Tag: dolegliwości mięśniowo-szkieletowe

Wpływ ćwiczeń ciążowych i edukacji na dolegliwości mięśniowo-szkieletowe związane z ciążą

B Sathya Prabha, Jaya Vijayaraghavan, N.Venkatesh, R.Sivakumar

B Sathya Prabha, Jaya Vijayaraghavan, N.Venkatesh, R.Sivakumar – Effect of pregnancy exercises and education on pregnancy related musculoskeletal discomforts. Fizjoterapia Polska 2021; 21(3); 114-119

DOI: https://doi.org/10.56984/8ZG141900

Abstract
Aim. Women experience significant physiological and anatomical adaptations during pregnancy to meet the maternal and foetal demands. Biomechanical and hormonal factors, ligament laxity, posture and weight gain may put lot of stress on musculoskeletal system which may in turn induce various musculoskeletal symptoms in pregnancy. Most of the women believe that physical activity during pregnancy is harmful to maternal and foetal health, which results reduction in their routine physical activity. Physical inactivity during gestational period leads to various maternal discomforts and complications. The purpose of this study is to evaluate the effect of structured antenatal exercise programme and education on pregnancy related musculoskeletal discomforts.
Material and Methods. Total of 186 mothers were recruited for the study. 94 Participants were selected as the study group samples and 92 were chosen as the control group .The study group received structured antenatal classes  and education in addition to routine antenatal care whereas  the control group received routine antenatal care and exercises. Antenatal classes were conducted as individualised therapy for the interventional group along with routine antenatal care from 20th week of gestation.  The primary outcome measure was pregnancy induced musculoskeletal dysfunction scale (PMDS scale). PMDS scale was assessed at 20, 24 and   32 weeks.
Results and Discussion. There was a significant difference in the values of low back pain, symphysis pubic pain, knee pain, pelvic girdle pain and edema at 32 weeks (p value p< 0.05). Exercise during pregnancy increased the β endorphin levels and decrease the perception of pain and pregnancy induced musculoskeletal symptoms.
Conclusion. The antenatal   exercise programme and education were found to be effective in reducing pregnancy induced musculoskeletal dysfunction. Hence we suggest the pregnancy exercise and education programme in routine antenatal care to improve maternal quality of life.
Key words:
Pregnancy, musculoskeletal discomforts, pregnancy exercises, antenatal education and pregnancy discomfort
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Effects of selected work-related factors on the prevalence of musculoskeletal disorders

Katarzyna Michalak, Marta Karbowiak, Emilian Budny, Krzysztof Celeban, Elżbieta Poziomska-Piątkowska

K. Michalak, M. Karbowiak, E. Budny, K. Celeban, E. Poziomska-Piątkowska – Effects of selected work-related factors on the prevalence of musculoskeletal disorders. Fizjoterapia Polska 2020; 20(2); 26-33

Streszczenie

Purpose. The aim of the study was to compare the frequency and location of musculoskeletal disorders occurring among office and production workers, and to analyze the relationship between the occurrence of pain and the type of workload, age, gender and Body Mass Index.
Material and methods. The study consisted of 63 randomly chosen office and production workers aged 23-65.
The research was based on the analysis of pain occurrence and characteristics of professional activities.
Results.
There were statistically significant correlations found between: cervical spine pain among women and work in the forced body position and long-term inability to change position, thoracic spine pain and work for over 12 hours a day, repetitive movements, work in a forced position of the body and lifting / carrying heavy loads, lumbar spine and work in a forced body position and lifting/carrying of heavy loads.
Correlation between BMI and age and pain occurrence was not significant.
Conclusions
1. Characteristics of work-related activities determine the location of pain.
2. The most common work-related musculoskeletal pain syndromes concerns lumbar and cervical spine as well as hand’s and wrist’s joints.
3. Occurrence of pain related to the work performed is dependent on gender, but not on the age or BMI of the respondents.
4. Regular physical activity reduces the risk of work-related musculoskeletal pain syndromes.

Słowa kluczowe: ergonomics, musculoskeletal disorders, office workers, health prevention

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