scholarly journals The Effect of Pilates on Pain in Pregnant Women

Author(s):  
bahareh motaghi ◽  
fereshte Aein ◽  
ziba Reisi

Abstract Background and ObjectivesAlthough pregnancy is a joyful period for most women, the physiological, anatomical, and biochemical changes can cause stress among mothers. low back pain (LBP), and pelvic pain (PP) are common in pregnancy. Also, considering that Pilates also has an effect on reducing LBP during non-pregnancy, in order to promote women's health during pregnancy and reduce economic costs, we decided to measure the effect of Pilates on reducing pain in pregnant women.Materials and MethodsIn the present double-blind randomized clinical trial, the effect of Pilates on reducing pain in pregnancy is investigated. The participants include 60 pregnant women who referred to the health care centers in Shahrekord City. The participants are randomly assigned into the intervention and control groups. The intervention group women, who are at 20 weeks of gestation, are required to attend two Pilates sessions per week for 12 weeks. Each session lasted 30 minutes with moderate intensity. Followed by the intervention, pain assessment was carried out using a visual analog scale (VAS). Data are analyzed using independent t-test in SPSS software version 23. The P-values of <0.05 are statistically significant.ResultsTwo groups are matched in terms of their demographic characteristics prior to the intervention. After the intervention, low back pain (0.001) and pelvic pain (P<0.001) are significantly lower in the intervention than the control group.ConclusionPilates can decrease low back pain and pelvic pain in pregnancy.

2021 ◽  
Vol 4 (3) ◽  
pp. 108-116
Author(s):  
Tiara Fatmarizka ◽  
Raudhatus Shofy Ramadanty ◽  
Dini Afriani Khasanah

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. 


Author(s):  
Emanuela Moraes Silva Fernandes ◽  
Gabrielle Silveira Rocha Matos ◽  
Ercília de Souza Andrade ◽  
Cleuzenir Melo Nunes ◽  
Maria Luciana Moura de Matos ◽  
...  

Background: Gestational low back pain is a limiting symptom, which interferes in the activities of daily living and quality of life. There are several scientific findings on the effectiveness and benefits of banding for low back pain, making it necessary to investigate effective and inexpensive non-pharmacological technologies. Objectives: The objective of this study was to compare the effect of elastic adhesive bandage (EAB) in low back pain in active and sedentary pregnant women. Method: Study quasi-experimental, analytical with 33 pregnant women living in the city of Coari (AM). Socio-demographic, obstetrical data on health and low back pain were collected. The bandage was applied like “I”, with two bands in the paravertebral region of the lumbar spine and should remain for 3 days. Pain intensity was assessed by visual analogue pain scale (VAS) during the initial evaluation and after 3 days of the application procedure. For purposes of analysis, the sample was divided into 2 groups: active and sedentary. The Wilcoxon test was used to compare the mean of the low back pain intensity before and after the application of the intra-group bandage. The mean intensity of low back pain after the application of bandaging between groups was analyzed by the Mann-Whitney U test. Significance was accepted for p≤0,05. Results: The mean age was 24.24 (±6.39) and 75.8% reported low back pain at moderate intensity. The pain intensity after application of the EAB was lower in both the active (p=0.039) and the sedentary (p=0.000). There was no difference in pain intensity on day 3 in intragroup analysis (p=0.691). Conclusion: EAB reduced the intensity of low back pain in both active and sedentary pregnant women, however, there was no difference in its effect when the groups were compared.


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).


2020 ◽  
Vol 07 (02) ◽  
pp. 27-31
Author(s):  
Himanshu Vyas ◽  

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.


Author(s):  
Adriana Paula Fontana Carvalho ◽  
Sébastien S. Dufresne ◽  
Márcio Rogério de Oliveira ◽  
Fernanda Kelly Sereniski Beraldo ◽  
Pablo Eduardo Albuquerque de Souza ◽  
...  

Introduction: Low back pain (LBP) is the most common musculoskeletal complaint in pregnancy, being responsible for many negative impacts. Objective: To evaluate the effect of LBP on static and dynamic balance in pregnant women and whether pregnancy mediates the results compared to non-pregnant women. Methods: 44 women (mean age 30 yrs) participated voluntarily in this study: 16 pregnant women with LBP starting in pregnancy, 14 pregnant women without LBP and 14 non-pregnant women as a group control. Participants were assessed for static postural balance using a force platform and dynamic mobility balance using the Timed Up and Go (TUG) test. Results: The pregnant women with LBP showed significant (P < 0.04, for mean, d= 1,2) poor postural balance in static tests (force platform), in the area of COP eyes open. In dynamic balance (TUG test), statistical difference was found between the groups (P 0.038) and the effect size were moderate to strong in the comparison between the three groups. The most sensitive differences were reported mainly between pregnant women with LBP versus non-pregnant control group in balance measures from force platform. Conclusion: The findings indicate that LBP associated to pregnant clinical status can decrease the balance capacity in women. These results have implication for balance evaluation and retraining in pregnant women with and without LBP from rehabilitation or prevention programs.


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.


2019 ◽  
Vol 10 (1) ◽  
pp. 27-33
Author(s):  
Valiollah Gerayeli Malek ◽  
Soraya Parvari ◽  
Younes Rouhani ◽  
Farhad Jafari ◽  
Roja Rahimi ◽  
...  

Background:  Low back pain (LBP) is one of the most common and costly chronic diseases in the world today. The use of herbal medicines based on Colchicum autumnal is one of the solutions recommended by Persian medicine for treatment of LBP. One of these products is Rhazes tablet. This study aimed to determine effect of the Rhazes tablet on LBP pain relief and symptoms. Methods: Fifty patients with chronic LBP, aged 19-59 years old, who had LBP for more than 12 weeks, were enrolled in the study. Patients were randomly divided in to intervention group (n=26) and control group (n=24). The patients in the intervention and control groups were treated with Rhazes tablet + Ibuprofen pearl (400mg) PRN and placebo tablet + Ibuprofen pearl (400mg) PRN, respectively. All patients received one tablet in the first week, 2 tablets in week 2-4 and 3 tablets in week 5-8. Pain severity was measured and recorded using VAS and Roland-Morris Disability Questionnaire for all patients at weeks 0, 4 and 8. Results: The results indicated that Rhazes tablet as a traditional Persian medicine caused a significant reduction in LBP in the intervention group compared to control group (P<0.039). Using the Rhazes tablet for 8 weeks reduced pain severity in the group suffering from severe pain from 50% in the first visit to 15.4% in the third visit; while the pain severity was increased from 20% to 25% in the control group.  In the intervention group, a woman in the fifth week of study got severe diarrhea, and the severity was decreased by reducing the number of Rhazes tablet. In the intervention group, a man experienced increased libido in the fourth week of study. Conclusion: Rhazes tablet can be used as a pharmacological intervention to reduce pain in patients with LBP. Results showed promising effects of Rhazes tablet on pain relief and LBP symptoms.  


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