Abstract
Back Pain (BP) is one of the most frequent symptoms during the last period of pregnancy, and high incidence has been described in several studies. Until now no wide, multicenter and prospective clinical studies on the natural course of BP after pregnancy have been available. We performed a multicenter follow-up study in a sample of pregnant women using the Italian validated version of the Roland questionnaire to assess the evolution of BP after pregnancy and identify prognostic factors. Each center had to re-evaluate at least 75% of the initially enrolled women, with latency of 1 year after delivery. At the follow-up, we acquired substantial clinical data concerning the post-delivery period. The evaluation of symptom evolution was based on the Roland questionnaire. At follow-up, 53% of re-evaluated women had no BP symptoms. Moreover, there was a significant improvement of patient-oriented assessment in women who suffered BP after delivery. With regard to the predictive factors, the presence of BP before pregnancy implied a 3.1-fold higher probability of improvement after delivery. In conclusion, women without history of BP before pregnancy and who complain of these symptoms during pregnancy require greater attention, because they have a lower possibility for improvement. Conversely, in women with a history of BP, pregnancy represents a transient period of worsening symptoms, probably due to the temporary para-physiological mechanical condition.
| Original language | English |
|---|---|
| Pages (from-to) | 151-154 |
| Number of pages | 4 |
| Journal | European Spine Journal |
| Volume | 14 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Mar 2005 |
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Keywords
- Back pain
- Patient-oriented assessment
- Pregnancy
- Roland questionnaire
ASJC Scopus subject areas
- Surgery
- Orthopedics and Sports Medicine
Cite this
Back pain in pregnancy : 1-Year follow-up of untreated cases. / Padua, L.; Caliandro, P.; Aprile, I.; Pazzaglia, C.; Padua, R.; Calistri, A.; Tonali, P.
In: European Spine Journal, Vol. 14, No. 2, 03.2005, p. 151-154.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Back pain in pregnancy
T2 - 1-Year follow-up of untreated cases
AU - Padua, L.
AU - Caliandro, P.
AU - Aprile, I.
AU - Pazzaglia, C.
AU - Padua, R.
AU - Calistri, A.
AU - Tonali, P.
PY - 2005/3
Y1 - 2005/3
N2 - Back Pain (BP) is one of the most frequent symptoms during the last period of pregnancy, and high incidence has been described in several studies. Until now no wide, multicenter and prospective clinical studies on the natural course of BP after pregnancy have been available. We performed a multicenter follow-up study in a sample of pregnant women using the Italian validated version of the Roland questionnaire to assess the evolution of BP after pregnancy and identify prognostic factors. Each center had to re-evaluate at least 75% of the initially enrolled women, with latency of 1 year after delivery. At the follow-up, we acquired substantial clinical data concerning the post-delivery period. The evaluation of symptom evolution was based on the Roland questionnaire. At follow-up, 53% of re-evaluated women had no BP symptoms. Moreover, there was a significant improvement of patient-oriented assessment in women who suffered BP after delivery. With regard to the predictive factors, the presence of BP before pregnancy implied a 3.1-fold higher probability of improvement after delivery. In conclusion, women without history of BP before pregnancy and who complain of these symptoms during pregnancy require greater attention, because they have a lower possibility for improvement. Conversely, in women with a history of BP, pregnancy represents a transient period of worsening symptoms, probably due to the temporary para-physiological mechanical condition.
AB - Back Pain (BP) is one of the most frequent symptoms during the last period of pregnancy, and high incidence has been described in several studies. Until now no wide, multicenter and prospective clinical studies on the natural course of BP after pregnancy have been available. We performed a multicenter follow-up study in a sample of pregnant women using the Italian validated version of the Roland questionnaire to assess the evolution of BP after pregnancy and identify prognostic factors. Each center had to re-evaluate at least 75% of the initially enrolled women, with latency of 1 year after delivery. At the follow-up, we acquired substantial clinical data concerning the post-delivery period. The evaluation of symptom evolution was based on the Roland questionnaire. At follow-up, 53% of re-evaluated women had no BP symptoms. Moreover, there was a significant improvement of patient-oriented assessment in women who suffered BP after delivery. With regard to the predictive factors, the presence of BP before pregnancy implied a 3.1-fold higher probability of improvement after delivery. In conclusion, women without history of BP before pregnancy and who complain of these symptoms during pregnancy require greater attention, because they have a lower possibility for improvement. Conversely, in women with a history of BP, pregnancy represents a transient period of worsening symptoms, probably due to the temporary para-physiological mechanical condition.
KW - Back pain
KW - Patient-oriented assessment
KW - Pregnancy
KW - Roland questionnaire
UR - http://www.scopus.com/inward/record.url?scp=16344374910&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=16344374910&partnerID=8YFLogxK
U2 - 10.1007/s00586-004-0712-6
DO - 10.1007/s00586-004-0712-6
M3 - Article
C2 - 15759172
AN - SCOPUS:16344374910
VL - 14
SP - 151
EP - 154
JO - European Spine Journal
JF - European Spine Journal
SN - 0940-6719
IS - 2
ER -