The effects of an unsupervised water exercise program on low back pain and sick leave among healthy pregnant women: A randomised controlled trial
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The effects of an unsupervised water exercise program on low back pain and sick leave among healthy pregnant women : A randomised controlled trial. / Backhausen, Mette G; Tabor, Ann; Albert, Hanne; Rosthøj, Susanne; Damm, Peter; Hegaard, Hanne K.
In: PLOS ONE, Vol. 12, No. 9, e0182114, 2017.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - The effects of an unsupervised water exercise program on low back pain and sick leave among healthy pregnant women
T2 - A randomised controlled trial
AU - Backhausen, Mette G
AU - Tabor, Ann
AU - Albert, Hanne
AU - Rosthøj, Susanne
AU - Damm, Peter
AU - Hegaard, Hanne K
PY - 2017
Y1 - 2017
N2 - BACKGROUND: Low back pain is highly prevalent among pregnant women, but evidence of an effective treatment are still lacking. Supervised exercise-either land or water based-has shown benefits for low back pain, but no trial has investigated the evidence of an unsupervised water exercise program on low back pain. We aimed to assess the effect of an unsupervised water exercise program on low back pain intensity and days spent on sick leave among healthy pregnant women.METHODS: In this randomised, controlled, parallel-group trial, 516 healthy pregnant women were randomly assigned to either unsupervised water exercise twice a week for a period of 12 weeks or standard prenatal care. Healthy pregnant women aged 18 years or older, with a single fetus and between 16-17 gestational weeks were eligible. The primary outcome was low back pain intensity measured by the Low Back Pain Rating scale at 32 weeks. The secondary outcomes were self-reported days spent on sick leave, disability due to low back pain (Roland Morris Disability Questionnaire) and self-rated general health (EQ-5D and EQ-VAS).RESULTS: Low back pain intensity was significantly lower in the water exercise group, with a score of 2.01 (95% CI 1.75-2.26) vs. 2.38 in the control group (95% CI 2.12-2.64) (mean difference = 0.38, 95% CI 0.02-0.74 p = 0.04). No difference was found in the number of days spent on sick leave (median 4 vs. 4, p = 0.83), disability due to low back pain nor self-rated general health. There was a trend towards more women in the water exercise group reporting no low back pain at 32 weeks (21% vs. 14%, p = 0.07).CONCLUSIONS: Unsupervised water exercise results in a statistically significant lower intensity of low back pain in healthy pregnant women, but the result was most likely not clinically significant. It did not affect the number of days on sick leave, disability due to low back pain nor self-rated health.TRIAL REGISTRATION: ClinicalTrials.gov NCT02354430.
AB - BACKGROUND: Low back pain is highly prevalent among pregnant women, but evidence of an effective treatment are still lacking. Supervised exercise-either land or water based-has shown benefits for low back pain, but no trial has investigated the evidence of an unsupervised water exercise program on low back pain. We aimed to assess the effect of an unsupervised water exercise program on low back pain intensity and days spent on sick leave among healthy pregnant women.METHODS: In this randomised, controlled, parallel-group trial, 516 healthy pregnant women were randomly assigned to either unsupervised water exercise twice a week for a period of 12 weeks or standard prenatal care. Healthy pregnant women aged 18 years or older, with a single fetus and between 16-17 gestational weeks were eligible. The primary outcome was low back pain intensity measured by the Low Back Pain Rating scale at 32 weeks. The secondary outcomes were self-reported days spent on sick leave, disability due to low back pain (Roland Morris Disability Questionnaire) and self-rated general health (EQ-5D and EQ-VAS).RESULTS: Low back pain intensity was significantly lower in the water exercise group, with a score of 2.01 (95% CI 1.75-2.26) vs. 2.38 in the control group (95% CI 2.12-2.64) (mean difference = 0.38, 95% CI 0.02-0.74 p = 0.04). No difference was found in the number of days spent on sick leave (median 4 vs. 4, p = 0.83), disability due to low back pain nor self-rated general health. There was a trend towards more women in the water exercise group reporting no low back pain at 32 weeks (21% vs. 14%, p = 0.07).CONCLUSIONS: Unsupervised water exercise results in a statistically significant lower intensity of low back pain in healthy pregnant women, but the result was most likely not clinically significant. It did not affect the number of days on sick leave, disability due to low back pain nor self-rated health.TRIAL REGISTRATION: ClinicalTrials.gov NCT02354430.
KW - Adult
KW - Delivery, Obstetric
KW - Exercise Therapy
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Infant, Newborn
KW - Low Back Pain
KW - Pregnancy
KW - Sick Leave
KW - Time Factors
KW - Treatment Outcome
KW - Water
KW - Journal Article
KW - Randomized Controlled Trial
U2 - 10.1371/journal.pone.0182114
DO - 10.1371/journal.pone.0182114
M3 - Journal article
C2 - 28877165
VL - 12
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 9
M1 - e0182114
ER -
ID: 185684645