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Pregnancy and low back pain

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https://www.readbyqxmd.com/read/29650015/inclusion-and-exclusion-criteria-used-in-non-specific-low-back-pain-trials-a-review-of-randomised-controlled-trials-published-between-2006-and-2012
#1
Pål André Amundsen, David W Evans, Dévan Rajendran, Philip Bright, Tom Bjørkli, Sandra Eldridge, Rachelle Buchbinder, Martin Underwood, Robert Froud
BACKGROUND: Low back pain is a common health complaint resulting in substantial economic burden. Each year, upwards of 20 randomised controlled trials (RCTs) evaluating interventions for non-specific low back pain are published. Use of the term non-specific low back pain has been criticised on the grounds of encouraging heterogeneity and hampering interpretation of findings due to possible heterogeneous causes, challenging meta-analyses. We explored selection criteria used in trials of treatments for nsLBP...
April 12, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29642862/effectiveness-and-safety-of-moderate-intensity-aerobic-water-exercise-during-pregnancy-for-reducing-use-of-epidural-analgesia-during-labor-protocol-for-a-randomized-clinical-trial
#2
Araceli Navas, Catalina Artigues, Alfonso Leiva, Elena Portells, Aina Soler, Antonia Cladera, Silvia Ortas, Margarita Alomar, Marina Gual, Concepción Manzanares, Marina Brunet, Magdalena Julià, Lidia López, Lorena Granda, Miquel Bennasar-Veny, Mari Carmen Carrascosa
BACKGROUND: Epidural analgesia during labor can provide effective pain relief, but can also lead to adverse effects. The practice of moderate exercise during pregnancy is associated with an increased level of endorphins in the blood, and this could also provide pain relief during labor. Aerobic water exercises, rather than other forms of exercise, do not negatively impact articulations, reduce edema, blood pressure, and back pain, and increase diuresis. We propose a randomized controlled trial (RCT) to evaluate the effectiveness and safety of a moderate water exercise program during pregnancy on the need for epidural analgesia during labor...
April 11, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29625095/predictive-validity-of-the-start-back-tool-for-risk-of-persistent-disabling-back-pain-in-a-united-states-primary-care-setting
#3
Pradeep Suri, Kristin Delaney, Sean D Rundell, Daniel C Cherkin
OBJECTIVE: To examine the predictive validity of the STarT Back tool for classifying people with back pain into categories of low, medium, and high risk of persistent disabling back pain, in US primary care. DESIGN: Secondary analysis of data from participants receiving usual care in a randomized clinical trial. SETTING: Primary care clinics. PARTICIPANTS: 1109 adults with back pain ≥18 years of age. Those with specific causes of back pain (pregnancy, disc herniation, vertebral fracture, spinal stenosis) and work-related injuries were not included...
April 3, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/29614087/trajectories-and-predictors-of-women-s-health-related-quality-of-life-during-pregnancy-a-large-longitudinal-cohort-study
#4
Guannan Bai, Hein Raat, Vincent W V Jaddoe, Eva Mautner, Ida J Korfage
The objective of this study was to identify distinct trajectories and their predictors of health-related quality of life (HRQOL) of women during pregnancy in a prospective mother and child cohort. Analyses were based on 3936 Dutch pregnant women in Rotterdam area, the Netherlands. Information on potential predictors was collected in early pregnancy by questionnaire. Latent Class Mixture Modelling and Multinomial Logistic Regression were applied to assess the trajectory and predictors of HRQOL during pregnancy...
2018: PloS One
https://www.readbyqxmd.com/read/29587728/anatomical-landmarks-of-the-intra-pelvic-side-wall-as-sources-of-pain-in-women-with-and-without-pregnancy-related-chronic-pelvic-pain-after-childbirth-a-descriptive-study
#5
Thomas Torstensson, Stephen Butler, Anne Lindgren, Magnus Peterson, Lena Nilsson-Wikmar, Margaretha Eriksson, Per Kristiansson
BACKGROUND: Chronic pelvic pain (CPP) affects 15-24% of women and can have a devastating impact on quality of life. Laparoscopy is often used in the investigation, although in one third of the examinations there is no visible pathology and the women may be dismissed without further investigation. Also, the contribution of skeletal, muscular, periosteal and ligamentous tissues to CPP remains to be further elucidated. The objective of the present study was to compare pain intensity provoked from anatomical landmarks of the intra-pelvic side-wall in women with pregnancy-related CPP after childbirth and women without such pain...
March 27, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/29582089/urogenital-symptoms-prevalence-bother-associations-and-impact-in-22-year-old-women-of-the-raine-study
#6
Lara Stockil, Judith Thompson, Kathy Briffa, Anne Smith, Darren Beales, Leon Straker, Peter O'Sullivan, Angela Jacques
INTRODUCTION AND HYPOTHESIS: Urogenital symptoms are prevalent in older women, but there is little data available on the prevalence, bother, impact and associations with low back pain (LBP), obesity, parity, mental health (MH) and quality of life (QOL) in young women. Our aim was to determine the prevalence, bother and impact of urogenital symptoms and to explore associations with LBP, obesity, parity, MH and QOL in 22 year-old women. METHODS: This was a cross-sectional evaluation using data collected from 588 women in the Raine Study, a pregnancy cohort in which participants have been regularly followed up from birth until 22 years...
March 26, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29480840/clinical-management-of-a-unique-case-of-pnet-of-the-uterus-during-pregnancy-and-review-of-the-literature
#7
REVIEW
Rosalba De Nola, Edoardo Di Naro, Luca Maria Schonauer, Giuseppe Lucarelli, Michele Battaglia, Maria Grazia Fiore, Salvatore Andrea Mastrolia, Giuseppe Loverro
RATIONALE: PNETs (primitive neuroectodermal tumors) are a family of highly malignant neoplasms characterized by small round cells of neuroepithelial origin. They usually involve bone and soft tissues, and have a higher incidence in childhood. PATIENT CONCERNS: In this case report, we describe the obstetric and oncological outcome of a huge mass diagnosed as a leiomyoma in a 39-year-old pregnant woman who complained of low back pain, dysuria, and urinary frequency at 22 weeks of gestation...
January 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29429932/the-use-of-complementary-and-alternative-medicine-cam-for-pregnancy-related-low-back-and-or-pelvic-girdle-pain-an-online-survey
#8
Ciara M Hughes, S D Liddle, Marlene Sinclair, Julie E M McCullough
Low back and pelvic girdle pain (LBPGP) is a common complaint among pregnant women, which increases throughout pregnancy and women use various complementary and alternative medicine (CAM) therapies to manage their pain. Using an online survey, CAM treatments used by pregnant women in the UK and their perceptions of these therapies to relieve LBPGP were investigated. 191 women completed the survey and 70% experienced LBPGP lasting more than one week. Over half of women who sought treatment from a GP or physiotherapist were dissatisfied...
February 2, 2018: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/29394188/effects-of-resistance-training-on-fatigue-related-domains-of-quality-of-life-and-mood-during-pregnancy-a-randomized-trial-in-pregnant-women-with-back-pain
#9
Patrick J O'Connor, Mèlanie S Poudevigne, Kristen E Johnson, Juliana Brito de Araujo, Christie L Ward-Ritacco
OBJECTIVE: To test if the adoption of twice weekly, low-to-moderate intensity resistance training during weeks 22-34 of pregnancy can improve quality of life and mood. METHODS: A parallel group trial was conducted. Second trimester women (n=134) were randomly assigned to 12-weeks of wait list, bi-monthly pregnancy education classes, or twice weekly low-to-moderate intensity resistance training. Resistance training involved one abdominal exercise with no external load and five exercises (leg extension, leg press, arm lat pull, leg curl, and lumbar extension) with an external load that gradually progressed and the total active exercise time during each exercise session was ~17 minutes...
February 1, 2018: Psychosomatic Medicine
https://www.readbyqxmd.com/read/29389502/the-prevalence-of-sick-leave-reasons-and-associated-predictors-a-survey-among-employed-pregnant-women
#10
Mette Backhausen, Peter Damm, Jane Bendix, Ann Tabor, Hanne Hegaard
OBJECTIVE: We aimed to investigate the prevalence of sick leave and self-reported reasons given for sick leave during pregnancy. Furthermore, we aimed to estimate the frequency of long-term sick leave during pregnancy in relation to pre-baseline maternal characteristics and to identify predictors of long-term sick leave. METHOD: Data from 508 employed pregnant women seeking antenatal care was collected by questionnaires from August 2015 to March 2016. The questionnaires, which were filled in at 20 and 32 weeks of gestation, provided information on maternal characteristics, the number of days spent on sick leave and the associated reasons...
March 2018: Sexual & Reproductive Healthcare: Official Journal of the Swedish Association of Midwives
https://www.readbyqxmd.com/read/29355951/evaluation-of-outpatient-acupuncture-for-relief-of-pregnancy-related-conditions
#11
REVIEW
Barbara Buchberger, Laura Krabbe
BACKGROUND: Acupuncture is a non-pharmacological option to relieve pregnancy-related complaints. OBJECTIVES: To critically appraise the best available evidence for the use of acupuncture in outpatient care. SEARCH STRATEGY: The MEDLINE, Cochrane Library, and Centre for Reviews and Dissemination databases were searched for English-language and German-language papers published from January 1980 to March 2017 using search terms related to pregnancy combined with 'acupuncture'...
January 21, 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29277836/kinesio-taping-vs-placebo-in-reducing-pregnancy-related-low-back-pain-a-cross-over-study
#12
Paweł Kalinowski, Anna Krawulska
BACKGROUND Spinal pain affects approximately 45-56% of pregnant women. Kinesio taping (KT) involves application of flexible water-resistant elastic bands on the patient's body, resulting in painless and non-invasive stimulation. The aim of the study was to determine the influence of KT on reduction of low back pain in pregnant women. MATERIAL AND METHODS Kinesio Tex Gold tapes were applied using the muscular-ligament technique and Polovis Plus textile cladding blinded the sample. The starting position for the KT and placebo with lumbar spine flexion with rotation was in the opposite direction to the application...
December 26, 2017: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29241936/teriparatide-and-denosumab-treatment-for-pregnancy-and-lactation-associated-osteoporosis-with-multiple-vertebral-fractures-a-case-study
#13
Akifumi Ijuin, Hiromi Yoshikata, Ryoko Asano, Taku Tsuburai, Ritsuko Kikuchi, Hideya Sakakibara
OBJECTIVE: Pregnancy and lactation-associated osteoporosis (PLO) is a rare disease, which can lead to vertebral fractures in women of reproductive age. No treatment strategy for PLO has been established. Here we report a case of PLO treated with teriparatide followed by denosumab, in which remarkable improvement in bone mineral density (BMD) was achieved. CASE REPORT: A 27-year-old woman experienced severe back pain two weeks after her first delivery. PLO was diagnosed from her low BMD and multiple vertebral compression fractures...
December 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29205218/a-longitudinal-assessment-of-myoelectric-activity-postural-sway-and-low-back-pain-during-pregnancy
#14
Luciana S Moreira, Leonardo A Elias, Adriane B Gomide, Marcus F Vieira, Waldemar N DO Amaral
PURPOSE: The present study aimed at investigating the control of upright quiet standing in pregnant women throughout pregnancy, and whether low-back pain exerts influence on this motor task. METHODS: Myoelectric signals from postural muscles and stabilometric data were collected from 15 non-pregnant and 15 pregnant women during upright quiet standing. Electromyogram envelopes and center of pressure metrics were evaluated in the control group, as well as in pregnant women in their first and third trimester of pregnancy...
2017: Acta of Bioengineering and Biomechanics
https://www.readbyqxmd.com/read/29145296/approach-to-the-patient-with-pregnancy-and-lactation-associated-osteoporosis-a-case-report-and-a-review-of-the-literature
#15
REVIEW
Min Zhang, Ping Chen, Bin Li, Juan Du, Ting Pan, Jingyan Chen
RATIONALE: Pregnancy and lactation-associated osteoporosis (PLO) is very rare, but it can cause severe vertebral compression fractures with disabling back pain. Although it is a rare, PLO must be kept in mind in the differential diagnosis in patients presenting with low back pain during or after pregnancy. PATIENT CONCERNS: A 23-year-old woman who suffered from lumbago and fractures in the vertebral column 1 month after delivery. DIAGNOSIS: Pregnancy and lactation-associated osteoporosis...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29097951/effect-of-foot-manipulation-on-pregnancy-related-pelvic-girdle-pain-a-feasibility-study
#16
Camilla Melkersson, Salmir Nasic, Karin Starzmann, Kristina Bengtsson Boström
Objective: The objective of this study was to investigate if the research process to evaluate the effect of foot manipulation on pregnancy-related pelvic girdle pain (PPGP) is feasible. Methods: A randomized, single-blind (patients and evaluators) pilot trial was performed to compare foot manipulation to a comparative group at 6-weekly treatment sessions at 5 physiotherapy outpatient clinics in Skaraborg primary care (Skövde, Sweden). Women at 12 to 31 weeks of pregnancy with well-defined PPGP (n = 97) and joint dysfunction or decreased range of movement in the feet were included...
September 2017: Journal of Chiropractic Medicine
https://www.readbyqxmd.com/read/29077966/the-pelvic-girdle-questionnaire-responsiveness-and-minimal-important-change-in-women-with-pregnancy-related-pelvic-girdle-pain-low-back-pain-or-both
#17
Britt Stuge, Hanne Krogstad Jenssen, Margreth Grotle
Background: The Pelvic Girdle Questionnaire (PGQ) is a condition-specific measure for women with pelvic girdle pain (PGP). The PGQ includes items relating to activity/participation and bodily symptoms and has reliability, validity, and feasibility for use in research and clinical practice. Objective: The purposes of this study were to examine the responsiveness of the PGQ, to determine the minimal important change (MIC) for the PGQ, and to compare the PGQ with other outcome measures...
November 1, 2017: Physical Therapy
https://www.readbyqxmd.com/read/29069943/pregnancy-related-osteoporotic-vertebral-compression-fractures-in-two-patients-treated-with-low-molecular-weight-heparin-during-pregnancy-case-reports
#18
Gulcan Ozturk, Pinar Akpinar, Ayse Duygu Karamanlioglu, Feyza Unlu Ozkan, Ilknur Aktas
Pregnancy-related osteoporosis (PRO) is an uncommon metabolic bone disease that can result in vertebral fragility fractures. Here we report two cases of young women who had been previously treated with LMWH-enoxaparin and were diagnosed with PRO with vertebral fragility fractures after delivery. In first case report, a 33-year-old primigravid woman who was treated with 40 mg/day of enoxaparin for eight months to prevent venous thromboembolism was presented. After delivery, Dual energy X ray absorptiometry (DEXA) revealed osteoporosis in lumbar and femoral neck region...
October 26, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/29042300/pregnancy-related-low-back-pain-in-women-in-turkey-prevalence-and-risk-factors
#19
Savas Sencan, Emel Ece Ozcan-Eksi, Isa Cuce, Selcuk Guzel, Baki Erdem
OBJECTIVES: To investigate the prevalence of pregnancy-related low back pain (PRLBP) in women in Turkey, identify the factors associated with PRLBP and predict the risk of PRLBP. MATERIALS AND METHODS: This cross-sectional study included a total of 1500 pregnant women admitted to a prenatal care clinic in a secondary care hospital in Turkey between August 2011 and September 2014. All participants were asked to complete a survey questionnaire. The pregnant women who reported recurrent or continuous pain in the lumbar spine or pelvis for more than 1 week were offered a clinical examination for PRLBP by the spine physiatrist...
January 2018: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29037623/osteopathic-manipulative-treatment-for-low-back-and-pelvic-girdle-pain-during-and-after-pregnancy-a-systematic-review-and-meta-analysis
#20
Helge Franke, Jan-David Franke, Sebastian Belz, Gary Fryer
BACKGROUND: Low back pain (LBP) is a common complaint during pregnancy. This study examined the effectiveness of osteopathic manipulative treatment (OMT) for LBP in pregnant or postpartum women. METHODS: Randomized controlled trials unrestricted by language were reviewed. Outcomes were pain and functional status. Mean difference (MD) or standard mean difference (SMD) and overall effect size were calculated. RESULTS: Of 102 studies, 5 examined OMT for LBP in pregnancy and 3 for postpartum LBP...
October 2017: Journal of Bodywork and Movement Therapies
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