Correia Maria Luisa Arruda, Peixoto Filho Fernando Maia, Gomes Júnior Saint Clair
Department of Applied Research in Women's Health, IFF/Fiocruz, Rio de Janeiro 22250-020, Brazil.
Department of Fetal Medicine, IFF/Fiocruz, Rio de Janeiro 22250-020, Brazil.
Healthcare (Basel). 2023 Sep 14;11(18):2538. doi: 10.3390/healthcare11182538.
During pregnancy, the various changes women undergo can affect their health status. Manual therapies are important aids because they do not use medication. This study aimed to evaluate the influence of osteopathic manipulative treatment on the intensity of lumbar and pelvic pain and changes in quality of life. This prospective study included women over 18 years old and between 27 and 41 weeks pregnant, and excluded women with fetal malformations, multiple fetuses, premature rupture of membranes, and in labor. Forty-six pregnant women were selected and divided into two groups of ≤3 and ≥4 visits. Statistically significant improvements were observed in the intensity of maximum low back pain (7.54 ± 1.47 vs. 3.815 ± 1.73, ≤ 0.01) and minimum low back pain (5.67 ± 2.03 vs. 3.111 ± 1.67, ≤ 0.01), maximum pelvic pain (6.54 ± 2.22 vs. 2.77 ± 1.64, = 0.01), and minimum pelvic pain (5.615 ± 2.21 vs. 2.615 ± 1.66, = 0.01). Both groups achieved improvements in quality of life indices, with the improvements achieved by the ≥4-visits group being statistically significant. Osteopathic treatment was effective in reducing the intensity of lumbar and pelvic pain and in improving the quality of life of pregnant women in the third trimester.
在怀孕期间，女性所经历的各种变化会影响她们的健康状况。手法治疗是重要的辅助手段，因为它们不使用药物。本研究旨在评估整骨手法治疗对腰背痛和骨盆痛强度以及生活质量变化的影响。这项前瞻性研究纳入了年龄超过18岁、怀孕27至41周的女性，并排除了有胎儿畸形、多胎妊娠、胎膜早破和临产的女性。选择了46名孕妇并将其分为就诊次数≤3次和≥4次的两组。观察到最大腰背痛强度（7.54±1.47对3.815±1.73，P≤0.01）、最小腰背痛强度（5.67±2.03对3.111±1.67，P≤0.01）、最大骨盆痛强度（6.54±2.22对2.77±1.64，P = 0.01）和最小骨盆痛强度（5.615±2.21对2.615±1.66，P = 0.01）有统计学意义的改善。两组的生活质量指数均有改善，≥4次就诊组所取得的改善具有统计学意义。整骨治疗在减轻晚期孕妇的腰背痛和骨盆痛强度以及改善其生活质量方面是有效的。
