Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain

Fayiz El-Shamy

doi:doi:10.11648/j.jgo.20150301.13

| Peer-Reviewed

Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain

Fayiz El-Shamy

Published in Journal of Gynecology and Obstetrics (Volume 3, Issue 1)

Received: 17 January 2015 Accepted: 29 January 2015 Published: 10 February 2015

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed signiﬁcant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were signiﬁcant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no signiﬁcant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly signiﬁcant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.

Published in	Journal of Gynecology and Obstetrics (Volume 3, Issue 1)
DOI	10.11648/j.jgo.20150301.13
Page(s)	13-17
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2015. Published by Science Publishing Group

Keywords

Pregnancy, Low Back Pain, Lumbar Region, Stabilizing Exercises, Lumbar Range of Motion

References

[1]	Vermani, E., Mittal, R. and Weeks, A. "Pelvic girdle pain and low back pain in pregnancy: a review".Pain Practice.10, 60–71, 2010 .
[2]	Vleeming, A., Albert, H., Östgaard, HC., Sturreson, B., Stuge, B. "European guidelines for the diagnosis and treatment of pelvic girdle pain". Eur Spine J. 17,794–819, 2008.
[3]	Östgaard, HC., Andersson, GBJ., Karlsson, K. "Prevalence of back pain in pregnancy". Spine (Phila Pa 1976). 16(5), 549–52, 1991.
[4]	Őstgaard, HC., Zetherstrom, G. and Roos-Hansson, E. "Regression of back and posterior pelvic pain after pregnancy". Spine (Phila Pa 1976). 21(23), 2777–80, 1996.
[5]	Svensson, HO., Andersson, GB., Hagstad, A. and Jansson, PO. "The relationship of low-back pain to pregnancy and gynecologic factors". Spine (Phila Pa 1976). 15(5), 371–5, 1990.
[6]	Östgaard, HC., Zetherström, G. and Roos-Hansson, E. "Back pain in relation to pregnancy: a 6-year follow-up". Spine (Phila Pa 1976). 22(24), 2945–50, 1997.
[7]	Mogren,I. Perceived health six months after delivery in women who have experienced low back pain and pelvic pain during pregnancy". Scandinavian Journal of Caring Sciences. 21, 447– 455, 2007.
[8]	Forrester,M. "Low back pain in pregnancy". Acupuncture in Medicine. 21, 36–41, 2003.
[9]	Wang,S.M.,Dezinno,P.,Maranets,I.,Berman,M.R.,CaldwellAndrews,A.A. and Kain, Z.N."Low back pain during pregnancy: prevalence, risk factors, and outcomes". Obstetrics and Gynecology.104, 65–70, 2004.
[10]	Ho,S.S.M., Yu,W.W.M., Lao,T.T., Chow, D.H.K., Chung, J.W.Y. and Li,Y." Effectiveness of maternity support belts in reducing low back pain during pregnancy: a review". Journal of Clinical Nursing.18, 1523–1532, 2009a.
[11]	Ho,S.S.M., Yu,W.W.M., Lao,T.T., Chow,D.H.K., Chung,J.W.Y. and Li,Y." Garment needs of pregnant women based on content analysis of in-depth interviews". Journal of Clinical Nursing. 18, 2426–2435, 2009b.
[12]	American College of Obstetricians and Gynecologists, Exercise During Pregnancy: ACOG Patient Education Pamphlet. ACOG, Washington, DC, 2003.
[13]	ACOG Committee, Opinion No. 267. "Exercise during pregnancy and the postpartum period". Obstet Gynecol. 99,171–3 , 2002.
[14]	Collins, S.L., Moore, R.A. and McQuay, H.J. "The visual analogue pain intensity scale: what is moderate pain in millimeters?". Pain. 72, 95–97, 1997.
[15]	Piantadosi, s. “Clinical trial: a methodologic perspective". John wily& sons, new York, 1997.
[16]	Taimela, S., Diederich, C., Hbsch, M. and Heinricy. M.: “The role of physical exercise and inactivity in pain recurrence and absenteeism form work after active outpatient rehabilitation for recurrent or chronic low back pain,, Spine. 25(14), 1809-1816, 2000.
[17]	Garshasbi, A. and Faghih Zadeh, S. "The effect of exercise on the intensity of low back pain in pregnant women". Int J Gynecol Obstet. 88(3),271–5, 2005.
[18]	Stuge, B., Lærum, E., Kirkesola, G. and Vøllestad, N. "The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: arandomized controlled trial". Spine (Phila Pa 1976). 29(4), 351–9, 2004.
[19]	Richardson, CA., Snijders, CJ., Hides, JA., Damen, L., Pas, MS. and Storm, J. "The relation between the transversus abdominis muscles, sacroiliac joint mechanics, and low back pain". Spine (Phila Pa 1976). 27(4), 399–405, 2002.
[20]	Brayshaw, E. "Exercises for pregnancy and childbirth: a practical guide for educators". Second edition. Edinburgh: Books for Midwives. 2003.
[21]	Poudevigne, M.S. and O‘Connor, P.J."Physical activity and mood during pregnancy. Medicine &Science in Sports and Exercise.37,1374–1380, 2005.
[22]	BorgStein, J. and Dugan,S.A."Musculoskeletal disorders of pregnancy , delivery and postpartum". Physical Medicine and rehabilitation Clinics of North America. 18, 459–476, 2007.
[23]	Petrofsky, J.S., Batt,J., Brown, J. and et al." Improving the outcomes after back injury by a core muscle strengthening program". Journal of Applied Research. 8, 62–75, 2008.
[24]	Dumas, G.A., Reid,J.G., Wolfe,L.A., Griffin, M.P. and McGrath, M.J." Exercise, posture, and back pain during pregnancy. Part2. Exercise and back pain. Clinical Biomechanics.10,104–109, 1995.
[25]	Hides, J., Strokes Saide, M., Jull, G. and Cooper D." Evidence of lumbar multifidus wasting ipsilateral to symptoms with acute/sub acute low back pain". Spine. 19, 165-172, 1994.

Cite This Article

Plain Text BibTeX RIS

APA Style

Fayiz El-Shamy. (2015). Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. Journal of Gynecology and Obstetrics, 3(1), 13-17. https://doi.org/10.11648/j.jgo.20150301.13

Copy | Download

ACS Style

Fayiz El-Shamy. Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. J. Gynecol. Obstet. 2015, 3(1), 13-17. doi: 10.11648/j.jgo.20150301.13

Copy | Download

AMA Style

Fayiz El-Shamy. Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. J Gynecol Obstet. 2015;3(1):13-17. doi: 10.11648/j.jgo.20150301.13

Copy | Download

@article{10.11648/j.jgo.20150301.13,
  author = {Fayiz El-Shamy},
  title = {Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {3},
  number = {1},
  pages = {13-17},
  doi = {10.11648/j.jgo.20150301.13},
  url = {https://doi.org/10.11648/j.jgo.20150301.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150301.13},
  abstract = {Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed signiﬁcant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were signiﬁcant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no signiﬁcant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly signiﬁcant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain
AU  - Fayiz El-Shamy
Y1  - 2015/02/10
PY  - 2015
N1  - https://doi.org/10.11648/j.jgo.20150301.13
DO  - 10.11648/j.jgo.20150301.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 13
EP  - 17
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20150301.13
AB  - Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed signiﬁcant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were signiﬁcant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no signiﬁcant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly signiﬁcant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.
VL  - 3
IS  - 1
ER  -

Copy | Download

Author Information

Fayiz El-Shamy

Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Kafelsheikh University, Kafelsheikh, Egypt

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Fayiz El-Shamy. (2015). Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. Journal of Gynecology and Obstetrics, 3(1), 13-17. https://doi.org/10.11648/j.jgo.20150301.13

Copy | Download

ACS Style

Fayiz El-Shamy. Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. J. Gynecol. Obstet. 2015, 3(1), 13-17. doi: 10.11648/j.jgo.20150301.13

Copy | Download

AMA Style

Fayiz El-Shamy. Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain. J Gynecol Obstet. 2015;3(1):13-17. doi: 10.11648/j.jgo.20150301.13

Copy | Download

@article{10.11648/j.jgo.20150301.13,
  author = {Fayiz El-Shamy},
  title = {Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {3},
  number = {1},
  pages = {13-17},
  doi = {10.11648/j.jgo.20150301.13},
  url = {https://doi.org/10.11648/j.jgo.20150301.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20150301.13},
  abstract = {Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed signiﬁcant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were signiﬁcant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no signiﬁcant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly signiﬁcant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.},
 year = {2015}
}

Copy | Download

TY  - JOUR
T1  - Evaluation of Specific Spinal Segmental Stabilizing Exercises in the Treatment of Antenatal Low Back Pain
AU  - Fayiz El-Shamy
Y1  - 2015/02/10
PY  - 2015
N1  - https://doi.org/10.11648/j.jgo.20150301.13
DO  - 10.11648/j.jgo.20150301.13
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 13
EP  - 17
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20150301.13
AB  - Aims: To investigate the effect of specific lumbar stabilizing exercises on relieving antenatal low back pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics (antenatal clinic), Kafelsheikh general hospital - Kafelsheikh, between October 2014 and January 2015. Methodology: Twenty pregnant women (age 20-25 years) at 20-24 weeks gestation, clinically diagnosed with low back pain and divided into 2 equal groups (A&B). Patients in group A were treated by lumbar stabilizing exercises for 12 weeks, patients in group B without any treatment. Low back pain intensity and spine flexibility were measured by mean of a 100-mm horizontal visual analogue scale and side bending test before and after the treatment program. Results: Patients in group A showed signiﬁcant decrease in low back pain intensity (P=0.01) and spine flexibility (P=0.01), while in group B there were signiﬁcant increase in low back pain intensity (P=0.01) without difference in spine flexibility (Right and Left sides) (P=0.83 and 0.6) at the end of the study. There were no signiﬁcant differences in low back pain intensity (P=0.82) and spine flexibility (Right and Left sides) (P=0.76 and 0.69) at the beginning of the study. But there were highly signiﬁcant differences in low back pain intensity (P=0.001) and spine flexibility (Right and Left sides)(P=0.01) at the end of the study between both groups, Conclusion: lumbar stabilizing exercises decrease the pain intensity and increase the lumbar range of motion.
VL  - 3
IS  - 1
ER  -

Copy | Download