Treatments for pregnancy-related lumbopelvic pain: a systematic review of physiotherapy modalities

Gutke, AnnelieLinköpings universitet,Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,Avdelningen för fysioterapi,Medicinska fakulteten,University of Gothenburg, Sweden (author)

ObjectiveTo explore the effect of physiotherapeutic interventions on pregnancy-related lumbopelvic pain. Material and methodsData sources: MEDLINE, Cochrane Central Register of Controlled Trials, PEDro, CINAHL, AMED, and SCOPUS databases were searched up to December 2014 for studies written in English, French, German or Scandinavian languages that evaluated physiotherapeutic modalities for preventing and treating pregnancy-related lumbopelvic pain. ResultsFor lumbopelvic pain during pregnancy, the evidence was strong for positive effects of acupuncture and pelvic belts. The evidence was low for exercise in general and for specific stabilizing exercises. The evidence was very limited for efficacy of water gymnastics, progressive muscle relaxation, a specific pelvic tilt exercise, osteopathic manual therapy, craniosacral therapy, electrotherapy and yoga. For postpartum lumbopelvic pain, the evidence was very limited for clinic-based treatment concepts, including specific stabilizing exercises, and for self-management interventions for women with severe disabilities. No specific adverse events were reported for any intervention. No meta-analysis could be performed because of study heterogeneity. ConclusionsThe levels of evidence were strong for a positive effect of acupuncture and pelvic belts, but weak for an effect of specific exercises. Caution should prevail in choosing other interventions for pregnancy-related lumbopelvic pain.

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Reproduktionsmedicin och gynekologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Obstetrics, Gynaecology and Reproductive Medicine hsv//eng
MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine hsv//eng
Pelvic girdle pain
low back pain
pregnancy
post-partum
physiotherapy
pelvic girdle pain
low-back-pain
randomized controlled-trial
blind
controlled-trial
quality-of-life
clinical-trial
stabilizing
exercises
standard treatment
physical-therapy
single-blind
Obstetrics & Gynecology
Pelvic girdle pain; low back pain; pregnancy; post-partum; physiotherapy

Betten, C.Primary Hlth Care, Skurup, Region Skane, Sweden (author)
Degerskar, K.Primary Hlth Care, Lund, Region Skane, Sweden (author)
Pousette, S.Private Clin Friskispraktiken, Sweden (author)
Fagevik Olsén, Monika,1964Gothenburg University,Göteborgs universitet,Institutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering,Institute of Neuroscience and Physiology, Department of Health and Rehabilitation,University of Gothenburg, Sweden; Sahlgrens University Hospital, Sweden(Swepub:gu)xfagmo (author)
Göteborgs universitetInstitutionen för neurovetenskap och fysiologi, sektionen för hälsa och rehabilitering (creator_code:org_t)

In:Acta Obstetricia Et Gynecologica Scandinavica: Wiley94:11, s. 1156-11670001-63491600-0412

By the author/editor: Gutke, Annelie; Betten, C.; Degerskar, K.; Pousette, S.; Fagevik Olsén, M ...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Obstetrics Gynae ...

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