Back Pain Korean

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8a28a0028a28a0028a28a00fffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg1}{\bkmkend Pg1}\
par\pard\li1648\sb0\sl-207\slmult0\par\pard\li1648\sb0\sl-207\slmult0\par\pard\l
i1648\sb0\sl-207\slmult0\par\pard\li1648\sb0\sl-207\slmult0\par\pard\li1648\sb1\
sl-207\slmult0\fi0\tx6678 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf10\f11
\fs18 Journal of Korean Academy of Nursing (2007) Vol. 37, No. 2, 163\tab \up0 \
expndtw-7\charscalex100 170\par\pard\ql \li1548\ri1209\sb482\sl-560\slmult0\tx29
04 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf3\f4\fs46 Effects of a Postpar
tum Back Pain Relief \line \tab \up0 \expndtw0\charscalex101 Program for Korean
Women \par\pard\ql \li3634\sb0\sl-260\slmult0 \par\pard\ql\li3634\ri3449\sb208\s
l-260\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf4\f5\fs20 Hyun-Ei
Oh, Ph.D, RN\ul0\super\cf5\f6\fs16\ul0\super\cf5\f6\fs15 1\ul0\nosupersub\cf4\f5
\fs20 , Young-Sook Lee, Ph.D, RN\ul0\super\cf5\f6\fs16\ul0\super\cf5\f6\fs15 2\u
l0\nosupersub\cf4\f5\fs20 , \line \up0 \expndtw-4\charscalex100 Mi-Jung Shim, Ph
.D, RN\ul0\super\cf5\f6\fs16\ul0\super\cf5\f6\fs15 3\ul0\nosupersub\cf4\f5\fs20
, Jin-Sun Kim, Ph.D, RN\ul0\super\cf5\f6\fs16\ul0\super\cf5\f6\fs15 4 \par\pard\
ql \li1177\sb0\sl-260\slmult0 \par\pard\ql\li1177\sb0\sl-260\slmult0 \par\pard\q
l\li1177\ri1040\sb180\sl-260\slmult0\tx1631\tx1631 \up0 \expndtw0\charscalex103
\ul0\nosupersub\cf6\f7\fs21 Purpose. \ul0\nosupersub\cf7\f8\fs20 Despite the hig
h prevalence of back pain and its subsequent effects in post-partum women, inter
ven-\line\tab \up0 \expndtw0\charscalex100 tion programs are scarce. The purpos
e of this study was to test the effects of a back-pain-reducing program \line \t
ab \up0 \expndtw0\charscalex100 on post-partum women who experienced low-back pa
in during pregnancy. \par\pard\ql \li1177\ri1046\sb120\sl-260\slmult0\tx1631\tx1
631 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf6\f7\fs21 Methods. \ul0\nosup
ersub\cf7\f8\fs20 A non-equivalent control-group pretest-posttest design was use
d. Pregnant women who attended a \line\tab \up0 \expndtw0\charscalex103 hospita

l for prenatal check-ups and experienced back pain participated in an interventi
on program (n=27), \line \tab \up0 \expndtw0\charscalex100 and the results were
compared with women in a control group from another hospital (n=25). \par\pard\q
l \li1177\ri1031\sb100\sl-260\slmult0\tx1631\tx1631\tx1631\tx1631 \up0 \expndtw0
\charscalex103 \ul0\nosupersub\cf6\f7\fs21 Results. \ul0\nosupersub\cf7\f8\fs20
At 8 weeks post-partum, the pain intensity, functional limitations were lower in
the intervention group \line\tab \up0 \expndtw0\charscalex102 than in the contr
ol group. However, differences in mean change of the pain intensity and functio
nal limita-\line \tab \up0 \expndtw0\charscalex105 tions between 36 and 39 weeks
of gestation and at 8 weeks post-partum were not statistically significant \lin
e \tab \up0 \expndtw0\charscalex104 between the groups. Moreover, the flexibili
ty, post-partum functional status, and post-partum depression \line \tab \up0 \e
xpndtw-1\charscalex100 did not differ significantly between the groups. \par\par
d\ql \li1177\ri1036\sb120\sl-260\slmult0\tx1631\tx1631 \up0 \expndtw0\charscalex
106 \ul0\nosupersub\cf6\f7\fs21 Conclusions. \ul0\nosupersub\cf7\f8\fs20 A backpain-relief program in this study was not effective to reduce the back-pain inte
nsity in \line\tab \up0 \expndtw0\charscalex100 post-partum women and to decreas
e the associated functional limitations. The implications for nursing prac-\lin
e \tab \up0 \expndtw-1\charscalex100 tice and directions for future research are
discussed. \par\pard\ql \li1631\sb145\sl-230\slmult0 \up0 \expndtw0\charscalex1
00 \ul0\nosupersub\cf8\f9\fs20 Key Words : \ul0\nosupersub\cf7\f8\fs20 Back pain
; Functional limitations; Post-partum; Intervention \par\pard\ql \li6136\sb0\sl230\slmult0 \par\pard\ql\li6136\sb0\sl-230\slmult0 \par\pard\ql\li6136\sb230\sl230\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf2\f3\fs20 health care
professionals (Moon et al., 2000; Ostgaard,\par\pard\sect\sectd\sbknone\cols2\c
olno1\colw5976\colsr160\colno2\colw5624\colsr160\ql \li2441\sb128\sl-264\slmult0
\up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs23 INTRODUCTION\par\pard
\qj \li977\ri184\sb181\sl-278\slmult0\fi158 \up0 \expndtw0\charscalex106 \ul0\no
supersub\cf2\f3\fs20 Even though back pain is experienced by more than \line \up
0 \expndtw0\charscalex106 half of all pregnant women at some time during preg-\l
ine \up0 \expndtw0\charscalex104 nancy (Borg-Stein, Dugan, & Gruber, 2005; Krist
ians-\line \up0 \expndtw0\charscalex116 son, Svardsudd, & von Schoutltz, 1996; N
ilsson-\line \up0 \expndtw0\charscalex100 Wikmar, Harms-Ringdahl, Pilo, & Pahlba
ck, 1999), it is \line \up0 \expndtw0\charscalex112 not considered an important
health problem. Many \line \up0 \expndtw0\charscalex102 pregnant women consider
back pain to be a normal part \line \up0 \expndtw0\charscalex104 of pregnancy an
d expect it to spontaneously disappear \line \up0 \expndtw0\charscalex110 after
delivery, and hence tend not to seek help from\par\pard\column \ql \li20\sb56\sl
-230\slmult0 \up0 \expndtw0\charscalex100 Zetherstrom, & Roos-Hansson, 1997).\pa
r\pard\qj \li20\ri800\sb9\sl-278\slmult0\fi158 \up0 \expndtw-1\charscalex100 How
ever, back pain in pregnancy is a substantial prob-\line \up0 \expndtw0\charscal
ex106 lem because it can persist into the post-partum period \line \up0 \expndtw
0\charscalex120 and thereby influence the post-partum recovery \line \up0 \expnd
tw0\charscalex100 (Nilsson-Wikmar, Holm, Oijerstedt, & Harms-Ringdahl, \line \up
0 \expndtw0\charscalex105 2005; Ostgaard et al., 1997; Padua et al., 2005). Low\line \up0 \expndtw0\charscalex102 back pain reportedly occurs in 30 \up0 \expnd
tw0\charscalex103 45% of women dur-\par\pard\qj \li20\ri800\sb0\sl-278\slmult0 \
up0 \expndtw0\charscalex119 ing the post-partum period (To & Wong, 2003). \line
\up0 \expndtw0\charscalex101 According to Padua et al. (2005), around half of wo
men \line \up0 \expndtw0\charscalex104 who experience back pain during pregnancy
still com-\line \up0 \expndtw0\charscalex107 plain of back-pain symptoms at 1 y
ear after delivery. \par\pard\sect\sectd\sbknone \ql \li997\sb0\sl-172\slmult0 \
par\pard\ql\li997\sb149\sl-172\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupe
rsub\cf9\f10\fs15 1. Professor, Department of Nursing, Chosun University \par\pa
rd\ql \li997\sb8\sl-172\slmult0 \up0 \expndtw-1\charscalex100 2. Professor, Coll
ege of Nursing, Research Institute of Nursing Science, Chonnam National Universi
ty \par\pard\ql \li997\sb8\sl-172\slmult0 \up0 \expndtw-1\charscalex100 3. Profe
ssor, Gwangju Health College \par\pard\ql \li997\sb8\sl-172\slmult0 \up0 \expndt
w-1\charscalex100 4. Assistant Professor, Department of Nursing, Chosun Universi
ty \par\pard\ql \li997\sb8\sl-172\slmult0 \up0 \expndtw-1\charscalex100 This stu

dy was supported by research fund from Chosun University, 2003 \par\pard\qj \li9
97\ri5188\sb2\sl-180\slmult0 \up0 \expndtw-1\charscalex100 Corresponding author:
Jin-Sun Kim, PhD, RN, Department of Nursing, Chosun University \up0 \expndtw-1\
charscalex100 375 Seosuk-dong, Dong-Ku, Gwangju 501-759, South Korea \par\pard\q
l \li997\ri3137\sb0\sl-180\slmult0 \up0 \expndtw-1\charscalex100 Tel: 82-62-2306327
Fax: 82-62-230-6329
E-mail: jinsun@chosun.ac.kr \line \up0 \expndtw
-2\charscalex100 Received August 21, 2006 ; Accepted January 16, 2007 \par\pard\
sect\sectd\fs24\paperw11900\paperh15860{\shp
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a0028a28a0028a28a0028a28a0028a28a00fffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg2}{\b
kmkend Pg2}\par\pard\li992\sb0\sl-207\slmult0\par\pard\li992\sb0\sl-207\slmult0\
par\pard\li992\sb0\sl-207\slmult0\par\pard\li992\sb0\sl-207\slmult0\par\pard\li9
92\sb1\sl-207\slmult0\fi0\tx1457 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\c
f10\f11\fs18 164\tab \up0 \expndtw-6\charscalex100 Journal of Korean Academy of
Nursing Vol. 37, No. 2\par\pard\sect\sectd\sbknone\cols2\colno1\colw5991\colsr16
0\colno2\colw5609\colsr160\ql \li992\sb0\sl-230\slmult0 \par\pard\ql \li992\sb38
\sl-230\slmult0 \up0 \expndtw0\charscalex108 \ul0\nosupersub\cf2\f3\fs20 Moreove
r, women who experience back pain during\par\pard\qj \li992\ri185\sb9\sl-278\slm
ult0\fi0 \up0 \expndtw0\charscalex102 pregnancy have an increased risk of back p
ain in a sub-\line \up0 \expndtw0\charscalex104 sequent pregnancy (Brynhildsen,
Hansson, Persson, & \up0 \expndtw0\charscalex103 Hammar, 1998; Nilsson-Wikmar et
al., 1999; Ostgaard \up0 \expndtw0\charscalex100 & Anderson, 1991).\par\pard\ql
\li992\ri183\sb0\sl-278\slmult0\fi158\tx1150 \up0 \expndtw0\charscalex100 Inter
vention programs during pregnancy employ exer-\line \up0 \expndtw0\charscalex106
cises, physiotherapy, education on ergonomics, water \line \up0 \expndtw0\chars
calex100 gymnastics, and the use of a pelvic girdle. However, de-\line \up0 \exp
ndtw0\charscalex109 spite the high prevalence of back pain and its subse-\line \
up0 \expndtw0\charscalex105 quent effects during the post-partum period, interve
n-\line \up0 \expndtw0\charscalex100 tion programs are scarce. Only a few studie
s have evalu-\line \up0 \expndtw0\charscalex101 ated intervention programs for w
omen with post-partum \line \up0 \expndtw0\charscalex102 back pain, with the stu
dies of Mens, Snijders, and Stam \line \up0 \expndtw0\charscalex108 (2000) and S
tuge, Lacrum, Kirkesola, and Vollestad \line \up0 \expndtw0\charscalex101 (2004)
producing conflicting results. Stuge et al. (2004) \line \up0 \expndtw0\charsca
lex107 compared individualized physical therapies with and \line \up0 \expndtw0\
charscalex108 without specific stabilizing exercises in women with \line \up0 \e
xpndtw0\charscalex101 post-partum pelvic girdle pain, and found that the inclu-\
line \up0 \expndtw0\charscalex105 sion of these exercises reduced the pain and i
mproved \line \up0 \expndtw0\charscalex110 the functional status. In contrast, M

ens et al. (2000) \line \up0 \expndtw0\charscalex101 found that varying the leve
l of exercises of the diagonal \line \up0 \expndtw0\charscalex103 trunk muscle s
ystems for women with persistent pelvic \line \up0 \expndtw0\charscalex105 pain
after pregnancy had no effect on the results. This \line \up0 \expndtw0\charscal
ex100 suggests uncertainty about an optimal approach. \line\tab \up0 \expndtw0\c
harscalex104 Moreover, no reported study has investigated the ef-\line \up0 \exp
ndtw0\charscalex104 fects of post-partum exercise on reducing back pain in \line
\up0 \expndtw0\charscalex108 Korean women. Post-partum care in Korea differs in
\par\pard\column \ql \li6151\sb0\sl-230\slmult0 \par\pard\ql \li20\sb37\sl-230\s
lmult0 \up0 \expndtw0\charscalex103 many ways from that in Western countries. Tr
aditional\par\pard\qj \li20\ri784\sb10\sl-278\slmult0 \up0 \expndtw0\charscalex1
01 post-partum care in Korea emphasizes rest as the means \line \up0 \expndtw0\c
harscalex110 to post-partum recovery, with exercise considered a \line \up0 \exp
ndtw0\charscalex105 physical stressor (Kim-Godwin, 2003; Schneiderman, \line \up
0 \expndtw0\charscalex100 1996). The purpose of this study was therefore to iden
ti-\line \up0 \expndtw-1\charscalex100 fy the effects of a back-pain-reducing pr
ogram applied to \line \up0 \expndtw0\charscalex102 post-partum Korean women who
experienced low-back \line \up0 \expndtw0\charscalex106 pain during pregnancy.
The effects of the program on \line \up0 \expndtw0\charscalex103 post-partum bac
k-pain intensity, functional limitations, \line \up0 \expndtw0\charscalex103 fle
xibility, post-partum functional status, and post-par-\line \up0 \expndtw0\chars
calex100 tum depression were examined. This study hypothesizes \line \up0 \expnd
tw0\charscalex105 that participants in intervention group will have lower \line
\up0 \expndtw-1\charscalex100 back pain, fewer functional limitations, higher fl
exibility, \line \up0 \expndtw0\charscalex102 higher postpartum functional statu
s, and lower postpar-\line \up0 \expndtw0\charscalex106 tum depression than thos
e of control group at 8weeks \line \up0 \expndtw-2\charscalex100 after delivery.
\par\pard\ql \li7961\sb0\sl-264\slmult0 \par\pard\ql \li1830\sb127\sl-264\slmult
0 \up0 \expndtw-7\charscalex100 \ul0\nosupersub\cf1\f2\fs23 METHODS\par\pard\ql
\li20\sb222\sl-230\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf11\f12
\fs20 Subjects and setting\par\pard\qj \li20\ri786\sb9\sl-278\slmult0\fi158 \up0
\expndtw0\charscalex100 \ul0\nosupersub\cf2\f3\fs20 A non-equivalent control-gr
oup pretest-posttest design \up0 \expndtw0\charscalex101 was used in this study.
An overview of the study design \up0 \expndtw-1\charscalex100 and measurement i
s given below (see Figure 1).\par\pard\qj \li20\ri786\sb1\sl-278\slmult0\fi158 \
up0 \expndtw0\charscalex103 Subjects were recruited from two obstetric and gyne\line \up0 \expndtw0\charscalex107 cologic (Ob-Gy) hospitals in G city, Korea. T
o avoid \line \up0 \expndtw0\charscalex104 cross-contamination of information fr
om the interven-\line \up0 \expndtw0\charscalex102 tion to the control group, th
e subjects in the two groups \par\pard\sect\sectd\sbknone \li1168\sb0\sl-195\slm
ult0\par\pard\li1168\sb0\sl-195\slmult0\par\pard\li1168\sb73\sl-195\slmult0\fi41
04 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf12\f13\fs17 Intervention Grou
p\par\pard\sect\sectd\sbknone\cols2\colno1\colw6320\colsr160\colno2\colw5280\col
sr160\ql \li1168\sb0\sl-195\slmult0 \par\pard\ql \li1168\sb0\sl-195\slmult0 \par
\pard\ql \li2721\sb144\sl-195\slmult0 \up0 \expndtw-4\charscalex100 Pretest\par\
pard\ql \li1168\sb45\sl-195\slmult0\tx3228 \up0 \expndtw-4\charscalex100 1st\tab
\up0 \expndtw-3\charscalex100 2nd\par\pard\column \ql \li1168\sb0\sl-195\slmult
0 \par\pard\ql \li1168\sb0\sl-195\slmult0 \par\pard\ql \li1168\sb0\sl-195\slmult
0 \par\pard\ql \li20\sb69\sl-195\slmult0\tx3101 \up0 \expndtw-5\charscalex100 In
tervention\tab \up0 \expndtw-4\charscalex100 Posttest\par\pard\sect\sectd\sbknon
e\cols3\colno1\colw3072\colsr160\colno2\colw5553\colsr160\colno3\colw2825\colsr1
60\ql \li1168\sb45\sl-195\slmult0\tx1485 \up0 \expndtw-3\charscalex100 36\tab \u
p0 \expndtw-5\charscalex100 39 weeks gestation\par\pard\ql \li1301\sb45\sl-195\s
lmult0 \up0 \expndtw-4\charscalex100 period\par\pard\column \ql \li20\sb165\sl-1
95\slmult0\tx1985 \up0 \expndtw-5\charscalex100 10days after delivery\tab \up0 \
expndtw-5\charscalex100 for 8weeks after delivery\par\pard\column \qj \li20\ri11
75\sb8\sl-240\slmult0\tx163 \up0 \expndtw-5\charscalex100 at the point of 8weeks
\line\tab \up0 \expndtw-5\charscalex100 after delivery \par\pard\sect\sectd\sbk
none \li1168\sb38\sl-195\slmult0\fi0\tx5192\tx8934 \up0 \expndtw-5\charscalex100
Back pain\tab \up0 \expndtw-5\charscalex100 Education\tab \up0 \expndtw-5\chars

calex100 Back pain\par\pard\sect\sectd\sbknone \li1168\sb45\sl-195\slmult0\fi0\t
x5192\tx8933 \up0 \expndtw-5\charscalex100 -Pain drawing\tab \up0 \expndtw-5\cha
rscalex100 -lecture & pamphlet\tab \up0 \expndtw-5\charscalex100 -Pain drawing\p
ar\pard\sect\sectd\sbknone \li1168\sb45\sl-195\slmult0\fi0\tx5192\tx8931 \up0 \e
xpndtw-5\charscalex100 -Visual analogue scale\tab \up0 \expndtw-5\charscalex100
-simple anatomy and function of vertebrae\tab \up0 \expndtw-5\charscalex100 -Vis
ual analogue scale\par\pard\sect\sectd\sbknone \li1168\sb45\sl-195\slmult0\fi0\t
x5191\tx8931 \up0 \expndtw-5\charscalex100 Functional limitations\tab \up0 \expn
dtw-5\charscalex100 -prevalence of back pain during pregnancy\tab \up0 \expndtw5\charscalex100 Functional limitations\par\pard\sect\sectd\sbknone \li1168\sb45\
sl-195\slmult0\fi0\tx5192\tx8932 \up0 \expndtw-5\charscalex100 Flexibility\tab \
up0 \expndtw-5\charscalex100 -cause of back pain during pregnancy\tab \up0 \expn
dtw-5\charscalex100 Flexibility\par\pard\sect\sectd\sbknone \li1168\sb45\sl-195\
slmult0\fi4025 \up0 \expndtw-5\charscalex100 -back pain relief posture\par\pard\
sect\sectd\sbknone \li1168\sb45\sl-195\slmult0\fi4025 \up0 \expndtw-5\charscalex
100 -back pain relief exercise\par\pard\sect\sectd\sbknone \li1168\sb45\sl-195\s
lmult0\fi2064\tx5192\tx8931 \up0 \expndtw-5\charscalex100 Postpartum\tab \up0 \e
xpndtw-5\charscalex100 -muscular-skeletal changes after delivery\tab \up0 \expnd
tw-5\charscalex100 Postpartum\par\pard\sect\sectd\sbknone \li1168\sb45\sl-195\sl
mult0\fi2064\tx5192\tx8933 \up0 \expndtw-5\charscalex100 functional status\tab \
up0 \expndtw-5\charscalex100 Exercise\tab \up0 \expndtw-5\charscalex100 function
al status\par\pard\sect\sectd\sbknone \li1168\sb45\sl-195\slmult0\fi2064\tx5192\
tx8931 \up0 \expndtw-5\charscalex100 Postpartum depression\tab \up0 \expndtw-5\c
harscalex100 -self exercise with audiovisual tape\tab \up0 \expndtw-5\charscalex
100 Postpartum depression\par\pard\ql \li5193\sb32\sl-195\slmult0 \up0 \expndtw5\charscalex100 -telephone follow-up \par\pard\ql \li5436\sb0\sl-195\slmult0 \pa
r\pard\ql\li5436\sb0\sl-195\slmult0 \par\pard\ql\li5436\sb155\sl-195\slmult0 \up
0 \expndtw-4\charscalex100 Control Group \par\pard\ql \li992\sb145\sl-195\slmult
0 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf10\f11\fs18 Figure 1.\ul0\nosu
persub\cf12\f13\fs17 Overview of the study \par\pard\sect\sectd\fs24\paperw1190
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z-10000\shplid2
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11fc0bf16bc21a578ffe1b78a34af1978335c37a348f11e8939b9d33503a6ea175a55f7d9a62a85f
ecba8d95dda4bf28db34122f38c9eda8a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28
a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a00fffd9}}}}}\pard\sb0\s
l-240{\bkmkstart Pg3}{\bkmkend Pg3}\par\pard\li977\sb0\sl-207\slmult0\par\pard\l
i977\sb0\sl-207\slmult0\par\pard\li977\sb0\sl-207\slmult0\par\pard\li977\sb0\sl207\slmult0\par\pard\li977\sb1\sl-207\slmult0\fi3465\tx10607 \up0 \expndtw-5\cha
rscalex100 \ul0\nosupersub\cf10\f11\fs18 Oh et al. Effects of a Postpartum Back
Pain Relief Program for Korean Women\tab \up0 \expndtw-6\charscalex100 165\par\

pard\sect\sectd\sbknone\cols2\colno1\colw5976\colsr160\colno2\colw5624\colsr160\
ql \li977\sb0\sl-230\slmult0 \par\pard\ql \li977\sb38\sl-230\slmult0 \up0 \expnd
tw0\charscalex108 \ul0\nosupersub\cf2\f3\fs20 were recruited from different hosp
itals. The subjects\par\pard\qj \li977\ri185\sb9\sl-278\slmult0 \up0 \expndtw0\c
harscalex107 were pregnant women who regularly attended a local \line \up0 \expn
dtw0\charscalex100 Ob-Gy hospital for prenatal check-ups, and were recruit-\line
\up0 \expndtw0\charscalex103 ed according to the order in which they visited th
e Ob-\line \up0 \expndtw0\charscalex105 Gy hospital. The subjects in this study
participated by \line \up0 \expndtw0\charscalex103 volunteering after they recei
ved information about this \line \up0 \expndtw0\charscalex103 program from the s
taff of the local Ob-Gy hospital that \line \up0 \expndtw0\charscalex102 they at
tended.\par\pard\qj \li977\ri186\sb1\sl-278\slmult0\fi158 \up0 \expndtw0\charsca
lex101 Subjects who met the following criteria were included \up0 \expndtw0\char
scalex106 in this study: (a) women between 36 and 39 weeks of \up0 \expndtw0\cha
rscalex100 gestation period, (b) agreeing to participate to this study, \up0 \ex
pndtw0\charscalex100 (c) aged between 20 and 35 years, and (d) reporting low-\li
ne \up0 \expndtw0\charscalex103 back pain during pregnancy. Subjects were exclud
ed if \up0 \expndtw0\charscalex104 they had any medical or surgical complication
s during \up0 \expndtw-1\charscalex100 pregnancy, delivery, or the post-partum p
eriod.\par\pard\qj \li977\ri182\sb0\sl-278\slmult0\fi158 \up0 \expndtw0\charscal
ex102 Data were collected between May, 2002 and October, \line \up0 \expndtw0\ch
arscalex103 2002. Among a total of 69 subjects recruited (37 in the \line \up0 \
expndtw0\charscalex101 intervention group and 32 in the control group), 52 sub-\
line \up0 \expndtw0\charscalex102 jects (27 in the intervention group and 25 in
the control \line \up0 \expndtw0\charscalex100 group) completed questionnaires a
t all three time points, \line \up0 \expndtw0\charscalex100 indicating an attrit
ion rate of 24.6%. Two subjects in the \line \up0 \expndtw0\charscalex104 interv
ention group did not complete pretest 2 (10 days \line \up0 \expndtw0\charscalex
100 post-partum) due to premature delivery or complications \line \up0 \expndtw0
\charscalex110 in the newborn, and 8 subjects did not complete the \line \up0 \e
xpndtw0\charscalex100 posttest due to a failure to continue exercise, loss of co
n-\line \up0 \expndtw0\charscalex108 tact, or personal reasons. Two subjects in
the control \line \up0 \expndtw0\charscalex107 group did not complete pretest 2
due to personal rea-\line \up0 \expndtw0\charscalex101 sons, and 5 subjects did
not complete the posttest due to \line \up0 \expndtw0\charscalex106 loss of cont
act or personal reasons. The attrition rates \line \up0 \expndtw0\charscalex105
were 27.03% and 21.88% in the intervention and con-\line \up0 \expndtw-3\charsca
lex100 trol groups, respectively.\par\pard\ql \li977\sb0\sl-230\slmult0 \par\par
d\ql \li977\sb89\sl-230\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf1
1\f12\fs20 Description of the intervention\par\pard\qj \li977\ri184\sb10\sl-278\
slmult0\fi158 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf2\f3\fs20 The backpain-relief program was developed by the \line \up0 \expndtw0\charscalex100 firs
t author based on a literature review and consultation \line \up0 \expndtw0\char
scalex105 with a panel of experts consisting of two professors in \line \up0 \ex
pndtw0\charscalex101 maternity nursing and an orthopedic surgeon. The back-\line
\up0 \expndtw0\charscalex104 pain-relief program consisted of a standardized ed
uca-\line \up0 \expndtw0\charscalex105 tion protocol: pamphlet, lecture, audio-v
isual tape de-\line \up0 \expndtw0\charscalex108 scribing the exercise, daily ex
ercise record, and tele-\line \up0 \expndtw0\charscalex100 phone calls. The inte
rvention program was implemented \line \up0 \expndtw0\charscalex101 by the first
author. A 40-minute class was given at 35 to \line \up0 \expndtw0\charscalex107
39 weeks of gestation, which included instruction on \line \up0 \expndtw0\chars
calex100 simple anatomy, posture physiology, lifting and working \line \up0 \exp
ndtw-1\charscalex100 techniques, muscle training, and relaxation training. This
\line \up0 \expndtw0\charscalex102 class was held at the education room in the O
b-Gy hos-\line \up0 \expndtw0\charscalex108 pital. At this time, all participant
s in the intervention \line \up0 \expndtw0\charscalex100 group received instruct
ion on how to perform back-pain-\par\pard\column \ql \li6136\sb0\sl-230\slmult0
\par\pard\ql \li20\sb37\sl-230\slmult0 \up0 \expndtw0\charscalex102 reducing and
muscle-strengthening exercises, and were\par\pard\qj \li20\ri801\sb10\sl-278\sl

mult0 \up0 \expndtw0\charscalex103 asked to perform these exercises at home. One
to three \up0 \expndtw0\charscalex101 subjects participated in each education l
ecture, and a to-\line \up0 \expndtw0\charscalex106 tal of 19 repeat lectures fr
om May 18, 2002 to July 6, \up0 \expndtw0\charscalex104 2002 were held by the fi
rst author to recruit all partici-\line \up0 \expndtw0\charscalex100 pants in th
e intervention group.\par\pard\ql \li20\ri799\sb1\sl-278\slmult0\fi158\tx189 \up
0 \expndtw0\charscalex102 The pamphlet was given to all participants in the edu\line \up0 \expndtw0\charscalex100 cation class. The audio-visual tape that was
specially de-\line \up0 \expndtw-1\charscalex100 signed for this study based on
Williams\u8217? Flexion exercise \line \up0 \expndtw0\charscalex100 program (Hec
kman, 1984) and the exercise of Moon and \line \up0 \expndtw-1\charscalex100 Cho
i (2001) for reducing back pain by strengthening and \line \up0 \expndtw0\charsc
alex102 stretching lumbar vertebrae and abdominal muscle dur-\line \up0 \expndtw
0\charscalex100 ing pregnancy was distributed to women in the interven-\line \up
0 \expndtw0\charscalex101 tion group. This 20-minute audio-visual tape consists
of \line \up0 \expndtw0\charscalex110 6 sets of self exercise to relieve back pa
in including \line \up0 \expndtw0\charscalex104 pelvic tilting, knee pulling, st
raight leg raising, curling \line \up0 \expndtw-3\charscalex100 up, lateral stra
ight-leg raising, and the Kegel exercise. \line\tab \up0 \expndtw0\charscalex102
Women in the intervention group were encouraged to \line \up0 \expndtw0\charsca
lex101 perform this exercise 3 sessions a day, and 3 to 5 days a \line \up0 \exp
ndtw0\charscalex104 week from the day attended education class to 8weeks \line \
up0 \expndtw0\charscalex101 after delivery. It took 30 minutes to finish all mot
ions in \line \up0 \expndtw0\charscalex101 a session. They were asked to fill th
eir daily exercise on \line \up0 \expndtw0\charscalex103 the distributed daily e
xercise record. Women in the in-\line \up0 \expndtw0\charscalex110 tervention gr
oup were telephoned once or twice per \line \up0 \expndtw0\charscalex100 week by
the first author to provide encouragement, rein-\line \up0 \expndtw0\charscalex
108 force regular exercise, assess back pain, and provide \line \up0 \expndtw0\c
harscalex107 counseling on their own post-partum and infant care. \line \up0 \ex
pndtw0\charscalex102 The back-pain-relief program was administered only to \line
\up0 \expndtw0\charscalex100 the intervention group.\par\pard\ql \li6136\sb0\sl
-230\slmult0 \par\pard\ql \li20\sb89\sl-230\slmult0 \up0 \expndtw0\charscalex102
\ul0\nosupersub\cf11\f12\fs20 Procedures\par\pard\qj \li20\ri799\sb10\sl-278\sl
mult0\fi158 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf2\f3\fs20 The data we
re collected at three time points: between \line \up0 \expndtw0\charscalex104 36
and 39 weeks gestation (pretest 1), at 10 days post-\line \up0 \expndtw0\charsc
alex122 partum (pretest 2), and at 8 weeks post-partum \line \up0 \expndtw0\char
scalex102 (posttest). Time points for data collection were decided \line \up0 \e
xpndtw0\charscalex108 based on the literature review and judgements of the \line
\up0 \expndtw0\charscalex111 panel of experts. Previous studies noted the highe
st \line \up0 \expndtw-1\charscalex100 prevalence of back pain after 36 weeks of
pregnancy and \line \up0 \expndtw0\charscalex102 a considerable drop out shortl
y after delivery (Ostgaard \line \up0 \expndtw0\charscalex109 & Andersson, 1992;
To & Wong, 2003). Moreover, \line \up0 \expndtw0\charscalex100 mostly 6 \up0 \e
xpndtw0\charscalex101 12 weeks interventions were applied to check\par\pard\qj \
li20\ri799\sb0\sl-278\slmult0 \up0 \expndtw0\charscalex102 short-term effect of
pregnancy related back pain reduc-\line \up0 \expndtw0\charscalex101 tion interv
entions (Stuge, Hilde, & Vollestad, 2003) and \up0 \expndtw0\charscalex107 8-wee
k length of the intervention were applied under \up0 \expndtw0\charscalex100 the
consideration of drop-out rate.\par\pard\qj \li20\ri799\sb0\sl-278\slmult0\fi15
8 \up0 \expndtw0\charscalex101 Variables measured at the pretests and the postte
st are \line \up0 \expndtw0\charscalex102 listed in Figure 1. Pretest 1 was cond
ucted in education \line \up0 \expndtw0\charscalex110 rooms at the Ob-Gy hospita
ls, and pretest 2 and the \par\pard\sect\sectd\fs24\paperw11900\paperh15860{\shp
z-10000\shplid3

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140051451400514514005145140051451401ffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg4}{\b
kmkend Pg4}\par\pard\li992\sb0\sl-207\slmult0\par\pard\li992\sb0\sl-207\slmult0\
par\pard\li992\sb0\sl-207\slmult0\par\pard\li992\sb0\sl-207\slmult0\par\pard\li9
92\sb1\sl-207\slmult0\fi0\tx1457 \up0 \expndtw-6\charscalex100 \ul0\nosupersub\c
f10\f11\fs18 166\tab \up0 \expndtw-6\charscalex100 Journal of Korean Academy of
Nursing Vol. 37, No. 2\par\pard\sect\sectd\sbknone\cols2\colno1\colw5991\colsr16
\sl-230\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosupersub\cf2\f3\fs20 posttes
t were conducted either in these rooms or at the\par\pard\qj \li992\ri186\sb9\sl
-278\slmult0 \up0 \expndtw0\charscalex103 subject\u8217?s home by the first auth
or. Upon completion of \line \up0 \expndtw0\charscalex104 the questionnaire, the
participant received a gift (a wa-\line \up0 \expndtw0\charscalex104 terproof b
ed-sheet cover) to compensate them for their \line \up0 \expndtw-3\charscalex100
assistance.\par\pard\ql \li992\sb0\sl-230\slmult0 \par\pard\ql \li992\sb89\sl-2
30\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf11\f12\fs20 Instrument
s\par\pard\qj \li992\ri186\sb9\sl-278\slmult0\fi158 \up0 \expndtw0\charscalex101
\ul0\nosupersub\cf2\f3\fs20 A structured self-administered questionnaire was us
ed \up0 \expndtw0\charscalex105 to measure general and obstetric characteristics
, back-\line \up0 \expndtw-1\charscalex100 pain-related characteristics, and out
come variables.\par\pard\ql \li992\sb0\sl-230\slmult0 \par\pard\ql \li992\sb89\s
l-230\slmult0 \up0 \expndtw0\charscalex105 \ul0\nosupersub\cf11\f12\fs20 Back pa
in\par\pard\qj \li992\ri184\sb9\sl-278\slmult0\fi158 \up0 \expndtw0\charscalex10
7 \ul0\nosupersub\cf2\f3\fs20 In this study, the term \u8220?back pain\u8221? in
cluded lumbar \line \up0 \expndtw0\charscalex109 back pain, posterior pelvic pai
n, and mixtures of the \line \up0 \expndtw0\charscalex106 two. The presence and
distribution of pain were mea-\line \up0 \expndtw0\charscalex106 sured with the
aid of a pain drawing (Sturesson et al., \line \up0 \expndtw0\charscalex100 1997
) completed by the subjects. Subjects were asked to \line \up0 \expndtw0\charsca
lex104 localize their pain within areas L1 to L5, including the \line \up0 \expn
dtw0\charscalex103 symphysis region, the groin, the greater trochanter, the \lin
e \up0 \expndtw0\charscalex100 region of the sacroiliac joints, and the lateral
parts of the \line \up0 \expndtw0\charscalex101 buttock. The intensity of the pa
in was measured by a vi-\line \up0 \expndtw-1\charscalex100 sual analogue scale

(VAS) comprising a 10-cm-long ver-\line \up0 \expndtw0\charscalex101 tical line,
where 0 cm indicated no pain and 10 cm indi-\line \up0 \expndtw0\charscalex102
cated that pain as bad as it could not tolerate. Each sub-\line \up0 \expndtw0\c
harscalex104 ject placed a mark through the line in accordance with \line \up0 \
expndtw0\charscalex103 the perceived intensity of the most intense pain experi-\
line \up0 \expndtw0\charscalex100 enced during the previous week. The VAS is con
sidered \line \up0 \expndtw0\charscalex104 a convenient, easy, and rapidly admin
istered measure-\line \up0 \expndtw0\charscalex102 ment that is useful to measur
e subjective pain (Wewers \line \up0 \expndtw0\charscalex106 & Lowe, 1990). Its
reliability and concurrent validity \line \up0 \expndtw0\charscalex101 have been
identified (Olaogun, Adedoyin, & Anifaloba, \line \up0 \expndtw0\charscalex100
2003).\par\pard\ql \li992\sb0\sl-230\slmult0 \par\pard\ql \li992\sb89\sl-230\slm
ult0 \up0 \expndtw0\charscalex103 \ul0\nosupersub\cf11\f12\fs20 Functional limit
ations\par\pard\qj \li992\ri184\sb9\sl-278\slmult0\fi158 \up0 \expndtw0\charscal
ex109 \ul0\nosupersub\cf2\f3\fs20 Functional limitations experienced by the subj
ects \up0 \expndtw0\charscalex101 were assessed on a 20-item, 3-point Likert sca
le (1 = no \up0 \expndtw-1\charscalex100 difficulties; 2 = painful but possible;
3 = not possible due \up0 \expndtw0\charscalex108 to pain) developed by Bergqui
st-Ullman and Larson \up0 \expndtw0\charscalex105 (1977). The higher score means
the greater functional \up0 \expndtw0\charscalex101 limitations. Reliability an
d validity have been identified \up0 \expndtw-2\charscalex100 (Bergquist-Ullman
& Larson, 1977; Dumas, Reid, Wolfe, \up0 \expndtw0\charscalex102 Griffin, & McGr
ath, 1995). Cronbach\u8217?s for the sample \up0 \expndtw0\charscalex100 in the
present study was 0.72.\par\pard\ql \li992\sb0\sl-230\slmult0 \par\pard\ql \li9
92\sb89\sl-230\slmult0 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf11\f12\fs
20 Flexibility\par\pard\qj \li992\ri185\sb9\sl-278\slmult0\fi158 \up0 \expndtw0\
charscalex113 \ul0\nosupersub\cf2\f3\fs20 Flexibility was measured using a digit
al forward \line \up0 \expndtw-1\charscalex100 flexmeter (HRS-220, Japan). Subje
cts were asked to step \line \up0 \expndtw0\charscalex112 onto the footstand wit
h heels together and big toes\par\pard\column \ql \li6151\sb0\sl-230\slmult0 \pa
r\pard\ql \li20\sb37\sl-230\slmult0 \up0 \expndtw0\charscalex107 about 5 cm apar
t, and then to place the arms together\par\pard\qj \li20\ri786\sb10\sl-278\slmul
t0 \up0 \expndtw0\charscalex100 and stretch until the finger tips touched the cu
rsor. Then, \up0 \expndtw0\charscalex105 the body was bent gradually forward wit
hout bending \up0 \expndtw-1\charscalex100 knees. The flexibility was measured t
wice, with the high-\line \up0 \expndtw-1\charscalex100 est score being recorded
.\par\pard\ql \li6151\sb0\sl-230\slmult0 \par\pard\ql \li20\sb89\sl-230\slmult0
\up0 \expndtw0\charscalex105 \ul0\nosupersub\cf11\f12\fs20 Post-partum functiona
l status\par\pard\qj \li20\ri785\sb9\sl-278\slmult0\fi158 \up0 \expndtw0\charsca
lex108 \ul0\nosupersub\cf2\f3\fs20 Post-partum functional status was measured by
the \line \up0 \expndtw0\charscalex101 Inventory of Functional Status after Chi
ldbirth (IFSAC) \line \up0 \expndtw0\charscalex101 developed by Fawcett and Tulm
an (1988). The three di-\line \up0 \expndtw0\charscalex101 mension subscales of
the IFSAC are the responsibilities \line \up0 \expndtw-1\charscalex100 of infant
care, household activities, and self-care. The in-\line \up0 \expndtw0\charscal
ex107 ventory consists of 26 items rated on a 4-point Likert \line \up0 \expndtw
-1\charscalex100 scale (from 1 to 4), with a higher score indicating a high-\lin
e \up0 \expndtw0\charscalex100 er functional status after childbirth. An evaluat
ion of the \line \up0 \expndtw-1\charscalex100 IFSAC showed that its content val
idity, as determined by \line \up0 \expndtw0\charscalex104 Popham\u8217?s averag
e congruency procedure, was 96.7%, \line \up0 \expndtw0\charscalex112 and that i
s internal consistency reliability was 0.89 \line \up0 \expndtw0\charscalex103 (
Fawcett & Tulman, 1988). Cronbach\u8217?s for the sample \line \up0 \expndtw0\c
harscalex100 in the present study was 0.74.\par\pard\ql \li6151\sb0\sl-230\slmul
t0 \par\pard\ql \li20\sb89\sl-230\slmult0 \up0 \expndtw0\charscalex104 \ul0\nosu
persub\cf11\f12\fs20 Post-partum depression\par\pard\qj \li20\ri784\sb9\sl-278\s
lmult0\fi158 \up0 \expndtw0\charscalex106 \ul0\nosupersub\cf2\f3\fs20 Post-partu
m depression was measured to assess any \line \up0 \expndtw0\charscalex107 possi
ble psychological effects of back pain using the \line \up0 \expndtw0\charscalex
101 Post-partum Depression Scale developed by Bai (1997). \line \up0 \expndtw0\c
harscalex100 This scale is a 46-item, 4-point self-reported scale (from \line \u
p0 \expndtw0\charscalex110 1 to 4) designed to measure post-partum depression \l
ine \up0 \expndtw0\charscalex101 based on physiological and psychological measur
es, so-\line \up0 \expndtw0\charscalex112 cial responses, and the relationship w
ith the infant, \line \up0 \expndtw0\charscalex105 where a higher score indicate
s higher post-partum de-\line \up0 \expndtw0\charscalex103 pression. Bai (1997)
reported satisfactorily content and \line \up0 \expndtw0\charscalex104 construct
validity, and an internal consistency of 0.95. \line \up0 \expndtw0\charscalex1
10 Cronbach\u8217?s for the sample in the present study was \line \up0 \expndtw
0\charscalex101 0.95.\par\pard\ql \li6151\sb0\sl-230\slmult0 \par\pard\ql \li20\
sb88\sl-230\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf11\f12\fs20 E
thical considerations\par\pard\qj \li20\ri785\sb10\sl-278\slmult0\fi158 \up0 \ex
pndtw-1\charscalex100 \ul0\nosupersub\cf2\f3\fs20 Ethical approval was first obt
ained from antenatal clin-\line \up0 \expndtw0\charscalex105 ic review boards fo
r the protection of human rights as \line \up0 \expndtw0\charscalex105 research
subjects. Since participation in the study was \line \up0 \expndtw0\charscalex10
1 voluntary, participating the study was considered as ob-\line \up0 \expndtw0\c
harscalex100 taining informed consent for the study. Participants were \line \up
0 \expndtw0\charscalex111 informed that their decision to participate in the re\line \up0 \expndtw0\charscalex102 search would not affect their status, and tha
t they could \line \up0 \expndtw0\charscalex106 withdraw from the study at any t
ime during the inter-\line \up0 \expndtw0\charscalex101 vention.\par\pard\ql \li
6151\sb0\sl-230\slmult0 \par\pard\ql \li20\sb89\sl-230\slmult0 \up0 \expndtw0\ch
arscalex106 \ul0\nosupersub\cf11\f12\fs20 Data analysis\par\pard\ql \li179\sb48\
sl-230\slmult0 \up0 \expndtw0\charscalex102 \ul0\nosupersub\cf2\f3\fs20 Data wer
e analyzed using SPSS/PC 11.0. The follow-\par\pard\sect\sectd\fs24\paperw11900\
paperh15860{\shp
z-10000\shplid4
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a5ff000e07ff008236ff00d23dbe007fe0a35dff00e5f51ff0e07ff8236ffd23dbe007fe0a35dffe
5f5007daff000efc19fb1afc24d6ee3c49f0cacbe02f8175ebbd366d1ee757f0d6a7e0fd2efe7d2e
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8597873ff9655f981ff0e07ff8236ffd23dbe007fe0a35dffe5f51ff000e07ff008236ff00d23dbe
007fe0a35dff00e5f5007e9fff00c2d9f857ff00452fe1ff00fe165e1cff00e5951ff0b67e15ff00
d14bf87fff008597873ff9655f981ff0e07ff8236ffd23dbe007fe0a35dffe5f51ff000e07ff0082
36ff00d23dbe007fe0a35dff00e5f5007e9fff00c2d9f857ff00452fe1ff00fe165e1cff00e5951f
f0b67e15ff00d14bf87fff008597873ff9655f981ff0e07ff8236ffd23dbe007fe0a35dffe5f51ff
000e07ff008236ff00d23dbe007fe0a35dff00e5f5007e9fff00c2d9f857ff00452fe1ff00fe165e
1cff00e5951ff0b67e15ff00d14bf87fff008597873ff9655f981ff0e07ff8236ffd23dbe007fe0a
35dffe5f51ff000e07ff008236ff00d23dbe007fe0a35dff00e5f5007e9fff00c2d9f857ff00452f
e1ff00fe165e1cff00e5951ff0b67e15ff00d14bf87fff008597873ff9655f981ff0e07ff8236ffd
23dbe007fe0a35dffe5f51ff000e07ff008236ff00d23dbe007fe0a35dff00e5f5007e9fff00c2d9
f857ff00452fe1ff00fe165e1cff00e5951ff0b67e15ff00d14bf87fff008597873ff9655f981ff0
e07ff8236ffd23dbe007fe0a35dffe5f51ff000e07ff008236ff00d23dbe007fe0a35dff00e5f500
7e9fff00c2d9f857ff00452fe1ff00fe165e1cff00e59528f8aff0b58855f895e00666202a8f1978
749249c0000d472493c003926bf2ff00fe1c0fff00046dff00a47b7c00ff00c146bbff00cbea9adf
fe081fff000473b4b882eadbfe09f7f00a1b8b69a2b88254d235d0f14d0bac9148a4ebc406475565
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5145007fffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg5}{\bkmkend Pg5}\par\pard\li977\s
b0\sl-207\slmult0\par\pard\li977\sb0\sl-207\slmult0\par\pard\li977\sb0\sl-207\sl
mult0\par\pard\li977\sb0\sl-207\slmult0\par\pard\li977\sb1\sl-207\slmult0\fi3465
\tx10607 \up0 \expndtw-5\charscalex100 \ul0\nosupersub\cf10\f11\fs18 Oh et al.
Effects of a Postpartum Back Pain Relief Program for Korean Women\tab \up0 \expn
dtw-4\charscalex100 167\par\pard\li977\sb0\sl-230\slmult0\par\pard\li977\sb38\sl
-230\slmult0\fi0\tx6136 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf2\f3\fs2
0 ing analyses were conducted:\tab \up0 \expndtw-4\charscalex100 differ signific
antly between the two groups.\par\pard\sect\sectd\sbknone\cols2\colno1\colw5976\
colsr160\colno2\colw5624\colsr160\ql \li1136\sb48\sl-230\slmult0 \up0 \expndtw0\
charscalex100 1. The \up0 \expndtw0\charscalex100 \ul0\super\cf13\f14\fs16\ul0\s
uper\cf13\f14\fs15 2\ul0\nosupersub\cf2\f3\fs20 -test, Fisher\u8217?s exact prob
ability test, and t-test\par\pard\qj \li977\ri185\sb9\sl-278\slmult0\tx1136 \up0
\expndtw0\charscalex104 were used to compare homogeneity on general charac-\lin
e \up0 \expndtw0\charscalex100 teristics, obstetrical characteristics, and facto
rs related to \up0 \expndtw0\charscalex100 back pain between the intervention an
d control groups. \line\tab \up0 \expndtw0\charscalex100 2. t-tests were used to
test hypotheses.\par\pard\ql \li2876\sb0\sl-264\slmult0 \par\pard\ql \li2876\sb
127\sl-264\slmult0 \up0 \expndtw-10\charscalex95 \ul0\nosupersub\cf1\f2\fs23 RES
ULTS\par\pard\qj \li977\ri185\sb182\sl-278\slmult0\fi158 \up0 \expndtw0\charscal
ex102 \ul0\nosupersub\cf2\f3\fs20 The baseline general, obstetric, and back-pain
-related \line \up0 \expndtw0\charscalex102 characteristics of all of the partic
ipants are presented in \line \up0 \expndtw-1\charscalex100 Table 1, none of whi
ch differed significantly between the \line \up0 \expndtw0\charscalex100 two gro
ups. The baseline outcome variables of all of the \line \up0 \expndtw0\charscale
x103 participants are presented in Table 2; these also did not\par\pard\ql \li97
7\sb0\sl-207\slmult0 \par\pard\ql \li977\sb145\sl-207\slmult0 \up0 \expndtw-1\ch
arscalex100 \ul0\nosupersub\cf14\f15\fs17 Table 1. \ul0\nosupersub\cf15\f16\fs17
Homogeneity Test for Characteristics at Baseline\par\pard\column \ql \li179\sb4
8\sl-230\slmult0 \up0 \expndtw0\charscalex109 \ul0\nosupersub\cf2\f3\fs20 At 8 w
eeks post-partum, the pain intensity in both\par\pard\qj \li20\ri800\sb9\sl-278\
slmult0\tx3197 \up0 \expndtw0\charscalex117 groups had decreased relative to tha
t at baseline. \up0 \expndtw0\charscalex106 However, as presented in Table 3, di
fference in mean \up0 \expndtw0\charscalex101 change of the pain intensity was n
ot statistically signifi-\line \up0 \expndtw0\charscalex122 cant between the gro
ups (t = \tab \up0 \expndtw0\charscalex123 .796, p = .430).\par\pard\qj \li20\ri
801\sb0\sl-278\slmult0 \up0 \expndtw0\charscalex103 Moreover, functional limitat
ions, flexibility, functional \up0 \expndtw0\charscalex108 status, and depressio
n did not differ significantly be-\line \up0 \expndtw0\charscalex100 tween the i
ntervention and control groups at 8 weeks af-\line \up0 \expndtw-3\charscalex100
ter delivery (Table 3).\par\pard\qj \li20\ri800\sb0\sl-278\slmult0\fi158 \up0 \
expndtw0\charscalex108 After 8 weeks of intervention, all subjects said that \li
ne \up0 \expndtw0\charscalex100 they improved. Pain intensity decreased from 5.6
3(SD = \line \up0 \expndtw0\charscalex102 1.98) at baseline to 2.31(SD = 1.95) a
t 8weeks after de-\line \up0 \expndtw0\charscalex101 livery. However, 44 (84.6%)
of the 52 subjects reported\par\pard\sect\sectd\sbknone\cols3\colno1\colw5210\c
olsr160\colno2\colw2182\colsr160\colno3\colw4058\colsr160\ql \li2942\sb191\sl-20
7\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf15\f16\fs17 Characteris
tics\par\pard\column \ql \li20\sb81\sl-207\slmult0 \up0 \expndtw0\charscalex103
Intervention Group (n=27)\par\pard\ql \li820\sb13\sl-207\slmult0 \up0 \expndtw-3
\charscalex100 n (%)\par\pard\column \ql \li20\sb81\sl-207\slmult0 \up0 \expndtw
0\charscalex102 Control Group (n=25)\par\pard\ql \li642\sb13\sl-207\slmult0\tx20
69\tx2832 \up0 \expndtw-3\charscalex100 n (%)\tab \up0 \expndtw0\charscalex103 \
ul0\super\cf16\f17\fs14\ul0\super\cf16\f17\fs13 2\ul0\nosupersub\cf15\f16\fs17
or t\tab \up0 \expndtw-2\charscalex100 p \par\pard\sect\sectd\sbknone \li977\sb9
3\sl-207\slmult0\fi170 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf17\f18\fs
17 General characteristics\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult
0\fi170\tx3698\tx6014\tx6487\tx8168\tx8642\tx9708\tx10446 \up0 \expndtw-1\charsc
alex100 \ul0\nosupersub\cf15\f16\fs17 Maternal age (years)\tab \up0 \expndtw-1\c
harscalex100 Mean SD\tab \up0 \expndtw-1\charscalex100 28.3\tab \up0 \expndtw-1
\charscalex100 3.2\tab \up0 \expndtw-1\charscalex100 27.2\tab \up0 \expndtw-1\ch
arscalex100 4.0\tab \up0 \expndtw-1\charscalex100 1.10\tab \up0 \expndtw-1\chars
calex100 .28\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx3698
\tx6051\tx8249\tx9795\tx10446 \up0 \expndtw-1\charscalex100 Education\tab \up0 \
expndtw-1\charscalex100 High school\tab \up0 \expndtw-1\charscalex100 13 (48.1)\
tab \up0 \expndtw-1\charscalex100 9 (36.0)\tab \up0 \expndtw-1\charscalex100 .79
\tab \up0 \expndtw-1\charscalex100 .27\par\pard\sect\sectd\sbknone \li977\sb13\s
l-207\slmult0\fi2721\tx6051\tx8205 \up0 \expndtw-1\charscalex100 College\tab \up
0 \expndtw-1\charscalex100 14 (51.9)\tab \up0 \expndtw-1\charscalex100 16 (64.0)
\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx3698\tx6051\tx82
05\tx9795\tx10446 \up0 \expndtw-1\charscalex100 Employment status\tab \up0 \expn
dtw-1\charscalex100 Unemployed\tab \up0 \expndtw-1\charscalex100 22 (81.5)\tab \
up0 \expndtw-1\charscalex100 18 (72.0)\tab \up0 \expndtw-1\charscalex100 .66\tab
\up0 \expndtw-1\charscalex100 .32\par\pard\sect\sectd\sbknone \li977\sb13\sl-20
7\slmult0\fi2721\tx6094\tx8205 \up0 \expndtw-1\charscalex100 Employed\tab \up0 \
expndtw-1\charscalex100 5 (18.5)\tab \up0 \expndtw-1\charscalex100 7 (28.05)\par
\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx3698\tx6051\tx8249\t
x9708\tx10446 \up0 \expndtw-1\charscalex100 Income\tab \up0 \expndtw-1\charscale
x100 < 1,500,000\tab \up0 \expndtw-1\charscalex100 12 (44.4)\tab \up0 \expndtw-1
\charscalex100 9 (36.0)\tab \up0 \expndtw-1\charscalex100 1.27\tab \up0 \expndtw
-1\charscalex100 .53\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi17
0\tx3698\tx4538\tx6094\tx8249 \up0 \expndtw-1\charscalex100 (won/month)\tab \up0
\expndtw-1\charscalex100 1,500,000\tab \up0 \expndtw-1\charscalex100 2,000,000\
tab \up0 \expndtw-1\charscalex100 5 (18.5)\tab \up0 \expndtw-1\charscalex100 8 (
32.0)\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi2721\tx6051\tx824
9 \up0 \expndtw-1\charscalex100 > 2,000,000\tab \up0 \expndtw-1\charscalex100 10
(37.0)\tab \up0 \expndtw-1\charscalex100 8 (32.0)\par\pard\sect\sectd\sbknone \
li977\sb13\sl-207\slmult0\fi170 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf
17\f18\fs17 Obstetric characteristics\par\pard\sect\sectd\sbknone \li977\sb13\sl
-207\slmult0\fi170\tx3698\tx6014\tx6487\tx8168\tx8642\tx9795\tx10446 \up0 \expnd
tw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs17 Delivery (weeks)\tab \up0 \expn
dtw-1\charscalex100 Mean SD\tab \up0 \expndtw-1\charscalex100 39.8\tab \up0 \ex
pndtw-1\charscalex100 1.0\tab \up0 \expndtw-1\charscalex100 39.9\tab \up0 \expnd
tw-1\charscalex100 1.2\tab \up0 \expndtw-1\charscalex100 .20\tab \up0 \expndtw-1
\charscalex100 .85\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\
tx3698\tx6051\tx8205\tx9795\tx10446 \up0 \expndtw-1\charscalex100 Parity\tab \up
0 \expndtw-1\charscalex100 Primipara\tab \up0 \expndtw-1\charscalex100 16 (59.3)
\tab \up0 \expndtw-1\charscalex100 12 (48.0)\tab \up0 \expndtw-1\charscalex100 .
42\tab \up0 \expndtw-1\charscalex100 .58\par\pard\sect\sectd\sbknone \li977\sb13
\sl-207\slmult0\fi2721\tx6051\tx8205 \up0 \expndtw-1\charscalex100 Multipara\tab
\up0 \expndtw-1\charscalex100 11 (40.7)\tab \up0 \expndtw-1\charscalex100 13 (5
2.0)\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx3698\tx6051\
tx8205 \up0 \expndtw-1\charscalex100 Method\tab \up0 \expndtw-1\charscalex100 Va
ginal of delivery\tab \up0 \expndtw-1\charscalex100 21 (77.8)\tab \up0 \expndtw1\charscalex100 15 (60.0)\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0
\fi170\tx3698\tx6094\tx8205\tx9708\tx10446 \up0 \expndtw-1\charscalex100 Of deli
very\tab \up0 \expndtw-1\charscalex100 C-section\tab \up0 \expndtw-1\charscalex1

00 6 (22.2)\tab \up0 \expndtw-1\charscalex100 10 (40.0)\tab \up0 \expndtw-1\char
scalex100 1.93\tab \up0 \expndtw-1\charscalex100 .17\par\pard\sect\sectd\sbknone
\li977\sb13\sl-207\slmult0\fi170\tx3698\tx6051\tx8205\tx9708\tx10446 \up0 \expn
dtw-1\charscalex100 Use of anesthesia\tab \up0 \expndtw-1\charscalex100 No\tab \
up0 \expndtw-1\charscalex100 15 (55.6)\tab \up0 \expndtw-1\charscalex100 19 (76.
0)\tab \up0 \expndtw-1\charscalex100 2.40\tab \up0 \expndtw-1\charscalex100 .12\
par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi2721\tx6051\tx8249 \up0
\expndtw-1\charscalex100 Yes\tab \up0 \expndtw-1\charscalex100 12 (44.4)\tab \u
p0 \expndtw-1\charscalex100 6 (24.0)\par\pard\sect\sectd\sbknone \li977\sb13\sl207\slmult0\fi170\tx3698\tx6094\tx8249\tx9708\tx10446 \up0 \expndtw-1\charscalex
100 Feeding type\tab \up0 \expndtw-1\charscalex100 Breast feeding\tab \up0 \expn
dtw-1\charscalex100 9 (33.3)\tab \up0 \expndtw-1\charscalex100 9 (36.0)\tab \up0
\expndtw-1\charscalex100 1.93\tab \up0 \expndtw-1\charscalex100 .38\par\pard\se
ct\sectd\sbknone \li977\sb13\sl-207\slmult0\fi2721\tx6094\tx8205 \up0 \expndtw-1
\charscalex100 Bottle feeding\tab \up0 \expndtw-1\charscalex100 7 (25.9)\tab \up
0 \expndtw-1\charscalex100 10 (40.0)\par\pard\sect\sectd\sbknone \li977\sb13\sl207\slmult0\fi2721\tx6051\tx8248 \up0 \expndtw-1\charscalex100 Mixed feeding\tab
\up0 \expndtw-1\charscalex100 11 (40.7)\tab \up0 \expndtw-1\charscalex100 6 (24
.0)\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx3698\tx6115\t
x8292\tx9707\tx10446 \up0 \expndtw-1\charscalex100 Postpartum caregiver*\tab \up
0 \expndtw-1\charscalex100 No\tab \up0 \expndtw-1\charscalex100 0 ( 0.0)\tab \up
0 \expndtw-1\charscalex100 2 (8.0)\tab \up0 \expndtw-1\charscalex100 1.59\tab \u
p0 \expndtw-1\charscalex100 .23\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\s
lmult0\fi2721\tx6007\tx8205 \up0 \expndtw-1\charscalex100 Yes\tab \up0 \expndtw1\charscalex100 27 (100.0)\tab \up0 \expndtw-1\charscalex100 23 (92.0)\par\pard\
sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170 \up0 \expndtw-1\charscalex10
0 \ul0\nosupersub\cf17\f18\fs17 Back pain related characteristics\par\pard\sect\
sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx3698\tx6014\tx6487\tx8168\tx864
2\tx9795\tx10446 \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs17 Ons
et of back pain (weeks)\tab \up0 \expndtw-1\charscalex100 Mean SD\tab \up0 \exp
ndtw-1\charscalex100 25.3\tab \up0 \expndtw-1\charscalex100 8.4\tab \up0 \expndt
w-1\charscalex100 26.8\tab \up0 \expndtw-1\charscalex100 5.9\tab \up0 \expndtw-1
\charscalex100 .73\tab \up0 \expndtw-1\charscalex100 .47\par\pard\sect\sectd\sbk
none \li977\sb93\sl-207\slmult0\fi0 \up0 \expndtw-1\charscalex100 *Fisher\u8217?
s exact provability\par\pard\sect\sectd\sbknone \li977\sb0\sl-207\slmult0\par\pa
rd\li977\sb0\sl-207\slmult0\par\pard\li977\sb17\sl-207\slmult0\fi0 \up0 \expndtw
-1\charscalex100 \ul0\nosupersub\cf14\f15\fs17 Table 2. \ul0\nosupersub\cf15\f16
\fs17 Homogeneity Test for Outcome Variables at Baseline\par\pard\sect\sectd\sbk
none \li977\sb93\sl-207\slmult0\fi2975\tx6681 \up0 \expndtw-1\charscalex100 Inte
rvention Group (n=27)\tab \up0 \expndtw-1\charscalex100 Control Group (n=25)\par
\pard\sect\sectd\sbknone \li977\sb0\sl-162\slmult0\fi170\tx9283\tx10509 \up0 \ex
pndtw-1\charscalex100 Dependent Variables\tab \up0 \expndtw-1\charscalex100 t\ta
b \up0 \expndtw-1\charscalex100 p\par\pard\sect\sectd\sbknone \li977\sb0\sl-162\
slmult0\fi3695\tx7224 \up0 \expndtw-1\charscalex100 M SD\tab \up0 \expndtw-1\ch
arscalex100 M SD\par\pard\sect\sectd\sbknone \li977\sb70\sl-207\slmult0\fi170\t
x4466\tx5026\tx7038\tx7598\tx9225\tx10402 \up0 \expndtw-1\charscalex100 Pain int
ensity (VAS)\tab \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf18\f19\fs17 0\u
l0\nosupersub\cf15\f16\fs17 5.41\tab \up0 \expndtw-1\charscalex100 1.93\ul0\nosu
persub\cf18\f19\fs17 0\tab \up0 \expndtw-1\charscalex100 0\ul0\nosupersub\cf15\f
16\fs17 5.88\tab \up0 \expndtw-1\charscalex100 2.05\ul0\nosupersub\cf18\f19\fs17
.\tab \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs17 .857\tab \up0
\expndtw-1\charscalex100 .395\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\sl
mult0\fi170\tx4466\tx5026\tx7038\tx7598\tx9138\tx10402 \up0 \expndtw-1\charscale
x100 Functional limitations\tab \up0 \expndtw-1\charscalex100 30.78\tab \up0 \ex
pndtw-1\charscalex100 4.62\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw-1\ch
arscalex100 \ul0\nosupersub\cf15\f16\fs17 30.78\tab \up0 \expndtw-1\charscalex10
0 6.05\ul0\nosupersub\cf18\f19\fs17 .\tab \up0 \expndtw-1\charscalex100 \ul0\nos
upersub\cf15\f16\fs17 1.550\tab \up0 \expndtw-1\charscalex100 .128\par\pard\sect
\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx4578\tx5051\tx7150\tx7623\tx91
38\tx10402 \up0 \expndtw-1\charscalex100 Flexibility\tab \up0 \expndtw-1\charsca

lex100 1.13\tab \up0 \expndtw-1\charscalex100 8.44\ul0\nosupersub\cf18\f19\fs17
0\tab \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf15\f16\fs17 4.03\tab \up0
\expndtw-1\charscalex100 7.34\ul0\nosupersub\cf18\f19\fs17 .\tab \up0 \expndtw-1
\charscalex100 \ul0\nosupersub\cf15\f16\fs17 1.317\tab \up0 \expndtw-1\charscale
x100 .194\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx4466\tx
5026\tx7040\tx7600\tx9225\tx10402 \up0 \expndtw-1\charscalex100 Postpartum funct
ional status*\tab \up0 \expndtw-1\charscalex100 52.30\tab \up0 \expndtw-1\charsc
alex100 11.36\tab \up0 \expndtw-1\charscalex100 51.96\tab \up0 \expndtw-1\charsc
alex100 1069\tab \up0 \expndtw-1\charscalex100 .110\tab \up0 \expndtw-1\charscal
ex100 .913\par\pard\sect\sectd\sbknone \li977\sb13\sl-207\slmult0\fi170\tx4466\t
x5026\tx6994\tx7600\tx9225\tx10402 \up0 \expndtw-1\charscalex100 Postpartum depr
ession*\tab \up0 \expndtw-1\charscalex100 74.48\tab \up0 \expndtw-1\charscalex10
0 15.76\tab \up0 \expndtw-1\charscalex100 \ul0\nosupersub\cf18\f19\fs17 .\ul0\no
supersub\cf15\f16\fs17 78.64\tab \up0 \expndtw-1\charscalex100 20.27\tab \up0 \e
xpndtw-1\charscalex100 .829\tab \up0 \expndtw-1\charscalex100 .411\par\pard\ql \
li977\sb101\sl-195\slmult0 \up0 \expndtw-1\charscalex100 * Measured on 10 days a
fter delivery \par\pard\sect\sectd\fs24\paperw11900\paperh15860{\shp
z-10000\shplid5
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28a2803fffd9}}}}}\pard\sb0\sl-240{\bkmkstart Pg6}{\bkmkend Pg6}\par\pard\li992\s
b0\sl-207\slmult0\par\pard\li992\sb0\sl-207\slmult0\par\pard\li992\sb0\sl-207\sl
mult0\par\pard\li992\sb207\sl-207\slmult0\fi0\tx1457 \up0 \expndtw0\charscalex10
0 \ul0\nosupersub\cf10\f11\fs18 168\tab \up0 \expndtw0\charscalex100 Journal of
Korean Academy of Nursing Vol. 37, No. 2\par\pard\li992\sb0\sl-207\slmult0\par\p
ard\li992\sb59\sl-207\slmult0\fi0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\c
f14\f15\fs17 Table 3. \ul0\nosupersub\cf15\f16\fs17 Effects of Back Pain after E
xercise\par\pard\li992\sb93\sl-207\slmult0\fi3773\tx6321\tx7748 \up0 \expndtw0\c
harscalex100 Pretest\tab \up0 \expndtw0\charscalex100 Posttest\tab \up0 \expndtw
0\charscalex100 Difference\par\pard\li992\sb0\sl-162\slmult0\fi170\tx3089\tx9467
\tx10524 \up0 \expndtw0\charscalex100 Variables\tab \up0 \expndtw0\charscalex100
Group\tab \up0 \expndtw0\charscalex100 t\tab \up0 \expndtw0\charscalex100 p\par
\pard\li992\sb0\sl-162\slmult0\fi3752\tx6331\tx7862 \up0 \expndtw0\charscalex100
M SD\tab \up0 \expndtw0\charscalex100 M SD\tab \up0 \expndtw0\charscalex100 M
SD\par\pard\li992\sb70\sl-207\slmult0\fi170\tx3090\tx4626\tx5099\tx6213\tx6687
\tx7772\tx8246\tx9408\tx10417 \up0 \expndtw0\charscalex100 Pain intensity (VAS)\
tab \up0 \expndtw0\charscalex100 Intervention\tab \up0 \expndtw0\charscalex100 5
.41\tab \up0 \expndtw0\charscalex100 1.93\ul0\nosupersub\cf18\f19\fs17 0\tab \up
0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17 1.78\tab \up0 \expndtw0\
charscalex100 1.97\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex1
00 \ul0\nosupersub\cf15\f16\fs17 3.63\tab \up0 \expndtw0\charscalex100 3.05\ul0\
nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15
\f16\fs17 .796\tab \up0 \expndtw0\charscalex100 .430\par\pard\li992\sb12\sl-207\
slmult0\fi2097\tx4626\tx5099\tx6213\tx6687\tx7772\tx8246 \up0 \expndtw0\charscal
ex100 Control\tab \up0 \expndtw0\charscalex100 5.88\tab \up0 \expndtw0\charscale
x100 2.05\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\n
osupersub\cf15\f16\fs17 2.88\tab \up0 \expndtw0\charscalex100 1.79\ul0\nosupersu
b\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17
3.00\tab \up0 \expndtw0\charscalex100 2.61\ul0\nosupersub\cf18\f19\fs17 0\par\p
ard\li992\sb13\sl-207\slmult0\fi170\tx3089\tx4539\tx5099\tx6126\tx6687\tx7772\tx
8246\tx9408\tx10417 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17 L
evel of\tab \up0 \expndtw0\charscalex100 Intervention\tab \up0 \expndtw0\charsca
lex100 30.78\tab \up0 \expndtw0\charscalex100 4.62\ul0\nosupersub\cf18\f19\fs17
0\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17 23.41\tab \up0
\expndtw0\charscalex100 2.92\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\c
harscalex100 \ul0\nosupersub\cf15\f16\fs17 7.65\tab \up0 \expndtw0\charscalex100
4.91\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosup
ersub\cf15\f16\fs17 .458\tab \up0 \expndtw0\charscalex100 .649\par\pard\li992\sb
13\sl-207\slmult0\fi169\tx3089\tx4539\tx5099\tx6126\tx6687\tx7772\tx8246 \up0 \e
xpndtw0\charscalex100 functional limitations\tab \up0 \expndtw0\charscalex100 Co
ntrol\tab \up0 \expndtw0\charscalex100 33.08\tab \up0 \expndtw0\charscalex100 6.
05\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosupers
ub\cf15\f16\fs17 26.16\tab \up0 \expndtw0\charscalex100 5.44\ul0\nosupersub\cf18
\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17 6.92\
tab \up0 \expndtw0\charscalex100 6.45\ul0\nosupersub\cf18\f19\fs17 0\par\pard\li
992\sb13\sl-207\slmult0\fi170\tx3089\tx4626\tx5099\tx6213\tx6687\tx7772\tx8246\t
x9408\tx10417 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17 Flexibi

lity\tab \up0 \expndtw0\charscalex100 Intervention\tab \up0 \expndtw0\charscalex
100 1.13\tab \up0 \expndtw0\charscalex100 8.44\ul0\nosupersub\cf18\f19\fs17 0\ta
b \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17 1.13\tab \up0 \expn
dtw0\charscalex100 9.01\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charsc
alex100 \ul0\nosupersub\cf15\f16\fs17 2.21\tab \up0 \expndtw0\charscalex100 8.84
\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub
\cf15\f16\fs17 .287\tab \up0 \expndtw0\charscalex100 .776\par\pard\li992\sb13\sl
-207\slmult0\fi2097\tx4626\tx5099\tx6213\tx6687\tx7772\tx8246 \up0 \expndtw0\cha
rscalex100 Control\tab \up0 \expndtw0\charscalex100 4.03\tab \up0 \expndtw0\char
scalex100 7.34\ul0\nosupersub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \
ul0\nosupersub\cf15\f16\fs17 1.23\tab \up0 \expndtw0\charscalex100 7.86\ul0\nosu
persub\cf18\f19\fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16
\fs17 2.93\tab \up0 \expndtw0\charscalex100 8.69\ul0\nosupersub\cf18\f19\fs17 0\
par\pard\li992\sb13\sl-207\slmult0\fi170\tx3089\tx4539\tx5099\tx6126\tx6687\tx76
85\tx8246\tx9408\tx10417 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\f
s17 Postpartum\tab \up0 \expndtw0\charscalex100 Intervention\tab \up0 \expndtw0\
charscalex100 52.30\tab \up0 \expndtw0\charscalex100 11.36\tab \up0 \expndtw0\ch
arscalex100 68.52\tab \up0 \expndtw0\charscalex100 9.81\ul0\nosupersub\cf18\f19\
fs17 0\tab \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf15\f16\fs17 16.22\tab
\up0 \expndtw0\charscalex100 10.77\tab \up0 \expndtw0\charscalex100 .486\tab \up
0 \expndtw0\charscalex100 .629\par\pard\li992\sb13\sl-207\slmult0\fi169\tx3090\t
x4539\tx5099\tx6080\tx6687\tx7685\tx8246 \up0 \expndtw0\charscalex100 functional
status*\tab \up0 \expndtw0\charscalex100 Control\tab \up0 \expndtw0\charscalex1
00 51.96\tab \up0 \expndtw0\charscalex100 10.69\tab \up0 \expndtw0\charscalex100
69.76\tab \up0 \expndtw0\charscalex100 10.80\tab \up0 \expndtw0\charscalex100 1
7.80\tab \up0 \expndtw0\charscalex100 12.60\par\pard\li992\sb13\sl-207\slmult0\f
i170\tx4539\tx5099\tx6126\tx6687\tx7772\tx8246\tx9408\tx10417 \up0 \expndtw0\cha
rscalex100 Postpartum depression* Intervention\tab \up0 \expndtw0\charscalex100
74.48\tab \up0 \expndtw0\charscalex100 15.76\tab \up0 \expndtw0\charscalex100 7
5.85\tab \up0 \expndtw0\charscalex100 20.66\tab \up0 \expndtw0\charscalex100 1.3
7\tab \up0 \expndtw0\charscalex100 14.23\tab \up0 \expndtw0\charscalex100 .467\t
ab \up0 \expndtw0\charscalex100 .642\par\pard\li992\sb13\sl-207\slmult0\fi2097\t
x4539\tx5099\tx6126\tx6687\tx7772\tx8246 \up0 \expndtw0\charscalex100 Control\ta
b \up0 \expndtw0\charscalex100 78.64\tab \up0 \expndtw0\charscalex100 20.27\tab
\up0 \expndtw0\charscalex100 78.24\tab \up0 \expndtw0\charscalex100 22.97\tab \u
p0 \expndtw0\charscalex100 .040\tab \up0 \expndtw0\charscalex100 12.98\par\pard\
ql \li992\sb92\sl-195\slmult0 \up0 \expndtw0\charscalex101 *Pretest: Measured on
10 days after delivery\par\pard\sect\sectd\sbknone\cols2\colno1\colw5991\colsr1
0\sl-230\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf2\f3\fs20 that t
hey still have pain.\par\pard\ql \li2668\sb0\sl-264\slmult0 \par\pard\ql \li2668
\sb135\sl-264\slmult0 \up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs23
DISCUSSION\par\pard\qj \li992\ri184\sb181\sl-278\slmult0\fi158 \up0 \expndtw0\ch
arscalex102 \ul0\nosupersub\cf2\f3\fs20 Contrary to hypothesis, this study found
that an inter-\line \up0 \expndtw0\charscalex103 vention (a back-pain-relief pr
ogram) for this study was \line \up0 \expndtw0\charscalex107 not effective. Alth
ough the back pain experienced by \line \up0 \expndtw-1\charscalex100 women in b
oth groups was lower at 8 weeks post-partum \line \up0 \expndtw0\charscalex101 t
han during the antepartum period, the decrease was not \line \up0 \expndtw0\char
scalex100 significantly greater in the intervention group than in the \line \up0
\expndtw0\charscalex104 control group. This result is consistent with a previou
s \line \up0 \expndtw-2\charscalex100 study (Mens et al., 2000), in which diagon
al trunk muscle \line \up0 \expndtw0\charscalex103 exercise was ineffective to i
ncrease muscle force to re-\line \up0 \expndtw0\charscalex100 duce pain. However
, other previous studies reported sig-\line \up0 \expndtw0\charscalex101 nifican
t positive results in favor of exercises to decrease \line \up0 \expndtw0\charsc
alex100 the pain intensity (Nilsson-Wikmar et al., 2005; Stuge et \line \up0 \ex
pndtw0\charscalex100 al., 2004). Lack of effect in this study may be influenced
\line \up0 \expndtw0\charscalex105 by the way in which instructions for the exer
cise were \line \up0 \expndtw-1\charscalex100 given to the subjects. The subject
s performed the exercis-\line \up0 \expndtw0\charscalex106 es at home, instructe
d by videotape, without personal \line \up0 \expndtw0\charscalex105 guidance and
supervision. Stuge, Holm, and V llestad \line \up0 \expndtw0\charscalex104 (200
6) reported that personal instruction and guidance \line \up0 \expndtw0\charscal
ex101 improve the quality of the performance and increase the \line \up0 \expndt
w-1\charscalex100 motivation to exercise. Moreover, a videotape provide no \line
\up0 \expndtw-1\charscalex100 possibility to guide a patient in choice, dosage
or optimal \line \up0 \expndtw0\charscalex103 performance of exercising, or to a
dapt a treatment pro-\line \up0 \expndtw0\charscalex110 gram to each individual.
An alternative explanation \line \up0 \expndtw0\charscalex100 might be that a n
on-random sample that was too small to \line \up0 \expndtw-2\charscalex100 detec
t existing significant differences between the groups. \line \up0 \expndtw-2\cha
rscalex100 A third explanation for lack of effect is that exercising for \line \
up0 \expndtw0\charscalex104 8 weeks possibly too short to have a significant eff
ect. \line \up0 \expndtw0\charscalex108 Therefore, future intervention studies w
ould provide \line \up0 \expndtw0\charscalex102 more robust findings from an ind
ividualized and super-\line \up0 \expndtw0\charscalex104 vised exercising progra
m with larger scale studies em-\line \up0 \expndtw-2\charscalex100 ploying rando
m sampling procedures and measuring long\par\pard\column \ql \li6151\sb0\sl-230\
slmult0 \par\pard\ql \li20\sb20\sl-230\slmult0 \up0 \expndtw-3\charscalex100 ter
m effects.\par\pard\qj \li20\ri785\sb9\sl-278\slmult0\fi158 \up0 \expndtw0\chars
calex101 Flexibility did not differ significantly between the two \up0 \expndtw0
\charscalex103 groups, in contrast to Moon et al. (2000) reporting that \up0 \ex
pndtw0\charscalex102 back-pain-relief exercise increased flexibility. This dis-\
line \up0 \expndtw0\charscalex104 crepancy may be attributable to differences in
how the \up0 \expndtw0\charscalex102 flexibility was measured. We used only fle
xion to mea-\line \up0 \expndtw0\charscalex100 sure flexibility, and so future s
tudies should consider the \up0 \expndtw0\charscalex101 use of other methods.\pa
r\pard\qj \li20\ri785\sb1\sl-278\slmult0\fi158 \up0 \expndtw-1\charscalex100 The
post-partum functional status did not differ signifi-\line \up0 \expndtw0\chars
calex108 cantly between the two groups, which may be due to \line \up0 \expndtw0
\charscalex100 traditional Korean lay post-partum care called Sanhujori \line \u
p0 \expndtw0\charscalex104 in Korea. Sanhujori is the term used for the traditio
nal \line \up0 \expndtw0\charscalex101 Korean concept of non-professional postpa
rtum care af-\line \up0 \expndtw0\charscalex102 ter delivery differing substanti
ally from that in Western \line \up0 \expndtw0\charscalex108 countries. Sanhujor
i in Korea emphasizes rest as the \line \up0 \expndtw0\charscalex107 means to po
st-partum recovery (Kim-Godwin, 2003; \line \up0 \expndtw0\charscalex100 Schneid
erman, 1996; Yoo, 1999), resulting in almost all \line \up0 \expndtw0\charscalex
102 Korean women being confined to bed for 3 weeks post-\line \up0 \expndtw0\cha
rscalex103 partum, with their own needs and those of their infants \line \up0 \e
xpndtw0\charscalex103 being taken care of by families and other caregivers. In \
line \up0 \expndtw0\charscalex100 contrast, Western societies encourage the woma
n to care \line \up0 \expndtw0\charscalex108 for both herself and the infant. Th
e Korean practices \line \up0 \expndtw0\charscalex104 may have resulted in a low
between-group variance in \line \up0 \expndtw0\charscalex100 the functional sta
tus.\par\pard\qj \li20\ri785\sb0\sl-278\slmult0\fi158 \up0 \expndtw0\charscalex1
02 Previous studies have found a significant relationship \line \up0 \expndtw0\c
harscalex103 between back pain and post-partum depression (Brown \line \up0 \exp
ndtw-1\charscalex100 & Lumley, 2000; Lumley et al., 2003; Oh & Kim, 2004). \line
\up0 \expndtw0\charscalex104 A correlation study with a Korean sample (Oh & Kim
, \line \up0 \expndtw0\charscalex102 2004) found that the intensity of post-part
um back pain \line \up0 \expndtw0\charscalex103 was positively correlated with p
ost-partum depression. \line \up0 \expndtw0\charscalex102 However, no such relat
ionship was found in the present \line \up0 \expndtw0\charscalex101 study. This
may be due to post-partum depression being \line \up0 \expndtw0\charscalex100 in
fluenced more by psychosocial factors rather by physi-\line \up0 \expndtw0\chars
calex107 cal factors such as back pain. A recent meta-analysis \line \up0 \expnd
tw0\charscalex113 identified 13 predictors of post-partum depression \par\pard\s
ect\sectd\fs24\paperw11900\paperh15860{\shp
z-10000\shplid6
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28a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a0028a28a002b92f157
813c23e3797c2b3f8b341b2d725f03f8b74ef1df84def44a5b43f1769367a969fa6ebd65e5c91817
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26a1a3eade36d5edc482ebc47a8f87fc3fa7f85746bbd40bc8e8d2e9fe1ed274ed2a0f2922516b69
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001451450014514500145145001451450014514500145145007fffd9}}}}}\pard\sb0\sl-240{\b
kmkstart Pg7}{\bkmkend Pg7}\par\pard\li977\sb0\sl-207\slmult0\par\pard\li977\sb0
\sl-207\slmult0\par\pard\li977\sb0\sl-207\slmult0\par\pard\li977\sb0\sl-207\slmu
lt0\par\pard\li977\sb1\sl-207\slmult0\fi3465\tx10607 \up0 \expndtw-5\charscalex1
00 \ul0\nosupersub\cf10\f11\fs18 Oh et al. Effects of a Postpartum Back Pain Re
lief Program for Korean Women\tab \up0 \expndtw-1\charscalex100 169\par\pard\li9
77\sb0\sl-230\slmult0\par\pard\li977\sb38\sl-230\slmult0\fi0\tx6136 \up0 \expndt
w-1\charscalex100 \ul0\nosupersub\cf2\f3\fs20 (Beck, 2001), with no physical fac
tor being identified.\tab \up0 \expndtw-1\charscalex100 rior back pain, and empl
oy longer follow-up periods.\par\pard\li977\sb48\sl-230\slmult0\fi0 \up0 \expndt
w-1\charscalex100 Future studies should attempt to clarify the relationship\par\
pard\ql \li977\sb38\sl-230\slmult0 \up0 \expndtw0\charscalex100 between post-par
tum depression and back pain. \par\pard\ql \li6136\sb0\sl-189\slmult0 \up0 \expn
dtw-5\charscalex100 \ul0\nosupersub\cf19\f20\fs21 References \par\pard\ql \li113
6\sb0\sl-180\slmult0 \up0 \expndtw0\charscalex101 \ul0\nosupersub\cf2\f3\fs20 So
me limitations need to be considered and should be\par\pard\sect\sectd\sbknone\c
ols2\colno1\colw5976\colsr160\colno2\colw5624\colsr160\ql \li977\sb1\sl-192\slmu
lt0 \up0 \expndtw0\charscalex101 addressed by future studies. The measure used t
o assess\par\pard\qj \li977\ri185\sb15\sl-278\slmult0\fi0 \up0 \expndtw0\charsca
lex105 post-partum functional status in this study may not be \line \up0 \expndt
w0\charscalex102 culturally sensitive to Korean women. Culturally sensi-\line \u
p0 \expndtw0\charscalex109 tive measurement to measure postpartum functional \li
ne \up0 \expndtw0\charscalex105 health needs to be developed. Moreover, the pres
ence \line \up0 \expndtw0\charscalex101 and distribution of low-back pain was me
asured using a \line \up0 \expndtw0\charscalex104 pain drawing, which does not a
llow differentiation be-\line \up0 \expndtw0\charscalex113 tween lumbar back pai
n and posterior pelvic pain. \line \up0 \expndtw0\charscalex100 Previous studies
have highlighted the importance of dis-\line \up0 \expndtw0\charscalex101 tingu
ishing between these two types of pain in pregnant \line \up0 \expndtw0\charscal
ex101 women, because the two symptoms should be treated in \line \up0 \expndtw0\
charscalex103 different ways and the outcomes of interventions differ \line \up0
\expndtw0\charscalex116 between them (O stgaard, Zetherstro m, & Roos-\line \up
0 \expndtw0\charscalex102 Hansson, 1994; Ostgaard et al., 1997; Sturesson, Uden,
\line \up0 \expndtw0\charscalex103 G., & Uden, A., 1997). Future studies should
therefore \line \up0 \expndtw0\charscalex100 also employ clinical assessments t
hat are more objective \line \up0 \expndtw-1\charscalex100 than pain drawings.\p
ar\pard\ql \li977\sb0\sl-264\slmult0 \par\pard\ql \li2516\sb127\sl-264\slmult0 \
up0 \expndtw-4\charscalex100 \ul0\nosupersub\cf1\f2\fs23 CONCLUSIONS\par\pard\qj
\li977\ri184\sb182\sl-278\slmult0\fi158 \up0 \expndtw-1\charscalex100 \ul0\nosu
persub\cf2\f3\fs20 A back-pain-relief program designed for this study was \line
\up0 \expndtw0\charscalex105 not effective to reduce the back-pain intensity in
post-\line \up0 \expndtw0\charscalex103 partum women and decreased the associate
d functional \line \up0 \expndtw0\charscalex100 limitations. However, considerin
g substantial prevalence \line \up0 \expndtw0\charscalex107 of post-partum back
pain and their influence of post-\line \up0 \expndtw0\charscalex100 partum recov
ery, there are several implications for nurs-\line \up0 \expndtw0\charscalex100
ing professionals. Nurses should teach safe and effective \line \up0 \expndtw0\c
harscalex104 back-pain-relief programs to antepartum and post-par-\line \up0 \ex
pndtw0\charscalex101 tum Korean women, and women with post-partum back \line \up
0 \expndtw0\charscalex110 pain should be evaluated routinely by nurses during \l
ine \up0 \expndtw0\charscalex100 post-natal check-ups and home visits. Moreover,
as Carr \line \up0 \expndtw0\charscalex103 (2003, p.500) noted, \u8220?nurses a
re first-line providers for \line \up0 \expndtw0\charscalex104 basic screening a
nd triage and can replace the \u8216?just ac-\line \up0 \expndtw0\charscalex102
cept it\u8217? attitude with a sound assessment of the need for \line \up0 \expn
dtw0\charscalex100 effective therapeutics.\u8221? Nurses need to educate pregnan
t \line \up0 \expndtw0\charscalex102 women about the benefits of contemporary po
st-partum \line \up0 \expndtw0\charscalex104 care and to provide strategies to h
elp them to integrate \line \up0 \expndtw0\charscalex102 their beliefs and the p
ractices recommended in contem-\line \up0 \expndtw0\charscalex100 porary health
care practice.\par\pard\qj \li977\ri185\sb1\sl-278\slmult0\fi158 \up0 \expndtw-1
\charscalex100 Finally, randomized controlled trials using an individu-\line \up
0 \expndtw0\charscalex100 alized and supervised intervention for pregnancy-relat
ed \line \up0 \expndtw0\charscalex106 back pain after delivery are need to be de
veloped and \line \up0 \expndtw0\charscalex100 evaluated. Moreover, future studi
es should also focus on \line \up0 \expndtw0\charscalex102 the development of me
thods to help women with poste-\par\pard\column \ql \li20\sb0\sl-153\slmult0 \up
0 \expndtw0\charscalex105 \ul0\nosupersub\cf20\f21\fs17 Bai, J. I. (1997). A stu
dy on the development of a postpartum de-\par\pard\ql \li20\ri809\sb0\sl-220\slm
ult0\fi340 \up0 \expndtw-1\charscalex100 pression scale. \ul0\nosupersub\cf21\f2
2\fs17 J Korean Acad Nurs, 27\ul0\nosupersub\cf20\f21\fs17 (3), 588-600. \line \
up0 \expndtw0\charscalex100 Beck, C. T. (2001). Predictors of postpartum depress
ion: An update.\par\pard\ql \li360\sb0\sl-153\slmult0 \up0 \expndtw-1\charscalex
100 Nurs Res, 50(5), 275-285.\par\pard\ql \li20\sb17\sl-195\slmult0 \up0 \expndt
w0\charscalex100 Bergquist-Ullman, M., & Larson, U. (1977). Acute low back pain
in\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex101 industry:
A controlled prospective study with special reference\par\pard\ql \li360\sb25\s
l-195\slmult0 \up0 \expndtw0\charscalex103 to therapy and confounding factors. \
ul0\nosupersub\cf21\f22\fs17 Acta Orthop Scand, 2\ul0\nosupersub\cf20\f21\fs17 (
1),\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex101 170, 1-1
17.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex102 Borg-Stei
n, J., Dugan, S., & Gruber, J. (2005). Musculoskeletal as-\par\pard\ql \li20\ri8
03\sb5\sl-220\slmult0\fi340 \up0 \expndtw0\charscalex100 pects of pregnancy. \ul
0\nosupersub\cf21\f22\fs17 Am J Phys Med Rehabil, 84\ul0\nosupersub\cf20\f21\fs1
7 (3), 180-192. \line \up0 \expndtw0\charscalex108 Brown, S., & Lumley, J. (2000
). Physical health problems after\par\pard\ql \li360\sb21\sl-195\slmult0 \up0 \e
xpndtw0\charscalex100 childbirth and maternal depression at six to seven months
post-\par\pard\ql \li20\ri808\sb5\sl-220\slmult0\fi340 \up0 \expndtw0\charscalex
100 partum. \ul0\nosupersub\cf21\f22\fs17 Br J Obstet Gynaecol, 107\ul0\nosupers

ub\cf20\f21\fs17 (10), 1194-1201. \line \up0 \expndtw0\charscalex103 Brynhildsen
, J., Hansson, A., Persson, A., & Hammar, M. (1998).\par\pard\ql \li360\sb21\sl195\slmult0 \up0 \expndtw0\charscalex106 Follow-up of patients with low back pai
n during pregnancy.\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charsc
alex101 \ul0\nosupersub\cf21\f22\fs17 Obstet Gynecol, 91\ul0\nosupersub\cf20\f21
\fs17 (2), 182-186.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charsca
lex105 Carr, C. A. (2003). Use of a maternity support binder for relief of\par\p
ard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex101 pregnancy-related
back pain. \ul0\nosupersub\cf21\f22\fs17 J Obstet Gynecol Neonatal Nurs,\par\pa
rd\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex101 32\ul0\nosupersub\
cf20\f21\fs17 (4), 495-502.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0
\charscalex100 Dumas, G. A., Reid, J. G., Wolfe, L. A., Griffin, M. P., & McGrat
h,\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex101 M. J. (19
95). Exercise, posture, and back pain during pregnan-\par\pard\ql \li360\sb25\sl
-195\slmult0 \up0 \expndtw0\charscalex105 cy, Part2. Exercise and back pain. \ul
0\nosupersub\cf21\f22\fs17 Clin Biomech, 10\ul0\nosupersub\cf20\f21\fs17 (2), 10
4-\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex103 109.\par\
pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex102 Fawcett, J., & Tu
lman, L. (1988). Development of the inventory of\par\pard\ql \li360\sb25\sl-195\
slmult0 \up0 \expndtw0\charscalex107 functional status after birth. \ul0\nosuper
sub\cf21\f22\fs17 J Nurse Midwifery, 33\ul0\nosupersub\cf20\f21\fs17 (6), 252-\p
ar\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex103 260.\par\pard
\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex108 Heckman, J. D. (1984)
. Managing musculoskeletal problems in\par\pard\ql \li360\sb25\sl-195\slmult0 \u
p0 \expndtw0\charscalex102 pregnant patients. Part I: Back and leg pain are not
inevitable.\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw-1\charscalex100
\ul0\nosupersub\cf21\f22\fs17 J Musculoskelet Med, 6\ul0\nosupersub\cf20\f21\fs
17 , 14-24.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex100 K
im-Godwin, Y. S. (2003). Postpartum beliefs and practices among\par\pard\ql \li3
60\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex105 non-western cultures. \ul0\n
osupersub\cf21\f22\fs17 MCN Am J Matern Child Nurs, 28\ul0\nosupersub\cf20\f21\f
s17 (2),\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex100 7580.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex103 Kristians
son, P., Svardsudd, K., & von Schoutltz, B. (1996). Back\par\pard\ql \li360\sb25
\sl-195\slmult0 \up0 \expndtw0\charscalex100 pain during pregnancy: A prospectiv
e study. \ul0\nosupersub\cf21\f22\fs17 Spine, 21\ul0\nosupersub\cf20\f21\fs17 (6
), 702-\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex103 709.
\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex100 Lumley, J.,
Small, R., Brown, S., Watson, L., Gunn, J., Mitchell, C.,\par\pard\ql \li360\sb2
5\sl-195\slmult0 \up0 \expndtw0\charscalex116 & Dawson, W. (2003). PRISM(Program
of Resources,\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex1
00 Information and Support for Mothers) protocol for a communi-\par\pard\ql \li2
0\ri794\sb5\sl-220\slmult0\fi340 \up0 \expndtw0\charscalex100 ty-randomized tria
l. \ul0\nosupersub\cf21\f22\fs17 BMC Public Health, 20(\ul0\nosupersub\cf20\f21\
fs17 3), 36-49. \line \up0 \expndtw0\charscalex100 Mens, J. M. A., Snijders, C.
J., & Stam, H. J. (2000). Diagonal trunk\par\pard\ql \li360\sb21\sl-195\slmult0
\up0 \expndtw0\charscalex100 muscle exercises in peripartum pelvic pain: A rando
mized clin-\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex100
ical trial. \ul0\nosupersub\cf21\f22\fs17 Phys Ther, 80\ul0\nosupersub\cf20\f21\
fs17 (12), 1164-1172.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw-1\char
scalex100 Moon, W. N., Kim, M. Y., Oh, H. J., Suh, S. W., Kim, I. C., Choi, Y.\p
ar\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex105 H., & Ahn, J.
Y. (2000). Incidence and risk factors of pelvic\par\pard\ql \li20\ri796\sb5\sl220\slmult0\fi340 \up0 \expndtw0\charscalex100 pain in pregnancy. \ul0\nosupersu
b\cf21\f22\fs17 J Korean Spine Surg, 7\ul0\nosupersub\cf20\f21\fs17 (2), 259-263
. \line \up0 \expndtw0\charscalex102 Moon, W. N., & Choi, H. S. (2001). Muscle s
trengthening exercise\par\pard\ql \li360\sb21\sl-195\slmult0 \up0 \expndtw0\char
scalex100 on symptom giving pelvic girdle relaxation during pregnancy. \ul0\nosu
persub\cf21\f22\fs17 J\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\cha
rscalex100 Korean Acad Sports, Med, 19\ul0\nosupersub\cf20\f21\fs17 (2), 269-274

.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex101 Nilsson-Wik
mar, L., Harms-Ringdahl, K., Pilo, C., & Pahlback, M.\par\pard\ql \li360\sb25\sl
-195\slmult0 \up0 \expndtw0\charscalex102 (1999). Back pain in women post-partum
is not a unitary con-\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\cha
rscalex100 cept. \ul0\nosupersub\cf21\f22\fs17 Physiother Res Int, 4\ul0\nosuper
sub\cf20\f21\fs17 (3), 201-213.\par\pard\ql \li20\sb25\sl-195\slmult0 \up0 \expn
dtw-1\charscalex100 Nilsson-Wikmar, L., Holm, K., Oijerstedt, R., & Harms-Ringda
hl, K.\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex101 (2005
). Effect of three different physical therapy treatments on\par\pard\ql \li360\s
b25\sl-195\slmult0 \up0 \expndtw0\charscalex101 pain and activity in pregnant wo
men with pelvic girdle pain: A\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expn
dtw0\charscalex105 randomized clinical trial with 3, 6, and 12 months follow-up\
par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex100 postpartum.
\ul0\nosupersub\cf21\f22\fs17 Spine, 30\ul0\nosupersub\cf20\f21\fs17 (8), 850-85
6. \par\pard\sect\sectd\fs24\paperw11900\paperh15860{\shp
z-10000\shplid7
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lt0 \par\pard\ql \li992\sb51\sl-195\slmult0 \up0 \expndtw0\charscalex102 \ul0\no

supersub\cf20\f21\fs17 Oh, H. E., & Kim, J. S. (2004). The relationships between
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l0\nosupersub\cf20\f21\fs17 (12),\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \e
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ndtw0\charscalex103 Wewers, M. E., & Lowe, N. K. (1990). A critical review of vi
sual\par\pard\ql \li360\sb25\sl-195\slmult0 \up0 \expndtw0\charscalex105 analogu
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95\slmult0 \up0 \expndtw0\charscalex100 \ul0\nosupersub\cf21\f22\fs17 Res Nurs H
ealth, 13\ul0\nosupersub\cf20\f21\fs17 , 227-236.\par\pard\ql \li20\sb25\sl-195\
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charscalex106 der the Sanhujori. \ul0\nosupersub\cf21\f22\fs17 Korean J Women He
alth Nurs, 5\ul0\nosupersub\cf20\f21\fs17 (3), 410-\par\pard\ql \li360\sb25\sl-1
95\slmult0 \up0 \expndtw0\charscalex102 419. \par\pard\sect\sectd\fs24}

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{\f2 Times New Roman Bold;}

d. Pregnant women who attended a \line\tab \up0 \expndtw0\charscalex103 hospita

ty \par\pard\ql \li997\sb8\sl-172\slmult0 \up0 \expndtw-1\charscalex100 This stu

mproved \line \up0 \expndtw0\charscalex110 the functional status. In contrast, M

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Pain Relief Program for Korean Women\tab \up0 \expndtw-6\charscalex100 165\par\

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in was measured by a vi-\line \up0 \expndtw-1\charscalex100 sual analogue scale

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irdle pain with stabilizing exercises? \ul0\nosupersub\cf21\f22\fs17 Man\par\par

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