Treatments of pelvic girdle pain in pregnant women: adverse effects of standard treatment, acupuncture and stabilising exercises on the pregnancy, mother, delivery and the fetus/neonate

Elden, Helen; Östgaard, Hans Christian; Fagevik-Olsén, Monika; Ladfors, Lars; Hagberg, Henrik

doi:10.1186/1472-6882-8-34

Cited by 65 publications

(77 citation statements)

References 55 publications

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“…As to the exercises that were supervised by different therapists, previous studies found that these strategies were efficient for pregnancy low back and pelvic pain (8)(9)(10). The importance of supervision during the exercises for the treatment and prevention of low back pain is also emphasized in studies that did not focus solely on pregnant women (45,46).…”

Section: Group and Individual Protocols With Or Without Supervisionmentioning

confidence: 99%

“…The studies by Garashabi et al (9) and Schim et al (26) found a reduction in the intensity of low back and conflicting evidence, because they differed as to the duration of the interventions, the effects on pain intensity and on functional limitations; on the study that found positive results (37), the duration of the intervention was only a week. Other studies (8,11) indicate that specific stabilization exercises for strengthening the muscles of the pelvic girdle can be effective in the treatment of pregnancy pelvic pain, with relatively short interventions (six weeks).…”

Section: Duration and Frequency Of The Interventionsmentioning

confidence: 99%

“…Among them, 25 were considered to be potentially relevant. After assessing the complete articles, 16 were excluded because they did not report interventions that were supervised or guided by physical therapists (9-11, 24-28); because they associated the exercises to manual therapy (29,30); because they were unpublished (theses and dissertations) (31)(32)(33); for lack of data (34); or because they did not relate the outcomes or interventions of interest (8,35). Thus, eight studies (36)(37)(38)(39)(40)(41)(42)(43), published between the years of 2005 and 2014, were included in this systematic review (Tables 2, 3 Eight RCT (36 -43) were included; one about low back pain (36), two about pelvic pain (37,38) and five about low back and/or pelvic pain (39 -43) .…”

Section: Identified Studiesmentioning

confidence: 99%

“…Among various techniques used for this purpose are therapeutic exercises, including aerobic ones, and ones for muscle strengthening, breathing, stretching and flexibility. Therapeutic exercises provide muscle strength, positive psychological effects and improvement in body posture, while also helping to develop the ability to concentrate and relax (2,(6)(7)(8)(9)(10)(11).…”

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: Group and Individual Protocols With Or Without Supervisionmentioning

confidence: 99%

Section: Duration and Frequency Of The Interventionsmentioning

confidence: 99%

Section: Identified Studiesmentioning

confidence: 99%

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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“…A 2008 study 34 focused on adverse events in 386 pregnant women randomized to one of four pelvic-pain treatments, including acupuncture. No adverse maternal or fetal medical events were reported, but the acupuncture group had the highest rate of minor maternal complaints; most related to mild pain at the site of needling.…”

Section: Reports Of Adverse Events In the 28-year Review Periodmentioning

confidence: 99%

Research on Acupuncture in Pregnancy and Childbirth: The U.S. Contribution

Soliday

Hapke

2013

Medical Acupuncture

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Background: Along with an increasing use of acupuncture to treat pregnancy and childbirth concerns comes a need to assess the current state of related research, which is a critical step in defining a research agenda. Objective: The goal of this article is to analyze the U.S. contribution to obstetric acupuncture research against the backdrop of professional positions and relevant historical events. Methods: Original obstetric acupuncture research articles published post-1998 (147) and pre-1998 (62) were reviewed. Studies were placed into topical categories (e.g., breech correction, labor, and delivery), and the current authors identified region of study origin, study focus and type, gestational timing of treatment, general study outcomes, and adverse events. U.S. study characteristics were analyzed relative to those of other regions. Results: The number of obstetric acupuncture publications more than tripled from pre-to post-1998, and the United States ranked third (behind the European region and China) in published articles. One case study indicated a serious adverse effect. Most post-1998 U.S. articles focused on pregnancy concerns; those conducted in early pregnancy involved acupressure. Acupuncture benefits varied by study topic. Conclusions: U.S. studies reflected greater effort toward treating pregnancy-related problems, compared to childbirth and postpartum concerns. The U.S. research contribution is discussed within the context of health care system structure, professional concerns, funding, and the role of conventional biomedical care in advancing a successful research agenda.

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