Prevalence of Musculoskeletal Dysfunctions among Indian Pregnant Women

Background and Objectives. Pregnancy triggers a wide range of changes in a woman’s body leading to various musculoskeletal dysfunctions. Most commonly reported musculoskeletal discomforts by pregnant women are low back pain and symphysis pubis pain. The culture and the environmental factors may influence the discomforts experienced by a pregnant woman. There is a dearth of literature in India, regarding the common musculoskeletal dysfunctions experienced by a pregnant woman, and hence this study.Method. A questionnaire to identify the musculoskeletal dysfunction was developed; content was validated and was translated to local languages through parallel back translation. 261 primiparous pregnant women participated in the study and filled the questionnaire in their native language.Results. Among the musculoskeletal dysfunctions reported by the pregnant women, 64.6% reported calf muscle cramps, 37.1% reported foot pain, and 33.7% experienced low back pain in their third trimester. In the second trimester, common musculoskeletal dysfunctions experienced by the women were that of calf pain (47.8%), low back pain (42%), and pelvic girdle pain (37%).Conclusion. Musculoskeletal dysfunctions and general discomforts very commonly affect the activities of daily living of pregnant women. Understanding the common discomforts during various trimesters of pregnancy will help to develop a comprehensive program for prevention and cure.

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Do pregnant women follow exercise guidelines? Prevalence data among 3482 women, and prediction of low-back pain, pelvic girdle pain and depression

British Journal of Sports Medicine ◽

10.1136/bjsports-2012-091344 ◽

2012 ◽

Vol 47 (8) ◽

pp. 515-520 ◽

Cited By ~ 62

Author(s):

Kristin Gjestland ◽

Kari Bø ◽

Katrine Mari Owe ◽

Malin Eberhard-Gran

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Low Back ◽

Prevalence Data ◽

Exercise Guidelines

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Effect of Self-Care Guidelines on Low Back Pain among Pregnant Women

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v1i3.72 ◽

2019 ◽

Vol 1 (3) ◽

pp. 10

Author(s):

Shimaa A. Sharaby ◽

Mona A. B. Abd Ellatef

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Woman ◽

Pregnant Women ◽

Self Care ◽

Structured Interview ◽

University Hospital ◽

Low Back ◽

Quasi Experimental ◽

Care Guidelines

Background: Gestational low back pain is a significant complaint during gestation being responsible for many negative impacts on the quality of life of pregnant women.Aim: Evaluate the effect of self-care guidelines on low back pain among pregnant women.Method: Quasi-experimental (pre/post-test) designed used to achieve the study aim. The study carried out at the outpatient clinic for antenatal care in Kafr ElSheikh University Hospital. Purposive samples composed of 39 pregnant women included in this study. Tools used included a structured interview questionnaire; to assess demographic characteristics of the studied sample, assess the obstetric history of pregnant women, assess pregnant women knowledge regarding low back pain and assess pregnant women reported practices toward relieving low back pain. The second tool was a visual analog scale to assess the degree of low back pain among pregnant woman.Result: Revealed statistically significant differences between mean scores of pregnant women knowledge, self-reported practices and the mean scores of pain degree among pregnant women pre, post-self-care guidelines implementation.Conclusion: Application of the self- care guidelines was improving pregnant women knowledge, practices, and was relieving low back pain recommending implementation of self-care guidelines in obstetrics & gynecological departments and antenatal outpatient clinics to relieve low back pain among pregnant woman. Besides, counseling and health education program must be provided to all pregnant woman to increases their knowledge regarding measures of relieving low back pain during pregnancy.

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The effects of stabilization exercise on low back pain and pelvic girdle pain in pregnant women

Annals of Physical and Rehabilitation Medicine ◽

10.1016/j.rehab.2018.05.356 ◽

2018 ◽

Vol 61 ◽

pp. e157-e158 ◽

Cited By ~ 2

Author(s):

J. Bogaert ◽

M. Stack ◽

S. Partington ◽

J. Marceca ◽

A. Tremback-Ball

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Low Back ◽

Stabilization Exercise

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Non-Pharmacological Therapy for Pregnant Women with Low Back Pain: A Systematic Review

Promoting Population Mental Health and Well-Being ◽

10.26911/theicph.2019.05.21 ◽

2019 ◽

Author(s):

Meliyana Meliyana ◽

◽

Ari Suwondo ◽

Mursid Mursid ◽

◽

...

Keyword(s):

Systematic Review ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Pharmacological Therapy ◽

Low Back

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Long-term improvements following a residential combined physical and psychological programme for chronic low back pain

BMJ Open Quality ◽

10.1136/bmjoq-2020-001068 ◽

2021 ◽

Vol 10 (2) ◽

pp. e001068

Author(s):

Shaun Wellburn ◽

Cormac G Ryan ◽

Andrew Coxon ◽

Alastair J Dickson ◽

D John Dickson ◽

...

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Outcome Measures ◽

Chronic Low Back Pain ◽

Rating Scale ◽

Secondary Outcome ◽

Low Back ◽

Residential Setting ◽

Wide Range

ObjectivesEvaluate the outcomes and explore experiences of patients undergoing a residential combined physical and psychological programme (CPPP) for chronic low back pain.DesignA longitudinal observational cohort design, with a parallel qualitative design using semistructured interviews.SettingResidential, multimodal rehabilitation.Participants136 adults (62 male/74 female) referred to the CPPP, 100 (44 male/56 female) of whom completed the programme, during the term of the study. Ten (2 male/8 female) participated in the qualitative evaluation.InterventionA 3-week residential CPPP.Outcome measuresPrimary outcome measures were the STarT Back screening tool score; pain intensity—11-point Numerical Rating Scale; function—Oswestry Disability Index (ODI); health status/quality of life—EQ-5D-5L EuroQol five-Dimension-five level; anxiety—Generalised Anxiety Disorder-7; depression—Patient Health Questionnaire-9. Secondary outcome measures were the Global Subjective Outcome Scale; National Health Service Friends and Family Test;.ResultsAt discharge, 6 and 12 months follow ups, there were improvements from baseline that were greater than minimum clinically important differences in each of the outcomes (with the sole exception of ODI at discharge). At 12 months, the majority of people considered themselves a lot better (57%) and were extremely likely (86%) to recommend the programme to a friend. The qualitative data showed praise for the residential nature of the intervention and the opportunities for interaction with peers and peer support. There were testimonies of improvements in understanding of pain and how to manage it better. Some participants said they had reduced, or stopped, medication they had been taking to manage their pain.ConclusionsParticipants improved, and maintained long term, beyond minimum clinically important differences on a wide range of outcomes. Participants reported an enhanced ability to self-manage their back pain and support for the residential setting.

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Assessment Low Back Pain and Sleep Quality among Pregnant Women: Cross Sectional Study

Jurnal Keperawatan ◽

10.32583/keperawatan.v12i4.1059 ◽

2020 ◽

Vol 12 (4) ◽

pp. 1037-1042

Author(s):

M. Jamaluddin ◽

Widiyaningsih Widiyaningsih ◽

Dwi Kustriyanti

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Sleep Quality ◽

Pregnant Women ◽

Pearson Correlation ◽

Cross Sectional Study ◽

Abdominal Muscles ◽

Low Back ◽

Sectional Study ◽

Cross Sectional

During pregnancy there are physiological and psychological changes that can cause discomfort such as leg cramps, difficulty breathing, back pain, depression, anxiety and sleep disorders. The prevalence of low back pain is around 60-80% which can lead to strain on the ligaments and fatigue in the abdominal muscles, as well as balance disorders. This will lead to disruption of activities during pregnancy, such as difficulty walking and sleep disturbances. To assess low back pain and sleep quality among pregnant women: cross sectional study. Cross-sectional data were collected by 37 pregnant women with inclusion criteria were third trimester pregnant women, willing to be a respondent, with normal blood pressure, and have not received any medication related sleep disorder. They completed the Pittsburgh Sleep Quality Index (PSQI) and Rolland-Morris Disability Questionaire (RDQ), statistical analysis was conducted using Pearson Correlation Product Moment. Research was conducted in Semarang and Kudus. Sleep quality among pregnant women demonstrated significanly poor overall sleep quality with PSQI score (mean 8.70 ± 3.511) and RDQ score (mean 8.97 ± 6.414). There was moderate correlation between low back pain with sleep quality (r correlation = 0.558). Low back pain have correlation to increase or decrease sleep quality among preganant women.

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PENGARUH AKUPRESUR TITIK BLADDER 23 TERHADAP INTENSITAS NYERI PUNGGUNG BAWAH IBU HAMIL TRIMESTER III DI UPTD PUSKESMAS I DENPASAR UTARA

Jurnal Midwifery Update (MU) ◽

10.32807/jmu.v2i2.91 ◽

2020 ◽

Vol 2 (2) ◽

pp. 75

Author(s):

Ni Luh Putu Sentania Widhi Permana Putri ◽

Ni Wayan Suarniti ◽

Ni Nyoman Budiani

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Mean Value ◽

Lumbar Region ◽

Low Back ◽

Third Trimester ◽

Purposive Sampling ◽

Before And After ◽

Pharmacological Method

Nyeri punggung bawah pada kehamilan digambarkan sebagai nyeri pada daerah lumbar, diatas sakrum yang menyebabkan ketidaknyamanan selama kehamilan. Akupresur titik bladder 23 merupakan metode non-farmakologi yang dapat mengurangi nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui pengaruh akupresur titik bladder 23 terhadapintensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara. Penelitian ini menggunakan pre eksperimental dengan rancangan one grup pretest-posttest design.Sampel yang digunakan yaitu 12 orang ibu hamil trimester III dengan usia kehamilan 37-39 minggu dan di pilih secara purposive sampling. Data diambil dengan melakukan observasi intensitas nyeri punggung bawah sebelum dan sesudah dilakukan akupresur titik bladder 23. Responden melakukan akupresur sebanyak dua kali seminggu dengan durasi dua detik sebanyak 30 kali tekanan. Hasil intensitas nyeri punggung bawah sebelum perlakuan diperoleh nilai mean 4,17 dan setelah perlakuan berubah menjadi 2,67 dengan nilai ρ = 0,000 < α (0,05) dan nilai t (9,950). Simpulannya adalah ada pengaruh akupresur titik bladder 23 terhadap intensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara.Lower back pain in pregnancy described as pain in the lumbar region, above the sacrum which causes discomfort during pregnancy.Acupressurepoint bladder 23 is a non-pharmacological method that canreduce low back pain.This study aims to determine the effect of acupressure point bladder 23 on the low back pain level in third semester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar. This is pre-experimental research with one group pretest-posttest design. The samples were 12pregnant women on third trimester with 37-39 weeks gestational age and were selected by purposive sampling. Data were collected byobserving the intensity of low back pain before and after treatment. Respondents did acupressure twice a week with the duration two seconds for each 30 times pressure. The results of low back pain intensity before treatment obtained a mean value of 4.17 and after the treatment there was reduce to 2.67 with a value of ρ = 0,000 <α (0.05) and t value (9,950). The conclusion is that there is an influence of acupressurepoint bladder 23 on the low back painintensityin third trimester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar.

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Effects of elastic tape in pregnant women with low back pain: A randomized controlled trial

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-200094 ◽

2020 ◽

pp. 1-9

Author(s):

Matchimamart Chamnankrom ◽

Nuttaset Manimmanakorn ◽

Apiwan Manimmanakorn ◽

Kiattisak Kongwattanakul ◽

Michael J. Hamlin

Keyword(s):

Low Back Pain ◽

Placebo Group ◽

Back Pain ◽

Pregnant Women ◽

Lower Back Pain ◽

Controlled Trial ◽

Low Back ◽

Disability Score ◽

Kinesio Tape ◽

Lower Back

BACKGROUND: Low back pain is a common problem in pregnant woman. Elastic tape is an alternative method that may reduce low back pain. OBJECTIVES: To compare the effect of elastic tape to placebo tape in the treatment of low back pain in pregnant women. METHODS: Forty pregnant women were allocated into two groups: elastic group (n= 20) and placebo group (n= 20). All participants were taped by either stretched (elastic group) or non-stretched (placebo group) Kinesio tape at the lower back area for one week. RESULTS: After the application of stretched elastic tape, lower back pain was significantly reduced by 29.4% (p= 0.003) immediately post-taping and by a further 75.4% after wearing the tape for a week. Compared to the placebo group, lower back pain was significantly reduced in the elastic group after one week of wearing the tape (p< 0.001). Compared to placebo, the application of elastic tape significantly reduced the disability score (Roland-Morris Disability Questionnaire) after one week of wearing the tape (p= 0.018). Taping to the back improved walking speed (immediately and after one week) in both the elastic (p< 0.001, p< 0.001) and placebo groups (p< 0.001, p= 0.001); however, the application of either tape had little effect on posture change. CONCLUSION: Elastic tape reduced back pain and improved physical function in pregnant women compared to the placebo tape.

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