Musculoskeletal problems during pregnancy
Fulya Bakilan 1 * ,
Demet Demiray Zelveci 2 More Detail
1 Physical Medicine and Rehabilitation Department, Eskisehir City Hospital, Eskisehir, Turkey
2 Obstetrics and Gynecology Department, Özel Çorum Hastanesi, Çorum, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 6, Issue 60, pp. 53-55.
https://doi.org/10.23950/jcmk/9259
OPEN ACCESS
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ABSTRACT
Objective: The prevalence of musculoskeletal problems in pregnancy can vary according to trimester. Early diagnosis and treatments are important to prevent the development of chronic problems. This study was conducted to identify the most common musculoskeletal problems according to trimester, experienced by pregnant women.
Material and methods: A total of 120 pregnant women who admitted to physical medicine and rehabilitation clinic, evaluated retrospectively in this study. Application complaints, the diagnosis and the trimester of the pregnant women and also age, weight, height, number of pregnancy, working status, presence of secondary disease were recorded.
Results: In the first trimester, the most experienced musculoskeletal problems were low back pain (26.3%), pelvic girdle pain (26.3%) and carpal tunnel syndrome (26.3%). The most frequent problem in the second trimester was lower back pain (43.6%) followed by cramp (32.7%) and pelvic girdle pain (30.9%). Finally, in the third trimester, low back pain (34.8%), cramp (32.6%) and pedal edema (32.6%) were the most reported problems.
Conclusion: The prevalence of musculoskeletal problems in pregnancy can vary according to socio-cultural and environmental factors. Determining the most common musculoskeletal problems experienced in pregnancy in a specific region is important for early diagnosis, increasing quality of life and preventing the development of chronic disorders.
REFERENCES
- Kristiansson P, Svardsudd K, von Schoultz B. Back pain during pregnancy: a prospective study. Spine. 1996; 21(6):702–9. https://doi.org/10.1097/00007632-199603150-00008
- Ayanniyi O, Sanya AO, Ogunlade SO, Oni-Orisan MO. Prevalence and pattern of back pain among pregnant women attending ante-natal clinics in selected health care facilities. Afr J Biomed Res. 2009; 9(3):149–56. https://doi.org/10.4314/ajbr.v9i3.48898
- Endresen EH. Pelvic pain and low back pain in pregnant women—an epidemiological study. Scand J Rheumatol. 1995; 24(3):135–41. https://doi.org/10.3109/03009749509099301
- Ostgaard HC. Assessment and treatment of low back pain in working pregnant women. Semin. Perinatol. 1996; 20(1):61–9. https://doi.org/10.1016/S0146-0005(96)80058-9
- Heckman JD, Sassard R. Musculoskeletal considerations in pregnancy. J Bone Joint Surg Am—Series A. 1994; 76(11):1720–31. https://doi.org/10.2106/00004623-199411000-00018
- Hammar M, Larsson L, Tegler L. Calcium treatment of leg cramps in pregnancy. Effect on clinical symptoms and total serum and ianized serum calcium concentrations. Acta Obstet Gynec Scand. 1981; 60:345-7. https://doi.org/10.3109/00016348109154121
- Yurdoğlu C, Türker E, Örsel S. Hamilelikte görülen Ortopedik problemler. Acta Ortop Traumatol Turc. 1997; 31:34-6.
- Martins RF, Silva JLP. Back pain is a major problem for many pregnant women. Rev Assoc Med Bras. 2005; 51(3):144-7. https://doi.org/10.1590/S0104-42302005000300014
- Kristiansson P, Svardsudd K, Von Schoultz B. Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol. 1996; 175:1342-47. https://doi.org/10.1016/S0002-9378(96)70052-2
- Ramachandra P, Maiya AG, Kumar P, Kamath A. Prevalence of musculoskeletal dysfunctions among Indian pregnant women. J. Pregnancy. 2015; 437105. https://doi.org/10.1155/2015/437105
- Smagulova IE, Sharmanov T. Assessment of nutritional status of pregnant women living in Аstana. J Clin Med Kaz. 2014; 2(32):38-42.
- Sapsford R, Bullock-Saxton J, Markwell S. Women’s Health: A Textbook for Physiotherapists. 1st edition. Bailliere Tindall. London, WB Saunders Company Ltd, 1997.
- Wand JS. Carpal tunnel syndrome in pregnancy and lactation. W Hand Surg. 1990; 15:93-1. https://doi.org/10.1016/0266-7681(90)90057-B
- Sehned ES, Joyce KM. De Quervain tenosynovitis in pregnant and postpartum women. Obstetr Gynec. 1986; 68:411-4. https://doi.org/10.1097/00006250-198609000-00025
- Hansen A, Jensen DV, Wormslev M, Minck H, Johansen S, Larsen EC et al. Symptom-giving pelvic girdle relaxation in pregnancy. II: Symptoms and clinical signs. Acta Obstet Gynecol Scand. 1999; 78(2):111-5. https://doi.org/10.1034/j.1600-0412.1999.780207.x
- Olsson C, Nilsson-Wikmar L. Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy. Acta Obstet Gynecol Scand. 2004; 83(4):351-7. https://doi.org/10.1080/j.0001-6349.2004.00384.x
- Yumusakhuylu Y, Baklacıoğlu HS, Aras H, Haliloğlu S, Selimoğlu E, İçağasıoğlu A. Chronic Low Back Pain. Bozok Medical Journal. 2018; 8(1):66-74.
- Noren L, Ostgaard S, Johansson G, Ostgaard HC. Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. Eur Spine J. 2002; 11(3):267-71. https://doi.org/10.1007/s00586-001-0357-7