Abstract: Objective To observe the effects of different health education patterns on chronic nonspecific low back pain (CNLBP).Methods From September, 2016 to April, 2017, 75 patients with CNLBP after rehabilitation were randomly divided into control group (n=45) and Back School group (n=30). The Back School group received group teaching including physiological and anatomy of lumbar spine, ergonomics, healthy posture and function exercise, once a week for four weeks. While the control group received the booklets including the same contents. They were self-assessed with Visual Analogue Scale (VAS), Oswestry Disability Index (ODI), and the 36-item Short Form (SF-36) before education, and one and three months of follow-up in clinics, or with call back services and Wechat. The recurrence frequency was recorded.Results The score of VAS increased in both groups in the follow-up, but increased less in the Back School group (Z>2.645, P<0.01). The recurrence frequency was less in the Back School group (Z=-2.082, P<0.05), with more ODI score (Z=2.265, P<0.05) after three months of follow-up. The bodily pain score of SF-36 was more in the Back School group after one and three months of follow-up (t>2.273, P<0.05).Conclusion Health education with Back School may benefit to maintain the curative effects and function, reduce recurrence, and improve the quality of life of CNLBP patients.

Key words: chronic nonspecific low back pain, health education, Back School, follow-up