The study is held in order to estimate the efficiency of applying the methods of manual therapy on pregnant women during the second and third trimesters of their pregnancy to relieve pain caused by dorsopathy. During the period from October 2015 until March 2017 was defined a “study” group (n = 25) and the “control” group (n = 25) of pregnant women with the diagnosis of “dorsopathy” (mostly osteochondrosis 66%, scoliosis 18%, intervertebral hernia 16%). The age of pregnant women is ranged from 22 up to 39 years with the gestational term from 18 to 38 weeks. During the study the following methods are used: cranio-sacral technique, traction technique, myofascial release, post-isometric relaxation, and soft tissue techniques. The number of therapy sessions for pregnant women with dorsopathy is ranged from 1 to 4. To assess the quality of life and, separately, of the pain syndrome was used McGill questionnaire, visual analogue scale (VAS), verbal rating scale, questionnaire EuroQol-5D, Oswestry questionnaire, as well as medical and social characteristics of pregnant women with this pathology. Decrease of pain syndrome was noted in patients already after the first session. Preliminary results were already evaluated and allow us to speak about the effectiveness of applying manual therapy for pregnant women at their II and III trimesters of pregnancy. The data obtained not only prove the reduction but also the complete elimination of the back pain syndrome caused by dorsopathy.

The present study assesses the effectiveness of the relief of pain syndrome in pregnant women with dorsopathies by using an isometric kinesitherapy complex. The analyzed groups differed in the type of the performed exercise, with the first group attending a course of isometric kinesitherapy procedures (group 1) or the second group undertaking a course of therapeutic gymnastics in pregnant women with dorsopathies. The duration of each course was 7.5 hours (3 times a week for a period of 5 weeks, a total of 15 procedures), classes were conducted under the supervision by a doctor of therapeutic physical training. 170 pregnant women were examined with the average age of: Me = 31 (LQ = 26; UQ = 38) years (р > 0.05 between the groups). The low back pain (LBP) was assessed using the Oswestry questionnaire, the EuroQol 5-D questionnaire, the visual analogue scale (VAS), the verbal rating scale, the McGill short questionnaire and a medico-social form. The level of disability was assessed by using the results of the Oswestry questionnaire. Completing the questionnaires and the scales was made before the first kinesitherapy procedure (a complex of isometric exercises) and therapeutic gymnastics and completing it again after the last procedure, respectively. A prospective non-randomized controlled study was conducted in which p = 0.05 was taken as the value of statistical significance level for this study (p). The data analysis yielded statistically significant results confirming the effectiveness of the complex of isometric exercises aiming at relieving the pain in pregnant women with dorsopathies. In group 1, a decrease of the low back pain (LBP) was detected 2.47 times more often than in group 2 with p = 0.001.