Work-Related Low Back Pain Treatment: A Randomized Controlled Trial from Tehran, Iran, Comparing Multidisciplinary Educational Program versus Physiotherapy Education.
10.4184/asj.2016.10.4.690
- Author:
Leila GHADYANI
1
;
Sedigheh Sadat TAVAFIAN
;
Anoshirvan KAZEMNEJAD
;
Joan WAGNER
Author Information
1. Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran. tavafian@modares.ac.ir
- Publication Type:Clinical Trial ; Randomized Controlled Trial ; Original Article
- Keywords:
Chronic mechanical low back pain;
Social cognitive theory;
Physiotherapy;
Nursing staff
- MeSH:
Back Pain;
Education*;
Follow-Up Studies;
Health Education;
Humans;
Iran*;
Low Back Pain*;
Nursing;
Nursing Staff;
Occupational Injuries
- From:Asian Spine Journal
2016;10(4):690-696
- CountryRepublic of Korea
- Language:English
-
Abstract:
STUDY DESIGN: Clinical trial. PURPOSE: To compare the multidisciplinary educational program versus physiotherapy education among Iranian nurses. OVERVIEW OF LITERATURE: Low back pain (LBP) can accompany significant occupational injuries in the nursing profession. There is no agreement on the most effective educational practice. METHODS: This study was conducted from August 17, 2014 to September 22, 2014 in Tehran, Iran. Eligible nurses with chronic mechanical LBP (n=136) were classified into an intervention group (n=66) or the control group (n=70). The intervention group received physiotherapy education for 120-minutes followed by a 120-minute health education session based on predictive constructs of social cognitive theory (SCT). The control group received the 120-minute physiotherapy education. Disability rate, pain severity and back pain prevention behavior were measured at initially and 3 months after intervention using visual analogue scale, Roland-Morris disability questionnaire and nursing low back pain preventive behaviors questionnaire. RESULTS: The two groups were the same in terms of all studied variables at the initiation of the study. At the 3-month follow up, predictive constructs of LBP preventive behaviors of participants in the intervention were improved (p<0.001). Significant decreases were evident at 3 months in pain severity (p=0.03) and disability (p=0.003). CONCLUSIONS: The designed multidisciplinary educational intervention could decrease chronic mechanical LBP in nurses.