Iranian Red Crescent Medical Journal

Published by: Kowsar

Alexander Technique Training Coupled With an Integrative Model of Behavioral Prediction in Teachers With Low Back Pain

Tahereh Kamalikhah 1 , Mohammad Ali Morowatisharifabad 1 , * , Farid Rezaei-Moghaddam 2 , Mohammad Ghasemi 3 , Mohammad Gholami-Fesharaki 4 and Salma Goklani 5
Authors Information
1 Department of Health Education, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran
2 Physical Medicine and Rehabilitation, Army University of Medical Sciences, Tehran, IR Iran
3 Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran
4 Department of Biostatistics, Tarbiat Modares University, Tehran, IR Iran
5 Rehabilitation Faculty, Tehran University of Medical Sciences, Tehran, IR Iran
Article information
  • Iranian Red Crescent Medical Journal: September 01, 2016, 18 (9); e31218
  • Published Online: August 9, 2016
  • Article Type: Research Article
  • Received: July 2, 2015
  • Revised: July 15, 2015
  • Accepted: July 29, 2015
  • DOI: 10.5812/ircmj.31218

To Cite: Kamalikhah T, Morowatisharifabad M A, Rezaei-Moghaddam F, Ghasemi M, Gholami-Fesharaki M, et al. Alexander Technique Training Coupled With an Integrative Model of Behavioral Prediction in Teachers With Low Back Pain, Iran Red Crescent Med J. 2016 ; 18(9):e31218. doi: 10.5812/ircmj.31218.

Copyright © 2016, Iranian Red Crescent Medical Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Tavafian SS, Jamshidi A, Mohammad K, Montazeri A. Low back pain education and short term quality of life: a randomized trial. BMC Musculoskeletal Disorders. 2007; 8(1)[DOI]
  • 2. Noori S, Ghasemi GH, Khaiambashi K, Karimi A, Minasian V, Alizamani S. . Effect of Exercise Therapy and Physiotherapy on Patients with Chronic Low Back Pain (In persian). J Isfahan Medical School. 2011; 151: 1091-7
  • 3. Ebadi S, Ansari NN, Henschke N, Naghdi S, Van Tulder MW. The effect of continuous ultrasound on chronic low back pain: protocol of a randomized controlled trial. BMC Musculoskeletal Disorders. 2011; 12(1)[DOI]
  • 4. Nezhad Roomezi S, Rahnama N, Habibi A, Negahban H. The effect of core stability training on pain and performance in women patients with non-specific chronic low back pain (In persian). J Res in Rehabilitation Sci. 2012; 1(1): 57-64
  • 5. Erick PN, Smith DR. A systematic review of musculoskeletal disorders among school teachers. BMC Musculoskeletal Disorders. 2011; 12(1)[DOI]
  • 6. Chong EYL, Chan AHS. Subjective Health Complaints of Teachers From Primary and Secondary Schools in Hong Kong. International J Occupational Safety Ergonomics. 2015; 16(1): 23-39[DOI]
  • 7. Chiu TT, Lam PK. The Prevalence of and Risk Factors for Neck Pain and Upper Limb Pain among Secondary School Teachers in Hong Kong. J Occupational Rehabilitation. 2006; 17(1): 19-32[DOI]
  • 8. Horng YS, Hsieh SF, Wu HC, Feng CT, Lin MC. Work-related musculoskeletal disorders of the workers in a child care institution. J Phys Med Rehabil. 2008; 36(1): 15-21
  • 9. May S. Self-management of chronic low back pain and osteoarthritis. Nat Rev Rheumatol. 2010; 6(4): 199-209[DOI]
  • 10. Nachemson AL, Waddell G, Norlund A. Epidemiology of Neck and Low Back Pain. 2004;
  • 11. Lang E, Liebig K, Kastner S, Neundorfer B, Heuschmann P. Multidisciplinary rehabilitation versus usual care for chronic low back pain in the community: effects on quality of life. Spine J. 2003; 3(4): 270-6[DOI]
  • 12. Cacciatore TW, Gurfinkel VS, Horak FB, Cordo PJ, Ames KE. Increased dynamic regulation of postural tone through Alexander Technique training. Human Movement Sci. 2011; 30(1): 74-89[DOI]
  • 13. Cacciatore TW, Horak FB, Henry SM. Improvement in automatic postural coordination following alexander technique lessons in a person with low back pain. Phys Ther. 2005; 85(6): 565-78
  • 14. Cacciatore TW, Gurfinkel VS, Horak FB, Day BL. Prolonged weight-shift and altered spinal coordination during sit-to-stand in practitioners of the Alexander Technique. Gait & Posture. 2011; 34(4): 496-501[DOI]
  • 15. Little P, Lewith G, Webley F, Evans M, Beattie A, Middleton K, et al. Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain. Bmj. 2008; 42(12): 565-8[DOI]
  • 16. Woodman JP, Moore NR. Evidence for the effectiveness of Alexander Technique lessons in medical and health-related conditions: a systematic review. Int J Clinic Pract. 2012; 66(1): 98-112[DOI]
  • 17. Ehrlich GE. Alexander technique lessons were effective for chronic or recurrent back pain at 1 year. Evid Based Med. 2009; 14(1): 13[DOI]
  • 18. Safari M, Shodjaiezadeh D, Ghofranipoor F, Heydarnia AR, Pakpour HA. Theories, models and methods of health education and health promotion. 2009;
  • 19. Mc Clendon BT, Prentice Dunn S. Reducing Skin Cancer Risk: An Intervention Based on Protection Motivation Theory. J of Health Psychology. 2001; 6(3): 321-8[DOI]
  • 20. Foster NE, Thomas E, Bishop A, Dunn KM, Main CJ. Distinctiveness of psychological obstacles to recovery in low back pain patients in primary care. Pain. 2010; 148(3): 398-406[DOI]
  • 21. Fishbein M. A Reasoned Action Approach to Health Promotion. Med Decis Making. 2008; 28(6): 834-44[DOI]
  • 22. Bleakley A, Hennessy M, Fishbein M, Jordan A. How Sources of Sexual Information Relate to Adolescents' Beliefs About Sex. Am J Health Behav. 2009; 33(1): 37-48[DOI]
  • 23. Hughes AK, Rostant OS, Curran PG. Improving Sexual Health Communication Between Older Women and Their Providers: How the Integrative Model of Behavioral Prediction Can Help. Research on Aging. 2013; 36(4): 450-66[DOI]
  • 24. Buhi ER, Goodson P, Neilands TB, Blunt H. Adolescent Sexual Abstinence: A Test of an Integrative Theoretical Framework. Health Educ Behav. 2011; 38(1): 63-79[DOI]
  • 25. Hennessy M, Bleakley A, Fishbein M, Brown L, DiClemente R, Romer D, et al. Differentiating Between Precursor and Control Variables When Analyzing Reasoned Action Theories. AIDS Behav. 2009; 14(1): 225-36[DOI]
  • 26. Uhrig JD, Davis KC, Rupert D, Fraze J. Behavioural precursors and HIV testing behaviour among African American women. Health Education J. 2010; 71(1): 102-14[DOI]
  • 27. Fogarty GJ, Shaw A. Safety climate and the Theory of Planned Behavior: Towards the prediction of unsafe behavior. Accid Anal Prev Vet Med. 2010; 42(5): 1455-9[DOI]
  • 28. Kudo Y, Satoh T, Kido S, Watanabe M, Miki T, Miyajima E, et al. A Pilot Study Testing the Dimensions of Safety Climate among Japanese Nurses. Ind Health. 2008; 46(2): 158-65[DOI]
  • 29. Milne S, Orbell S, Sheeran P. Combining motivational and volitional interventions to promote exercise participation: Protection motivation theory and implementation intentions. British J Health Psychol. 2002; 7(2): 163-84[DOI]
  • 30. Yardley L, Dennison L, Coker R, Webley F, Middleton K, Barnett J, et al. Patients' views of receiving lessons in the Alexander Technique and an exercise prescription for managing back pain in the ATEAM trial. Family Practice. 2009; 27(2): 198-204[DOI]
  • 31. Rahmati Najarkolaei F, Niknami S, Amin Shokravi F, Tavafian SS, Gholami Fesharaki M, Jafar M. R. . Sexual behavioral abstine HIV/AIDS questionnaire: Validation study of an Iranian questionnaire. J Edu Health Promot. 2014; 3(10): 777-80
  • 32. Mousavi SJ, Parnianpour M, Mehdian H, Montazeri A, Mobini B. The Oswestry Disability Index, the Roland-Morris Disability Questionnaire, and the Quebec Back Pain Disability Scale: Translation and Validation Studies of the Iranian Versions. Spine. 2006; 31(14): 454-9[DOI]
  • 33. Rezvani AM, Sirati NM, Ebadi A, Moradian T. The correlation between MPQ and VAS in patients with choronic low back pain(In persian). J Qom Uni Med Sci. 2012; 6(1): 31-4
  • 34. Bartholomew LK, Parcel GS, Kok G, Gottlieb NH. Planning health promotion program An Intervention Mapping Approach. 2006;
  • 35. Webb TL, Sheeran P. Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychol Bull. 2006; 132(2): 249-68[DOI]
  • 36. Bleakley A, Hennessy M, Fishbein M, Jordan A. Using the Integrative Model to Explain How Exposure to Sexual Media Content Influences Adolescent Sexual Behavior. Health Educ Behav. 2011; 38(5): 530-40[DOI]
  • 37. Reddy PP, Reddy TP, Roig Francoli J, Cone L, Sivan B, De Foor WR, et al. The Impact of the Alexander Technique on Improving Posture and Surgical Ergonomics During Minimally Invasive Surgery: Pilot Study. J Uro. 2011; 186(4): 1658-62[DOI]
  • 38. Mannion AF, Wieser S, Elfering A. Association Between Beliefs and Care-Seeking Behavior for Low Back Pain. Spine. 2013; 38(12): 1016-25[DOI]
  • 39. Janbozorgi A, Karimi AK, Rahnama N, Karimian R, Ghasemi GA. An ergonomic analysis of musculoskeletal disorder risk in tutors by Quick Exposure Check (QEC) method and the effect of 8-week selective corrective exercises and ergonomic intervention on their encounter.(In persian). J Res Rehabil Sci. 2012; 8(5): 919-27
  • 40. Van Niekerk SM, Louw QA, Hillier S. The effectiveness of a chair intervention in the workplace to reduce musculoskeletal symptoms. A systematic review. BMC Musculoskelet Disord. 2012; 13(13): 145[DOI]
  • 41. Cranz G. The Alexander Technique in the world of design: posture and the common chair. Journal Of Bodywork and Movement Therapies. 2000; 4(2): 90-8[DOI]
  • 42. Hollinghurst S, Sharp D, Ballard K, Barnett J, Beattie A, Evans M, et al. Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain: economic evaluation. Bmj. 2008; 337(112): 2656[DOI]
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