Incapacidade e fatores associados à lombalgia durante a gravidez

Abstract

The prevalence of back pain among pregnant women is high, with varying characteristics. The degree of disability is usually moderate and the presence of urinary infection and higher disability scores were associated with greater intensity of low back pain.

Association between kinesiologic dysfunctions, lumbar disability and lumbopelvic pain in pregnancy

“…Studies (11,12,13,14) on the prevalence of gestational low back pain in our country have found results similar to ours, ranging from women had the first episode of pain after 14 gestational weeks, being compatible with most of the previous studies (3,4,8,27), possibly related to direct fetal pressure against the neural elements of the lumbar spine and greater overload in the lumbar muscles (13).…”

“…Previous study (8) have already suggested that low back pain interferes in some way with the functionality of the pregnant women, with work impairment, generating absenteeism and frequent leaves from work. But it did not take into account the relationship between the degree of disability and the intensity of pain, which is related to the higher number of sick leaves (7).…”

“…Characteristics of gestational low back pain may vary throughout pregnancy, and even in the same pregnancy from one pregnancy to another, because it is assumed to depend on the balance between perceived pain, limitation, and individual ability to seek coping strategies (6). Another study (8) stated that 73% of the pregnant women reported low back pain, most of them felt as a spike, with daily frequency, duration of at least one hour and average intensity around seven. This same study observed an association of moderate magnitude between pain scores and lumbar incapacity.…”

“…Although these results were contradictory, a study (3) with 1158 women presented an association of gestational low back pain with educational level (corresponding to secondary education) and younger. Possibly, this association may be related to greater sensitivity to the changes in this period, provided by the action of hormones or collagen laxity that is more pronounced in younger women (8).…”

“…Among these discomforts, lumbopelvic pain has received much attention in the last years by the scientific community (3,4,5,6,7). It is estimated that lumbopelvic pain affects one in two pregnant women, causing great concern (8). Basing on that concern, its high prevalence, intensity and discomfort, the pain limits daily life activities, reason why most of the sick days occur on this period of time (7,8,9).…”