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治疗性运动对妊娠相关下腰痛和骨盆带疼痛的影响:一项随机对照试验的二次分析

Effect of therapeutic exercises on pregnancy-related low back pain and pelvic girdle pain: Secondary analysis of a randomized controlled trial.

作者信息

Sklempe Kokic Iva, Ivanisevic Marina, Uremovic Melita, Kokic Tomislav, Pisot Rado, Simunic Bostjan

机构信息

Department of Health Studies, College of Applied Sciences.

出版信息

J Rehabil Med. 2017 Mar 6;49(3):251-257. doi: 10.2340/16501977-2196.

DOI:10.2340/16501977-2196
PMID:28233012
Abstract

OBJECTIVE

To investigate the effect of a supervised, structured exercise programme on the occurrence and severity of pregnancy-related lumbopelvic pain.

DESIGN

Randomized controlled trial.

SUBJECTS

A total of 45 pregnant women were randomly assigned to 2 groups: an experimental group (n = 20; mean age 32.8 (standard deviation (SD) 3.6) years) and a control group (n = 22; mean age 32.2 years (SD 4.9)).

METHODS

Exercise intervention for the experimental group consisted of aerobic and resistance exercises performed bi-weekly from the date of inclusion into the study until the end of pregnancy, together with at least 30 min of brisk daily walks. A numeric rating scale, Roland-Morris Disability Questionnaire (RMDQ), and Pelvic Girdle Questionnaire (PGQ) were used to measure outcomes. The control group received only standard antenatal care.

RESULTS

There were significant differences between the 2 groups on the numeric rating scale, PGQ and RMDQ scores in the 36th week of pregnancy (p = 0.017; p = 0.005; p < 0.001, respectively) in favour of the experimental group.

CONCLUSION

The exercise programme had a beneficial effect on the severity of lumbopelvic pain in pregnancy, reducing the intensity of pain and the level of disability experienced as a result.

摘要

目的

探讨一项有监督的结构化运动计划对妊娠相关腰骨盆疼痛的发生及严重程度的影响。

设计

随机对照试验。

研究对象

共45名孕妇被随机分为两组:实验组(n = 20;平均年龄32.8(标准差(SD)3.6)岁)和对照组(n = 22;平均年龄32.2岁(SD 4.9))。

方法

实验组的运动干预包括从纳入研究之日起至妊娠结束每两周进行一次的有氧运动和抗阻运动,以及每天至少30分钟的轻快步行。使用数字评分量表、罗兰-莫里斯残疾问卷(RMDQ)和骨盆带问卷(PGQ)来测量结果。对照组仅接受标准的产前护理。

结果

在妊娠第36周时,两组在数字评分量表、PGQ和RMDQ评分上存在显著差异(分别为p = 0.017;p = 0.005;p < 0.001),有利于实验组。

结论

该运动计划对妊娠期间腰骨盆疼痛的严重程度有有益影响,减轻了疼痛强度和由此产生的残疾程度。

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