Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model

Up to 86% of pregnant women will have lumbopelvic pain during the 3rd trimester of pregnancy and women with lumbopelvic pain experience lower health-related quality of life during pregnancy than women without lumbopelvic pain. Several risk factors for pregnancy-related lumbopelvic pain have been ide...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Catherine Daneau, Jacques Abboud, Andrée-Anne Marchand, Mariève Houle, Mégane Pasquier, Stephanie-May Ruchat, Martin Descarreaux
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	hormonal changes biomechanical changes neuromuscular adaptations motor control pain modulation Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/4f5f01ff59654c35bcbede14e47a4303
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4f5f01ff59654c35bcbede14e47a4303
record_format	dspace
spelling	oai:doaj.org-article:4f5f01ff59654c35bcbede14e47a43032021-12-02T09:10:53ZMechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model2673-561X10.3389/fpain.2021.773988https://doaj.org/article/4f5f01ff59654c35bcbede14e47a43032021-12-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpain.2021.773988/fullhttps://doaj.org/toc/2673-561XUp to 86% of pregnant women will have lumbopelvic pain during the 3rd trimester of pregnancy and women with lumbopelvic pain experience lower health-related quality of life during pregnancy than women without lumbopelvic pain. Several risk factors for pregnancy-related lumbopelvic pain have been identified and include history of low back pain, previous trauma to the back or pelvis and previous pregnancy-related pelvic girdle pain. During pregnancy, women go through several hormonal and biomechanical changes as well as neuromuscular adaptations which could explain the development of lumbopelvic pain, but this remains unclear. The aim of this article is to review the potential pregnancy-related changes and adaptations (hormonal, biomechanical and neuromuscular) that may play a role in the development of lumbopelvic pain during pregnancy. This narrative review presents different mechanisms that may explain the development of lumbopelvic pain in pregnant women. A hypotheses-driven model on how these various physiological changes potentially interact in the development of lumbopelvic pain in pregnant women is also presented. Pregnancy-related hormonal changes, characterized by an increase in relaxin, estrogen and progesterone levels, are potentially linked to ligament hyperlaxity and joint instability, thus contributing to lumbopelvic pain. In addition, biomechanical changes induced by the growing fetus, can modify posture, load sharing and mechanical stress in the lumbar and pelvic structures. Finally, neuromuscular adaptations during pregnancy include an increase in the activation of lumbopelvic muscles and a decrease in endurance of the pelvic floor muscles. Whether or not a causal link between these changes and lumbopelvic pain exists remains to be determined. This model provides a better understanding of the mechanisms behind the development of lumbopelvic pain during pregnancy to guide future research. It should allow clinicians and researchers to consider the multifactorial nature of lumbopelvic pain while taking into account the various changes and adaptations during pregnancy.Catherine DaneauJacques AbboudAndrée-Anne MarchandMariève HouleMégane PasquierStephanie-May RuchatMartin DescarreauxFrontiers Media S.A.articlehormonal changesbiomechanical changesneuromuscular adaptationsmotor controlpain modulationNeurology. Diseases of the nervous systemRC346-429ENFrontiers in Pain Research, Vol 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	hormonal changes biomechanical changes neuromuscular adaptations motor control pain modulation Neurology. Diseases of the nervous system RC346-429
spellingShingle	hormonal changes biomechanical changes neuromuscular adaptations motor control pain modulation Neurology. Diseases of the nervous system RC346-429 Catherine Daneau Jacques Abboud Andrée-Anne Marchand Mariève Houle Mégane Pasquier Stephanie-May Ruchat Martin Descarreaux Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model
description	Up to 86% of pregnant women will have lumbopelvic pain during the 3rd trimester of pregnancy and women with lumbopelvic pain experience lower health-related quality of life during pregnancy than women without lumbopelvic pain. Several risk factors for pregnancy-related lumbopelvic pain have been identified and include history of low back pain, previous trauma to the back or pelvis and previous pregnancy-related pelvic girdle pain. During pregnancy, women go through several hormonal and biomechanical changes as well as neuromuscular adaptations which could explain the development of lumbopelvic pain, but this remains unclear. The aim of this article is to review the potential pregnancy-related changes and adaptations (hormonal, biomechanical and neuromuscular) that may play a role in the development of lumbopelvic pain during pregnancy. This narrative review presents different mechanisms that may explain the development of lumbopelvic pain in pregnant women. A hypotheses-driven model on how these various physiological changes potentially interact in the development of lumbopelvic pain in pregnant women is also presented. Pregnancy-related hormonal changes, characterized by an increase in relaxin, estrogen and progesterone levels, are potentially linked to ligament hyperlaxity and joint instability, thus contributing to lumbopelvic pain. In addition, biomechanical changes induced by the growing fetus, can modify posture, load sharing and mechanical stress in the lumbar and pelvic structures. Finally, neuromuscular adaptations during pregnancy include an increase in the activation of lumbopelvic muscles and a decrease in endurance of the pelvic floor muscles. Whether or not a causal link between these changes and lumbopelvic pain exists remains to be determined. This model provides a better understanding of the mechanisms behind the development of lumbopelvic pain during pregnancy to guide future research. It should allow clinicians and researchers to consider the multifactorial nature of lumbopelvic pain while taking into account the various changes and adaptations during pregnancy.
format	article
author	Catherine Daneau Jacques Abboud Andrée-Anne Marchand Mariève Houle Mégane Pasquier Stephanie-May Ruchat Martin Descarreaux
author_facet	Catherine Daneau Jacques Abboud Andrée-Anne Marchand Mariève Houle Mégane Pasquier Stephanie-May Ruchat Martin Descarreaux
author_sort	Catherine Daneau
title	Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model
title_short	Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model
title_full	Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model
title_fullStr	Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model
title_full_unstemmed	Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model
title_sort	mechanisms underlying lumbopelvic pain during pregnancy: a proposed model
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/4f5f01ff59654c35bcbede14e47a4303
work_keys_str_mv	AT catherinedaneau mechanismsunderlyinglumbopelvicpainduringpregnancyaproposedmodel AT jacquesabboud mechanismsunderlyinglumbopelvicpainduringpregnancyaproposedmodel AT andreeannemarchand mechanismsunderlyinglumbopelvicpainduringpregnancyaproposedmodel AT marievehoule mechanismsunderlyinglumbopelvicpainduringpregnancyaproposedmodel AT meganepasquier mechanismsunderlyinglumbopelvicpainduringpregnancyaproposedmodel AT stephaniemayruchat mechanismsunderlyinglumbopelvicpainduringpregnancyaproposedmodel AT martindescarreaux mechanismsunderlyinglumbopelvicpainduringpregnancyaproposedmodel
_version_	1718398183578533888

Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model

Ejemplares similares