Pelvic floor muscle training for women with lumbopelvic pain: A systematic review and meta‐analysis

Abstract

Background and Objective: It has been suggested that pelvic floor dysfunction may contribute to the development of lumbopelvic pain as a result of changes in trunk muscle control. However, there is limited evidence that pelvic floor muscle training (PFMT) can improve clinical outcomes in women with lumbopelvic pain. Databases and Data Treatment: Six databases were searched for randomized controlled trials (RCTs) comparing the effectiveness of PFMT to other conservative interventions (usual physiotherapy care or minimal intervention), no treatment or placebo interventions on pain and disability in women with lumbopelvic pain. Results: We included eight RCTs totalling 469 participants. PFMT was more effective than minimal intervention for lumbopelvic pain [mean difference (MD) 15.9/100 (95% confidential interval (CI), 8.2 to 23.6; p = 0.00; I 2 = 3.92%)] and disability [standardized mean difference (SMD) 0.5 (95% CI 0.1-0.9; p = 0.00; I 2 = 0%)] during pregnancy. PFMT was more effective than usual physiotherapy care for pain (MD 11.7/100 [95% CI 7.5-15.9; p = 0.00; I 2 = 94.14%]) and disability (SMD 0.3 (95% CI 0.0-0.6; p = 0.01; I 2 = 82.54%]) in non-pregnant women. Effect sizes were in general of arguable clinical relevance. Conclusions: Overall, the certainty of the evidence was very low to low. There is no conclusive evidence that the addition of PFMT to usual physiotherapy care or minimal intervention is superior to minimal intervention and usual care alone given the small number of studies and high levels of heterogeneity of included studies. Further well-designed trials are needed to establish the effectiveness of PFMT for lumbopelvic pain in women.

The Impact of Preoperative Pain on Outcomes After Vaginal Reconstructive Surgery and Perioperative Pelvic Floor Muscle Training

“…In addition, our results suggest that perioperative pelvic muscle training may play a role in reducing postoperative pain for women with preoperative pain who are planning to undergo SSLF. The role of pelvic muscle training in women with pelvic pain has been an accepted standard 18–20 with benefits specifically from a postprocedural perspective seen in women with pelvic floor dysfunction after hysterectomy and persistent lumbopelvic pain after childbirth 21–23 . Although we identified a potential effect, this was not the primary outcome of the original trial or our study and should be interpreted with caution.…”

“…The role of pelvic muscle training in women with pelvic pain has been an accepted standard [18][19][20] with benefits specifically from a postprocedural perspective seen in women with pelvic floor dysfunction after hysterectomy and persistent lumbopelvic pain after childbirth. [21][22][23] Although we identified a potential effect, this was not the primary outcome of the original trial or our study and should be interpreted with caution. The role that pelvic muscle training may play in pain outcomes among women undergoing vaginal reconstructive surgery and in particular, sacrospinous ligament fixation should be further elucidated in future studies.…”

Can Clinical Postpartum Muscle Assessment Help Predict the Severity of Postpartum Pelvic Girdle Pain? A Prospective Cohort Study

“…For prevention and treatment of urinary incontinence, it is known that supervised pelvic floor muscle training is more effective than pelvic floor training alone. 43 Evidence of benefits of pelvic floor muscle training for women with pelvic girdle pain is low 44 ; hence a supervised or individualized approach could be important in the treatment of pelvic girdle pain as well. Furthermore, studies are needed to determine if tension and weakness are results of the pain or vice versa.…”

“OMINO”: A Modern Approach to Postural Standing Reeducation through Breathing Techniques

“…This is just another way to talk about "core", since "abdominal canister" is a kind of Plenty of studies about "core training" in the meaning of "trunk stability" have been done to evaluate this considerations. We can mention Hodges cooperation in review of pelvic floor training to treat lower back in women (2020) [22]; naturally other trials will be needed to establish the real effectiveness of PFMT (Pelvic Floor Muscle Training), as a part of core, for lower back treatment.…”