[Coordinative treatment and quality of life - a randomised trial of nurses with back pain].
BACKGROUND
The influence of strength training on back conditions has been demonstrated quite well, whereas coordinative training being a major component of physical therapy regarding preventive and rehabilitative treatment of back pain is used only occasionally and has been evaluated even more rarely. One has to consider this fact regarding the still growing number of musculo-skeletal diseases.


OBJECTIVE
The influence of several preventive therapies (coordination training in spacecurl, kinaesthetics/back protective patient transfer) has been investigated with regard to coordination, back pain and quality of life in a randomised controlled study.


METHODS
We used an assessment-set consisting of a specially devised questionnaire regarding job demands, sports activity and back pain and the WHOQOL-BREF for control of quality of life. These methods were combined with body surface electromyography and posturography. Those methods enabled us to determine parameters such as coordination, back pain and quality of life at 3 different stages (untrained individuals) and 4 points (trained individuals) respectively.


RESULTS
Trained individuals showed a significant reduction of back pain frequency (p = 0.016) before and after training. In comparison there was no difference in untrained individuals. Furthermore trained individuals showed an increase in quality of life of 5.4 % (p = 0.028), whereas again there was no difference in untrained individuals. Somatic diagnostics (body surface electromyography, posturography) showed significant changes only in the trained group.


CONCLUSIONS
The used coordination training program is enhancing coordination and reducing back pain whilst having a positive effect upon the quality of life of an individual.
Müller
K
K
Martin-Luther-Universität Halle-Wittenberg. klaus.mueller@medizin.uni-halle.de
Schwesig
R
R
Leuchte
S
S
Riede
D
D
D000328:Adult; D001521:Behavior Therapy; D003131:Combined Modality Therapy; D004576:Electromyography; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007318:Inservice Training; D007699:Kinesthesis; D008137:Longitudinal Studies; D017116:Low Back Pain / Q000517:prevention & control / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D008875:Middle Aged; D009741:Nursing Staff, Hospital; D009784:Occupational Diseases / Q000517:prevention & control / Q000523:psychology / Q000534:rehabilitation*; D010360:Patient Transfer; D010806:Physical Education and Training; D011187:Posture; D011788:Quality of Life
Koordinationstraining und Lebensqualität - Eine Längsschnittuntersuchung bei Pflegepersonal mit Rückenschmerzen.