Influence of the exercise on reduction of sacroiliac dysfunction in pregnancy

INTERVENTION: The study group will be trained on exercises to stabilize the sacroiliac joints by researchers. Training subjects will include four exercises to stabilise the sacroiliac joints which respondents performed at individual one‐on‐one session in hospital within a time period of 20 minutes (5 minutes each) two times a week until the end of pregnancy under the supervision of a physiotherapist. Exercise 1. In four‐legged position performed to exercise posterior pelvic tilt. The initial position would be four‐legged relying on his hands and knees and pelvis in the neutral position. From neutral position of the pelvis performed to move posterior pelvic tilt and then return the pelvis to the neutral position. Exercise 2. Stabilization of sacroiliac joints performed to the four‐legged position. The initial position would be four‐legged relying on his hands and knees, whereby the position of flexion of the knee and hip movement performed retroflexion thigh alternately with each upper leg. Exercise 3. Stabilization of sacroiliac joints performed to and in a sitting position. The initial position would be sitting without back with feet on the ground. From the position of flexion of the knee and hip will be delivered movement anteflexion thigh but a shift in the thigh posterior direction towards sacroiliac joint. Exercise should be performed alternately by the right, and then the left foot. Exercise 4. In the sitting position performed to exercise contraction of the gluteal muscles and posterior pelvic tilt. The starting position would have been sitting without back with feet on the ground. Then is performed the contraction of the gluteus and posterior pelvic tilt. Then would follow the return of the pelvis in the neutral position and relaxation gluteal muscles. Every three weeks would be applied clinically functional tests: Patrik‐Faber's test, distraction test, 4P test, palpation of ramus os pubis and test palpation of the dorsal ligaments for detecting sacroiliac dysfunction in pregnancy, VAS scale for detecting the intensity of pain and Quebec scale for assessing the degree of disability. CONDITION: Sacroiliac dysfunction PRIMARY OUTCOME: To detect the effectiveness of therapeutic exercise in pregnancy on reducing sacroiliac dysfunction by clinical funcional test (Patrik‐Faber's test, distraction test, 4P test, palpation of ramus os pubis and test palpation of the dorsal ligaments), VAS scale (for detecting the intensity of pain) and Quebec scale (for assessing the degree of disability) SECONDARY OUTCOME: Change in symptoms of sacroiliac dysfunction from baseline to end of exercise intervention in primiparas / multiparas and singleton / multifetal pregnancy by VAS scale (for detecting the intensity of pain) and Quebec scale (for assessing the degree of disability) To detect a corelation between therapeutic exercise with functional capabilities of pregnant women with sacroiliac dysfunction Quebec scale To determine the incidence of sacroiliac dysfunction during pregnancy in primiparas / multiparas and singleton / multifetal pregnancy by clinical funcional test (Patrik‐Faber's test, distraction test, 4P test, palpation of ramus os pubis and test palpation of the dorsal ligaments) INCLUSION CRITERIA: Primiparous / multiparous, singleton / multiple pregnancy, gestational age greater than 10 weeks and less than 34 weeks