ABDOMINAL DIASTASIS AND THE LEVEL OF LOW BACK PAIN IN PREGNANT WOMEN IN THE THIRD TRIM
Keywords:
Gestation, Backache, Abdominal diastasisAbstract
Introduction: Pregnancy induces several physical changes, including maternal and fetal weight gain, which can contribute to the separation of abdominal muscles. Additionally, the center of gravity shifts forward, overloading joints and potentially causing low back pain. Objective: To evaluate the prevalence of abdominal diastasis and the level of low back pain in third-trimester pregnant women. Materials and methods: This cross-sectional analytical study was conducted between July and November 2023. A non-probabilistic sample included 47 pregnant women, with a minimum estimated sample size of 34 participants. Inclusion criteria were women in the third trimester, excluding twin pregnancies. Participants signed the informed consent form (approval number 3.258.471). Sociodemographic, reproductive, and lifestyle data were collected, and abdominal diastasis was assessed using a manual test. Results: The mean age of participants was 26.65 (±7.19) years. Among them, 40.43% self-declared as Black, 45.65% lived with a partner, 59.57% had completed high school, and 63.83% did not receive government benefits. Abdominal diastasis was identified in 17.39% of participants, while 87.23% reported low back pain. No significant association was found between abdominal diastasis and low back pain (p > 0.05). Conclusion: Low back pain was prevalent regardless of the presence of abdominal diastasis, suggesting that other physiological and biomechanical factors during pregnancy may contribute to lumbar discomfort.
References
PEREIRA, B. M. et al. Treinamento de força para gestantes no terceiro trimestre. CPAQV – Centro de Pesquisas Avançadas em Qualidade de Vida, 2020. p. 2.
ZACARIAS, S. Comparação da diástase abdominal e dor lombar entre primigestas e multíparas. Unisagrado, 2021.
COSTA, A. S. P.; OLIVEIRA-JÚNIOR, P. L. Fisioterapia na recuperação muscular da diástase abdominal em puérperas. Uniceplac, 2021.
PAIVA, A. N. et al. Efeito do pilates na diástase em gestantes. Brazilian Journal of Health Review, 2020.
RICCA, P. C. Os benefícios da fisioterapia no equilíbrio da libido no puerpério. 2023.
DA SILVEIRA, R. P. et al. Efetividade da estabilização segmentar vertebral na dor lombar inespecífica. Brazilian Journal of Development, 2022.
MARAFON, C. P. et al. Intervenção fisioterapêutica no tratamento da diástase do músculo reto abdominal em mulheres no período gestacional e puerperal: uma revisão de literatura. TCC – Fisioterapia, 2022.
MANN, L. et al. Alterações biomecânicas durante o período gestacional: uma revisão. Motriz – Revista de Educação Física, 2010. p. 3.
ACHARYA, R. S. et al. Prevalence and severity of low back- and pelvic girdle pain in pregnant Nepalese women. BMC Pregnancy and Childbirth, 2019.
DA MOTA, P. G. F. et al. Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual Therapy, 2015.
DA SILVA RODRIGUES, L. et al. Aspectos físicos, dor lombar e diástase em gestantes. Brazilian Journal of Health Review, 2021.
NOVAES, F. S.; SHIMO, A. K. K.; DE MORAES LOPES, M. H. B. Lombalgia na gestação. Revista Latino-Americana de Enfermagem, 2006.
LANDGRAF, F. M. Diástase abdominal, capacidade funcional, estabilidade pélvica e dor lombar em gestantes. 2017.
SANTOS, R. S. V. Técnicas fisioterapêuticas utilizadas no tratamento de mulheres com lombalgia gestacional. 2022.
DUARTE, V. M.; MEUCCI, R. D.; CESAR, J. A. Dor lombar intensa em gestantes do extremo sul do Brasil. Ciência & Saúde Coletiva, 2018.
DOS SANTOS, M. D. et al. Does abdominal diastasis influence lumbar pain during gestation? Revista Dor, 2016.
DA NÓBREGA MARINHO TORRES LEITE, A. C.; ARAÚJO, K. K. B. Diástase dos retos abdominais em puérperas e sua relação com variáveis obstétricas. Fisioterapia em Movimento, 2012.
ZAVANELLI, G. S. et al. Incidência da diástase do músculo reto abdominal no puerpério imediato. Colloquium Vitae, 2012.
APARICIO, L. F. et al. Self-reported symptoms in women with diastasis rectus abdominis: a systematic review. Journal of Gynecology Obstetrics and Human Reproduction, 2020.
