Back and Pelvic Pain in an Underserved United States Pregnant Population: A Preliminary Descriptive Survey

Skaggs, Clayton D.; Prather, Heidi; Gross, Gilad A.; George, James W.; Thompson, Paul A.; Nelson, D. Michael

doi:10.1016/j.jmpt.2006.12.008

Cited by 123 publications

(59 citation statements)

References 23 publications

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“…Two studies report increased sleep disturbance and impaired daily living. 41,43 Other research shows elevated depression among those with pregnancy-related LBP/PGP. 44,45 MacDonald et al…”

Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 98%

“…Two studies report increased sleep disturbance and impaired daily living. 41,43 Other research shows elevated depression among those with pregnancy-related LBP/PGP. 44,45 Activity limitations resulting from LBP/PGP during pregnancy and the postpartum period have been shown to interfere with weight loss and resumption of leisure-time physical activity levels needed for health maintenance.…”

Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 98%

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Clinical guidelines for occupational lifting in pregnancy: evidence summary and provisional recommendations

MacDonald

Waters

Napolitano

et al. 2013

American Journal of Obstetrics and Gynecology

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Empirically based lifting criteria established by the National Institute for Occupational Safety and Health (NIOSH) to reduce the risk of overexertion injuries in the general US working population were evaluated for application to pregnant workers. This report proposes criteria to guide decisions by medical providers about permissible weights for lifting tasks performed at work over the course of an uncomplicated pregnancy. Our evaluation included an extensive review of the literature linking occupational lifting to maternal and fetal health. Although it has been 29 years since the American Medical Association's Council on Scientific Affairs published its report on the Effects of Pregnancy on Work Performance, these guidelines continue to influence clinical decisions and workplace policies. Provisional clinical guidelines derived from the NIOSH lifting criteria that account for recent evidence for maternal and fetal health are presented and aim to improve the standard of care for pregnant workers. Keywordslifting; occupational hazard; pregnancy; recommendations Clinicians play an important role in decisions concerning work activity restrictions during pregnancy. This role is underscored in the United States where federal regulations for occupational lifting are lacking and limited opportunities for paid antenatal leave are available. 1,2 Findings from a recent survey show that recommendations to pregnant workers in physically demanding jobs vary widely, possibly because of limited clinician training in occupational health 3 and the absence of current authoritative guidelines. 4 The views expressed herein are those of the authors and do not necessarily represent the views of the National Institute for Occupational Safety and Health or the official policy or position of the Department of the Army, the Department of the Navy, the Department of Defense, or the United States Government.The authors report no conflict of interest.Reprints not available from the authors. HHS Public AccessAuthor manuscript Am J Obstet Gynecol. Author manuscript; available in PMC 2015 August 28. Author Manuscript Author Manuscript Author Manuscript Author ManuscriptTo address the need for updated empirically based recommendations that can be uniformly applied, this paper presents provisional clinical guidelines for occupational lifting in pregnancy based on an extensive review of the literature linking occupational lifting to maternal and fetal health and application of the National Institute for Occupational Safety and Health (NIOSH) lifting equation. Literature review criteriaAn extensive review of the literature linking occupational lifting to maternal and fetal health was conducted to inform the application of the NIOSH lifting equation to pregnant workers. Using the PubMed MESH Thesaurus terms, pregnancy, lifting, occupational diseases, preeclampsia, hypertension, pregnancy complications, pelvis, sacroiliac joint, pubic symphysis, range of motion articular, joint instability, relaxin, estradiol, biomechanics, stress mechanic...

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“…Two studies report increased sleep disturbance and impaired daily living. 41,43 Other research shows elevated depression among those with pregnancy-related LBP/PGP. 44,45 MacDonald et al…”

Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 98%

Section: Occupational Lifting and Fetal-maternal Health Outcomesmentioning

confidence: 98%

Clinical guidelines for occupational lifting in pregnancy: evidence summary and provisional recommendations

MacDonald

Waters

Napolitano

et al. 2013

American Journal of Obstetrics and Gynecology

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“…1 Pain in the lower back has been also positively associated with menstruation and pregnancy in women. [2][3][4][5][6][7][8][9] Despite its detrimental effects on individuals' activities, the exact causes of menstrual LBP have not yet been fully understood. However, hormonal factors have been attributed as the cause of menstrual LBP in the literature.…”

Section: Introductionmentioning

confidence: 99%

Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial

Shakeri

Fathollahi

Karimi

et al. 2013

Journal of Chiropractic Medicine

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Objective: The purpose of this preliminary study was to investigate the effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain (LBP). Methods: Thirty women with menstrual LBP participated in the study. Subjects were assigned to a control group (n = 10, mean age = 25.1 ± 4.7 years) and an intervention group (n = 20, mean age = 21.7±2.4 years). Treatment for the intervention group consisted of functional lumbar stabilization exercises, 10 repetitions each, 3 times a day, for 3 consecutive months. The women in the control group received no exercise and performed their regular activity daily living. Pain intensity using a Numeric Pain Scale (NPS), Oswestry Disability Index (ODI), Roland-Morris Questionnaire (RMQ), and Tampa Scale of Kinesiophobia (TSK) was collected at baseline and at the end of 3 months in both groups. Results: Statistical analysis (paired t test) revealed a significant decrease in NPS, ODI, RMQ, and TSK after treatment in the intervention group. No significant difference in NPS, ODI, RMQ, or TSK was found between pre-and postmeasurement scores in the control group. In the analysis of covariance, controlling for pretest scores, a significant difference was found between the 2 groups in the postmeasurement score of NPS (P = .01), ODI (P b .001), RMQ (P = .002), and TSK (P = .04). Conclusion: Lumbar stabilization exercises were shown to improve pain, disability, and kinesiophobia during menstrual LBP for subjects who participated in this preliminary study compared to those who did not receive the intervention.

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“…Up to 90% of pregnant women will experience back and pelvic pain at some point during the course of their pregnancy, [1][2][3][4][5][6][7][8][9] and one third of these women will describe the pain as disabling or severe. 1,2,5 This condition may be due in part to the increased biomechanical stresses placed on the lumbopelvic region throughout pregnancy, as well as the widening of the pelvis in preparation for birth.…”

Section: Introductionmentioning

confidence: 99%

“…10 Unfortunately, many pregnant women go without care for their pain. Skaggs et al 9 demonstrated that 85% of women surveyed perceived that they had not been offered treatment of their musculoskeletal disorders. In a 2004 study by Wang et al, 11 32% of pregnant women with low back pain informed their prenatal care provider of their pain; but only 25% of the providers who were informed recommended any type of treatment.…”

Section: Introductionmentioning

confidence: 99%

Chiropractic treatment of a pregnant patient with lumbar radiculopathy

Kruse¹,

Gudavalli²,

Cambron

2007

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to describe chiropractic treatment of lower back and unilateral leg pain in a pregnant patient. Clinical Features: A 26-year-old woman in her second trimester of pregnancy had severe pain in her lower back that radiated to her hips bilaterally and to her right leg. She reported tingling down her right lower leg to the dorsum of her foot. Although no diagnostic imaging was performed, her differential diagnoses included lumbalgia with associated radiculopathy. Intervention and Outcome: Treatment consisted of manual traction in the side-lying position using a specialized chiropractic table and treatment technique (Cox flexion-distraction decompression) modified for pregnancy. Relief was noted after the first treatment, and complete resolution of her subjective and objective findings occurred after 8 visits. Conclusion: When modified, this chiropractic technique appears to be an effective method for treating lower back pain with radiation to the leg in a pregnant patient who cannot lie prone.

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Back and Pelvic Pain in an Underserved United States Pregnant Population: A Preliminary Descriptive Survey

Cited by 123 publications

References 23 publications

Clinical guidelines for occupational lifting in pregnancy: evidence summary and provisional recommendations

Clinical guidelines for occupational lifting in pregnancy: evidence summary and provisional recommendations

Effect of functional lumbar stabilization exercises on pain, disability, and kinesiophobia in women with menstrual low back pain: a preliminary trial

Chiropractic treatment of a pregnant patient with lumbar radiculopathy

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