Improvement of knowledge and postural habits after an educational intervention program in school students

Authors

  • Vicente Miñana-Signes University of Valencia, Spain
  • Manuel Monfort-Pañego University of Valencia, Spain
  • Samuel Rosaleny-Maiques University of Valencia, Spain

DOI:

https://doi.org/10.14198/jhse.2019.141.04

Keywords:

Physical Education, Educational intervention, Knowledge, Postural habits, Primary education

Abstract

To study the effect of an educational intervention programme concerning knowledge and postural habits for back health on a group of 10 to 11-year-old students. Two groups of 5th grade primary school students were selected. A control group (CG) (n=16), and an experimental group (EG) (n=16) who developed a back-health educational programme. A follow-up was carried out one month after the end of the intervention. The proposed educational intervention improved the results of both the knowledge and postural habits of the participants. The increase in the level of knowledge concerning health and back care in the daily lives of the EG (x̅=6.32) was significantly greater than that observed in the CG (x̅=3.86), with a high effect size (U = 29.500; Z = -3.717; p <0.001, r = 0.66). In daily postural habits, the EG (x̅= 88.38) also increased their score significantly (U= 7.50; Z = -4.55; p <0.001, r = 0.80) compared to the CG (x̅= 74.88). In both knowledge and postural habits, the scores increased in the intervention. The educational intervention programme studied improves both knowledge and postural habits for back health of the 5th grade students participating in the study. The Physical Education class seems to be an ideal environment to develop back health educational programmes. 

Downloads

Download data is not yet available.

References

Adesope, O. O., Trevisan, D. A., & Sundararajan, N. (2017). Rethinking the use of tests: A meta-analysis of practice testing. Review of Educational Research, 87(3), 659-701. https://doi.org/10.3102/0034654316689306

Balague, F., Nordin, M., Dutoit, G., & Waldburger, M. (1996). Primary prevention, education, and low back pain among school children. Bulletin (Hospital for Joint Diseases (New York, N.Y.)), 55(3), 130-134.

Biering-Sorensen, F. (1984). Physical measurements as risk indicators for low-back trouble over a one-year period. Spine, 9(2), 106-119. https://doi.org/10.1097/00007632-198403000-00002

Brynteson, P., & Adams, T. M. (1993). The effects of conceptually based physical education programs on attitudes and exercise habits of college alumni after 2 to 11 years of follow-up. Research Quarterly for Exercise and Sport, 64(2), 208-212. 10.1080/02701367.1993.10608798 Retrieved from http://dx.doi.org/10.1080/02701367.1993.10608798

Calvo-Muñoz, I., Gómez-Conesa, A., & Sánchez-Meca, J. (2012). Prevalencia del dolor lumbar durante la infancia y la adolescencia: Una revisión sistemática. Revista Española De Salud Pública, 86(4), 331-356.

Calvo-Muñoz, I., Gómez-Conesa, A., & Sánchez-Meca, J. (2013). Prevalence of low back pain in children and adolescents: A meta-analysis. BMC Pediatrics, 13-14. https://doi.org/10.1186/1471-2431-13-14

Cardon, G., De Bourdeaudhuij, I., & De Clercq, D. (2001). Back care education in elementary school: A pilot study investigating the complementary role of the class teacher. Patient Education and Counseling, 45(3), 219-226. https://doi.org/10.1016/S0738-3991(01)00122-7

Cardon, G., De Clercq, D., & De Bourdeaudhuij, I. (2000). Effects of back care education in elementary schoolchildren. Acta Paediatrica (Oslo, Norway: 1992), 89(8), 1010-1017. https://doi.org/10.1111/j.1651-2227.2000.tb00426.x

Cardon, G. M., De Clercq, D. L., & De Bourdeaudhuij, I. M. (2002). Back education efficacy in elementary schoolchildren: A 1-year follow-up study. Spine: 27(3), 299-305. https://doi.org/10.1097/00007632-200202010-00020

Cardon, G., De Bourdeaudhuij, I., & De Clercq, D. (2002). Knowledge and perceptions about back education among elementary school students, teachers, and parents in belgium. Journal of School Health, 72(3), 100-106. https://doi.org/10.1111/j.1746-1561.2002.tb06524.x

Cardon, G., de Clercq, D., Geldhof, E., De Clercq, D., & de Bourdeaudhuij, I. (2007). Back education in elementary schoolchildren: The effects of adding a physical activity promotion program to a back care program. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 16(1), 125-133. https://doi.org/10.1007/s00586-006-0095-y

de Barros, E. N., & Alexandre, N. M. (2003). Cross-cultural adaptation of the nordic musculoskeletal questionnaire. International Nursing Review, 50(2), 101-108. https://doi.org/10.1046/j.1466-7657.2003.00188.x

Dolphens, M., Cagnie, B., Danneels, L., De Clercq, D., De Bourdeaudhuij, I., & Cardon, G. (2011). Long-term effectiveness of a back education programme in elementary schoolchildren: An 8-year follow-up study. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 20(12), 2134-2142. https://doi.org/10.1007/s00586-011-1856-9

Ennis, C. D. (2007). 2006 CH McCloy research lecture: Defining learning as conceptual change in physical education and physical activity settings. Research Quarterly for Exercise and Sport, 78(3), 138-150.

Feldman, D. E., Shrier, I., Rossignol, M., & Abenhaim, L. (2001). Risk factors for the development of low back pain in adolescence. American Journal of Epidemiology, 154(1), 30-36. https://doi.org/10.1093/aje/154.1.30

Foltran, F. A., Moreira, R. F., Komatsu, M. O., Falconi, M. F., & Sato, T. O. (2012). Effects of an educational back care program on brazilian schoolchildren's knowledge regarding back pain prevention. Revista Brasileira De Fisioterapia (Sao Carlos (Sao Paulo, Brazil)), 16(2), 128-133. https://doi.org/10.1590/S1413-35552012005000023

Geldhof, E., Cardon, G., De Bourdeaudhuij, I., Danneels, L., Coorevits, P., Vanderstraeten, G., & De Clercq, D. (2007). Effects of back posture education on elementary schoolchildren's back function. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 16(6), 829-839. https://doi.org/10.1007/s00586-006-0199-4

Geldhof, E., Cardon, G., De Bourdeaudhuij, I., & De Clercq, D. (2007). Back posture education in elementary schoolchildren: A 2-year follow-up study. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 16(6), 841-850. https://doi.org/10.1007/s00586-006-0227-4

Gómez-Conesa, A., Méndez, F., & Hidalgo, M. (2001). Cuestionario de información sobre salud lumbar para niños: Estudio con una muestra de alumnos de educación primaria. Revista Internacional De Psicología Clínica Y De La Salud/International Journal of Clinical and Health Psychology, 1, 495-508.

Gunzburg, R., Balague, F., Nordin, M., Szpalski, M., Duyck, D., Bull, D., & Melot, C. (1999). Low back pain in a population of school children. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 8(6), 439-443. https://doi.org/10.1007/s005860050202

Habybabady, R. H., Ansari-Moghaddam, A., Mirzaei, R., Mohammadi, M., Rakhshani, M., & Khammar, A. (2012). Efficacy and impact of back care education on knowledge and behaviour of elementary schoolchildren. JPMA.the Journal of the Pakistan Medical Association, 62(6), 580-584.

Heymans, M. W., van Tulder, M. W., Esmail, R., Bombardier, C., & Koes, B. W. (2005). Back schools for nonspecific low back pain: A systematic review within the framework of the cochrane collaboration back review group. Spine, 30(19), 2153-2163. https://doi.org/10.1097/01.brs.0000182227.33627.15

Hill, J. J., & Keating, J. L. (2015). Encouraging healthy spine habits to prevent low back pain in children: An observational study of adherence to exercise. Physiotherapy, S0031-9406(15)03807-9 [pii].

Jeffries, L. J., Milanese, S. F., & Grimmer-Somers, K. A. (2007). Epidemiology of adolescent spinal pain: A systematic overview of the research literature. Spine, 32(23), 2630-2637. https://doi.org/10.1097/BRS.0b013e318158d70b

Johnson, J., & Deshpande, C. (2000). Health education and physical education: Disciplines preparing students as productive, healthy citizens for the challenges of the 21st century. Journal of School Health, 70(2), 66-68. https://doi.org/10.1111/j.1746-1561.2000.tb07246.x

Jones, M., Stratton, G., Reilly, T., & Unnithan, V. (2007). The efficacy of exercise as an intervention to treat recurrent nonspecific low back pain in adolescents. Pediatric Exercise Science, 19(3), 349-359. https://doi.org/10.1123/pes.19.3.349

Jones, M. A., Stratton, G., Reilly, T., & Unnithan, V. B. (2005). Biological risk indicators for recurrent non-specific low back pain in adolescents. British Journal of Sports Medicine, 39(3), 137-140. https://doi.org/10.1136/bjsm.2003.009951

Keating, X. D., Harrison, L., Chen, L., Xiang, P., Lambdin, D. D., Dauenhauer, B., . . . Pinero, J. C. (2009). An analysis of research on student health-related fitness knowledge in K-16 physical education programs. Journal of Teaching in Physical Education, 28(3), 333-349. https://doi.org/10.1123/jtpe.28.3.333

Keating, X. D. (2003). The current often implemented fitness tests in physical education programs: Problems and future directions. Quest, 55(2), 141-160. 10.1080/00336297.2003.10491796 Retrieved from http://dx.doi.org/10.1080/00336297.2003.10491796

Kovacs, F., Gestoso, M., Gil del Real, M. T., Lopez, J., Mufraggi, N., & Mendez, J. I. (2003). Risk factors for non-specific low back pain in schoolchildren and their parents: A population based study. Pain, 103(3), 259-268. https://doi.org/10.1016/S0304-3959(02)00454-2

Kovacs, F., Oliver-Frontera, M., Plana, M. N., Royuela, A., Muriel, A., Gestoso, M., & and the Spanish Back Pain Research Network. (2011). Improving schoolchildren's knowledge of methods for the prevention and management of low back pain: A cluster randomized controlled trial. Spine, 36(8), E505-12. https://doi.org/10.1097/BRS.0b013e3181dccebc

Kuorinka, I., Jonsson, B., Kilbom, A., Vinterberg, H., Biering-Sørensen, F., Andersson, G., & Jørgensen, K. (1987). Standardised nordic questionnaires for the analysis of musculoskeletal symptoms. Applied Ergonomics, 18(3), 233-237. https://doi.org/10.1016/0003-6870(87)90010-X

Leboeuf-Yde, C., & Kyvik, K. O. (1998). At what age does low back pain become a common problem? A study of 29,424 individuals aged 12-41 years. Spine, 23(2), 228-234. https://doi.org/10.1097/00007632-199801150-00015

Lee, J. H., Hoshino, Y., Nakamura, K., Kariya, Y., Saita, K., & Ito, K. (1999). Trunk muscle weakness as a risk factor for low back pain. A 5-year prospective study. Spine, 24(1), 54-57. https://doi.org/10.1097/00007632-199901010-00013

Lorenzo González, M. E., & García Soidán, J. L. (2009). Elaboración y aplicación de un programa de educación postural en educación secundaria. Revista De Investigación En Educación, 2, 63-88.

Martínez García, A. (2014). Efectos de un programa de educación postural sobre el morfotipo sagital del raquis, la extensibilidad de la musculatura isquiosural y psoas iliaco y la resistencia muscular abdominal y lumbar en escolares de educación secundaria Retrieved from http://hdl.handle.net/10201/37826

Martínez-González, M., Gómez-Conesa, A., & Hidalgo Montesinos, M. (2008). Programas de higiene postural desarrollados con escolares. Fisioterapia, 30(5), 223-230. https://doi.org/10.1016/j.ft.2008.09.003

Mendez, F. J., & Gomez-Conesa, A. (2001). Postural hygiene program to prevent low back pain. Spine, 26(11), 1280-1286. https://doi.org/10.1097/00007632-200106010-00022

Metzler, M. (2005). Instructional models in physical education Taylor & Francis.

Michaleff, Z. A., Kamper, S. J., Maher, C. G., Evans, R., Broderick, C., & Henschke, N. (2014). Low back pain in children and adolescents: A systematic review and meta-analysis evaluating the effectiveness of conservative interventions. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 23(10), 2046-2058. https://doi.org/10.1007/s00586-014-3461-1

Mierau, D., Cassidy, J. D., & Yong-Hing, K. (1989). Low-back pain and straight leg raising in children and adolescents. Spine, 14(5), 526-528. https://doi.org/10.1097/00007632-198905000-00010

Miñana-Signes, V., & Monfort-Pañego, M. (2015a). Back health in adolescents between 12-18 years of the valencian community, spain: Prevalence and consequences. J Spine, 4(237), 2.

Miñana-Signes, V., & Monfort-Pañego, M. (2015b). Design and validation of a health questionnaire about knowledge for health and back care related to the practice of physical activity and exercise for adolescents: COSACUES-AEF. Journal of Spine, 2015.

Miñana-Signes, V. (2017). La salud de la espalda en la educación. estudio y validación de un cuestionario de conocimientos sobre la práctica de actividad y ejercicio físico para la salud y el cuidado de la espalda en jóvenes de la comunidad valenciana. Available from RODERIC. Retrieved from http://roderic.uv.es/handle/10550/58032

Minana-Signes, V., & Monfort-Panego, M. (2015). Knowledge on health and back care education related to physical activity and exercise in adolescents. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society. https://doi.org/10.1007/s00586-015-3953-7

Monfort-Pañego, M., Molina-García, J., Calabuig-Moreno, F., & Bosch-Biviá, A. H. (2010). (2010). Validación de un cuestionario sobre hábitos para el cuidado de la espalda. Paper presented at the Ii Congreso Internacional De Ciencias Del Deporte De La Ucam. área De Actividad Física Y Salud, UCAM Murcia., 5(CCD 13 - suplemento, año 6) S37.

Monfort-Pañego, M., Molina-García, J., Miñana-Signes, V., Bosch-Biviá, A., Gómez-López, A., & Munguía-Izquierdo, D. (2016). Development and psychometric evaluation of a health questionnaire on back care knowledge in daily life physical activities for adolescent students. European Spine Journal, 1-6.

Nahas, M. V. (1992). Knowledge and attitudes changes of low-fit college students following a short-term fitness education program. Physical Educator, 49(3), 152-159.

Olsen, P. (1990). (1990). Body mechanics education: A legacy for our children. Paper presented at the Phys Ther Forum, 9 1-5.

Placek, J. A., Griffin, L. L., Dodds, P., Raymond, C., Tremino, F., & James, A. (2001). Middle school students' conceptions of fitness: The long road to a healthy lifestyle. Journal of Teaching in Physical Education. https://doi.org/10.1123/jtpe.20.4.314

Salminen, J. J., Erkintalo, M., Laine, M., & Pentti, J. (1995). Low back pain in the young. A prospective three-year follow-up study of subjects with and without low back pain. Spine, 20(19), 2101-7; discussion 2108. https://doi.org/10.1097/00007632-199510000-00006

Schwartz, R. K., & Jacobs, K. (1992). Body basics, a cognitive approach to body mechanics training in elementary school back pain prevention programs. Work, 7, 173-177.

Sjolie, A. N. (2004). Low-back pain in adolescents is associated with poor hip mobility and high body mass index. Scandinavian Journal of Medicine & Science in Sports, 14(3), 168-175. https://doi.org/10.1111/j.1600-0838.2003.00334.x

Sjolie, A. N., & Ljunggren, A. E. (2001). The significance of high lumbar mobility and low lumbar strength for current and future low back pain in adolescents. Spine, 26(23), 2629-2636. https://doi.org/10.1097/00007632-200112010-00019

Spence, S. M., Jensen, G. M., & Shepard, K. F. (1984). Comparison of methods of teaching children proper lifting techniques. Physical Therapy, 64(7), 1055-1061. https://doi.org/10.1093/ptj/64.7.1055

Steele, E. J., Dawson, A. P., & Hiller, J. E. (2006). School-based interventions for spinal pain: A systematic review. Spine, 31(2), 226-233. https://doi.org/10.1097/01.brs.0000195158.00680.0d

Steptoe, A., & Butler, N. (1996). Sports participation and emotional wellbeing in adolescents. Lancet, 347(9018), 1789-1792. https://doi.org/10.1016/S0140-6736(96)91616-5

Vidal, J., Borras, P. A., Ponseti, F. J., Cantallops, J., Ortega, F. B., & Palou, P. (2013). Effects of a postural education program on school backpack habits related to low back pain in children. European Spine Journal: Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 22(4), 782-787. https://doi.org/10.1007/s00586-012-2558-7

Vilagut, G., Ferrer, M., Rajmil, L., Rebollo, P., Permanyer-Miralda, G., Quintana, J. M., . . . Domingo-Salvany, A. (2005). El cuestionario de salud SF-36 español: Una década de experiencia y nuevos desarrollos. Gaceta Sanitaria, 19(2), 135-150. https://doi.org/10.1157/13074369

Viry, P., Creveuil, C., & Marcelli, C. (1999). Nonspecific back pain in children. A search for associated factors in 14-year-old schoolchildren. Revue Du Rhumatisme (English Ed.), 66(7-9), 381-388.

Zhu, Q., Gu, R., Yang, X., Lin, Y., Gao, Z., & Tanaka, Y. (2006). Adolescent lumbar disc herniation and hamstring tightness: Review of 16 cases. Spine, 31(16), 1810-1814. https://doi.org/10.1097/01.brs.0000226047.83475.e4

Downloads

Statistics

Statistics RUA

Published

2019-03-01

How to Cite

Miñana-Signes, V., Monfort-Pañego, M., & Rosaleny-Maiques, S. (2019). Improvement of knowledge and postural habits after an educational intervention program in school students. Journal of Human Sport and Exercise, 14(1), 47–60. https://doi.org/10.14198/jhse.2019.141.04

Issue

Section

Physical Education / Children & Exercise

Most read articles by the same author(s)