Do exercises improve back pain in pregnancy?
Muhammad Azrai Abu1, Nur Azurah Abdul Ghani1, Lim Pei Shan1
1Department of Obstetrics and Gynaecology, UKM Medical Centre Kuala Lumpur, Malaysia.
An exercise program significantly reduced back pain and improved function in pregnant women. This intervention also decreased the need for analgesia compared to standard care.
Area of Science:
- Obstetrics and Gynecology
- Physical Therapy
- Pain Management
Background:
- Pregnancy commonly causes back pain, impacting quality of life.
- Functional limitations and pain severity are key concerns for pregnant individuals.
Purpose of the Study:
- To evaluate an exercise program's effectiveness in alleviating back pain during pregnancy.
- To assess the program's impact on functional ability and analgesic use.
Main Methods:
- A prospective control study involved 145 low-risk pregnant women with functional limitations.
- Pain was measured using the Visual Analogue Scale (VAS); function using the Oswestry Disability Questionnaire (ODQ).
- An intervention group received physiotherapy sessions, while both groups received back care education and optional Paracetamol.
Main Results:
- The exercise intervention group showed significant VAS score reduction and ODQ score improvement.
- Intervention participants used less Paracetamol for pain relief compared to the control group.
- Age, parity, pain duration, and BMI had weak associations with functional outcomes.
Conclusions:
- The exercise program effectively reduced back pain intensity and analgesic consumption in pregnant women.
- Significant improvements in functional ability were observed post-intervention.
- Exercise interventions represent a viable strategy for managing pregnancy-related back pain.
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