Postural Hygiene Program to Prevent Low Back Pain

Méndez, Francisco Javier Martínez; Gómez–Conesa, Antonia

doi:10.1097/00007632-200106010-00022

Cited by 82 publications

(90 citation statements)

References 29 publications

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“…Therefore, HEBACAKNOW can be used as an instrument to measure the level of students' knowledge in any conceptual category, except for the standing posture category. Comparing these results with others, the present study can be considered as the first one to assess the psychometric properties of a questionnaire [17,19].…”

Section: Discussionsupporting

confidence: 61%

“…Our questionnaire has not got more than one-dimensional structure like in Maciel et al's [19] and Méndez and Gómez-Conesa's [17] studies. Results from ICC, SEM and Bland-Altman limits revealed good behaviour of the scores.…”

Section: Discussionmentioning

confidence: 94%

“…Previously, Méndez and Gómez-Conesa [17] developed a questionnaire to assess back care knowledge in students from 9 to 12 years old and Maciel et al [19] developed another questionnaire to assess the disease-specific knowledge among patients with non-specific low back pain. However, HEBACAKNOW is the only questionnaire validated by professionals of healthcare and education, as well as by young healthy secondary students.…”

Section: Discussionmentioning

confidence: 99%

“…However, few of them accounted for knowing-how or practical knowledge on back care, even in daily life activities [10,16,17]. Moreover, none of them have developed a complete process to test the psychometric properties of the health measuring instruments used [18].…”

Section: Introductionmentioning

confidence: 99%

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Development and psychometric evaluation of a health questionnaire on back care knowledge in daily life physical activities for adolescent students

et al. 2016

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Purpose The most relevant musculoskeletal problems are related with back health. Study instruments have been designed for adult patient population but not for school-aged children. The aim of this study was to develop and evaluate the psychometric properties of a questionnaire to assess adolescents' level of back care knowledge in daily life physical activities. Methods Participants were 171 adolescents from secondary schools. The questionnaire was made up of 24 questions. A Delphi method was used for test validation. Cronbach's alpha, test-retest, Wilcoxon signed-rank and Bland-Altman graph were used to evaluate the instrument reliability. Results Cronbach's alpha (a = 0.82) showed a strong internal consistency. Test-retest was excellent for total score (0.76) and moderate to excellent (0.54-0.76) for seven score conceptual categories with good results of standard error of the mean and minimal detectable change. No differences were found between test 1 and test 2 except for the standing posture scores. ConclusionThe questionnaire showed acceptable psychometric values. Results showed that this questionnaire is a good instrument to assess adolescent's back care knowledge.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Development and psychometric evaluation of a health questionnaire on back care knowledge in daily life physical activities for adolescent students

et al. 2016

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“…Further, it seemed that improved back posture knowledge after back posture education may persistently assure greater back posture related knowledge. A right conception of biomechanical favorable postural behavior is a necessary condition for the development of a conscious and lifetime healthy lifestyle with respect to good body mechanics [21]. However, good back posture knowledge is not the only aspect promising adequate postural behavior in relation to a biomechanical favorable lifestyle [9].…”

Section: Discussionmentioning

confidence: 99%

Back posture education in elementary schoolchildren: a 2-year follow-up study

et al. 2006

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Within the scope of primary prevention regarding back functioning in children, research on the stability of intervention effects is indispensable. Along this line, the transition from childhood to adolescence is an important phase to evaluate the potential stability of intervention effects because of the typically mechanical and psychological demands related to adolescence. The main aim of the current study was to investigate the effects of a back education program at 2-year follow-up, in youngsters aged 13-14 years, on back posture knowledge, fear-avoidance beliefs and self-reported pain. An additional purpose was to evaluate which aspects of postural behavior were integrated in youngsters' lifestyles. At 2-year followup, the study sample included 94 secondary schoolchildren in the intervention group (mean age 13.3 ± 0.8 years) and 101 controls (mean age 13.2 ± 0.7 years). The back posture program that had been implemented for two school years consisted of back education and the stimulation of postural dynamism in the class through support and environmental changes. A questionnaire was completed comparable to the pretest, posttest and follow-up evaluations. The current study demonstrated at 2-year follow-up stability of the improved general (F = 1.590, ns) and specific (F = 0.049, ns) back posture knowledge in children who had received early back posture education. Back posture education did not result in increased fearavoidance beliefs (F = 1.163, ns) or mounting back and/or neck pain reports (F = 0.001, ns). Based on selfreports for postural behavior, youngsters who had received the back posture program in the elementary school curriculum integrated crucial sitting and lifting principles conform to biomechanical favorable postural behavior. The steady intervention effects 2-year postintervention demonstrated that intensive back posture education through the elementary school curriculum is effective till adolescence. Future research on the impact of early school-based back posture promotion in relation to the integration of back posture principles according to a biomechanical favorable lifestyle and back pain prevalence later in life is essential.

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PROTOCOL: School‐based education programmes for improving knowledge of back health, ergonomics and postural behaviour of school children aged 4–18: A systematic review

Bettany‐Saltikov

McSherry

Schaik

et al. 2019

Campbell Systematic Reviews

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The health of school aged children's backs is a very important topic worldwide. Many schools require children to sit for long periods of time and the increasing use of technology adds to the number of hours they are seated. As back pain is increasingly being reported in young people, an understanding of spinal health and posture is essential for students, teachers and parents. The causes of back pain in young people are challenging and wide ranging. These include; mechanical back shape and incorrect posture while using technology (Game Consoles, Computers, Gameboys, iPads and iPhones).Furthermore, carrying heavy back packs, improper lifting techniques, incorrect posture during prolonged sitting and standing, together with a lack of back care knowledge and the opportunity to move around frequently (in standing, sitting) can lead to poor back health.These issues may be made worse by the school environment, for example, the unavailability or inadequate numbers of school lockers, ill-fitting school furniture and the changing routine of the school day which don't allow children to move around as much as they would like to. Back health educational programmes aim to decrease the possibility of spinal, back and other problems which may lead to disability and pain in muscles and bones. The aims of these programmes are varied and diverse and have included numerical, physical, mechanical, positional, environmental and even social factors. Numerical as in trying to decrease the numbers of students with back pain. Mechanical as in improving body mechanics, posture and safety; as well as methods of wearing a backpack. Positional associated with teaching good sitting postures, safe lifting techniques, sports injury prevention procedures, as well as training students to make appropriate and safe decisions regarding the use of their bodies. These are essential in order to prevent the onset of back pain as well as improving students', teachers and parents knowledge of back care principles.Further research has shown that "hands-on" learning or learning by doing is much more effective than just being spoken to in a classroom. As research in this area is still very unclear, a systematic review conducted with state of the art, high-quality Campbell Collaboration methodology is urgently needed to update parents, children, teachers, researchers and clinicians with the latest research evidence to help educate/inform everyone involved in this issue and also to inform changes in policy and practice in this area of public health.---

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Postural Hygiene Program to Prevent Low Back Pain

Abstract: The findings from this study support the hypothesis that programs involving practice and motivating strategies impart health knowledge and habits more efficiently than those restricted to the mere transmission of information.

Cited by 82 publications

References 29 publications

Development and psychometric evaluation of a health questionnaire on back care knowledge in daily life physical activities for adolescent students

Development and psychometric evaluation of a health questionnaire on back care knowledge in daily life physical activities for adolescent students

Back posture education in elementary schoolchildren: a 2-year follow-up study

PROTOCOL: School‐based education programmes for improving knowledge of back health, ergonomics and postural behaviour of school children aged 4–18: A systematic review

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