Introduction: Pregnancy brings numerous physical and physiological changes, among which the occurrence of lumbopelvic pain (LPP) is common. Regular physical exercise plays an important role in maintaining the health of both the mother and the fetus and can reduce the risk and intensity of LPP. Despite existing recommendations to remain physically active during pregnancy, the level of physical activity among pregnant women often decreases. Increasing evidence suggests that maintaining regular physical activity during pregnancy also represents an important strategy for preventing and alleviating LPP symptoms during pregnancy. Purpose: The aim of this thesis is to examine, based on a review of scientific and professional literature, the effects of physical exercise on the prevention and reduction of LPP in pregnant women. Methods: The literature included in the review was searched in the PubMed and ScienceDirect databases. Randomized controlled trials were included that investigated the effects of physical exercise on LPP in pregnant women without other major health problems. Results: The literature review included six studies that met the inclusion and exclusion criteria. In all included studies, pregnant women followed a specific exercise program, while researchers monitored the prevalence and intensity of LPP as well as other aspects of maternal well-being and health. In three of the included studies, the intervention groups showed a statistically significant reduction in pain intensity, and in one study, a statistically significant difference in the prevalence of LPP in favor of the intervention group was also observed. A tendency toward a lower prevalence of LPP in the intervention group was indicated in two additional studies, although without statistical significance. Discussion and Conclusion: The results of our review indicate that regular, appropriately adapted physical exercise can have a beneficial effect on the intensity and prevalence of LPP, as well as improve functional ability and overall well-being in pregnant women. However, the limitations of the included studies must be considered, as they varied in the type, duration, and frequency of exercise, as well as in the measurement tools used, which makes direct comparison of results difficult. All studies included only healthy pregnant women; therefore, the findings cannot be fully generalized to the entire population. In conclusion, physical exercise appears to be a safe approach for the prevention and alleviation of LPP during pregnancy, although future research should focus on standardized protocols and include larger and more diverse populations of pregnant women.
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