Exercise, posture, and back pain during pregnancy

Dumas, Geneviève; Reid, James; Wolfe, Larry A.; Griffin, Malcolm; McGrath, Michael J.

doi:10.1016/0268-0033(95)92046-o

Cited by 108 publications

(88 citation statements)

References 7 publications

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“…2b). Two measures of the deleterious effects of spinal shearing are the increased risk of forward displacement of the lumbar vertebrae 9,10 and the higher incidence of lower back pain in pregnant women 11,12 . Greater shearing occurs because increases in lordosis transmit relatively more spinal load along the dorsal pillar of the spine comprising the zygapophyseal joints 13 (Fig.…”

Section: Fetal Load and The Evolution Of Lumbar Lordosis In Bipedal Hmentioning

confidence: 99%

Fetal load and the evolution of lumbar lordosis in bipedal hominins

Whitcome

Shapiro

Lieberman

2007

Nature

233

235

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Section: Fetal Load and The Evolution Of Lumbar Lordosis In Bipedal Hmentioning

confidence: 99%

Fetal load and the evolution of lumbar lordosis in bipedal hominins

Whitcome

Shapiro

Lieberman

2007

Nature

233

235

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“…Some investigations have focused on static trunk posture [3,9]. The results remain unclear whether pain and postural changes are correlated [10][11][12][13]. The low back pain in pregnant women is characterized by axial or parasagittal musculoskeletal discomfort in the lower lumbar region [14].…”

Section: Introductionmentioning

confidence: 99%

Posture and low back pain during pregnancy — 3D study

Glinkowski

Tomasik²,

Walesiak³

et al. 2016

Ginekol Pol

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Objectives: Back pain is a common complaint of pregnant women. The posture, curvatures of the spine and the center of gravity changes are considered as the mechanisms leading to pain. The study aimed to assess spinal curvatures and static postural characteristics with three-dimensional surface topography and search for relationships with the occurrence of back pain complaints among pregnant women. Material and methods:The study was conducted from December 2012 to February 2014. Patients referred from University Clinic of Gynecology and Obstetrics were examined outpatient at the Posture Study Unit of Department of Orthopaedics and Traumatology. Sixty-five women at 4-39 weeks of pregnancy were assessed and surveyed with Oswestry Disability Index; posture was evaluated using surface topography. Results:The study confirmed that difficulties in sitting and standing are significant in the third trimester of the pregnancy. The overall tendency for significant lumbar curvature changes in pregnant women was not confirmed. Major changes in sagittal trunk inclination in relation to the plumb line were not observed in the study group. Conclusions:The issue regarding how the pregnancy causes changes in spinal curvature and posture remains open for further studies. Presented method of 3D surface topography can reveal postural changes, but that requires several exams of each subject and strict follow-up of the series of cases.

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“…Back pain in pregnancy is not one single pain type, but should be separated into at least lumbar back pain and posterior pelvic pain, and treated accordingly [1,5,6,7,9,14,15,17]. This would reduce sick leave during pregnancy [10,15], and may even have a long-term effect [18].…”

Section: Introductionmentioning

confidence: 99%

“…Earlier studies have focused on identifying the problem and on treatment during pregnancy [5,6,7,9,10,12,14], but there are few publications focusing on residual back pain after pregnancy [17,18]. Earlier studies were based only on questionnaires by mail.…”

Section: Introductionmentioning

confidence: 99%

“…The type of disability behind that absenteeism has not been identified, with the diagnosis most often used being "back pain" [22]. Earlier publications have reported that 70% of all pregnant women have some kind of back pain [2,9,11,14,15] and that 20% of all women are on sick leave for that reason for an average of 7 weeks during pregnancy [8,10,13,22].The incidence of women with some kind of residual back pain 6 years post partum was 20% in one study [18], while serious residual pain has been estimated to affect 7% percent of all pregnant women 18 months post partum [13].Back pain in pregnancy is not one single pain type, but should be separated into at least lumbar back pain and posterior pelvic pain, and treated accordingly [1,5,6,7,9,14,15,17]. This would reduce sick leave during pregnancy [10,15], and may even have a long-term effect [18].…”

mentioning

confidence: 99%

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Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up

et al. 2001

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IntroductionBack pain is an abundant problem in normal pregnancy and sick leave for that reason accounts for the majority of all social insurance expenses from work absenteeism during pregnancy in several countries [8,10,22]. The type of disability behind that absenteeism has not been identified, with the diagnosis most often used being "back pain" [22]. Earlier publications have reported that 70% of all pregnant women have some kind of back pain [2,9,11,14,15] and that 20% of all women are on sick leave for that reason for an average of 7 weeks during pregnancy [8,10,13,22].The incidence of women with some kind of residual back pain 6 years post partum was 20% in one study [18], while serious residual pain has been estimated to affect 7% percent of all pregnant women 18 months post partum [13].Back pain in pregnancy is not one single pain type, but should be separated into at least lumbar back pain and posterior pelvic pain, and treated accordingly [1,5,6,7,9,14,15,17]. This would reduce sick leave during pregnancy [10,15], and may even have a long-term effect [18].Abstract This study is a prospective, consecutive, 3-year cohort study of women with back pain in an index pregnancy. The aim was to describe the physical status and disability among women with back pain 3 years after delivery. Pain was identified as lumbar back pain, posterior pelvic pain or combined lumbar as well as posterior pelvic pain. Previous studies have established that all three types of pain can be reduced by structured physiotherapy during pregnancy, and the beneficial effect may last for several years. Though it is known that some women have residual pain for a long time, the relative incidence of the three pain types and their degree of disability associated with each have never been reported. Neither has any study presented findings of a physical examination of women 3 years post partum with a focus on the type of pain. All women who were registered as having experienced back pain during an index pregnancy were interviewed by mail 3 years post partum. Women who had residual back pain filled in an additional questionnaire and were physically examined. Out of 799 pregnant women, 231 had some type of back pain during the index pregnancy, and 41 women had pain 3 years later. Women with combined lumbar and posterior pelvic pain were significantly more disabled (P<0.05) and had significantly lower endurance in the lumbar back and hip abduction muscles (P<0.01). Some 5% of all pregnant women, or 20% of all women with back pain during pregnancy, had pain 3 years later. The key problem may be poor muscle function in the back and pelvis.

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Exercise, posture, and back pain during pregnancy

Cited by 108 publications

References 7 publications

Fetal load and the evolution of lumbar lordosis in bipedal hominins

Fetal load and the evolution of lumbar lordosis in bipedal hominins

Posture and low back pain during pregnancy — 3D study

Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up

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