Escuela de espalda: una forma sencilla de mejorar el dolor y los hábitos posturales / Back school: A simple way to improve pain and postural behaviour

INTRODUCCIÓN: El dolor inespecífico de espalda en niños y adolescentes es muy prevalente. El objetivo de este estudio es presentar un programa de Escuela de espalda juvenil (EDEJ) y sus resultados en nuestro servicio. MATERIAL Y MÉTODO: Estudio observacional y prospectivo con 139 pacientes, remitidos a la consulta de raquis juvenil por dolor, deformidad o asimetría en la espalda. VARIABLES: edad, sexo, dolor, adopción de posturas correctas, actividad deportiva, adherencia a la EDEJ y percepción de estos parámetros por sus padres. Se midieron las variables mediante una escala numérica del dolor y una encuesta administradas en la primera sesión y a los 3 meses tras la EDEJ. RESULTADOS: El estudio fue completado por 119 pacientes (78 mujeres y 41 hombres) con una edad media ± desviación estándar de 13,97±2,29 años (9-20). La mediana de la intensidad del dolor se redujo de 3 a 0 a los 3 meses tras EDEJ (p < 0,0001). Aumentaron los pacientes que mejoraron su actitud postural, del 21 al 83% (p < 0,0001). No se confirmó un aumento de práctica deportiva post-EDEJ, aunque su práctica habitual se relacionó con una mejoría de dolor post-EDEJ (p < 0,02). La realización de los ejercicios no asoció disminución del dolor. Existió mala correlación entre la valoración de padres e hijos sobre el dolor post-EDEJ. CONCLUSIÓN: Un programa de escuela de espalda podría contribuir a disminuir el dolor inespecífico de espalda y mejorar los hábitos posturales en jóvenes

INTRODUCTION: Non-specific back pain in children and adolescents has a high prevalence. The aim of this study is to show a Juvenile Back School (JBS) programme and its results in our hospital. MATERIAL AND METHOD: A total of 139 patients referred to a Juvenile Back School for advice due to of pain, deformity or back asymmetry were included in a prospective observational study. VARIABLES: age, gender, pain, correct postures, sports activities, adherence to JBS and appreciation of these parameters by their parents. Variables were measured with a numerical pain scale and with a survey completed in the first session and 3 months after finishing the JBS. RESULTS: A total of 119 patients finished the study (78 female and 41 male).The average was 13.97±2.29 years (9-20). Three months after JBS, the median pain intensity was reduced from 3 to 0 (P<0.0001). There was an improvement in patient postures from 21% to 83% (P<0.0001). Patients did not increase their sport activity after the JBS, although its regular practice was linked with pain improvement after JBS (P<0.02).Performing exercises did not lead to a decrease in pain. There was a poor correlation between parents and children in the evaluation of post-JBS pain. CONCLUSION: A back school programme could probably contribute to reduce non-specific back pain and improve postural behaviour in young people

[Back school: a simple way to improve pain and postural behaviour]. / Escuela de espalda: una forma sencilla de mejorar el dolor y los hábitos posturales.

INTRODUCTION: Non-specific back pain in children and adolescents has a high prevalence. The aim of this study is to show a Juvenile Back School (JBS) programme and its results in our hospital. MATERIAL AND METHOD: A total of 139 patients referred to a Juvenile Back School for advice due to of pain, deformity or back asymmetry were included in a prospective observational study. VARIABLES: age, gender, pain, correct postures, sports activities, adherence to JBS and appreciation of these parameters by their parents. VARIABLES were measured with a numerical pain scale and with a survey completed in the first session and 3 months after finishing the JBS. RESULTS: A total of 119 patients finished the study (78 female and 41 male).The average was 13.97±2.29 years (9-20). Three months after JBS, the median pain intensity was reduced from 3 to 0 (P<.0001). There was an improvement in patient postures from 21% to 83% (P<.0001). Patients did not increase their sport activity after the JBS, although its regular practice was linked with pain improvement after JBS (P<.02).Performing exercises did not lead to a decrease in pain. There was a poor correlation between parents and children in the evaluation of post-JBS pain. CONCLUSION: A back school programme could probably contribute to reduce non-specific back pain and improve postural behaviour in young people.