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

Gutke, Annelie; Betten, C.; Degerskär, Kristina; Pousette, Sara; Olsén, Monika Fagevik

doi:10.1111/aogs.12681

Cited by 92 publications

(149 citation statements)

References 86 publications

(171 reference statements)

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“…Richards et al (15) and Gutke et al (17) -although having found some evidence that physical therapy through exercises, acupuncture and pelvic support belts, among others, could have positive effects on pregnancy low back and pelvic pain -could not could perform a meta-analysis due to the heterogeneity of the studies included in their systematic review. Gutke et al (17) found in a recent systematic review, a weak level of evidence of the effect of specific exercises guided by physical therapists even with different focuses and supervised by health professionals, are described as an importance resource for ensuring assistance during pregnancy, as it is also a space for sharing experiences, feelings and affects that are common to the period (48)(49)(50).…”

Section: Low Back And/or Pelvic Painmentioning

confidence: 99%

“…Other reviews focused on the outcome of low back and pelvic pain, but did not restrict their approach to therapeutic exercises, guided or supervised by physical therapists, and/or included other types of treatment (14)(15)(16)(17)(18). But there are still few studies on the effects of physical therapy intervention with exercises on pregnancy low back and pelvic pain.…”

Section: Introductionmentioning

confidence: 99%

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Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

2017

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Introduction: During pregnancy, a woman's body goes through many changes, and lower back and pelvic pain are common and may persist after pregnancy. Although the literature point physical therapy as an effective therapeutic tool, there are few studies on the effects of physical therapy intervention through exercises for this purpose. Objective: To perform a systematic review on the use of Physiotherapy, through therapeutic exercises, for the prevention and treatment of pregnancy low back and pelvic pain. Methods: A systematic search for randomized trials (RCTs) was conducted on the databases PubMed, PEDro, Cochrane, EMBASE, LILACS and Periódicos Capes. There was no date or language restriction. The terms included in the search were: "pregnancy", "low back pain", "pelvic pain", "exercise therapy" and their descriptors in Portuguese. Methodological quality was assessed using the PEDro scale and a descriptive analysis of the studies was performed. Results: Eight studies, including 1781 pregnant women, were selected. Among them, one study addressed the issue of low back pain, two focused on pelvic pain and five on low back and/or pelvic pain. Seven studies presented high methodological quality, and only one study had low methodological quality. Limited evidence on low back pain was found, and conflicting evidence on pelvic pain, and low and/or pelvic pain. Conclusion: RCTs on the subject are scarce and heterogeneous, making it impossible to reach a consensus

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Section: Low Back And/or Pelvic Painmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

2017

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“…Podobnie sytuacja przedstawia się odnośnie ćwiczeń w wodzie. W dostępnych doniesieniach [22] przyniosły one znaczącą redukcję intensywności odczuwanego bólu oraz mniejszy odsetek urlopów zdrowotnych wśród kobiet z LP jednakże nie zaobserwowano podobnych efektów w grupie z PGP. Ze względu na małą ilość randomizowanych badań kontrolowanych siła tych dowodów nie jest wystarczająca, aby móc bezsprzecznie stwierdzić o skuteczności tego rodzaju interwencji [21].…”

Section: Fizjoterapiaunclassified

Pregnancy-related lumbopelvic pain – treatment modalities

Starzec¹,

Truszczyńska²

2017

Advances in Rehabilitation

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A -opracowanie koncepcji i założeń (preparing concepts) B -opracowanie metod (formulating methods) C -przeprowadzenie badań (conducting research) D -oprcowanie wyników (processing results) E -interpretacja i wnioski (interpretation and conclusions) F -redakcja ostatecznej wersji (editing the final version) StreszczenieWstęp: Ból lędźwiowo-miedniczny jest częstą przypadłością okresu ciąży, która nierzadko ogranicza codzienną aktywność ciężarnej. Dolegliwości te wymagają odpowiedniego, zindywidualizowanego postępowania, gdyż zlekceważone, mogą przekształcić się w długotrwałą dysfunkcję.Celem pracy było przedstawienie najnowszych doniesień na temat możliwych strategii postępowania z bólem lędźwiowo-miednicznym.Podsumowanie: Dzisiejsza nauka dostarcza nam wiele efektywnych narzędzi, któ-re pozwalają na redukcję bólu i ograniczeń funkcjonalnych bez szkody dla ciężarnej i dziecka. Brak jest jednej, najefektywniejszej strategii leczenia bólu lędźwiowo-miednicznego. Najlepsze wyniki przynosi kombinacja metod, których skuteczność została potwierdzona badaniami. ból odcinka lędźwiowego, obręcz miedniczna, ciąża, leczenie AbstractIntroduction: Pregnancy-related lumbopelvic pain is a common complaint which often limits everyday activity of a pregnant woman. Accurate and individualized treatment is needed as, if ignored, pain can become a long term condition.The aim of this article is to present the current state of knowledge about possible treatment modalities for pregnancy-related lumbopelvic pain.Summary: Current knowledge gives us a variety of effective tools which help reduce pain and functional limitations with no harm to a mother and foetus. There is no single and most effective treatment strategy. A combination of evidence-based methods produces the best treatment outcomes.

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“…This condition is more common among females and represents a trouble for women in the gestational period (1) . Considering that more than two-thirds of the pregnant women have LBP, this is considered the most common discomfort during pregnancy (1) and is often severe enough to interfere with daily life, reducing the ability to be active, causing limitations in the performance and productivity at work (2) . In a study carried out in Brazil, the prevalence of low back pain in pregnant women was high; 93.23% of the women reported pain (3) .…”

Section: Introductionmentioning

confidence: 99%

“…A therapy for the treatment of LBP during pregnancy is acupuncture, which seems to be effective in reducing symptoms and consequently improving the quality of life of pregnant women, and is able to alleviate pain when compared to usual care (1)(2) . Acupuncture is a traditional Chinese technique that aims to promote healing through the stimulation of body balance and the performance of negative and positive energies (5) .…”

Section: Introductionmentioning

confidence: 99%

Tratamento com acupuntura: avaliação multidimensional da dor lombar em gestantes

Martins

Tavares

Lessa

et al. 2018

Rev. esc. enferm. USP

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Objective:To evaluate the effects of acupuncture in the treatment of low back pain in pregnant women in the second and third trimesters of pregnancy. Method: A quasiexperimental pre-post design was applied to pregnant women at a gestational age between 14 and 37 weeks, who had complaints of low back pain. Acupuncture sessions were performed, working systemic and auricular points. The McGill questionnaire was used to assess pain, as well as the instrument for identifying the sociodemographic, clinical and obstetric profile. Results: The acupuncture technique performed in up to six sessions in 56 pregnant women with low back pain had positive effects on the participants' health. According to the pain assessment, there was a statistically significant reduction in the low back pain among the pregnant women as early as in the second session, with a gradual improvement with the advancement of the number of sessions. There were no serious adverse events related to acupuncture. Conclusion: Acupuncture offered significant effects for reducing or relieving pain in pregnant women. The participants expressed satisfaction and well-being as they left each session.

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

Abstract: The 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.

Cited by 92 publications

References 86 publications

Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review

Pregnancy-related lumbopelvic pain – treatment modalities

Tratamento com acupuntura: avaliação multidimensional da dor lombar em gestantes

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