Gebelik Dönemindeki Potansiyel Kas-İskelet Sistemi Sorunları

Aylin Sarıyıldız; İlke Coşkun Benlidayı

doi:10.17827/aktd.1178874

Review

Gebelik Dönemindeki Potansiyel Kas-İskelet Sistemi Sorunları

Year 2022, Volume: 31 Issue: 4, 279 - 283, 30.12.2022

Aylin Sarıyıldız İlke Coşkun Benlidayı

https://doi.org/10.17827/aktd.1178874

Abstract

Gebelik sırasında kadınlarda çeşitli fizyolojik ve anatomik değişiklikler meydana gelmektedir. Bu biyomekanik, hormonal ve vasküler değişiklikler gebelik ilerledikçe belirginleşmektedir. Kas-iskelet sistemi bu değişimlerden en çok etkilenen sistemlerden biridir. Gebelikle ilişkili kas-iskelet sistemi problemlerinin başında bel ağrısı gelmekte ve bunu sırt ağrısı, el-el bilek ağrısı ve kalça ağrısı takip etmektedir. Gebelikle ilişkili bu problemlerin çoğu gebelikten sonraki aylarda düzelmektedir. Ancak bazı gebelerde ciddi ağrı ve dizabiliteye neden olmaktadır. Bu nedenle, gebelik döneminde görülen kas-iskelet sistemi problemlerinin erken tanınması, koruyucu önlemlerin alınması ve bireysel tedavinin planlanması önemlidir. Bu yazıda, gebelik döneminde görülen kas-iskelet sistemi değişiklikleri, sık görülen patolojiler ve bu problemlerin tedavisi ile ilgili güncel literatürün gözden geçirilmesi amaçlanmaktadır.

Keywords

gebelik, kas-iskelet sistemi, ağrı, kas-iskelet ağrısı

Supporting Institution

Project Number

Thanks

References

1. Thabah M, Ravindran V. Musculoskeletal problems in pregnancy. Rheumatol Int. 2015;35:581-7.
2. Casagrande D, Gugala Z, Clark SM, Lindsey RW. Low back pain and pelvic girdle pain in pregnancy. J Am Acad Orthop Surg. 2015;23: 539-4
3. Conder R, Zamani R, Akrami M. The Biomechanics of Pregnancy: A Systematic Review. J Funct Morphol Kinesiol. 2019;4:72.
4. Levendoğlu F. Gebelik ve Rehabilitasyon. In: Fiziksel Tıp ve Rehabilitasyon 3rd Ed. (Eds Beyazova M ve Gökçe Kutsal Y):1425-38. Ankara, Güneş Tıp Kitapevleri, 2016.
5. Heckman JD, Sassard R. Musculoskeletal considerations in pregnancy. J Bone Joint Surg Am. 1994;76:1720-30.
6. Kesikburun S, Güzelküçük Ü, Fidan U, Demir Y, Ergün A, Tan AK. Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Ther Adv Musculoskelet Dis. 2018;10:229-34.
7. Sencan S, Ozcan-Eksi EE, Cuce I, Guzel S, Erdem B. Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors. Ann Phys Rehabil Med. 2018;61:33-7.
8. Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstet Gynecol. 2004;104:65-70.
9. Fiat F, Merghes PE, Scurtu AD, Almajan Guta B, Dehelean CA, Varan N, Bernad E. The Main Changes in Pregnancy-Therapeutic Approach to Musculoskeletal Pain. Medicina (Kaunas). 2022;58:1115.
10. Wu WH, Meijer OG, Uegaki K, Mens JM, van Dieën JH, Wuisman PI, et al. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13:575-89.
11. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17:794-819.
12. Östgaard HC, Andersson GB, Wennergren M. The impact of low back and pelvic pain in pregnancy on the pregnancy outcome. Acta Obstet Gynecol Scand. 1991;70:21-4.
13. Maliha G, Morgan J, Vrahas M. Transient osteoporosis of pregnancy. Injury. 2012;43:1237-41.
14. Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH. MR imaging findings in transient osteoporosis of the hip. Eur J Radiol. 2004;50:238-44.
15. Asadipooya K, Graves L, Greene LW. Transient osteoporosis of the hip: review of the literature. Osteoporos Int. 2017;28:1805-16.
16. Luo L, Zhou K, Zhang J, Xu L, Yin W. Interventions for leg cramps in pregnancy. Cochrane Database Syst Rev. 2020;12:CD010655.
17. Blyton F, Chuter V, Walter KE, Burns J. Non-drug therapies for lower limb muscle cramps. Cochrane Database Syst Rev. 2012;1:CD008496.
18. Klein A. Peripheral nerve disease in pregnancy. Clin Obstet Gynecol. 2013;56:382-8.
19. Kovacs CS. Calcium and Phosphate Metabolism and Related Disorders During Pregnancy and Lactation. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K, Dungan K, Hershman JM, Hofland J, Kalra S, Kaltsas G, Koch C, Kopp P, Korbonits M, Kovacs CS, Kuohung W, Laferrère B, Levy M, McGee EA, McLachlan R, Morley JE, New M, Purnell J, Sahay R, Singer F, Sperling MA, Stratakis CA, Trence DL, Wilson DP, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000–. PMID: 25905396.
20. Kovacs CS. Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery. Physiol Rev. 2016;96:449-7.
21. Akyuz G., Bayindir O. Pregnancy associated osteoporosis. Turk J Phys Med Rehabil. 2013;59:145-50.
22. Kovacs CS, Ralston SH. Presentation and management of osteoporosis presenting in association with pregnancy or lactation. Osteoporos Int. 2015;26:2223-41.
23. Laroche M, Talibart M, Cormier C, Roux C, Guggenbuhl P, Degboe Y. Pregnancy-related fractures: a retrospective study of a French cohort of 52 patients and review of the literature. Osteoporos Int. 2017;28:3135-42.
24. Herath M, Wong P, Trinh A, Allan CA, Wallace EM, Ebeling PR, et al. Minimal-trauma ankle fractures predominate during pregnancy: a 17-year retrospective study. Archives of osteoporosis. 2017;12:86.
25. Coskun Benlidayi I, Sarpel T, Guzel R. Short-term treatment experience with teriparatide in pregnancy- and lactation-associated osteoporosis. J Obstet Gynaecol. 2014;34:736.
26. Ijuin A, Yoshikata H, Asano R, Tsuburai T, Kikuchi R, Sakakibara H. Teriparatide and denosumab treatment for pregnancy and lactation-associated osteoporosis with multiple vertebral fractures: A case study. Taiwan J Obstet Gynecol. 2017;56:863-6.

Potential musculoskeletal problems during pregnancy

Year 2022, Volume: 31 Issue: 4, 279 - 283, 30.12.2022

Aylin Sarıyıldız İlke Coşkun Benlidayı

https://doi.org/10.17827/aktd.1178874

Abstract

Various physiological and anatomical changes occur in women during pregnancy. These biomechanical, hormonal and vascular changes become prominent as pregnancy progresses. The musculoskeletal system is one of the systems most affected by these changes. Low back pain is the leading cause of pregnancy-related musculoskeletal problems, followed by back pain, hand-wrist pain and hip pain. Most of these pregnancy-related problems resolve in the months after pregnancy. However, it causes serious pain and disability in some pregnant women. Therefore, early recognition of musculoskeletal problems during pregnancy, taking protective precautions and planning the treatment individually are essential. The present article aimed to review the recent literature on musculoskeletal changes, common pathologies and treatment of these problems during pregnancy.

Keywords

pregnancy, musculoskeletal system, pain, musculoskeletal pain

Project Number

References

1. Thabah M, Ravindran V. Musculoskeletal problems in pregnancy. Rheumatol Int. 2015;35:581-7.
2. Casagrande D, Gugala Z, Clark SM, Lindsey RW. Low back pain and pelvic girdle pain in pregnancy. J Am Acad Orthop Surg. 2015;23: 539-4
3. Conder R, Zamani R, Akrami M. The Biomechanics of Pregnancy: A Systematic Review. J Funct Morphol Kinesiol. 2019;4:72.
4. Levendoğlu F. Gebelik ve Rehabilitasyon. In: Fiziksel Tıp ve Rehabilitasyon 3rd Ed. (Eds Beyazova M ve Gökçe Kutsal Y):1425-38. Ankara, Güneş Tıp Kitapevleri, 2016.
5. Heckman JD, Sassard R. Musculoskeletal considerations in pregnancy. J Bone Joint Surg Am. 1994;76:1720-30.
6. Kesikburun S, Güzelküçük Ü, Fidan U, Demir Y, Ergün A, Tan AK. Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Ther Adv Musculoskelet Dis. 2018;10:229-34.
7. Sencan S, Ozcan-Eksi EE, Cuce I, Guzel S, Erdem B. Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors. Ann Phys Rehabil Med. 2018;61:33-7.
8. Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstet Gynecol. 2004;104:65-70.
9. Fiat F, Merghes PE, Scurtu AD, Almajan Guta B, Dehelean CA, Varan N, Bernad E. The Main Changes in Pregnancy-Therapeutic Approach to Musculoskeletal Pain. Medicina (Kaunas). 2022;58:1115.
10. Wu WH, Meijer OG, Uegaki K, Mens JM, van Dieën JH, Wuisman PI, et al. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13:575-89.
11. Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17:794-819.
12. Östgaard HC, Andersson GB, Wennergren M. The impact of low back and pelvic pain in pregnancy on the pregnancy outcome. Acta Obstet Gynecol Scand. 1991;70:21-4.
13. Maliha G, Morgan J, Vrahas M. Transient osteoporosis of pregnancy. Injury. 2012;43:1237-41.
14. Malizos KN, Zibis AH, Dailiana Z, Hantes M, Karachalios T, Karantanas AH. MR imaging findings in transient osteoporosis of the hip. Eur J Radiol. 2004;50:238-44.
15. Asadipooya K, Graves L, Greene LW. Transient osteoporosis of the hip: review of the literature. Osteoporos Int. 2017;28:1805-16.
16. Luo L, Zhou K, Zhang J, Xu L, Yin W. Interventions for leg cramps in pregnancy. Cochrane Database Syst Rev. 2020;12:CD010655.
17. Blyton F, Chuter V, Walter KE, Burns J. Non-drug therapies for lower limb muscle cramps. Cochrane Database Syst Rev. 2012;1:CD008496.
18. Klein A. Peripheral nerve disease in pregnancy. Clin Obstet Gynecol. 2013;56:382-8.
19. Kovacs CS. Calcium and Phosphate Metabolism and Related Disorders During Pregnancy and Lactation. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, de Herder WW, Dhatariya K, Dungan K, Hershman JM, Hofland J, Kalra S, Kaltsas G, Koch C, Kopp P, Korbonits M, Kovacs CS, Kuohung W, Laferrère B, Levy M, McGee EA, McLachlan R, Morley JE, New M, Purnell J, Sahay R, Singer F, Sperling MA, Stratakis CA, Trence DL, Wilson DP, editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000–. PMID: 25905396.
20. Kovacs CS. Maternal Mineral and Bone Metabolism During Pregnancy, Lactation, and Post-Weaning Recovery. Physiol Rev. 2016;96:449-7.
21. Akyuz G., Bayindir O. Pregnancy associated osteoporosis. Turk J Phys Med Rehabil. 2013;59:145-50.
22. Kovacs CS, Ralston SH. Presentation and management of osteoporosis presenting in association with pregnancy or lactation. Osteoporos Int. 2015;26:2223-41.
23. Laroche M, Talibart M, Cormier C, Roux C, Guggenbuhl P, Degboe Y. Pregnancy-related fractures: a retrospective study of a French cohort of 52 patients and review of the literature. Osteoporos Int. 2017;28:3135-42.
24. Herath M, Wong P, Trinh A, Allan CA, Wallace EM, Ebeling PR, et al. Minimal-trauma ankle fractures predominate during pregnancy: a 17-year retrospective study. Archives of osteoporosis. 2017;12:86.
25. Coskun Benlidayi I, Sarpel T, Guzel R. Short-term treatment experience with teriparatide in pregnancy- and lactation-associated osteoporosis. J Obstet Gynaecol. 2014;34:736.
26. Ijuin A, Yoshikata H, Asano R, Tsuburai T, Kikuchi R, Sakakibara H. Teriparatide and denosumab treatment for pregnancy and lactation-associated osteoporosis with multiple vertebral fractures: A case study. Taiwan J Obstet Gynecol. 2017;56:863-6.

There are 26 citations in total.

Details

Primary Language	Turkish
Subjects	Health Care Administration
Journal Section	Review
Authors	Aylin Sarıyıldız 0000-0002-8835-4203 İlke Coşkun Benlidayı 0000-0001-6517-5969
Project Number	-
Publication Date	December 30, 2022
Acceptance Date	December 2, 2022
Published in Issue	Year 2022 Volume: 31 Issue: 4

Cite

AMA	Sarıyıldız A, Coşkun Benlidayı İ. Gebelik Dönemindeki Potansiyel Kas-İskelet Sistemi Sorunları. aktd. December 2022;31(4):279-283. doi:10.17827/aktd.1178874

Article Files

Full Text

This journal is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.