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BMC Pediatrics

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Open Access 01-12-2018 | Research article

Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children

Authors: Silvia Dullien, Joachim Grifka, Petra Jansen

Published in: BMC Pediatrics | Issue 1/2018

Abstract

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.

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Title: Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children
Authors: Silvia Dullien
Joachim Grifka
Petra Jansen
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Pediatrics / Issue 1/2018
Electronic ISSN: 1471-2431
DOI: https://doi.org/10.1186/s12887-018-1280-y

At a glance: The STEP trials

Springer Medicine

Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year old children

Abstract

Background

Methods

Results

Conclusions

Trial registration

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Trial registration

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