Work-Related Low Back Pain Treatment: A Randomized Controlled Trial from Tehran, Iran, Comparing Multidisciplinary Educational Program versus Physiotherapy Education

Abstract

Study DesignClinical trial.PurposeTo compare the multidisciplinary educational program versus physiotherapy education among Iranian nurses.Overview of LiteratureLow back pain (LBP) can accompany significant occupational injuries in the nursing profession. There is no agreement on the most effective educational practice.MethodsThis study was conducted from August 17, 2014 to September 22, 2014 in Tehran, Iran. Eligible nurses with chronic mechanical LBP (n=136) were classified into an intervention group (n=66) or the control group (n=70). The intervention group received physiotherapy education for 120-minutes followed by a 120-minute health education session based on predictive constructs of social cognitive theory (SCT). The control group received the 120-minute physiotherapy education. Disability rate, pain severity and back pain prevention behavior were measured at initially and 3 months after intervention using visual analogue scale, Roland-Morris disability questionnaire and nursing low back pain preventive behaviors questionnaire.ResultsThe two groups were the same in terms of all studied variables at the initiation of the study. At the 3-month follow up, predictive constructs of LBP preventive behaviors of participants in the intervention were improved (p<0.001). Significant decreases were evident at 3 months in pain severity (p=0.03) and disability (p=0.003).ConclusionsThe designed multidisciplinary educational intervention could decrease chronic mechanical LBP in nurses.

Keywords

• Chronic mechanical low back pain
• Social cognitive theory
• Physiotherapy
• Nursing staff