Physiotherapeutic resources in gestational pelvic pain: review and proposal of guidance manual
DOI:
https://doi.org/10.33233/fb.v20i6.2872Keywords:
pregnancy, pelvic pain, pelvic girdle pain, Physical therapy, physiotherapeutic modalitiesAbstract
Introduction: This study is a literature review of gestational pelvic pain, a pain felt between the posterior iliac crests, gluteal folds and sacroiliac joints, which may radiate to the posterior thigh and may occur along with pain in the pubic symphysis. Objectives: To review the literature and to study which physiotherapeutic interventions were most effective in treating women with gestational pelvic pain without association with low back pain, and to propose a guidance manual for these patients. Methods: Literature review, consulting articles published between 2008 and 2019, in the Pedro, Pubmed and Scielo databases. Results: The results indicate that the physiotherapeutic resources softened gestational pelvic pain and contributed to the functionality of pregnant women; none, however, was able to clear the patients' complaints. Conclusion: There are physical therapy resources for gestational pelvic pain, which reduce pain and improve the functionality of pregnant women; however, due to the low number of studies on this pain considered separately from low back pain, further research on physiotherapeutic approaches that are more effective for women in this condition is suggested.
References
Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J 2008;17(6):794-819. doi: 10.1007/s00586-008-0602-4
Wun WH, Meijer OG, Uegaki K, Mens JM, van Dieën JH, Wuisman PI et al. Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence. Eur Spine J 2004;13:575. doi: 10.1007/s00586-003-0615-y
Vermani E, Mittal R, Weeks A. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Practice 2010;10:60-71. doi: 10.1111/j.1533-2500.2009.00327.x
Van Benten E, Pool J, Mens J, Pool-Goudzwaard A. Recommendations for physical therapists on the treatment of lumbopelvic pain during pregnancy: a systematic review. J Orthop Sports Phys Ther 2014;44(7):464-73. doi: 10.2519/jospt.2014.5098
Gutke A, Betten C, Degerskär K, Pousette S, Olsén MF. Treatments for pregnancy-related lumbopelvic pain: a systematic review of physiotherapy modalities. Acta Obstet Gynecol Scand 2015;94(11):1156-67. doi: 10.1111/aogs.12681
Hall H, Cramer H, Sundberg T, Ward L, Adams J, Moore C, et al. The effectiveness of complementary manual therapies for pregnancy-related back and pelvic pain: A systematic review with meta-analysis. Medicine 2016;95(38):e4723. doi: 10.1097/MD.0000000000004723
Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi S. PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Serv Res 2014;14(579). doi: 10.1186/s12913-014-0579-0
Ceprnja D, Gupta A. Does muscle energy technique have an immediate benefit for women with pregnancy-related pelvic girdle pain? Physiother Res Int 2019;24:1746. doi: 10.1002/pri.1746
Vaidya SM. Sacroiliac joint mobilisation versus transcutaneous electrical nerve stimulation for pregnancy induced posterior pelvic pain- a randomised clinical trial. Journal of Clinical and Diagnostic Research 2018;12(1):YC04-YC07. doi: 10.7860/JCDR/2018/26696.10781
Scott KL, Hellawell M. Effects of water- and land-based exercise programmes on women experiencing pregnancy-related pelvic girdle pain: a randomized controlled feasibility study. Journal of Pelvic, Obstetric & Gynaecological Physiotherapy 2018;122:21-29.
Melkersson C, Nasic S, Starzmann K, Bengtsson Bostrom K. Effect of foot manipulation on pregnancy-related pelvic girdle pain: a feasibility study. J Chiropr Med 2017;16(3):211-9. doi: 10.1016/j.jcm.2017.05.003
Verstraete EH, Vanderstraeten G, Parewijck W. Pelvic Girdle Pain during or after pregnancy: a review of recent evidence and a clinical care path proposal. Facts Views Vis Obgyn 2013;5:33-43.
Colla C, Paiva LL, Thomaz RP. Therapeutic exercise for pregnancy low back and pelvic pain: a systematic review. Fisioter Mov 2017;30(2):399-411. doi: 10.1590/1980-5918.030.002.ar03
Published
Issue
Section
License
Copyright (c) 2019 Renata Stefânia Olah de Souza, Bianca Mesquita de Moraes, Claudia de Oliveira, Patricia Andrade Batista, Rossana Pulcineli Vieira Francisco, Clarice Tanaka
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
