scholarly journals Should health professionals assess sleep quality in pregnant women seeking care for low back pain?

2020 ◽  
Vol 16 (1) ◽  
pp. 155-156
Author(s):  
Letícia F. Leonel ◽  
Priscila K. Morelhão ◽  
Sergio Tufik ◽  
Monica L. Andersen
2020 ◽  
Vol 12 (4) ◽  
pp. 1037-1042
Author(s):  
M. Jamaluddin ◽  
Widiyaningsih Widiyaningsih ◽  
Dwi Kustriyanti

During pregnancy there are physiological and psychological changes that can cause discomfort such as leg cramps, difficulty breathing, back pain, depression, anxiety and sleep disorders. The prevalence of low back pain is around 60-80% which can lead to strain on the ligaments and fatigue in the abdominal muscles, as well as balance disorders. This will lead to disruption of activities during pregnancy, such as difficulty walking and sleep disturbances. To assess low back pain and sleep quality among pregnant women: cross sectional study. Cross-sectional data were collected by 37 pregnant women with inclusion criteria were third trimester pregnant women, willing to be a respondent, with normal blood pressure, and have not received any medication related sleep disorder. They completed the Pittsburgh Sleep Quality Index (PSQI) and Rolland-Morris Disability Questionaire (RDQ), statistical analysis was conducted using Pearson Correlation Product Moment. Research was conducted in Semarang and Kudus. Sleep quality among pregnant women demonstrated significanly poor overall sleep quality with PSQI score (mean 8.70 ± 3.511) and RDQ score (mean 8.97 ± 6.414). There was moderate correlation between low back pain with sleep quality (r correlation = 0.558). Low back pain have correlation to increase or decrease sleep quality among preganant women. 


2021 ◽  
Vol 9 (4) ◽  
pp. 268-273
Author(s):  
Roghayeh Dargahi ◽  
Behrooz Nazari ◽  
Abbasali Dorosti ◽  
Saeid Charsouei

Objectives: Many factors such as stress and psychological tension affect the mental and physical health of pregnant women in the third trimester during the coronavirus pandemic. These factors can cause severe complications such as sleep disorders and low back pain. Therefore, this study focused on investigating sleep disorders in women by diagnosing low back pain in pregnant women with coronavirus and the affecting factors. Materials and Methods: This descriptive-analytical study was performed during the four months ending July 5, 2020 with the participation of 40 pregnant women (with coronavirus disease detected in the last trimester of pregnancy) with a diagnosis of low back pain in Tabriz (Iran) using a random sampling technique. Demographic data, anxiety and depression, Petersburg’s sleep quality, factors affecting sleep quality, and the severity of back pain (visual analog scale) were electronically collected and analyzed using SPSS 20 by ANOVA and multivariate regression. Results: All participants were at a weak level. The majority of participants had a score of "serious sleep problem", and nausea and vomiting (P=0.041), low back pain (P=0.003), frequent urination (P=0.011), leg cramps (P=0.031), and constipation (P=0.018) caused severe sleep disturbance in pregnant women during coronavirus pandemic. Conclusions: In general, having coronavirus disease causes severe pain in pregnant women, leading to severe back pain in pregnancy, eventually worsening sleep disorders.


2020 ◽  
Author(s):  
peyman namdar ◽  
narges hoseini ◽  
leila dehghankar ◽  
leili yekefallah

Abstract Background“Sleep quality disorder” and “low back pain” are some of the most common complaints of pregnant women during pregnancy and disturb their daily activities. Currently, there are not enough interventions for these symptoms. Recently, the sport of yoga, one of the stretching sports and therapeutic methods, has attracted the attention of rehabilitation specialists. This study aimed to determine the effect of Hatha yoga on low back pain and sleep quality in nulliparous pregnant women.MethodsThis controlled clinical trial study was performed on 60 eligible nulliparous pregnant women at the gestation age of 24 to 28 weeks with normal pregnancy in the gynecology clinic of Kowsar Hospital in Qazvin city, Iran. The samples were selected using convenience sampling and were assigned to intervention and control groups via random sampling without replacement. In addition to receiving routine pregnancy care by referring to the gynecology clinic of the hospital, the intervention group attended Hatha yoga classes twice a week (each session lasting 75 minutes) at the Hatha yoga specialized sports club from week 26 to week 37 of their pregnancy. A demographic information questionnaire, a visual pain scale, and the Pittsburgh Sleep Quality Index were used to collect information. In addition, SPSS software (version 24) and descriptive and inferential statistics were used to analyze the data. The significance level of all the tests was considered to be p <0.05.ResultsUsing Wilcoxon tests, the comparison of low back pain in the intervention group before (with the p-value of 0.057) and after (with the p-value of 0.172) the study showed that there was no significant difference between the pain scores in the intervention group. Moreover, using Wilcoxon tests, the comparison of the sleep quality score in the intervention group before (with the p-value of 0.007) and after (with the p-value of 0.001) the study indicated that there was a significant difference in the sleep quality scores in the intervention group. ConclusionBased on the results of the study, it can be said that Hatha yoga did not have a significant effect on the low back pain scores in the intervention group, however, it had a significant effect on their sleep quality. According to the findings of this study, the correct and regular use of Hatha yoga under the supervision of a specialist instructor can be valuable for pregnant women in their second trimester due to its being non-invasiveness and applicable.Trial registrationThe clinical trial registration code for this study was obtained from the Iranian Registry of Clinical Trials on 19.02.2019 (IRCT code: IRCT20190919044819N1).


2021 ◽  
pp. 31
Author(s):  
Rayan Buhalim

Introduction: Low back pain is found to be the most common occupational and work-related musculoskeletal symptom worldwide. Its prevalence was found to be almost twice among healthcare providers (HCPs) than in other occupations. It is observed that the prevalence of poor sleep quality is higher in HCPs than the general population. To the best of our knowledge, this reciprocal relationship is still unresolved. Thus, this study aims to establish the relationship between low back pain and sleep quality among HCPs in Saudi Arabia. Methodology: An anonymous cross-sectional questionnaire-based study was performed on HCPs in Saudi Arabia. The questionnaire consisted of three sections. The first section included the biographical data of the participants; the second included Oswestry Disability Index (ODI) and Nordic musculoskeletal questionnaire for low back pain; and the third section was the Pittsburgh Sleep Quality Index (PSQI). Informed consent from each participant and ethical approval were taken before the commencement of the study. Result: Four hundred and forty-two respondents participated and completed the questionnaire. Nearly two-thirds of the respondents were male (62.7%) while the rest were female (37.3%). Most of the respondents were living in either the central (23.3%) or the northern (23.3%) regions. It was found that the correlation between global PSQI and ODI score was positively highly statistically significant (r = 0.235; p < 0.001). The correlation between ODI score and PSQI components including subjective sleep quality (r = 0.229; p = 0.007), habitual sleep efficiency (r = 0.229; p < 0.01), and daytime dysfunction were also positively highly statistically significant. Conclusion: HCPs in Saudi Arabia with higher low back pain disability rating demonstrated poorer overall sleep quality and vice versa. However, further research is needed to investigate whether this relationship is dependent on each other in terms of causality.


2015 ◽  
Vol 28 (2) ◽  
pp. 319-326 ◽  
Author(s):  
Vanessa Patrícia Soares de Sousa ◽  
Silvia Oliveira Ribeiro ◽  
Carla Monique Ribeiro de Aquino ◽  
Elizabel de Souza Ramalho Viana

Introduction Pregnancy is characterized by several changes in her body. These changes contribute to the emergence of low back pain, which may influence the quality of sleep during pregnancy. Objective To compare the quality of sleep among pregnant women with and without low back pain during pregnancy, examining the relationship between two variables. Materials methods Thirty volunteers aged between 19 and 36 years, divided into control group (CG – n = 16) and Study Group (SG – n = 14), residents in the cities of Natal, were evaluated in the second trimester of pregnancy. To sleep evaluation were used to index the Pittsburgh Sleep Quality and the Epworth Sleepiness Scale. Low back pain was evaluated using the pressure algometer, Visual Analogue Scale (VAS) and Oswestry Disability Index. Statistical analysis used the Shapiro Wilk test, Student’s T test for independent samples and Pearson correlation test. Results The mean gestational and chronological ages were 28.2 ± 3.4 years and 19.9 ± 3.7 weeks, respectively. Sleep quality was lower in SG (8.21 ± 4.8) when compared to CG (5.94 ± 1.7) and was statistically significant (P = 0.021). Analyzing the relationship between sleep quality and pain intensity, it was observed that the variables have a positive correlation between them (r = 0.372, P = 0.043). Conclusion Our findings indicate that sleep quality is decreased in women with low back pain compared to those without pain.


Author(s):  
Julieta Seixas-Moizes ◽  
Anneke Boerlage ◽  
Érica Negrini Lia ◽  
Lucas Emmanuel Lopes e Santos ◽  
Miriane Lucindo Zucoloto ◽  
...  

<b><i>Introduction:</i></b> This study reports on the translation, cultural adaptation, and validation of a Portuguese version of the Rotterdam Elderly Pain Observation Scale (REPOS), a Dutch scale to assess pain in patients who cannot communicate, with or without dementia. <b><i>Methods:</i></b> This is a multicenter study in pain and neurological units involving Brazil (clinical phase) and the Netherlands (training phase). We performed a retrospective cross-sectional, 2-staged analysis, translating and culturally adapting the REPOS to a Portuguese version (REPOS-P) and evaluating its psychometric properties. Eight health professionals were trained to observe patients with low back pain. REPOS consists of 10 behavioral items scored as present or absent after a 2-min observation. The REPOS score of ≥3 in combination with the Numerical Rating Scale (NRS) of ≥4 indicated pain. The Content Validity Index (CVI) in all items and instructions showed CVI values at their maximum. According to the higher correlation coefficient found between NRS and REPOS-P, it may be suggested that there was an adequate convergent validity. <b><i>Results:</i></b> The REPOS-P was administered to 80 patients with a mean age of 60 years (SD 11.5). Cronbach’s alpha coefficient showed a moderate internal consistency of REPOS-P (α = 0.62), which is compatible with the original study of REPOS. All health professionals reached high levels of interrater agreement within a median of 10 weeks of training, assuring reproducibility. Cohen’s kappa was 0.96 (SD 0.03), and the intraclass correlation coefficient was 0.98 (SD 0.02), showing high reliability of REPOS-P scores between the trainer (researcher) and the trainees (healthcare professionals). The Pearson correlation coefficient was 0.95 (95% confidence interval 0.94–0.97), showing a significant correlation between the total scores of REPOS-P and NRS. <b><i>Conclusion:</i></b> The REPOS-P was a valuable scale for assessing elderly patients with low back pain by different healthcare professionals. Short application time, ease of use, clear instructions, and the brief training required for application were essential characteristics of REPOS-P.


2021 ◽  
Author(s):  
Mohsen Sadeghi-Yarandi ◽  
Mohammad Ghasemi ◽  
Ali Ghanjal ◽  
Mojtaba Sepandi ◽  
Ahmad Soltanzadeh

Abstract Background: Chronic low back pain is one of the most common musculoskeletal disorders in different countries that people of any age can experience many times. This study aimed to predict the chronicity of non-specific acute and sub-acute LBP and related risk factors among cases referred to physiotherapy clinics.Methods: This case-control study was performed among 420 patients suffered from acute, sub-acute and chronic LBP referred to two physiotherapy centers in Tehran-Iran in 2020. Data were obtained using the Fear-Avoidance Beliefs Questionnaire (FABQ), Patient Health Questionnaire (PHQ-9), Pain Catastrophic Scale (PCS-13), Tampa Scale for Kinesiophobia (TSK-11), Pittsburgh Sleep Quality Index (PSQI), Walker's Health-Promoting Lifestyle Questionnaire, Roland Morris Disability Questionnaire (RMDQ) and Numerical Pain Rating Scale (NPRS). Data analysis was performed by applying independent sample t-test, chi-square, and multiple logistic regression in SPSS software version 25. IBM Amos version 22 was employed for path analysis.Results: The mean age and body mass index in all patients were 43.94 ± 6.72 years and 25.69 ± 3.54 kg.m-2, respectively. It was found that some demographic parameters (i.e. weight, BMI, job, type of occupational task performance, history of low back pain, work shift, underlying diseases and income), some cognitive parameters ( i.e. fear-avoidance beliefs, kinesiophobia, catastrophic pain, and depression), some lifestyle parameters (i.e. health responsibility, physical activity and interpersonal relationships), sleep quality and pain related disability were among the most critical risk factors in the chronicity of acute and sub-acute LBP (P < 0.05).Conclusion: Personal, psychological, and psychosocial parameters can be among the most critical predictors in the chronicity of acute and sub-acute non-specific LBP. Hence, paying attention to all the mentioned factors at the beginning of patients' treatment to create a targeted treatment algorithm and prevent the conversion of acute and sub-acute into chronic LBP has particular importance.


2020 ◽  
Vol 2 (2) ◽  
pp. 75
Author(s):  
Ni Luh Putu Sentania Widhi Permana Putri ◽  
Ni Wayan Suarniti ◽  
Ni Nyoman Budiani

Nyeri punggung bawah pada kehamilan digambarkan sebagai nyeri pada daerah lumbar, diatas sakrum yang menyebabkan ketidaknyamanan selama kehamilan. Akupresur titik bladder 23 merupakan metode non-farmakologi yang dapat mengurangi nyeri punggung bawah. Tujuan penelitian ini untuk mengetahui pengaruh akupresur titik bladder 23 terhadapintensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara. Penelitian ini menggunakan pre eksperimental dengan rancangan one grup pretest-posttest design.Sampel yang digunakan yaitu 12 orang ibu hamil trimester III dengan usia kehamilan 37-39 minggu dan di pilih secara purposive sampling. Data diambil dengan melakukan observasi intensitas nyeri punggung bawah sebelum dan sesudah dilakukan akupresur titik bladder 23. Responden melakukan akupresur sebanyak dua kali seminggu dengan durasi dua detik sebanyak 30 kali tekanan. Hasil intensitas nyeri punggung bawah sebelum perlakuan diperoleh nilai mean 4,17 dan setelah perlakuan berubah menjadi 2,67 dengan nilai ρ = 0,000 < α (0,05) dan nilai t (9,950). Simpulannya adalah ada pengaruh akupresur titik bladder 23 terhadap intensitas nyeri punggung bawah ibu hamil trimester III di UPTD Puskesmas I Dinas Kesehatan Kecamatan Denpasar Utara.Lower back pain in pregnancy described as pain in the lumbar region, above the sacrum which causes discomfort during pregnancy.Acupressurepoint bladder 23 is a non-pharmacological method that canreduce low back pain.This study aims to determine the effect of acupressure point bladder 23 on the low back pain level in third semester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar. This is pre-experimental research with one group pretest-posttest design. The samples were 12pregnant women on third trimester with 37-39 weeks gestational age and were selected by purposive sampling. Data were collected byobserving the intensity of low back pain before and after treatment. Respondents did acupressure twice a week with the duration two seconds for each 30 times pressure. The results of low back pain intensity before treatment obtained a mean value of 4.17 and after the treatment there was reduce to 2.67 with a value of ρ = 0,000 <α (0.05) and t value (9,950). The conclusion is that there is an influence of acupressurepoint bladder 23 on the low back painintensityin third trimester pregnant women in UPTD Puskesmas I of the Health Departement of North Denpasar.  


Author(s):  
Matchimamart Chamnankrom ◽  
Nuttaset Manimmanakorn ◽  
Apiwan Manimmanakorn ◽  
Kiattisak Kongwattanakul ◽  
Michael J. Hamlin

BACKGROUND: Low back pain is a common problem in pregnant woman. Elastic tape is an alternative method that may reduce low back pain. OBJECTIVES: To compare the effect of elastic tape to placebo tape in the treatment of low back pain in pregnant women. METHODS: Forty pregnant women were allocated into two groups: elastic group (n= 20) and placebo group (n= 20). All participants were taped by either stretched (elastic group) or non-stretched (placebo group) Kinesio tape at the lower back area for one week. RESULTS: After the application of stretched elastic tape, lower back pain was significantly reduced by 29.4% (p= 0.003) immediately post-taping and by a further 75.4% after wearing the tape for a week. Compared to the placebo group, lower back pain was significantly reduced in the elastic group after one week of wearing the tape (p< 0.001). Compared to placebo, the application of elastic tape significantly reduced the disability score (Roland-Morris Disability Questionnaire) after one week of wearing the tape (p= 0.018). Taping to the back improved walking speed (immediately and after one week) in both the elastic (p< 0.001, p< 0.001) and placebo groups (p< 0.001, p= 0.001); however, the application of either tape had little effect on posture change. CONCLUSION: Elastic tape reduced back pain and improved physical function in pregnant women compared to the placebo tape.


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