Impact of gestational low back pain intensity on quality of life, sleep quality, functional status, anxiety and depression
DOI:
https://doi.org/10.33448/rsd-v12i4.40965Keywords:
Low Back Pain; Physiotherapy; Pregnancy; Quality of life.Abstract
Introduction: Gestational low back pain (GLBP) have impact on performance of daily life activities, although it remains uncertain the impact of pain intensity in clinical outcomes. Aims: To verify the impact and relationship of pain intensity of GLBP on quality of life (QoL), sleep quality (SQ), functional status, anxiety and depression. Methods: Pregnant women above 20 weeks of gestation completed the sample characterization form and answered five questionnaires to assess pain (Visual Analogue Scale), QoL (Medical Outcomes Short Form Health Survey–36 item), SQ (Pittsburg Sleep Quality Index), functional status (Oswestry Disability Index), anxiety and depression (Hospital Anxiety and Depression Scale). Participants were divided in two groups, with GLBP (GLBP group) and without GLBP (CG). GLBP group was stratified according to pain intensity in two groups: mild pain (VAS≤3: M-GLBP) and moderate to severe pain (VAS>3: MS-GLBP). Results: 75 participants were included, 75% in the GLBP (n=56, 30[27-34] years) and 25% in CG (n=19, 32[30-34] years). GLBP presents worse QoL, SQ, functional status, anxiety and depression (p<0.05). MS-GLBP (n=32) had worse SQ (p=0.006), functional status (p<0.0001), anxiety and depression (p<0.05) compared to CG and present worse QoL (p<0.05) compared to M-GLBP (n=24). M-GLBP has worse functional status compared to CG (p<0.001). Pain intensity is moderately correlated to functional status (r=0.56; p<0.0001). Conclusion: Women with moderate to severe GLBP presented worse QoL, SQ, functional status, increased depression and anxiety compared to CG, even mild GLBP have impact on functional status and pain intensity have moderate correlation with functional status.
References
Andersen, M. L., Araujo, P., Frange, C., & Tufik, S. (2018). Distúrbios do sono e dor: um conto de dois problemas comuns. Baú, 154 (5), 1249-1259. 10.1016/j.chest.2018.07.019.
Aragão, F. F. (2019). Pregnancy-related lumbosacral pain. BrJP, 2(2), 176–181. https://doi.org/10.5935/2595-0118.20190031
Aydın U., Eser F., & Garip Y. Impact of Functional Status on the Quality of Life of Pregnant Women with Lumbopelvic Pain. Istanbul Med J 2015; 16: 70-2. https://doi.org/ 10.5152/imj.2015.02259
Berber, M. A., & Satılmış, İ. G. (2020). Characteristics of Low Back Pain in Pregnancy, Risk Factors, and Its Effects on Quality of Life. Pain management nursing: official journal of the American Society of Pain Management Nurses, 21(6), 579–586. https://doi.org/10.1016/j.pmn.2020.05.001
Botega, N. J., Pereira, P. M., Medeiros, P., Garcia, L. M., & Mantovani, G. C. A. (1998) Validação da escala hospitalar de ansiedade e depressão (HAD) em pacientes epilépticos ambulatoriais. J Bras Psiquiatr.;47(6):285–9. https://pesquisa.bvsalud.org/portal/resource/pt/lil-306881.
Casagrande, D., Gugala, Z., Clark, S. M., & Lindsey, R. W. Low Back Pain and Pelvic Girdle Pain in Pregnancy. J Am Acad Orthop Surg. 2015 Sep;23(9):539-49. 10.5435/JAAOS-D-14-00248.
Chen, L., Ferreira, M. L., Beckenkamp, P. R., Caputo, E. L., Feng, S., & Ferreira, P. H. (2021). Comparative Efficacy and Safety of Conservative Care for Pregnancy-Related Low Back Pain: A Systematic Review and Network Meta-analysis. Physical therapy, 101(2), pzaa200. https://doi.org/10.1093/ptj/pzaa200.
Davenport, M. H., Marchand, A. A., Mottola, M. F., Poitras, V. J., Gray, C. E., Jaramillo Garcia, A., Barrowman, N., Sobierajski, F., James, M., Meah, V. L., Skow, R. J., Riske, L., Nuspl, M., Nagpal, T. S., Courbalay, A., Slate,r L. G., Adamo, K. B., Davies, G. A., Barakat, R., & Ruchat, S. M. Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis. Br J Sports Med. 2019 Jan;53(2):90-98. 10.1136/bjsports-2018-099400.
Dionne, C. E., Dunn, K. M., Croft, P. R., Nachemson, A. L., Buchbinder, R., Walker, B. F., Wyatt, M., Cassidy, J. D., Rossignol, M., Leboeuf-Yde, C., Hartvigsen, J., Leino-Arjas, P., Latza, U., Reis, S., Gil Del Real, M. T., Kovacs, F. M., Oberg, B., Cedraschi, C., Bouter, L. M., Koes, B. W., & Von Korff, M. (2008). A consensus approach toward the standardization of back pain definitions for use in prevalence studies. Spine, 33(1),95–103. https://doi.org/10.1097/BRS.0b013e31815e7f94
Duarte, V. M., Meucci, R. D., & Cesar, J. A. Severe Low Back Pain among pregnant women in Southern Brazil. Ciênc. Saúde Colet. 2018;23(8): 2487-2494. 10.1590/1413-81232018238.22562016.
Kalus, S. M., Kornman, L. H., & Quinlivan, J. A. (2008). Managing back pain in pregnancy using a support garment: a randomised trial. BJOG: an international journal of obstetrics and gynaecology, 115(1), 68–75. https://doi.org/10.1111/j.1471-0528.2007.01538.x
Koç, M., Bayar, B., & Bayar, K. (2018). A Comparison of Back Pain Functional Scale With Roland Morris Disability Questionnaire, Oswestry Disability Index, and Short Form 36-Health Survey. Spine, 43(12), 877–882. https://doi.org/10.1097/BRS.0000000000002431
Krindges, K., Gôlo de Jesus, D. K., & Ribeiro, A. F. M. (2018). Lombalgia gestacional: prevalência e incapacidade em gestantes atendidas na rede pública de saúde no município de Juína/MT. Fisioterapia Brasil, 19(6):804-11. https://doi.org/10.33233/fb.v19i6.2484
Liddle, S. D., & Pennick, V. (2015). Interventions for preventing and treating low-back and pelvic pain during pregnancy. The Cochrane database of systematic reviews, 2015(9): CD001139. https://doi.org/10.1002/14651858.CD001139.pub4
Lima, A. C. D. N., Oliveira, F. B. D., Avolio, G. P., Silva, G. D. D., Silva, P. S. D., & Vale, R. G. D. S. (2017). Prevalência de lombalgia e interferência na qualidade de vida de gestantes. Revista Dor, 18, 119-123. https://doi.org/10.5935/1806-0013.20170024.
Long, G., Yao, Z. Y., Na, Y., Ping, Y., Wei, S., & Mingsheng, T. Different types of low back pain in relation to pre- and post-natal maternal depressive symptoms. BMC Pregnancy Childbirth. 2020 Sep 22;20(1):551. 10.1186/s12884-020-03139-9.
Maia, L. B., Amarante, L. G., Vitorino, D. F. M., Mascarenhas, R. O., Lacerda, A. C. R., Lourenço, B. M., & Oliveira, V. C. Effectiveness of conservative therapy on pain, disability and quality of life for low back pain in pregnancy: A systematic review of randomized controlled trials. Braz J Phys Ther. 2021 Nov-Dec;25(6):676-687. 10.1016/j.bjpt.2021.06.007.
Manyozo, S., Nesto, T., Bonongwe, P., & Muula, A. Low back pain during pregnancy: Prevalence, risk factors and association with daily activities among pregnant women in urban Blantyre, Malawi. Malawi Med J. 2019;31(1):71-76. 10.4314/mmj.v31i1.12.
Ribeiro, R. P., Sedrez, J. A., Candotti, C. T., & Vieira, A. (2018). Relação entre a dor lombar crônica não específica com a incapacidade, a postura estática e a flexibilidade. Fisioterapia e Pesquisa, 2018 25(4), 425–431. https://doi.org/10.1590/1809-2950/18001925042018
Sedov, I. D., Cameron, E. E., Madigan, S., & Tomfohr-Madsen, L. M. (2018). Sleep quality during pregnancy: A meta-analysis. Sleep medicine reviews, 38, 168–176. https://doi.org/10.1016/j.smrv.2017.06.005
Silvestri, R., & Aricò, I. (2019). Distúrbios do sono na gravidez. Ciência do Sono, 12 (3), 232.
de Sousa, V. P. S., Cury, A., Eufrásio, L. S., de Sousa, S. E. S., Coe, C. B., & de Souza Ramalho Viana, E. The influence of gestational trimester, physical activity practice and weight gain on the low back and pelvic pain intensity in low risk pregnant women. J Back Musculoskelet Rehabil. 2019;32(5):671-676. 10.3233/BMR-171006.
Sousa, V. P. S. D., Ribeiro, S. O., Aquino, C. M. R. D., & Viana, E. D. S. R. (2015). Qualidade do sono em gestantes com dor lombar. Fisioterapia em Movimento, 28, 319-326. https://doi.org/10.1590/0103-5150.028.002.AO12
van der Meulen, M., Zamanipoor Najafabadi, A. H., Lobatto, D. J., Andela, C. D., Vliet Vlieland, T. P., Pereira, A. M., & Biermasz, N. R. (2020). SF-12 ou SF-36 na doença pituitária? Em direção a medições de resultados relatados pelo paciente de forma concisa e abrangente. Endócrino, 70 (1), 123-133. https://doi.org/10.1590/S1413-81232013000700007
Virgara, R., Maher, C., & Van Kessel, G. (2018). The comorbidity of low back pelvic pain and risk of depression and anxiety in pregnancy in primiparous women. BMC pregnancy and childbirth, 18(1), 1-7. 10.1186/s12884-018-1929-4.
Williamson, A., & Hoggart, B. (2005). Pain: a review of three commonly used pain rating scales. Journal of clinical nursing, 14(7), 798–804. https://doi.org/10.1111/j.1365-2702.2005.01121.x
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