scholarly journals SPECTRUM OF MUSCULOSKELETAL DISCOMFORTSIN PREGNANT WOMEN AND IMPACT OF ANTENATALEXERCISES OR POSTURAL CARE ON STATUS OF RELIEF: A SYSTEMATIC REVIEW STUDY

2021 ◽  
Vol 9 (5) ◽  
pp. 1153-1157
Author(s):  
Neha Shukla ◽  
◽  
Puja Shukla ◽  
Keyword(s):  
Pregnant Women ◽  
Musculoskeletal Pain ◽  
Developmental Stages ◽  
Pelvic Girdle Pain ◽  
Low Back ◽  
Increased Risk ◽  
Musculoskeletal Problems ◽  
The Mean ◽  
Review Study ◽  
Induced Changes

Pregnancy is a normal physical state of womens life when they carried a 9 month developmental stages of the foetus. On these durations some pregnancy induced changes leads normal signs naturally but there is an increased risk of musculoskeletal pain or discomforts associated with increase of uterine size and mental stress of pregnant women, needed non-medicines approached like antenatal physiotherapy care. These possible pain or discomforts can make difficult to carry the pregnancy may leadsome complications. Various research studies are point out these problems of pregnant women and find out the triggers. Some studies show the spectrums of these musculoskeletal problems during pregnancy period. Various case studies are assuredtheparticular physiotherapy techniques as antenatal exercises have good impact on relief of respective musculoskeletal pain.Various researches are also covered some another aspects of musculoskeletal problems during pregnancies. In thepresent study an attempt has been made to comprehensive analysis of these review studies to identify the most common musculoskeletal problems in different stages of pregnancy and efficacy of physiotherapy techniques and antenatal exercises to overcome the problem. It was found in the spectrum analysis that most of the women (68.33 %) faced this problem during their pregnancy. On the analysis of most commonmusculoskeletal problem, the mean percent of reviews reveals showed that the most of the women found to be in muscle cramps and pain in neck and shoulder during I trimester whereas maximum women had low back pain (42.87 %) and pelvic girdle pain (11.65 %) on II and III trimester respectively. The satisfactory impacts of antenatal exercises were observed in different musculoskeletal pain by different techniques of Physiotherapy.These results can utilize to make suggestions and recommendations foradoption of suitable physiotherapy techniques in pregnancy to avoid the problem.

scholarly journals SPECTRUM OF MUSCULOSKELETAL DISCOMFORTS IN PREGNANT WOMEN AND IMPACT OF ANTENATALEXERCISES OR POSTURAL CARE ON THE STATUS OF RELIEF: A SYSTEMATIC REVIEW STUDY

2021 ◽  
Vol 9 (5) ◽  
pp. 193-197
Author(s):  
Neha Shukla ◽  
◽  
Puja Shukla ◽  
Keyword(s):  
Pregnant Women ◽  
Musculoskeletal Pain ◽  
Developmental Stages ◽  
Pelvic Girdle Pain ◽  
Increased Risk ◽  
The Status ◽  
Musculoskeletal Problems ◽  
The Mean ◽  
Review Study ◽  
Induced Changes

Pregnancy is a normal physical state of womens life when they carried a 9 month developmental stages of the foetus. On these durations some pregnancy induced changes leads normal signs naturally but there is an increased risk of musculoskeletal pain or discomforts associated with increase of uterine size and mental stress of pregnant women, needed non-medicines approached like antenatal physiotherapy care. These possible pain or discomforts can make difficult to carry the pregnancy may leadsome complications. Various research studies have been pointed out these problems of pregnant women and found out the triggers. Some studies show the spectrums of these musculoskeletal problems during pregnancy period. Various case studies are assured to theparticular physiotherapy techniques as antenatal exercises have good impact on relief of respective Musculo-skeletalpain. Various researches have also covered some other aspects of Musculo-skeletal problems during pregnancies. In thepresent study an attempt has been made to comprehensive analysis of these review studies to identify the most common musculoskeletal problems in different stages of pregnancy and efficacy of physiotherapy techniques and antenatal exercises to overcome the problem.It was found in the spectrum analysis that most of the women (68.33 %) faced this problem during their pregnancy. On the analysis of most commonmusculoskeletal problem, the mean percent of reviews reveals showed that the most of the women found to be in muscle cramps and pain in neck and shoulder during I trimester whereas maximum women had low back pain (42.87 %) and pelvic girdle pain (11.65 %) on II and IIItrimesters respectively. The satisfactory impacts of antenatal exercises were observed in different musculoskeletal pain by different techniques of Physiotherapy.These results can utilize to make suggestions and recommendations foradoption of suitable physiotherapy techniques in pregnancy to avoid the problem.

scholarly journals Prevalence of asymptomatic Plasmodium falciparuminfection, anaemia and use of ITNs among pregnant women yet to receive IPTp in parts of southern Ghana

2020 ◽  
pp. 36-42
Author(s):  
Leslie L Afutu ◽  
Johnson N Boampong ◽  
Neils B Quashie
Keyword(s):  
Pregnant Women ◽  
Parasite Density ◽  
Intermittent Preventive Treatment ◽  
Malaria In Pregnancy ◽  
Asymptomatic Malaria ◽  
Nested Polymerase Chain Reaction ◽  
Increased Risk ◽  
The Mean ◽  
To Receive ◽  
In Pregnancy

Background: Asymptomatic malaria in pregnancy evades most fever-based surveillance systems yet causes significant morbidities such as anaemia in the pregnant woman and low birth weight in the neonate. Objective:This study determined the prevalence of asymptomatic malaria and its association with anaemia among pregnant women who are yet to receive their first dose of Sulphadoxine-Pyrimethamine (SP) as intermittent preventive treatment of malaria in pregnancy (IPTp). Information on the use of insecticide treated nets(ITNs)as vector control by the pregnant women was also sought. Methods: This is a cross-sectional hospital-based study conducted in the Western Region of Ghana. Pregnant women at gestational ages, 16-26 wkwere included. A structured questionnaire was used to collect vital information from the participants. Plasmodiumparasitaemia was determined by rapid diagnostic test (MRDT), microscopy and species-specific nested polymerase chain reaction (PCR). Anaemia was classified using the level of haemoglobin. Results: A total of 413 antenatal clinic attendants were recruited. Prevalence of asymptomatic Plasmodium falciparuminfection was 13.1% by MRDT, 10.1% by microscopy and 13.8% by PCR. The mean haemoglobin was 10.73g/dL. Prevalence of anaemia was 40.49% and the mean parasite density was 149.6 parasite/μL. Pregnant women with asymptomatic malaria were 4 times more at risk of being anaemic (adjusted odds ratio with 95% confidence interval: 4.42, 1.82 -10.70)than those who did not have malaria. There was statistically significant negative correlation between parasite density and anaemia (r=0.0028, p=0.02). Conclusion: Asymptomatic P. falciparuminfection was found among some of the pregnant women and the presence of the parasites make them 4 times at increased risk of developing anaemia. Anaemia when occurring amongst such women was significantly worsened by increasing parasitaemia.

scholarly journals Elastic adhesive bandage in low back pain in active and sedentary pregnant women living in Coari, Amazonas

2020 ◽  
pp. 1-5
Author(s):  
Emanuela Moraes Silva Fernandes ◽  
Gabrielle Silveira Rocha Matos ◽  
Ercília de Souza Andrade ◽  
Cleuzenir Melo Nunes ◽  
Maria Luciana Moura de Matos ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Pain Intensity ◽  
Wilcoxon Test ◽  
Moderate Intensity ◽  
Low Back ◽  
Application Procedure ◽  
The Mean ◽  
Adhesive Bandage

Background: Gestational low back pain is a limiting symptom, which interferes in the activities of daily living and quality of life. There are several scientific findings on the effectiveness and benefits of banding for low back pain, making it necessary to investigate effective and inexpensive non-pharmacological technologies. Objectives: The objective of this study was to compare the effect of elastic adhesive bandage (EAB) in low back pain in active and sedentary pregnant women. Method: Study quasi-experimental, analytical with 33 pregnant women living in the city of Coari (AM). Socio-demographic, obstetrical data on health and low back pain were collected. The bandage was applied like “I”, with two bands in the paravertebral region of the lumbar spine and should remain for 3 days. Pain intensity was assessed by visual analogue pain scale (VAS) during the initial evaluation and after 3 days of the application procedure. For purposes of analysis, the sample was divided into 2 groups: active and sedentary. The Wilcoxon test was used to compare the mean of the low back pain intensity before and after the application of the intra-group bandage. The mean intensity of low back pain after the application of bandaging between groups was analyzed by the Mann-Whitney U test. Significance was accepted for p≤0,05. Results: The mean age was 24.24 (±6.39) and 75.8% reported low back pain at moderate intensity. The pain intensity after application of the EAB was lower in both the active (p=0.039) and the sedentary (p=0.000). There was no difference in pain intensity on day 3 in intragroup analysis (p=0.691). Conclusion: EAB reduced the intensity of low back pain in both active and sedentary pregnant women, however, there was no difference in its effect when the groups were compared.

scholarly journals Impact of Musculoskeletal Dysfunctions on Quality of Life of Pregnant Women

2020 ◽  
Vol 07 (02) ◽  
pp. 27-31
Author(s):  
Himanshu Vyas ◽  
Keyword(s):  
Quality Of Life ◽  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Women ◽  
Musculoskeletal Pain ◽  
Care Hospital ◽  
Low Back ◽  
Musculoskeletal Discomfort ◽  
In Pregnancy

Background: Pregnancy is a special condition which is neither a disease nor a normal body status. The anatomical, physiological, and biochemical adjustments are significant during pregnancy, starting soon after fertilization and continuing throughout pregnancy. Reasons for pain during pregnancy include hormonal changes, increased weight, postural variations and impaired strength and co-ordination of abdominal and pelvic muscles. Musculoskeletal pain during pregnancy can have a significant negative impact on day to day functioning. Objectives: To determine the level of musculoskeletal discomforts in pregnancy, to explore the relationship between the musculoskeletal discomfort and quality of life in pregnancy and to associate the selected demographic variables with musculoskeletal discomfort in pregnancy. Methods: Cross-sectional research design was used. 323 antenatal mothers, gestational age more than 20 weeks, attending antenatal OPD of a tertiary care hospital of western Rajasthan were selected with the convenient sampling technique. Pregnancy musculoskeletal discomforts were assessed by Pregnancy Induced Musculoskeletal Dysfunctional Scale (PMDS) and quality of life (QOL) was assessed by the WHOQOL-BREF scoring questionnaires. Descriptive and inferential statistics were employed to analyse the data. Results: Pregnant women reported most frequently the low back pain (60%) and leg cramps (42%) and majority of them experienced mild form of pain. Result also showed the number of symptoms increased with progressing trimester. In case of quality of life, less than 50% of pregnant women reported with average and poor quality of life. The quality of life was found to be negatively correlated with various level of intensity of musculoskeletal pain. Conclusion: Among various musculoskeletal dysfunctions, low back pain and leg cramp are the most common symptoms of all and it affects the quality of life in pregnancy in different dimensions of health. Considering this aspect would help health care professionals to offer appropriate care and education in view of prevention of musculoskeletal dysfunctions and promote health of mother during pregnancy.

Prevalence of Playing-Related Musculoskeletal Problems Among Professional Orchestra Musicians in South Africa: A Study Using the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM)

2021 ◽  
Vol 36 (4) ◽  
pp. 238-244
Author(s):  
Clorinda Panebianco
Keyword(s):  
South Africa ◽  
Pain Intensity ◽  
Musculoskeletal Pain ◽  
Self Report ◽  
Full Time ◽  
Professional Musicians ◽  
Musculoskeletal Problems ◽  
Part Time ◽  
The Mean ◽  
Orchestral Musicians

BACKGROUND: The prevalence of playing-related musculoskeletal problems (PRMPs) in professional musicians is well documented in the literature, but few studies have been done on South African professional musicians. OBJECTIVE: The present study aimed to evaluate the prevalence of PRMPs, pain intensity, and pain interference among full-time and part-time orchestral musicians, using a validated self-report instrument specifically designed for musicians. METHODS: Seventy-nine full-time and part-time professional orchestral musicians took part in the study and completed the Musculoskeletal Pain Intensity and Interference Questionnaire for Musicians (MPIIQM). RESULTS: A lifetime prevalence of PRMPs was 76% and point prevalence 30%. Of the PRMP group, 30% experienced current pain that interfered with their ability to play. Upper strings players reported the most PRMPs. The most commonly reported pain locations were right and left upper limb, neck, forearm, and elbow. The mean pain intensity score for the PRMP group was 16.3 (SD 6.62) (out of 40) and the mean pain interference score was 21.2 (9.98) (out of 50). Female musicians reported experiencing pain more frequently and intensely and also reported more pain sites than males. CONCLUSIONS: This study, the first to make use of a validated self-report instrument, shows that musculoskeletal problems are common among full-time and part-time professional orchestral musicians in South Africa.

scholarly journals Musculoskeletal pain and symptoms in pregnancy: a descriptive study

2018 ◽  
Vol 10 (12) ◽  
pp. 229-234 ◽  
Author(s):  
Serdar Kesikburun ◽  
Ümüt Güzelküçük ◽  
Ulaş Fidan ◽  
Yasin Demir ◽  
Ali Ergün ◽  
...  
Keyword(s):  
Back Pain ◽  
Musculoskeletal Pain ◽  
Tertiary Hospital ◽  
Low Back ◽  
Third Trimester ◽  
Face To Face ◽  
The Third ◽  
Musculoskeletal Problems ◽  
Index Weight ◽  
In Pregnancy

Background: Pregnancy-induced hormonal and physiologic changes increase the risk of musculoskeletal problems in pregnancy. The purpose of this report is to provide a comprehensive look at the musculoskeletal pain and symptoms experienced during pregnancy. Methods: A total of 184 women (mean age 30.9 ± 5.0 years) who gave birth in the obstetrics clinic of a tertiary hospital were included in the study. The participants who had given birth at 37–42 weeks of pregnancy (term pregnancy) and aged over 18 years were selected for participation. Basic demographic and clinical characteristics of the participants including age, body mass index, weight gained during pregnancy, education level, occupation, parity, sex of baby, and exercise habits were collected from the medical chart and face-to-face interviews. Musculoskeletal pain sites were defined as hand–wrist, elbow, shoulder, neck, back, low back, hip, knee, and ankle–foot in a diagram of the human body. The interviews with participants were performed to assess their musculoskeletal pain separately at each trimester follow-up visit. Results: The most frequent musculoskeletal complaints during pregnancy were low back pain ( n = 130, 70.7%), back pain ( n = 80, 43.5%), hand–wrist ( n = 61, 33.2%) and hip pain ( n = 59, 32.1%). The participants experienced musculoskeletal pain most in the third trimester except for elbow, shoulder and neck pain compared with the first and second trimesters ( p < 0.05). Conclusions: The results of the study suggest that numerous musculoskeletal problems may complicate pregnancy especially in the third trimester.

scholarly journals Prevalence of Musculoskeletal Dysfunctions among Indian Pregnant Women

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Preetha Ramachandra ◽  
Arun G. Maiya ◽  
Pratap Kumar ◽  
Asha Kamath
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Pregnant Woman ◽  
Pregnant Women ◽  
Symphysis Pubis ◽  
Pelvic Girdle Pain ◽  
Low Back ◽  
Wide Range ◽  
Back Translation ◽  
The Common

Background and Objectives. Pregnancy triggers a wide range of changes in a woman’s body leading to various musculoskeletal dysfunctions. Most commonly reported musculoskeletal discomforts by pregnant women are low back pain and symphysis pubis pain. The culture and the environmental factors may influence the discomforts experienced by a pregnant woman. There is a dearth of literature in India, regarding the common musculoskeletal dysfunctions experienced by a pregnant woman, and hence this study.Method. A questionnaire to identify the musculoskeletal dysfunction was developed; content was validated and was translated to local languages through parallel back translation. 261 primiparous pregnant women participated in the study and filled the questionnaire in their native language.Results. Among the musculoskeletal dysfunctions reported by the pregnant women, 64.6% reported calf muscle cramps, 37.1% reported foot pain, and 33.7% experienced low back pain in their third trimester. In the second trimester, common musculoskeletal dysfunctions experienced by the women were that of calf pain (47.8%), low back pain (42%), and pelvic girdle pain (37%).Conclusion. Musculoskeletal dysfunctions and general discomforts very commonly affect the activities of daily living of pregnant women. Understanding the common discomforts during various trimesters of pregnancy will help to develop a comprehensive program for prevention and cure.

scholarly journals P.046 Can targeted exercises for nerve movement be effective for primary restless leg syndrome in adults with and without musculoskeletal pain?

2016 ◽  
Vol 43 (S2) ◽  
pp. S32-S32
Author(s):  
SG Gibbons
Keyword(s):  
Musculoskeletal Pain ◽  
Rating Scale ◽  
Ordinal Scale ◽  
Global Rating ◽  
Low Back ◽  
Restless Leg Syndrome ◽  
Pharmacological Management ◽  
The Mean ◽  
Level 1

Background: Restless leg syndrome (RLS) is common with musculoskeletal pain conditions and has been associated with small fiber neuropathy. There are few reports of non pharmacological management of RLS. The purpose of this paper was to report the use nerve mobilization exercises in a group of patients with primary RLS with and without co-morbid chronic non specific low back pain (LBP). Methods: 26 consecutive patients (11M/14F) with primary RLS and LBP attended a mean of 12 physiotherapy sessions (range 4-16). Patients were given 3 neural mobilization exercises to do twice daily 15-20 repetitions. Outcome measures were: Global Rating of Change Scale (GROC); Restless Legs Syndrome Rating Scale (RLS-RS); and RLS Ordinal Scale (RLS-OS). Based on the RLS-RS 1 was very severe, 8 were severe and 17 were moderate. Results: Follow up was a mean of 14 months (range12-16). Mean baseline for the RLS-RS was 22.8. The mean change was 20.3 (range 14-26). The mean baseline for the RLS-OS was 4.3. The mean score at follow up was 1.2 (range 1-4). GROC changed a mean of 6.2 (range 3-7). Conclusions: The results suggest that targeted exercises may be useful in managing primary RLS. A level 1 clinical trial is warranted. Further research is needed to identify the mechanism of action.

scholarly journals Prevalence and determinants of anemia amongst HIV positive pregnant women in a tertiary Hospital in Nigeria

2020 ◽  
Vol 9 (12) ◽  
pp. 4825
Author(s):  
Innocent O. Eze ◽  
Clara U. Innoeze ◽  
Malachy E. Ayogu ◽  
Stephen C. Eze
Keyword(s):  
Pregnant Women ◽  
Cd4 Count ◽  
Hiv Positive ◽  
Hiv Status ◽  
Cross Sectional ◽  
Positive Group ◽  
Increased Risk ◽  
The Mean ◽  
Prevalence Of Anemia ◽  
Hiv Negative

Background: In pregnancy, anemia is associated with increased risk of both maternal and fetal morbidity and mortality especially in HIV situation. To determine the prevalence and determinants of anemia in HIV positive compared to HIV negative women.Methods: This was a cross sectional study carried out from June 2016 to December 2017 amongst pregnant women who presented to the antenatal clinic. Information on socio-demographic variables and laboratory test to determine the hemoglobin levels and CD4 count (for the HIV positive women) were carried out. A total of 350 subjects with equal number of HIV positive and HIV negative pregnant women were recruited. Variables were compared between the two groups using software package for social sciences version 20. P values<0.05 at 95% confidence interval are considered statistically significant.Results: The mean age for HIV positive and negative were 31.54 ±4.1 and 29.03 respectively while, mean gestational age at booking for HIV positive and negative were 20.41±8.61 and 22.37±7.4 weeks respectively. The HIV positive group had a mean parity of 2.02±1.5, and 2.56±1.2 was that of the HIV negative group. The mean hemoglobin statuses at booking were 9.92±1.8 g/dl and 10.6±1.1 g/df HIV positive and HIV negative women respectively. The mean CD4+ at booking for HIV positive group was 478±251 per microliter. The overall prevalence of anemia irrespective of HIV status was 36.6%. The prevalence of anemia in HIV positive and negative women were 44.6% and 28.6% respectively. There was statistically significant relationship between anemia and HIV status (p=0.002).Conclusions: There was inverse relationship between CD4+ count and anemia. Low CD4+ count and non-use of HAART at booking were important determinants of anemia among the HIV.

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