Musculoskeletal Disorders of Pregnancy, Delivery and Postpartum

Borg‐Stein, Joanne; Dugan, Sheila A.

doi:10.1016/j.pmr.2007.05.005

Cited by 114 publications

(102 citation statements)

References 78 publications

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“…The presence of low back and pelvic pain is quite frequent during pregnancy and, although their etiologies are clearly defined, some authors suggest that they are due to the physical alterations that happen in this period (1,2).…”

Section: Introductionmentioning

confidence: 99%

Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

2017

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Introduction: During pregnancy, a woman's body goes through many changes, and lower back and pelvic pain are common and may persist after pregnancy. Although the literature point physical therapy as an effective therapeutic tool, there are few studies on the effects of physical therapy intervention through exercises for this purpose. Objective: To perform a systematic review on the use of Physiotherapy, through therapeutic exercises, for the prevention and treatment of pregnancy low back and pelvic pain. Methods: A systematic search for randomized trials (RCTs) was conducted on the databases PubMed, PEDro, Cochrane, EMBASE, LILACS and Periódicos Capes. There was no date or language restriction. The terms included in the search were: "pregnancy", "low back pain", "pelvic pain", "exercise therapy" and their descriptors in Portuguese. Methodological quality was assessed using the PEDro scale and a descriptive analysis of the studies was performed. Results: Eight studies, including 1781 pregnant women, were selected. Among them, one study addressed the issue of low back pain, two focused on pelvic pain and five on low back and/or pelvic pain. Seven studies presented high methodological quality, and only one study had low methodological quality. Limited evidence on low back pain was found, and conflicting evidence on pelvic pain, and low and/or pelvic pain. Conclusion: RCTs on the subject are scarce and heterogeneous, making it impossible to reach a consensus

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Section: Introductionmentioning

confidence: 99%

Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

2017

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“…Ao longo da gestação, 80% das mulheres acumulam líquidos e são retidos, aproximadamente, seis litros e meio de fluidos. Outro mecanismo de predisposição ao edema durante a gravidez é o gravitacional, consequente da pressão exercida sobre os capilares dos membros inferiores e pela compressão da veia cava inferior pelo útero gravídico 6 . Já a ocorrência de frouxidão ligamentar está relacionada à intensa ação dos hormônios progesterona, estrógeno, cortisol e relaxina, que é o principal fator do aumento de mobilidade articular 7 .…”

Section: Introductionunclassified

Modificações da força de propulsão da marcha durante a gravidez: das alterações nas dimensões dos pés

Albino¹,

Moccellin²,

Firmento³

et al. 2011

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVOS: analisar a força de propulsão na marcha e relacionar com as alterações nas dimensões dos pés e a influência sobre a qualidade de vida da gestante. MÉTODOS: dois grupos, um Controle (C), com 20 mulheres voluntárias não grávidas, e outro com 13 gestantes voluntárias que foram avaliadas nos três trimestres gestacionais (Gpri, Gseg, Gter). Os grupos foram submetidos a uma avaliação inicial; a uma avaliação da força de propulsão da marcha por meio da plataforma de força (Bertec); avaliação do comprimento e largura dos pés feita por técnicas de metragem; avaliação da perimetria realizada pelo método "figura em oito"; e avaliação da qualidade de vida obtida pelo Questionário World Health Organization Quality of Life Instrument Bref (Whoqol-bref). Foi utilizado o teste de Mann-Whitney para avaliar as diferenças entre o grupo C e Gpri; entre Gpri, Gseg e Gter utilizou-se o teste de Friedman e nos casos significativos aplicou-se o teste de Wilcoxon. Foi considerado um nível de significância de 5%. RESULTADOS: aumento da massa corporal (10,5 kg) e do edema dos tornozelos (2,4 cm) ao longo da gestação; observa-se diminuição da força de propulsão da marcha (10% da massa corporal) e maior oscilação mediolateral (10% da massa corporal) comparadas ao Grupo Controle; queda na qualidade de vida da gestante, principalmente no domínio físico. CONCLUSÃO: ocorrem alterações na marcha durante a gestação, levando a um risco maior de quedas e desconfortos musculoesqueléticos que pode influenciar na qualidade de vida da gestante.Abstract PURPOSE: to analyze the gait propulsion force and relate it to changes in the dimensions of the feet and to the influence on the quality of life of pregnant women. METHODS: two groups were studied, a control (C) one consisting of 20 non-pregnant women and a group of 13 pregnant women investigated during the three gestational trimesters (Gfirst, Gsecond, Gthird). The groups were subjected to an initial assessment; evaluation of gait propulsion force using the force platform (Bertec); measurement of foot length and width; assessment of perimetry by the figure eight method; and assessment of quality of life using the World Health Organization Quality of Life Instrument Bref (Whoqol-bref). The MannWhitney test was used to evaluate differences between group C and Gfirst, the Friedman test was used to determine differences between Gfirst, Gsecond and Gthird, and the Wilcoxon test was applied to significant cases. The level of significance was set at 5%. RESULTS: There was an increase in body mass (10.5 kg) and ankle edema (2.4 cm) during pregnancy. There was a decrease of gait propulsion force (10% of body mass) and an increase of mediolateral sway (10% of body mass) compared to Control Group. There was a reduced quality of life among pregnnat women, especially in the physical domain. CONCLUSIONS: Gait disorders occur during pregnancy, which can increase the risk of falls and musculoskeletal discomfort, which may affect the quality of life of pregnant women.

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“…Lower back pain remains a major problem throughout the world, with the highest prevalence among female individuals and those aged 40-80 [14,15] . Among females, lower back pain could be attributed to pain related to osteoporosis, menstruation, or pregnancy [16][17][18][19][20][21] . Causal dimensions to muscular lipoma (n=100%), while more males suffered from multiple sclerosis and spine metastasis.…”

Section: Discussionmentioning

confidence: 99%

Appraisal of Imaging Requests and Findings from MRI Scans of Patients at State Specialists Hospital Bauchi

Ogenyi¹,

England²,

Dlama³

et al. 2018

J. appl. health sci.

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Background: MRI plays a vital role in diagnosis of diseases. Objectives:To determine the pattern of imaging requests and findings from MRI scans of patients in the bauchi State Hospital. Methods:A prospective cross-sectional study of MRI request forms and findings of 138 patients was conducted from August 2016 to January 2017. MRI scans were performed using a 0.35T Neusoft MRI scanner and reported by a group of consultant radiologists. Data were analysed using descriptive statistics with the computer software SPSS version 22 (IbM, New York, USA). Results:This study revealed that majority of the MRI requests were for lumbosacral spine examinations (n=84, 60.9%), followed closely by MRI of the brain (n=42, 30.4%) and thirdly shoulder and abdomen examinations with a frequency of 4.3% each. Out of 138 MRI scans studied, intervertebral disc prolapse (n=60, 43.5%) was the commonest finding from MRI scans of patients, the second most prevalent finding was L4-L5 degenerative disc disease (n=12, 8.7%). Intramuscular lipoma and basal ganglia edema had a prevalence of 4.3%. Conclusion:The commonest requests were MRI lumbosacral and, in terms of findings, we found intervertebral disc prolapse, L4-L5 degenerative disc disease, basal ganglia edema and intramuscular lipoma as the major findings from MRI scans in bauchi.

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Musculoskeletal Disorders of Pregnancy, Delivery and Postpartum

Cited by 114 publications

References 78 publications

Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

Modificações da força de propulsão da marcha durante a gravidez: das alterações nas dimensões dos pés

Appraisal of Imaging Requests and Findings from MRI Scans of Patients at State Specialists Hospital Bauchi

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