The effectiveness of applying medical rehabilitation methods during pregnancy in order to relieve back pain caused by dorsopathy

Cover Page

Cite item

Full Text

Abstract

The study is held in order to estimate the efficiency of applying the methods of manual therapy on pregnant women during the second and third trimesters of their pregnancy to relieve pain caused by dorsopathy. During the period from October 2015 until March 2017 was defined a “study” group (n = 25) and the “control” group (n = 25) of pregnant women with the diagnosis of “dorsopathy” (mostly osteochondrosis 66%, scoliosis 18%, intervertebral hernia 16%). The age of pregnant women is ranged from 22 up to 39 years with the gestational term from 18 to 38 weeks. During the study the following methods are used: cranio-sacral technique, traction technique, myofascial release, post-isometric relaxation, and soft tissue techniques. The number of therapy sessions for pregnant women with dorsopathy is ranged from 1 to 4. To assess the quality of life and, separately, of the pain syndrome was used McGill questionnaire, visual analogue scale (VAS), verbal rating scale, questionnaire EuroQol-5D, Oswestry questionnaire, as well as medical and social characteristics of pregnant women with this pathology. Decrease of pain syndrome was noted in patients already after the first session. Preliminary results were already evaluated and allow us to speak about the effectiveness of applying manual therapy for pregnant women at their II and III trimesters of pregnancy. The data obtained not only prove the reduction but also the complete elimination of the back pain syndrome caused by dorsopathy.

About the authors

Yanina A. Vaganova

St. Petersburg State Pediatric Medical University

Author for correspondence.
Email: yaplush@gmail.com

Postgraduate Student, Department of Obstetrics & Gynecology

Russian Federation, Saint Petersburg

Galina A. Suslova

St. Petersburg State Pediatric Medical University

Email: docgas@mail.ru

MD, PhD, Dr Med Sci, Professor, Head Department of Rehabilitation AF and DPO

Russian Federation, Saint Petersburg

Sergei N. Gaiducov

St. Petersburg State Pediatric Medical University

Email: gaiducovsn@rambler.ru

MD, PhD, Dr Med Sci, Professor. Department of Obstetrics & Gynecology

Russian Federation, Saint Petersburg

Anna Ya. Bobko

St. Petersburg State Pediatric Medical University

Email: free-way@inbox.ru

Assistant Professor, Department of Rehabilitation AF and DPO

Russian Federation, Saint Petersburg

References

  1. Батышева Т.Т., Костенко Е.В, Зайцев К.А. Гирудорефлексопунктура в комплексной терапии болевых синдромов поясничной дорсопатии // Медицинская помощь. - 2007. - № 3. - С. 46-49. [Batysheva TT, Kostenko EV, Zaytsev KA. Girudorefleksopunktura v kompleksnoj terapii bolevyh sindromov pojasnichnoj dorsopatii. Medicinskaja pomoshh’. 2007;(3):46-49. (In Russ.)]
  2. Иваничев Г.А. Мануальная медицина. - Казань: Идеал-Пресс, 2008. - 488 с. [Ivanichev GA. Manual’naja medicina. Kazan’: Ideal-Press; 2008. 488 p. (In Russ.)].
  3. Маркин С.П. Лечение больных с неврологическими проявлениями остеохондроза позвоночника: методические рекомендации. - М., 2005. - 38 с. [Markin SP. Lechenie bol’nyh s nevrologicheskimi projavlenijami osteohondroza pozvonochnika. Metodicheskie rekomendacii. Moscow; 2005. 38 p. (In Russ.)]
  4. Савченко В.А., Бирюков А.А. Мануальная коррекция синдромов вертобрагенного остеохондроза. - М.: Физическая культура, 2011. - 198 с. [Savchenko VA. Manual’naja korrekcii sindromov vertobragennogo osteohondroza. Moscow: Fizich. kul’tura; 2011. 198 p. (In Russ.)]
  5. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J. European guidelines for the management of chronic non-specific low back pain. 2004. P. 197-210.
  6. Guthrie RA, Martin RH. Effect of pressure applied to the upper thoracic (placebo) versus lumbar areas (osteopathic manipulative treatment) for inhibition of lumbar myalgia during labor. J Am Osteopath Assoc. 1982;82(4):247-251.
  7. Kalus SM, Kornman LH, Quinlivan JA. Managing back pain in pregnancy using a support garment: a randomised trial. BJOG: An International Journal of Obstetrics & Gynaecology. 2007;115:68-75. doi: 10.1111/j.1471-0528.2007.01538.x.
  8. Malmivaara A, Kotilainen E, Laasonen E. Diseases of the low back. Clinical Practice Guidelines of the Finish Medical Association Duodecim. 2001.
  9. Manniche C. Low-Back Pain: Frequency, Management and Prevention from an HTA perspective. Copenhagen: Danish Institute for Health Technology Assessment. 1999.
  10. Peterson CK, Mühlemann D, Humphreys BK. Outcomes of pregnant patients with low back pain undergoing chiropractic treatment: a prospective cohort study with short term, medium term and 1 year follow-up. Chiropractic & Manual Therapies. 2014;22(1):15. doi: 10.1186/2045-709X-22-15.
  11. Schwerla F, Rother K, Rother D, et al. Osteopathic manipulative therapy in women with postpartum low back pain and disability: a pragmatic randomized controlled trial. Am Osteopath Assoc. 2015;115(7):416-25. doi: 10.7556/jaoa.2015.087.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1. The number of MT sessions conducted in pregnant women with dorsopathies during the study

Download (35KB)
3. Fig. 2. Evaluation of pain/discomfort (%) in pregnant women with explained with the help of a Questionnaire EuroQol-5D: а – before carrying МТ; b – after holding MT

Download (43KB)
4. Fig. 3. Assessment of pain intensity in pregnant women with dorsopathies using the Oswestry questionnaire: а – before carrying МТ; b – after holding MT

Download (50KB)
5. Fig. 4. Evaluation of pain syndrome in pregnant women with explained by using verbal rating scales: а – before carrying МТ; b – after holding MT

Download (48KB)

Copyright (c) 2018 Vaganova Y.A., Suslova G.A., Gaiducov S.N., Bobko A.Y.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies