Effects of Exercises On Pregnancy Related Low Back Pain: A Quasi Experimental Study
DOI:
https://doi.org/10.51985/JBUMDC2018055Keywords:
Therapeutic Exercises, Pregnancy, Low back painAbstract
Objective: To evaluate the effect of therapeutic exercises on pregnancy related low back pain in a tertiary care hospital
of Karachi.
Material & Methods: This was a quasi-experimental study with non-probability convenience sampling technique. Study
was carried out at Liaquat National Hospital Karachi. Patients were divided into two groups (Experimental and Control).
Inclusion criteria were age <30 years, 2nd and 3rd trimester, stable medical status and those who gave the informed consent.
Exclusion were pregnancy induced hypertension (>140/90mmHg), Cardiac disease, diabetes mellitus, persistent vaginal
bleeding, history of miscarriages, decreased foetal movement. Data was collected through assessment Modified Oswestry
Low back pain disability questionnaire. SPSS version 23.0 was used to analyze the data.
Results: A total of 30 samples were selected for the study. There were 15 respondents in experimental while 15 in control
group. Disability levels were found to be significantly decreased after post treatment in experimental group with P-value=
0.002. It was seen that number of patients was increased from 1(6.7%) to 6(40%) in minimal disability group whereas
crippled back pain group in pre-treatment group was totally shifted towards minimal or moderate pain 3(20.0%) and no
case was seen in post-treatment.
Conclusion: Low back pain in pregnancy can disturb daily life routine but exercise therapy and proper counselling will
lead stress free life to female in gestation. After post treatment in experimental group showed decrease in pain as compare
to control group who were not provided any exercise therapy. Working women in experimental group also showed decrease
by crippled back pain to moderate pain after exercise. So in the end researcher suggest that physiotherapy exercises play
a vital role in reducing Low Back Pelvic Pain (LBPP) during pregnancy.
References
James R, Ronald S, Beth Y, Arthur F, David N.. Chapter 8.
Danfaorth Obstetrics and Gynecology, 9th ed. Los Angles
California: Lippincott Williams & Wilkins Publishers; 2003.
-193.
Pennick VE, Young G.Interventions for preventing and treating
pelvic and back pain in pregnancy. Cochrane Database Syst
Rev. 2007; CD001139.
Olsson C, Nilsson-Wikmar L (2004) Health-related quality
of life and physical ability among pregnant women with and
without back pain in late pregnancy. Acta Obstet Gynecol
Scand 83: 351-357.
Bastiaanssen JM, de Bie RA, Bastiaenen CH, Essed GG, van
den Brandt PA. A historical perspective on pregnancy-related
low back and/or pelvic girdle pain. Eur J Obstet Gynecol
Reprod Biol. 2005; 120: 3-14.
Muhlemann D, Muhlemann MB. Low Back Pain in Pregnancy:
Diagnosis, Treatment Options and Outcomes. Praxis. 2015;
(11):565-74. doi: 10.1024/1661-8157/a002014.
Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge
B. European guidelines for the diagnosis and treatment of
pelvic girdle pain. Eur Spine J. 2008; 17: 794-819.
Artal R, O’Toole M: Guidelines of the American College of
Obstetricians and Gynecologists for exercise during pregnancy
and the postpartum period. Br J Sports Med, 2003; 37: 6–12
Korsten-Reck U, Marquardt K, Wurster KG: Schwangerschaft
und Sport. DZSM, 2009; 60: 117–121.
Wang SM, Dezinno P, Maranets I, Berman MR, CaldwellAndrews AA, Kain ZN. Low back pain during pregnancy:
prevalence, risk factors, and outcomes. Obstet Gynecol. 2004;
: 65-70.
Antoniadis, S., 2012. Preventing Back Pain During Pregnancy.
Retrived from http://www.midwife.org/ACNM/files/
ccLibraryFiles/Filename/000000000624/Back%20Pain%20
During%20Pregnancy.pdf Accessed date: 1 June, 2018
Bailey A. Risk factors for low back pain in women: still more
questions to be answered. Menopause. 2009; 16: 3-4.
Cunningham, F., Gary, R., 2011. Williams’s Obstetrics.
Retrived from http://www.mayoclinic.com Accessed date: 5
June, 2018
Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge
B. European guidelines for the diagnosis and treatment of
pelvic girdle pain. Eur Spine J 2008; 17: 794–819.
Pennick V, Liddle SD. Interventions for preventing and treating
pelvic and back pain in pregnancy. Cochrane Database Syst
Rev 2013; 8: CD001139.
Gutke A, Betten C, Degerskär K, Poousette S, Olsén MF.
Treatments for pregnancy-related lumbopelvic pain: a
systematic review of physiotherapy modalities. Acta Obstet
Gynecol Scand 2015;94:1156–67.
Shim MJ, Lee YS, Oh HE, Kim JS. Effects of a back-painreducing program during pregnancy for Korean women: a
non-equivalent control-group pretest-posttest study. Int J Nurs
Stud. 2007;44(1):19-28. doi:10.1016/j. ijnurstu.2005.11.016
Kluge J, Hall D, Louw Q, Theron G, Grove D. Specific exercises to treat pregnancy-related low back pain in a South African
population. Int J Gynaecol Obstet. 2011;113(3):187-191.
doi:10.1016/j.ijgo.2010.10.030
Martins RF, Silva JL: [Back pain is a major problem for many
pregnant women]. Rev Assoc Med Bras, 2005, 51: 144–147.
Gutke A, Ostgaard HC, Oberg B: Association between muscle
function and low back pain in relation to pregnancy. J Rehabil
Med, 2008, 40: 304–311. [Medline] [CrossRef]
Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell
AA, Kain ZN. Low back pain during pregnancy: prevalence,
risk factors, and outcomes. Obsterical Gynecology. 2004;
(1): 65-68.
Stapleton DB, MacLennan AH, Kristiansson P. The Prevalence
of Recalled Low Back Pain During and After Pregnancy: A
South Australian Population Survey. Obsterical Gynaecology.
; 42(5): 482-487.
Chanda S. Prevalence of pregnancy related low back pain
among the pregnant women at the selected Hospitals in
Bangladesh. Bangladesh Health Professions Institute; 2012:
-44
Mogren IM. Previous physical activity decreases the risk of
low back pain and pelvic pain during pregnancy. Scand J
Public Health. 2005; 33: 300-306.
Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge
B. European guidelines for the diagnosis and treatment of
pelvic girdle pain. Eur Spine J. 2008; 17: 794-819.
Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev
Musculoskelet Med. 2008; 1: 137-141.
Bailey A. Risk factors for low back pain in women: still more
questions to be answered. Menopause. 2009; 16: 3-4.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2018 Abida Arif, Ghousia Shahid, Muhammad Arif Siddique, Khalid Aziz, Muhammad Faisal Fahim
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of Bahria University Medical & Dental College is an open access journal and is licensed under CC BY-NC 4.0. which permits unrestricted non commercial use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0 
