The Effectiveness of Pregnancy Exercises on Back Pain among Third Trimester Pregnant Women
DOI:
https://doi.org/10.53713/htechj.v4i1.613Keywords:
pregnant women, back pain, prenatal exercise, third trimesterAbstract
Back pain is one of the most common discomforts experienced by pregnant women in the third trimester. Back pain can occur due to pressure on the back muscles or shifting of the spine, which puts pressure on joints. Back pain in pregnant women often arises from pressure on the back muscles or spinal shifts, leading to joint compression. This study aimed to evaluate the effectiveness of prenatal exercise in alleviating back pain among third-trimester pregnant women. A quantitative approach with a pre-experimental design, specifically a one-group pretest-posttest, was employed. The population included all third-trimester pregnant women visiting PMB Safara Kedawung Kulon, totaling 35 individuals, who were sampled using a total sampling technique. Pain assessment was conducted using the standardized Face Pain Scale-Revised questionnaire, which did not require additional validity testing. Data were analyzed univariately through frequency percentages and bivariately using the Wilcoxon Signed Ranks Test. The results indicated that all respondents experienced back pain. During the pretest, the highest level of reported pain was more severe, experienced by 13 respondents (37.1%). Following the prenatal exercise intervention, the posttest showed that 18 respondents (51.4%) reported mild pain. Wilcoxon statistical testing yielded an Asymp. Sig. 0.001, demonstrating a significant difference between pretest and posttest results. Consequently, it was concluded that prenatal exercise has a significant effect on back pain in pregnant women in the third trimester. These findings advocate for the systematic integration of evidence-based exercise protocols into standard maternal healthcare practices, empowering midwives to offer safe, cost-effective pain management strategies that enhance maternal comfort and well-being during late pregnancy.
References
Alestari, R., Devitasari, I., Evy Kasanova, & Lidia Widia. (2025). Comprehensive Care for Patients with Low Back Pain in The Third Trimester of Pregnancy. Health and Technology Journal (HTechJ), 3(2), 170–179. https://doi.org/10.53713/htechj.v3i2.337
Anisah, M., & Fatmarizka, T. (2025). Effectiveness of physiotherapy in alleviating musculoskeletal pain during pregnancy: a literature review. Majalah Ilmiah Fisioterapi Indonesia, 13(2), 327-333. https://doi.org/10.24843/mifi.000000449
Aparicio, V. A., Marín-Jiménez, N., Flor-Alemany, M., Acosta-Manzano, P., Coll-Risco, I., & Baena-García, L. (2023). Effects of a concurrent exercise training program on low back and sciatic pain and pain disability in late pregnancy. Scandinavian Journal of Medicine & Science in Sports, 33(7), 1201-1210. https://doi.org/10.1111/sms.14353
Barbier, M., Blanc, J., Faust, C., Baumstarck, K., Ranque-Garnier, S., & Bretelle, F. (2023). Standardized Stretching Postural postures to treat low-back pain in pregnancy: The GEMALODO randomized clinical trial. American Journal of Obstetrics & Gynecology MFM, 5(10), 101087. https://doi.org/10.1016/j.ajogmf.2023.101087
Beyable, A. A., Bayable, S. D., & Ashebir, Y. G. (2022). Pharmacologic and non-pharmacologic labor pain management techniques in a resource-limited setting: A systematic review. Annals of Medicine and Surgery, 74, 103312. https://doi.org/10.1016/j.amsu.2022.103312
Daneau, C., Nougarou, F., Abboud, J., Ruchat, S. M., & Descarreaux, M. (2025). Changes in pregnancy-related hormones, neuromechanical adaptations and clinical pain status throughout pregnancy: A prospective cohort study. PLOS ONE, 20(2), e0314158. https://doi.org/10.1371/journal.pone.0314158
Diez-Buil, H., Hernandez-Lucas, P., Leirós-Rodríguez, R., & Echeverría-García, O. (2024). Effects of the combination of exercise and education in the treatment of low back and/or pelvic pain in pregnant women: Systematic review and meta-analysis. International Journal of Gynecology & Obstetrics, 164(3), 811-822. https://doi.org/10.1002/ijgo.15000
Esfahlani, M. Z., & Bagheri, R. B. (2023). Pregnancy-Related: Lumbosacral Pain; Etiology, Surgical and Non-surgical Management: Systematic Review. Eurasian Journal of Chemical, Medicinal and Petroleum Research, 2(3), 79-92. https://doi.org/10.5281/zenodo.8125149
Franisia, C. A., Febry Mutiariami Dahlan, & Cholisah Suralaga. (2022). The Effectiveness of Prenatal Yoga on Back Pain in Third Trimester Pregnant Women at the Depok Clinic in 2022. Science Midwifery, 10(3), 2075–2081. https://doi.org/10.35335/midwifery.v10i3.612
Heim, M. A., & Makuch, M. Y. (2022). Pregnant women’s knowledge of non-pharmacological techniques for pain relief during childbirth. European Journal of Midwifery, 6, 5. https://doi.org/10.18332/ejm/145235
Jusuf, E. C., & Lisdayanti, M. A. (2025). Enhancing Endorphin Levels and Reducing Back Pain in Second and Third Trimester Pregnant Women: Prenatal Yoga with Cinnamon Aromatherapy. Public Health, 13(3), 669-676. https://doi.org/10.13189/ujph.2025.130315
Leung, C. J., Tao, F., Senter, C., Ramirez, F. D., & Wong, S. E. (2025). Pregnancy-Related Hip and Pelvis Musculoskeletal Conditions, Risk Factors, and Prevention. Current Reviews in Musculoskeletal Medicine, 18(12), 585-598. https://doi.org/10.1007/s12178-025-09991-6
McCarthy, T. A., Reddy, P. S., Simonds, A. H., & Spaeth, A. M. (2023). The effects of exercise training on low back/pelvic girdle pain during pregnancy: a systematic review. The Journal of Women's & Pelvic Health Physical Therapy, 47(3), 147-158. https://doi.org/10.1097/JWH.0000000000000269
Naqvi, S. M. A. M., Shah, S. Z. H., Inayat, M., Sajjad, Y., Chaudhary, F., Rauf, F., Raza, A., & Baig, T. (2024). Prevalence and Correlation of Lumbo-pelvic Pain with Depression, Anxiety, Stress, and Mobility levels in Pregnant Women: Lumbo-pelvic Pain in Pregnant Women. Pakistan BioMedical Journal, 7(10), 19–23. https://doi.org/10.54393/pbmj.v7i10.1122
Nugraha, N., Dewi Nataningtyas, C., & Herdian. (2025). The Effect of Prenatal Yoga on Back Pain in Pregnant Women. Health and Technology Journal (HTechJ), 3(3), 325–329. https://doi.org/10.53713/htechj.v3i3.353
Rosidah, I., Triana Indrayani, & Risza Choirunissa. (2025). The effect of prenatal yoga on pubic bone pain in pregnant women in the third trimester. Nursing and Health Sciences Journal (NHSJ), 5(3), 404–410. https://doi.org/10.53713/nhsj.v5i3.576
Salari, N., Mohammadi, A., Hemmati, M., Hasheminezhad, R., Kani, S., Shohaimi, S., & Mohammadi, M. (2023). The global prevalence of low back pain in pregnancy: a comprehensive systematic review and meta-analysis. BMC pregnancy and childbirth, 23(1), 830. https://doi.org/10.1186/s12884-023-06151-x
Shanshan, H., Liying, C., Huihong, Z., Yanting, W., Tiantian, L., Tong, J., & Jiawei, Q. (2024). Prevalence of lumbopelvic pain during pregnancy: A systematic review and meta-analysis of cross-sectional studies. Acta Obstetricia et Gynecologica Scandinavica, 103(2), 225-240. https://doi.org/10.1111/aogs.14714
Wang, S., Zhang, H., Zhang, G., & Jin, L. (2025). Effectiveness of nonpharmacologic interventions on pregnancy-related low back pain: A network meta-analysis of randomized controlled trials. Medicine, 104(34), e43969. https://doi.org/10.1097/MD.0000000000043969
Waqas, M., Muhammad Sana Ullah, Novera Naveed, Alveena Abbas, & Misbah Hanif. (2024). Effect of Postural Correction Exercises and Pelvic Tilt Exercises on Pain, ROM and Function in Pregnant Females with Lower Back Pain. Journal of Rehabilitation and Clinical Research (JRCR), 2(2), 44–51. https://doi.org/10.61776/jrcr.v2i2.4024
Wójcik, M., Jarząbek-Bielecka, G., Merks, P., Luwański, D., Plagens-Rotman, K., Pisarska-Krawczyk, M., Mizgier, M., & Kędzia, W. (2022). Visceral Therapy and Physical Activity for Selected Dysfunctions, with Particular Emphasis on Locomotive Organ Pain in Pregnant Women—Importance of Reducing Oxidative Stress. Antioxidants, 11(6). https://doi.org/10.3390/antiox11061118
Wu, Y., Zhong, Y., Xu, C., Li, H., Chen, M., & Xu, L. (2025). Interventions for Maintaining Pelvic Floor Health During Pregnancy: A Systematic Review. Physiotherapy Research International, 30(3), e70077. https://doi.org/10.1002/pri.70077
Yoseph, E. T., Taiwo, R., Kiapour, A., Touponse, G., Massaad, E., Theologitis, M., Wu, J. Y., Williamson, T., & Zygourakis, C. C. (2025). Pregnancy-Related Spinal Biomechanics: A Review of Low Back Pain and Degenerative Spine Disease. Bioengineering, 12(8). https://doi.org/10.3390/bioengineering12080858
