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Exercise parameters in pregnancy low back pain: systematic review

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Resumo:Introduction – During pregnancy, women experience physiological and biomechanical changes, that may result in low back pain and restrictions in physical and functional activity. Aim – To identify the parameters of physical exercise in low back pain and functional incapacity of the pregnant woman without obstetrical complications. Method – Computerized research of studies published between January 2013 and 26 June 2018 in databases and search engines, such as PubMed, Science Direct, Google Scholar, CINAHL Complete, MEDLINE Complete, Web of Science, SciELO, Cochrane Library, and PEDro to identify randomized controlled articles that included the following terms: ‘physical exercise’ AND ‘low back pain’ AND ‘functional disability’ AND ‘healthy pregnant’ AND ‘randomized controlled trial’. The analysis and selection of articles were carried out by two independent researchers, obtaining a consensus through a third blind investigator. Results – A total of 26,012 articles were identified of which were included five articles that presented the had as a principal outcome of back pain, from these five only three presented the secondary outcome analysis of functional incapacity. The mean of the totality of analyzed articles was 6.2 in 10 points on the PEDro scale. In these studies, participated 817 pregnant women, between the ages of 20 and 40 and with gestational age between the 12th and the 35th week. Aerobic training, muscle strengthening, and relaxation were the most common types of exercise. Exercise parameters varied between studies in frequency (1 to 4 times/week), duration of the session (30 to 60 minutes/session), and time of intervention (4 to 12 weeks), with/without supervision and in-group/individual. After intervention with physical exercise, low back pain intensity was reduced in 4/5 studies and functional disability was reduced in 2/3 studies. Conclusions – The lack of studies did not allow the identification of the parameters of the exercise to reduce low back pain or functional incapacity in pregnant women. However, exercise seems to reduce low back pain during pregnancy.
Autores principais:Santos, Paula Clara
Outros Autores:Jerónimo, Ana Catarina da Silva; Alves, Odete; Mesquita, Cristina Carvalho; Lopes, Sofia; Ferreira, Margarida
Assunto:Atividade física Lombalgia Incapacidade funcional Grávida saudável Physical exercise Low back pain Functional disability Healthy pregnant
Ano:2022
País:Portugal
Tipo de documento:artigo
Tipo de acesso:unknown
Instituição associada:Instituto Politécnico de Lisboa Escola Superior de Tecnologia da Saúde de Lisboa
Idioma:português
Origem:Saúde & Tecnologia
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author Santos, Paula Clara
author2 Jerónimo, Ana Catarina da Silva
Alves, Odete
Mesquita, Cristina Carvalho
Lopes, Sofia
Ferreira, Margarida
author2_role author
author
author
author
author
author_facet Santos, Paula Clara
Jerónimo, Ana Catarina da Silva
Alves, Odete
Mesquita, Cristina Carvalho
Lopes, Sofia
Ferreira, Margarida
author_role author
country_str PT
creators_json_txt [{\"Person.name\":\"Santos, Paula Clara\"},{\"Person.name\":\"Jerónimo, Ana Catarina da Silva\"},{\"Person.name\":\"Alves, Odete\"},{\"Person.name\":\"Mesquita, Cristina Carvalho\"},{\"Person.name\":\"Lopes, Sofia\"},{\"Person.name\":\"Ferreira, Margarida\"}]
datacite.creators.creator.creatorName.fl_str_mv Santos, Paula Clara
Jerónimo, Ana Catarina da Silva
Alves, Odete
Mesquita, Cristina Carvalho
Lopes, Sofia
Ferreira, Margarida
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Atividade física
Lombalgia
Incapacidade funcional
Grávida saudável
Physical exercise
Low back pain
Functional disability
Healthy pregnant
datacite.titles.title.fl_str_mv Exercise parameters in pregnancy low back pain: systematic review
Parâmetros do exercício na lombalgia gestacional: revisão sistemática
dc.creator.none.fl_str_mv Santos, Paula Clara
Jerónimo, Ana Catarina da Silva
Alves, Odete
Mesquita, Cristina Carvalho
Lopes, Sofia
Ferreira, Margarida
dc.description.none.fl_str_mv Introdução – Durante a gravidez, a mulher experiencia mudanças fisiológicas e biomecânicas, podendo resultar em lombalgia e diminuição da atividade física e capacidade funcional. Objetivos – Identificar os parâmetros do exercício na redução da lombalgia e da incapacidade funcional da gestante, sem complicações obstétricas. Método – Pesquisa de estudos publicados entre janeiro de 2013 e 26 de junho de 2018 nas bases de dados e motores de busca PubMed, Science Direct, Google Scholar, CINAHL Complete, MEDLINE Complete, Web of Science, SciELO, Cochrane Library e PEDro para identificar os artigos randomizados controlados que incluíssem os termos: physical exercise AND low back pain AND functional disability AND healthy pregnant AND randomized controlled trial. A análise e seleção dos artigos foi realizada por dois investigadores independentes, obtendo-se um consenso recorrendo a um terceiro investigador cego. Resultados – Foram identificados 26.012 artigos, tendo sido incluídos cinco artigos que tinham como outcome principal a dor lombar; destes, apenas três apresentaram a análise do outcome secundário de incapacidade funcional. A pontuação média do total de artigos analisados foi de 6,2 em 10 pontos, na escala PEDro. Nestes estudos participaram 817 gestantes, entre os 20 e os 40 anos e com idade gestacional entre a 12ª e a 35ª semanas. O treino aeróbio, o fortalecimento muscular e o relaxamento foram os tipos de exercício mais comuns. Os parâmetros do exercício variaram, entre estudos, na periodicidade (1 a 4 vezes/semana), duração da sessão (30 a 60 minutos/sessão), tempo de intervenção (4 a 12 semanas), com/sem supervisão e em grupo/individual. Após intervenção com exercício físico, a intensidade da dor lombar reduziu em 4/5 estudos e a incapacidade funcional reduziu em 2/3 estudos. Conclusões – A escassez de estudos não permitiu identificar os parâmetros do exercício na redução da lombalgia nem na incapacidade funcional da gestante. Contudo, parece que o exercício físico permite reduzir a lombalgia durante a gestação.
dc.format.none.fl_str_mv application/pdf
dc.identifier.none.fl_str_mv https://doi.org/10.25758/set.2272
dc.language.none.fl_str_mv por
dc.publisher.none.fl_str_mv Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa)
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.rights.rights.copyright.fl_str_mv https://creativecommons.org/licenses/by-nc-nd/4.0
dc.source.none.fl_str_mv Saúde e Tecnologia; No. 24 (2020): Novembro 2020; 30-38
Saúde & Tecnologia; N.º 24 (2020): Novembro 2020; 30-38
1646-9704
dc.subject.none.fl_str_mv Atividade física
Lombalgia
Incapacidade funcional
Grávida saudável
Physical exercise
Low back pain
Functional disability
Healthy pregnant
dc.title.fl_str_mv Exercise parameters in pregnancy low back pain: systematic review
Parâmetros do exercício na lombalgia gestacional: revisão sistemática
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_6501
description Introduction – During pregnancy, women experience physiological and biomechanical changes, that may result in low back pain and restrictions in physical and functional activity. Aim – To identify the parameters of physical exercise in low back pain and functional incapacity of the pregnant woman without obstetrical complications. Method – Computerized research of studies published between January 2013 and 26 June 2018 in databases and search engines, such as PubMed, Science Direct, Google Scholar, CINAHL Complete, MEDLINE Complete, Web of Science, SciELO, Cochrane Library, and PEDro to identify randomized controlled articles that included the following terms: ‘physical exercise’ AND ‘low back pain’ AND ‘functional disability’ AND ‘healthy pregnant’ AND ‘randomized controlled trial’. The analysis and selection of articles were carried out by two independent researchers, obtaining a consensus through a third blind investigator. Results – A total of 26,012 articles were identified of which were included five articles that presented the had as a principal outcome of back pain, from these five only three presented the secondary outcome analysis of functional incapacity. The mean of the totality of analyzed articles was 6.2 in 10 points on the PEDro scale. In these studies, participated 817 pregnant women, between the ages of 20 and 40 and with gestational age between the 12th and the 35th week. Aerobic training, muscle strengthening, and relaxation were the most common types of exercise. Exercise parameters varied between studies in frequency (1 to 4 times/week), duration of the session (30 to 60 minutes/session), and time of intervention (4 to 12 weeks), with/without supervision and in-group/individual. After intervention with physical exercise, low back pain intensity was reduced in 4/5 studies and functional disability was reduced in 2/3 studies. Conclusions – The lack of studies did not allow the identification of the parameters of the exercise to reduce low back pain or functional incapacity in pregnant women. However, exercise seems to reduce low back pain during pregnancy.
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identifier.doi.fl_str_mv https://doi.org/10.25758/set.2272
inst_facet_str urn:organizationAcronym:ipl{{{_:::_}}}Instituto Politécnico de Lisboa Escola Superior de Tecnologia da Saúde de Lisboa
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institution Instituto Politécnico de Lisboa Escola Superior de Tecnologia da Saúde de Lisboa
instname_str Instituto Politécnico de Lisboa Escola Superior de Tecnologia da Saúde de Lisboa
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person_str_mv Santos, Paula Clara
Jerónimo, Ana Catarina da Silva
Alves, Odete
Mesquita, Cristina Carvalho
Lopes, Sofia
Ferreira, Margarida
publishDate 2022
publisher.none.fl_str_mv Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa)
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reponame_str Saúde & Tecnologia
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spelling en-USExercise parameters in pregnancy low back pain: systematic reviewpt-PTParâmetros do exercício na lombalgia gestacional: revisão sistemáticaSantos, Paula ClaraJerónimo, Ana Catarina da SilvaAlves, OdeteMesquita, Cristina CarvalhoLopes, SofiaFerreira, MargaridaAtividade físicaLombalgiaIncapacidade funcionalGrávida saudávelPhysical exerciseLow back painFunctional disabilityHealthy pregnantDireitos de Autor (c) 2022 Saúde & Tecnologiahttp://purl.org/coar/access_right/c_abf2https://doi.org/10.25758/set.2272DOIoai:journals.ipl.pt:article/521OAIhttps://journals.ipl.pt/stecnologia/article/view/521URLhttps://doi.org/10.25758/set.2272DOIhttps://journals.ipl.pt/stecnologia/article/view/521/447URLHasVersion2022-07-27en-USIntroduction – During pregnancy, women experience physiological and biomechanical changes, that may result in low back pain and restrictions in physical and functional activity. Aim – To identify the parameters of physical exercise in low back pain and functional incapacity of the pregnant woman without obstetrical complications. Method – Computerized research of studies published between January 2013 and 26 June 2018 in databases and search engines, such as PubMed, Science Direct, Google Scholar, CINAHL Complete, MEDLINE Complete, Web of Science, SciELO, Cochrane Library, and PEDro to identify randomized controlled articles that included the following terms: ‘physical exercise’ AND ‘low back pain’ AND ‘functional disability’ AND ‘healthy pregnant’ AND ‘randomized controlled trial’. The analysis and selection of articles were carried out by two independent researchers, obtaining a consensus through a third blind investigator. Results – A total of 26,012 articles were identified of which were included five articles that presented the had as a principal outcome of back pain, from these five only three presented the secondary outcome analysis of functional incapacity. The mean of the totality of analyzed articles was 6.2 in 10 points on the PEDro scale. In these studies, participated 817 pregnant women, between the ages of 20 and 40 and with gestational age between the 12th and the 35th week. Aerobic training, muscle strengthening, and relaxation were the most common types of exercise. Exercise parameters varied between studies in frequency (1 to 4 times/week), duration of the session (30 to 60 minutes/session), and time of intervention (4 to 12 weeks), with/without supervision and in-group/individual. After intervention with physical exercise, low back pain intensity was reduced in 4/5 studies and functional disability was reduced in 2/3 studies. Conclusions – The lack of studies did not allow the identification of the parameters of the exercise to reduce low back pain or functional incapacity in pregnant women. However, exercise seems to reduce low back pain during pregnancy.pt-PTIntrodução – Durante a gravidez, a mulher experiencia mudanças fisiológicas e biomecânicas, podendo resultar em lombalgia e diminuição da atividade física e capacidade funcional. Objetivos – Identificar os parâmetros do exercício na redução da lombalgia e da incapacidade funcional da gestante, sem complicações obstétricas. Método – Pesquisa de estudos publicados entre janeiro de 2013 e 26 de junho de 2018 nas bases de dados e motores de busca PubMed, Science Direct, Google Scholar, CINAHL Complete, MEDLINE Complete, Web of Science, SciELO, Cochrane Library e PEDro para identificar os artigos randomizados controlados que incluíssem os termos: physical exercise AND low back pain AND functional disability AND healthy pregnant AND randomized controlled trial. A análise e seleção dos artigos foi realizada por dois investigadores independentes, obtendo-se um consenso recorrendo a um terceiro investigador cego. Resultados – Foram identificados 26.012 artigos, tendo sido incluídos cinco artigos que tinham como outcome principal a dor lombar; destes, apenas três apresentaram a análise do outcome secundário de incapacidade funcional. A pontuação média do total de artigos analisados foi de 6,2 em 10 pontos, na escala PEDro. Nestes estudos participaram 817 gestantes, entre os 20 e os 40 anos e com idade gestacional entre a 12ª e a 35ª semanas. O treino aeróbio, o fortalecimento muscular e o relaxamento foram os tipos de exercício mais comuns. Os parâmetros do exercício variaram, entre estudos, na periodicidade (1 a 4 vezes/semana), duração da sessão (30 a 60 minutos/sessão), tempo de intervenção (4 a 12 semanas), com/sem supervisão e em grupo/individual. Após intervenção com exercício físico, a intensidade da dor lombar reduziu em 4/5 estudos e a incapacidade funcional reduziu em 2/3 estudos. Conclusões – A escassez de estudos não permitiu identificar os parâmetros do exercício na redução da lombalgia nem na incapacidade funcional da gestante. Contudo, parece que o exercício físico permite reduzir a lombalgia durante a gestação.Escola Superior de Tecnologia da Saúde de Lisboa (Instituto Politécnico de Lisboa)application/pdfen-USSaúde e Tecnologia; No. 24 (2020): Novembro 2020; 30-38pt-PTSaúde & Tecnologia; N.º 24 (2020): Novembro 2020; 30-381646-9704porjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85https://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Exercise parameters in pregnancy low back pain: systematic review
Santos, Paula Clara
Atividade física
Lombalgia
Incapacidade funcional
Grávida saudável
Physical exercise
Low back pain
Functional disability
Healthy pregnant
status SINGLETON
status_str VoR
subject.fl_str_mv Atividade física
Lombalgia
Incapacidade funcional
Grávida saudável
Physical exercise
Low back pain
Functional disability
Healthy pregnant
title Exercise parameters in pregnancy low back pain: systematic review
title_full Exercise parameters in pregnancy low back pain: systematic review
title_fullStr Exercise parameters in pregnancy low back pain: systematic review
title_full_unstemmed Exercise parameters in pregnancy low back pain: systematic review
title_short Exercise parameters in pregnancy low back pain: systematic review
title_sort Exercise parameters in pregnancy low back pain: systematic review
topic Atividade física
Lombalgia
Incapacidade funcional
Grávida saudável
Physical exercise
Low back pain
Functional disability
Healthy pregnant
topic_facet Atividade física
Lombalgia
Incapacidade funcional
Grávida saudável
Physical exercise
Low back pain
Functional disability
Healthy pregnant
url https://doi.org/10.25758/set.2272
visible 1