Evaluation of the efficiency of relaxation and stabilization exercises in the minimization of the low back pain in pregnant women
Keywords:
pregnant women, relaxation exercises, stabilization exercises, low back painAbstract
The aim of the work: The aim of the research was the evaluation of the influence of relaxation and stabilization exercises on low back pain at women in the advanced pregnancy.
Material and methods: There were 54 pregnant women (averagely in 28.9 week of the pregnancy) who partook in the research. The average age was 29.2 years. The studied persons were divided into two groups. The women from the Group 1 (n=25) performed series of loosening and stabilizing exercises (after previous instruction at childbirth classes). The persons from the Group 2 (n=29) did not change the previously existing lifestyle. The condition of classifying to the research was the occurrence of pain complaints about L-S spinal section. The investigative tools were: Visual Analog Scale of Pain (VAS), the Questionnaire by Roland-Morris, the State-Trait Anxiety Inventory by Spielberger and the author’s questionnaire containing questions concerning of chosen elements of style and quality of life.
Results: In the Group 1 after fourteen days the intensity of the pain dropped significantly (p = 0.021). There were not observed however the significant difference in the level of pain after one session of exercises (between the measurement 1 and 2). In the control group the intensification of the pain remained on the similar level, differences between measurements were not statistically essential. Regular exercises at home influenced also the reduction of functional limitations at the examined women (p = 0.044) (measured with the Rolland-Morris’ scale). Women from the Group 2 reported considerable increase of the feeling of being handicapped (p = 0.014).
Conclusions: Individual relaxation and stabilization exercises bear on the reduction of pain of the lower back at pregnant women. Therefore, it is legitimate to use various forms of the kinesiotherapy as prophylaxis and treatment of this type of complaints. As the result of the exercises, the degree of functional limitation of the examined women was diminished. It proves the positive influence of individual exercises at home on physical fitness.
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Adamczyk JG, Turska A, Boguszewski D. Influence of the domicile on healthy behaviors of pregnant women. Polish Journal of Public Health; 2012, 122(4), 353-358.
Cioffi J, Schmied V, Dahlen H, Mills A, Thornton Ch, Duff M, Cummings J, Kolt GJ. Physical activity in pregnancy: women’s perceptions practices and influencing factors. J Midwifery Women Health, 2010, 55, 455-461.
Greenwood CJ, Mid M, Stainton MC. Back Pain/Discomfort in Pregnancy: Invisible and Forgotten. Journal of Perinatal Education, 2001,10,1,1-12.
Mogren IM. Previous physical activity decreases the risk of low back pain and pelvic pain during pregnancy. Scandinavian Journal of Public Health, 2005, 33, 300-306.
Rutkowska E, Łepecka-Klusek C. The role of physical activity in preparing women for pregnancy and delivery in Poland. Health Care for Women International, 2002, 23, 919-923.
Wadsworth P. The benefits of exercise in pregnancy. The Journal for Nurse Practitioner, 2007, May, 333-338.
Murphy DR, Hurwitz E, McGoven E. Outcome of pregnancy-related lumbopelvic treated according to a diagnosis-based decision rule: a prospective observational cohort study. Journal of Manipulative and Physiological Therapeutics, 2009, October, 616-624.
Richardson CA, Snijders CJ, Hides JA, Damen L, Pas MS, Storm J. The relation between the transversus abdominis muscle, sacroiliac joint mechanics, and low back pain. Spine, 2002, 27, 399-405.
Potoczek M. Profilaktyka i terapia bólu odcinka lędźwiowo-krzyżowego kręgosłupa u kobiet w okresie ciąży. Praktyczna Fizjoterapia i Rehabilitacja, 2010, 4, 52-55.
Saccomani B. Low back pain associated with pregnancy: a review of literature. European Journal of Orthopeadic Surgery and Traumatolgy, 2011, 1, 169-174.
Shim MJ, Lee YS, Oh HE, Kim IS. Effects of a back-pain-reducing program during pregnancy for Korean women: A non-equivalent control-group pretest-posttest study. International Journal of Nursing Studies, 2007, 44, 19-28.
Korzeniowska K, Szałek E. Ból, Farmacja Współczesna, 2010, 3, 9-14
Roland MO, Morris RW. A study of the natural history of back pain. Part 1: Development of a reliable and sensitive measure of disability in low back pain, The Spine Journal, 1983, 8, 141-144,
Wrześniewski K, Sosnowski T, Matusik D. Inwentarz stanu i cechy lęku STAI, PTP, Warszawa, 2002,
Rakowski A. Kręgosłup w stresie, jak usunąć ból i jego przyczyny. Wyd. GWP, 2008.
Sabino J, Grauner JN. Pregnancy and low back pain. Current Reviews in Musculoskeletal Medicine, 2008, 1, 137-141.
Smith MW, Marcus PS, Wurtz LD. Orthopedic issues in pregnancy. Obstetrical and Gynecolgical Survey 2008, 63, 2, 103-111.
Wu WH, Meijer OG, Uegaki K, Mens JM, van Dieën AJ., Wuisman PI, Őstgaard HC. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. European Spine Journal, 2004, 13, 575-589.
Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine, 2005, 30, 8, 983-991.
Noren L, Őstgaard S, Johansson G, Őstgaard HC. Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. European Spine Journal, 2002, 11, 267-271.
Őstgaard HC, Zetherstrom G, Roos-Hansson E, Svanberg B. Reduction of back and posterior pelvic pain in pregnancy. Spine, 1994, 19, 894-900.
Stuge B, Hilde G, Vøllestad N. Physical therapy for pregnancy – related low back and pelvic pain: a systematic review. Acta Obstetricia et Gynecologica Scandinavica, 2003, 82, 983-990.
Garshasbi A, Faghih Zadeh S. The effect of exercise on the intensity of low back pain in pregnant women. International Journal of Gynecology and Obstetrics, 2005, 88, 271-275.
Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first episode low back pain. Spine, 2001, 1, 26, 11, E243-248.
May S, Johnson R. Stabilization exercises for low back pain: a systematic review. Physiotherapy, 2008, 94, 179-189.
Mens JM, Damen L, Snijders CJ, Stam HJ. The mechanical effects of pelvic belt in patients witch pregnancy related pelvic pain. Clinical Biomechanics, 2006, 21, 2, 122-127.
Stuge B, Veierød MB., Laerum E, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic griddle pain after pregnancy: a randomized controlled trial. Spine, 2004, 29, 351-359.
Nilsson-Wikmar L, Holm K, Oijerstedt R, et al. Effects of three different physical therapy treatments on pain an activity in pregnant women with pelvic girdle pain: a randomized clinical trial with 3,6,and 12 months follow-up postpartum. Spine, 2005, 30, 850-856.
Gutke A, Őstgaard HC, Őberg B. Pelvic Girdle Pain and Lumbar Pain in Pregnancy: A Cohort Study of the Consequences in Terms of Health and Functioning. Spine, 2006, 31, 5, E149–E155.
Moon JM, Kim MY, Oh HJ, et al. Incidence and risk factors of pelvic pain in pregnancy. J Korean Spine Surgery, 2000, 7, 259-263.
Mørkved S, Salvesen KA, Schei B, Lydersen S, Bø K. Does group training during pregnancy prevent lumbopelvic pain? A randomized clinical trial. Acta Obstetrica et Gynecologica Scandinavica, 2007, 86, 3, 276-282.
Downs DS, Hausenblas HA. Women’s exercise beliefs and behaviors during their pregnancy and postpartum. Journal of Midwifery Women’s Health, 2004, 4, 2, 138-144.
Guszkowska M. Physical activity in relation to affective states and labor anxiety in pregnant women. Medicina Sportiva, 2011, 15, 3, 114-118.
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