In this article the effect of exercise on pregnancy-related back pain
is reported. Sixty five pregnant volunteers were included in the study
, of whom 27 were enrolled in exercise classes designed according to C
anadian guidelines, and 38 acted as sedentary controls. Back pain and
functional limitations were assessed every 4 weeks during pregnancy an
d 4 months postpartum by questionnaires. No significant differences in
back pain or functional limitations reported by the two groups were f
ound. The biomechanical factors measured in this study, weight, back p
osture, and laxity, were unable to explain most of the variation in pa
in reported. Relevance This study showed that fitness classes for preg
nant women designed according to Canadian guidelines had no detectable
effect on back pain during pregnancy. If prevention of pregnancy-rela
ted back pain is sought through exercise, design of fitness programmes
for pregnant women should be reconsidered.