The Relationship Between Pregnancy-Related Low Back Pain, Kinesiophobia, and Physical Activity in the Third Trimester

Year 2023, Volume: 13 Issue: 1, 25 - 31, 28.03.2023

Büşra Kepenek Varol , Ayşen Aydoğdu Esra Nur Temur Göksu Fırat Merve Selvi Meltem Yazıcı-gülay , Hüseyin Aksoy

https://doi.org/10.33808/clinexphealthsci.984617

Cited By: 1

Abstract

Objective: The aim of this study is to examine the relationship between pregnancy-related low back pain, kinesiophobia, and physical activity during the third trimester of pregnancy.
Methods: Fifty-one pregnant women between the ages of 18-40, at the gestational age of 27 weeks and above were included in the study. The intensity of pregnancy-related low back pain was assessed with the Numerical Pain Scale, kinesiophobia with the Tampa Kinesiophobia Scale, and physical activity levels with the short form of the International Physical Activity Questionnaire.
Results: Only 4 (7.8%) subjects had high levels of physical activity, 12 (23.5%) had moderate, and 35 (68.6%) had low levels of physical activity. A strong positive correlation was found between low back pain and kinesiophobia in the third trimester of pregnancy (r = 0.796; p < 0.001). There was no statistically significant relationship between low back pain and physical activity or between kinesiophobia and physical activity (r=– 0.097; p= 0.498 and r= – 0.212; p= 0.135 respectively).
Conclusion: Pregnancy-related low back pain can cause kinesiophobia during pregnancy, and kinesiophobia may cause limitations of movements. Considering the negative effects of pregnancy-related low back pain and kinesiophobia during pregnancy, the evaluation of pain, and kinesiophobia by health professionals is important during this period.

Keywords

low back pain, kinesiophobia, physical activity, pregnancy

References

• Çetin FC, Demirci N, Çalık KY, Akıncı AÇ. Gebeli̇kte olağan fi̇zi̇ksel yakınmalar. Zeynep Kamil Tıp Bülteni 2017;48(4):135-141. (Turkish)
• Ebina A, Sawa R, Kondo Y, Murata S, Takada M, Fuji H, Okuyama Y, Tanikawa Y, Souke K, Ono R. Influence of kinesiophobia with pregnancy-related lumbopelvic pain at late pregnancy on postpartum depressive symptoms. Phys Ther Res. 2020;23(1):92-98.
• DiPietro L, Evenson KR, Bloodgood B, Sprow K, Troiano RP, Piersy KL, Vaux-Bjerke A, Powell KE. Benefits of physical activity during pregnancy and postpartum; an umbrella review. Med Sci Sport Exerc. 2016;176(1):100-106.
• Morino S, Ishihara M, Umezaki F, Hatanaka H, Iijima H, Yamashita M, Aoyama T, Takahashi M. Low back pain and causative movements in pregnancy: A prospective cohort study. BMC Musculoskelet Disord. 2017;18(1):1-8.
• Borg-Stein J, Dugan SA. Musculoskeletal disorders of pregnancy, delivery and postpartum. Phys Med Rehabil Clin N Am. 2007;18(3):459-476.
• Larsen PS, Strandberg-Larsen K, Juhl M, Svendsen SW, Bonde JP, Anne-Marie AN. Occupational lifting and pelvic pain during pregnancy: A study within the danish national birth cohort. Scand J Work Environ Heal. 2013;39(1):88-95.
• Robinson HS, Mengshoel AM, Bjelland EK, Vøllestad NK. Pelvic girdle pain, clinical tests and disability in late pregnancy. Man Ther. 2010;15(3):280-285.
• Picavet HSJ, Vlaeyen JWS, Schouten JSAG. Pain catastrophizing and kinesiophobia: Predictors of chronic low back pain. Am J Epidemiol. 2002;156(11):1028-1034.
• Tunca Yılmaz Ö, Yakut Y, Uygur F, Uluǧ N. Tampa Kinezyofobi Ölçeǧi’nin Türkçe versiyonu ve test-tekrar test güvenirliǧi. Fizyoter Rehabil. 2011;22(1):44–49. (Turkish)
• Beales D, Lutz A, Thompson J, Wand BM, O’Sullivan P. Disturbed body perception, reduced sleep, and kinesiophobia in subjects with pregnancy-related persistent lumbopelvic pain and moderate levels of disability: An exploratory study. Man Ther. 2016;21:69-75.
• Gutke A, Lundberg M, Östgaard HC, Öberg B. Impact of postpartum lumbopelvic pain on disability, pain intensity, health-related quality of life, activity level, kinesiophobia, and depressive symptoms. Eur Spine J. 2011;20(3):440-448.
• Román-Gálvez MR, Amezcua-Prieto C, Salcedo-Bellido I, Olmedo-Requena R, Martínez-Galiano JM, Khan KS, Bueno‐ Cavanillas A. Physical activity before and during pregnancy: A cohort study. Int J Gynecol Obstet. 2021;152(3):374-381.
• De Sousa VPS, Cury A, Eufrásio LS, De Sousa SES, Coe CB, 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.
• Park SM, Kim HJ, Jeong H, Kim H, Chang BS, Lee CK, Yeom JS. Longer sitting time and low physical activity are closely associated with chronic low back pain in population over 50 years of age: a cross-sectional study using the sixth Korea National Health and Nutrition Examination Survey. Spine J. 2018;18(11):2051-2058.
• Uçurum SG, Kalkan AC. Bel ağrılı hastalarda ağrı, kinezyofobi ve yaşam kalitesi arasındaki ilişki. Ege Tıp Dergisi 2018;57(3):131- 135. (Turkish)
• Özmen T, Gündüz R, Doğan H, Zoroglu T, Acar D. Relationship between kinesiophobia and quality of life in patients with low back pain. FÜ Sağ Bil Tıp Derg. 2016;30(1):1-4.
• Delitto A, George SZ, van Dillen L, Whitman JM, Sowa GA, Shekelle P, Denninger TR, Godges JJ, Beneciuk JM, Bishop MD, Cramer CD, Koch W, Shephard M, Abbott H, Altman RD, Briggs M, Butler D, Farrell JP, Ferland A, Fearon H, Fritz JM, MacDermid J, Matheson JW, McClure P, McGill SM, Torburn L, Werneke M. Low Back Pain: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association. J Orthop Sports Phys Ther. 2012;42(4):A1-A57.
• Williamson A, Hoggart B. Pain: A review of three commonly used pain rating scales. J Clin Nurs. 2005;14(7):798-804.
• Lundberg MKE, Styf J, Carlsson SG. A psychometric evaluation of the Tampa Scale for Kinesiophobia – From a physiotherapeutic perspective. Physiother Theory Pract. 2004;20(2):121-133.
• Sağlam M, Arıkan H, Savcı S, İnal-İnce D, Boşnak-Güçlü M, Karabulut E, Tokgözoğlu L. International physical activity questionnaire: Reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284.
• Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-Country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381- 1395.
• Thomas EN, Pers YM, Mercier G, Cambiere JP, Frasson N, Ster F, He´risson C, Blotman F. The importance of fear, beliefs, catastrophizing and kinesiophobia in chronic low back pain rehabilitation. Ann Phys Rehabil Med. 2010;53(1):3-14.
• Algina J, Olejnik S. Sample size tables for correlation analysis with applications in partial correlation and multiple regression analysis. Multivariate Behav Res. 2003; 38(3):309-323.
• Manyozo SD, Nesto T, Bonongwe P, Muula AS. 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.
• Mota MJ, Cardoso M, Carvalho A, Marques A, Sá-Couto P, Demain S. Women’s experiences of low back pain during pregnancy. J Back Musculoskelet Rehabil. 2015;28(2):351-357.
• Bastiaenen CHG, de Bie RA, Vlaeyen JWS, Goossens MEJB, Leffers P, Wolters PMJC, Bastiaanssen JM, van den Brandt PA, Essed GGM. Long-term effectiveness and costs of a brief self-management intervention in women with pregnancyrelated low back pain after delivery. BMC Pregnancy Childbirth 2008;8:1-14.
• Chou R, Huffman LH. Clinical guidelines annals of internal medicine nonpharmacologic therapies for acute and chronic low back Pain: a review of the evidence for an American pain society/American college of physicians clinical practice guideline. Ann Intern Med. 2007;147:492-504.
• Boutevillain L, Dupeyron A, Rouch C, Richard E, Coudeyre E. Facilitators and barriers to physical activity in people with chronic low back pain : A qualitative study. PloS one. 2017;12(7):e0179826.
• Marshall PWM, Schabrun S, Knox MF. Physical activity and the mediating effect of fear, depression, anxiety, and catastrophizing on pain related disability in people with chronic low back pain. PloS one. 2017;12(7):e0180788.
• Sertel M, Aydoğan Arslan S, Tütün Yümin E, Demirci CS, Tarsuslu Şimşek T. Investigation of the relationship between physical activity, kinesiophobia and fear of falling in older adults with chronic pain. Somatosens Mot Res. 2021;38(3):241-247.
• Silva BAMD, Gelain GM, Candotti CT. The influence of physical exercise on behavioral habits, kinesiophobia, and disability in people with low back pain: A retrospective cross-sectional study. J Bodyw Mov Ther. 2021;28:348-353.
• Mudd LM, Owe KM, Mottola MF, Pivarnik JM. Health benefits of physical activity during pregnancy: An international perspective. Med Sci Sports Exerc. 2013;45(2):268-277.
• Daşıkan Z, Güner Ö, Bozkurt T. İkinci ve Üçüncü Trimester Gebelerin Fiziksel Aktivite Düzeyi ve Fiziksel Aktivite Engelleri Adıyaman Üni Sağlık Bilim Derg. 2019;5(3):1731-1745. (Turkish)
• Kitiş Y, Gümüş Y. 20 yaş ve üzeri kadinlarin fiziksel aktivite düzeyleri, fiziksel aktiviteye ilişkin inançlari ve davraniş aşamalarinin belirlenmesi. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 2015;4(3):399-411. (Turkish)
• Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell- Andrews AA, Kain ZN. Low back pain during pregnancy: Prevalence, risk factors, and outcomes. Obstet Gynecol. 2004;104(1):65-70.
• Katonis P, Kampouroglou A, Aggelopoulos A, Kakavelakis K, Lyoudis S, Makrigiannakis A, Alpantaki K. Pregnancy-related low back pain. Hippokratia 2011;15(3):205-210.
• Sayed H, Slayman T, DuChene Thoma K. ACOG Committee Opinion No. 804: Physical Activity and Exercise during Pregnancy and the Postpartum Period. Obs Gynecol. 2021;137:375-376.