Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trial

Abstract Background The objective of the present study is to evaluate the effects of a single session of in-person and remote strength training on the outcomes of low back pain, functional disability, and enjoyment in pregnant women. Methods The methodology used was an approved controlled and random...

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Main Authors: Valéria Jardim Pires, Camila Miranda, Bruna Sacchi Fraga, Yasmin Bortoli Führ, Andressa Martins e Silva, Ana Carolina Kanitz
Format: Article
Language:English
Published: BMC 2025-06-01
Series:BMC Musculoskeletal Disorders
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Online Access:https://doi.org/10.1186/s12891-025-08544-9
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author Valéria Jardim Pires
Camila Miranda
Bruna Sacchi Fraga
Yasmin Bortoli Führ
Andressa Martins e Silva
Ana Carolina Kanitz
author_facet Valéria Jardim Pires
Camila Miranda
Bruna Sacchi Fraga
Yasmin Bortoli Führ
Andressa Martins e Silva
Ana Carolina Kanitz
author_sort Valéria Jardim Pires
collection DOAJ
description Abstract Background The objective of the present study is to evaluate the effects of a single session of in-person and remote strength training on the outcomes of low back pain, functional disability, and enjoyment in pregnant women. Methods The methodology used was an approved controlled and randomized clinical trial by the Research Ethics Committee and registered in the Brazilian Clinical Trials Registry. The study involved seventeen pregnant women undergoing one in-person strength training session (IS), one remote strength training session (RS), and one control session (CS) in a randomly determined order. The team conducted assessments using questionnaires for low back pain, functional disability, and enjoyment. We compared the Generalized Estimating Equations (GEE) method with a Bonferroni complementary test (α = 0.05) and the Mann-Whitney U test. Results Reduced values of low back pain were found after the session for the SUM item in the in-person (Δ-2.06), remote (Δ-1.59), and control (Δ-2.17) sessions, as well as for the INTENSITY item in the in-person (Δ-0.23), remote (Δ-0.12), and control (Δ-0.3) sessions. Reductions in disability values 24 h after the session were observed for the remote (Δ-0.76) and control (Δ-1.59) sessions. Additionally, positive enjoyment values were noted after in-person (117) and remote (119) sessions. Conclusion It is concluded that a strength training session can potentially improve or maintain the acute low back pain and disability scale without causing an increase in low back pain symptoms. Furthermore, it can promote a high level of enjoyment, regardless of whether it is conducted in person or remotely. Health education strategies, such as those proposed by the control session in this study, are also beneficial.
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spelling doaj-art-a8cea8d481f843bc9e00a1943b1068df2025-08-20T03:10:28ZengBMCBMC Musculoskeletal Disorders1471-24742025-06-012611710.1186/s12891-025-08544-9Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trialValéria Jardim Pires0Camila Miranda1Bruna Sacchi Fraga2Yasmin Bortoli Führ3Andressa Martins e Silva4Ana Carolina Kanitz5Federal University of Rio Grande do SulFederal University of Rio Grande do SulFederal University of Rio Grande do SulFederal University of Rio Grande do SulFederal University of Rio Grande do SulFederal University of Rio Grande do SulAbstract Background The objective of the present study is to evaluate the effects of a single session of in-person and remote strength training on the outcomes of low back pain, functional disability, and enjoyment in pregnant women. Methods The methodology used was an approved controlled and randomized clinical trial by the Research Ethics Committee and registered in the Brazilian Clinical Trials Registry. The study involved seventeen pregnant women undergoing one in-person strength training session (IS), one remote strength training session (RS), and one control session (CS) in a randomly determined order. The team conducted assessments using questionnaires for low back pain, functional disability, and enjoyment. We compared the Generalized Estimating Equations (GEE) method with a Bonferroni complementary test (α = 0.05) and the Mann-Whitney U test. Results Reduced values of low back pain were found after the session for the SUM item in the in-person (Δ-2.06), remote (Δ-1.59), and control (Δ-2.17) sessions, as well as for the INTENSITY item in the in-person (Δ-0.23), remote (Δ-0.12), and control (Δ-0.3) sessions. Reductions in disability values 24 h after the session were observed for the remote (Δ-0.76) and control (Δ-1.59) sessions. Additionally, positive enjoyment values were noted after in-person (117) and remote (119) sessions. Conclusion It is concluded that a strength training session can potentially improve or maintain the acute low back pain and disability scale without causing an increase in low back pain symptoms. Furthermore, it can promote a high level of enjoyment, regardless of whether it is conducted in person or remotely. Health education strategies, such as those proposed by the control session in this study, are also beneficial.https://doi.org/10.1186/s12891-025-08544-9PregnancyLow back painStrength training
spellingShingle Valéria Jardim Pires
Camila Miranda
Bruna Sacchi Fraga
Yasmin Bortoli Führ
Andressa Martins e Silva
Ana Carolina Kanitz
Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trial
BMC Musculoskeletal Disorders
Pregnancy
Low back pain
Strength training
title Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trial
title_full Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trial
title_fullStr Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trial
title_full_unstemmed Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trial
title_short Effects of a single session of in-person and remote strength training on low back pain and disability outcomes in pregnant women: a randomized and controlled crossover clinical trial
title_sort effects of a single session of in person and remote strength training on low back pain and disability outcomes in pregnant women a randomized and controlled crossover clinical trial
topic Pregnancy
Low back pain
Strength training
url https://doi.org/10.1186/s12891-025-08544-9
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