小学生背部教育：在背部护理计划中加入身体活动促进计划的效果。
Back education in elementary schoolchildren: the effects of adding a physical activity promotion program to a back care program.
作者信息
Cardon Greet M, de Clercq Dirk L R, Geldhof Elisabeth J A, Verstraete Stefanie, de Bourdeaudhuij Ilse M M
机构信息
Movement and Sports Sciences, Ghent University, Ghent, Belgium.
出版信息
Eur Spine J. 2007 Jan;16(1):125-33. doi: 10.1007/s00586-006-0095-y. Epub 2006 Apr 25.
Promoting a physically active lifestyle whilst optimizing the spinal load at a young age seems to be advocated within the scope of early back pain prevention efforts. The present study aimed at evaluating the effects of combining a back care program with a physical activity promotion program in elementary schoolchildren. In a pre-post design over two school years, back care knowledge, back care behavior, fear avoidance beliefs and back pain reports were evaluated in children classified into three categories--those who received a back care and a physical activity promotion program (n=190), those who received only a back care program (n=193) and those in a control group (n=172) (mean age at baseline: 9.7 years+/-0.7). Physical activity levels were evaluated in a sub-sample of 26 pupils in each group. The back care program and the physical activity promotion program were both comprehensive ones. In both intervention groups, the scores for back care related knowledge and back care behavior were significantly higher than the control group. The increase in the sum score for back care behavior was significantly higher in the back care group than in the back care plus physical activity promotion group. Significant interaction effects showed an increase in fear-avoidance beliefs between pre- and post-tests in the control group, significantly different from the better scores in both intervention groups. Interaction effects were not significant for pain reports. In the back care plus physical activity promotion group, the daily moderate to vigorous physical activity levels decreased by 8 min per day while a decrease by 31 min per day was found in the back care group and a decrease by 36 min per day in the control group. However, group differences were not significant. The present study findings favor the addition of a physical activity promotion program to a back care program in elementary schools within the scope of early back pain prevention efforts. However, the findings also emphasize the disadvantages of implementing both programs simultaneously in a school curriculum that is already full.
在早期预防背痛的工作范围内，提倡在年轻时促进积极的生活方式，同时优化脊柱负荷。本研究旨在评估将背部护理计划与体育活动促进计划相结合对小学生的影响。在一项为期两个学年的前后设计中，对分为三类的儿童进行了背部护理知识、背部护理行为、恐惧回避信念和背痛报告的评估——接受背部护理和体育活动促进计划的儿童（n = 190）、仅接受背部护理计划的儿童（n = 193）和对照组儿童（n = 172）（基线平均年龄：9.7岁±0.7）。对每组2,6名学生的子样本进行了身体活动水平评估。背部护理计划和体育活动促进计划都是综合性的。在两个干预组中，与背部护理相关的知识和背部护理行为的得分均显著高于对照组。背部护理组背部护理行为总分的增加显著高于背部护理加体育活动促进组。显著的交互作用表明，对照组在测试前和测试后恐惧回避信念有所增加，与两个干预组的较好得分有显著差异。疼痛报告的交互作用不显著。在背部护理加体育活动促进组中，每天中度至剧烈身体活动水平每天下降8分钟，而背部护理组每天下降31分钟，对照组每天下降36分钟。然而，组间差异不显著。本研究结果支持在早期预防背痛的工作范围内，在小学的背部护理计划中增加体育活动促进计划。然而，研究结果也强调了在已经满负荷的学校课程中同时实施这两个计划的缺点。
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