information was used to estimate odds ratios and 95% confidence intervals for the LBP-risk factor association. Results. Low back pain was positively associated with smoking status, pregnancy, industrial vibration exposure, and time spent in a car (odds ratios ≥ 2.21). Daily lifting, body mass index, activity level, and time sitting or standing showed at most a weak positive association with LBP. Comparisons with estimated associations from other studies were made. Conclusion and Discussion. Data from this study support a statistically significant association between LBP and some factors found in other research to increase the risk of LBP. Study findings may have implications for targeting at-risk groups for back care education or intervention programs.


2015 ◽  
Vol 27 (1) ◽  
pp. 8-11
Author(s):  
Fauzia Sobhan ◽  
Md Taslim Uddin ◽  
Muhammad Kamrul Hassan ◽  
Chowdhury Mohammad Walid ◽  
ABM Zafar Sadeque

Aim of this study is to educate pregnant women about posture and application of biomechanical principles in functional and work related activities and to prevent low back pain with help of Exercise Program and Education. Patients were randomly allocated in two groups. Group A included 30 patients and they received traditional antenatal care. Group B included more 30 patients and received therapeutic exercise and ADL instructions. They had one visit every two week for six weeks. In each visit both groups were evaluated for variables including pain, tenderness, mobility index and sleep. Pain was assessed by subjective intensity and VAS; tenderness was evaluated by tenderness index, mobility index by scoter test and SLR (straight leg rising). All the relevant collected data were recorded in prescribed data sheet and analyzed by using computer based statistical packages for social science (SPSS). A ‘p’ value < 0.05 was considered as significant. Student’s‘t’ test and Chi-square test was done to see the level of significance as required. The Study concluded that the back care in the form of Exercise Program and Postural Education given to women as early in their pregnancy as possible may prevent back pain or decrease the severity of back pain if it occurs.Medicine Today 2015 Vol.27(1): 8-11


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