de Sousa Vanessa Patrícia Soares, Cury Alethéa, Eufrásio Laiane Santos, de Sousa Sara Estéfani Soares, Coe Carolina Bezerra, de Souza Ramalho Viana Elizabel
J Back Musculoskelet Rehabil. 2019;32(5):671-676. doi: 10.3233/BMR-171006.
Low back and pelvic pain in pregnant women is a clinical condition of which the etiology is multifactorial. Thus, various variables can influence the low back and pelvic pain's intensity.
The purpose of this study was to analyze the influence of the gestational trimester, practice of physical activity and weight gain on the intensity of low back and pelvic pain in low risk pregnant women.
Two hundred and sixty-seven pregnant women participated in this study. The gestational age, body mass index, weight gain, physical activity practice and the low back and pelvic pain were evaluated.
We found a significant difference (P= 0.02) in pain intensity, when comparing active and sedentary pregnant women. No significant differences were found when comparing pain intensity between the gestational trimesters (2ndversus 3rd; P= 0.60). There was no significant relation between the weight gain and pain intensity (r= 0.03 |P= 0.28). The multivariate analysis indicated that sedentary pregnant women have a higher risk (P= 0.001) of intense pain and the pain is not influenced by the weight gain (P= 0.08) and the gestational trimester (P= 0.98).
Sedentary pregnant women have 30% more chances to have higher pain intensities when compared to the active women, regardless of the gestational trimester and weight gain.
孕妇的腰背痛和骨盆痛是一种病因多因素的临床病症。因此,多种变量会影响腰背痛和骨盆痛的强度。
本研究旨在分析孕周、体育活动情况和体重增加对低风险孕妇腰背痛和骨盆痛强度的影响。
267名孕妇参与了本研究。对孕周、体重指数、体重增加、体育活动情况以及腰背痛和骨盆痛进行了评估。
在比较活动型和久坐型孕妇时,我们发现疼痛强度存在显著差异(P = 0.02)。在比较不同孕周(孕中期与孕晚期;P = 0.60)之间的疼痛强度时,未发现显著差异。体重增加与疼痛强度之间无显著关联(r = 0.03,P = 0.28)。多因素分析表明,久坐型孕妇出现剧痛的风险更高(P = 0.001),且疼痛不受体重增加(P = 0.08)和孕周(P = 0.98)的影响。
与活动型孕妇相比,无论孕周和体重增加情况如何,久坐型孕妇出现更高疼痛强度的几率要高出30%。