Prevalence and Characteristics of Women with Persistent LBP Postpartum

Palesa Mhleketo Madzivhandila, M. Cochrane, Rethabile Dineo Nkuna
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Abstract

Persistent low back pain (LBP) postpartum is a known phenomenon; however, the prevalence and characteristics thereof were unknown in South Africa. This study determined the point prevalence and characteristics of women with persistent LBP postpartum. A cross-sectional quantitative design was used. Women over 18 years who gave birth more than six weeks prior to the study were included. Data were collected for both groups through physical measurements and questionnaires. Descriptive, correlational, and non-parametric statistical analysis was conducted. 50 women participated in the study, and 22 (44%) presented with persistent LBP postpartum. The group with LBP experienced a higher level of disability (54.5% - moderate disability and 4.5% - severe disability) compared to the pain-free group. Postnatal depression was indicated in 40.9% of the LBP group and was statistically significantly and moderately positively associated with the presence of LBP (p=0.000; r=0.53). Regarding activity and participation levels, 59.1% of females with LBP postpartum had a moderate risk for chronicity, and 13.6% had a high risk. The LBP pain group differed significantly in terms of participation in physical activity (p=0.000) compared to the pain-free group. The results indicated a high point prevalence of LBP six or more weeks postpartum (44%). On impairment level, disability and postnatal depression experienced by women with LBP postpartum differed from the pain-free group. Participants who were pain-free were much more physically active than participants with LBP. The results from the study implied low levels of physical activity in the presence of LBP.
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产后持续腰痛妇女的患病率和特征
产后持续性腰背痛(LBP)是一种众所周知的现象,但南非产后持续性腰背痛的发病率和特征却不为人知。 本研究确定了产后持续性腰背痛妇女的发病率和特征。 研究采用了横断面定量设计。研究对象包括在研究前六周以上分娩的 18 岁以上妇女。两组数据均通过体格测量和问卷调查收集。进行了描述性、相关和非参数统计分析。 50 名产妇参与了研究,其中 22 人(44%)在产后出现持续性膀胱痛。与无痛组相比,椎间盘突出症组的残疾程度更高(54.5% - 中度残疾,4.5% - 重度残疾)。40.9%的枸杞多糖症患者在产后出现抑郁,并且在统计学上与枸杞多糖症呈中度正相关(p=0.000;r=0.53)。在活动和参与程度方面,59.1%的产后枸杞痛女性有中度慢性化风险,13.6%有高度风险。与无痛组相比,椎间盘突出症疼痛组在参与体育活动方面有显著差异(P=0.000)。 结果表明,产后六周或六周以上的枸杞痛发病率较高(44%)。就损伤程度而言,产后患有枸杞痛的妇女所经历的残疾和产后抑郁与无痛组有所不同。与患有枸杞多糖症的参与者相比,无痛参与者的运动量要大得多。研究结果表明,患有枸杞多糖症的妇女的体力活动水平较低。
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