Abstract
Introduction: Numerous studies have reported the usefulness of exercise and increases in fitness in the management of Lower Back Pain (LBP). Additionally, the importance of psychosocial factors in both the development and chronicity of LBP have been reported. This study was designed to work within the local community and improve levels of health and awareness regarding LBP. More specifically an evaluation of how an educational package may influence fitness and exercise levels, disability and beliefs about LBP was undertaken.
Methods: 195 particpants were recruited from the community. Testing is conducted at 0, 12 and 24 months. Each participant completes a battery of tests including an aerobic fitness test and self-report questionnaires measuring disability (Low Back Outcome Score: LBOS), Acute pain (visual analogue scale), LBP history (time off work), and back pain beliefs (Back Beliefs Questionnaire: BBQ). participants receive a one to one educational intervention supported by educational literature (Back Book, exercise sheet and diary).
Results: BBQ scores improved significantly ( p = .000) between 0 and 12 months. This difference remained when controlling for gender, LBP history and acute pain level. No significant differences were found in LBOS scores and fitness levels. Significant differences existed between level of pain and LBOS scores, with higher pain resulting in lower LBOS values ( p = .000). A non-significant trend was observed between BBQ scores and higher pain levels, with higher pain resulting in smaller BBQ improvements.
Conclusions: Participants taking part in this research had significantly more positive beliefs about the inevitability of their future in relation to LBP after receiving an educational intervention. Anecdotal evidence from participants suggests the educational package was of benefit due to an improvement in their level of back care understanding. The study was unable to elicit any positive changes in fitness level or disability, although baseline fitness levels were above average, and disability scores, low.
Correspondence should be addressed to the editorial secretary: Dr Charles Pither, c/o British Orthopaedic Society, Royal College of Surgeons, 35-43 Lincoln’s Inn Fields, London WC2A 3PN.
