Bülent KÖSTÜ, Turgut KÜLTÜR, Önder ERCAN, Murat BAKACAK

GEBELİKTE EGZERSİZİN BEL AĞRILARI VE LORDOZ ÜZERİNE ETKİSİ

Amaç: Gebelik bel ağrılarında egzersizin etkisini incelemek.Gereç ve Yöntemler: Bel ağrısı olan toplam 65 gebede ağrı skorları ve lordoz açısı 18. gebelik haftasında değerlendirildi. Sonrasında iki gruba ayrıldı. Grup 1’ e (n= 33) 6 hafta boyunca egzersiz tedavisi verildi. Grup 2’ ye (n= 32) rutin takip yapıldı. Gebeler 21. ve 24. gebelik haftalarında bu parametreler açısından tekrar değerlendirildi.Bulgular: Grup 1 ve Grup 2’ de 18. ve 21. gebelik haftalarında ağrı skorlarında anlamlı fark izlenmedi. 24. gebelik haftasında Grup 1’ de 14.6, grup 2’ de 18.0 olarak anlamlı fark izlendi (p< 0.001). Lordoz açısından anlamlı fark izlenmedi.Sonuç: Gebelikte bel ağrılarında egzersiz faydalı olarak saptanmıştır. Ancak egzersizin lordoz açısına etkisi belirlenmemiştir. Anahtar kelimeler: Gebelik, egzesiz, bel ağrısı, lordoz

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Gutke A, Ostgaard HC, Oberg B. Predicting persistent pregnancy-related low back pain. Spine 2008;33:386-93.
Kelsey JL, Greenberg RA, Hardy RJ, Johnson MF. Pregnancy and the syndrome of herniated lumbar intervertebral disc;an epidemiological study. Yale J Biol Med 1975;48: 361-8.
Kristiansson P, Svardsudd K, Von Scholtz B. Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol 1996;175:1324–7.
Petersen LK, Hvidman L, Uldbjerg N. Normal serum relaxin in women with disabling pelvic pain during pregnancy. Gynecol Obstet Invest 1994;38:21–3.
Fast A, Shapiro D, Ducommun EJ, Friedmann LW, Bouklas T, Floman Y. Low-back pain in pregnancy. Spine 1987; 12: 368-71.
Kristiansson P, Svärdsudd K, von Schoultz B. Back pain during pregnancy: a prospective study. Spine 1996;21:702-9.
Berg G, Hammar M, Möller-Nielsen J, Lindén U, Thorblad J. Low back pain during pregnancy. Obstet Gynecol 1988;71:71-5.
Pennick V, Liddle SD. Interventions for preventing and treating pelvic and back pain in pregnancy. Cochrane Database Syst Rev. 2013;8:CD001139.
Kihlstrand M, Stenman B, Nilsson S, Axelsson O. Water-gymnastics reduced the intensity of back/low back pain in pregnant women. Acta Obstet Gynecol Scand. 1999;78:180-5.
Peterson CD, Haas M, Gregory WT. A pilot randomized controlled trial comparing the efficacy of exercise, spinal manipulation, and neuro emotional technique for the treatment of pregnancy-related low back pain. Chiropr Man Therap. 2012;20:18.
Thomas IL, Nicklin J, Pollock H, Faulkner K. Evaluation of a maternity cushion (Ozzlo pillow) for backache and insomnia in late pregnancy. Aust N Z J Obstet Gynaecol. 1989;29:133-8.
Elden H, Fagevik-Olsen M, Ostgaard HC, Stener-Victorin E, Hagberg H. Acupuncture as an adjunct to standard treatment for pelvic girdle pain in pregnant women: randomised double-blinded controlled trial comparing acupuncture with non-penetrating sham acupuncture. BJOG. 2008;115:1655-68.
Roland M, Fairbank J. The Roland-Morris Disability Questionnaire and the Oswestry Disability Questionnaire. Spine (Phila Pa 1976). 2000 Dec 15;25(24):3115-24. Review. Erratum in: Spine 2001;26:847.
Garshasbi A, Faghih Zadeh S. The effect of exercise on the intensity of low back pain in pregnant women. Int J Gynaecol Obstet. 2005;88:271-5.
Kashanian M, Akbari Z, Alizadeh MH. The effect of exercise on back pain and lordosis in pregnant women. Int J Gynaecol Obstet. 2009;107(2):160-1.
Suputtitada A, Wacharapreechanont T, Chaisayan P. Effect of the "sitting pelvic tilt exercise" during the third trimester in primigravidas on back pain. J Med Assoc Thai. 2002;85:170-9.
Dumas GA, Reid JG, Wolfe LA, Griffin MP, McGrath MJ. Exercise, posture and back pain during pregnancy, part 2: exercise and back pain. Clin Biomech 1995;10:104–9.