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Promoting Public Health >>Promoting Public Health among the general public.>> Supervision of the Application of Spanish Back School Criteria in Gymnasiums and Muscle Recovery Centers in the Health Care Setting

  Background
  Objective
  Description
  Participants
  Status

  SUPERVISION OF THE APPLICATION OF SPANISH BACK SCHOOL CRITERIA IN GYMNASIUMS AND MUSCLE RECOVERY CENTERS IN THE HEALTH CARE SETTING

Background.

Back problems are the most common illness in industrialized countries (80% of the population) and generate the greatest public cost for health care and sick leave.

A strong and balanced musculature improves the spine's stability and functioning, diminishes the risk of injury to the intervertebral disc and improves mobility. Furthermore, it improves the unconscious coordination of the muscles, so that the risk of over-exertion or injury of the muscles or ligaments is diminished and it encourages adopting an active lifestyle. However, an inappropriately focused sporting activity may be a risk factor for back problems.

In fact, it has been shown that sedentary individuals with poor physical condition have a greater risk of back pain than those who practice physical activity on a regular basis, which may be as general as walking or swimming and is not specifically directed at strengthening the back muscles. Similarly, the state of the back muscles has an influence on the risk of back problems. Pain is common and prolonged in those people with weak back and abdominal muscles. While appropriate physical exercise, adapted to personal traits, is also effective in diminishing the risk of back pain.

There are a great number of gymnasiums and sports centers in Spain and many people go to them to improve their physical condition and health. For that reason, it would be a good idea to adopt the measures necessary to ensure that the criteria applied in these centers encourage truly useful, and not harmful, exercise for a healthy back.

On the other hand, there are also many Centers and Recovery services within the health care setting. However, given the number of scientific studies made throughout the world to optimize the criteria which should be applied, it is not always possible to ensure that all Centers are perfectly up-to-date.

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Objective.

To organize a mechanism to ensure the compliance and actualization of the criteria applied in designing programs of physical exercise and muscle recovery in sports and muscle recovery centers (in health care settings) so that they are healthy for the back.

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Description.

The Spanish Back School has established its program of "Member Centers" which may be sports centers, gymnasiums, rehabilitation centers or centers for muscle recovery in the health care setting.

Essentially, the program consists of training and supervision: the EEDE is responsible for training the monitors and trainers in the Member Centers and keeping their education up-to-date. Additionally, an area specifically designated for strengthening of back and abdominal muscles is established in the Center, aimed at people who have or have suffered back problems. The School supervises the exercise programs carried out there.

As soon as the Centers meet the criteria defined by the EEDE and pass the quality control tests to that effect, they are considered "Member Centers" - that is, accredited by the Spanish Back School.

Additionally, these centers become a place of referral for doctors of the region to send their patients when they believe they should do exercises in a specialized setting for back pain under proper supervision.

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Along with the Kovacs Foundation, the following have participated in this project.

The sports centers, gymnasiums and rehabilitation and muscle recovery centers in the health care setting that meet the criteria set by the Spanish Back School (EEDE).

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Status.

In 2002, the Spanish Back School reached an agreement with a first sports center, S'Aigua Blava, in Mallorca. Since 2004, and given the success of this pilot experience, its extension to other settings is being organized.

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