Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Sütçü İmam University, Kahramanmaraş, Turkey.
Department of Obstetrics and Gynecology, Faculty of Medicine, Sütçü İmam University, Kahramanmaraş, Turkey.
J Back Musculoskelet Rehabil. 2024;37(5):1373-1380. doi: 10.3233/BMR-240006.
During pregnancy, many pregnant women experience lumbopelvic pain due to mechanical, systemic, and hormonal reasons and this pain and fear of movement (kinesiophobia) causes daily life limitations.
To examine low back pain (LBP), kinesiophobia, disability, and related conditions that develop together during pregnancy.
The was a cross-sectional and analytical study. The presence, severity, and duration of pain in the lumbopelvic region were questioned. Postpartum LBP was evaluated using a self-administered questionnaire, disability using the Oswestry Disability Index (ODI), pain intensity using a visual analog scale (VAS), physical activity levels using the physical activity level during pregnancy questionnaire and the international physical activity questionnaire short form, and kinesiophobia was evaluated using the Tampa Scale for Kinesiophobia.
The study comprised 120 pregnant women with a mean age of 27.4 ± 6.1 years. It was observed that 42.3% of the pregnant had LBP (n= 69). The mean body mass index (BMI) was 73.6 ± 16.2 kg/m2, and the mean VAS score was 5.5 ± 2 cm. When we divided the group according to the presence of LBP, age (p= 0.49), gestational week (p= 0.75), and gravida (p= 0.81) were similar. BMI (p= 0.038) and ODI scores (p< 0.001) were higher in the group with LBP.
LBP in pregnant women has a higher frequency than in the normal population, regardless of age, gestational week, and gravida. Obesity appears to be a risk factor for LBP and increases disability. Kinesiophobia in pregnant women is significantly associated with obesity and disability. Unless there are contraindications, a physically active pregnancy process and regular exercise should be recommend.
在怀孕期间，许多孕妇由于机械、系统和激素原因而经历腰骨盆疼痛，这种疼痛和对运动的恐惧（运动恐惧症）导致日常生活受限。
检查怀孕期间共同发展的腰痛（LBP）、运动恐惧症、残疾和相关情况。
这是一项横断面和分析性研究。询问了腰骨盆区域疼痛的存在、严重程度和持续时间。产后 LBP 通过自我管理问卷进行评估，残疾使用 Oswestry 残疾指数（ODI），疼痛强度使用视觉模拟量表（VAS），身体活动水平使用怀孕期间身体活动水平问卷和国际身体活动问卷短表，运动恐惧症使用坦帕运动恐惧症量表进行评估。
该研究包括 120 名平均年龄为 27.4 ± 6.1 岁的孕妇。观察到 42.3% 的孕妇有 LBP（n=69）。平均体重指数（BMI）为 73.6 ± 16.2 kg/m2，平均 VAS 评分为 5.5 ± 2 cm。当我们根据 LBP 的存在将组进行分组时，年龄（p=0.49）、孕龄（p=0.75）和胎次（p=0.81）相似。BMI（p=0.038）和 ODI 评分（p<0.001）在有 LBP 的组中更高。
孕妇的 LBP 频率高于正常人群，与年龄、孕龄和胎次无关。肥胖似乎是 LBP 的一个危险因素，并增加残疾。孕妇的运动恐惧症与肥胖和残疾显著相关。除非有禁忌症，否则应推荐进行积极的怀孕过程和定期运动。
