Do exercises improve back pain in pregnancy?
-
Muhammad Azrai Abu
,
Nur Azurah Abdul Ghani
Abstract
Objective
To assess the efficacy of an exercise program towards reducing back pain in pregnant women.
Methods
In this prospective control study, 145 low risk pregnant women who scored more than 20 for functional limitation assessment were recruited. The severity of back pain was assessed using the visual analoque scale (VAS) and the functional limitation was assessed using the Oswestry disability questionnaire (ODQ). All participants were informed of back care measures and provided with Paracetamol as an adjunct analgesia. The intervention group will have a session with a trained physiotherapist. Subsequently, all participants will be required to fill in a similar questionnaire regarding pain intensity and functional limitation assessment after 6 weeks post-intervention.
Results
There was a significant reduction in the VAS score and improvement in functional ODQ score in the intervention group. The median usage of Paracetamol as an analgesia to control back pain in the control group was 500 mg higher than the intervention group. There was a weak association of age, parity, duration of back pain, and body mass index with functional ODQ score at 6 week following intervention.
Conclusion
The back pain exercise reducing program was effective in reducing back pain intensity and analgesia usage with a significant improvement in functional ability.
Author Statement
Research funding: Authors state no funding involved.
Conflict of interest: Authors state no conflict of interest.
Informed consent: Informed consent has been obtained from all individuals.
Ethical approval: Ethical approval was obtained from the Research and Ethical Committee, Faculty of Medicine, University Kebangsaan Malaysia and the ethical conduct of research involving all patients complied with the World Medical Association Declaration of Helsinki. Clinical trial registration : FF 009-2013.
[1] Myles ME, Buggy D. Back pain and pregnancy. Pain. 1995;2973:405–14.10.1016/0304-3959(95)00184-0Suche in Google Scholar
[2] Kristiansson P, Svardsudd K, von Schoultz B. Back pain during pregnancy. Spine. 1996;6:702–9.10.1097/00007632-199603150-00008Suche in Google Scholar PubMed
[3] Jennifer S, Jonathan NG. Pregnancy and low back pain. Curr Rev Musculoskelet Med. 2008;1:137–41.10.1007/s12178-008-9021-8Suche in Google Scholar PubMed PubMed Central
[4] Flagler S. Maternal adjustment when pregnancy is accompanied by a health problem. Paper presented at the meeting of American Nurses’ Association Council of Nurse Researchers, Chicago, IL; 1989.Suche in Google Scholar
[5] Ostgaard HC, Zetherström G, Roos-Hansson E. Back pain in relation to pregnancy; A 6-years follow-up. Spine. 1997;22:2945–50.10.1097/00007632-199712150-00018Suche in Google Scholar PubMed
[6] Mohseni-Bandpei MA., Fakhri M, Ahmad-Shirvani M, Bagheri-Nessami M, Khalilian AR, Shayesteh-Azar M, et al. Low back pain in 1,100 Iranian pregnant women: prevalence and risk factors. Spine J. 2009;9:795–801. DOI:10.1016/j.spinee.2009.05.012.Suche in Google Scholar PubMed
[7] Moon WN, Kim MY, Oh HJ, Suh SW, Kim IC, Choi YH, Ahn JY. Incidence and risk factors of pelvicpain in pregnancy. Journal of the Korean Spine Surgery. 2000;7:259–63.Suche in Google Scholar
[8] Orvieto R, Achiron A, Ben-Rafael Z, Gelernter I, Achiron R. Low back pain of pregnancy. Acta Obstet Gynecol Scand. 1994;73:209–14.10.3109/00016349409023441Suche in Google Scholar PubMed
[9] Mens JM, Vleeming A, Stoeckart R, Stam HJ, Snijders CJ. Understanding peripartum pelvic pain. Implications of a patient survey. Spine. 1996;21:1363–70.10.1097/00007632-199606010-00017Suche in Google Scholar PubMed
[10] Shim MJ, Lee YS, Oh HE, Kim JS. Effects of a back pain reducing program during pregnancy for Korean women: A non equivalent control group pretest-posttest study. Int J Nurs Stud. 2005;44:19–28.10.1016/j.ijnurstu.2005.11.016Suche in Google Scholar PubMed
[11] Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005;30:983–91.10.1097/01.brs.0000158957.42198.8eSuche in Google Scholar PubMed
[12] Norén L, Östgaard S, Neilsen T, Östgaard HC. Reduction of sick leave for lumbar back and posterior pelvic pain in pregnancy. Spine. 1997;22:2157–60.10.1097/00007632-199709150-00013Suche in Google Scholar PubMed
[13] Kihlstrand M, Stenman B, Nilsson S, Axelesson D. Water-gymnastics reduced the intensity of back/low backpain in pregnant women. Acta Obstet Gynecol Scand. 1999;7:180–5.10.1034/j.1600-0412.1999.780302.xSuche in Google Scholar
[14] Lee KW. Therapeutic exercise in low back pain. J Korean Acad Rehabil Med. 1995;19:203–8.Suche in Google Scholar
[15] Young G, Jewell D. Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev. 2002;1:CD001139.10.1002/14651858.CD001139Suche in Google Scholar PubMed
[16] Garshasbi A, Zadeh SF. The effect of exercise on the intensity of low back pain in pregnant women. Int J Gynaecol Obstet. 2005;88:271–5.10.1016/j.ijgo.2004.12.001Suche in Google Scholar
[17] Richardson CA, Snijder CJ, Hides JA, Damen L, Pas MS, Storm J. The relation between the tranversus abdominis muscles, sacroiliacjoint mechanics, and low back pain. Spine. 2002;27:399–405.10.1097/00007632-200202150-00015Suche in Google Scholar
[18] Stuge B, Hilde G, Vollestad N. Physical therapy for pregnancy related low back and pelvic pain: a systemic review. Acta Obstet Gynecol Scand. 2003;82:983–90.10.1034/j.1600-0412.2003.00125.xSuche in Google Scholar
[19] Kluge J, David H, Quinette L, Theron G, Grove D. Specific exercises to treat pregnancy related low back pain in a South African population. Int J Gynaecol Obstet. 2011;113:187–91.10.1016/j.ijgo.2010.10.030Suche in Google Scholar
[20] Bastianssen JM, de Bie RA, Heuts-Bastiaenen CH, Essed GG, van den Brandt PA. A historical perspective on pregnancy related low back and/or pelvic girdle pain. Eur J Obstet Gynecol Reprod Biol. 2005;120:3–14.10.1016/j.ejogrb.2004.11.021Suche in Google Scholar
[21] Dumas GA, Reid JG, Wolfe LA, Griffin MP, McGrath MJ. Exercise, posture and back pain during pregnancy, Part 2. Exercise and back pain. Clin Biomech. 1995;10:104–9.10.1016/0268-0033(95)92047-PSuche in Google Scholar
[22] Wang SM. Backaches related to pregnancy: the risk factors, etiologies, treatment and controversial issues. Curr Opin Anaesthesiol. 2003;16:2699–273.10.1097/00001503-200306000-00005Suche in Google Scholar PubMed
[23] Gutke A, Ostgaard HC, Oberg B. Predicting persistent pregnancy related low back pain. Spine. 2008;33:386–93.10.1097/BRS.0b013e31817331a4Suche in Google Scholar PubMed
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- The functional significance of 14-3-3 proteins in cancer: focus on lung cancer
- Original Articles
- The effect of thyroid dysfunction on nesfatin-1 and adiponectin levels in rats
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- Case Report
- Ectopic adrenal tissue associated with borderline mucinous cystadenoma of ovary: a case report with review of the literature
