1Department of Health Education, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
2Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
3Department of Health Education, Research Ethic committee, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Background: Today, chronic low back pain is one of the growing worldwide problems, which caused in the reduction of individuals’ physical, mental, and social functions. This study aimed to evaluate the impact of training programs on functional disability in female patients with low back pain after 6month follow-up of the training intervention strategies. Materials and Methods: This quasi-experimental study was carried out in rheumatology research center of Tehran University of Medical science. A total of 27 female patients suffering from low back pain participated in this study. All the participants were divided into groups of 6 to 8 members and provided with a 4-hour training session of physiotherapy and psychology, followed by telephone counseling after one and two months. In order to collect required data and evaluate females’ functional disability, two questionnaires were employed: Roland-Morris Disability Assessment Questionnaire (RDQ) and Quebec Back Pain Disability Questionnaire (QDS). The questionnaires were completed twice: one time at the beginning of the study, as the pretest, and the other time 6 months after the intervention, as the posttest. Data were analyzed using paired samples t-test in SPSS software version 16 with a significant level of P< .05. Results: The results of the current study show that during the 6 months intervention program, the Physical disability was significantly improved in terms of two aforementioned scales. Conclusion: It seems that training intervention program along with the follow-up and phone counseling have significant effects on improving physical function of patients with chronic low back pain.
Claiborne, N., Vandenburgh, H., Krause,T.M.&Leung, P.(2002). Measuring quality of life changes in individuals with chronic low back conditions: a back education program evaluation. Evaluation and Program Planning, 25(1), 61-70.
Tavafian, S.S., Jamshidi, A., Mohammad, K.&Montazeri, A. (2007). Low back pain education and short term quality of life: a randomized trial. BMC MuscloskeletDisord, 8, 21.
Heymans, M.W.,Tulder, M.W., Esmail, R., Bombardier, C.&Koes, B. (2004).Back school for non-specific low-back pain.Cochrane Database of Systemic Reviews,18(4), CD000261.
Cecchi, F., Molino-Lova, R., Chiti, M., Pasquini, G., Paperini, A., Conti, A.A., et al. (2010). Spinal manipulation compared with back school and with individually delivered physiotherapy for the treatment of chronic low back pain: arandomized trial with one-year follow-up. Clinical Rehabilitation, 24(1), 26-36.
Hall, H.&Iceton, J.A. (1983). Back school.An overview with specific reference to the canadianbackeducationunits.ClinicalOrthopaedics and Related Research, (179), 7-10.
Tavafian, S.S., Eftekhar, H., Jamshidi, A.R., Mohammad, K., Montazeri, A., Shojaeezadeh, D., et al. (2005). Quality of life in women with different intensity of low back pain.Iranian Journal of Public Health, 34(2), 36-39.
Mousavi, S.J., Parnianpour, M., Mehdian, H., Montazeri, A.&Mobini, B. (2006). The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: translation and validation studies of the Iranian versions. Spine (Phila Pa 1976), 31(14), 454-9.
Afsharnejad, T., Rezaei, S.&Yousefzadeh, SH. (2010).Relationship between fear of movement and pain intensity with physical disability in patients with chronic back pain.Journal of Rehabilitation, 11(2), 21-28.
Cano, A., Mayo, A.&Ventimiglia, M. (2006). Coping, pain severity, interference, and disability: the potential mediating and moderating roles of race and education. Journal of Pain, 7(7), 459-68.
KamaliSarvestani, F, Derakhshan Rad, S.A.&Hamooleh, E. (2012). The efficacy of back school guidelines for relieving pain and disability in clerks with chronic low back pain.Journal of Research in Rehabilitation Science, 8(1), 1-7.
Leclaire, R., Esdaile, J.M., Suissa, S., Rossignol, M., Proulx, R.& Dupuis, M. (1996). Back school in a first episode of compensated acute low back pain: A clinical trial to assess efficacy and prevent relapse. Archives of Physical Medicine and Rehabilitation, 77(7), 673-9.
Linton, S.J.&Kamwendo, K. (1987). Low back schools.A critical review.Physical Therapy Journal, 67(9), 1375-83.
Emmons, K.M.&Rollnick, S. (2001).Motivational interviewing in health care settings.Opportunities and limitations.American Journal of Preventive Medicine, 20(1), 68-74.
Tavafian, S.S., Jamshidi, A.R.& Mohammad, K. (2011). The effects of multidisciplinary educational program on quality of life and disability of patients with chronic low back pain: A clinical trial with 3,6,12 & 18 months follow ups. Journal of Isfahan medical School, 29(130), 202-14.
Hall, H. &Mclntosh, G. (2008).Low back pain(chronic). BMJ Clinical Evidence, 2008, 1116.
How to cite this article: Tavafian SS, Jamshidi Ah R. Shahmohammadi Sh. The impact of training programs on functional disability in female patients with low back pain: a semi experimental study.IJMPP 2016; V1, N4.P: 179-183.