Experimental Study: Back Movement Technique on Beta-Endorphin Levels and Fetal Well-Being

  • Putri Maretyara Saptyani Faculty of Health Sciences, Universitas Al Irsyad Cilacap
  • Laeli Farkhah Faculty of Health Sciences, Universitas Al Irsyad Cilacap
  • Resti Ikhda Syamsiah Faculty of Health Sciences, Universitas Al Irsyad Cilacap
Keywords: beta endorphin, fetal well-being, low back pain

Abstract

Background: One of the discomforts in the third trimester of pregnancy is lower back pain. This can affect a woman's quality of life during late pre

One of the discomforts in the third trimester of pregnancy is lower back pain. This can affect a woman's quality of life during late pregnancy and the early postpartum period. The prevalence of back pain during pregnancy can reach 80%. Treatment using drugs during pregnancy can also cause side effects. The movements in the back movement technique are said to be able to overcome back pain in pregnant women. Research Objective to prove the use of the back movement technique to increase beta endorphin levels and welfare fetus in third trimester pregnant women. This type of research is a Quasy Experiment with a Pretest-Posttest with Control Group. The sample was pregnant women in the third trimester with lower back pain in the Gubug II Community Health Center area, Grobogan, totaling 40 respondents using consecutive sampling technique. Univariate and bivariate data analysis using the Independent T Test and Man Whitney. There was an increase in beta endorphin levels before it was 146.00 ng/ml and after the back movement technique it was 375.21 ng/ml (p = 0.001). Giving the back movement technique was stated to be within normal limits for fetal heart rate and fetal movement (p > 0.05). Back movement technique has been proven to increase beta endorphin levels in pregnant women in the third trimester and is stated safe seen from normal limits for fetal heart rate and fetal movement.

gnancy and the early postpartum period. The prevalence of back pain during pregnancy can reach 80%. Treatment using drugs during pregnancy can also cause side effects. The movements in the back movement technique are said to be able to overcome back pain in pregnant women. Research Objective: To prove the use of the back movement technique to increase beta endorphin levels and welfare fetus in third trimester pregnant women  Research Method: This type of research is a Quasy Experiment with a Pretest-Posttest with Control Group Design . The sample was pregnant women in the third trimester with lower back pain in the Gubug II Community Health Center area, Grobogan, totaling 40 respondents using consecutive sampling technique . Univariate and bivariate data analysis using the Independent T Test and Man Whitney . Research Results: There was an increase in beta endorphin levels before it was 146.00 ng/ml and after the back movement technique it was 375.21 ng/ml ( p = 0.001). Giving the back movement technique was stated to be within normal limits for fetal heart rate and fetal movement ( p > 0.05) Conclusion: Back movement technique has been proven to increase beta endorphin levels in pregnant women in the third trimester and is stated safe seen from normal limits for fetal heart rate and fetal movement

Keywords: low back pain , beta endorphin , fetal well-being

References

Abebe, E., Singh, K., Adefires, M., & Abraha, M. (2014). History of Low Back Pain during Previous Pregnancy Had an Effect on Development of Low Back Pain in Current Pregnancy Attending Antenatal Care Clinic of University of Gondar Hospital , Northwest Ethiopia. Journal of Medical Science and Technology, 3(3).

Anderson, E., & Shivakumar, G. (2013). Effects of exercise and physical activity on anxiety. Frontiers in Psychiatry, 4(APR), 10–13. https://doi.org/10.3389/fpsyt.2013.00027

Ansari, N. N., Hasson, S., Naghdi, S., Keyhani, S., & Jalaie, S. (2010). Low back pain during pregnancy in Iranian women : Prevalence and risk factors. Informa Healthcare, 26(1), 40–48.

Ayanniyi, O., Sanya, A. ., Ogunlade, S. ., & Oni-Orisan, M. . (2006). Prevalence and pattern of back pain among pregnant women attending ante-natal clinics in selected health care facilities. African Journal of Biomedical Research, 9(3), 149–156. https://doi.org/10.4314/ajbr.v9i3.48898

Bender, T., Nagy, G., Barna, I., Tefner, I., Kádas, É., & Géher, P. (2007). The effect of physical therapy on beta-endorphin levels. European Journal of Applied Physiology, 100(4), 371–382. https://doi.org/10.1007/s00421-007-0469-9

Casagrande, D., Gugala, Z., Clark, S. M., & Lindsey, R. W. (2015). Low Back Pain and Pelvic Girdle Pain in Pregnancy. Journal of the American Academy of Orthopaedic Surgeons, 23(9), 539–549. https://doi.org/10.5435/JAAOS-D-14-00248

Corti, L. (2014). Nonpharmaceutical Approaches to Pain Management. 29(1), 24–28. https://doi.org/10.1053/j.tcam.2014.04.001

Davenport, M. H., Marchand, A., Mottola, M. F., Poitras, V. J., Gray, C. E., Garcia, A. J., Barrowman, N., Sobierajski, F., James, M., Meah, V. L., Skow, R. J., Riske, L., Nuspl, M., Nagpal, T. S., Courbalay, A., Slater, L. G., Adamo, K. B., Davies, G. A., Barakat, R., & Ruchat, S. (2019). Exercise for the prevention and treatment of low back , pelvic girdle and lumbopelvic pain during pregnancy. 90–98. https://doi.org/10.1136/bjsports-2018-099400

El-Refaye, G. E., & El-Bandrawy, Asmaa M. Ghareeb, H. O. (2014). Effect Of Aerobic Combined With Pelvic Rocking Exercises On Quality Of Life In Primary Dysmenorrhea. 19(2), 86–220.

Elkheshen, S., Mohamed, H., & Abelgawad, H. (2016). The Effect of Practicing Pelvic Rocking Exercise on Lowering Disability Level through Decreasing Pregnancy Related Lower Back Pain. Journal of American Science, 12(5), 98–103. https://doi.org/10.7537/marsjas12051612.Keywords

Emília, M., Costa, C., Cavalcanti, L., Alves, C., Terceiro, D. L., Ravy, D., Pinto, L., Neves, M., Araújo, G., Cursino, T., & Couceiro, D. M. (2017). Low Back Pain during Pregnancy. Brazilian Journal of Anesthesiology (English Edition), 67(3), 266–270. https://doi.org/10.1016/j.bjane.2015.08.014

Enayatjazi, M., Sadeghi Dinani, S., & Emami Hashemi, S. (2015). The Effect of Intensive Exercise on Beta-Endorphin and Serum Cortisol Levels in Elite Wrestlers. Physical Treatments- Specific Physical Therapy, 5(3), 171–176. https://doi.org/10.15412/j.ptj.07050307

Gharaibeh, A., A, A. W., Qdhah, E., Khadrawi, M., A, A. S., & Qaoud, Y. (2018). Prevalence of Low Back Pain in Pregnant Women and the Associated Risk Factors. Journal of Orthopedics & Bone Disorders, 1–7.

Gutke, A., Lundberg, M., & O, H. C. (2011). Impact of postpartum lumbopelvic pain on disability , pain intensity , health-related quality of life , activity level , kinesiophobia , and depressive symptoms. 440–448. https://doi.org/10.1007/s00586-010-1487-6

Han, I. H. (2010). Pregnancy and spinal problems. Current Opinion in Obstetrics and Gynecology, 22(6), 477–481. https://doi.org/10.1097/GCO.0b013e3283404ea1

Han, J.-H., Kim, M.-J., Yang, H.-J., Lee, Y.-J., & Sung, Y.-H. (2014). Effects of Therapeutic Massage on Gait and Pain after Delayed Onset Muscle Soreness. Journal of Exercise Rehabilitation, 10(2), 136–140. https://doi.org/10.12965/jer.140106

Hidayati, N. W., & Santoso, B. (2018). Application of Pelvic Rocking Exercises Using Birth Ball to Labor Pain and Level of Beta- Endorphine. 7(8), 2017–2019.

Join, R. K. (2018). Low Back Pain In Pregnancy. Evolution Med Dent, 7(03). https://doi.org/10.14260/jemds/2018/84

Katonis, P., Kampouroglou, A., Aggelopoulos, A., Kakavelakis, K., Lykoudis, S., Makrigiannakis, A., & Alpantaki, K. (2011). Pregnancy-related low back pain. 205–210.

Kokic, I. S., Ivanisevis, M., Uremovic, M., Kokic, T., Pisot, R., & Simunic, B. (2017). Effect of Therapeutic Exercise on Pregnancy-Related low Back Pain and Pelvic Girdle Pain. Journal Rehabilitation Medicine, 14, 251–257. https://doi.org/10.2340/16501977-2196

Kurup, V. G. (2012). Low Back Pain In Pregnancy. Indian Journal of Physiotherapy and Occupational Therapy. https://doi.org/10.18535/jmscr/v5i5.132

Mafiksari, A., & Kartiksari, R. I. (2015). Posisi Tidur dengan Kejadian Back Pain (Nyeri Punggung) Pada Ibu Hamil Trimester III. 7.

Manyozo, S. D., Nesto, T., & Muula, A. S. (2019). Low back pain during pregnancy : Prevalence , risk factors and association with daily activities among pregnant women in urban Blantyre , Malawi. 31(March), 71–76.

Marelly, A. F. V. (2017). Keefektifan William Flexion Exercise Untuk Pt Argo Manunggal Triasta Kota Salatiga Tahun 2016 Skripsi. Universitas Negeri Semarang.

May, L. E., Allen, J. J. B., & Gustafson, K. M. (2016). Fetal and maternal cardiac responses to physical activity and exercise during pregnancy. Early Human Development, 94, 49–52. https://doi.org/10.1016/j.earlhumdev.2016.01.005

Megasari, M. (2015). Panduan Belajar Asuhan Kebidanan I (2nd ed.). Deepublish.

Mota, M. J., Cardoso, M., Carvalho, A., Marques, A., & Demain, S. H. (2015). Women’s Experiences of Low Back Pain during Pregnancy. Journal of Back and Musculoskeletal Rehabilitation. https://doi.org/10.3233/BMR-140527

Mutmainnah, R. (2016). Pengaruh Pemberian Senam Hamil Terhadap Detak Jantung Janin Pada Ibu Hamil. Universitas Makasar.

Myint, K., Jayakumar, R., Hoe, S. Z., Kanthimanthi, M., & Lam, S. K. (2017). Cortisol, β-endorphin and oxidative stress markers in healthy medical student in response to examination stress. Biomedical Research, 28(8), 3774–3779.

Newton, E. R., & May, L. (2017). Adaptation of Maternal-Fetal Physiology to Exercise in Pregnancy: The Basis of Guidelines for Physical Activity in Pregnancy. Clinical Medicine Insights: Women’s Health, 10, 1179562X1769322. https://doi.org/10.1177/1179562x17693224

Nur, A., Erika, K. A., & Sinrang, A. W. (2018). The Effect of Intradialysis Stretching Exercise on the Scale of Restless Leg Syndrome. Journal of Islamic Nursing, 3(2), 16. https://doi.org/10.24252/join.v3i2.3673

Pennick, V., & Sd, L. (2013). Interventions for Preventing and Treating Pelvic and Back Pain in Pregnancy (Review). 8. http://www.thecochranelibrary.com

Potter, P. A., & Perry, A. G. (2005). Buku Ajar Fundamental Keperawatan (M. Ester, D. Yulianti, & I. Parulian (eds.); 4th ed.). EGC.

Prather, H., Spitznagle, T., & Hunt, D. (2012). Benefits of exercise during pregnancy. American Academy of Physical Medicine and Rehabilitation, 4(11), 845–850. https://doi.org/10.1016/j.pmrj.2012.07.012

RNV, D., P, P., & VPR, S. (2016). Does Sitting Pelvic Tilt Influence Quality of Pain in Low Back Pain and Quality of Sleep among Primigravida Indian Mothers. Journal of Women’s Health Care, 05(05). https://doi.org/10.4172/2167-0420.1000333

Roldan-Reoyo, O., Pelaez, M., May, L., & Barakat, R. (2019). Influence of maternal physical exercise on fetal and maternal heart rate responses. German Journal of Exercise and Sport Research, 49(4), 446–453. https://doi.org/10.1007/s12662-019-00582-5

Santos, C. M. Dos, Santos, W. M. Dos, Gallarreta, F. M. P., Pigatto, C., Portela, L. O. C., & Morais, E. N. de. (2016). Effect of maternal exercises on biophysical fetal and maternal parameters: a transversal study. Einstein (Sao Paulo, Brazil), 14(4), 455–460. https://doi.org/10.1590/S1679-45082016AO3758

Sencan, S., Ozcan-Eksi, E. E., Cuce, I., Guzel, S., & Erdem, B. (2017). Pregnancy-related low back pain in women in Turkey: Prevalence and risk factors. Annals of Physical and Rehabilitation Medicine. https://doi.org/10.1016/j.rehab.2017.09.005

Sharifi, M., Hamedinia, M. R., & Hosseini-Kakhak, S. A. (2018). The Effect of an Exhaustive Aerobic, Anaerobic and Resistance Exercise on Serotonin, Beta-endorphin and BDNF in Students. Physical Education of Students, 22(5), 272–277. https://doi.org/10.15561/20755279.2018.0507

Shonafi, K. A. (2012). Hubungan Antara Intensitas Nyeri Dengan Disabilitas Aktivitas Sehari-Hari Pada Pasien Nyeri Punggung Bawah (Npb) Di Rsud Dr.Moewardi Surakarta. Fakultas Kedokteran Universitas Muhammadiyah Surakarta, 1. https://doi.org/10.1017/CBO9781107415324.004

Suputtitada, A., Wacharapreechanont, T., & Chaisayan, P. (2002). Effect of the “sitting pelvic tilt exercise” during the third trimester in primigravidas on back pain. Journal of the Medical Association of Thailand, 85(SUPPL. 1).

Sussman, D., Lye, S. J., & Wells, G. D. (2016). Early Human Development Impact of maternal physical activity on fetal breathing and body movement — A review. Early Human Development, 6–9. https://doi.org/10.1016/j.earlhumdev.2016.01.006

Szymanski, L. M., & Satin, A. J. (2012). Exercise during pregnancy: Fetal responses to current public health guidelines. Obstetrics and Gynecology, 119(3), 603–610. https://doi.org/10.1097/AOG.0b013e31824760b5

Talsma, S. P. (2016). Yoga for Low Back Pain & Rehabilitation. https://cdn.ymaws.com/www.aoasm.org/resource/resmgr/OMED2016/Pierce-Talsma_YogaForLBP.pdf

Vermani, E., Mittal, R., & Weeks, A. (2010). Pelvic Girdle Pain and Low Back Pain in Pregnancy : A Review. 10(1), 60–71.

Vigotsky, A. D., & Bruhns, R. P. (2015). The role of descending modulation in manual therapy and its analgesic Implications: A Narrative Review. Pain Research and Treatment. https://doi.org/10.1155/2015/292805

Wulandari, C. L., & Wahyuni, S. (2019). Efektivitas Pelvic Rocking Exercise Pada Ibu Bersalin Kala I Terhadap Kemajuan Persalinan Dan Lama Persalinan. EF Press Digimedia.

Published
2024-04-01
How to Cite
Saptyani, P., Farkhah, L., & Syamsiah, R. (2024). Experimental Study: Back Movement Technique on Beta-Endorphin Levels and Fetal Well-Being. Indonesian Journal of Global Health Research, 6(2), 645-656. https://doi.org/10.37287/ijghr.v6i2.2991