Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Investigation of Balance, Pulmonary Function and Low Back Pain in Pregnant and Non-pregnant Women: Case Control Study
Gebe Olan ve Olmayan Kadınlarda Denge, Solunum Fonksiyonları ve Bel Ağrısının İncelenmesi: Vaka Kontrol Çalışması
Şeyda TOPRAK ÇELENAYa, Yasemin KARAASLANb, Mete GÜROL UĞURc
aDepartment of Physiotherapy and Rehabilitation, Ankara Yıldırım Beyazıt University Faculty of Health Sciences, Ankara, TURKEY
bDepartment of Physiotherapy and Rehabilitation, Beykent University School of Health Sciences, İstanbul, TURKEY
cDepartment of Obstetrics and Gynecology, Gaziantep University Faculty of Medicine, Gaziantep, TURKEY
Turkiye Klinikleri J Health Sci. 2020;5(3):509-15
doi: 10.5336/healthsci.2019-72171
Article Language: EN
Full Text
ABSTRACT
 Objective: Balance and pulmonary function could be affected during pregnancy. Low back pain (LBP) is one of the most common health problems in pregnant women. Thus, this study aimed to investigate balance, pulmonary functions and LBP in pregnant and nonpregnant women. Material and Methods: This case-control study was conducted at the obstetrics and gynecologic clinic. Thirty-nine pregnant women (pregnant group) and 36 non-pregnant women (control group) were included in this study. Balance was measured with One- Legged Balance Test while the eyes open and closed, pulmonary functions with a spirometer, and LBP with Visual Analog Scale (VAS). Results: It was found that the One-Legged Balance Test scores with eyes closed, forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC), and peak expiratory flow (PEF) values were found lower in the pregnant group compared to the control group (p < 0.05). Twenty-one (53.8%) of the pregnant women and 10 (27.8%) of the nonpregnant women had LBP. The findings showed that LBP was higher in the pregnant group compared to the control group (p < 0.05). Conclusion: Pregnant women had poor balance with eyes closed and pulmonary functions and more LBP than non-pregnant women. It may be important that these results should be taken into account in pregnancy training programs to increase balance, improve pulmonary functions and reduce LBP during pregnancy.

Keywords: Postural balance; respiratory function tests; low back pain; pregnancy
ÖZET
 Amaç: Gebelik boyunca denge ve solunum fonksiyonları etkilenebilmektedir. Bel ağrısı gebe kadınlarda en yaygın görülen sağlık sorunlarından biridir. Bu nedenle, bu çalışma gebe olan ve olmayan kadınlarda denge, solunum fonksiyonları ile bel ağrısını araştırmayı amaçlamıştır. Gereç ve Yöntemler: Bu vaka kontrol çalışması kadın hastalıkları ve doğum kliniğinde yapıldı. Otuz dokuz gebe kadın (gebe grubu) ve 36 gebe olmayan kadın (kontrol grubu) bu çalışmaya dahil edildi. Denge, gözler açık ve kapalı Tek Bacak Denge Testi ile, solunum fonksiyonları spirometre ile, bel ağrısı Görsel Analog Skala (GAS) ile değerlendirildi. Bulgular: Gebe grubunda kontrol grubuna göre gözler kapalı Tek Bacak Denge Test skorları, zorlu ekspiratuar hacim 1. Saniye (FEV1), fonksiyonel vital kapasite (FVC), tepe ekspiratuar akım (PEF) değerlerinin daha düşük olduğu bulundu (p<0,05). Gebe kadınların 21 (53,8%)'i ve gebe olmayan kadınların 10 (27,8%)'u bel ağrısına sahipti. Kontrol grubuna kıyasla gebe grubunda bel ağrısının daha fazla olduğu bulundu (p<0,05). Sonuç: Gebe kadınlar gebe olmayan kadınlara göre zayıf gözler kapalı denge ile solunum fonksiyonlarına ve daha fazla bel ağrısına sahiplerdi. Gebelik sırasında dengeyi arttırmak, solunum fonksiyonlarını iyileştirmek ve bel ağrısını azaltmak için bu sonuçların gebelik eğitim programlarında dikkate alınması önemlidir.

Anahtar Kelimeler: Postüral denge; solunum fonksiyon testleri; bel ağrısı; gebelik
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