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Exercise Interventions and Pregnancy-Related Back Pain: Evidence and Gaps From a Systematic Review.

Jinchen Chen1, Hongli Yu1,2, Dagmara Damps1

  • 1Faculty of Physical Culture, Gdansk University of Physical Education and Sport, Gdansk, Poland.

International Journal of Public Health
|April 27, 2026
PubMed
Summary

Low-to moderate-intensity exercise shows promise for reducing pregnancy-related back pain. However, current evidence is limited, highlighting the need for more rigorous studies, including high-intensity interval training (HIIT), to confirm benefits and guide treatment.

Keywords:
back painexercisehigh-intensity interval trainingpregnancysystematic review

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Area of Science:

  • Obstetrics and Gynecology
  • Physical Therapy
  • Exercise Science

Background:

  • Pregnancy-related back pain is a common and debilitating condition affecting maternal well-being.
  • Current management strategies often lack robust evidence, necessitating exploration of effective interventions.

Purpose of the Study:

  • To systematically review and synthesize evidence on exercise interventions for pregnancy-related back pain.
  • To identify gaps in current research and suggest future directions, particularly concerning exercise intensity.

Main Methods:

  • A systematic review was conducted, analyzing nine studies with 1,438 participants.
  • Interventions primarily involved low-to moderate-intensity exercises, including aerobic, resistance, aquatic, and stability training.
  • No studies utilized high-intensity interval training (HIIT).

Main Results:

  • Most studies indicated significant reductions in back pain among participants.
  • Methodological heterogeneity and small sample sizes precluded meta-analysis.
  • Randomized controlled trials exhibited moderate risk of bias, while non-randomized trials had significant limitations.

Conclusions:

  • Evidence suggests low-to moderate-intensity exercise may benefit pregnancy-related back pain but is methodologically weak.
  • High-quality research is essential to evaluate high-intensity interval training (HIIT) and other novel approaches.
  • Further investigation is needed to optimize maternal pain management and overall health.