Back pain in children surveyed with weekly text messages - a 2.5 year prospective school cohort study

Franz, Claudia; Wedderkopp, Niels; Jespersen, Eva; Rexen, Christina Trifonov; Leboeuf‐Yde, Charlotte

doi:10.1186/preaccept-1465471670128835

Cited by 7 publications

(8 citation statements)

References 15 publications

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“…Therefore, back pain educational programs have been developed and evaluated for elementary school children [7,[11][12][13][14][15][16][17][18][19][20][21]. For example, Cardon et al used a school-based educational program on back care principles among Belgian pupils in which children were taught through guided discovery and active hands-on methods such as games and dramatic plays [18].…”

Section: Introductionmentioning

confidence: 99%

“…The results established by Franz et al also suggested that knowledge about back pain risk factors in childhood might lead to early prevention. They even argued that changes in actual back care-related behavior among children was very difficult [15] since such changes would be more likely to occur when there were subsequent changes in cognitive determinants of behavior [22].…”

Section: Introductionmentioning

confidence: 99%

“…In general, it is possible to claim that spinerelated behavior educational program in elementary schools has been scarcely examined from a theoretical point of view. In fact, most studies [7,[11][12][13][14][15][16][17][18][19][20][21] had not taken account of potential change strategies for back care behavior and its main determinants. It was decided that it would be more possible to achieve the desired changes in back care behavior during daily activities if there was a theory behind the design of such interventions.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a theory-based back care intervention on spine-related behavior among pupils: a school-based randomised controlled trial (T-Bak study)

2020

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Background: Children's health and welfare have a special place in research and policy in many countries. One of the most important concerns is the increasing rate of backache in children due to many of behavioral risk factors. The aim of this study was to evaluate the effectiveness of an educational program on promoting back-related behavior as well as knowledge, skills, beliefs, and self-efficacy among fifth grade girls. Methods: The theory-based back care (T-Bak) study was a school-based randomised controlled trial (RCT) that assessed the effectiveness of developing a back care training program based on the social cognitive theory (SCT). A total of 104 schoolchildren aged 11 ± 1.0 years were assigned to intervention (n = 52) and control (n = 52) groups. The intervention group received six sessions training on proper lifting and carrying techniques, having proper posture during daily activities, and correct backpack wearing techniques with a 1-week interval while the control group received nothing. Then, the two groups were assessed for knowledge, skills, self-efficacy, beliefs, and behavior at four points in time: baseline, immediate, three and six-months post-intervention. The changes of the outcomes investigated using univariate repeated measures analysis of variance. Partial eta squared measure (η p 2) was used to calculate effect sizes. Results: A positive change was found for the intervention group back-related behavior from baseline to immediate post-intervention and follow-ups (F = 78.865, p < 0.001, η p 2 = 0.22). Overall there were 36.4% improvement for knowledge (η p 2 = 0.21), 53.2% for the skills (η p 2 = 0.25), 19.5% for the self-efficacy (η p 2 = 0.11), and 25.6% for the beliefs (η p 2 = 0.14) scores from baseline to 6 months' follow-up assessments among the intervention group (p < 0.001). The results also showed a significant interaction effect between group and time. Conclusion: The T-Bak intervention was effective in improving back-related behavior in pupils. It is now available and could be evaluated further in back-care related studies.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effectiveness of a theory-based back care intervention on spine-related behavior among pupils: a school-based randomised controlled trial (T-Bak study)

2020

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“…MSK pain in different regions of the body (spine, upper extremity (UE) and lower extremity (LE)) has been described in detail in children participating in the Childhood Health, Activity and Motor Performance School Study (CHAMPS Study-DK) [ 8 , 23 – 26 ]. LE pain and spinal pain were common and recurrent in the children, whereas UE pain was less common and most often short-lasting [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

Musculoskeletal pain distribution in 1,000 Danish schoolchildren aged 8–16 years

et al. 2020

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Background: Knowledge about the occurrence and distribution of musculoskeletal problems in early life is needed. The objectives were to group children aged 8 to 16 according to their distribution of pain in the spine, lower-and upper extremity, determine the proportion of children in each subgroup, and describe these in relation to sex, age, number-and length of episodes with pain. Method: Data on musculoskeletal pain from about 1,000 Danish schoolchildren was collected over 3 school years (2011 to 2014) using weekly mobile phone text message responses from parents, indicating whether their child had pain in the spine, lower extremity and/or upper extremity. Result are presented for each school year individually. Results: When pain was defined as at least 1 week with pain during a school year, Danish schoolchildren could be divided into three almost equally large groups for all three school years: Around 30% reporting no pain, around 40% reporting pain in one region, and around 30% reporting pain in two or three regions. Most commonly children experienced pain from the lower extremities (~60%), followed by the spine (~30%) and the upper extremities (~23%). Twice as many girls reported pain in all three sites compared to boys (10% vs. 5%) with no other statistically significant sex or age differences observed. When pain was defined as at least 3 weeks with pain during a schoolyear, 40% reported pain with similar patterns to those for the more lenient pain definition of 1 week. Conclusion: Danish schoolchildren often experienced pain at more than one pain site during a schoolyear, and a significantly larger proportion of girls than boys reported pain in all three regions. This could indicate that, at least in some instances, the musculoskeletal system should be regarded as one entity, both for clinical and research purposes.

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“…There is evidence that the frequency of spinal pain increase with age [ 4 , 6 , 10 , 20 ]. To obtain a satisfying frequency of spinal pain, only data from the last 2 years of the study period (from August 2012 to June 2014) was used in this study.…”

Section: Methodsmentioning

confidence: 99%

Does lower extremity pain precede spinal pain? A longitudinal study

et al. 2018

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The main objective was to investigate whether children aged 9–15 years at baseline were more likely to experience an incident event of spinal pain after experiencing lower extremity pain. Children’s musculoskeletal pain was monitored by weekly mobile phone text message responses from parents, indicating whether the child had spinal pain, lower extremity pain, or upper extremity pain the preceding week. Data were analyzed using mixed effect logistic regression models and cox regression models. The association between an incident event of spinal pain and LE pain the preceding weeks increased with increasing observation period and was statistically significant for 12 and 20 weeks (OR = 1.34 (95% CI 1.05 to 1.70) and OR = 1.39 (95% CI 1.11 to 1.75), respectively). We found that the likelihood increased in children with more frequent or longer duration of lower extremity pain. The reversed relationship was investigated as well, and we also found a positive association between spinal pain and a subsequent incidence event of lower extremity pain, but less pronounced.Conclusion: Children were more likely to experience an incident event of spinal pain after experiencing lower extremity pain. The likelihood increased in children with more frequent or longer duration of lower extremity pain. What is Known: • Both spinal pain and lower extremity pain often start early in life and is common already in adolescence. What is New: • Children were more likely to experience an incident event of spinal pain after experiencing LE pain. • The likelihood increased in children with more frequent or longer duration of LE pain Electronic supplementary materialThe online version of this article (10.1007/s00431-018-3235-6) contains supplementary material, which is available to authorized users.

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Back pain in children surveyed with weekly text messages - a 2.5 year prospective school cohort study

Cited by 7 publications

References 15 publications

Effectiveness of a theory-based back care intervention on spine-related behavior among pupils: a school-based randomised controlled trial (T-Bak study)

Effectiveness of a theory-based back care intervention on spine-related behavior among pupils: a school-based randomised controlled trial (T-Bak study)

Musculoskeletal pain distribution in 1,000 Danish schoolchildren aged 8–16 years

Does lower extremity pain precede spinal pain? A longitudinal study

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