Prevalence of lower back pain and physical inactivity: the impact of psychosocial factors in pregnant women served by the Family Health Strategy

Rodrigues, Wilma Ferreira Guedes; Silva, Leila Rangel da; Nascimento, Maria Aparecida de Luca; Pernambuco, Carlos Soares; Giani, Tania Santos; Dantas, Estélio Henrique Martín

doi:10.1590/s1679-45082011ao2186

Cited by 12 publications

(17 citation statements)

References 22 publications

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“…The prevalence of low back pain during gestation has varied from 20 to 90% in different studies 1,18 and could influence the ability to sit, walk, stand up, in addition to decreasing women's ability to perform daily life activities [19][20][21][22] . Our study has evaluated low back pain by means of VAS, which is broadly described in the literature and is used to evaluate different types of pain 23,24 .…”

Section: Discussionmentioning

confidence: 99%

Does abdominal diastasis influence lumbar pain during gestation?

Santos¹,

Silva²,

Vicente³

et al. 2016

Revista Dor

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BACKGROUND AND OBJECTIVES:To evaluate and compare the presence and size of recti abdominis diastasis in the second and third gestational trimester and to correlate them to lumbar pain incidence and intensity. METHODS: This is a cross-sectional observational study with 128 pregnant women divided in two groups: 53 pregnant women in the second gestational trimester and 75 pregnant women in the third gestational trimester. Lumbar pain was evaluated with Roland Morris questionnaire and Pain Visual Analog Scale. Recti abdominis diastasis was measured with a caliper rule. Data were analyzed according to Spearman correlation and Mann--Whitney U test. RESULTS:Comparison between groups has shown that pregnant women in the third gestational trimester had more recti abdominis diastasis, more reports of severe lumbar pain by the visual analog scale (p=0.0017) and further impact on daily life activities (p=0.0012). There has been positive correlation between recti abdominis diastasis size and scores obtained by Roland Morris questionnaire and visual analog scale. CONCLUSION: Recti abdominis diastasis size, pain intensity and incapacity determined by low back pain were more severe in pregnant women in the third gestational trimester. Keywords: Low back pain, Physiotherapy, Pregnant women, Quality of life, Rectus abdominis. RESUMO JUSTIFICATIVA E OBJETIVOS:Avaliar e comparar a ocorrência e dimensão da diástase dos músculos retos abdominais nos segundo e terceiro trimestres gestacionais e correlacioná-las com presença e intensidade da dor lombar. Does abdominal diastasis influence lumbar pain during gestation?A MÉTODOS:Estudo observacional do tipo transversal com 128 gestantes, divididas em dois grupos: 53 gestantes no segundo trimestre gestacional e 75 gestantes no terceiro trimestre gestacional. Utilizou-se para avaliar a dor lombar o questionário Roland Morris e a escala analógica visual da dor. A mensuração da diás-tase dos músculos retos abdominais foi realizada com auxílio de um paquímetro. Os dados foram analisados segundo a correlação de Spearman e teste U de Mann-Whitney. RESULTADOS: A comparação dos grupos demonstrou que as gestantes do terceiro trimestre apresentavam maior diástase abdominal, mais relatos de dor lombar intensa por meio da escala analógica visual p=0,0017 e maior impacto nas atividades da vida diária (p=0,0012). A correlação foi positiva entre a dimensão da diástase dos músculos retos abdominais e os escores obtidos no questionário Roland Morris e na escala analógica visual. CONCLUSÃO: A dimensão da diástase dos músculos retos abdominais, a intensidade da dor e a incapacidade determinadas pela lombalgia foram maiores nas gestantes do terceiro trimestre gestacional. Descritores: Dor lombar, Fisioterapia, Gestantes, Qualidade de vida, Reto do abdômen. INTRODUCTIONWomen go through hormonal and biochemical changes during gestation 1 . Uterus in constant growth due to increased fetal size protrudes the abdomen and favors anterior gravity center displacement 2 . These changes progressively increase...

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Section: Discussionmentioning

confidence: 99%

Does abdominal diastasis influence lumbar pain during gestation?

Santos¹,

Silva²,

Vicente³

et al. 2016

Revista Dor

View full text Add to dashboard Cite

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“…Good guidance enables pregnant women to maintain an adequate posture and reduce compensations in the lower back. Thus, it is possible reducing the pain episodes and, consequently, improving the quality of life of pregnant women, mainly in their daily-life activities [12,13].…”

Section: Pilates' Special Conditions During Pregnancymentioning

confidence: 99%

Pilates for Pregnant Women: A Healthy Alternative

C¹,

Fern²,

R³

et al. 2017

J Women's Health Care

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Pregnancy is a specific stage in women's life, a time when they face physiological and biomechanical changes that, without proper monitoring, lead to the emergence of musculoskeletal discomforts. Most of these issues are associated with postural changes, balance, ligament laxity, body weight increase and cardiorespiratory disorders. The Pilates method provides several benefits such as increased respiratory capacity, improved muscle strength and the strengthening of torso-stabilizing muscles, flexibility, spine mobility, postural alignment, coordination, proprioception, balance and motor control. Given the specific condition of pregnant women and the variations derived from such condition, Pilates may positively contribute to these women's health within their physical and psychological limitations. The aim of the current study is to address the importance of Pilates, clinical guidelines and physical activities practiced in the main pregnancy periods (trimesters) through a bibliographical analysis. Pregnant women are known for the several physiological changes they go through; thus, Pilates can make important contributions to their health, such as the promotion of quality of life and wellbeing to improve their adaptation to each gestational week.

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“…Nesse estudo, apenas uma pequena parcela das entrevistadas declararam realizar alguma atividade física. Esse fato justifica a alta prevalência da dor lombar nos dois grupos, dados que corroboram com outro estudo que encontrou queixa de dor lombar em 74,2% das gestantes e, dessas, 53% não praticavam nenhum tipo atividade física antes da gravidez 29 .…”

Section: Artigo Originalunclassified

“…O sedentarismo, assim como as alterações decorrentes do processo gravídico, torna a mulher mais propensa ao surgimento da dor lombar 18,29,30 . Cabe destacar que as vantagens da atividade física no período gestacional vão além dos físicos, envolvendo também aspectos emocionais, elevando a autoestima, e tornando-a mais confiante e satisfeita com a aparência 31 .…”

Section: Artigo Originalunclassified

“…Esse resultado foi semelhante a outros estudos 20,21 demonstrando que, embora a dor existisse, as entrevistadas não a classificaram como uma dor incapacitante. Rodrigues et al 29 avaliaram o impacto da lombalgia gestacional nas atividades de vida diária, com uma amostra de 66 gestantes e concluíram que, apesar da dor, as gestantes não precisaram trocar suas atividades, apenas tiveram que reduzir o ritmo.…”

Section: Artigo Originalunclassified

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Impacto da lombalgia nas atividades de vida diária e na qualidade de vida de gestantes

et al. 2017

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RESUMOObjetivo: Analisar a quantidade de gestantes com queixa de lombalgia gestacional, as características da dor relatada, identificar o impacto nas atividades de vida diária e relacionar o grau de incapacidade funcional com a qualidade de vida em gestantes do primeiro e segundo trimestres gestacionais. GI and 78.9% in GII (p=0.334). The pain started during pregnancy in 75% in GI and in 73.3% in GII (p=0.784

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Prevalence of lower back pain and physical inactivity: the impact of psychosocial factors in pregnant women served by the Family Health Strategy

Abstract: Lower back pain prior to pregnancy is associated with lack of physical activity and with psychosocial factors in the Family Health Strategy patients of Cuitegí county.

Cited by 12 publications

References 22 publications

Does abdominal diastasis influence lumbar pain during gestation?

Does abdominal diastasis influence lumbar pain during gestation?

Pilates for Pregnant Women: A Healthy Alternative

Impacto da lombalgia nas atividades de vida diária e na qualidade de vida de gestantes

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