| Peer-Reviewed

Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain

Received: 17 January 2015    Accepted: 29 January 2015    Published: 10 February 2015
Views:       Downloads:
Abstract

Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed significant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were significant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no significant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly significant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.

Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 1)
DOI 10.11648/j.jgo.20150301.13
Page(s) 13-17
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Pregnancy, Low Back Pain, Lumbar Region, Stabilizing Exercises, Lumbar Range of Motion

References
[1] Vermani, E., Mittal, R. and Weeks, A. "Pelvic girdle pain and low back pain in pregnancy: a review".Pain Practice.10, 60–71, 2010 .
[2] Vleeming, A., Albert, H., Östgaard, HC., Sturreson, B., Stuge, B. "European guidelines for the diagnosis and treatment of pelvic girdle pain". Eur Spine J. 17,794–819, 2008.
[3] Östgaard, HC., Andersson, GBJ., Karlsson, K. "Prevalence of back pain in pregnancy". Spine (Phila Pa 1976). 16(5), 549–52, 1991.
[4] Őstgaard, HC., Zetherstrom, G. and Roos-Hansson, E. "Regression of back and posterior pelvic pain after pregnancy". Spine (Phila Pa 1976). 21(23), 2777–80, 1996.
[5] Svensson, HO., Andersson, GB., Hagstad, A. and Jansson, PO. "The relationship of low-back pain to pregnancy and gynecologic factors". Spine (Phila Pa 1976). 15(5), 371–5, 1990.
[6] Östgaard, HC., Zetherström, G. and Roos-Hansson, E. "Back pain in relation to pregnancy: a 6-year follow-up". Spine (Phila Pa 1976). 22(24), 2945–50, 1997.
[7] Mogren,I. Perceived health six months after delivery in women who have experienced low back pain and pelvic pain during pregnancy". Scandinavian Journal of Caring Sciences. 21, 447– 455, 2007.
[8] Forrester,M. "Low back pain in pregnancy". Acupuncture in Medicine. 21, 36–41, 2003.
[9] Wang,S.M.,Dezinno,P.,Maranets,I.,Berman,M.R.,CaldwellAndrews,A.A. and Kain, Z.N."Low back pain during pregnancy: prevalence, risk factors, and outcomes". Obstetrics and Gynecology.104, 65–70, 2004.
[10] Ho,S.S.M., Yu,W.W.M., Lao,T.T., Chow, D.H.K., Chung, J.W.Y. and Li,Y." Effectiveness of maternity support belts in reducing low back pain during pregnancy: a review". Journal of Clinical Nursing.18, 1523–1532, 2009a.
[11] Ho,S.S.M., Yu,W.W.M., Lao,T.T., Chow,D.H.K., Chung,J.W.Y. and Li,Y." Garment needs of pregnant women based on content analysis of in-depth interviews". Journal of Clinical Nursing. 18, 2426–2435, 2009b.
[12] American College of Obstetricians and Gynecologists, Exercise During Pregnancy: ACOG Patient Education Pamphlet. ACOG, Washington, DC, 2003.
[13] ACOG Committee, Opinion No. 267. "Exercise during pregnancy and the postpartum period". Obstet Gynecol. 99,171–3 , 2002.
[14] Collins, S.L., Moore, R.A. and McQuay, H.J. "The visual analogue pain intensity scale: what is moderate pain in millimeters?". Pain. 72, 95–97, 1997.
[15] Piantadosi, s. “Clinical trial: a methodologic perspective". John wily& sons, new York, 1997.
[16] Taimela, S., Diederich, C., Hbsch, M. and Heinricy. M.: “The role of physical exercise and inactivity in pain recurrence and absenteeism form work after active outpatient rehabilitation for recurrent or chronic low back pain,, Spine. 25(14), 1809-1816, 2000.
[17] Garshasbi, A. and Faghih Zadeh, S. "The effect of exercise on the intensity of low back pain in pregnant women". Int J Gynecol Obstet. 88(3),271–5, 2005.
[18] Stuge, B., Lærum, E., Kirkesola, G. and Vøllestad, N. "The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: arandomized controlled trial". Spine (Phila Pa 1976). 29(4), 351–9, 2004.
[19] Richardson, CA., Snijders, CJ., Hides, JA., Damen, L., Pas, MS. and Storm, J. "The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain". Spine (Phila Pa 1976). 27(4), 399–405, 2002.
[20] Brayshaw, E. "Exercises for pregnancy and childbirth: a practical guide for educators". Second edition. Edinburgh: Books for Midwives. 2003.
[21] Poudevigne, M.S. and O‘Connor, P.J."Physical activity and mood during pregnancy. Medicine &Science in Sports and Exercise.37,1374–1380, 2005.
[22] BorgStein, J. and Dugan,S.A."Musculoskeletal disorders of pregnancy , delivery and postpartum". Physical Medicine and rehabilitation Clinics of North America. 18, 459–476, 2007.
[23] Petrofsky, J.S., Batt,J., Brown, J. and et al." Improving the outcomes after back injury by a core muscle strengthening program". Journal of Applied Research. 8, 62–75, 2008.
[24] Dumas, G.A., Reid,J.G., Wolfe,L.A., Griffin, M.P. and McGrath, M.J." Exercise, posture, and back pain during pregnancy. Part2. Exercise and back pain. Clinical Biomechanics.10,104–109, 1995.
[25] Hides, J., Strokes Saide, M., Jull, G. and Cooper D." Evidence of lumbar multifidus wasting ipsilateral to symptoms with acute/sub acute low back pain". Spine. 19, 165-172, 1994.
Cite This Article
  • APA Style

    Fayiz El-Shamy. (2015). Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. Journal of Gynecology and Obstetrics, 3(1), 13-17. https://doi.org/10.11648/j.jgo.20150301.13

    Copy | Download

    ACS Style

    Fayiz El-Shamy. Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. J. Gynecol. Obstet. 2015, 3(1), 13-17. doi: 10.11648/j.jgo.20150301.13

    Copy | Download

    AMA Style

    Fayiz El-Shamy. Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. J Gynecol Obstet. 2015;3(1):13-17. doi: 10.11648/j.jgo.20150301.13

    Copy | Download

  • @article{10.11648/j.jgo.20150301.13,
      author = {Fayiz El-Shamy},
      title = {Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {3},
      number = {1},
      pages = {13-17},
      doi = {10.11648/j.jgo.20150301.13},
      url = {https://doi.org/10.11648/j.jgo.20150301.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150301.13},
      abstract = {Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed significant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were significant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no significant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly significant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.},
     year = {2015}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain
    AU  - Fayiz El-Shamy
    Y1  - 2015/02/10
    PY  - 2015
    N1  - https://doi.org/10.11648/j.jgo.20150301.13
    DO  - 10.11648/j.jgo.20150301.13
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 13
    EP  - 17
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20150301.13
    AB  - Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed significant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were significant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no significant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly significant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.
    VL  - 3
    IS  - 1
    ER  - 

    Copy | Download

Author Information
  • Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Kafelsheikh University, Kafelsheikh, Egypt

  • Sections