scholarly journals Effect of Home-Based Tele-Pilates Intervention on Pregnant Women: A Pilot Study

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 125
Author(s):  
Ah-Hyun Hyun ◽  
Joon-Yong Cho ◽  
Jung-Hoon Koo

Pilates is effective for training the core muscles and stabilizing the hip joints, which provides relief from pelvic pain and low back pain during pregnancy. However, there are no specific guidelines on appropriate physical exercises for pregnant women due to the current pandemic. We aimed to apply the exercise standard proposed by the American College of Obstetricians and Gynecologists to home-based tele-Pilates exercise (HTPE), to determine its effect on the physical and mental health of pregnant women. We randomly divided the subjects into the following two groups who completed 8 weeks of HTPE (50 min/day, 2 days/week): (a) Pilates exercise (PE, n = 7) and (B) non-Pilates exercise (CON, n = 7). HTPE was performed by adjusting the program every 3 weeks, based on pain and physical fitness levels. We measured body composition, muscles of the hip joint, pelvic tilt, Oswestry Disability Index (ODI), and Pittsburgh Sleep Quality Index (PSQI), before and after HTPE. Following HTPE, while the percentage of body fat and body mass index had significantly decreased, the body fat mass did not change in the PE group (p < 0.05). The PE group showed an increase in strength of the left and right hip flexion and hip abduction, compared to the CON group (p < 0.01). The ODI and PSQI were significantly decreased in the PE group (p < 0.05). Therefore, the 8-week HTPE program is an effective exercise for pregnant woman that reduces body fat metabolism and strengthens muscles of the hip joint, thus alleviating pregnancy-induced low back pain and insomnia.

2020 ◽  
Vol 4 (3) ◽  
pp. 134
Author(s):  
Wigutomo Gozali ◽  
Nyoman Ayu Dwi Astini ◽  
M Rizal Permadi

The enlargement of the uterus and weight gain in the third trimester of pregnancy then the center of gravity moves forward so that the pregnant woman must adjust her stance. Improper body changes will force additional stretching and fatigue on the body, especially in the back. One of the causes of low back pain is due to hormonal changes that cause changes in the supporting and connecting soft tissues resulting in decreased muscle elasticity and flexibility. The negative impact caused by low back pain is that it can cause a decrease in the quality of life of pregnant women due to disruption of daily physical activities. The research objective was to determine the intensity of pain before and after back pain intervention in two and third trimester pregnant women in Pengelatan Village, Buleleng District, Buleleng Regency. This research is a pre-experimental study with a "One Group Pretest-Postest" design. The sampling method used was total sampling. Data collection by interviews, observation, intervention and pain scale Visual Analog Scale (VAS). Analysis data using the univariate and bevariate analysis using paired t-test. The results of the study were differences in pain intensity before and after respondents in the massage intervention. Pregnant women should routinely do massage therapy to reduce pain.


2020 ◽  
Vol 2 (2) ◽  
pp. 75
Author(s):  
Ni Luh Putu Sentania Widhi Permana Putri ◽  
Ni Wayan Suarniti ◽  
Ni Nyoman Budiani

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.  


2018 ◽  
Vol 1 (1) ◽  
pp. 77-89
Author(s):  
Putri Eka Sejati ◽  
Indasah Indasah ◽  
Koesnadi Koesnadi

Various physiological changes occur in the mother's body during pregnancy which can affect the occurrence of low back pain and sleep disturbance during pregnancy trimester 3. One of the non-pharmacological therapy to reduce the incidence is with antenatal acuyoga and pregnancy massage. This is because acuyoga and massage will produce more endorphins that serve to provide peace, to overcome stress during pregnancy. The purpose of research to analyze the effectiveness of antenatal acuyoga and pregnancy massage to the intensity of low back pain and sleep disturbance of pregnant women trimester III The purpose of research to analyze the effectiveness of antenatal acuyoga and pregnancy massage to the intensity of low back pain and sleep disturbance of pregnant women trimester III in dr.AisyatulMukminahSp.OG (K)'s own practice in Tulungagung. Types of analytical research associate with one group pre test model - post test design. Independent variable of antenatal acuyoga study and pregnancy massage in third trimester pregnant women, dependent variable of back pain intensity and sleep disturbance of trimester III pregnant women. The study population were All third Trimester pregnant women in dr.AisyatulMukminahSp.OG (K)'s own practice in Tulungagung. Sampling technique using simple random sampling with sample of 16 people. Data were analyzed by using Wilcoxon signed rank test, McNemar and Chi Square. The result of the research showed that there was difference of waist pain intensity of trimester III pregnant mother before and after antenatal acuyoga p = 0,005 <α (0,05). There was no difference of maternal sleep disorder of trimester III before and after performed antenatal acuyoga (p = 0,125> α (0,05) .There was difference of waist pain intensity of trimester III pregnant mother before and after pregnancy massage (p = 0,010 <α (0 , 05) .There is difference of sleep disturbance of pregnant mother of trimester III before and after done pregnancy massage (p = 0,008 <α (0,05).


2019 ◽  
pp. 3-13
Author(s):  
Alexandru Cîtea ◽  
George-Sebastian Iacob

Posture is commonly perceived as the relationship between the segments of the human body upright. Certain parts of the body such as the cephalic extremity, neck, torso, upper and lower limbs are involved in the final posture of the body. Musculoskeletal instabilities and reduced postural control lead to the installation of nonstructural posture deviations in all 3 anatomical planes. When we talk about the sagittal plane, it was concluded that there are 4 main types of posture deviation: hyperlordotic posture, kyphotic posture, rectitude and "sway-back" posture.Pilates method has become in the last decade a much more popular formof exercise used in rehabilitation. The Pilates method is frequently prescribed to people with low back pain due to their orientation on the stabilizing muscles of the pelvis. Pilates exercise is thus theorized to help reactivate the muscles and, by doingso, increases lumbar support, reduces pain, and improves body alignment.


Author(s):  
Dr. Rangarajan B. ◽  
Dr. Muralidhara .

Gridhrasi (Sciatica) is a disorder in which low back pain is found, that spreads through the hip, to the back of the thigh and down the inside of the leg. Mechanical low back pain (LBP) remains the second most common symptom related reason for seeing a physician. 85% of total population will experience an episode of mechanical LBP at some point during their lifetime. Fortunately, the LBP resolves for the vast majority within 2-4 weeks. There are many causes for low back pain, however true sciatica is a symptom of inflammation or compression of the sciatica nerve. The sciatica nerve carries impulses between nerve roots in the lower back and the muscles and nerve of the buttocks, thighs and lower legs. Compression of a nerve root often occurs as a result of damage to one of the discs between the vertebrae. In some cases, sciatic pain radiate from other nerves in the body. This is called referred pain. Pain associated with sciatica often is severe, sharp and shooting. It may be accompanied by other symptom, such as numbness, tingling, weakness and sensitivity to touch. There is only conservative treatment giving short term relief in pain or surgical intervention with side effect. But these are not successful and therefore those who are suffering from this are always in search of result oriented remedy. Walking distance and SLR test were taken for assessment parameter, VAS score was adopted for pain. Before treatment patient was not able to walk even 4 to 5 steps due to severe pain, was brought on stretcher and his SLR was 30° of right side. After 22 days of treatment he was able to walk up to 500 meters without any difficulty, SLR was changed to 60° and patient had got 80 % relief in pain. This case report showed that Ayurvedic protocol is potent and safe in the treatment of Gridhrasi.


2010 ◽  
Vol 33 (3) ◽  
pp. 268-270 ◽  
Author(s):  
Audy P. Hodselmans ◽  
Pieter U. Dijkstra ◽  
Jan H.B. Geertzen ◽  
Cees P. van der Schans

Spine ◽  
1993 ◽  
Vol 18 (11) ◽  
pp. 1451-1455
Author(s):  
Soussan Khodadadeh ◽  
Stephen M. Eisenstein

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Afshin Farhanchi ◽  
Behrouz Karkhanei ◽  
Negar Amani ◽  
Mashhood Aghajanloo ◽  
Elham Khanlarzadeh ◽  
...  

Introduction. In this study we are aiming to evaluate the changes of serum serotonin and its association with pain in patients suffering from chronic low back pain before and after lumbar discectomy surgery. Patients and Methods. A prospective study was performed on the patients referring to the outpatient clinic in Besat hospital, Hamadan University of Medical Sciences, Hamadan, Iran, during 2016. A 2 mL fasting blood sample was collected from each patient at preoperative day 1 and postoperative day 14 and they were measured for level of serum serotonin. Besides, all patients were asked for severity of their low back pain in preoperative day 1 and postoperative day 14 and scored their pain from zero to ten using a Numerical Rating Scale. Results. Forty patients with the mean age of 47 ± 13 yrs/old (range 25–77) including 15 (37.5%) males were enrolled into the study. The overall mean score of preoperative pain was significantly decreased from 7.4 ± 2.18 (range 4–10) to the postoperative pain score 3.87 ± 2.92 (range 0–10) (P < .001). The overall levels of pre- and postoperative serum serotonin were 3.37 ± 1.27 (range 1.1–6.4) and 3.58 ± 1.32 (range .94–7.1) ng/mL, respectively, with no significant difference (P = .09). The levels of pre- and postoperative serum serotonin were significantly higher in males and patients older than 50 yrs/old compared to the females and patients younger than 50 yrs/old, respectively (P = .03 and .005, respectively). A significant inverse correlation between the postoperative levels of pain and serum serotonin was observed (r = -.36 and P = .02). Conclusion. A negative medium strength linear relationship may exist between the postoperative serum serotonin and low back pain.


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