Daily Exercises and Education for Preventing Low Back Pain in Children: A Cluster Randomized Controlled Trial Julia J. Hill and Jennifer L. Keating PHYS THER. Published online December 11, 2014 doi: 10.2522/ptj.20140273
The online version of this article, along with updated information and services, can be found online at: http://ptjournal.apta.org/content/early/2014/12/10/ptj.20140273 Collections
This article, along with others on similar topics, appears in the following collection(s): Electrotherapy Health and Wellness/Prevention Injuries and Conditions: Low Back Pediatrics: Other Randomized Controlled Trials Therapeutic Exercise
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Online First articles are published online before they appear in a regular issue of Physical Therapy (PTJ). PTJ publishes 2 types of Online First articles: Author manuscripts: PDF versions of manuscripts that have been peer-reviewed and accepted for publication but have not yet been copyedited or typeset. This allows PTJ readers almost immediate access to accepted papers. Page proofs: edited and typeset versions of articles that incorporate any author corrections and replace the original author manuscript.
Downloaded from http://ptjournal.apta.org/ by Alan Daniel on March 20, 2015
1 Running Head: Daily Exercises and Education for Preventing LBP in Children
Research Report
Daily Exercises and Education for Preventing Low Back Pain in Children: A Cluster Randomized Controlled Trial
Julia J. Hill, Jennifer L. Keating
J.J. Hill, MScManipTher, Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine Nursing and Health Science, Monash University, PO Box 527, Frankston, Victoria, 3199 Australia. Please address all correspondence to Ms Hill at: [email protected].
J.L. Keating, PhD, Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine Nursing and Health Science, Monash University.
[Hill JJ, Keating JL. Daily exercises and education for preventing low back pain in children: a cluster randomized controlled trial. Phys Ther. 2015;95:xxx–xxx.]
© 2014 American Physical Therapy Association Publish Ahead of Print: xxxx Accepted: November 25, 2014 Submitted: June 19, 2014
Downloaded from http://ptjournal.apta.org/ by Alan Daniel on March 20, 2015
2 ABSTRACT Background: Children report low back pain (LBP) as young as 8 years. Preventing LBP in children may prevent or delay adult incidence. Objectives: To determine whether education and daily exercise affect LBP episodes in children compared to education alone. Design: Prospective, multicentre cluster randomized controlled trial. Setting: Seven New Zealand primary schools. Participants: Children (n=708), 8 to 11 years. Seven schools, stratified by sample size (36, 114, 151, 168, 113, 45, 83) were randomised and allocated to two masked groups; intervention (4 schools, n=469) or control (3 schools, n=239). Interventions: Intervention participants were taught four spinal movements for daily practice. Both groups participated in education that emphasized ‘back awareness’. Measurements: LBP history at baseline was assessed. Children reported episodes of LBP during the previous week on trial Days 7, 21, 49, 105, 161 and 270. Analysis was at the individual participant level, with adjustment for school clusters. Results: There were no significant differences between groups in the odds of reporting no LBP in the previous week during the study period (OR0.72, 95%CI=0.46-1.14, p=0.16). Intervention participants reported significantly fewer episodes of LBP (OR0.54, 95%CI=0.39-0.74, p
The online version of this article, along with updated information and services, can be found online at: http://ptjournal.apta.org/content/early/2014/12/10/ptj.20140273 Collections
This article, along with others on similar topics, appears in the following collection(s): Electrotherapy Health and Wellness/Prevention Injuries and Conditions: Low Back Pediatrics: Other Randomized Controlled Trials Therapeutic Exercise
E-mail alerts
Sign up here to receive free e-mail alerts
Online First articles are published online before they appear in a regular issue of Physical Therapy (PTJ). PTJ publishes 2 types of Online First articles: Author manuscripts: PDF versions of manuscripts that have been peer-reviewed and accepted for publication but have not yet been copyedited or typeset. This allows PTJ readers almost immediate access to accepted papers. Page proofs: edited and typeset versions of articles that incorporate any author corrections and replace the original author manuscript.
Downloaded from http://ptjournal.apta.org/ by Alan Daniel on March 20, 2015
1 Running Head: Daily Exercises and Education for Preventing LBP in Children
Research Report
Daily Exercises and Education for Preventing Low Back Pain in Children: A Cluster Randomized Controlled Trial
Julia J. Hill, Jennifer L. Keating
J.J. Hill, MScManipTher, Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine Nursing and Health Science, Monash University, PO Box 527, Frankston, Victoria, 3199 Australia. Please address all correspondence to Ms Hill at: [email protected].
J.L. Keating, PhD, Department of Physiotherapy, School of Primary Health Care, Faculty of Medicine Nursing and Health Science, Monash University.
[Hill JJ, Keating JL. Daily exercises and education for preventing low back pain in children: a cluster randomized controlled trial. Phys Ther. 2015;95:xxx–xxx.]
© 2014 American Physical Therapy Association Publish Ahead of Print: xxxx Accepted: November 25, 2014 Submitted: June 19, 2014
Downloaded from http://ptjournal.apta.org/ by Alan Daniel on March 20, 2015
2 ABSTRACT Background: Children report low back pain (LBP) as young as 8 years. Preventing LBP in children may prevent or delay adult incidence. Objectives: To determine whether education and daily exercise affect LBP episodes in children compared to education alone. Design: Prospective, multicentre cluster randomized controlled trial. Setting: Seven New Zealand primary schools. Participants: Children (n=708), 8 to 11 years. Seven schools, stratified by sample size (36, 114, 151, 168, 113, 45, 83) were randomised and allocated to two masked groups; intervention (4 schools, n=469) or control (3 schools, n=239). Interventions: Intervention participants were taught four spinal movements for daily practice. Both groups participated in education that emphasized ‘back awareness’. Measurements: LBP history at baseline was assessed. Children reported episodes of LBP during the previous week on trial Days 7, 21, 49, 105, 161 and 270. Analysis was at the individual participant level, with adjustment for school clusters. Results: There were no significant differences between groups in the odds of reporting no LBP in the previous week during the study period (OR0.72, 95%CI=0.46-1.14, p=0.16). Intervention participants reported significantly fewer episodes of LBP (OR0.54, 95%CI=0.39-0.74, p
