Kordi Ramin, Abolhasani Maryam, Rostami Mohsen, Hantoushzadeh Sedigheh, Mansournia Mohammad Ali, Vasheghani-Farahani Farzaneh
Sport Medicine Research Center, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
J Back Musculoskelet Rehabil. 2013;26(2):133-9. doi: 10.3233/BMR-2012-00357.
Pelvic girdle pain is a common complaint of pregnant women. There are limited data on comparison between the effectiveness of stabilizing exercises and lumbopelvic belt on the treatment of these patients. The objective of this study was to compare the effect of lumbopelvic belt plus information, home based pelvic girdle stabilizing exercises plus information and information alone on pain intensity, functional status and quality of life of pregnant women with pelvic girdle pain.
In this randomized clinical trial pregnant women with pelvic girdle pain (n=105) were randomly allocated to three groups; Control group (n=35) that received general information, exercise group (n=31) that in addition to general information were asked to perform specific pelvic stabilizing exercises at home and belt group (n=31) that received non-rigid lumbopelvic belt and the information. The primary outcome variables were pain intensity and functional status of the participants which were measured using visual analogue scale and Oswestry Disability Index (ODI) respectively. Quality of life of participants was measured using WHOQOL-BREF questionnaire. All measurements were performed at baseline, 3 and 6 weeks after the study conduction.
The pain intensity of patients in belt group in comparison to other groups was decreased significantly at both 3 and 6 weeks follow-ups. The mean score of ODI of patients in belt group was also improved more than exercise and control groups significantly.
On base of our results, it can be found that in short term lumbopelvic belt and information in treatment of pregnant women with pelvic girdle pain is superior to exercise plus information or information alone.
骨盆带疼痛是孕妇常见的主诉。关于稳定运动与腰骨盆带治疗这些患者有效性比较的数据有限。本研究的目的是比较腰骨盆带加信息、家庭式骨盆带稳定运动加信息以及仅提供信息对骨盆带疼痛孕妇的疼痛强度、功能状态和生活质量的影响。
在这项随机临床试验中，将105例骨盆带疼痛的孕妇随机分为三组；对照组（n = 35），接受一般信息；运动组（n = 31），除一般信息外，还被要求在家中进行特定的骨盆稳定运动；腰带组（n = 31），接受非刚性腰骨盆带并获取相关信息。主要结局变量是参与者的疼痛强度和功能状态，分别使用视觉模拟量表和Oswestry功能障碍指数（ODI）进行测量。使用世界卫生组织生活质量简表（WHOQOL - BREF）问卷测量参与者的生活质量。所有测量均在研究开始时、研究进行3周和6周后进行。
在3周和6周随访时，腰带组患者的疼痛强度与其他组相比均显著降低。腰带组患者的ODI平均得分也比运动组和对照组有更显著的改善。
根据我们的研究结果，可以发现短期内，腰骨盆带加信息治疗骨盆带疼痛孕妇优于运动加信息或仅提供信息。
