Accessible Unlicensed Requires Authentication Published by De Gruyter July 6, 2020

Expert advice about therapeutic exercise during pregnancy reduces the symptoms of sacroiliac dysfunction

Manuela Filipec and Ratko Matijević

Abstract

Objectives

There are growing evidence that exercise improves sacroiliac dysfunction symptoms in pregnant women; but no data about the effect of expert advice regarding this matter. The aim of this study was to assess the effectiveness of expert advice about therapeutic exercise on sacroiliac dysfunction in pregnancy.

Methods

A total of 500 women with sacroiliac dysfunction diagnosed in pregnancy were randomized in study and control group. Study group has conducted expert advice on therapeutic exercise; while control group continued with their normal lifestyle. Pain intensity by Visual Analog Scale (VAS) and degree of functional disability by Quebec scale were assessed at enrolment and after 3 and 6 weeks.

Results

Significantly better reduction in pain intensity assessed by VAS (p=0.001) and degree of functional disability assessed by Quebec scale (p=0.001) was noted in study compared to control group. Better results for both outcome measures were obtained if intervention was implemented earlier i.e., in second (p=0.001; p=0.001) compared to third (p=0.005; p=0.001) trimester. Strong positive correlation was found between pain intensity and degree of functional disability in both groups.

Conclusions

Expert advice on therapeutic exercise is effective in reduction of sacroiliac dysfunction symptoms during pregnancy.

Trial registration

ACTRN12617000556347


Corresponding author: Manuela Filipec, Department of Physical Medicine and Rehabilitation, Clinical hospital “Sveti Duh”, Zagreb, Croatia, Tel: +38513712281, Fax: +38513712206, Mobile: +385917316607, E-mail:

  1. Research funding: None declared.

  2. Author contributions: MF and RM contributed to the conception and design of the study, data analysis, writing and revising the manuscript. MF was responsible for data collection. All authors have accepted responsibility for the entire content of this manuscript and approved its submission.

  3. Competing interests: The authors completed the ICMJE Form for Disclosure of Potential Conflicts of Interest and reported no conflicts of interest.

  4. Informed consent: Informed consent was obtained from all individuals included in this study.

  5. Ethical approval: This study was approved by the Clinical hospital “Sveti Duh” Ethics Committee.

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Received: 2020-04-02
Accepted: 2020-05-04
Published Online: 2020-07-06
Published in Print: 2020-07-28

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