Article

OBJECTIVE: To evaluate the effectiveness of the addition of back school to
exercise and physical treatment modalities in relieving pain and improving the
functional status of patients with chronic low back pain.
DESIGN: A randomized
controlled trial. PATIENTS: A total of 146 patients with chronic low back pain
were enrolled in the study. METHODS: Subjects were divided into 2 groups: the
back school group received exercise, physical treatment modalities and a back
school programme; and the control group received exercise and physical treatment
modalities. Treatment efficacy was evaluated at the end of treatment and 3 months
post-treatment, in terms of pain, measured with the Visual Analogue Scale, and
functional status, measured with the Oswestry Low Back Pain Disability
Questionnaire. RESULTS: In both groups, Visual Analogue Scale and Oswestry Low
Back Pain Disability Questionnaire were significantly reduced after therapy (p <
0.01), but the difference between the scores at the end of treatment and 3 months
post-treatment was not significant. There was a significant improvement in Visual
Analogue Scale and Oswestry Low Back Pain Disability Questionnaire in the back
school group compared with the control group at the end of therapy and 3 months
post-treatment (p < 0.05). CONCLUSION: The addition of back school was more
effective than exercise and physical treatment modalities alone in the treatment
of patients with chronic low back pain.

Langue : ANGLAIS