Back School



"BACK SCHOOL" (LOW BACK PROTECTION TRAINING PROGRAM)



Purpose

The purpose is to enable patients to learn pain sources and how to protect their lumbar spine in order for them to take the responsibility of their own lumbar spine in everyday life and professional life, to prevent recurrences and progression to chronic disease state. The program was initiated in 1990 by modelling the Swedish Spine Centre and Istanbul Faculty of Medicine Back School was established, considering the patient characteristics and the circumstances of our country combined with our experience.

Patient Characteristics

Patients with mechanical low back pain in whom pain control has been achieved, patients with scoliosis, disc herniation, myofascial pain syndrome, degenerative osteoarthritis, spinal stenosis, post-operative cases and those with failed low back surgery syndrome are included in the program.

Scope

In back school, trainings are provided to the groups of 8 to 10 patients two days in a week in total 4 lessons and the program is conducted by a research resident. The patients are evaluated by completing a form prior to entrance to the spine school. Spine anatomy, biomechanical features, structures forming the spine, main sources and signs of low back pain and the treatments that the patients would apply themselves are explained in the first lesson of this program. In the second lesson, correct and wrong activities in the daily life are discussed individually; use of correct body mechanics and the basic exercises are taught. In the third lesson, the content of the second lesson and exercises are practiced. In the fourth lesson, questions about all lessons and unclear points are reviewed and the patients watch a movie covering the training content. At the end of the program, patients are provided with a hand book covering the all content of the training.