Lombalgia Gestacional: uma Revisão Integrativa sobre Hidroterapia, Reeducação Postural Global e Pilates

A gestação compreende um período de várias mudanças anatômicas e fisiológicas no corpo da gestante. Um problema de grande relevância nessa fase é a lombalgia gestacional, que acarreta dor na região lombar e compromete a qualidade de vida da mulher grávida. O objetivo do trabalho foi verificar, através de revisão de literatura, os efeitos da hidroterapia, reeducação postural global (RPG) e Pilates no tratamento da dor lombar durante a gestação. Foram incluídos estudos clínicos de gestantes que estavam no segundo ou terceiro trimestre de gestação, cuja dor lombar surgiu na gestação e não havia associação com dor pélvica, publicados nas bases de dados SciELO, LILACS e Google Acadêmico, disponíveis na íntegra e online, entre os anos de 2010 a 2020. Foram excluídos artigos de revisão de literatura, monografias, que falavam sobre lombalgia decorrente de outras causas e que utilizavam esses tratamentos em homens ou mulheres não gestantes. Foram selecionados 6 artigos, 3 de hidroterapia, 2 de RPG e 1 de Pilates. Verificou-se que os três métodos causaram redução na intensidade da dor lombar gestacional. Além disso, a hidroterapia diminuiu a tensão nos músculos dorsais, aumentou a flexibilidade dos músculos estabilizadores da coluna e melhorou a qualidade de vida das gestantes; e a RPG ocasionou diminuição da limitação funcional e melhora da qualidade de vida. Concluiu-se, a partir desta revisão de literatura, que a hidroterapia, RPG e Pilates proporcionaram melhora significativa da dor lombar durante a gestação, havendo diminuição na intensidade da dor. Palavras-chave: Gravidez. Dor Lombar. Exercícios Terapêutico. Exercícios de AlongamentoMuscular. Exercícios Aquáticos. Abstract Pregnancy represents a period of several anatomical and physiological changes in the pregnant woman’s body. A problem of great relevance in this phase is gestational low back pain, which causes pain in the lower back and compromises the quality of life of pregnant women. The objective of the study was to verify, through literature review, the effects of hydrotherapy, global posture reeducation (GPR) and Pilates in the treatment of low back pain during pregnancy. Clinical studies of pregnant women who were in the second or third trimester of pregnancy, whose low back pain appeared during pregnancy and there was no association with pelvic pain, published in the SciELO, LILACS and Google Scholar databases, available in full and online, between 2010 to 2020 were included. The literature review articles and monographs, that were about low back pain due to other reasons and that used these treatments in men or non-pregnant women were excluded. Six articles were selected, three of hydrotherapy, two of GPR and one of Pilates. It was found that the three methods caused reduction in the intensity of gestational lumbar pain. In addition, hydrotherapy decreased the tension in dorsal muscles, increased the flexibility of spine stabilizing muscles and improved the quality of life of pregnant women; and GPR caused decrease in functional limitation and improved quality of life. It was concluded, from this literature review, that hydrotherapy, GPR and Pilates provided significant improvement in low back pain during pregnancy, with a decrease in pain intensity. Keywords: Pregnancy. Low Back Pain. Therapeutic Exercises. Muscle Stretching Exercises. Aquatic Exercises.

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Influence of Pilates Method on Nonspecific Lumbar Pain

Arquivos Brasileiros de Neurocirurgia Brazilian Neurosurgery ◽

10.1055/s-0040-1716561 ◽

2020 ◽

Vol 39 (04) ◽

pp. 300-305

Author(s):

Ana Carla Schimidt ◽

Paula de Oliveira Herzinger ◽

Danielle Pacheco Matias ◽

Leonardo C. Welling

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pain Perception ◽

Randomized Clinical Trials ◽

Lumbar Pain ◽

Low Back ◽

Reduction Of Pain ◽

Pilates Method

AbstractLow back pain is defined as pain located between the lower rib cage and the gluteal folds, and its etiology is multifactorial, considerably affecting quality of life. The aim of this literature review was to analyze the influence of the Pilates method on the symptoms of patients with nonspecific low back pain, which is considered a promising treatment for this type of pathology. A narrative review of the literature was carried out using the PubMed, Pedro, Scopus and Scielo databases. To perform the search, Pilates AND Low back nonspecific AND Pain were used as keywords. Articles published in the last 5 years, randomized clinical trials that verified the influence of the Pilates method in adult individuals with unspecified low back pain and full text in English were included. Of the 77 articles identified, 7 articles met the inclusion criteria, 7 analyzed the primary outcomes of pain intensity and disability, 5 articles compared Pilates with other rehabilitation techniques and 2 studies compared the effectiveness of Pilates solo with Pilates apparatus. It was concluded that all the techniques that were compared with Pilates are effective, being difficult to affirm the superiority of Pilates over them in relation to the reduction of pain and disability and improvement of quality of life. However, the Pilates method has shown good results in pain perception and intensity, functional capacity, fear of movement and the idea that movement can worsen your condition, muscle strength, range of motion and flexibility.

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Pregnancy-Related Low Back Pain and The Quality of Life among Pregnant Women : A Narrative Literature Review

Journal of Public Health for Tropical and Coastal Region ◽

10.14710/jphtcr.v4i3.10795 ◽

2021 ◽

Vol 4 (3) ◽

pp. 108-116

Author(s):

Tiara Fatmarizka ◽

Raudhatus Shofy Ramadanty ◽

Dini Afriani Khasanah

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Well Being ◽

Low Back ◽

Cross Sectional ◽

Cross Sectional Studies ◽

In Pregnancy

Introduction: Around 50-70% of pregnant women have reported pregnancy-related back pain during the second and third trimesters of pregnancy. Physical and physiological aspects during pregnancy might affect the quality of life (QoL) of pregnant women, and the problems due to the alteration can be seen in how they run their daily activities. The effect of LBP in pregnancy on the QoL among pregnant women must be known to avoid the pain that affects pregnant women’s activities and well-being. The aim of this study is to review the relationship between low back pain and the QoL during pregnancy.Methods: Using the search terms via PubMed and Google Scholar, seven cross-sectional studies have met the inclusion criteria and included for further analysis. The appraisal tool for Cross-Sectional Studies (AXIS) is used to assess the quality of the included studies including the risk of bias.Results: The findings show that LBP in pregnancy affects the level of quality of life such as sleep quality and sexual activity, limits the activities and productivities, and even make physical disability among pregnant women. The 75-90% was of the range score obtained from the AXIS critical appraisal.Conclusions: This review mentioned those pregnant women with PRBP had decreased QoL during and after childbirth, so the awareness of health professionals needs to be improved.

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A DOR LOMBAR COMO INDICADOR DE ALTERAÇÃO NA QUALIDADE DE VIDA NO TRABALHO DE DOCENTES UNIVERSITÁRIOS: UMA REVISÃO DA LITERATURA / THE LOW BACK PAIN AS AN INDICATOR OF CHANGE IN THE QUALITY OF LIFE AT WORK OF PROFESSOR: A LITERATURE REVIEW

Brazilian Journal of Development ◽

10.34117/bjdv6n10-061 ◽

2020 ◽

Vol 6 (10) ◽

pp. 74905-74921

Author(s):

Gustavo Melo de Paula ◽

Teresa Patrone Cotrim

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Literature Review ◽

Low Back

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Low Back Pain in Pregnancy

International Journal of Recent Surgical and Medical Sciences ◽

10.5005/jp-journals-10053-0006 ◽

2016 ◽

Vol 02 (01) ◽

pp. 023-027

Author(s):

Vikram Khanna ◽

Ranjana Khanna ◽

Parul Gupta

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Lumbar Pain ◽

Low Back ◽

Common Complaint ◽

Negative Effect ◽

Adequate Management ◽

In Pregnancy

AbstractLow back pain in pregnancy is a common complaint. Psychologically, it has a negative effect on the patient, adversely affecting the quality of life.Presenting either as pelvic girdle or as lumbar pain, accurate and early diagnosis is essential for adequate management of patients with low back pain in pregnancy. The mainstay of management is conservative. There is no established protocol and the treatment has to be tailored for each patient.

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The Effect of Low Back Pain on Quality of Life and Anxiety Levels in Pregnant Women

Akdeniz Medical Journal ◽

10.53394/akd.964025 ◽

2021 ◽

Vol 7 (2) ◽

pp. 212-219

Author(s):

Semra EROGLU ◽

Gulsah KARATAS

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Low Back ◽

Anxiety Levels

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Impact of Musculoskeletal Dysfunctions on Quality of Life of Pregnant Women

International Journal of Nursing & Midwifery Research ◽

10.24321/2455.9318.202015 ◽

2020 ◽

Vol 07 (02) ◽

pp. 27-31

Author(s):

Himanshu Vyas ◽

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Musculoskeletal Pain ◽

Care Hospital ◽

Low Back ◽

Musculoskeletal Discomfort ◽

In Pregnancy

Background: Pregnancy is a special condition which is neither a disease nor a normal body status. The anatomical, physiological, and biochemical adjustments are significant during pregnancy, starting soon after fertilization and continuing throughout pregnancy. Reasons for pain during pregnancy include hormonal changes, increased weight, postural variations and impaired strength and co-ordination of abdominal and pelvic muscles. Musculoskeletal pain during pregnancy can have a significant negative impact on day to day functioning. Objectives: To determine the level of musculoskeletal discomforts in pregnancy, to explore the relationship between the musculoskeletal discomfort and quality of life in pregnancy and to associate the selected demographic variables with musculoskeletal discomfort in pregnancy. Methods: Cross-sectional research design was used. 323 antenatal mothers, gestational age more than 20 weeks, attending antenatal OPD of a tertiary care hospital of western Rajasthan were selected with the convenient sampling technique. Pregnancy musculoskeletal discomforts were assessed by Pregnancy Induced Musculoskeletal Dysfunctional Scale (PMDS) and quality of life (QOL) was assessed by the WHOQOL-BREF scoring questionnaires. Descriptive and inferential statistics were employed to analyse the data. Results: Pregnant women reported most frequently the low back pain (60%) and leg cramps (42%) and majority of them experienced mild form of pain. Result also showed the number of symptoms increased with progressing trimester. In case of quality of life, less than 50% of pregnant women reported with average and poor quality of life. The quality of life was found to be negatively correlated with various level of intensity of musculoskeletal pain. Conclusion: Among various musculoskeletal dysfunctions, low back pain and leg cramp are the most common symptoms of all and it affects the quality of life in pregnancy in different dimensions of health. Considering this aspect would help health care professionals to offer appropriate care and education in view of prevention of musculoskeletal dysfunctions and promote health of mother during pregnancy.

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The effects of clinical pilates exercises on functional disability, pain, quality of life and lumbopelvic stabilization in pregnant women with low back pain: A randomized controlled study

Journal of Back and Musculoskeletal Rehabilitation ◽

10.3233/bmr-191810 ◽

2020 ◽

pp. 1-8

Author(s):

Emel Sonmezer ◽

Manolya Acar Özköslü ◽

Hayri Baran Yosmaoğlu

Keyword(s):

Quality Of Life ◽

Low Back Pain ◽

Back Pain ◽

Pregnant Women ◽

Exercise Group ◽

Control Group ◽

Low Back ◽

Physical Mobility ◽

Lumbopelvic Stabilization

BACKGROUND: Although the Pilates method has been reported to be effective in women with low back pain (LBP), the efficacy of Pilates exercises in pregnant women with LBP has not been evaluated widely. OBJECTIVE: The purpose of this study was to determine the effects of clinical Pilates exercises on lumbopelvic stabilization, pain, disability and quality of life in pregnant women with LBP. METHODS: Fourty pregnant women were randomized into either a Pilates exercise group (n= 20) or control group (n= 20). Subjects in the Pilates exercise group performed the exercises two times a week for eight weeks. Subjects in the control group followed regular prenatal care. Lumbopelvic stabilization was assessed with a pressure biofeedback unit, pain with the Visual Analog Scale, disability with the Oswestry Low Back Pain Questionnaire and quality of life with the Nottingham Health Profile (NHP). RESULTS: Pain and disability were significantly improved in the Pilates exercise group after intervention (p= 0.03, p< 0.001, respectively). There were also significant improvements in sleep, physical mobility sub-parameters of NHP and lumbopelvic stabilization after Pilates exercises (p= 0.048, p= 0.007, respectively). However, there were no statistically significant changes in all outcome measures in the control group (p> 0.05). CONCLUSIONS: Pilates exercises can be recommended as an effective and safe method for increasing lumbopelvic stabilization, reducing pain and disability, improving physical mobility and sleep problems in pregnant women with LBP.

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