caa a22 4500 445832231 CHVBK 20180317145319.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00586-011-1856-9 doi (NATIONALLICENCE)springer-10.1007/s00586-011-1856-9 Long-term effectiveness of a back education programme in elementary schoolchildren: an 8-year follow-up study [Elektronische Daten] [Mieke Dolphens, Barbara Cagnie, Lieven Danneels, Dirk De Clercq, Ilse De Bourdeaudhuij, Greet Cardon] The purpose of this study was to investigate the long-term effectiveness of a spine care education programme conducted in 9- to 11-year-old schoolchildren. The study sample included 96 intervention subjects and 98 controls (9- to 11-year-olds at baseline). Intervention consisted of a 6-week school-based back education programme (predominantly biomechanically oriented) and was implemented by a physical therapist. Self-reported outcomes on back care knowledge, spinal care behaviour, self-efficacy towards favourable back care behaviour, prevalence of back and neck pain during the week and fear-avoidance beliefs were evaluated by the use of questionnaires. Post-tests were performed within 1week after programme completion, after 1year and after 8years. Whereas the educational back care programme resulted in increased back care knowledge up to adulthood (P<0.001), intervention did not change spinal care behaviour or self-efficacy. Pain prevalence figures increased less in the experimental group compared to the controls over the 8-year time span, yet statistical significance was not reached. Dropout analysis revealed spinal pain prevalence rates to be different in both groups throughout the study, including at baseline. Back education at young age did not reinforce fear-avoidance beliefs up to adulthood. Predominantly biomechanical oriented back education in elementary schoolchildren is effective in improving the cognitive aspect of back care up to adulthood, yet not in changing actual behaviour or self-efficacy. The current study does not provide evidence that educational back care programmes have any impact on spinal pain in adulthood. The true long-term impact of school-based spinal health interventions on clinically relevant outcome measures merits further attention. Springer-Verlag, 2011 Education nationallicence Back pain nationallicence Child nationallicence Prevention and control nationallicence Dolphens Mieke Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Campus Heymans (3B3), De Pintelaan 185, 9000, Ghent, Belgium aut Cagnie Barbara Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Campus Heymans (3B3), De Pintelaan 185, 9000, Ghent, Belgium aut Danneels Lieven Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Campus Heymans (3B3), De Pintelaan 185, 9000, Ghent, Belgium aut De Clercq Dirk Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium aut De Bourdeaudhuij Ilse Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium aut Cardon Greet Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium aut European Spine Journal Springer-Verlag 20/12(2011-12-01), 2134-2142 0940-6719 20:12<2134 2011 20 586 https://doi.org/10.1007/s00586-011-1856-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00586-011-1856-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Dolphens Mieke Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Campus Heymans (3B3), De Pintelaan 185, 9000, Ghent, Belgium aut NATIONALLICENCE 700 1- Cagnie Barbara Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Campus Heymans (3B3), De Pintelaan 185, 9000, Ghent, Belgium aut NATIONALLICENCE 700 1- Danneels Lieven Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Campus Heymans (3B3), De Pintelaan 185, 9000, Ghent, Belgium aut NATIONALLICENCE 700 1- De Clercq Dirk Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium aut NATIONALLICENCE 700 1- De Bourdeaudhuij Ilse Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium aut NATIONALLICENCE 700 1- Cardon Greet Department of Movement and Sport Sciences, Ghent University, Watersportlaan 2, 9000, Ghent, Belgium aut NATIONALLICENCE 773 0- European Spine Journal Springer-Verlag 20/12(2011-12-01), 2134-2142 0940-6719 20:12<2134 2011 20 586 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer