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基于普拉提方法的体育活动计划在孕期和分娩中的有效性。

Effectiveness of a physical activity programme based on the Pilates method in pregnancy and labour.

作者信息

Rodríguez-Díaz Luciano, Ruiz-Frutos Carlos, Vázquez-Lara Juana María, Ramírez-Rodrigo Jesús, Villaverde-Gutiérrez Carmen, Torres-Luque Gema

机构信息

Hospital Universitario de Ceuta, Ceuta, España.

Departamento de Sociología, Trabajo Social y Salud Pública, Universidad de Huelva, Huelva, España.

出版信息

Enferm Clin. 2017 Sep-Oct;27(5):271-277. doi: 10.1016/j.enfcli.2017.05.008. Epub 2017 Jul 6.

Abstract

OBJECTIVE

To assess the effectiveness and safety of a physical activity programme based on use of the Pilates method, over eight weeks in pregnant women, on functional parameters, such as weight, blood pressure, strength, flexibility and spinal curvature, and on labour parameters, such as, type of delivery, episiotomy, analgesia and newborn weight.

METHOD

A randomized clinical trial was carried out on pregnant women, applying a programme of physical activity using the Pilates method, designed specifically for this population. A sample consisting of a total of 105 pregnant women was divided into two groups: intervention group (n=50) (32.87±4.46 years old) and control group (n=55) (31.52±4.95 years old). The intervention group followed a physical activity programme based on the Pilates method, for 2 weekly sessions, whereas the control group did not follow the program.

RESULTS

Significant improvements (p<0.05) in blood pressure, hand grip strength, hamstring flexibility and spinal curvature, in addition to improvements during labour, decreasing the number of Caesareans and obstructed labour, episiotomies, analgesia and the weight of the newborns were found at the end of the intervention.

CONCLUSION

A physical activity programme of 8 weeks based on the Pilates method improves functional parameters in pregnant women and benefits delivery.

摘要

目的

评估基于普拉提方法的体育活动计划在八周内对孕妇功能参数(如体重、血压、力量、柔韧性和脊柱弯曲度)以及分娩参数(如分娩类型、会阴切开术、镇痛和新生儿体重)的有效性和安全性。

方法

对孕妇进行了一项随机临床试验,采用专门为此人群设计的基于普拉提方法的体育活动计划。总共105名孕妇组成的样本分为两组:干预组(n = 50)(年龄32.87±4.46岁)和对照组(n = 55)(年龄31.52±4.95岁)。干预组遵循基于普拉提方法的体育活动计划,每周进行2次训练,而对照组不遵循该计划。

结果

干预结束时发现,血压、握力、腘绳肌柔韧性和脊柱弯曲度有显著改善(p<0.05),此外分娩过程也有所改善,剖宫产和难产的数量减少,会阴切开术、镇痛和新生儿体重也有所改善。

结论

基于普拉提方法的为期8周的体育活动计划可改善孕妇的功能参数并有益于分娩。

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