Research progress on adolescents' spinal health education
-
摘要: 随着科技发展引起生活方式的巨变,青少年身体姿态异常和脊柱健康问题成为新发的公共卫生问题,通过对国外相关研究进行系统综述,梳理了青少年脊柱健康教育的内容、教育对象、教育时机、教学模式和评价方法等。基于此,关于青少年脊柱健康教育的建议包括:基于社会科学的理论框架制定脊柱健康教育方案,采用理论和实践相结合的教学形式,探索“以学生为中心”的教学模式;脊柱健康教育的内容应包括基本知识、姿势习惯知识和运动锻炼知识;应从知识掌握、技能、日常行为习惯、自我效能等维度评价脊柱健康教育;应把学生、家长和教师都纳入脊柱健康教育方案。Abstract: With the rapid development of technology, abnormal posture and spinal problems of teenagers are emerging as new health problems. However, at present, there is no specific research towards spine health education in China. This paper systematically reviews global adolescent spinal health education, including content, participants, duration, teaching mode and evaluation method. Suggestions are recommended in this review: spinal health education program should be developed based on theoretical framework of social science, adopt the teaching form of both theory education and practice, and the "student-centered" teaching mode; a full spectrum of spine health, ranging from basic knowledge, posture habit and exercise should be provided; knowledge, skills, daily behavior and self-efficacy of participants should be included in the spinal health education evaluation framework; spinal health education should be delivered to adolescents, teachers as well as parents.
-
Key words:
- Spine /
- Health education /
- Adolescent
1) 利益冲突声明 所有作者声明无利益冲突。 -
[1] MAHER C, UNDERWOOD M, BUCHBINDER R. Non-specific low back pain[J]. Lancet, 2017, 389(10070): 736-747. doi: 10.1016/S0140-6736(16)30970-9 [2] KAMPER S J, YAMATO T P, WILLIAMS C M. The prevalence, risk factors, prognosis and treatment for back pain in children and adolescents: an overview of systematic reviews[J]. Best Pract Res Clin Rheumatol, 2016, 30(6): 1021-1036. doi: 10.1016/j.berh.2017.04.003 [3] SABUI T K, SAMANTA M, MONDAL R K, et al. Survey of musculoskeletal abnormalities in school-going children of hilly and foothill regions of eastern himalayas using the pediatric gait, arms, legs, spine screening method[J]. Int J Rheum Dis, 2018, 21(5): 1127-1134. doi: 10.1111/1756-185X.12897 [4] 冯强, 朱晓梅, 张铭, 等. 青少年学生非特异性腰背疼痛状况[J]. 中国学校卫生, 2016, 37(3): 328-330. doi: 10.16835/j.cnki.1000-9817.2016.03.003FENG Q, ZHU X M, ZHANG M, et al. Prevalence of non-specific back pain of Chinese adolescents[J]. Chin J Sch Health, 2016, 37(3): 328-330. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.03.003 [5] GHEYSVANDI E, DIANAT I, HEIDARIMOGHADAM R, et al. Neck and shoulder pain among elementary school students: prevalence and its risk factors[J]. BMC Public Health, 2019, 19(1): 1299-1311. doi: 10.1186/s12889-019-7706-0 [6] BRZEK A, DWORRAK T, STRAUSS M, et al. The weight of pupils' schoolbags in early school age and its influence on body posture[J]. BMC Musculoskelet Disord, 2017, 18(1): 117-129. doi: 10.1186/s12891-017-1462-z [7] SHAN Z, DENG G, LI J, et al. Correlational analysis of neck/shoulder pain and low back pain with the use of digital products, physical activity and psychological status among adolescents in Shanghai[J]. PLoS One, 2013, 8(10): e78109. doi: 10.1371/journal.pone.0078109 [8] HEYMAN E, DEKEL H. Ergonomics for children: an educational program for elementary school[J]. Work, 2008, 31(2): 253-257. [9] NAGY-PÉNZES G, VINCZE F, BÍRÓÉ. A school intervention's impact on adolescents' health-related knowledge and behavior[J]. Front Public Health, 2022(10): 822155. [10] ALBA A, OLGA R, MARÍA T M, et al. Back pain and knowledge of back care related to physical activity in 12 to 17 year old adolescents from the region of murcia (Spain): ISQUIOS programme[J]. Sustainability, 2019, 11(19): 5249. doi: 10.3390/su11195249 [11] 周誉, 冯强. 青少年身体姿态异常综合干预效果研究[J]. 中国学校卫生, 2020, 41(12): 1882-1885. doi: 10.16835/j.cnki.1000-9817.2020.12.029ZHOU Y, FENG Q. Effectiveness of a school-based comprehensive intervention on abnormal body posture of adolescents[J]. Chin J Sch Health, 2020, 41(12): 1882-1885. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2020.12.029 [12] CARDON G, DE CLERCQ D, DE BOURDEAUDHUIJ I. Effects of back care education in elementary schoolchildren[J]. Acta Paediatr, 2000, 89(8): 1010-1017. doi: 10.1111/j.1651-2227.2000.tb00426.x [13] DOLPHENS M, CAGNIE B, DANNELLS L, et al. Long-term effectiveness of a back education programme in elementary schoolchildren: an 8-year follow-up study[J]. Eur Spine J, 2011, 20(12): 2134-2142. doi: 10.1007/s00586-011-1856-9 [14] CARDON G M, DE CLERCQ D L R, GELDHOF E J A, et al. Back education in elementary schoolchildren: the effects of adding a physical activity promotion program to a back care program[J]. Eur Spine J, 2007, 16(1): 125-133. doi: 10.1007/s00586-006-0095-y [15] GELDHOF E, CARDON G, DE BOURDEAUDHUIJ I, et al. Back posture education in elementary schoolchildren: a 2-year follow-up study[J]. Eur Spine J, 2007, 16(6): 841-850. doi: 10.1007/s00586-006-0227-4 [16] DULLIEN S, GRIFKA J, JANSEN P. Cluster-randomized, controlled evaluation of a teacher led multi factorial school based back education program for 10 to 12-year-old children[J]. BMC Pediatr, 2018, 18(1): 312-323. doi: 10.1186/s12887-018-1280-y [17] VICENTE M S, MANUEL M P, SAMUEL R M. Improvement of knowledge and postural habits after an educational intervention program in school students[J]. J Human Sport Exerc, 2019, 14(1): 47-60. [18] BLANCO-MORALES M, ABUIN-PORRAS V, ROMERO-MORALES C, et al. Implementation of a classroom program of physiotherapy among spanish adolescents with back pain: a collaborative study[J]. Int J Environ Res Public Health, 2020, 17(13): 4806. doi: 10.3390/ijerph17134806 [19] SYAZWAN A, AZHAR M M, ANITA A, et al. Poor sitting posture and a heavy schoolbag as contributors to musculoskeletal pain in children: an ergonomic school education intervention program[J]. J Pain Res, 2011, 4: 287-296. [20] MINGHELLI B. Postural habits in adolescents: the influence of a school physiotherapy program on improving the knowledge of postures[J]. Int J Adolesc Med Health, 2020, 34(3): 2019-2138. [21] HILL J J, KEATING J L. Encouraging healthy spine habits to prevent low back pain in children: an observational study of adherence to exercise[J]. Physiotherapy, 2016, 102(3): 229-235. doi: 10.1016/j.physio.2015.05.005 [22] PARK J H, KIM J S. Effects of spinal health educational programs for elementary school children[J]. J Spec Pediatr Nurs, 2011, 16(2): 121-129. doi: 10.1111/j.1744-6155.2011.00278.x [23] CALVO-MUNOZ I, GOMEZ-CONESA A, SANCHEZ-MECA J. Preventive physiotherapy interventions for back care in children and adolescents: a Meta-analysis[J]. BMC Musculoskelet Disord, 2012, 13: 152-172. doi: 10.1186/1471-2474-13-152 [24] AKBARI-CHEHREHBARGH Z, TAVAFIAN S S, MONTAZERI A. Effectiveness of a theory-based back care intervention on spine-related behavior among pupils: a school-based randomised controlled trial(T-Bak study)[J]. BMC Public Health, 2020, 20(1): 805-821. doi: 10.1186/s12889-020-08566-z [25] CARDOSO A, DE VASCONCELOS T B. Postural education in children: comics versus puppet theatre[J]. Rev Bras Promoç Saúde, 2014, 27(3): 319-326. doi: 10.5020/18061230.2014.p319 [26] RODRIGUEZ-OVIEDO P, SANTIAGO-PEREZ M I, PEREZ-RIOS M, et al. Backpack weight and back pain reduction: effect of an intervention in adolescents[J]. Pediatr Res, 2018, 84(1): 34-40. doi: 10.1038/s41390-018-0013-0 [27] SARA D, DEIRDRE E, ROSE G. Computer-related posture and discomfort in primary school children: the effects of a school-based ergonomic intervention[J]. Comput Educ, 2010, 55(1): 276-284. doi: 10.1016/j.compedu.2010.01.013 [28] WADE M T. Effectiveness of a posture education program to increase teacher knowledge on postural hygiene[D]. Minnesota: Capella University, 2018. [29] CARDON G, DE BOURDEAUDHUIJ I, DE CLERCQ D. Back care education in elementary school: a pilot study investigating the complementary role of the class teacher[J]. Patient Educ Couns, 2001, 45(3): 219-226. doi: 10.1016/S0738-3991(01)00122-7 [30] CARDON G, DE BOURDEAUDHUIJ I, DE CLERCQ D. Knowledge and perceptions about back education among elementary school students, teachers, and parents in Belgium[J]. J Sch Health, 2002, 72(3): 100-106. doi: 10.1111/j.1746-1561.2002.tb06524.x [31] JANKOWICZ-SZYMAńSKA A, NOWAK B, SłOMSKI Ł. Parents' knowledge about faulty postures[J]. Physiother, 2010, 2(18): 24-31. [32] MINGHELLI B, NUNES C, OLIVEIRA R. Back school postural education program: comparison of two types of interventions in improving ergonomic knowledge about postures and reducing low back pain in adolescents[J]. Int J Environ Res Public Health, 2021, 18(9): 4434. doi: 10.3390/ijerph18094434 [33] BEN A H, YAICH S, TRIGUI M, et al. Prevalence, risk factors and outcomes of neck, shoulders and low-back pain in secondary-school children[J]. J Res Health Sci, 2019, 19(1): 1-9. [34] ROY R, GALÁN S, SÁNCHEZRODRÍGUEZ E, et al. Cross-national trends of chronic back pain in adolescents: results from the HBSC study, 2001-2014[J]. J Pain, 2021, 23(1): 123-130. [35] GROHOLT E K, STIGUM H, NORDHAGEN R, et al. Recurrent pain in children, socio-economic factors and accumulation in families[J]. Eur J Epidemiol, 2003, 18(10): 965-975. [36] FRANZ C, WEDDERKOPP N, JESPERSEN E, et al. Back pain in children surveyed with weekly text messages: a 2.5 year prospective school cohort study[J]. Chirop Man Ther, 2014, 22(1): 35-47. doi: 10.1186/s12998-014-0035-6 [37] BEYNON A M, HEBERT J J, LEBOUEF-YDE C, et al. Potential risk factors and triggers for back pain in children and young adults. A scoping review, part Ⅱ: unclear or mixed types of back pain[J]. Chiropract Man Ther, 2019, 27(1): 58-65. doi: 10.1186/s12998-019-0280-9 [38] BARBARA E B, JAMES A D, BEN J. A cluster-randomized controlled trial to improve student experiences in physical education: results of a student-centered learning intervention with high school teachers[J]. Psychol Sport Exerc, 2019, 6(45): 101533. [39] AKBARI-CHEHREHBARGH Z, SADAT T S, MONTAZERI A. The Back-care Behavior Assessment Questionnaire (BABAQ) for schoolchildren: development and psychometric evaluation[J]. BMC Public Health, 2020, 20(1): 1283-1293. doi: 10.1186/s12889-020-09318-9
点击查看大图
计量
- 文章访问数: 410
- HTML全文浏览量: 166
- PDF下载量: 78
- 被引次数: 0