تأثیر ورزش در آب بر شدت درد و ناتوانی در زنان باردار مبتلا به کمردرد: یک کارآزمایی بالینی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 دانشجوی کارشناسی ارشد مشاوره در مامایی، کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

2 استادیار گروه زنان و مامایی، دانشکده پزشکی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

3 کارشناس ارشد آمار زیستی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران.

4 مربی گروه مامایی، مرکز تحقیقات رشد کودکان، پژوهشکده پیشگیری از بیماری‌های غیرواگیر، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران

چکیده

مقدمه: کمردرد، یکی از مشکلات شایع و پرهزینه دوران حاملگی است. ورزش یکی از راهبردهای درمانی است، لذا مطالعه حاضر با هدف تعیین تأثیر ورزش در آب بر بهبود درد و ناتوانی زنان باردار مبتلا به کمردرد انجام شد.
روش‌کار: این مطالعه کارآزمایی بالینی- تصادفی در سال 1398 بر روی 54 زن باردار مراجعه‌کننده به مراکز سلامت شهر قزوین و مبتلا به کمردرد انجام شد. نمونه‌ها با استفاده از تخصیص تصادفی بلوکی به دو گروه مداخله و کنترل تقسیم شد. گروه مداخله در 24 جلسه کلاس ورزش در آب از هفته 34-20 بارداری شرکت کردند. گروه کنترل مراقبت‌های استاندارد دوران بارداری را دریافت کردند. پرسشنامه ناتوانی رولند موریس و آنالوگ بصری درد قبل، 4 و 8 هفته بعد از مداخله در دو گروه تکمیل شد. تجزیه و تحلیل داده‌ها با استفاده از نرم‌افزار آماری SPSS (نسخه 24) و آزمون‌های یو من‌ویتنی و فریدمن انجام شد. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: ورزش در آب تأثیر معناداری بر میانگین نمره شدت درد (76/1±14/8، 42/1±44/1) و میزان ناتوانی کمردرد (45/2±44/3، 98/2±29/17) در گروه مداخله نسبت به گروه کنترل بعد از 8 هفته مداخله داشت (001/0>p).
نتیجه‌گیری: ورزش در آب در دوران بارداری می‌تواند شدت درد و ناتوانی در زنان مبتلا کمردرد را بهبود بخشیده و به‌عنوان یک روش غیر‌دارویی برای زنان باردار کم‌خطر مبتلا به کمردرد توصیه می‌شود.

کلیدواژه‌ها

عنوان مقاله [English]

The effect of water exercise on pain intensity and disability in pregnant women with low back pain: A clinical trial

نویسندگان [English]

  • Masoumeh Rezaei Niaraki 1
  • Hamideh Pakniat 2
  • Maryam Mafi 3
  • Fatemeh Ranjkesh 4
1 M.Sc. Student of Counseling in Midwifery, Student Research Committee, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Qazvin University of Medical Sciences, Qazvin, Iran.
3 M.Sc. in Biostatistics, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
4 Instructor, Department of Midwifery, Children Growth Research Center, Research Institute for Prevention of Non-Communicable Diseases, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.
چکیده [English]

Introduction: Low back pain is one of the most common and costly problems during pregnancy. Exercise is one of the therapeutic strategies. Therefore, this study was performed with aim to determine the effect of water exercise on improving pain and disability in pregnant women with low back pain.
Methods: This randomized clinical trial study was conducted on 54 pregnant women with low back pain referred to the healthcare centers in Qazvin in 2019. The subjects were randomly divided into two groups of intervention and control using block allocation. The intervention group participated in 24 sessions of water exercise from 20 to 34 weeks of pregnancy. The control group received the standard prenatal care. The Roland-Morris Questionnaire (RMQ) and the Visual Analogue Scale (VAS) were completed before, 4 and 8 weeks after the intervention in both groups. Data were analyzed by SPSS software (version 24) and U Mann-Whitney and Friedman tests. P< 0.05 was considered statistically significant.
Results: Water exercise had significant effect on the mean score of pain intensity (1.44±1.42, 8.14±1.76) and the disability of low back pain (3.44±2.45, 17.29±2.98) in the intervention group compared to the control group after 8 weeks of intervention (p<0.001).
Conclusion: Water exercise during pregnancy can improve pain intensity and disability in women with low back pain; it is recommended as a non-pharmacological method for low-risk pregnant women with low back pain.

کلیدواژه‌ها [English]

  • Low Back Pain
  • Pregnancy
  • Water exercise

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مجله زنان، مامایی و نازایی ایران
دوره 24، شماره 5
مرداد 1400
صفحه 78-86

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