Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review

Weis, Carol Ann; Pohlman, Katherine A.; Draper, Crystal; daSilva-Oolup, Sophia; Stuber, Kent

doi:10.1016/j.jmpt.2020.05.005

Cited by 14 publications

(17 citation statements)

References 82 publications

(432 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Even though not proven to reduce the risk of developing PGP [56,58], a recent systematic review on physical activity and exercise in relation to pregnancy reported decreased severity of PGP and LPP [56]. Davenport et al reported their intervention results separated as 'exercise only' or 'exercise plus co-intervention' [56], which could explain the somewhat different result to another recent systematic review that reported inconclusive, although favorable, evidence for exercises in pregnancy [55] as well as at postpartum [42]. These latest results confirm the most recent Cochrane review on exercise in pregnancy for LPP and LBP, but not the previous result of no effect for PGP [4].…”

Section: Physical Activity and Exercisementioning

confidence: 95%

“…Seven systematic reviews, performed according to PRISMA, reported on physical activity/exercise as management of PGP. Weis et al, (2020) conducted two systematic reviews on systematic reviews and RCTs to assess the effectiveness of chiropractic care options including exercises commonly used for pregnancy-related PGP, LPP and LBP during pregnancy [55] and postpartum [42]. For PGP in pregnancy, there was inconclusive evidence that an exercise program was more effective to decrease pain and disability compared with standard treatment [55].…”

Section: Physical Activity and Exercisementioning

confidence: 99%

“…Weis et al, (2020) conducted two systematic reviews on systematic reviews and RCTs to assess the effectiveness of chiropractic care options including exercises commonly used for pregnancy-related PGP, LPP and LBP during pregnancy [55] and postpartum [42]. For PGP in pregnancy, there was inconclusive evidence that an exercise program was more effective to decrease pain and disability compared with standard treatment [55]. For LPP, it was found that exercise had unclear outcomes on improvements in function (moderate strength evidence), and that exercise reduced the prevalence of LPP.…”

Section: Physical Activity and Exercisementioning

confidence: 99%

See 2 more Smart Citations

Lifestyle and Chronic Pain in the Pelvis: State of the Art and Future Directions

Gutke

Sundfeldt

Baets

2021

JCM

View full text Add to dashboard Cite

During their lifespan, many women are exposed to pain in the pelvis in relation to menstruation and pregnancy. Such pelvic pain is often considered normal and inherently linked to being a woman, which in turn leads to insufficiently offered treatment for treatable aspects related to their pain experience. Nonetheless, severe dysmenorrhea (pain during menstruation) as seen in endometriosis and pregnancy-related pelvic girdle pain, have a high impact on daily activities, school attendance and work ability. In the context of any type of chronic pain, accumulating evidence shows that an unhealthy lifestyle is associated with pain development and pain severity. Furthermore, unhealthy lifestyle habits are a suggested perpetuating factor of chronic pain. This is of specific relevance during lifespan, since a low physical activity level, poor sleep, or periods of (di)stress are all common in challenging periods of women’s lives (e.g., during menstruation, during pregnancy, in the postpartum period). This state-of-the-art paper aims to review the role of lifestyle factors on pain in the pelvis, and the added value of a lifestyle intervention on pain in women with pelvic pain. Based on the current evidence, the benefits of physical activity and exercise for women with pain in the pelvis are supported to some extent. The available evidence on lifestyle factors such as sleep, (di)stress, diet, and tobacco/alcohol use is, however, inconclusive. Very few studies are available, and the studies which are available are of general low quality. Since the role of lifestyle on the development and maintenance of pain in the pelvis, and the value of lifestyle interventions for women with pain in the pelvis are currently poorly studied, a research agenda is presented. There are a number of rationales to study the effect of promoting a healthy lifestyle (early) in a woman’s life with regard to the prevention and management of pain in the pelvis. Indeed, lifestyle interventions might have, amongst others, anti-inflammatory, stress-reducing and/or sleep-improving effects, which might positively affect the experience of pain. Research to disentangle the relationship between lifestyle factors, such as physical activity level, sleep, diet, smoking, and psychological distress, and the experience of pain in the pelvis is, therefore, needed. Studies which address the development of management strategies for adapting lifestyles that are specifically tailored to women with pain in the pelvis, and as such take hormonal status, life events and context, into account, are required. Towards clinicians, we suggest making use of the window of opportunity to prevent a potential transition from localized or periodic pain in the pelvis (e.g., dysmenorrhea or pain during pregnancy and after delivery) towards persistent chronic pain, by promoting a healthy lifestyle and applying appropriate pain management.

show abstract

Section: Physical Activity and Exercisementioning

confidence: 95%

Section: Physical Activity and Exercisementioning

confidence: 99%

Section: Physical Activity and Exercisementioning

confidence: 99%

See 1 more Smart Citation

Lifestyle and Chronic Pain in the Pelvis: State of the Art and Future Directions

Gutke

Sundfeldt

Baets

2021

JCM

View full text Add to dashboard Cite

show abstract

“…11,12,14 We evaluated systematic reviews by using a modified Scottish Intercollegiate Guideline Network (SIGN) checklist, 15 which has been used in other studies (Table 2). 11,12,[16][17][18][19] The SIGN checklist rates the studies as ''high quality, low risk of bias,'' ''acceptable quality, moderate risk of bias,'' ''low quality, high risk of bias,'' or ''unacceptable'' quality. We did not assess the quality of other types of studies, simply identifying their design and categorizing them as ''lower level.''…”

Section: Evaluation Of the Quality Of The Evidencementioning

confidence: 99%

The Role of Chiropractic Care in Providing Health Promotion and Clinical Preventive Services for Adult Patients with Musculoskeletal Pain: A Clinical Practice Guideline

Amorin-Woods

Evans

Whedon

et al. 2021

The Journal of Alternative and Complementary Medicine

Self Cite

View full text Add to dashboard Cite

Objective: To develop evidence-based recommendations on best practices for delivery of clinical preventive services by chiropractors and to offer practical resources to empower provider applications in practice.Design: Clinical practice guideline based on evidence-based recommendations of a panel of practitioners and experts on clinical preventive services.Methods: Synthesizing the results of a literature search for relevant clinical practice guidelines and systematic reviews, a multidisciplinary steering committee with training and experience in health promotion, clinical prevention, and/or evidence-based chiropractic practice drafted a set of recommendations. A Delphi panel of

show abstract

“…A systematic review on adverse reactions and chiropractic care in pregnancy-related LBP concluded that chiropractic care is safe in pregnancy, with a handful of minor and transient adverse events in the low back following spinal manipulation (29). However, evidence for the effectiveness of chiropractic care in pregnancy-related LB, PGP or LPGP are limited (30).…”

Section: Introductionmentioning

confidence: 99%

Drivers, barriers, and response to care of Australian pregnant women seeking chiropractic care for low back and pelvic girdle pain: A qualitative case study

Bernard-Giglio

French²,

Myburgh³

et al. 2022

Preprint

View full text Add to dashboard Cite

Background Pregnancy-related low back and/or pelvic girdle pain is common, with a prevalence of pelvic girdle pain at 44% in Australian women. Although 20% of Australian pregnant women visit a chiropractor for pelvic girdle pain, little is known about the experience of pregnant women who seek this care.The aim of this study was to explore and describe the lived experiences of Australian pregnant women who seek chiropractic care for their current pregnancy-related low back and/or pelvic girdle pain. Methods A qualitative case study approach with purposive sampling, from 27 chiropractic practices, was used. A constructivist and interpretivist stance provided understanding and meaning to the pregnant women’s lived experiences. Unstructured interviews using an audio-visual recording on an online platform were performed. A thematic analysis, based on a framework of transcribed interviews, memos, survey findings with triangulation and respondent validation was undertaken. Results 16 potential participants expressed interest in participating. After eligibility screening, nine interviews were undertaken. The thematic analysis identified four key themes: care drivers, care barriers, chiropractic treatment, and response to care. Conclusion Four key themes were identified, which support an overarching substantive-level theory that chiropractic care for pregnant woman experiencing low back pain and/or pelvic girdle pain improves pain and function, while reducing pregnancy-related biopsychosocial concerns. Due to the qualitative study design, findings have only “naturalistic” generalisability and general transferability. However, the findings may inform antenatal providers and the chiropractic profession about pregnant women’s experience with chiropractic care as well as directing future research. Ethics Approval: The research was granted ethics approval with Macquarie University Human Research Ethics applications # 52020621817665.

show abstract

Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review

Cited by 14 publications

References 82 publications

Lifestyle and Chronic Pain in the Pelvis: State of the Art and Future Directions

Lifestyle and Chronic Pain in the Pelvis: State of the Art and Future Directions

The Role of Chiropractic Care in Providing Health Promotion and Clinical Preventive Services for Adult Patients with Musculoskeletal Pain: A Clinical Practice Guideline

Drivers, barriers, and response to care of Australian pregnant women seeking chiropractic care for low back and pelvic girdle pain: A qualitative case study

Contact Info

Product

Resources

About