Results of these studies indicate that school-based spinal health interventions may be effective in increasing spinal care knowledge and decreasing the prevalence of spinal pain .
However , overall the evidence is inconclusive regarding spinal care behaviors .
The poor quality of the review ed studies limits the conclusions that can be made regarding the effectiveness of school-based spinal health interventions
OBJECTIVES To establish the effectiveness of  school-based spinal health interventions  in terms of : 1 ) improving knowledge about the spine/spinal care ; 2 ) changing spinal care behaviors ; and 3 ) decreasing the prevalence of spinal pain .
SUMMARY OF BACKGROUND DATA Spinal pain is a significant problem in children and adolescents that has been addressed through school-based spinal health interventions .
No systematic review has been carried out on this topic to date .
Back care education in elementary school: a pilot study investigating the complementary role of the class teacher.
This study investigated the efficacy of guidelines for a  motivated class teacher to enhance the application of back care principles , taught by a physical therapist , in fifth- grade elementary schoolchildren . Testing consisted of a practical test before and a practical test , knowledge test and c and i d camera evaluation 11 weeks after the program . Three groups were compared : an  intervention group of 38 pupils , with extra guidelines for the teacher , an  intervention group of 48 pupils , without extra guidelines and 34 controls . The intervention plus guidelines group , compared to the intervention group without extra teacher guidelines , obtained significantly higher posttest-pretest gain scores for five of the seven practical test items and scored significantly higher for seven of the nine items of the c and i d camera evaluation . Knowledge test scores did not differ significantly between the two intervention groups . Study results indicate that guidelines to a motivated class teacher improve efficacy of back care education in elementary schoolchildren
Results of these studies indicate that school-based spinal health interventions may be effective in increasing spinal care knowledge and decreasing the prevalence of spinal pain .
However , overall the evidence is inconclusive regarding spinal care behaviors .
The poor quality of the review ed studies limits the conclusions that can be made regarding the effectiveness of school-based spinal health interventions
OBJECTIVES To establish the effectiveness of  school-based spinal health interventions  in terms of : 1 ) improving knowledge about the spine/spinal care ; 2 ) changing spinal care behaviors ; and 3 ) decreasing the prevalence of spinal pain .
SUMMARY OF BACKGROUND DATA Spinal pain is a significant problem in children and adolescents that has been addressed through school-based spinal health interventions .
No systematic review has been carried out on this topic to date .