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Effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women: A single-subject study

브로거 운동을 병행한 산전운동프로그램이 임산부의 허리 통증 및 균형에 미치는 영향 단일 사례 연구

  • Kim, Sun Min (Dept. of Physical Therapy, Mary's Hospital, Choeng ju) ;
  • Jang, Sang Hun (Dept. of Physical Therapy, Korea National University of Transportation)
  • 김선민 (청주성모병원 물리치료실) ;
  • 장상훈 (한국교통대학교 물리치료학과)
  • Received : 2021.03.25
  • Accepted : 2021.05.16
  • Published : 2021.06.30

Abstract

Background: The purpose of this study was to effect of prenatal exercise program combined with Brugger's exercise on low back pain and balance in pregnant women. Design: A Single-Subject Study. Methods: This study was applied to 28 weeks of pregnant women who complained of low back pain for a total of 4 weeks. A total of 10 prenatal exercise programs in this study consists of sessions, and each session was applied with a Bruger exercise for 1 minute before the start. For the fatigue and safety of pregnant women, a break for 1 minute was provided for each session and was conducted under the supervision of the therapist The visual analogue scale (VAS), Oswestry disability index (ODI), and static balance (BT-4) were measured to evaluate the pregnant women's low back pain and balance ability before and after the intervention Results: The change in back pain after the intervention was VAS 5 before the intervention, but the VAS gradually decreased at 4 weeks after the intervention. Reduced to VAS 2 after 4 weeks of intervention. The Oswestry Disability Index (ODI) was 54%, which was at the level of severe disability, but the dysfunction index gradually decreased 4 weeks after intervention, reaching 19% in 4 weeks, and there were no problems with daily life. As for the static balance ability, the sway area and the sway distance values gradually decreased after the intervention in both the eyes open and closed state, showing an improvement in the static balance ability of pregnant women after the intervention than before the intervention. Conclusion: The prenatal exercise program combined with Brugger's exercise was effective to improve low back pain and static balance in pregnant women. The result of this study may helpful as basic data for obstetric physical therapy.

Keywords

References

  1. 김은옥, 김택훈, 노정석, 등. 교각운동 시 복부 드로잉 인 방법이 요부 전만과 체간 및 하지의 근 활성도에 미치는 영향. 한국전문물리치료학회지 2009;16(1):1-9.
  2. 이민지, 권오국, 송현승. 골반 안정화운동이 산후 요통 여성에게 통증, 기능장애, 심리사회적수준, 근활성도에 미치는 영향. 대한정형도수치료학회지 2018;24(2):17-27.
  3. 이효정, 김지울, 박지수, 등. 익스코를 이용한 안정화운동이 요통이 있는 대학생의 유연성 근 부피와 통증에 미치는 영향. 대한물리치료과학회지 2018;25(1):62-74. https://doi.org/10.26862/jkpts.2018.06.25.1.62
  4. 임회진, 서상훈, 임지애, 등. 임산부들의 신체활동이 내당능 장애와 혈중 염증지표에 미치는 영향. 운동과학 2009;18(3):409-18. https://doi.org/10.15857/KSEP.2009.18.3.409
  5. 정혜린, 변용현. 8 주간 산전요가 운동이 임신 3 기 임산부의 신체적, 심리적 요인 및 임신 결과에 미치는 영향. 한국사회체육학회지 2018;72:415-27.
  6. Arokoski JP, Valta T, Airaksinen O, et al. Back and abdominal muscle function during stabilization exercises. Arch Phys Med Rehabil 2001;82(8):1089-98. https://doi.org/10.1053/apmr.2001.23819
  7. Belogolovsky I, Katzman W, Christopherson N, et al. The effectiveness of exercise in treatment of pregnancy-related lumbar and pelvic girdle pain: a meta-analysis and evidence-based review. J Womens Health phys ther 2015;39(2):53-64. https://doi.org/10.1097/JWH.0000000000000032
  8. Boonstra AM, Schiphorst Preuper HR, Reneman MF, et al. Reliability and validity of the visual analogue scale for disability in patients with chronic musculoskeletal pain. Int J Rehabil Res 2008;31(2):165-9. https://doi.org/10.1097/MRR.0b013e3282fc0f93
  9. Borg FG, Laxaback G. Entropy of balance--some recent results. J Neuroeng Rehabil 2010;7:38. https://doi.org/10.1186/1743-0003-7-38
  10. Butler EE, Colon I, Druzin ML, et al. Postural equilibrium during pregnancy: decreased stability with an increased reliance on visual cues. Am J Obstet Gynecol 2006;195(4):1104-8. https://doi.org/10.1016/j.ajog.2006.06.015
  11. Dunning K, LeMasters G, Levin L, et al. Falls in workers during pregnancy: risk factors, job hazards, and high risk occupations. Am J Ind Med 2003;44(6):664-72. https://doi.org/10.1002/ajim.10318
  12. Fast A, Weiss L, Ducommun EJ, et al. Low-back pain in pregnancy. Abdominal muscles, sit-up performance, and back pain. Spine 1990;15(1):28-30. https://doi.org/10.1097/00007632-199001000-00008
  13. Franklin ME, Conner-Kerr T. An analysis of posture and back pain in the first and third trimesters of pregnancy. J Orthop Sports Phys Ther 1998;28(3):133-8. https://doi.org/10.2519/jospt.1998.28.3.133
  14. Grotle M, Garratt AM, Krogstad Jenssen H, et al. Reliability and construct validity of self-report questionnaires for patients with pelvic girdle pain. Phys Ther 2012;92(1):111-23. https://doi.org/10.2522/ptj.20110076
  15. Gutke A, Ostgaard HC, Oberg B. Predicting persistent pregnancy-related low back pain. Spine 2008;33(12):E386-93. https://doi.org/10.1097/BRS.0b013e31817331a4
  16. Han HJ, Kim SY. Current Management for Pregnancy-related Low Back Pain by Korean Physical Therapists: A National Cross-sectional Survey Using the Vignette Method. Phys Ther Korea 2020;27(1):53-62. https://doi.org/10.12674/ptk.2020.27.1.53
  17. Jang J, Hsiao KT, Hsiao-Wecksler ET. Balance (perceived and actual) and preferred stance width during pregnancy. Clin Biomech (Bristol, Avon) 2008;23(4):468-76. https://doi.org/10.1016/j.clinbiomech.2007.11.011
  18. Jeon CH, Kim DJ, Kim DJ, et al. Cross-cultural adaptation of the Korean version of the Oswestry Disability Index (ODI). J Korean Soc Spine Surg 2005;12(2):146-52. https://doi.org/10.4184/jkss.2005.12.2.146
  19. Kluge J, Hall D, Louw Q, et al. Specific exercises to treat pregnancy-related low back pain in a South African population. Int J Gynaecol Obstet 2011;113(3):187-91. https://doi.org/10.1016/j.ijgo.2010.10.030
  20. Kristiansson P, Svardsudd K, von Schoultz B. Back pain during pregnancy: a prospective study. Spine;21(6):702-9. https://doi.org/10.1097/00007632-199603150-00008
  21. Liebenson C. Micro-breaks. J Bodyw Mov Ther 2002;6(3):154-55. https://doi.org/10.1054/jbmt.2002.0294
  22. Magee DJ. Instability and stabilization. Theory and treatment; 1999.
  23. Marnach ML, Ramin KD, Ramsey PS, et al. Characterization of the relationship between joint laxity and maternal hormones in pregnancy. Obstet Gyneco 2003;101(2):331-5. https://doi.org/10.1016/S0029-7844(02)02447-X
  24. Moon HJ, Choi KH, Kim DH, et al. Effect of lumbar stabilization and dynamic lumbar strengthening exercises in patients with chronic low back pain. Ann Rehabil Med 201;37(1):110-7. https://doi.org/10.5535/arm.2013.37.1.110
  25. Nyska M, Sofer D, Porat A, et al. Planter foot pressures in pregnant women. Isr J Med Sci 1997;33(2):139-46.
  26. Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine 1991;16(5):549-52. https://doi.org/10.1097/00007632-199105000-00011
  27. Pierce H, Homer CS, Dahlen HG, et al. Pregnancy-related lumbopelvic pain: listening to Australian women. Nurs Res Pract 2012;2012:387428. https://doi.org/10.1155/2012/387428
  28. Piirainen JM, Avela J, Sippola N, et al. Age dependency of neuromuscular function and dynamic balance control. Eur J Sport Sci 2010;10(1):69-79. https://doi.org/10.1080/17461390903100254
  29. Sandler SE. The management of low back pain in pregnancy. Man Ther 1996;1(4):178-185. https://doi.org/10.1054/math.1996.0266
  30. Shim MJ. A Study on Back Pain, Pain Disability, and Labour Pain of Postpartum Women. Korean J Women Health Nurs 2004;10(1):8-14. https://doi.org/10.4069/kjwhn.2004.10.1.8
  31. Stevens VK, Coorevits PL, Bouche KG, et al. The influence of specific training on trunk muscle recruitment patterns in healthy subjects during stabilization exercises. Man Ther 2007;12(3):271-9. https://doi.org/10.1016/j.math.2006.07.009
  32. Stuge B, Laerum E, Kirkesola G, et al. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a randomized controlled trial. Spine 2004;29(4):351-9. https://doi.org/10.1097/01.BRS.0000090827.16926.1D
  33. Vizniak N. Muscle Manual. Canada: Professional Health Systems Inc.; 2010. p.387.
  34. Waters T. The effect of Bruegger's exercise on chronic low back pain in association with lower crossed syndrome[Doctoral dissertation]. University of Johannesburg; 2013.
  35. Winter DA. Human balance and posture control during standing and walking. Gait posture 1995;3(4):193-214. https://doi.org/10.1016/0966-6362(96)82849-9