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Treatments for pregnancy-related lumbopelvic pain: a systematic review of physiotherapy modalities
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Medicine and Health Sciences. University of Gothenburg, Sweden.
Primary Hlth Care, Skurup, Region Skane, Sweden.
Primary Hlth Care, Lund, Region Skane, Sweden.
Private Clin Friskispraktiken, Sweden.
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2015 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 94, no 11, 1156-1167 p.Article, review/survey (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
WILEY-BLACKWELL , 2015. Vol. 94, no 11, 1156-1167 p.
Keyword [en]
Pelvic girdle pain; low back pain; pregnancy; post-partum; physiotherapy
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-122514DOI: 10.1111/aogs.12681ISI: 000362844400003PubMedID: 26018758OAI: oai:DiVA.org:liu-122514DiVA: diva2:868062
Available from: 2015-11-09 Created: 2015-11-06 Last updated: 2016-03-23

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Gutke, Annelie
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Division of PhysiotherapyFaculty of Medicine and Health Sciences
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