Study of chronic low back pain treatment using the Back School

Authors

  • Andrea Tobo Universidade de São Paulo. Faculdade de Medicina
  • Marcelo El Khouri Universidade de São Paulo. Faculdade de Medicina
  • Quirino Cordeiro Universidade de São Paulo. Faculdade de Medicina
  • Moisés da Cunha Lima Universidade de São Paulo. Faculdade de Medicina
  • Carlos Alexandrino de Brito Junior Universidade de São Paulo. Faculdade de Medicina
  • Linamara Rizzo Battistella Universidade de São Paulo. Faculdade de Medicina https://orcid.org/0000-0001-5275-0733

DOI:

https://doi.org/10.11606/issn.2317-0190.v17i3a103347

Keywords:

Low Back Pain, Quality of Life, Questionnaires, Treatment Outcome

Abstract

The aim of the present study was to quantitatively analyze the response of patients with chronic low back pain to treatment at the Back School at the IMREA-HCFMUSP. The following scales were used to measure the therapeutic response: the Oswestry Low Back Pain Disability Questionnaire, a Visual Analog Scale (VAS), and a corporal diagram of the pain. The sample was composed of 43 patients with chronic low back pain evaluated, treated, and referred to by the Back School program. The results showed significant improvement among those who completed the program in all three scales applied. Since the period of study was only two months, the results do not support any claim that the Back School is also this effective on long-term treatment of chronic low back pain. Further qualitative and quantitative studies must be carried out in order to support the development of specialized multi-professional teams, who will carry out alterations and improvements in therapeutic resources to the management of chronic low back pain.

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References

Andersson GB. Epidemiological features of chronic lowback pain. Lancet.1999;354(9178):581-5.

Salvetti MG, Pimenta CAM. Dor crônica e a crença de autoeficácia. Rev Esc Enferm USP. 2007;41(1):135-40.

Volinn E. The epidemiology of low back pain in the rest of the world. A review of surveys in low-and middle-income countries. Spine. 1997;22(15):1747-54.

Silva MC, Fassa ACG, Valle NCJ. Dor lombar crônica em uma população adulta do Sul do Brasil: prevalência e fatores associados. Cad Saúde Pública. 2004;20(2):377-85.

Loney PL, Stratford PW. The prevalence of low back pain in adults: a methodological review of the literature. Phys Ther. 1999;79(4):384-96.

Verbeek JH, van der Weide WE, van Dijk FJ. Early occupational health management of patients with back pain: a randomized controlled trial. Spine. 2002;27(17):1844-51.

van Tulder MW, Koes BW, Bouter LM.A cost-ofillness study of back pain in The Netherlands. Pain. 1995;62(2):233-40.

Rezende MC. Lombalgias. Rev Bras Reumatol [periódico na Internet].2002. [citado 2010 abr 05]. Disponível em: http://www.revbrasreumatol.com.br/principal_in.htm

Teixeira MJ. Tratamento multidisciplinar do doente com dor. In: Carvalho MMMJ. Dor: um estudo multidisciplinar. São Paulo: Summus, 1999. p. 77-85.

Peltier LF. The classic: the back school of delpech in montpellier. Clinical Orthopaedics & Related Research. 1983;179:4-9.

Hall H, Hadler NM. Controversy. Low back school. Education or exercise? Spine. 1995;20(9):1097-8.

Hall H, Iceton JA. Back school. An overview with specific reference to the Canadian Back Education Units. Clin Orthop Relat Res. 1983;(179):10-7.

Chung TMO. Escola de coluna. In: Greve JMDA. Medicina de reabilitação aplicada à ortopedia e traumatologia. 5 ed. São Paulo: Roca; 1999. p.127-35.

Cesar SHK, Brito Junior CA, Battistella LR. Análise da qualidade de vida em pacientes de escola de postura. Acta Fisiatr. 2004;11(1):17-21.

Tsukimoto GR, Riberto M, Brito CA, Battistella LR. Avaliação longitudinal da escola de postura para dor lombar crônica através da aplicação dos questionários Roland Morris e Short Form Health Survey (SF-36). Acta Fisiatr. 2006;13(2):63-9.

Oliveira ES, Gazetta ML, Salimene ACM. Dor crônica sob a ótica dos pacientes da escola de postura da DMR HC FMUSP. Acta Fisiatr. 2004;11(1):22-6.

Chung TM. Escola de coluna: experiência do Hospital das Clinicas da Universidade de São Paulo. Acta Fisiatr. 1996;3(2):13-17. Doi: https://doi.org/10.5935/0104-7795.19960001

Caraviello EZ, Wassertein S, Chamlian TR, Masiero D. Avaliação da dor e função de pacientes com lombalgia tratados com um programa de Escola de Coluna. Acta Fisiatr. 2005;12(1):11-4. Doi: https://doi.org/10.5935/0104-7795.20050002

Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000;25(22):2940-52.

Fairbank J, Couper J, Davies JB. O>Brien JP. The oswestry low back pain disability questionnaire. Physiotherapy. 1980;66(8):271-3.

Ohnmeiss DD, Vanharanta H, Estlander AM, Jämsén A. The relationship of disability (Oswestry) and pain drawings to functional testing. Eur Spine J. 2000;9(3):208-12.

Ohnmeiss DD, Vanharanta H, Ekholm J. Relationship of pain drawings to invasive tests assessing intervertebral disc pathology. Eur Spine J. 1999;8(2):126-31.

Ohnmeiss DD, Rashbaum RF, Bogdanffy GM. Prospective outcome evaluation of spinal cord stimulation in patients with intractable leg pain. Spine. 1996;21(11):1344-50.

Takata K, Hirotani H. Pain drawing in the evaluation of low back pain. Int Orthop. 1995;19(6):361-6.

Brismar H, Vucetic N, Svensson O. Pain patterns disc hernia: drawings compared to surgical findings in 159 patients. Acta Orthopaedica. 1996;67(5):470-2.

Chan CW, Goldman S, Ilstrup DM, Kunselman AR, O>Neill PI. The pain drawing and Waddell>s nonorganic physical signs in chronic low-back pain. Spine. 1993;18(13):1717-22.

Ektor-Andersen J, Isacsson SO, Lindgren A, Orbaek P. The experience of pain from the shoulder-neck area related to the total body pain, self-experienced health and mental distress. Pain. 1999;82(3):289-95.

Toomingas A. Characteristics of pain drawings in the neckshoulder region among the working population. Int Arch Occup Environ Health. 1999;72(2):98-106.

Hägg O, Fritzell P, Hedlund R, Möller H, Ekselius L, Nordwall A, et al. Pain-drawing does not predict the outcome of fusion surgery for chronic low-back pain: a report from the Swedish Lumbar Spine Study. Eur Spine J. 2003;12(1):2-11.

Toomey TC, Mann JD, Abashian S, Thompson-Pope S. Relationship of pain drawing scores to ratings of pain description and function. Clin J Pain. 1991;7(4):269-74.

Ohlund C, Eek C, Palmbald S, Areskoug B, Nachemson A. Quantified pain drawing in subacute low back pain. Validation in a nonselected outpatient industrial sample. Spine. 1996;21(9):1021-30.

Margolis RB, Chibnall JT, Tait RC. Test-retest reliability of the pain drawing instrument. Pain. 1988;33(1):49-51.

Heymans MW, van Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for nonspecific low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2005;30(19):2153-63.

Published

2010-09-09

Issue

Section

Original Article

How to Cite

1.
Tobo A, El Khouri M, Cordeiro Q, Lima M da C, Brito Junior CA de, Battistella LR. Study of chronic low back pain treatment using the Back School. Acta Fisiátr. [Internet]. 2010 Sep. 9 [cited 2024 May 27];17(3):112-6. Available from: https://revistas.usp.br/actafisiatrica/article/view/103347