The Development and Effectiveness of the Hat-Yai Back School Program in patients with chronic low back pain
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Abstract
Background: Chronic low back pain is a common condition affecting physical, mental, social, and economic conditions. Development of the Hat-Yai Back School Program (HY-BSP) should be able to restore the patient's function.
Objective: To study the effectiveness and the possibility of implementing a HY-BSP program in patients with chronic low back pain.
Methods: Sixty participants were divided into two groups with an equal number of participants. The experimental group received the HY-BSP. The control group received a standard physical therapy treatment program. The assessment including pain level, range of motion (ROM) of the lumbar spine, disability, and quality of life (QOL) was assessed three times (baseline and after two and six months). Seventy-three physical therapists evaluated the possibility of implementing a HY-BSP.
Results: For the HY-BSP group, the improvement of average pain level, disability, and QOL were observed at p<0.001, but there were no significant changes in ROM of the lumbar spine when compared with the control group after 2 and 6 months. The feasibility of implementing the HY-BSP was 86.58%.
Conclusion: HY-BSP is effective in reducing pain, disability, and improving QOL.The implementation of HY-BSP is possible.
Keywords: Chronic Lower Back Pain, Back School, NRS, Disability, QOL
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References
Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. Clin Spine Surg. 2000;13(3):205–17.
França FR, Burke TN, Caffaro RR, Ramos LA, Marques AP. Effects of muscular stretching and segmental stabilization on functional disability and pain in patients with chronic low back pain: a randomized, controlled trial. J Manipulative Physiol Ther. 2012;35(4):279–85.
Garcia AN, Gondo FL, Costa RA, Cyrillo FN, Silva TM, Costa LC, et al. Effectiveness of the back school and mckenzie techniques in patients with chronic non-specific low back pain: a protocol of a randomised controlled trial. BMC Musculoskelet Disord. 2011;12(1): 179.
Horváth G, Koroknai G, Ács B, Than P, Illés T. Prevalence of low back pain and lumbar spine degenerative disorders. Questionnaire survey and clinical–radiological analysis of a representative Hungarian population. Int Orthop 2010;34(8):1245–49.
Siriphanich S, Meanpheung P, Sayumpurujinan S. Occupational and environmental disease dituation 2003-2009 occupational disease and environmental monitoring system. Wkly Epidemiol Surveill Rep. 2011;42(14):209–23. (in Thai)
Untimanon O, Boonmeephong K, Saipang T, Sukanun K, Promrat A, Julraung P, et al. Burden of back pain among working populations. Dep Dis Control. 2016;42(2):119–29. (in Thai)
Qaseem A, Wilt TJ, McLean RM, Forciea MA. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514–30.
Adams M. The Biomechanics of Back Pain. Acupunct Med J Br Med Acupunct Soc. 2005;22:178–88.
Hoy D, Bain C, Williams G, March L, Brooks P, Blyth F, et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum. 2012;64(6):2028–37.
Maher C, Underwood M, Buchbinder R. Non-specific low back pain. The Lancet. 2017;389(10070):736–47.
Physical therapy statistics report. Hatyai Hospital . 2018 - 2020. (In Thai)
Ribeiro LH, Jennings F, Jones A, Furtado R, Natour J. Effectiveness of a back school program in low back pain. Clin Exp Rheumatol. 2008;26(1):81–8.
Jiraratphonchai K. Spine Disease Empirical Evidence, Book 1. (1st edition). Khon Kaen: Khon Kaen University Printing; 2011. (Epidemiology of neck and back pain). (in Thai)
Titler MG, Kleiber C, Steelman V, Goode C, Rakel B, Barry-Walker J, et al. Infusing research into practice to promote quality care. Nurs Res. 1994;43(5):307–13.
Heymans MW, van Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for nonspecific low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2005;30(19):2153–63.
Heymans MW, de Vet HC, Bongers PM, Knol DL, Koes BW, van Mechelen W. The effectiveness of high-intensity versus low-intensity back schools in an occupational setting: a pragmatic randomized controlled trial. Spine. 2006;31(10):1075–82.
Morone G, Paolucci T, Alcuri MR, Vulpiani MC, Matano A, Bureca I, et al. Quality of life improved by multidisciplinary back school program in patıents with chronic non-specific low back pain: a single blind randomized controlled trial. Eur J Phys Rehabil Med. 2011;47(4):533–41.
Pakbaz M, Hosseini MA, Aemmi SZ, Gholami S. Effectiveness of the back school program on the low back pain and functional disability of Iranian nurse. J Exerc Rehabil. 2019;15(1):134–8.
Sahin N, Albayrak I, Durmus B, Ugurlu H. Effectiveness of back school for treatment of pain and functional disability in patients with chronic low back pain: a randomized controlled trial. J Rehabil Med. 2011;43(3):224–29.
Shirado O, Ito T, Kikumoto T, Takeda N, Minami A, Strax TE. A novel back school using a multidisciplinary team approach featuring quantitative functional evaluation and therapeutic exercises for patients with chronic low back pain: the Japanese experience in the general setting. Spine. 2005;30(10):1219–25.
Bartz PT, Vieira A, Noll M, Candotti CT. Effectiveness of the back school program for the performance of activities of daily living in users of a basic health unit in Porto Alegre, Brazil. J Phys Ther Sci. 2016;28(9):2581–6.
Hanchanlert Y. The effectiveness of the knowledge program on correct posture in daily life and exercise to reduce and prevent back pain in patients with chronic low back pain. Khaen Subdistrict, Kosum Phisai District, Maha Sarakham Province. J Health Sci. 2014;23(4): 601–8. (in Thai)
Nimtrong K, Oba N, Laoruengthana A. Effectiveness of Educative Supportive Program on Self-Care Behaviors and Pain Level among Patients with Chronic Low Back Pain. J Nurs Health Sci. 2012;6(2):99–109. (in Thai)
Noisuwan P, Sutthakorn W, Songkham W. Effects of Back School Program on Low Back Pain and Functional Status in Rice Farmers. Nurs J (Manila). 2019;46(3):142–56. (in Thai)
Mannion AF, Balagué F, Pellisé F, Cedraschi C. Pain measurement in patients with low back pain. Nat Clin Pract Rheumatol. 2007;3(11): 610–8.
Prommanon B, Puntumethakul R, Puengsuwan P, Chatchawan U, Rittitod T. Comparison of Intra-tester Reliability for Measuring Active Lumbar Range of Motion by three Methods in Healthy Subjects: A Preliminary Study. KKU Res J Grad Stud. 2013;13(3):58–67. (in Thai)
Jirarattanaphochai K, Jung S, Sumananont C, Saengnipanthkul S. Reliability of the Roland-Morris Disability Questionnaire (Thai version) for the evaluation of low back pain patients. J Med Assoc Thai. 2005;88(3):407–11. (in Thai)
Jirarattanaphochai K, Jung S, Sumananont C, Saengnipanthkul S. Reliability of the medical outcomes study short-form survey version 2.0 (Thai version) for the evaluation of low back pain patients. J-Med Assoc Thail. 2005;88(10): 1355. (in Thai)
Hodselmans AP, Jaegers SM, Göeken LN. Short-term outcomes of a back school program for chronic low back pain. Arch Phys Med Rehabil. 2001 Aug 1;82(8):1099–105.
Chaikeaw W, Wiengkum P, Chaikeaw, K, Singkham A, Suankool, P. The Efficacy of Phrae Hospital Back School Program for Chronic Low Back Pain Patients. Buddhachinaraj Med J. 2010;27(Suppl 1):329–38.(in Thai)
Sahin N, Albayrak I, Durmus B, Ugurlu H. Effectiveness of back school for treatment of pain and functional disability in patients with chronic low back pain: a randomized controlled trial. J Rehabil Med. 2011;43(3):224–29.
Taasai P, Phirunsarn U, Rapipong J, Boontha N. Effects of education program and back exercise on stretcher staff with chronic low back pain. J Assoc Med Sci. 2017;50(2):245–52. (in Thai)
Turner JA. Educational and behavioral interventions for back pain in primary care. Spine. 1996 Dec 15;21(24):2851–7; discussion 2858-59.
Cohen JE, Goel V, Frank JW, Bombardier C, Peloso P, Guillemin F. Group education interventions for people with low back pain. An overview of the literature. Spine. 1994 Jun 1; 19(11):1214–22.
Dindem N, Buapetch A, Isarmalai S. Development of Promoting Ergonomic Self - Management and Exercise Medical Ornament Program on Perioperative Nurse with acute lower back pain. AL-NUR J Grad Sch FATONI Univ. 2019;14(26):105–20.
