Does antenatal physical therapy for pregnant women with low back pain or pelvic pain improve functional outcomes? A systematic review

Acta Obstetricia Et Gynecologica Scandinavica
Emma RichardsPaula Harris

Abstract

A systematic review was undertaken to update the understanding of the available evidence for antenatal physical therapy interventions for low back or pelvic pain in pregnant women to improve functional outcomes when compared with other treatments or no treatment. Seven electronic databases were systematically searched and supplemented by hand searching through reference lists. Two reviewers independently selected trials for inclusion and independently assessed the internal validity of the included trials using the Clinical Appraisal Skills Program tool. Four trials with 566 participants were identified that met the inclusion criteria. The validity of the trials was moderate. Exercise, pelvic support garments and acupuncture were found to improve functional outcomes in pregnant women with low back or pelvic pain. No meta-analysis was performed because of the heterogeneity of functional outcome measures. While there is some evidence that physical therapy using exercise, acupuncture and pelvic supports may be useful, further research needs to consider other treatment modalities used by physical therapists and establish an appropriate, reliable and valid functional outcome measure to assess low back and pelvic pain in pregnancy.

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Citations

Dec 26, 2012·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Huei-Mein ChenHsou-Mei Hu
May 13, 2014·The Journal of Orthopaedic and Sports Physical Therapy·Esther van BentenAnnelies Pool-Goudzwaard
May 29, 2015·Acta Obstetricia Et Gynecologica Scandinavica·Annelie GutkeMonika Fagevik Olsén
Mar 14, 2018·Western Journal of Nursing Research·Huei-Mein Chen, Hsou-Mei Hu
Oct 1, 2015·The Cochrane Database of Systematic Reviews·Sarah D Liddle, Victoria Pennick
Jul 6, 2020·Journal of Perinatal Medicine·Manuela Filipec, Ratko Matijević

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