Awad Mohamed A, Hasanin Marwa E, Taha Mona Mohamed, Gabr Amir A
Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Department of Physical Therapy for Cardiopulmonary Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
J Exerc Rehabil. 2019 Feb 25;15(1):109-113. doi: 10.12965/jer.1836524.262. eCollection 2019 Feb.
Preeclampsia (PE) is the most common medical complication of pregnancy characterized by hypertension and significant proteinuria after the 20th week of gestation, its prevalence is about 2%-8% of pregnancies. Antihypertensive drugs were found to have an adverse effect to both the mother and the fetus so interest is increased in nonchemical treatment. This study was conducted to compare between the effects of stretching exercises versus autogenic training (AT) on PE. This study was carried out on 40 preeclamptic primiparous women, their gestational age was exceeding 20 weeks. They were randomly divided into two equal groups; group A consisted of 20 women received stretching exercises and group B consisted of 20 women received relaxation training in the form of AT. All patients in both groups A and B received (3 sessions per week for 6 weeks) and received methyldopa as the antihypertensive drug. Evaluation of all patients in both groups A and B was done before and after the treatment program by assessing arterial blood pressure and proteinuria. Results of this study revealed that there is a significant decrease in systolic blood pressure, diastolic blood pressure and proteinuria in both groups A and B after 6 weeks of treatment. There was no significant difference between both groups post-treatment in systolic blood pressure, diastolic blood pressure, and proteinuria. It can be concluded that both stretching exercise and AT were found to be effective nonchemical methods which control the symptoms of PE.
子痫前期（PE）是妊娠最常见的医学并发症，其特征为妊娠20周后出现高血压和大量蛋白尿，其在妊娠中的患病率约为2%-8%。人们发现降压药对母亲和胎儿均有不良影响，因此对非药物治疗的兴趣增加。本研究旨在比较伸展运动与自生训练（AT）对PE的影响。本研究对40例子痫前期初产妇进行，她们的孕周超过20周。她们被随机分为两组，每组20人；A组由20名接受伸展运动的女性组成，B组由20名接受AT形式放松训练的女性组成。A组和B组的所有患者均接受（每周3次，共6周）治疗，并接受甲基多巴作为降压药。通过评估动脉血压和蛋白尿，在治疗方案前后对A组和B组的所有患者进行评估。本研究结果显示，治疗6周后，A组和B组的收缩压、舒张压和蛋白尿均显著降低。治疗后两组在收缩压、舒张压和蛋白尿方面无显著差异。可以得出结论，伸展运动和AT均被发现是控制PE症状的有效非药物方法。
