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Jan 2018, Vol 6, Issue 1
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Original Article
Efficacy of a Physical Training Program on Pregnancy Related Lumbo-Pelvic Pain
SeyedehTahereh Mirmolaei1, Noureddin Nakhostin-Ansari2, Mahmood Mahmoudi3, Fahimeh Ranjbar 4
1Department of Midwifery and Reproductive Health, Tehran University of Medical Sciences, Tehran, Iran
2Department of Physiotherapy, School of Rehabilitation, Tehran University of Medical Sciences, Tehran, Iran
3Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
4Nursing Care Research Center, Iran University of Medical Sciences, Tehran, Iran


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Keywords : low back pain, pelvic pain, pregnancy, physical training, disability
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Abstract
Objective: A large number of women suffer from lumbo-pelvic pain during pregnancy.This pain continues in considerable percentage of women after pregnancyand causes considerable distress and disability. The purpose of this study is to investigate the efficacy of a physical training program on lumbo-pelvic pain and its physical disability during pregnancy.

Material and Methods: Aquasi-experimental study was performedto investigate the effects of a physical training program in women with lumbo-pelvic pain in 2010-2011. A total of 180 pregnant women, assigned to the intervention (n = 90) and control group (n = 90) randomly. The physical training program consisted of stretching and strengthening exercises and body posture modifications. This 12 weeks program was administered to the intervention group only andthe control group received the routine prenatal care.The main outcome for measurementwere pain and physical disability that was assessed at baseline and 12 weeks post treatment by visual analog scale (VAS) and Oswestry Disability Index respectively.

Results: There was no significant difference in pain intensity and physical disability between groups before intervention (p>0.05),howeverpain and physical disability decreased significantly in the intervention group (p<0.05).

Conclusion:It seems that a designed physical program and body postures modification may reduce the severity of lumbo-pelvic pain and its related disability in pregnant women. It is recommended that midwives emphasize on the importance of back pain and pelvic pain in prenatal counseling sessions and provide solutions for pain relief, including physical exercise and posture modification.

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