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Pregnancy and low back pain

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https://www.readbyqxmd.com/read/29241936/teriparatide-and-denosumab-treatment-for-pregnancy-and-lactation-associated-osteoporosis-with-multiple-vertebral-fractures-a-case-study
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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...
October 16, 2017: 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
#8
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
https://www.readbyqxmd.com/read/29037184/low-back-pain-and-causative-movements-in-pregnancy-a-prospective-cohort-study
#9
Saori Morino, Mika Ishihara, Fumiko Umezaki, Hiroko Hatanaka, Hirotaka Iijima, Mamoru Yamashita, Tomoki Aoyama, Masaki Takahashi
BACKGROUND: Low back pain (LBP) during pregnancy might be strongly related to posture and movements of the body, and its management is a clinically important issue. The purpose of this study was to investigate the activities related to LBP during pregnancy. METHODS: Participants included 275 women before 12 weeks of pregnancy. The women were evaluated at 12, 24, 30, and 36 weeks of pregnancy. The intensity of LBP was assessed using the Numerical Rating Scale (NRS)...
October 16, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29024881/a-pilot-randomised-controlled-trial-exploring-the-effects-of-antenatal-reflexology-on-labour-outcomes
#10
Julie Em Mccullough, Ciara Close, S Dianne Liddle, Marlene Sinclair, Ciara M Hughes
OBJECTIVE: to investigate the effects of antenatal reflexology on labour outcomes. DESIGN: secondary analysis of a pilot three-armed randomised controlled trial conducted between July 2012 and September 2013. SETTING: a large UK inner city hospital maternity department. PARTICIPANTS: ninety primiparous women with a singleton pregnancy experiencing low back and / or pelvic girdle pain. INTERVENTIONS: six weekly 30-minute reflexology treatments compared to sham (footbath) treatments or usual antenatal care only...
September 14, 2017: Midwifery
https://www.readbyqxmd.com/read/29020871/tolerability-and-safety-of-the-intravenous-immunoglobulin-octagam-%C3%A2-10-in-patients-with-immune-thrombocytopenia-a-post-authorisation-safety-analysis-of-two-non-interventional-phase-iv-trials
#11
Stefan Wietek, Daniel Svorc, Anette Debes, Tor-Einar Svae
OBJECTIVES: To provide detailed data on the tolerability and safety of octagam(®) 10%, a ready-to-use intravenous immunoglobulin, in a subgroup of patients with immune thrombocytopenia (ITP) involved in an integrated analysis of post-authorisation safety surveillance (PASS) studies. METHODS: A subgroup analysis was conducted using data collected from two non-interventional studies that included patients with ITP treated with octagam(®) 10%. Patients were observed and monitored for possible adverse drug reactions (ADRs) during or after administration of octagam(®) 10%, with a particular focus on thromboembolic events (TEEs)...
October 11, 2017: Hematology (Amsterdam, Netherlands)
https://www.readbyqxmd.com/read/28962596/chiropractic-management-of-dominating-one-sided-pelvic-girdle-pain-in-pregnant-women-a-randomized-controlled-trial
#12
Anne Marie Gausel, Inger Kjærmann, Stefan Malmqvist, Knut Andersen, Ingvild Dalen, Jan Petter Larsen, Inger Økland
BACKGROUND: The aim of this study was to investigate the outcome of chiropractic management for a subgroup of pregnant women with dominating one-sided pelvic girdle pain (PGP). METHODS: The study population was recruited from a prospective longitudinal cohort study of pregnant women. Women reporting pelvic pain (PP), and who were diagnosed with dominating one-sided PGP after a clinical examination, were invited to participate in the intervention study. Recruitment took place either at 18 weeks, or after an SMS-tracking up to week 29...
September 29, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28915771/low-back-pain-with-impact-at-17-years-of-age-is-predicted-by-early-adolescent-risk-factors-from-multiple-domains-analysis-of-the-western-australian-pregnancy-cohort-raine-study
#13
Anne Smith, Darren Beales, Peter O'Sullivan, Natasha Bear, Leon Straker
Study Design Prospective cohort study of the Western Australian Pregnancy Cohort (Raine) Study. Background Low back pain (LBP) commonly develops in adolescence and is a significant risk factor for adult LBP. A broad range of factors have been associated with the development of adolescent LBP, but prior literature has limitations related to characterization of LBP and the scope of risk factors considered. Objective This study aimed to identify potential factors contributing to the development of LBP, with and without impact, at 17 years of age, utilizing a broad range of exposures at 14 years of age...
October 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28869318/exercise-for-the-prevention-of-low-back-and-pelvic-girdle-pain-in-pregnancy-a-meta-analysis-of-randomized-controlled-trials
#14
REVIEW
R Shiri, D Coggon, K Falah-Hassani
BACKGROUND AND OBJECTIVE: The effect of exercise in prevention of low back and pelvic girdle pain during pregnancy is uncertain. This study aimed to assess the effect of exercise on low back pain, pelvic girdle pain and associated sick leave. DATABASES AND DATA TREATMENT: Literature searches were conducted in PubMed, EMBASE, Cochrane Library, Google Scholar, ResearchGate and ClinicalTrials.gov databases from their inception through May 2017. Randomized controlled trials (RCTs) were eligible for inclusion in the review if they compared an exercise intervention with usual daily activities and at least some of the participants were free from low back pain and/or pelvic girdle pain at baseline...
September 4, 2017: European Journal of Pain: EJP
https://www.readbyqxmd.com/read/28835238/predictive-ability-of-the-start-back-tool-an-ancillary-analysis-of-a-low-back-pain-trial-from-danish-general-practice
#15
Allan Riis, Michael Skovdal Rathleff, Cathrine Elgaard Jensen, Martin Bach Jensen
BACKGROUND: Low back pain (LBP) is a common cause of contact with the primary healthcare sector. In some patients, symptoms quickly resolve, but others develop long-lasting pain and disability. To improve the care pathway for patients with LBP, the STarT Back Tool (STarT) questionnaire has been developed. It helps initial decision-making by subgrouping patients on the basis of their prognosis and helps to target treatment according to prognosis. An assumption behind the use of STarT is the ability to predict functional improvement...
August 23, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28832267/the-severity-and-impact-of-pelvic-girdle-pain-and-low-back-pain-in-pregnancy-a-multinational-study
#16
Annelie Gutke, Jill Boissonnault, Gill Brook, Britt Stuge
BACKGROUND: Pelvic girdle pain (PGP) and low-back pain (LBP) are the most common musculoskeletal disorders experienced during pregnancy, yet they are not familiar to healthcare providers in some countries. The objective was to compare prevalence, severity, and impact of PGP and LBP among pregnant women in the United States, the United Kingdom, Norway, and Sweden. Women's desires for, access to, and experience of treatment were also examined. MATERIALS AND METHODS: This is a cross-sectional self-reported questionnaire study of pregnant women, recruited at maternity care units in gestational weeks 30-38...
August 23, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28780239/-it-is-just-like-having-a-period-with-back-pain-exploring-women-s-experiences-with-community-based-distribution-of-misoprostol-for-early-abortion-on-the-thailand-burma-border
#17
Ellen Tousaw, Sweet Naw Hser Gay Moo, Grady Arnott, Angel M Foster
INTRODUCTION: The lack of economic development and longstanding conflict in Burma have led to mass population displacement. Unintended pregnancy and unsafe abortion are common and contribute to maternal death and disability. In 2011, stakeholders operating along the Thailand-Burma border established a community-based distribution program of misoprostol for early abortion, with the aim of providing safe and free abortion care in this low-resource and legally restricted setting. METHODS: We conducted 16 in-depth, in-person interviews with women from Burma residing on both sides of the border who accessed misoprostol through the community-based distribution initiative...
August 3, 2017: Contraception
https://www.readbyqxmd.com/read/28775180/sick-leave-and-medication-use-in-pregnancy-a-european-web-based-study
#18
Bich Thuy Truong, Angela Lupattelli, Petter Kristensen, Hedvig Nordeng
BACKGROUND AND OBJECTIVE: A comparison of sick leave in pregnancy between countries is difficult as most studies have been conducted in single countries in Scandinavia. The objective of this study was to explore patterns of and reasons for sick leave during pregnancy on a multinational level, focusing on medication use but also differences in sick leave policies. DESIGN AND SETTING: Cross-sectional, web-based study in 12 European countries from October 2011 to February 2012...
August 3, 2017: BMJ Open
https://www.readbyqxmd.com/read/28742515/do-exercises-improve-back-pain-in-pregnancy
#19
Muhammad Azrai Abu, Nur Azurah Abdul Ghani, Lim Pei Shan, Aqmar Suraya Sulaiman, Mohd Hashim Omar, Mohd Hisam Muhamad Ariffin, Azmi Baharuddin, Shuhaila Shohaimi, Zuraidah Che Man
Objective To assess the efficacy of an exercise program towards reducing back pain in pregnant women. Methods In this prospective control study, 145 low risk pregnant women who scored more than 20 for functional limitation assessment were recruited. The severity of back pain was assessed using the visual analoque scale (VAS) and the functional limitation was assessed using the Oswestry disability questionnaire (ODQ). All participants were informed of back care measures and provided with Paracetamol as an adjunct analgesia...
July 25, 2017: Hormone Molecular Biology and Clinical Investigation
https://www.readbyqxmd.com/read/28671155/low-back-pain-in-pregnant-women-attending-antenatal-clinic-the-aminu-kano-teaching-hospital-experience
#20
Mustapha Ibrahim Usman, Muhammad Kabir Abubakar, Shamsuddeen Muhammad, Ayyuba Rabiu, Ibrahim Garba
BACKGROUND: The profound physiologic effects of pregnancy affect the musculoskeletal system. Pregnant women are at increased risks of low back/pelvic girdle pains. OBJECTIVE: To determine the incidence of low back/pelvic girdle pains among pregnant women. MATERIALS AND METHODS: This was a cross-sectional study conducted from May 1 to June 30, 2016, among consenting pregnant women at Aminu Kano Teaching Hospital. Ethical approval was obtained from the Hospital Ethics Committee...
July 2017: Annals of African Medicine
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