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

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.

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

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. 

scholarly journals A Randomized Comparative Study between High-Intensity and Low-Level Laser Therapy in the Treatment of Chronic Nonspecific Low Back Pain

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Walid Kamal Abdelbasset ◽  
Gopal Nambi ◽  
Saud F. Alsubaie ◽  
Ahmed M. Abodonya ◽  
Ayman K. Saleh ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Laser Therapy ◽  
High Intensity ◽  
Low Level Laser Therapy ◽  
Control Group ◽  
Low Back ◽  
Level Laser

Objectives. Chronic nonspecific low back pain (chronic nsLBP) is one of the most common musculoskeletal disorders leading to disabilities and physical inactivity. Laser therapy was used in chronic nsLBP treatment; however, no previous studies have assessed the impacts of high-intensity laser therapy (HILT) versus low-level laser therapy (LLLT) on chronic nsLBP. This study compared the effects of HILT versus LLLT on individuals suffering from chronic nsLBP. Methods. The study was a randomized control trial. Sixty individuals with chronic nsLBP were enrolled in this study between May and November 2019. All participants were clinically diagnosed with chronic nsLBP. They were assigned randomly into three groups, 20 in each group. The first group received a program of LLLT, the second group received a program of HILT, and the third did not receive laser therapy (control group). Pain severity, disability, lumbar mobility, and quality of life were assessed before and after 12-week intervention. Results. Both LLLT and HILT groups showed a significant improvement of the Oswestry Disability Index (ODI), visual analogue scale (VAS), lumbar range of motion (ROM), and European Quality of Life (EuroQol) scores ( p > 0.05 ), while the control group did not show significant changes ( p > 0.05 ). Comparison among the three study groups postintervention showed significant differences in the outcome measures ( p > 0.05 ), while comparison between the LLLT and HILT groups showed nonsignificant differences ( p > 0.05 ). Conclusion. There are no different influences of LLLT versus HILT on chronic nsLBP patients. Both LLLT and HILT reduce pain and disability and improve lumbar mobility and quality of life in chronic nsLBP patients.

scholarly journals Effects of circuit resistance training on the quality of life and disability of women with low back pain

2016 ◽  
Vol 30 (4) ◽  
pp. 17-28
Author(s):  
Hanna Krześniak ◽  
Aleksandra Truszczyńska-Baszak
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Resistance Training ◽  
Control Group ◽  
Low Back ◽  
Sf 36 ◽  
Circuit Resistance Training ◽  
Circuit Resistance

Abstract Introduction: Back pain is a serious social problem which frequently affects women. So far, the effectiveness and safety of physical activities recommended to them have not been confirmed scientifically. The aim of the work was to determine the influence of circuit resistance training on the quality of life and disability of women with back pain. Materials and methods: The study included 25 women (mean age 52.81 ± 13.83 years) with back pain in the course of degenerative changes in the lumbar spine. Circuit resistance training was done on the machines with hydraulic resistance. Prior to the training, each participant was diagnosed on the basis of the McKenzie functional assessment. The quality of life was evaluated with the use of SF-36 survey, while pain intensity was assessed with visual analogue scale (VAS). The level of disability was examined with Roland-Morris disability questionnaire (RMDQ). The examinations were repeated after a three-month period of training and compared with a control group including 31 women (mean age 43.43 ± 14.64 years) who did not take up any physical activity in this period. Results: In the research group, 73.68% of the subjects improved their quality of life assessed with SF-36 survey, mainly in the category of physical functioning (p=0.006). Moreover, their disability decreased significantly (p=0.01) and pain subsided (p=0.003) compared to the control group. Conclusions: Circuit resistance training decreased low back pain, reduced disability and improved the quality of life of the subjects. This type of training may be recommended to individuals with non-specific low back pain.

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

2020 ◽  
Vol 24 (3) ◽  
pp. 229-233
Author(s):  
Flávia Borges Domingues Roma ◽  
Denise Campos-Pozzi
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Literature Review ◽  
Pregnant Women ◽  
Functional Limitation ◽  
Lumbar Pain ◽  
Low Back ◽  
Therapeutic Exercises

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.

scholarly journals Efficacy of Silver Needle Therapy for The Treatment of Chronic Nonspecific Low Back Pain: A Prospective, Single-Center, Randomized, Parallel-Controlled Clinical Trial

2020 ◽  
Author(s):  
Xuesong Hu ◽  
Shaoxing Dong ◽  
Bing Zhang ◽  
Xuan Wang ◽  
Yanwei Yin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Frequency Measurement ◽  
Autonomic Nerve ◽  
Control Group ◽  
Low Back ◽  
Significant Difference

Abstract Background: Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP.Methods: In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low frequency measurement (InLF) and the natural logarithms of high frequency measurement (InHF) of heart rate variability (HRV) were recorded.Results: In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P < 0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P < 0.05).Conclusions: SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications.Trial registration: This work has registered in the Chinese Clinical Trial Registry (No. ChiCTR-OOC-17013237; Date: 2017.11.09).

scholarly journals Impact of Musculoskeletal Dysfunctions on Quality of Life of Pregnant Women

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.

scholarly journals Efficacy of silver needle therapy for the treatment of chronic nonspecific low back pain: a prospective, single-center, randomized, parallel-controlled clinical trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Xuesong Hu ◽  
Shaoxing Dong ◽  
Bing Zhang ◽  
Xuan Wang ◽  
Yanwei Yin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Low Back Pain ◽  
Back Pain ◽  
Frequency Measurement ◽  
Autonomic Nerve ◽  
Control Group ◽  
Low Back ◽  
Significant Difference

Abstract Background Chronic nonspecific low back pain (CNSLBP) troubles approximately 30% of people worldwide. Silver needle therapy (SNT) is a treatment method to relieve soft tissue pain through heating. Therefore, this study aimed to observe the effects of SNT on CNSLBP. Methods In this study, 100 patients were randomly divided into 2 groups: silver needle (SN) group and control group (n = 50). In the SN group, patients received SNT and physiotherapy, while patients received physiotherapy alone in the control group. At the 6-month follow-up, the numerical rating scale (NRS), Oswestry Disability Index (ODI), Short-Form 12 of quality of life (SF-12), the natural logarithms of low-frequency measurement (InLF), and the natural logarithms of high-frequency measurement (InHF) of heart rate variability (HRV) were recorded. Results In both groups, NRS, ODI, SF-12 scores, and HRV at 2 weeks after treatment were improved and maintained for 6 months. Compared with the control group, more significant improvements were observed in the NRS and SF-12 scores at 1, 2, 3, and 6 months and in the ODI scores at 1 and 2 months in the SN group (P <  0.05). However, there was no significant difference between the groups in the ODI scores at 3 and 6 months. InLF and InHF in the SN group were higher than those in the control group at 3 and 6 months (P <  0.05). Conclusions SNT relieved pain and improved quality of life and autonomic nerve activity, especially parasympathetic nerve, in patients with CNSLBP, without serious complications. Trial registration Chinese Clinical Trial Registry No. ChiCTR-OOC-17013237. Registered on November 11, 2017.

Comparison of efficacy of a supervised versus non-supervised physical therapy exercise program on the pain, functionality and quality of life of patients with non-specific chronic low-back pain: a randomized controlled trial

2020 ◽  
Vol 34 (7) ◽  
pp. 948-959 ◽  
Author(s):  
Guillermo A Matarán-Peñarrocha ◽  
Inmaculada Carmen Lara Palomo ◽  
Eduardo Antequera Soler ◽  
Esther Gil-Martínez ◽  
Manuel Fernández-Sánchez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Exercise Group ◽  
Low Back ◽  
Fear Of Movement ◽  
Supervised Exercise

Objective: To compare the effectiveness of supervised physical therapy program versus non-supervised on pain, functionality, fear of movement and quality of life in patients with non-specific chronic low back pain. Design: A randomized double-blind clinical trial. Setting: Clinical outpatient unit; home. Subjects: A total of 64 participants with non-specific chronic low back pain were randomized into either supervised exercise group ( n = 32) or non-supervised home exercise group ( n = 32). Interventions: The supervised group was treated with therapy exercises (strengthen lumbopelvic musculature), while the non-supervised received an informative session of the exercises, which were performed un-supervised at home. Both groups received three weekly sessions for eight weeks. Main Measures: Pain, disability, fear of movement, quality of life, trunk muscle endurance and trunk anteflexion motion were assessed at baseline, two, and six months of follow-up. Results: Although analysis of variance (ANOVA) test showed statistically significant differences between groups for pain ( P = 0.028; supervised: 2.5 ± 2.1; non-supervised: 3.5 ± 1.5) and disability for Roland–Morris Disability Questionnaire ( P = 0.004; supervised: 3.1 ± 2.2; non-supervised: 5.1 ± 3.0) and for Oswestry Disability Index ( P = 0.034; supervised: 14.5 ± 7.1; non-supervised: 19.2 ± 10.0) at 8 weeks immediately posttreatment, there were no differences between the groups in patient-rated pain, functionality, fear of movement and quality of life at six months of follow-up. Conclusion: Patients with chronic low back pain who received supervised exercise showed more improvement in both the short and long term in all patient-rated outcomes over the non-supervised group, but the differences were small and not clinically significant.

scholarly journals Prevalence of low back pain and interference with quality of life of pregnant women

Revista Dor ◽  
2017 ◽  
Vol 18 (2) ◽  
Author(s):  
Ana Carolina do Nascimento Lima ◽  
Flavio Boechat de Oliveira ◽  
Gabriela Pereira Avolio ◽  
Giselly Dias da Silva ◽  
Paula Soares da Silva ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Low Back
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