Medical rehabilitation as method of treatment and improvement of quality of life in pregnant women suffering dorsopathies

Abstract

The study of the effectiveness of medical rehabilitation methods, in particular manual therapy (MT) and therapeutic physical culture (physical therapy) in pregnant women with dorsopathies in the second and third trimesters of pregnancy in order to improve the quality of life, course and outcomes of pregnancy. 305 pregnant women were examined. The patients were divided into three groups: the 1st was treated by a chiropractor (n = 135), the 2nd got a course of exercise therapy (n = 35), the 3rd, control group (n = 135), did not receive treatment. The mean age was 30.92 ± 0.23 years, with p = 0.05 and P = 95 %. Primeval amounted to 43.27% (n = 132) of the total number of examined persons, repeated - 56.73 % (n = 173); primiparous - 61.96 % (n = 189), repeated 38.04 % (n = 116). In the first group, the number of sessions of manual therapy ranged from 1 to 4. So it took one session in 47 cases (34.8 %), 2 sessions - 58 (42,9%), 3 sessions - 23 (17,1 %) and 4 sessions - 7 (5,2 %) pregnant. The physical therapy course included 10 sessions. An assessment of the quality of life of pregnant women with dorsopathies was conducted using the following methords: EuroQol-5D questionnaire, the Oswestry questionnaire, the medical and social characteristics, the pain syndrome using the McGill questionnaire, the visual analogue scale (VAS), and the verbal evaluation score scale of pregnant women with this pathology. In the course of the current study, preliminary results have been obtained, which allow concluding about the effectiveness of MT in pregnant women over the methods of exercise therapy. There was an improvement in the quality of life of a pregnant woman, a decrease in pain, until its complete elimination, a decrease in the number of caesarean sections.