Do exercises improve back pain in pregnancy?

Horm Mol Biol Clin Investig. 2017 Jul 25;32(3):/j/hmbci.2017.32.issue-3/hmbci-2017-0012/hmbci-2017-0012.xml. doi: 10.1515/hmbci-2017-0012.

Abstract

Objective To assess the efficacy of an exercise program towards reducing back pain in pregnant women. Methods In this prospective control study, 145 low risk pregnant women who scored more than 20 for functional limitation assessment were recruited. The severity of back pain was assessed using the visual analoque scale (VAS) and the functional limitation was assessed using the Oswestry disability questionnaire (ODQ). All participants were informed of back care measures and provided with Paracetamol as an adjunct analgesia. The intervention group will have a session with a trained physiotherapist. Subsequently, all participants will be required to fill in a similar questionnaire regarding pain intensity and functional limitation assessment after 6 weeks post-intervention. Results There was a significant reduction in the VAS score and improvement in functional ODQ score in the intervention group. The median usage of Paracetamol as an analgesia to control back pain in the control group was 500 mg higher than the intervention group. There was a weak association of age, parity, duration of back pain, and body mass index with functional ODQ score at 6 week following intervention. Conclusion The back pain exercise reducing program was effective in reducing back pain intensity and analgesia usage with a significant improvement in functional ability.

Keywords: analgesia; back pain; education; exercise; physiotherapy; pregnancy.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Acetaminophen / administration & dosage
  • Acetaminophen / therapeutic use
  • Adolescent
  • Adult
  • Analgesics / administration & dosage
  • Analgesics / therapeutic use
  • Back Pain / drug therapy
  • Back Pain / therapy*
  • Chemotherapy, Adjuvant
  • Exercise Therapy / adverse effects
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Pregnancy
  • Pregnancy Complications / drug therapy
  • Pregnancy Complications / therapy*

Substances

  • Analgesics
  • Acetaminophen