Article

PURPOSE: To evaluate potential determinants of self-reported lumbopelvic pain 6
months postpartum for pregnant women with and without lumbopelvic pain. METHODS:
Questionnaires were answered in weeks 19-21 of pregnancy and at 6 months
postpartum. The Pain Catastrophizing Scale was used to assess exaggerated
negative thoughts about pain experiences, the Fear-Avoidance Beliefs
Questionnaire to assess beliefs about how physical activity affects back pain,
the Visual Analogue Scale to assess pain intensity, the Disability Rating Index
to assess physical ability, and the Nottingham Health Profile to assess
health-related quality of life. A Cox proportional hazards model was used to
analyse the data. RESULTS: Of the 273 women who answered at both occasions, 112
had lumbopelvic pain in pregnancy and 161 did not. For pregnant women with
lumbopelvic pain a higher level of catastrophizing and a more restricted physical
ability both doubled the risk for postpartum lumbopelvic pain. CONCLUSIONS: We
conclude that catastrophizing and physical ability, in weeks 19-21 of pregnancy
determine postpartum lumbopelvic pain, and hence that, women at risk might be
identified by the use of a biopsychosocial approach in pregnancy. It seems
important to take these results into consideration both when forming preventive
strategies and in rehabilitation.

Langue : ANGLAIS