F-2-22-04
PREDICTIVE FACTORS OF OUTCOME FOR PATIENTS TREATED IN LOW-BACK SCHOOL
Osamu Shirado, M.D., Toshikazu Ito, R.P.T., Yukio Mano, M.D., Kiyoshi Kaneda, M.D.
(Hokkaido University, Sapporo, Japan )
Purpose: The purpose of this study was to determine the predictive factors of outcome for patients who were treated in low-back school.
Method: A total of 175 patients (71 males and 104 females; average age 49.4 years) was treated in low-back school at our clinic from 1992 through 1994. Quantitative functional evaluation was carried out before the treatment and at the follow-up. A visual analogue pain scale was used for evaluating the outcome. Statistical analysis was carried out using ANOVA.
Result: Low-back pain improved in 141 out of 175 patients (81%). The greater improvement of spinal ROM and trunk muscle endurance was observed in the patients whose pain diminished, than those whose pain remained unchanged (p<0.05). Among the functional capacities, the greatest improvement was obtained in back muscle endurance (p<0.05).
Conclusion: There was a close relationship between the final outcome and the improvement of functional capacities. The most predictive factor of outcome in low-back school seems to be the patients' motivation for the exercise program.
F-2-22-05
HEALTH EDUCATION IN PATIENTS WITH LOW-BACK PAIN
Friderika Kresal (Chamber of Physioterapists of Slovenia, Ljubljana, Slovenia)
In Low Back School, we are informing patients about the most frequent spine illnesses, deformations and injuries, about their causes, mitigation measures and the prevention of returned attacks.
The patient should be able to stabilize his state of pain, become more self-confident and physically and mentally more prepared to overcome daily inconveniences at home and at work.
The objective of most courses is to enhance "care of oneself' and thus reduce other related problems (pain intensity, absences, depression). Working principles, methods and forms, and the evaluation of patient's state before and after training, are indispensable in achieving a better performance.
It is not enough to educate just those who have already encountered backpain. Education must be carded out as a comprehensive awakening of society in all social settings. Bad posture, improper burdening, shattered biomechanics of the body, stress situations in domestic and working environment, bad physical condition are frequently the cause of backpain. We should care for our body to remain healthy and in full psycho-physical condition, by taking care of active use of leisure tune in the family, active rest at workplace, regular recreation, conformity of work, recreation and rest, change in behavioural patterns.
