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改良型腰骨盆带与现行腰骨盆带对孕妇下背痛和骨盆痛影响的比较。

Comparison of the Modified Lumbar Pelvic Belt with the Current Belt on Low Back and Pelvic Pain in Pregnant Women.

作者信息

Heydari Zhaleh, Aminian Gholamreza, Biglarian Akbar, Shokrpour Maryam, Mardani Mohammad Ali

机构信息

PhD Candidate, Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

PhD, Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

J Biomed Phys Eng. 2022 Jun 1;12(3):309-318. doi: 10.31661/jbpe.v0i0.2111-1427. eCollection 2022 Jun.

Abstract

BACKGROUND

Low back pain is one of the most common problems for pregnant women during pregnancy. Most belts are designed for supporting the surface of the symphysis pubis or upper anterior iliac spine without any support in the lumbar region.

OBJECTIVE

This study aimed to compare the related effects between the new design and the current belt on the pain and function of pregnant women.

MATERIAL AND METHODS

In this randomized control trial study, 48 pregnant women with pelvic and lumbar pain participated. The participants were randomly divided into three groups: current belt, modified belt, and control. Pain intensity assessment, pelvic girdle (PG), and Oswestry disability index (ODI) questionnaires were utilized at the beginning of the study and three weeks later.

RESULTS

The pain intensity decreased more in the modified belt group than in the current belt group. ODI and PG scores decreased in two belt groups after three weeks of follow-up. However, this decrease was greater in the modified belt group, there was no statistically significant difference.

CONCLUSION

The disability decreased in both groups using the belts, and their function was improved. Accordingly, the use of a modified belt with lumbar and PG support can significantly reduce back and pelvic pain in pregnant women compared to the current pelvic belt.

摘要

背景

腰痛是孕妇孕期最常见的问题之一。大多数腰带设计用于支撑耻骨联合表面或髂前上棘,而在腰椎区域没有任何支撑。

目的

本研究旨在比较新设计腰带与现有腰带对孕妇疼痛和功能的相关影响。

材料与方法

在这项随机对照试验研究中,48名患有骨盆和腰痛的孕妇参与其中。参与者被随机分为三组:现有腰带组、改良腰带组和对照组。在研究开始时和三周后使用疼痛强度评估、骨盆带(PG)和奥斯维斯特里功能障碍指数(ODI)问卷。

结果

改良腰带组的疼痛强度下降幅度大于现有腰带组。随访三周后,两个腰带组的ODI和PG评分均下降。然而,改良腰带组的下降幅度更大,差异无统计学意义。

结论

使用腰带的两组孕妇的功能障碍均有所减轻,功能得到改善。因此,与现有的骨盆带相比,使用具有腰椎和PG支撑的改良腰带可显著减轻孕妇的背部和骨盆疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b10/9175122/7c9e15863e6d/JBPE-12-309-g001.jpg

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