Low back pain and causative movements in pregnancy: a prospective cohort study

BMC Musculoskeletal Disorders

Research Article

Tomoki Aoyama¹  Hiroko Hatanaka²  Mamoru Yamashita²  Fumiko Umezaki²  Mika Ishihara²  Masaki Takahashi³  Hirotaka Iijima⁴  Saori Morino⁴ 

[1] Department of Physical Therapy, Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan;Kishokai Medical Corporation, Nagoya, Japan;School of Science for Open and Environmental Systems, Graduate School of Science and Technology, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, 223-8522, Yokohama, Kanagawa, Japan;School of Science for Open and Environmental Systems, Graduate School of Science and Technology, Keio University, 3-14-1 Hiyoshi, Kohoku-ku, 223-8522, Yokohama, Kanagawa, Japan;Japan Society for the Promotion of Science, Tokyo, Japan;

关键词: Activity;    Low back pain;    Lumbopelvic pain;    Motion;    Pregnancy;   

DOI  :  10.1186/s12891-017-1776-x

 received in 2017-05-04, accepted in 2017-10-10,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundLow back pain (LBP) during pregnancy might be strongly related to posture and movements of the body, and its management is a clinically important issue. The purpose of this study was to investigate the activities related to LBP during pregnancy.MethodsParticipants included 275 women before 12 weeks of pregnancy. The women were evaluated at 12, 24, 30, and 36 weeks of pregnancy. The intensity of LBP was assessed using the Numerical Rating Scale (NRS). Movements related to LBP were investigated by free descriptive answers. Descriptive statistics were used to compile the movements that pregnant women thought induced LBP at each evaluation. Subsequently, a linear regression analysis was performed to evaluate the degree of association of certain movements with LBP using the data of participants who had LBP. The intensity of LBP (NRS score) was specified as the dependent variable, the movements that were related to pain were specified as the independent variables at the analysis. A significance threshold was set at 0.05.ResultsThe final sample used in the analyses was 254, 249, 258, and 245 women at 12, 24, 30, and 36 weeks of pregnancy, respectively. There were 16 kinds of movements that induced LBP and all of them were daily activities rather than special movements that require extra task or effort. As pregnancy progressed, less number of participants attributed pain to a specific movement. At all evaluations, movements, especially sitting up, standing up from a chair, and tossing and turning were thought to be related to LBP. Furthermore, standing up from a chair and tossing and turning were significantly related to LBP throughout the pregnancy. In contrast, lying down and sitting up were significantly related to LBP but the relationship did not continue till late pregnancy.ConclusionsDaily routine activity is related to LBP during pregnancy. These results suggest that recommendations for pregnant women about basic physical movements, such as ways of standing up that reduce the load on the body might be useful in the management of LBP.

【 授权许可】

CC BY   
© The Author(s). 2017