Utjecaj terapijskoga vježbanja na smanjenje sakroilijakalne disfunkcije u trudnoći [The influence of exercise on reduction of sacroiliac dysfunction in pregnancy]

Filipec, Manuela (2019) Utjecaj terapijskoga vježbanja na smanjenje sakroilijakalne disfunkcije u trudnoći [The influence of exercise on reduction of sacroiliac dysfunction in pregnancy]. PhD thesis, Sveučilište u Zagrebu.

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Abstract

Introduction: Sacroiliac dysfunction is major pain syndrome in pregnancy. It is caused by specific structure and function of the sacroiliac joints and their adjustment during pregnancy. ----- Aim: To establish the effectiveness of exercise in pregnancy on reducing sacroiliac dysfunction. ----- Materials and methods: Randomised controlled trial has been undertaken in the line of inclusion and exclusion criteria. Study group has conducted four different exercises used in order to stabilize the pelvis performed twice weekly for 20 minutes. The control group was complied with their normal lifestyle. Visual Analog Scale was used to assess the pain intensity while Quebec scale was used for assessment of the degree of disability in everyday activities. ----- Results: Analysis is based on 408 pregnant women included (207 in the study and 201 in control group). Statistical significance was found (p<0.001) in reduction of pain intensity with significantly reduced disability in study group (p<0.001).The results showed a strong positive correlation between decreased/increased pain intensity and degree of disability in the study/control group. ----- Conclusion: Our results supports effectiveness of exercise used in order to stabilize the sacroiliac joints during pregnancy, pointing importance of exercise in management of SID during pregnancy.

Abstract in Croatian

Uvod: Sakroilijakalna disfunkcija zbog specifičnosti strukture i funkcije sakroilijakalnih zglobova tijekom trudnoće glavni je uzrok boli u donjem dijelu leđa. ----- Cilj: Utvrditi učinkovitost stručnog savjetovanja o terapijskom vježbanju u trudnoći na smanjenje simptoma sakroilijakalne disfunkcije. ----- Materijali i metode: Provedeno je kontrolirano randomizirano istraživanje prema definiranim kriterijima uključenja i isključenja. Ispitivana skupina je provodila četiri vježbe dva puta tjedno po dvadeset minuta. Kontrolna skupina se nastavila pridržavati svojih redovitih životnih navika. Intenzitet boli procjenjivan je Vizualno analognom skalom dok je procjena funkcijske sposobnosti provedena putem Quebec-skale. ----- Rezultati: Istraživanje je provedeno na 408 trudnica (207 u ispitivanoj i 201 u kontrolnoj skupini). Prisutna je statistički značajna razlika (p < 0,001) u smanjenju intenziteta boli i stupnja onesposobljenosti (p < 0,001) u ispitivanoj skupini.Također, uočena je jaka pozitivna korelacija u smanjenju/povećanju intenziteta boli i stupnja onesposobljenosti u ispitivanoj/kontrolnoj skupini. ----- Zaključak: Dobiveni rezultati upućuju na učinkovitost savjeta o terapijskom vježbanju kod trudnica sa sakroilijakalnom disfunkcijom.

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