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01.06.2007 | Original Article

Effects of back posture education on elementary schoolchildren’s back function

verfasst von: Elisabeth Geldhof, Greet Cardon, Ilse De Bourdeaudhuij, Lieven Danneels, Pascal Coorevits, Guy Vanderstraeten, Dirk De Clercq

Erschienen in: European Spine Journal | Ausgabe 6/2007

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Abstract

The possible effects of back education on children’s back function were never evaluated. Therefore, main aim of the present study was to evaluate the effects of back education in elementary schoolchildren on back function parameters. Since the reliability of back function measurement in children is poorly defined, another objective was to test the selected instruments for reliability in 8–11-year olds. The multi-factorial intervention lasting two school-years consisted of a back education program and the stimulation of postural dynamism in the class. Trunk muscle endurance, leg muscle capacity and spinal curvature were evaluated in a pre-post design including 41 children who received the back education program (mean age at post-test: 11.2 ± 0.9 years) and 28 controls (mean age at post-test: 11.4 ± 0.6 years). Besides, test–retest reliability with a 1-week interval was investigated in a separate sample. Therefore, 47 children (mean age: 10.1 ± 0.5 years) were tested for reliability of trunk muscle endurance and 40 children (mean age: 10.2 ± 0.7 years) for the assessment of spinal curvatures. Reliability of endurance testing was very good to good for the trunk flexors (ICC = 0.82) and trunk extensors (ICC = 0.63). The assessment of the thoracic (ICC = 0.69) and the lumbar curvature (ICC = 0.52) in seating position showed good to acceptable reliability. Low ICCs were found for the assessment of the thoracic (ICC = 0.39) and the lumbar curvature (ICC = 0.37) in stance. The effects of 2 year back education showed an increase in trunk flexor endurance in the intervention group compared to a decrease in the controls and a trend towards significance for a higher increase in trunk extensor endurance in the intervention group. For leg muscle capacity and spinal curvature no intervention effects were found. The small samples recommend cautious interpretation of intervention effects. However, the present study’s findings favor the implementation of back education with focus on postural dynamism in the class as an integral part of the elementary school curriculum in the scope of optimizing spinal loading through the school environment.

Adams MA, Mannion AF, Dolan P (1999) Personal risk factors for first-time low back pain. Spine 24:2497–2505PubMedCrossRef

Alaranta H, Hurri H, Heliovaara M, Soukka A, Harju R (1994) Non-dynamometric trunk performance tests—reliability and normative data. Scand J Rehabil Med 26:211–215PubMed

Balagué F, Damidot P, Nordin M, Parnianpour M, Waldburger M (1993) Cross-sectional study of the isokinetic muscle trunk strength among school-children. Spine 18:1199–1205PubMed

Balagué F, Troussier B, Salminen JJ (1999) Non-specific low back pain in children and adolescents: risk-factors. Eur Spine J 8:429–438PubMedCrossRef

Biering-Sörensen F (1984) Physical measurement as risk indicators for low back trouble over a one-year period. Spine 9:143–148

Cardon G, Balagué F (2004) Low back pain prevention’s effects in schoolchildren. What is the evidence? Eur Spine J 13:663–679PubMedCrossRef

Cardon G, De clercq D, De Bourdeaudhuij I, Breithecker D (2004) Sitting habits in elementary schoolchildren: a traditional versus a ‘Moving school’. Patient Educ Couns 54:133–142PubMedCrossRef

Cardon GM, de Clercq DL, Geldhof EJ, Verstraete S, de Bourdeaudhuij IM (2006) Back education in elementary schoolchildren: the effects of adding a physical activity promotion program to a back care program.Eur Spine J. Epub ahead of print

Coorevits P, Danneels L, Ramon H, Van Audekercke R, Cambier D, Vanderstraeten G (2005) Statistical modelling of fatigue-related electromyographic median frequency characteristics of back and hip muscles during a standardized isometric back extension test. J Electromyogr Kines 15:444–451CrossRef

10.

Deighan M, Croix M, Armstrong N (2003) Reliability of isokinetic concentric and eccentric knee and elbow extension and flexion in 9/10 year old boys. Isokinet Exerc Sc 11:109–115

11.

Drouin JM, Valovich-mcLeod TC, Shultz SJ, Gansneder BM, Perrin DH (2004) Reliability and validity of the Biodex system 3 pro isokinetic dynamometer velocity, torque and position measurements. Eur J Appl Physiol 91:22–29PubMedCrossRef

12.

Elftman H (1966) Biomechanics of muscle with particular application to studies of gait. J Bone Joint Surg Am 48:363–377PubMed

13.

Escamilla RF, Fleisig GS, Lowry TM, Barrentine SW, Andrews JR (2001) A three-dimensional biomechanical analysis of the squat during varying stance widths. Med Sci Sport Exer 33:984–998CrossRef

14.

Essendorp M, Schibye B, Hey-Knudsen C (2002) Intra-abdominal pressure increases during exhausting back extension in humans. Eur J Appl Physiol 87:167–173CrossRef

15.

Feldman DE, Shrier I, Rossignol M, Abenhaim L (2001) Risk factors for the development of low back pain in adolescence. Am J Epidemiol 154:30–36PubMedCrossRef

16.

Geldhof E, Cardon G, De Bourdeaudhuij I, De Clercq D (2006) Effects of a two-school-year multi-factorial back education program in elementary schoolchildren. Spine 31(17):1965–1973PubMedCrossRef

17.

Harreby M, Neergaard K, Hesseloe G (1995) Are radiologic changes in the thoracic and lumbar spine of adolescents risk factors for low back pain in adults? Spine 20:2298–2302PubMedCrossRef

18.

Harrison DD, Harrison SO, Croft AC, Harrison DE, Troyanovich SJ (1999) Sitting biomechanics part I: review of the literature. J Manipulative Physiol Ther 22:594–609PubMedCrossRef

19.

Heather C, Shrawan K, Sharon W (1995) Postural aberrations in low back pain. Arch Phys Med Rehab 76:218–224CrossRef

20.

Ho CW, Chen LC, Hsu HH, Chiang SL, Li MH, Jiang SH, Tsai KC (2005) Isokinetic muscle strength of the trunk and bilateral knees in young subjects with lumbar disc herniation. Spine 30:528–533CrossRef

21.

Hyytiainen K, Salminen JJ, Suvitie T, Wickstrom G, Pentti J (1991) Reproducibility of 9 tests to measure spinal mobility and trunk muscle strength. Scand J Rehabil Med 23:3–10PubMed

22.

Jones GT, Watson KD, Silman AJ, Symmons DP, Macfarlane GJ (2003) Predictors of low back pain in British schoolchildren: a population-based prospective cohort study. Pediatrics 111:822–828PubMedCrossRef

23.

Jones MA, Stratton G, Reilly T, Unnithan VB (2005) Biological risk indicators for recurrent non-specific low back pain in adolescents. Br J Sports Med 39:137–140PubMedCrossRef

24.

Kristjansdottir G, Rhee H (2002) Risk factors of back pain frequency in schoolchildren: a search for explanations to a public health problem. Acta Paediatr 91:849–854PubMedCrossRef

25.

Latimer J, Maher CG, Refshauge K, Colaco I (1999) The reliability and validity of the Biering-Sorensen test in asymptomatic subjects and subjects reporting current or previous nonspecific low back pain. Spine 24:2085–2089PubMedCrossRef

26.

Lee JH, Ooi Y, Nakamura K (1995) Measurement of muscle strength of the trunk and the lower extremities in subjects with history of low back pain. Spine 20:1994–1996PubMedCrossRef

27.

Lee JH, Hoshino Y, Nakamura K, Kariya Y, Saita K, Ito K (1999) Trunk muscle weakness as a risk factor for low back pain—a 5-year prospective study. Spine 24:54–57PubMedCrossRef

28.

Malmstrom EM, Karlberg M, Melander A, Magnusson M (2003) Zebris versus Myrin: a comparative study between a three-dimensional ultrasound movement analysis and an inclinometer/compass method: intradevice reliability, concurrent validity, intertester comparison, intratester reliability, and intraindividual variability. Spine 28:433–440CrossRef

29.

Mannion AF, Klein GN, Dvorak J, Lanz C (2000) Range of global motion of the cervical spine: intraindividual reliability and the influence of measurement device. Eur Spine J 9:379–385PubMedCrossRef

30.

McGill SM, Childs A, Liebenson C (1999) Endurance times for low back stabilization exercises: clinical targets for testing and training from a normal database. Arch Phys Med Rehab 80:941–944CrossRef

31.

McIntosh G, Wilson, Affleck M, Hall H (1998) Trunk and lower extremity muscle endurance: normative data for adults. J Rehabil Outcomes Meas 2:20–39

32.

Newcomer K, Sinaki M (1996) Low back pain and its relationship to back strength and physical activity in children. Acta Paediatr 85:1433–1439PubMed

33.

Newcomer K, Sinaki M, Wollan PC (1997) Physical activity and four-year development of back strength in children. Am J Phys Med Rehabil 76:52–58PubMedCrossRef

34.

Nordin M, Kahanovitz N, Verderame R, Parnianpour M, Yabut S, Viola K, Viola K, Greenidge N, Mulvihill M (1987) Normal trunk muscle strength and endurance in women and the effect of exercises and electrical-stimulation. Part 1: Normal endurance and trunk muscle strength in 101 women. Spine 12:105–111PubMedCrossRef

35.

Oksanen A, Salminen JJ (1996) Tests of spinal mobility and muscle strength in the young: reliability and normative values. Physiother Theory Pract 12:151–160

36.

O’Sullivan PB, Grahamslaw KM, Kendell MM, Lapenskis SC, Möller NE, Richards KV (2001) The effect of different standing and sitting postures on trunk muscle activity in a pain free population. In: Proceedings of the interdisciplinary World congress on low back and pelvic pain, Montreal, pp 180–183

37.

Poussa MS, Heliovaara MM, Seitsamo JT, Kononen MH, Hurmerinta KA, Nissinen MJ (2005) Predictors of neck pain: a cohort study of children followed up from the age of 11 to 22 years. Eur Spine J 14:1033–1036PubMedCrossRef

38.

Salminen JJ, Maki P, Oksanen A, Pentti J (1992) Spinal mobility and trunk muscle strength in 15-year-old schoolchildren with and without low-back-pain. Spine 17:405–411PubMedCrossRef

39.

Salminen JJ, Erkintalo M, Laine M, Pentti J (1995) Low-back-pain in the young—a prospective 3-year follow-up-study of subjects with and without low-back-pain. Spine 20:2101–2107PubMedCrossRef

40.

Salminen JJ, Erkintalo M, Pentti J, Oksanen A, Kormano M (1999) Recurrent low back pain and early disc degeneration in the young. Spine 24:1316–1321PubMedCrossRef

41.

Sjölie AN, Ljunggren AE (2001) The significance of high lumbar mobility and low lumbar strength for current and future low back pain in adolescents. Spine 26:2629–2636PubMedCrossRef

42.

Strimpakos N, Sakellari V, Gioftsos G, Papathanasiou M, Brountzos E, Kelekis D, Kapreli E, Oldham J (2005) Cervical spine ROM measurements: optimizing the testing protocol by using a 3D ultrasound-based motion analysis system. Cephalalgia 25:1133–1145PubMedCrossRef

43.

Suter E, Lindsay D (2001) Back muscle fatigability is associated with knee extensor inhibition in subjects with low back pain. Spine 26:361–366CrossRef

44.

Udermann BE, Mayer JM, Graves JE, Murray SR (2003) Quantitative assessment of lumbar paraspinal muscle endurance. J Athl Train 38:259–262PubMed

45.

van Dieen JH, Hoozemans MJM, Toussaint HM (1999) Stoop or squat: a review of biomechanical studies on lifting technique. Clin Biomech 14:685–696CrossRef

46.

Verstraete SJ, De Bourdeaudhuij IM, Cardon GM (2003) Validation of a physical activity questionnaire for children. In: Proceedings of the American College of Sports Medicine. Med Sci Sport Exer 35(5):64

47.

Wang SF, Teng CC, Lin KH (2005) Measurement of cervical range of motion pattern during cyclic neck movement by an ultrasound-based motion system. Man Ther 10:68–72PubMedCrossRef

48.

Watson KD, Papageorgiou AC, Jones GT Taylor S, Symmons DP, Silman AJ, Macfarlane GJ (2002) Low back pain in schoolchildren: occurrence and characteristics. Pain 97:87–92PubMedCrossRef

49.

Widhe T (2001) Spine: posture, mobility and pain—a longitudinal study from childhood to adolescence. Eur Spine J 10:118–123PubMedCrossRef

Titel: Effects of back posture education on elementary schoolchildren’s back function
verfasst von: Elisabeth Geldhof
Greet Cardon
Ilse De Bourdeaudhuij
Lieven Danneels
Pascal Coorevits
Guy Vanderstraeten
Dirk De Clercq
Publikationsdatum: 01.06.2007
Verlag: Springer-Verlag
Erschienen in: European Spine Journal / Ausgabe 6/2007
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-006-0199-4

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