Effects of a Physiotherapist-Led School-Based Back-Health Education Program on Postural Habits, Physical Activity, Electronic Device Use, and Spinal Pain in Schoolchildren With and Without Symptoms
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 317
- 试验地点
- 1
- 主要终点
- Change in spinal pain prevalence
研究概览
简要总结
This study evaluates the effects of a physiotherapist-led, school-based back-health education program delivered in primary school classrooms. The intervention consists of a theoretical-practical workshop focused on postural habits, physical activity, electronic device use, and backpack handling. The study includes schoolchildren with and without spinal pain and assesses changes in spinal pain characteristics, postural behaviors, physical activity patterns, and electronic device use over a three-month period. The main objective is to determine whether this educational program improves back-health behaviors and related outcomes in the school setting.
详细描述
This study investigates the impact of a physiotherapist-led, school-based back-health education program in primary schoolchildren aged 9 to 11 years. The intervention consists of a classroom-based theoretical-practical workshop delivered by physiotherapists in two 45-minute sessions. The program covers fundamental concepts of spinal anatomy and biomechanics, correct postural habits in daily activities (sitting, standing, sleeping, and rising from bed), safe backpack handling and load distribution, regular physical activity recommendations, and ergonomically appropriate use of electronic devices.
Participants complete a 21-item self-administered questionnaire at baseline and three months after the intervention. The questionnaire includes items addressing spinal pain (cervical, thoracic, and lumbar regions), pain duration and intensity, postural habits, backpack-related behaviors, physical activity patterns, and electronic device use. The study includes both symptomatic and asymptomatic schoolchildren to evaluate preventive and therapeutic outcomes.
The primary aim is to examine changes in spinal pain prevalence and characteristics following the intervention. Secondary aims include evaluating changes in postural habits, backpack-related behaviors, physical activity frequency and duration, electronic device use, and back-health knowledge. Data analysis compares pre- and post-intervention outcomes using appropriate statistical tests for paired categorical and non-normally distributed variables. The study seeks to determine whether a physiotherapist-led educational intervention implemented within the school curriculum can effectively improve back-health behaviors and modifiable ergonomic risk factors in primary schoolchildren.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 9 Years 至 11 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Acceptance by the school administration and the Parents' Association (AMPA) to participate in the project.
- •Commitment from the school administration to ensure that students and teaching staff participating in the project complete the questionnaires on the dates indicated by the research team.
- •Students aged 9 to 11 years at the start of the study.
排除标准
- •Lack of acceptance from the school administration or AMPA to participate in the study.
- •Failure by the school administration to ensure completion of the questionnaires on the scheduled dates.
- •Students with cognitive impairments that prevent them from understanding or responding to the questionnaires.
结局指标
主要结局
Change in spinal pain prevalence
时间窗: Baseline, 3 months
Change in the prevalence of spinal pain (cervical, thoracic, and lumbar), assessed using a self-administered questionnaire. Metric: Proportion of participants reporting spinal pain in each spinal region at both assessment points.
Change in spinal pain intensity
时间窗: Baseline, 3 months
Change in spinal pain intensity measured using the Wong-Baker FACES Pain Scale. Metric: Difference in score (0-10) between baseline and 3 months.
Change in spinal pain duration
时间窗: Baseline, 3 months
Change in spinal pain duration categories (\<12 h, 12-24 h, 1-7 days, \>1 week). Metric: Shift in categorical distribution from baseline to 3 months.
次要结局
- Change in Postural Habits(Baseline, 3 months)
- Change in Daily Duration of Habitual Physical Activity(Baseline, 3 months)
- Change in Weekly Frequency of Electronic Device Use(Baseline, 3 months)
- Satisfaction with the Educational Intervention(immediately after the final workshop)
- Change in Backpack-Related Behaviors(Baseline, 3 months)
- Change in Daily Duration of Electronic Device Use(Baseline, 3 months)
- Change in Weekly Frequency of Habitual Physical Activity(Baseline, 3 months)
研究者
Yoana González González
Principal investigator
University of Vigo