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Preventive Healthcare Services

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Evaluation of a web-based back prevention program for primary school children: a randomized controlled trial.

Samuel Weigel1, Joachim Grifka2, Petra Jansen3

  • 1Department of Sports Sciences, University of Regensburg, Regensburg, Germany. samuel.weigel@ur.de.

Scientific Reports
|November 21, 2025
PubMed
Summary

A 12-week web-based back-care program for children improved back knowledge and self-compassion. However, it did not significantly impact posture, pain, or physical endurance, suggesting a need for more interactive and involved interventions for pediatric spinal health.

Keywords:
Back pain preventionFunctional mobilityPosturePrimary-school childrenPsychological well-beingTrunk muscle endurance

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Area of Science:

  • Pediatric health
  • Digital health interventions
  • Spinal health education

Background:

  • Back pain and poor posture are rising concerns in primary school children.
  • These issues can persist into adulthood, necessitating early intervention.
  • Web-based programs offer a scalable approach to health promotion.

Purpose of the Study:

  • To evaluate a 12-week web-based preventive back-care intervention for children aged 6-11.
  • To assess the intervention's impact on back pain, posture, and related knowledge.
  • To explore effects on psychological well-being and physical endurance.

Main Methods:

  • Randomized controlled trial with 141 children (6-11 years).
  • Intervention group received exercise and education videos; control group received general health videos.
  • Outcomes measured included posture, pain, trunk endurance, knowledge, and psychological measures.

Main Results:

  • The intervention significantly improved back-related knowledge (p < .001) and positive self-compassion (p = .011).
  • No significant group differences were found in posture, back pain, trunk endurance, or functional mobility.
  • Adherence varied, and limitations in postural assessment were noted.

Conclusions:

  • Web-based interventions can enhance specific aspects of pediatric health knowledge and psychological well-being.
  • Current digital formats may face challenges in improving physical outcomes like posture and endurance in young children.
  • Future interventions should consider increased interactivity, parental engagement, and in-person elements for optimal spinal health support.