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Iran Red Crescent Med J. 2016 Aug 9;18(9):e31218. doi: 10.5812/ircmj.31218. eCollection 2016 Sep.

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

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Department of Health Education, Shahid Sadoughi University of Medical Sciences, Yazd, IR Iran.
Physical Medicine and Rehabilitation, Army University of Medical Sciences, Tehran, IR Iran.
Health Research Center, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
Department of Biostatistics, Tarbiat Modares University, Tehran, IR Iran.
Rehabilitation Faculty, Tehran University of Medical Sciences, Tehran, IR Iran.



Individuals suffering from chronic low back pain (CLBP) experience major physical, social, and occupational disruptions. Strong evidence confirms the effectiveness of Alexander technique (AT) training for CLBP.


The present study applied an integrative model (IM) of behavioral prediction for improvement of AT training.


This was a quasi-experimental study of female teachers with nonspecific LBP in southern Tehran in 2014. Group A contained 42 subjects and group B had 35 subjects. In group A, AT lessons were designed based on IM constructs, while in group B, AT lessons only were taught. The validity and reliability of the AT questionnaire were confirmed using content validity (CVR 0.91, CVI 0.96) and Cronbach's α (0.80). The IM constructs of both groups were measured after the completion of training. Statistical analysis used independent and paired samples t-tests and the univariate generalized linear model (GLM).


Significant differences were recorded before and after intervention (P < 0.001) for the model constructs of intention, perceived risk, direct attitude, behavioral beliefs, and knowledge in both groups. Direct attitude and behavioral beliefs in group A were higher than in group B after the intervention (P < 0.03).


The educational framework provided by IM for AT training improved attitude and behavioral beliefs that can facilitate the adoption of AT behavior and decreased CLBP.


Alexander Technique; Educational Model; Low Back Pain

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