Back School Research Articles

Non-inferiority of hybrid outpatient telerehabilitation: 3-month follow-up of a randomized controlled trial.

International studies identified comparable or better effects for telerehabilitation compared with face-to-face rehabilitation or no rehabilitation in people with back pain. In German rehabilitation centers, a standardized back school for patients with back pain is provided usually face-to-face as part of a multimodal rehabilitation program. To examine the non-inferiority of a three-week, digitally assisted, multimodal rehabilitation that applies a digital version of a standardized back school (intervention group [IG]) against the same rehabilitation program applying the back school face-to-face (control group [CG]). Our study was a non-blinded multicenter randomized controlled trial. Recruitment was conducted from 2022 to 2023. We analyzed outcomes at the end of rehabilitation and 3 months later. Implementation of the study and enrollment of participants was conducted in 8 German outpatient rehabilitation centers. Rehabilitants aged 18-65 years with back pain were included. 284 patients with back pain were randomized into the IG or CG using computer-generated block randomization. We excluded 14 patients as they withdrew their consent and requested removal of their data. We finally included 270 patients (IG: N.=127, CG: N.=143). The primary outcome was self-reported pain self-efficacy (10-60 points). Secondary outcomes were, amongst others, current health status and pain. Our primary adjusted intention-to-treat analysis demonstrated that hybrid digitally assisted rehabilitation was non-inferior to face-to-face rehabilitation at the end of rehabilitation (b=-0.55; 95% CI=-2.75 to ∞) and at the 3-month follow-up (b=0.24; 95% CI=-2.86 to ∞). These results were in line with a non-adjusted intention-to-treat analysis, an adjusted complete case analysis, and an adjusted per-protocol analysis. Secondary outcomes were tested for superiority. Our primary adjusted intention-to-treat analysis found no significant group differences in the secondary outcomes. This study provides evidence that hybrid digitally assisted rehabilitation in patients with back pain is a sound alternative to face-to-face rehabilitation in an outpatient rehabilitation setting. Hybrid digitally assisted rehabilitation can improve flexibility and access to rehabilitation. Further studies should examine which components and which time frame of rehabilitation can be digitized without any loss of effectiveness.

Short- and medium-term effects of a single session of pain neuroscience education on pain and psychological factors in patients with chronic low back pain. A single-blind randomized clinical trial.

Biopsychosocial approach in patients suffering chronic low back pain (CLBP) promotes pain self-management strategies. Current evidence recommends high dose of Pain Neuroscience Education (PNE) for clinically significant differences. However, the workload and time constraints experienced by healthcare providers impede the application of the recommended treatment regimen. In fact, Back School with a biomechanical model is the main approach to manage CLBP in public systems. The objective of this study is to explore the effect of a 60 min single session of PNE as an adjunct to back school on pain intensity and psychological variables patients with CLBP. A double-blind, two-arm randomized controlled clinical trial was conducted in patients with CLBP who attended back school sessions held in a Spanish public hospital. A total of 121 patients were randomized into control group, who received the Back School program during 5 weeks, and intervention group, who additionally received a single session of PNE. Patient-reported outcomes were the Numerical Pain Rating Scale, Central Sensitization Inventory, Pain Catastrophizing Scale, and Tampa Scale of Kinesiophobia, with a 12-week follow-up. A total of 113 patients were analysed. Intervention and control group presented similar effects on pain and kinesiophobia. At follow-up, intervention group exhibited reduced sensitization and catastrophism scores compared with control, including the subscales. Additionally, PNE reduced the percentage of participants classified as having central sensitization compared with control. Adding a single PNE session in the back school program did not reduce pain but improved psychological factors as central sensitization and pain catastrophizing at medium-term. This study highlights the potential of PNE to optimize treatment strategies for CLBP, especially in public health centres where time resources are scarce. Adding a single PNE session in the back school program did not reduce pain but improved psychological factors as central sensitization and pain catastrophism at medium-term.

Effectiveness of a pain neuroscience education programme on the physical activity of patients with chronic low back pain compared with a standard back school programme: protocol for a randomised controlled study (END-LC)

IntroductionEducation is recognised as an effective and necessary approach in chronic low back pain. Nevertheless, data regarding the effectiveness of education in promoting physical activity in the medium term or...

CO150 Efficiacy of Back School Program in Connection with Physical Activity Amongst Hungarian Adolescents

CO150 Efficiacy of Back School Program in Connection with Physical Activity Amongst Hungarian Adolescents

The Effects of Back Schools on Non-Specific Back Pain: A Systematic Review and Meta-Analysis.

Non-specific back pain is a global concern. Exercise and health education are crucial components in its management. The Back School is a theoretical practical program that integrates both elements. The objective of this study is to determine if Back School-based programs are effective in reducing pain, disability, and kinesiophobia in patients with non-specific back pain. A systematic review of research involving participants with non-specific back pain was carried out on databases such as PubMed, Scopus, Web of Science, and Medline. In total, 25 papers were chosen for review. All of these papers focused on the effects on the lumbar area, with the exception of one paper that specifically targeted the cervical region. The pain variable showed statistically significant results with standardized mean differences of -1.01 (950 confidence interval = -1.39 to -0.63; p < 0.001), and the disability variable had standardized mean differences of -0.98 (95% confidence interval = -1.38 to -0.58; p < 0.001), and only one study analysed the kinesiophobia variable and concluded that Back School programs have a positive effect on kinesiophobia between the baseline and post-intervention levels. Back School programs have shown effectiveness in reducing non-specific back pain and lowering disability rates.

The Correlation Between Later School Start Times and High School Athletes’ Athletic Performances

Research on the positive and negative effects that school start times can have on a high school student athlete’s athletic performance depending on how early or late they start school faces a significant gap in research. Research has shown that early school start times are a major cause of sleep deprivation in student athletes as well as how it can cause a decline in one's athletic performance. This study aims to determine the correlation between later school start times and student athletes’ athletic performances. Based on many literature reviews, correlational research was chosen to be able to determine the relationship between the two variables, school start times and high school student athletes’ athletic performances. The latter is determined based on a school’s winning percentage for one of the seven varsity sports. Analysis of the relationship between the two variables demonstrated that for 6 out of the 7 sports, there was a positive correlation between later school start times and greater athletic performances in high school student-athletes. The results indicate that later school start times have a positive effect on high school-student athletes in the case of their athletic performances. In view of this, it is suggested that schools look to push back school start times in order to give all student athletes, regardless of what school or school district they come from, an equal playing field when competing. Further research is needed to determine whether this correlation between the two variables is still apparent when analyzing non-clear-cut win sports.

Digital Health: A Web-based Repository with Back School Recommendations and Exercises against Paravertebral Pain (with a Comparative Study of the Opinions of Responders of Different Generations)

Digital Health (DH) is a relatively new concept for our country. The current article is oriented to the application of DH technologies for the prevention of paravertebral pain, by a web-based repository. In the repository, we included Back school recommendations, position techniques, exercises, activities, sports, and clinical cases of our own rehabilitation practice.

Effects of a back school-based intervention on non-specific low back pain in adults: a randomized controlled trial

BackgroundNon-specific low back pain is a common condition with significant global prevalence and socio-economic impact. Back School programs, which combine exercise and educational interventions, have been used to address back pain. This study aimed to investigate the effects of a Back School-based intervention on non-specific low back pain in adults. Secondary objectives included evaluating the impact of the program on disability, quality of life, and kinesiophobia.MethodsA randomized controlled trial was conducted involving 40 participants with non-specific low back pain, who were divided into two groups. The experimental group underwent an 8-week Back School-based program. The program comprised 14 practical sessions focusing on strengthening and flexibility exercises, along with two theoretical sessions covering anatomy and concepts related to a healthy lifestyle. The control group maintained their usual lifestyle. Assessment instruments included the Visual Analogue Scale, Roland Morris disability questionnaire, Short-Form Health Survey-36, and Tampa Scale of Kinesiophobia.ResultsThe experimental group showed significant improvements in the Visual Analogue Scale, Roland Morris disability questionnaire, physical components of the Short-Form Health Survey-36, and Tampa Scale of Kinesiophobia. However, there were no significant improvements in the psychosocial components of the Short-Form Health Survey-36. In contrast, the control group did not show significant results in any of the study variables.ConclusionsThe Back School-based program has positive effects on pain, low back disability, physical components of quality of life, and kinesiophobia in adults with non-specific low back pain. However, it does not appear to improve the participants' psychosocial components of quality of life. Healthcare professionals can consider implementing this program to help reduce the significant socio-economic impact of non-specific low back pain worldwide.Trial registrationNCT05391165 (registered prospectively in ClinicalTrials.gov: 25/05/2022).

Non-inferiority of a hybrid outpatient rehabilitation: a randomized controlled trial (HIRE, DRKS00028770)

BackgroundPhysiotherapeutic telerehabilitation in various musculoskeletal and internal diseases, including back pain, might be comparable to face-to-face rehabilitation or better than non-rehabilitation. In Germany, a standardized back school for patients with chronic back pain is provided in outpatient rehabilitation centers. The effectiveness of this standardized back school was shown in a randomized controlled trial in face-to-face rehabilitation. This study examines non-inferiority of a hybrid rehabilitation applying a digital version of the standardized back school against a rehabilitation applying the face-to-face back school.Methods/designWe recruit 320 patients in eight German outpatient rehabilitation centers. Patients are randomized equally to the intervention and control groups. Patients aged 18 to 65 years with back pain are included. Patients lacking a suitable private electronic device and German language skills are excluded. Both groups receive the standardized back school as part of the 3-week rehabilitation program. The control group receives the back school conventionally in face-to-face meetings within the outpatient rehabilitation center. The intervention group receives the back school online using a private electronic device. Besides the back school, the patients participate in rehabilitation programs according to the German rehabilitation guideline for patients with chronic back pain. Hence, the term “hybrid” rehabilitation for the intervention group is used. The back school consists of seven modules. We assess data at four time points: start of rehabilitation, end of rehabilitation, 3 months after the end of rehabilitation and, 12 months after the end of rehabilitation. The primary outcome is pain self-efficacy. Secondary outcomes are, amongst others, motivational self-efficacy, cognitive and behavioral pain management, and disorder and treatment knowledge. Guided interviews with patients, physicians, physiotherapists and other health experts supplement our study with qualitative data.Discussion/aimOur randomized controlled trial aims to demonstrate non-inferiority of the online back school, compared to conventional implementation of the back school.Trial registrationGerman Clinical Trials Register (DRKS00028770, April 05, 2022).

Effects of back school-based intervention on non-specific neck pain in adults: a randomized controlled trial

BackgroundNeck pain has a high prevalence and socioeconomic impact worldwide. The Back School consists of programs that include exercises and educational interventions to treat back pain. Accordingly, the main objective was to evaluate the effects of an intervention based on Back School on non-specific neck pain in an adult population. The secondary objectives were to analyze the effects on disability, quality of life and kinesiophobia.MethodsA randomized controlled trial was conducted with 58 participants with non-specific neck pain divided into two groups. The experimental group (EG) carried out the 8-week programme based on the Back School, (two sessions per week, for a total of 16 sessions, lasting 45 min). Of all the classes, 14 had a practical focus (strengthening and flexibility exercises) and the other two had a theoretical focus (concepts of anatomy and healthy lifestyle). The control group (CG) stated that they did not vary their lifestyle. The assessment instruments were: Visual Analogue Scale, Neck Disability Index, Short-Form Health Survey-36 and Tampa Scale of Kinesiophobia.ResultsThe EG reduced pain (-40 points, CI95% [-42 to -37], g = -1.03, p < 0.001), EG had less disability (-9.3 points, CI95% [-10.8 to -7.8], g = -1.22, p < 0.001), EG improved the physical dimension of the survey Short-Form Health Survey-36 (4.8 points, CI95% [4.1 to 5.5], g = 0.55, p = 0.01) but had not significant change in psychosocial dimension of the survey Short-Form Health Survey-36 and EG reduced Kinesiophobia (-10.8 points, CI95% [-12.3 to -9.3], g = -1.84, p < 0.001). The CG did not obtain significant results in any variable of the study. Significant differences in change between both groups were found on pain (-11 points, CI95% [5.6 to 16.6], p < 0.001, g = 1.04), disability (-4 points, CI95% [2.5 to 6.2], p < 0.001, g = 1.23), physical dimension of the survey Short-Form Health Survey-36 (3 points, CI95% [-4-4 to -2-5], p = 0.01, g = -1.88), and kinesiophobia ( 7 points, CI95%[-8.3 to -5.4], p < 0.001, g = 2.04), while no significant differences were found on psychosocial dimension of the survey Short-Form Health Survey-36 (-0.02, CI95% [-1.7 to 1.8], g = 0.01, p = 0.98).ConclusionsThe back school-based programme has beneficial effects on pain, neck disability, the physical dimension of quality of life and kinesiophobia in an adult population with non-specific neck pain. However, it did not lead to improvements in the psychosocial dimension of the participants’ quality of life. This programme could be applied by health care providers with the aim of reducing the severe socio-economic impact of non-specific neck pain worldwide.Trial registration in ClinicalTrials.govNCT05244876 (registered prospectively, date of registration: 17/02/2022).

Disease-Specific Knowledge, Physical Activity, and Physical Functioning Examination among Patients with Chronic Non-Specific Low Back Pain.

Physical activity, physical functioning, and pain are some of the most critical factors of low back pain (LBP) treatment and prevention, but it was unknown that the back school program (BSP) influences the physical activity level of the patients with LBP. Data from 306 healthy patients and patients with chronic non-specific low back pain (cnsLBP) were used. We used the Global Physical Activity Questionnaire (GPAQ), the Low Back Pain Knowledge Questionnaire (LKQ), the visual analog scale, and the Roland–Morris Disability Questionnaire (RMDQ). The significance level was set at p < 0.05. The amount of sedentary time in cnsLBP patients enrolled in the BSP was significantly lower compared to the other two groups (p < 0.001). Significantly higher moderate-intensity activities, leisure time activities, and active transportation were observed in the cnsLBP patients enrolled in the BSP than in the other two groups (p < 0.001). RMDQ scores and the pain intensity of the cnsLBP patients enrolled in the BSP were significantly lower than in patients with LBP receiving only exercise therapy (p < 0.001). The physical activity level and low-back-pain-specific knowledge was significantly higher, while back-related disability and pain intensity were significantly lower among patients with low back pain syndrome who participated in a back school program.

Effect of exercise intervention on musculoskeletal disorders in nursing staff

Objective: To evaluate the effects of exercise intervention on musculoskeletal disorders (MSD) in nursing staff. Methods: In september 2021, we searched the articles on exercise intervention for nurses with musculoskeletal diseases in Embase, PubMed, ClinicalTrails, Wanfang, CNKI and other databases in September 2021, and the search period was from database creation to August 2021. The quality of article was evaluated by Cochrane bias risk assessment tool and MINORS. The systematic review method with narrative synthesis was used to analyze the research results. Results: A total of 7 studies were included, including 6 randomized controlled trials and 1 quasi-experiment. The sample size of the experimental group was 276, and the control group was 273. Depending on the type of exercise intervention, muscle strength training, muscle strength training+stretch/flexibility training, Back School program can reduce the local pain of nursing staff. Among them, muscle strength training can improve the nursing staff's muscle function and quality of life, muscle strength training+stretching/flexibility training can increase muscle strength, range of physical activity and self-efficacy, the Back School program is effective for improving poor posture. Conclusion: Exercise intervention is effective on controlling musculoskeletal disorder symptoms in nursing staff, managers can develop exercise strategies for different MSD symptoms.

Comparison Of The Effectiveness Of Back School Exercises And Mckenzie Exercises In The Treatment Of Chronic Low Back Pain; A Randomized Controlled Trial”RCT

Low back pain has become the most common critical health problem and it is well known for causing a personal, and community financial burden globally. Low back pain is demarcated as non-specific, non-radiating pain with no accompanying neurological signs and symptoms. Objective: The purpose of this study was to compare the effectiveness between Mckenzie exercises and back school exercises in the treatment of low back pain. Methods: This research included 36 patients who met the eligibility criteria. Prior to undertaking any examinations or receiving treatments, each participant in this study gave their ethical approval via filling out informed consent. Patients with nonspecific chronic back pain were divided randomly into 3 groups. In ‘group A’ only the conventional treatment was provided and in group 2 patients performed back school exercises. Similarly, in group 3 patients performed Mckenzie exercises. The lottery method was used to assign patients to these three randomized groups. All of these aforementioned groups received conventional therapy, which remained identical throughout the study. The conventional treatment included a hot pack for 10 minutes and back isometrics. Additionally, group A received conventional therapy, group B received conventional therapy along with back school exercises, and group 3 received Mckenzie exercises and conventional therapy. Each patient received treatment three times a week for of total 4 weeks. Roland Morris’s disability questionnaire was used to measure self-reported physical impairment due to low back pain. Moreover, a numeric pain rating scale was used to measure pain severity. Results: This study showed that patients receiving back school and Makenzie exercises showed marked improvement in pain and disability scores. Conclusion: This study concluded that Mckenzie exercises are more effective than back school exercises for the management of chronic nonspecific low back pain. That is because Mckenzie’s exercises not only decrease pain but equally improve, the flexibility and posture of the spine

COVID-19 School Re-opening Plans: Rolling Back School Food Programming in Canada?

At the beginning of 2020 national school food programs reached more children than any time in history making school food programs the most extensive form of social safety nets in the world. Looking to Canada, school food programs across the country serve more than 1 million students and provide multifaceted benefits including access to healthy fresh food choices, improving learning capacities, promoting nutritional awareness, assisting food-insecure households, and promoting local food procurement. However, since the beginning of the SARS-Cov 2 (COVID-19) pandemic these programs have faced operational challenges resulting in many rolling back their operations while food insecurity rates in Canada have increased dramatically. Framed as a Canadian case study analysis, this paper considers the discursive effects of provincial and territorial school reopening plans and the material consequences felt by SFPs. Specifically, this paper considers the reach, effectiveness, adoption, implementation, and maintenance of provincial and territorial school food programs within the broader conceptualization of ecological public health to consider if these programs were enabled or constrained by school reopening plans. The authors conducted a policy analysis of 57 primary and 164 supportive school reopening documents developed between April 2020 and September 2021. It was found that provincial and territorial school reopening plans primarily focused on measures to limit infectious disease transmission while food discussed in broad terms demonstrated policy makers' limited awareness of the important role of school food programs and support required to maintain them. In turn, two key observations were made: 1) government school reopening plans have overlooked the benefits of school food programs in Canada, and 2) school reopening plan designers missed opportunities to improve school food programs. This paper argues a thorough understanding of the impacts to school food programs by provincial and territorial COVID-19 public health guidelines is needed for politicians, policymakers, and school food practitioners to support the short- and long-term capacity of these programs and to ensure food insecurity and nutritional health issues in Canada continue to be on thepolitical agenda.

“EFFECTIVENESS OF BACK SCHOOL METHOD AMONG COLLEGE STUDENTS WITH NON SPECIFIC LOW BACK PAIN: A RANDOMIZED CONTROL TRIAL”.

BACKGROUND: Lower back pain (LBP) is very common among general population, those who engage in physical activity, students and geriatric population. The most common type of low back pain is non specic and has no clear diagnostic, prognostic or treatment protocols. Back- school program is used for the prevention and treatment of patients with low back pain. AIM: To nd out the effectiveness of back school method on college students with non specic low back pain. OBJECTIVES: To nd out the effect of back school method on college students with non specic low back pain and to compare the experimental group to the control group. METHOD:30 participants were select based on selection criteria for the study. All the subjects were divided into two groups (Group A and B) using Lottery method. Group A was receiving back school exercise and Group B was the control group.The program is composed of four sessions almost 45 minutes in every session. Before and after the treatment, the NPRS, Roland-Morris Disability Questionnaire [RMDQ], and lumbar spine range of motion has been assessed. RESULTS:Data were statistical analysis using SPSS version 22.0. parametric test was used within the group analysis. The test result showed improvement in group A compared to the control group. CONCLUSIONS: Back school method is more effective in reducing non-specic low back pain; improve posture and improving the quality of life of the participants.

Back school and postural habits of women from the Tabajara indigenous community: a quali-quantitative, participatory, and ethnographic approach

Objectives: The Back School is a therapeutic-pedagogical method for the preservation of good postural habits, reeducation of posture and prevention of pain in the spine. To know the postural habits of the Tabajara indigenous community through the realization of a sensitization workshop on care of the spine. Methods: This is an action, participatory and ethnographic research with a qualitative/quantitative approach. Fourteen women aged between 18 and 70 years participated. The instruments were inventory of correct and incorrect postural images and postural assessment form. Conclusion: The sum of the posture frequency was 165 to inadequate postures and 92 for appropriate postures. Qualitative analysis highlights that in the CIs of the questions: What are your expectations regarding this work? 78.6%= Learning the new; Have your expectations been met? 92.8%= Learning; Did the spine theme addressed contribute to improve your self-knowledge? 85.7%= Correct use of the spine; How do you feel at the end of the event? 85.7%= Emotional satisfaction; Pain in your spine? 85.7%= feel pain. Practice implications: The study showed that there is involvement in the spine with pain, which may be related to inadequate postures, and it can change using education for health approach.

Therapeutic and Preventive Efficacy of an Intervention on Workers in a Back School.

Back pain and its ailments are the main cause of absenteeism and sick leave. Furthermore, the cause of pain and disability in a large number of workers is unknown, and treatments are not effective in controlling it. For this reason, the Back Schools (BSs) provide theoretical and practical training to workers so that they can acquire knowledge and skills that will allow them to adequately manage their back problems, enabling them to recover their autonomy and prevent relapses. The aim of the study is to analyse the efficacy of a BS by means of the evaluation of pain and disability scales in workers in different sectors and in construction. The most important clinical benefits obtained after the intervention of a BS are the reduction of pain and disability. Statistically significant and clinically relevant results have been observed between the initial assessment and the 6-month review. BS has been shown to be effective in reducing low back and neck pain and disability during the first 6 months of follow-up. Construction workers have pain and disability rates at the overall mean and with improvements between the initial assessment and the 6-month review. Their rates of improvement are clinically more relevant than for the overall population analysed.

Effectiveness of a training program on the low back pain and functional disability in industrial workers

ABSTRACT Low back pain (LBP) as a common musculoskeletal disorder is a well-known complaint of industrial workers. This study was performed to determine the effect of back school training program on quality of life in workers with chronic low back pain. Two hundred and fifty workers with chronic LBP (identified through interviews in a factory), were randomly divided into two groups of control and intervention and then the intervention group received the back school training course. In this study, Back School was a multi-purpose, multi-dimensional, patient-centred team training program in which the participants received the necessary training in five groups of 25 workers with 4 training sessions. Data were collected at two intervals before and after the intervention by using the SF-36 questionnaire, LBP visual analogue scale and the Roland–Morris Disability Questionnaire (RMDQ). Statistics analysis such as descriptive statistics, t-test and analysis of variance were used to analyse the data. The results showed that the psychological component and the physical component of quality of life after intervention were significantly different between the two groups. In addition, after the intervention, a decrease in the functional disability and LBP scores were observed in the intervention group. The results showed that a structurally strong and well-organized training schedule such as back school program could be practically useful for reducing and relieving pain and also improving functional ability in workers of industrial settings.

Covid-19 pandemic and school sporting activities in Ghana: The perceived impacts on students well-being

The Coronavirus pandemic has extremely affected various activities worldwide including school sports. Despite this, little has been done on the consequences of the cancellation of school sporting activities due to the pandemic on the well-being of students. The present study ascertained how cancellation of school sports due to the Covid-19 pandemic influenced the general well-being of students and suggested appropriate interventions to bring back school sports. The purposive sampling technique was used to collect data from Nineteen (19) Senior High School Student` athletes through semi-structured interviews. The data collection tool was created on seven themes: sports programmes, sedentary activities, impacts of the pandemic on sports, sports opportunities, impacts of sports on students` well-being, consequences, and measures to bring back school sports. Content analysis procedures were the main analytical technique. The findings revealed that students are faced with physical, psychological, emotional, economic, mental, and social health challenges. Consequently, students have gained weight, lost scholarship opportunities and friends, and go through fear and anxiety. Therefore, appropriate measures and directives such as; reduction in the number of spectators at stadiums, fumigation of stadiums, vaccination of students, and testing and quarantine are recommended to be followed to help bring back the school sports.

Prevention of Low Back Pain in Adults with a Back School-Based Intervention.

Background: Low back pain is highly prevalent and has a major socio-economic impact worldwide. Among the rehabilitation options is the Back School, which consists of programmes that include exercise and educational interventions to treat and prevent back pain. The effects of this type of programme are usually evaluated in patients with low back pain. The aim of this study was to evaluate the effects on low back functionality and the prevention of medical visits due to low back pain during one year of follow-up in a healthy adult population. Methods: A quasi-experimental study was conducted with 56 healthy participants who were divided into an experimental group (n = 30), who underwent the programme consisting of a total of 16 sessions, and a control group (n = 26), who did not undergo the intervention. All participants were administered the Partial Curl-up Test, Biering Sorense Test, Modified Schöber Test, and Toe Touch Test, and they completed the Short Form 36 Health Survey before and after the intervention. In addition, a telephone call was made to ask whether they attended a doctor for low back pain in the following year post-intervention. Results: In the experimental group, statistically significant improvements were observed in trunk muscle strength, spinal flexion joint range of motion, and hamstring flexibility, and they had fewer visits to the doctor for low back pain in the following year. Conclusions: The theoretical–practical programme based on the Back School seems to have beneficial effects on low back functionality by increasing its strength and flexibility in an adult population. In addition, this programme reduced the number of medical visits due to low back pain during the following year after the intervention.