Gebelikte sık görülen kas iskelet sistem problemleri ve rehabilitasyonu

Öz

Her ne kadar gebelik fizyolojik bir zaman dilimi olarak kabul edilse de, yoğun hormonal ve fiziksel değişimlerin yaşandığı ve bunlara adaptasyonun gerçekleştiği bir dönemdir. Bu dönemde birçok organ ve sistemde olduğu gibi, kas-iskelet sisteminde de önemli değişiklikler meydana gelir. Hemen her gebe bu dönemde kas-iskelet sistemi rahatsızlığı yaşamakta ve gebelerin dörtte birinde geçici de olsa ciddi kas-iskelet sistemi problemleri görülmektedir. Bu nedenle hem kadın doğum uzmanlarının hem de kas-iskelet sistemi ağrıları ile ilgilenen başta fizik tedavi hekimleri, ortopedistler ve nörologların gebelikte görülen bu rahatsızlıkların tanısı, tedavisi ve prognozu hakkında donanımlı olmaları gerekmektedir. Bu derlemede, gebelik sürecinde görülen kas-iskelet sistemindeki fizyolojik değişimler, kas-iskelet ve periferik sinir sistemi rahatsızlıkları, ayırıcı tanıları ve tedavileri ile gebelikte egzersiz ve fizik tedavi ele alınacaktır.

Anahtar Kelimeler

• gebelik
• kas iskelet s!stemi
• fizyolojik değişimler
• per!ferik sinir sistemi hastalıkları

Common musculoskeletal system problems during pregnancy and their rehabilitation

Öz

Although pregnancy is considered a physiological period, it is also a time during which profound hormonal and physical changes occur and the body adapts to these changes. During this period, significant alterations take place in many organ systems, including the musculoskeletal system. Nearly all pregnant women experience some form of musculoskeletal discomfort, and approximately one-quarter develop serious musculoskeletal problems, even if only temporarily. Therefore, obstetricians, physiatrists, orthopedic surgeons, neurologists, and other physicians involved in the management of musculoskeletal disorders should be well informed about the diagnosis, treatment, and prognosis of these pregnancy-related conditions. This review discusses the physiological changes in the musculoskeletal system during pregnancy, musculoskeletal and peripheral nervous system disorders, their differential diagnosis and treatment, as well as the role of exercise and physical therapy during pregnancy.

Anahtar Kelimeler

• pregnancy
• musculoskeletal system
• physiological changes
• peripheral nervous system disease

Kaynakça

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