Usporedba učinkovitosti vježba za stabilizaciju sakroilijakalnih zglobova s nošenjem potpornog pojasa radi smanjenja simptoma sakroilijakalne disfunkcije u trudnoći

Scientific paper - Original scientific paper

• Title (english): Effectiveness of exercise compared to wearing support belt in order to stabilize the sacroiliac joints and reduce the symptoms of sacroiliac dysfunction in pregnancy
• Author: Manuela Filipec
• Author: Ratko Matijević
• Author's institution: University of Zagreb; School of Medicine
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences

Abstract (english)

To determine the effectiveness of exercise as a very important therapeutic intervention to stabilize the sacroiliac joints and the supporting belt in pregnant women with sacroiliac dysfunction. Methods: A randomized controlled study involving 240 patients with sacroiliac dysfunction in pregnancy. The subjects were randomly selected into two groups, 120 in each with 40 per each trimester. The study group carried out the exercise to stabilize the sacroiliac joints 3 times a week for 45 minutes while the control group was wearing a support belt during routine daily activities. After two weeks pain intensity by numerical rating scale and the level of disability during daily activities by Quebec scale were ­assessed. Results: Pain intensity and the degree of disability caused by sacroiliac dysfunction increases from the beginning to the end of pregnancy. There was a statistically significant reduction in pain intensity (P <0.01, P <0.05) and the degree of disability (P <0.01, P <0.05) after both interventions were applied. There was a connection between pain intensity and the degree of disability in the study group (p <0.56). The study group performed significantly better regarding reduction in pain and the degree of disability compared to the control group (P <0.05). Conclusion: Exercise used to stabilize the sacroiliac joints was more effective in stabiliz ation of the sacroiliac joints during pregnancy in women with sacroiliac dysfunction.

Abstract (croatian)

Odrediti i usporediti učinkovitost vježba kao vrlo važne terapijske intervencije za stabilizaciju sakroilijakalnih zglobova i potpornog pojasa kod sakroilijakalne disfunkcije u trudnoći. Metode: Randomizirana kontrolna studija koja uključuje 240 trudnica sa sakroilijakalnom disfunkcijom u trudnoći. Ispitanice su metodom slučajnog izbora podijeljene u dvije skupine po 120 u svakoj te po 40 u svakome tromjesečju. Ispitivana skupina provodila je vježbe za stabilizaciju sakroilijakalnih zglobova 3 puta na tjedan po 45 minuta, dok je kontrolna skupina nosila potporni pojas tijekom svakodnevnih aktivnosti. Nakon dva tjedna procijenjen je intenzitet boli numeričkom skalom za procjenu boli, dok je za procjenu stupnja onesposobljenosti prilikom svakodnevnih aktivnosti upotrijebljena Kvibečka skala. Rezultati: Intenzitet boli i stupanj onesposobljenosti uzrokovani sakroilijakalnom disfunkcijom rastu od početka prema kraju trudnoće. Prisutna je statistička značajnost u smanjenju intenziteta boli (P < 0,01; P < 0,05) i stupnja onesposobljenosti (P < 0,01; P < 0,05) nakon obje primijenjene intervencije. Postoji povezanost intenziteta boli i stupnja onesposobljenosti u ispitivanoj skupini (r < 0,56). Ta je skupina imala statistički značajno veće smanjenje boli i stupnja onesposobljenosti od kontrolne skupine (P < 0,05). Zaključak: Rezultati upućuju na bolju učinkovitost vježba za stabilizaciju sakroilijakalnih zglobova od nošenja potpornog pojasa kod sakroilijakalne disfunkcije u trudnoći, što naglašava ulogu fizioterapeuta kod ovog poremećaja

• Language: croatian
• Publication type: Scientific paper - Original scientific paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 139, no. 9-10, pp. 277-280
• p-ISSN: 0024-3477
• URN:NBN: urn:nbn:hr:105:082409
• Publication: 2017-09
• Document URL: https://hrcak.srce.hr/193278
• Type of resource: Text
• Access conditions: Open access
• Created on: 2024-03-28 09:43:00