scholarly journals The Effect of Hatha Yoga on Low Back Pain and Sleep Quality in Nulliparous Pregnant Women: A Clinical Trial Study

2020 ◽  
Author(s):  
peyman namdar ◽  
narges hoseini ◽  
leila dehghankar ◽  
leili yekefallah

Abstract Background“Sleep quality disorder” and “low back pain” are some of the most common complaints of pregnant women during pregnancy and disturb their daily activities. Currently, there are not enough interventions for these symptoms. Recently, the sport of yoga, one of the stretching sports and therapeutic methods, has attracted the attention of rehabilitation specialists. This study aimed to determine the effect of Hatha yoga on low back pain and sleep quality in nulliparous pregnant women.MethodsThis controlled clinical trial study was performed on 60 eligible nulliparous pregnant women at the gestation age of 24 to 28 weeks with normal pregnancy in the gynecology clinic of Kowsar Hospital in Qazvin city, Iran. The samples were selected using convenience sampling and were assigned to intervention and control groups via random sampling without replacement. In addition to receiving routine pregnancy care by referring to the gynecology clinic of the hospital, the intervention group attended Hatha yoga classes twice a week (each session lasting 75 minutes) at the Hatha yoga specialized sports club from week 26 to week 37 of their pregnancy. A demographic information questionnaire, a visual pain scale, and the Pittsburgh Sleep Quality Index were used to collect information. In addition, SPSS software (version 24) and descriptive and inferential statistics were used to analyze the data. The significance level of all the tests was considered to be p <0.05.ResultsUsing Wilcoxon tests, the comparison of low back pain in the intervention group before (with the p-value of 0.057) and after (with the p-value of 0.172) the study showed that there was no significant difference between the pain scores in the intervention group. Moreover, using Wilcoxon tests, the comparison of the sleep quality score in the intervention group before (with the p-value of 0.007) and after (with the p-value of 0.001) the study indicated that there was a significant difference in the sleep quality scores in the intervention group. ConclusionBased on the results of the study, it can be said that Hatha yoga did not have a significant effect on the low back pain scores in the intervention group, however, it had a significant effect on their sleep quality. According to the findings of this study, the correct and regular use of Hatha yoga under the supervision of a specialist instructor can be valuable for pregnant women in their second trimester due to its being non-invasiveness and applicable.Trial registrationThe clinical trial registration code for this study was obtained from the Iranian Registry of Clinical Trials on 19.02.2019 (IRCT code: IRCT20190919044819N1).

2021 ◽  
Vol 10 (4) ◽  
pp. 308-327
Author(s):  
Maryam Pourmohammadi ◽  
◽  
Zahra Tagharrobi ◽  
Khadijeh Sharifi ◽  
Zahra Sooki ◽  
...  

Objective: One of the common problems that leads to poor sleep quality in the elderly is low back pain. This study aims to evaluate the effect of auriculotherapy (ear acupressure) on the sleep quality of elderly people with chronic low back pain. Methods: This single-blind randomized clinical trial was conducted in 2019 on 70 older adults with chronic low back pain in Kashan, Iran, who were selected using a convenience sampling technique. After obtaining a written informed consent, they were assigned into intervention and sham groups using the block randomization method. In the intervention group, the pressure was applied to ShenMen, sympathetic, subcortex and low back points of the ear, while in the sham group, the pressure was applied to the points that were not associated with the low back pain. The Pittsburgh Sleep Quality Index (PSQI) and McGill Pain Questionnaire (MPQ) were completed at the beginning of the study, at the end of intervention, and one month after the end of intervention. Six patients from the Sham group and 2 patients from the intervention group were excluded from the study. The data of 62 elderly (in sham group 29 and in intervention group 33) according to Per-Protocol (PP) and data of all samples as Intention to Treat (ITT) were analyzed using covariance analysis and repeated measures ANOVA. Results: There was a statistically significant difference between the intervention and sham groups in terms of the duration of disease at baseline (P=0.012). The interaction effect of time and group on the sleep quality was significant (P<0.0001). Sleep quality in the intervention group was significantly better than in the sham group at the end of the intervention and also during the one-month follow-up period (P<0.0001). Within-group comparison results reported a significant difference in the sleep quality between three evaluation times in the intervention group (P<0.0001). Conclusion: Auriculotherapy can improve sleep quality in the elderly with chronic low back pain. It is recommended to use auriculotherapy as a complementary therapy for treating these elderly groups.


2021 ◽  
Vol 1 (3) ◽  
pp. 254-257
Author(s):  
Shinta Novelia ◽  
Rukmaini ◽  
Siti Anisah

Back pain is one of the discomforts experienced by pregnant women in the third trimester. From some of the discomforts of pregnant women in Kilasah Village, 32 samples of TM III pregnant women who experienced back pain were taken. This study aims to observe the intensity of back pain before and after being given warm compresses. This study aimed to determine the effect of warm compresses on lower back pain among third trimester pregnant women who do pregnant exercise in Kilasah Village, Kilasah Health Center Work Area, Kasemen District, Serang City. This study used a quasi-experimental research design with a control group design. The sample in this study was pregnant women of third trimester in the village of Kilasah. The samples was 32 respondents who were divided into two groups; 16 intervention groups and 16 control groups. The results of this study indicate that there was a difference in the level of low back between the intervention group and the control group (p value = 0.000). It is hoped that the results of this study can become the basis for developing methods to reduce low back pain in third trimester pregnant women.


2020 ◽  
Vol 12 (4) ◽  
pp. 1037-1042
Author(s):  
M. Jamaluddin ◽  
Widiyaningsih Widiyaningsih ◽  
Dwi Kustriyanti

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. 


2020 ◽  
Vol 16 (1) ◽  
pp. 155-156
Author(s):  
Letícia F. Leonel ◽  
Priscila K. Morelhão ◽  
Sergio Tufik ◽  
Monica L. Andersen

Author(s):  
K. Vadivelan ◽  
J. S. Poyyamozhi ◽  
G. Dinesh Kumar ◽  
C. Rajan Rushender

Background: Low back pain is the common symptom of the lumbar region that more than 80 percent of people experience in their lifetime. Methods: Quasi-experimental study was conducted with three intervention groups. Ankle mobilization (Group I), Active stretching of calf muscle (Group 2), No Intervention (Group 3). This study was carried out in the Department of Physiotherapy at SRM University, Chennai. 21 subjects were included in the study, with 7 subjects in each group. Results: Median age was found to be 20 (19–21), 19 (18–20) and 21 (20–22) in group 1, group 2 and group 3 respectively and no significant difference was seen between the groups, p value 0.11) There was a significant improvement seen in visual analogue scale, in both the intervention groups before and after intervention. The median and IQR for ankle mobilization group pre and post intervention was 6 (IQR, 5–6) and 4 (IQR, 3–5) respectively, with a p value <0.01. Conclusions: Overall results have shown that both the intervention groups have similar effects in reducing lower back pain and improving lumbar flexion, compared to the control group. 


2021 ◽  
Vol 9 (4) ◽  
pp. 268-273
Author(s):  
Roghayeh Dargahi ◽  
Behrooz Nazari ◽  
Abbasali Dorosti ◽  
Saeid Charsouei

Objectives: Many factors such as stress and psychological tension affect the mental and physical health of pregnant women in the third trimester during the coronavirus pandemic. These factors can cause severe complications such as sleep disorders and low back pain. Therefore, this study focused on investigating sleep disorders in women by diagnosing low back pain in pregnant women with coronavirus and the affecting factors. Materials and Methods: This descriptive-analytical study was performed during the four months ending July 5, 2020 with the participation of 40 pregnant women (with coronavirus disease detected in the last trimester of pregnancy) with a diagnosis of low back pain in Tabriz (Iran) using a random sampling technique. Demographic data, anxiety and depression, Petersburg’s sleep quality, factors affecting sleep quality, and the severity of back pain (visual analog scale) were electronically collected and analyzed using SPSS 20 by ANOVA and multivariate regression. Results: All participants were at a weak level. The majority of participants had a score of "serious sleep problem", and nausea and vomiting (P=0.041), low back pain (P=0.003), frequent urination (P=0.011), leg cramps (P=0.031), and constipation (P=0.018) caused severe sleep disturbance in pregnant women during coronavirus pandemic. Conclusions: In general, having coronavirus disease causes severe pain in pregnant women, leading to severe back pain in pregnancy, eventually worsening sleep disorders.


2017 ◽  
Vol 35 (3) ◽  
pp. 221
Author(s):  
Nichapa Parasin ◽  
Srintip Khumful ◽  
Ajchamon Thammachai

Objective: The objective of this pilot study was to investigate immediate effects of Thai herbal hot pack on pain and muscle flexibility in person with chronic low back pain.Material and Method: Twenty-two subjects with low back pain received the Thai herbal hot pack treatment which was heated by microwave oven on lower back for 30 minutes. Subjects were assessed pain and flexibility using visual analog scale and sit and reach test, respectively. Both parameters were measured at baseline and immediately after treatment.Results: The results showed that there were statistically significant difference in pain and flexibility immediately after 30 minutes of using Thai herbal hot pack (p-value<0.001 and p-value<0.050, respectively). The microwave oven-heated Thai herbal hot pack showed positive effect on pain and flexibility. Heat conduction and herbal ingredients of Thai herbal hot pack may be the main reasons that effects on parameters.Conclusion: Thai herbal hot pack may be considered as an alternative treatment for pain relieving and flexibility improving in low back pain patients.


2020 ◽  
Vol 9 (2) ◽  
pp. 1403-1408
Author(s):  
Dewi Nurlaela Sari ◽  
Yanyan Mulyani

Low back pain is one of the discomfort felt by pregnant women, especially pregnancies that are in the third trimester. This study aims to determine the effect of Zingiber Officinale and pure honey in the handling of low back pain discomfort in Trimester III pregnant women. This type of research method is a quasi-experiment with one group pre-post test design approach. The sampling method used purposive sampling, namely as many as 51 respondents. The bivariate test used was the Wilxocon test with a paired t-test. The results showed that offering food and honey was effective in reducing the low back pain scale in pregnant women with a p-value (2-tailed) of 0.000 (p <0.05). In conclusion, it is found that there is an effect of offering female labor and pure honey in the management of low back pain in third-trimester pregnant women. 


2018 ◽  
Vol 38 (01) ◽  
pp. 41-51
Author(s):  
Vivek Dineshbhai Patel ◽  
Charu Eapen ◽  
Zulfeequer Ceepee ◽  
Ramachandra Kamath

Background: Muscle energy technique (MET) and strain–counterstrain (SCS) technique are found to be effective as a sole treatment of acute low back pain (LBP), but the combined effect of these two techniques has not been evaluated. Objective: The purpose of this randomized clinical trial was to evaluate the added effect of SCS to MET in acute LBP patients. Methods: In this trial, 50 patients were randomly allocated to MET or MET-SCS group to receive the assigned two treatment sessions for two consecutive days. Oswestry disability index (ODI) and Roland Morris disability questionnaire (RMDQ), visual analogue scale (VAS), lumbar range of motion (ROM) were recorded at baseline, after first and second session. Results: All the outcome measures showed statistically significant ([Formula: see text]) improvement in both the groups after second session. Between the groups, analysis showed no statistically significant difference ([Formula: see text]) after the first or second session. Conclusions: The improvement after second treatment sessions was noted in pain, ROM, and disability in both the groups, but immediate effect was seen only on pain intensity after first treatment session. When compared between the groups, no added effect of SCS to MET was found in reducing pain and disability and increasing lumbar ROM in acute LBP patients.


2020 ◽  
Vol 7 (1) ◽  
pp. 39-45
Author(s):  
Lina Puspitasari ◽  
Ernawati Ernawati

Background. Low back pain is the pain in the lower back region that occurs in 50% of pregnantwomen and it can be overcome with training. Mechanical Body is an effort to facilitate musclemovement without causing muscle tension so as to reduce musculoskeletal injury. Hamstringexercise action can also support the reduction of low back pain, this is caused by the exerciseprocess in the form of a reduction that results in muscle flexion resulting in reduced muscularinjury and an increase in body metabolism. The purpose of this study was to determine the benefitsof body mechanics and hamstring exercise on the reduction of low back pain in third trimesterpregnant women. Research methods. This study uses a comparative test analysis type approach.Subjects in this study were 36 third trimester pregnant women who experienced complaints of lowback pain. This research was conducted at PMB Midwife Utami, Amd.Keb. The study wasconducted in November 2018-March 2019. This study used the Wilcoxon Signed Rank test in theSPSS 20 software program. The results of this study used the Wilcoxon Signed Rank formula.Based on the calculation results using a computerized analysis of the results obtained Z value of -5.255 and p value (Asymp Sign 2 tailed) of 0,000 where the value is below the critical limit ofresearch or a point of significance of 0.05 (5%) and Z table value of 1.68830. The conclusion ofthis study is that there are benefits of mechanical body and hamstring exercise on the reduction oflow back pain in third trimester pregnant women.


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