Non-pharmacological pain-relieving treatment in pregnant women with dorsopathies

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Abstract

The present study assesses the effectiveness of the relief of pain syndrome in pregnant women with dorsopathies by using an isometric kinesitherapy complex. The analyzed groups differed in the type of the performed exercise, with the first group attending a course of isometric kinesitherapy procedures (group 1) or the second group undertaking a course of therapeutic gymnastics in pregnant women with dorsopathies. The duration of each course was 7.5 hours (3 times a week for a period of 5 weeks, a total of 15 procedures), classes were conducted under the supervision by a doctor of therapeutic physical training. 170 pregnant women were examined with the average age of: Me = 31 (LQ = 26; UQ = 38) years (р > 0.05 between the groups). The low back pain (LBP) was assessed using the Oswestry questionnaire, the EuroQol 5-D questionnaire, the visual analogue scale (VAS), the verbal rating scale, the McGill short questionnaire and a medico-social form. The level of disability was assessed by using the results of the Oswestry questionnaire. Completing the questionnaires and the scales was made before the first kinesitherapy procedure (a complex of isometric exercises) and therapeutic gymnastics and completing it again after the last procedure, respectively. A prospective non-randomized controlled study was conducted in which p = 0.05 was taken as the value of statistical significance level for this study (p). The data analysis yielded statistically significant results confirming the effectiveness of the complex of isometric exercises aiming at relieving the pain in pregnant women with dorsopathies. In group 1, a decrease of the low back pain (LBP) was detected 2.47 times more often than in group 2 with p = 0.001.

About the authors

Yanina A. Vaganova

St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

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, Ministry of Healthcare of the Russian Federation

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, Ministry of Healthcare of the Russian Federation

Email: gaiducovsn@yandex.ru

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

Russian Federation, Saint Petersburg

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2. Fig. 1. LBP assessment with VAS before and after treatment in both groups. Gr. 1-1 – group 1 before treatment; gr. 1-2 – group 1 after treatment; gr. 2-1 – group 2 before treatment; gr. 2-2 – group 2 after treatment

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3. Fig. 2. LBP assessment with VOS before and after treatment in both groups. Gr. 1-1 – group 1 before treatment; gr. 1-2 – group 1 after treatment; gr. 2-1 – group 2 before treatment; gr. 2-2 – group 2 after treatment

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Copyright (c) 2019 Vaganova Y.A., Suslova G.A., Gaiducov S.N.

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


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