Journal of Manipulative and Physiological Therapeutics
Volume 27, Issue 7 , Pages 457-465 , September 2004

Back Schools in Occupational Health Care: Design of a Randomized Controlled Trial and Cost-Effectiveness Study

  • Martijn W. Heymans, MSc, PT

      Affiliations

    • Body@Work, Research Center, Physical Activity, Work and Health, TNO-VU, Amsterdam, The Netherlands; Department of Social Medicine, VU University Medical Center, Amsterdam, The Netherlands
    • Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands
  • ,
  • Henrica CW de Vet, PhD

      Affiliations

    • Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands
  • ,
  • Paulien M Bongers, PhD

      Affiliations

    • Body@Work, Research Center, Physical Activity, Work and Health, TNO-VU, Amsterdam, The Netherlands; Department of Social Medicine, VU University Medical Center, Amsterdam, The Netherlands
    • Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands
    • TNO Work and Employment, Hoofddorp, The Netherlands
  • ,
  • Bart W Koes, PhD

      Affiliations

    • Department of General Practice, Erasmus Medical Center, Rotterdam, The Netherlands
  • ,
  • Willem van Mechelen, MD, PhD

      Affiliations

    • Body@Work, Research Center, Physical Activity, Work and Health, TNO-VU, Amsterdam, The Netherlands; Department of Social Medicine, VU University Medical Center, Amsterdam, The Netherlands
    • Institute for Research in Extramural Medicine, VU University Medical Center, Amsterdam, The Netherlands
    • Corresponding Author InformationWillem van Mechelen, Professor of Social Medicine, Dept of Social Medicine and EMGO-Institute, VU University Medical Center, van der Boechorststraat 7, NL-1081 BT Amsterdam, The Netherlands

Received 14 April 2003 ,Revised 29 April 2003

References 

  1. Egger M, Smith GD, Sterne JA. Uses and abuses of meta-analysis. Clin Med. 2001;6:478–484
  2. Andersson GBJ. Epidemiological features of chronic low-back pain. Lancet. 1999;354:581–585
  3. Frank JW, Kerr MS, Brooker AS, DeMaio SE, Maetzel A, Shannon HS, et al. Disability resulting from occupational low back pain. Part I: what do we know about primary prevention? A review of the scientific evidence on prevention before disability begins. Spine. 1996;21:2908–2917
  4. Hazard RG, Haugh LD, Reid S, Preble JB, MacDonald L. Early prediction of chronic disability after occupational low back injury. Spine. 1996;21:945–951
  5. Frymoyer JW. Quality: an international challenge to the diagnosis and treatment of disorders of the lumbar spine. Spine. 1993;18:2147–2152
  6. van Tulder MW, Koes BW, Bouter LM. A cost-of-illness study of back pain in the Netherlands. Pain. 1995;62:233–240
  7. Frank JW, Brooker AS, DeMaio SE, Kerr MS, Maetzel A, Shannon HS, et al. Disability resulting from occupational low back pain. Part II: what do we know about secondary prevention? A review of the scientific evidence on prevention after disability begins. Spine. 1996;21:2918–2929
  8. Torstensen TA, Ljunggren AE, Meen HD, Odland E, Mowinckel P, Geijerstam S. Efficiency and costs of medical exercise therapy, conventional physiotherapy, and self-exercise in patients with chronic low back pain: a pragmatic, randomized, single-blinded, controlled trial with 1-year follow-up. Spine. 1998;23:2616–2624
  9. Zachrisson-Forsell M. The Swedish back school. Physiotherapy. 1980;66:112–114
  10. Zachrisson-Forsell M. The back school. Spine. 1981;6:104–106
  11. van Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for non-specific low back pain. In: The cochrane library, issue 3. Oxford: Update Software; 2002;
  12. Härkäpää K, Järvikoski A, Mellin G, Hurri H. A controlled study on the outcome of inpatient and outpatient treatment of low-back pain. Part I. Scand J Rehabil Med. 1989;21:81–89
  13. Härkäpää K, Mellin G, Järvikoski A, Hurri H. A controlled study on the outcome of inpatient and outpatient treatment of low-back pain. Part III. Scand J Rehabil Med. 1990;22:181–188
  14. Linton SJ, Bradley LA, Jensen I, Spangfort E, Sundell L. The secondary prevention of low back pain: a controlled study with follow-up. Pain. 1989;36:197–207
  15. Lønn JH, Glomsrød B, Soukup MG, Bø K, Larsen S. Active back school: prophylactic management for low back pain. A randomized, controlled, 1-year follow-up study. Spine. 1999;24:865–871
  16. Glomsrød B, Lønn JH, Soukup MG, Bø K, Larsen S. “Active back school,” prophylactic management for low back pain: three-year follow-up of a randomized, controlled trial. J Rehabil Med. 2001;33:26–30
  17. Bergquist-Ullman M, Larsson U. Acute low-back pain in industry. Acta Orthop Scand. 1977;170(Suppl):1–117
  18. Klaber Moffett JA, Chase SM, Portek I, Ennis JR. A controlled prospective study to evaluate the effectiveness of a back school in the relief of chronic low-back pain. Spine. 1986;11:120–122
  19. Lankhorst GJ, van der Stadt RJ, Vogelaar TW, van der Korst JK, Prevo AJH. The effect of the Swedish back school in chronic idiopathic low-back pain. Scand J Rehabil Med. 1983;15:141–145
  20. Mattmiller AW. The California back school. Physiotherapy. 1980;66:118–122
  21. Hall H, Iceton JA. Back school. An overview with specific reference to the Canadian back education units. Clin Orthop. 1983;179:10–17
  22. Donchin M, Woolf O, Kaplan L, Floman Y. Secondary prevention of low-back pain. A clinical trial. Spine. 1990;15:1317–1320
  23. Hurri H. The Swedish back school in chronic low-back pain. Part I. Benefits. Scand J Rehabil Med. 1989;21:33–40
  24. Cohen JE, Goel V, Frank JW, Bombardier C, Peloso P, Guillemin F. Group education interventions for people with low back pain. Spine. 1994;19:1214–1222
  25. Koes BW, van Tulder MW, van der Windt DAWM, Bouter LM. The efficacy of back schools: a review of randomized clinical trials. J Clin Epidemiol. 1994;47:851–862
  26. Nentwig CG. Effektivitat der Rückenschule: Ein Uberblick uber die Ergebnisse der evidenz-basierten. Evaluation. Orthopäde. 1999;28:958–965
  27. Korthals-de Bos IB. Economic evaluations in musculoskeletal disorders [dissertation]. Amsterdam: VU University Medical Center; 2002;
  28. Goossens ME, Evers SM, Vlaeyen JW, Rutten van Molken MP, van der Linden SM. Principles of economic evaluation for interventions of chronic musculoskeletal pain. Eur J Pain. 1999;3:343–353
  29. Goossens MEJB, Evers SMAA. Economic evaluation of back pain interventions. J Occup Rehabil. 1997;7:15–32
  30. Brown KC, Sirles AT, Hilyer JC, Thomas MJ. Cost-effectiveness of a back school intervention for municipal employees. Spine. 1992;17:1224–1228
  31. Versloot JM, Rozeman A, van Son AM, van Akkerveeken PF. The cost-effectiveness of a back school program in industry. A longitudinal controlled field study. Spine. 1992;17:22–27
  32. Aulman P, Bakker-Rens RM, Dielemans SF, Mulder A, Verbeek JHAM. In: Occupational management of workers with back painEindhoven, The Netherlands: NVAB; 1999;p. 123–130
  33. Pocock SJ. Clinical trials: a practical approach. New York: John Wiley & Sons; 1983;
  34. Exercise program: group B, research of back school programs in occupational health care (In Dutch: Oefenprogramma: B Groep, Onderzoek naar Rugscholingsprogramma in de Bedrijfsgezondheidszorg), Amsterdam, The Netherlands: De Gezonde Zaak; 2000;
  35. Reader: group B, research of back school programs in occupational health care (In Dutch: Cursusmap: B Groep, Onderzoek naar Rugscholingsprogramma in de Bedrijfsgezondheidszorg), Amsterdam, The Netherlands: De Gezonde Zaak; 2000;
  36. Vlaeyen JW, Haazen IW, Schuerman JA, Kole Snijders AM, van Eek H. Behavioral rehabilitation of chronic low back pain: comparison of an operant treatment, an operant-cognitieve treatment and an operant-respondent treatment. Br J Clin Psychol. 1995;34:95–118
  37. Lindström I, Öhlund C, Eek C, Wallin L, Peterson LE, Fordyce WE, et al. The effect of graded activity on patients with subacute low back pain: a randomized prospective clinical study with an operant-conditioning behavioral approach. Phys Ther. 1992;72:279–290
  38. Vlaeyen JWS. Chronic low back pain: assessment and treatment from a behavioral rehabilitation perspective. Lisse: Swets & Zeitlinger; 1991;
  39. Reader occupational rehabilitation therapy 1 (In Dutch: Cursusmap Arbeidsrevalidatietherapie I), Amsterdam, The Netherlands: De gozonde Zoak; 2000;
  40. Faas A, Chavannes AW, Koes BW, van den Hoogen JMM, Mens JMA, Smeele LJM, et al. NHG-practice guideline low back pain (In Dutch: NHG-Standaard-Lage-Rugpijn), Huisarts en Wetenschap. 1996;39:18–31
  41. van Tulder MW. Low back pain in primary care: effectiveness of diagnostic and therapeutic interventions [dissertation]. Amsterdam: VU University; 1996;
  42. van den Hoogen JMM, Koes BW, Deville W, van Eijk JthM, Bouter LM. The prognosis of low back pain in general practice. Spine. 1997;22:1515–1521
  43. van Poppel MN, Koes BW, van der Ploeg T, Smid T, Bouter LM. Lumbar supports and education for the prevention of low back pain in industry: a randomized controlled trial. JAMA. 1998;279:1789–1794
  44. van der Weide WE, Verbeek HAM, Salle HJA, van Dijk FJH. Prognostic factors for chronic disability of acute low-back pain in occupational health care. Scand J Work Environ Health. 1999;25:50–56
  45. Vlaeyen JW, Teeken Gruben NJ, Goossens ME, Rutten van Molken MP, Pelt RA, van Eek H, et al. Cognitive-educational treatment of fibromyalgia: a randomized clinical trial. I. Clinical effects. J Rheumatol. 1996;23:1237–1245
  46. Skargren EI, Oberg EO. Predictive factors for 1-year outcome of low-back and neck pain in patients treated in primary care: comparison between the treatment strategies chiropractic and physiotherapy. Pain. 1998;77:201–207
  47. Kalauokalani D. Lessons from a trial of acupuncture and massage for low back pain: patient expectations and treatment effects. Spine. 2001;26:1418–1424
  48. Hildebrandt VH, Bongers PM, van Dijk FJ, Kemper HC, Dul J. Dutch musculoskeletal questionnaire: description and basic qualities. Ergonomics. 2001;44:1038–1055
  49. Karasek R. Job content instrument users guide: revision 1.1. Los Angeles: Department of Industrial and Systems Engineering, University of Southern California, 1985.
  50. Karasek RA. Job demands, job decision lattitude, and mental strain: implications for job redesign. Adm Sci Q. 1979;24:285–308
  51. Karasek RA, Theorell T. Healthy work: stress, productivity, and the reconstruction of working life. New York: Basic Books; 1990;
  52. van der Giezen AM, Bouter LM, Nijhuis FJN. Prediction of return-to-work of low back pain patients sicklisted for 3-4 months. Pain. 2000;87:285–294
  53. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36:936–942
  54. Pols MA, Peeters PH, Bueno-De-Mesquita HB, Ocke MC, Wentink CA, Kemper HC, et al. Validity and repeatability of a modified Baecke questionnaire on physical activity. Int J Epidemiol. 1995;24:381–388
  55. Bombardier C. Outcome assessments in the evaluation of treatment of spinal disorders: summary and general recommendations. Spine. 2000;25:3100–3103
  56. Deyo RA, Battie M, Beurskens AJ, Bombardier C, Croft P, Koes B, et al. Outcome measures for low back pain research. A proposal for standardized use. Spine. 1998;23:2003–2013
  57. de Vet HCW, Heymans MW, Dunn KM, Pope DP, van der Beek AJ, Macfarlane GJ, et al. Episodes of low back pain: a proposal for uniform definitions to be used in research. Spine. 2002;27:2409–2416
  58. van Poppel MNM, de Vet HCW, Koes BW, Smid T, Bouter LM. Measuring sick-leave: a comparison of self-reported data on sick-leave and data from company records. Occup Med. 2002;52:485–490
  59. Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983;16:87–101
  60. Beurskens AJ, de Vet HC, Köke AJ. Responsiveness of functional status in low back pain: a comparison of different instruments. Pain. 1996;65:71–76
  61. Gommans IHB, Koes BW, van Tulder MW. Validity and responsivity of the Dutch Roland Disability Questionnaire (In Dutch: Validiteit en responsiviteit van de Nederlandstalige Roland Disability Questionnaire), Ned Tijdschr Fysioth. 1997;107:28–33
  62. Van der Windt DA, Koes BW, Deville W, Boeke AJ, de Jong BA, Bouter LM. Effectiveness of corticosteroid injections versus physiotherapy for treatment of painful stiff shoulder in primary care: randomized trial. BMJ. 1998;317:1292–1296
  63. Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain. 1995;62:363–372
  64. Vlaeyen JWS, Kole-Snijders AMJ, Rotteveel A, Reusink R, Heuts PHTG. The role of fear of movement/(re)injury in pain disability. J Occup Rehabil. 1995;5:235–252
  65. Kraaimaat FW, Bakker A, Evers AWM. Pain coping strategies in chronic pain patients: the development of the pain-coping-inventory list (In Dutch: Pijncoping-strategieeen bij chronische pijnpatienten: de ontwikkeling van de Pijn-Coping-Inventarisatielijst), Gedragstherapie. 1997;30:185–201
  66. Goossens ME, Rutten van Molken MP, Vlaeyen JW, van der Linden SM. The cost diary: a method to measure direct and indirect costs in cost-effectiveness research. J Clin Epidemiol. 2000;53:688–695
  67. Oostenbrink JB, Koopmanschap MA, van Rutten FFH. Handbook for cost studies, methods and guidelines for economic evaluation in health care (in Dutch: Handleiding voor kostenonderzoek, methoden en richtlijnprijzen voor economische evaluaties in de gezondheidszorg), Health Care Insurance Council; 2000;
  68. Dolan P. Modeling valuations for EuroQol health states. Med Care. 1997;35:1095–1108
  69. Kin P. The Euroqol instrument: an index of health-related quality of life. In: Spiker B editors. Quality of life and pharmacoeconomics in clinical trials. 2nd ed. Philadelphia: Lippincott-Raven; 1996;p. 191–201

 This study is granted by The Netherlands Organisation for Health Research and Development (ZonMw).

PII: S0161-4754(04)00129-0

doi: 10.1016/j.jmpt.2004.06.004

Journal of Manipulative and Physiological Therapeutics
Volume 27, Issue 7 , Pages 457-465 , September 2004