1. Evaluation der Neuen Rückenschule
- Author
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R Tutzschke, O Rößler, Steffi Nodop, C. Anders, C. Borys, Hans Christoph Scholle, and Bernhard Strauß
- Subjects
Biopsychosocial model ,medicine.medical_specialty ,medicine.diagnostic_test ,business.industry ,Electromyography ,Low back pain ,Multifidus muscle ,Anesthesiology and Pain Medicine ,Physical medicine and rehabilitation ,Lumbar ,Back pain ,Physical therapy ,Medicine ,Neurology (clinical) ,medicine.symptom ,business ,Body mass index ,Psychosocial - Abstract
Background According to the biopsychosocial approach of the German new back school the core objectives are sustainable improvement of physical and psychosocial health resources. Subjects with non-specific low back pain were investigated to evaluate the desired physical effects. Methods Coordinative and postural motor exercises were evaluated by means of surface electromyography (EMG). Applying a modified waiting group design 56 participants were examined 3 months before the start, at the beginning and at the end of the new back school program as well as 3 and 12 months after completion and the results were compared to a healthy control group (n=56) matched for age and body mass index (BMI). Results Initially significant group differences were found in 18 % of all statistical calculations of the static and 6 % of the dynamic test situations. Considering the trunk muscles the most frequent significant alterations from normative data were found in the lumbar multifidus muscle (static tests 29 % and dynamic tests 7 %). No relevant changes in the number of statistical results could be detected directly after completion of the new back school program. Nevertheless, at 12 months follow-up the number of significant differences to the normative data of the control group dropped by one third to 12 % of all calculations with static loads. Conclusion The adjustment effects at 12 months follow-up indicate a delayed positive influence of the new back school program on muscular physiological parameters. Individuals with chronic non-specific back pain showed a long-term profit from participation in the new back school program due to the initiated orientation to a modified more active lifestyle.
- Published
- 2014
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