A systematic review of randomised controlled trials on the effectiveness of exercise programs on lumbo pelvic pain among postnatal women

2.50
Hdl Handle:
http://hdl.handle.net/10547/583236
Title:
A systematic review of randomised controlled trials on the effectiveness of exercise programs on lumbo pelvic pain among postnatal women
Authors:
Tseng, Pei-Ching; Puthussery, Shuby ( 0000-0002-1865-9546 ) ; Pappas, Yannis ( 0000-0003-3087-860X ) ; Gau, Meei-Ling
Abstract:
Background: A substantial number of women tend to be affected by Lumbo Pelvic Pain (LPP) following child birth. Physical exercise is indicated as a beneficial method to relieve LPP, but individual studies appear to suggest mixed findings about its effectiveness. This systematic review aimed to synthesise evidence from randomised controlled trials on the effectiveness of exercise on LPP among postnatal women to inform policy, practice and future research. Methods: A systematic review was conducted of all randomised controlled trials published between January 1990 and July 2014, identified through a comprehensive search of following databases: PubMed, PEDro, Embase, Cinahl, Medline, SPORTDiscus, Cochrane Pregnancy and Childbirth Group’s Trials Register, and electronic libraries of authors’institutions. Randomised controlled trials were eligible for inclusion if the intervention comprised of postnatal exercise for women with LPP onset during pregnancy or within 3 months after delivery and the outcome measures included changes in LPP. Selected articles were assessed using the PEDro Scale for methodological quality and findings were synthesised narratively as meta-analysis was found to be inappropriate due to heterogeneity among included studies. Results: Four randomised controlled trials were included, involving 251 postnatal women. Three trials were rated as of ‘good’ methodological quality. All trials, except one, were at low risk of bias. The trials included physical exercise programs with varying components, differing modes of delivery, follow up times and outcome measures. Intervention in one trial, involving physical therapy with specific stabilising exercises, proved to be effective in reducing LPP intensity. An improvement in gluteal pain on the right side was reported in another trial and a significant difference in pain frequency in another. Conclusion: Our review indicates that only few randomised controlled trials have evaluated the effectiveness of exercise on LPP among postnatal women. There is also a great amount of variability across existing trials in the components of exercise programs, modes of delivery, follow up times and outcome measures. While there is some evidence to indicate the effectiveness of exercise for relieving LPP, further good quality trials are needed to ascertain the most effective elements of postnatal exercise programs suited for LPP treatment.
Affiliation:
University of Bedfordshire
Citation:
Pei-Ching, T., Puthussery, S., Pappas, Y., Meei-Ling, G. (2015) 'A systematic review of randomised controlled trials on the effectiveness of exercise programs on Lumbo Pelvic Pain among postnatal women'. BMC Pregnancy and Childbirth 15 (316). Available at: http://www.biomedcentral.com/1471-2393/15/316 (Accessed: 4 December 2015).
Publisher:
BioMed Central
Journal:
BMC Pregnancy and Childbirth
Issue Date:
26-Nov-2015
URI:
http://hdl.handle.net/10547/583236
DOI:
10.1186/s12884-015-0736-4
PubMed ID:
26612732
PubMed Central ID:
PMC4661954
Additional Links:
http://www.biomedcentral.com/1471-2393/15/316
Type:
Article
Language:
en
ISSN:
1471-2393
Appears in Collections:
IHR Institute for Health Research

Full metadata record

DC FieldValue Language
dc.contributor.authorTseng, Pei-Chingen
dc.contributor.authorPuthussery, Shubyen
dc.contributor.authorPappas, Yannisen
dc.contributor.authorGau, Meei-Lingen
dc.date.accessioned2015-12-04T11:37:33Zen
dc.date.available2015-12-04T11:37:33Zen
dc.date.issued2015-11-26en
dc.identifier.citationPei-Ching, T., Puthussery, S., Pappas, Y., Meei-Ling, G. (2015) 'A systematic review of randomised controlled trials on the effectiveness of exercise programs on Lumbo Pelvic Pain among postnatal women'. BMC Pregnancy and Childbirth 15 (316). Available at: http://www.biomedcentral.com/1471-2393/15/316 (Accessed: 4 December 2015).en
dc.identifier.issn1471-2393en
dc.identifier.pmid26612732en
dc.identifier.doi10.1186/s12884-015-0736-4en
dc.identifier.urihttp://hdl.handle.net/10547/583236en
dc.description.abstractBackground: A substantial number of women tend to be affected by Lumbo Pelvic Pain (LPP) following child birth. Physical exercise is indicated as a beneficial method to relieve LPP, but individual studies appear to suggest mixed findings about its effectiveness. This systematic review aimed to synthesise evidence from randomised controlled trials on the effectiveness of exercise on LPP among postnatal women to inform policy, practice and future research. Methods: A systematic review was conducted of all randomised controlled trials published between January 1990 and July 2014, identified through a comprehensive search of following databases: PubMed, PEDro, Embase, Cinahl, Medline, SPORTDiscus, Cochrane Pregnancy and Childbirth Group’s Trials Register, and electronic libraries of authors’institutions. Randomised controlled trials were eligible for inclusion if the intervention comprised of postnatal exercise for women with LPP onset during pregnancy or within 3 months after delivery and the outcome measures included changes in LPP. Selected articles were assessed using the PEDro Scale for methodological quality and findings were synthesised narratively as meta-analysis was found to be inappropriate due to heterogeneity among included studies. Results: Four randomised controlled trials were included, involving 251 postnatal women. Three trials were rated as of ‘good’ methodological quality. All trials, except one, were at low risk of bias. The trials included physical exercise programs with varying components, differing modes of delivery, follow up times and outcome measures. Intervention in one trial, involving physical therapy with specific stabilising exercises, proved to be effective in reducing LPP intensity. An improvement in gluteal pain on the right side was reported in another trial and a significant difference in pain frequency in another. Conclusion: Our review indicates that only few randomised controlled trials have evaluated the effectiveness of exercise on LPP among postnatal women. There is also a great amount of variability across existing trials in the components of exercise programs, modes of delivery, follow up times and outcome measures. While there is some evidence to indicate the effectiveness of exercise for relieving LPP, further good quality trials are needed to ascertain the most effective elements of postnatal exercise programs suited for LPP treatment.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.biomedcentral.com/1471-2393/15/316en
dc.rightsArchived with thanks to BMC Pregnancy and Childbirthen
dc.subjectsystematic reviewen
dc.subjectlumbo pelvic painen
dc.subjectexerciseen
dc.subjectpostnatal womenen
dc.subjectrandomised controlled trialen
dc.subjectC600 Sports Scienceen
dc.subjectNational Taipei University of Nursing and Health Sciencesen
dc.titleA systematic review of randomised controlled trials on the effectiveness of exercise programs on lumbo pelvic pain among postnatal womenen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.identifier.journalBMC Pregnancy and Childbirthen
dc.identifier.pmcidPMC4661954en

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