Prevalence of Low Back Pain, Pelvic Girdle Pain, and Combination Pain in a Postpartum Ontario Population

Tavares, Patrícia; Barrett, Jon; Hogg‐Johnson, Sheilah; Ho, Sara; Corso, Melissa; Batley, Sarah; Wishloff, Kirsten; Weis, Carol Ann

doi:10.1016/j.jogc.2019.08.030

Cited by 21 publications

(15 citation statements)

References 29 publications

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“…yaptığı bir çalışmada doğumdan sonraki 1,3 ve 6. aylarda kadınların %15-21'inin bel ağrısı yaşadığı bildirilmiştir. 21 Araştırmamızda gebelik sayısı 2 ve üzeri olan kadınlarda bel ağrısı prevalansı daha yüksek olarak bulunmuş ve gebelik sayısı ile bel ağrısı arasındaki ilişki istatistiksel olarak anlamlıdır.…”

Section: Tartişma Ve Sonuçunclassified

15-49 Yaş Aralığındaki Kadınlarda Bel Ağrısı Sıklığı, Etkileyen Faktörler ve Bel Ağrısının Fiziksel Aktivite Düzeyi ile İlişkisinin Belirlenmesi

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Saka

2021

Online Türk Sağlık Bilimleri Dergisi

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Bu ar aştır ma, Diyar bakır 16 nolu Aile Sağlığı Merkezi (ASM) bölgesinde yaşayan 15-49 yaş aralığındaki kadınlarda yaşam boyu, son bir yıl içindeki ve son üç ay içindeki bel ağrısı prevalanslarını tespit etmek amacıyla yapılmıştır. Materyal ve Metot: Ar aştır manın evr enini, Diyar bakır 16 nolu ASM bölgesinde yaşayan 4800 kadın, örneklemini ise sistematik örnekleme yöntemi ile seçilip ulaşılabilen 392 kadın oluşturmaktadır. Bel ağrısının, kadınların yaşam kalitesini ne kadar etkilediğini belirleyebilmek için Oswestry Özürlülük İndeksi, fiziksel aktivite düzeyini belirlemek için ise Uluslararası Fiziksel Aktivite Anketi uygulanmıştır. Verilerin analizi, SPSS 22 (Statistical Package for the Social Sciences 22,0) programı ile yapılmıştır. Bulgular: Elde edilen bulgular a gör e, yaşam boyu bel ağrısı sıklığı %70,4 olarak bulunmuştur. Kadınların Oswestry Özürlülük İndeksi puan ortalaması 12,5±6,4 bulunmuştur. Katılımcıların %56,9'u minimum aktif, % 33,9'u ise inaktif çıkmıştır. İnaktif kadınlarda bel ağrısı sıklığı %94 bulunurken, çok aktif kadınlarda %38,9 olarak bulunmuştur. Fiziksel aktivite düzeyi arttıkça bel ağrısı görülme sıklığı azalmaktadır. Sonuç: Bel ağr ısı ile ilgili olduğunu düşündüğümüz risk faktörlerinden medeni durum, yaş, vücut kitle indeksi, gebelik sayısı, egzersiz yapma durumu, ev işleri yapma durumu ile bel ağrısı sıklığı arasında anlamlı ilişkiler bulunmuştur. Bu bilgiler ışığında, risk faktörlerine yönelik gerekli önlemler alındığı takdirde kadınlarda bel ağrısı sıklığı azaltılabileceği sonucuna ulaşılmıştır.

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Section: Tartişma Ve Sonuçunclassified

15-49 Yaş Aralığındaki Kadınlarda Bel Ağrısı Sıklığı, Etkileyen Faktörler ve Bel Ağrısının Fiziksel Aktivite Düzeyi ile İlişkisinin Belirlenmesi

Baybaşin

Saka

2021

Online Türk Sağlık Bilimleri Dergisi

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“…Lumbopelvic pain (LPP) during pregnancy occurs commonly, with a prevalence varying from 20% to 90%, mostly above 50% 1 , 2 , 3 . On account of such a significant morbidity, this condition had to be generally considered a natural or trivial problem during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Symmetry in Paraspinal Muscles as a Predictor of the Development of Pregnancy‐Related Low Back and Pelvic Pain: A Prospective Study

Long

Fang

Tang

et al. 2021

Orthopaedic Surgery

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Objective: To determine the asymmetry in the paraspinal muscle before pregnancy and evaluate its association with pregnancy-associated lumbopelvic pain (LPP).Methods: This was a prospective case-control study conducted from January 2017 and December 2018. A total of 171 subjects (mean age AE SD, 27.4 AE 5.8 years) were finally divided into the LBP group, PGP group, and no LPP group. Each subject was asked to follow a standardized clinical imaging protocol before the pregnancy. The area of muscles (multifidus, erector spinae, and psoas muscles) on the axial slice at mid-disc of L 4 -L 5 and L 5 -S 1 were segmented and then the cross-sectional area (CSA) of a particular muscle was measured by outlining the innermost fascial border surrounding each muscle. The mean value of F-CSA's ratio to T-CSA (F/T CSA) was used to determine whether the bilateral paraspinal muscle was asymmetrical. Total muscle CSA (T-CSA) represents the sum of CSA of interested three muscles. The signal intensity can distinguish fat and muscle tissue in a different range. Based on this, functional CSA (F-CSA), represented by fat-free area, was evaluated quantitively by excluding the signal of the deposits of intramuscular fat. Total muscle CSA (T-CSA), functional CSA (F-CSA), and the ratio of F-CSA to T-CSA (F/T CSA) were measured unilaterally and compared between groups. Logistic regression was performed to determine the risk factors for pregnancy-associated LPP. The Pearson correlation coefficient was performed to test the relationship between asymmetry in F/T-CSA and pain rating.Results: A total of 124 subjects (72.5%) (28.5 AE 5.2 years) had LPP during pregnancy. Forty-eight (38.7%) individuals had low back pain (LBP) and 76 (61.3%) had pelvic girdle pain (PGP). Seventy-six women (44.4%) were determined to have asymmetry in paraspinal muscle according to the definition in this methods section. The duration of follow-up was 24 months postpartum. A total of 39 (31.5%) women unrecovered from LPP. F/T-CSA was significantly decreased for LBP in the PGP group than in the and control group (0.03 AE 0.02 vs 0.05 AE 0.03 vs 0.12 AE 0.05, P < 0.001). Meanwhile, significant differences were detected in both groups (all P < 0.001). In patients with LBP, the level of paraspinal asymmetry, represented by the difference in F/T-CSA, was positively correlated with pain scores (r = 0.52, P < 0.01). However, no statistically significant correlation between pain scores and paraspinal asymmetry was found in PGP (r = 0.42, P > 0.05). Asymmetry in the paraspinal muscle (adjusted OR = 1.5), LBP (adjusted OR = 1.6), LPP in a previous pregnancy (adjusted OR = 1.4), sick leave ≥90 days (adjusted OR = 1.2), and heavy labor (adjusted OR = 1.2) were risk factors for the unrecovered LPP during pregnancy.Conclusions: Asymmetrical muscular compositions could lead to abnormal biomechanics for the segmental motions.Lateral-directed physical training and stretching may help decrease the occurrence and severity of this condition.

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“…Lumbopelvic pain (LPP) during pregnancy occurs commonly, with a prevalence varying from 20-90%, mostly above 50% [1][2][3]. Because of such signi cant morbidity, this condition had to be generally considered a natural or trivial problem during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…Oppositely, these problems are added to the demand for intensive research. This disease is considered to be clinically complex, including low back pain (LBP) and pelvic girdle pain (PGP) [3,7]. Pain around the symphysis pubis and sacroiliac joints is considered PGP, while LBP is frequently de ned as pain between the 12th rib and the gluteal fold [7].…”

Section: Introductionmentioning

confidence: 99%

Asymmetry in Paraspinal Muscles as a Predictor of the Development of Pregnancy-Related Low Back and Pelvic Pain: A Prospective Study.

Long

et al. 2021

Preprint

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Background: The etiology of pregnancy-associated lumbopelvic pain (LPP) is not clear at present. This condition is highly heterogeneous with different development and subtypes, including low back pain (LBP) and pelvic girdle pain (PGP). Paraspinal muscles are of importance to maintain the spine's functional stability, and their weakness participates in the occurrence of LPP. Therefore, this study aims to determine the asymmetry in the paraspinal muscle before pregnancy and evaluating its association with pregnancy-associated LPP.Methods: This was a prospective case-control study conducted from January 2017 and December 2018. 171 subjects (mean age ± SD, 27.4±5.8 years) were finally divided into the LBP group, PGP group, and no LPP group. The mean value of F-CSA's ratio to T-CSA (F/T CSA) was used to determine whether the bilateral paraspinal muscle was asymmetrical. Total muscle CSA (T-CSA), functional CSA (F-CSA), and F/T CSA were measured unilaterally and compared between groups. Logistic regression was performed to determine the risk factors for pregnancy-associated LPP. The Pearson correlation coefficient was performed to test the relationship between asymmetry in F/T-CSA and pain rating.Results: 124 subjects (72.5%) (28.5±5.2 years) had the LPP during the pregnancy. 48 (38.7%) individuals had LBP, and 76 (61.3%) had PGP. A total of 39 (31.5%) women unrecovered from LPP. F/T-CSA was significantly decreased in LBP than those in the PGP group and control group (0.03±0.02 vs. 0.05±0.03 vs. 0.12±0.05, P <0.001). Meanwhile, significant differences were detected in any two groups (all P <0.001). Asymmetry in the paraspinal muscle (adjusted OR=1.5), LBP (adjusted OR=1.6), LPP in a previous pregnancy (adjusted OR=1.4), sick leave≥90 days (adjusted OR=1.2), and heavy labor (adjusted OR=1.2) were risk factors for the unrecovered LPP during pregnancy.Conclusions: Asymmetrical muscular compositions could lead to abnormal biomechanics for the segmental motions. One-lateral-directed physical training and stretching may help decrease the occurrence and severity of this condition.

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Prevalence of Low Back Pain, Pelvic Girdle Pain, and Combination Pain in a Postpartum Ontario Population

Cited by 21 publications

References 29 publications

15-49 Yaş Aralığındaki Kadınlarda Bel Ağrısı Sıklığı, Etkileyen Faktörler ve Bel Ağrısının Fiziksel Aktivite Düzeyi ile İlişkisinin Belirlenmesi

15-49 Yaş Aralığındaki Kadınlarda Bel Ağrısı Sıklığı, Etkileyen Faktörler ve Bel Ağrısının Fiziksel Aktivite Düzeyi ile İlişkisinin Belirlenmesi

Symmetry in Paraspinal Muscles as a Predictor of the Development of Pregnancy‐Related Low Back and Pelvic Pain: A Prospective Study

Asymmetry in Paraspinal Muscles as a Predictor of the Development of Pregnancy-Related Low Back and Pelvic Pain: A Prospective Study.

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