Expert advice about therapeutic exercise during pregnancy reduces the symptoms of sacroiliac dysfunction
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Manuela Filipec
und
Ratko Matijević
Abstract
Objectives
There are growing evidence that exercise improves sacroiliac dysfunction symptoms in pregnant women; but no data about the effect of expert advice regarding this matter. The aim of this study was to assess the effectiveness of expert advice about therapeutic exercise on sacroiliac dysfunction in pregnancy.
Methods
A total of 500 women with sacroiliac dysfunction diagnosed in pregnancy were randomized in study and control group. Study group has conducted expert advice on therapeutic exercise; while control group continued with their normal lifestyle. Pain intensity by Visual Analog Scale (VAS) and degree of functional disability by Quebec scale were assessed at enrolment and after 3 and 6 weeks.
Results
Significantly better reduction in pain intensity assessed by VAS (p=0.001) and degree of functional disability assessed by Quebec scale (p=0.001) was noted in study compared to control group. Better results for both outcome measures were obtained if intervention was implemented earlier i.e., in second (p=0.001; p=0.001) compared to third (p=0.005; p=0.001) trimester. Strong positive correlation was found between pain intensity and degree of functional disability in both groups.
Conclusions
Expert advice on therapeutic exercise is effective in reduction of sacroiliac dysfunction symptoms during pregnancy.
Trial registration
ACTRN12617000556347
Research funding: None declared.
Author contributions: MF and RM contributed to the conception and design of the study, data analysis, writing and revising the manuscript. MF was responsible for data collection. All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Competing interests: The authors completed the ICMJE Form for Disclosure of Potential Conflicts of Interest and reported no conflicts of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: This study was approved by the Clinical hospital “Sveti Duh” Ethics Committee.
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© 2020 Walter de Gruyter GmbH, Berlin/Boston
Artikel in diesem Heft
- Frontmatter
- Review
- Exercise during pregnancy: a comparative review of guidelines
- Corner of Academy
- Women’s decisional conflict in the pathway of prenatal screening and testing: an explorative study within Finnish public maternity care
- Vascular anastomoses in intrauterine growth in monochorionic twins
- Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study
- Letter to the Editor
- Giving birth and dying alone in hospital during the COVID-19 pandemic – a time for shifting paradigm toward continuity of care
- Original Articles – Obstetrics
- The yield of chromosomal microarray testing for cases of abnormal fetal head circumference
- Expert advice about therapeutic exercise during pregnancy reduces the symptoms of sacroiliac dysfunction
- Trends of changes in the specific contribution of selected risk factors for shoulder dystocia over a period of more than two decades
- Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems – a retrospective cohort study
- Prevalence of vitamin D deficiency in Egyptian patients with pregnancy-induced hypertension
- Antenatal survey of women’s birthing choices in Qatar
- Original Article – Fetus
- Reference ranges for the fetal mitral, tricuspid, and interventricular septum annular plane systolic excursions (mitral annular plane systolic excursion, tricuspid annular plane systolic excursion, and septum annular plane systolic excursion) between 20 and 36 + 6 weeks of gestation
- Original Articles – Newborns
- Prediction of extubation success using the diaphragmatic electromyograph results in ventilated neonates
- Use of birth weight- vs. ultrasound-derived fetal weight classification methods: implications for detection of abnormal umbilical artery Doppler
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Artikel in diesem Heft
- Frontmatter
- Review
- Exercise during pregnancy: a comparative review of guidelines
- Corner of Academy
- Women’s decisional conflict in the pathway of prenatal screening and testing: an explorative study within Finnish public maternity care
- Vascular anastomoses in intrauterine growth in monochorionic twins
- Effects of coronavirus 19 pandemic on maternal anxiety during pregnancy: a prospectic observational study
- Letter to the Editor
- Giving birth and dying alone in hospital during the COVID-19 pandemic – a time for shifting paradigm toward continuity of care
- Original Articles – Obstetrics
- The yield of chromosomal microarray testing for cases of abnormal fetal head circumference
- Expert advice about therapeutic exercise during pregnancy reduces the symptoms of sacroiliac dysfunction
- Trends of changes in the specific contribution of selected risk factors for shoulder dystocia over a period of more than two decades
- Birth tears after spontaneous and vacuum-assisted births with different vacuum cup systems – a retrospective cohort study
- Prevalence of vitamin D deficiency in Egyptian patients with pregnancy-induced hypertension
- Antenatal survey of women’s birthing choices in Qatar
- Original Article – Fetus
- Reference ranges for the fetal mitral, tricuspid, and interventricular septum annular plane systolic excursions (mitral annular plane systolic excursion, tricuspid annular plane systolic excursion, and septum annular plane systolic excursion) between 20 and 36 + 6 weeks of gestation
- Original Articles – Newborns
- Prediction of extubation success using the diaphragmatic electromyograph results in ventilated neonates
- Use of birth weight- vs. ultrasound-derived fetal weight classification methods: implications for detection of abnormal umbilical artery Doppler
- Investigating the preventive effect of vitamins C and E on preeclampsia in nulliparous pregnant women
- Monitoring the incidence, duration and distribution of hyperglycaemia in very-low-birth-weight newborns and identifying associated factors
