Expert advice about therapeutic exercise in the management of sacroiliac dysfunction in pregnancy: Secondary analysis of a randomized trial

Filipec, Manuela; Matijević, Ratko

doi:10.1016/j.ejogrb.2021.08.011

Cited by 2 publications

(4 citation statements)

References 26 publications

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“…A funnel plot was created to visualize potential publication bias within the primary meta-analysis. Minimal asymmetry was noted with the Filipec and Matijevic  18 article published in 2021 noted as the outlier. Removal of this study still produced significant results (overall ES = 1.36; 95% CI = 0.93-1.80; P < .001) and reduced the asymmetry in the funnel plot.…”

Section: Meta-analysismentioning

confidence: 99%

“…Several new randomized controlled trials (RCTs) on this topic have been published in recent years, which have yet to be included in comparative analyses. [17][18][19][20] Additionally, previous reviews have been inconsistent as to how they define, differentiate, and include pelvic pain when evaluating the impact of exercise or other conservative therapies on pregnancy-related low back pain. With many definitions of pelvic pain, some of which overlap with the definition of low back pain, drawing a distinction between the 2 when analyzing prior literature is difficult.…”

Section: Introductionmentioning

confidence: 99%

“…While evidence supports an exercise benefit in overall maternal and fetal health, as well as in reducing lumbopelvic pain, it is not clear from current literature which type of exercise should be recommended to reduce lumbopelvic pain severity in pregnant women. Several new randomized controlled trials (RCTs) on this topic have been published in recent years, which have yet to be included in comparative analyses 17–20. Additionally, previous reviews have been inconsistent as to how they define, differentiate, and include pelvic pain when evaluating the impact of exercise or other conservative therapies on pregnancy-related low back pain.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Exercise on Lumbopelvic Pain During Pregnancy: A Systematic Review and Meta-analysis

Tombers

Grob²,

Ollenburg

et al. 2023

Journal of Women's Health Physical Therapy

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Background: At least 50% of women experience lumbopelvic pain during pregnancy. Physical activity has moderate health benefits and no adverse outcomes for women with uncomplicated pregnancies. Physically active pregnant women have lower pain intensities than sedentary women. It is not clear whether common exercise types are equally beneficial for the management of lumbopelvic pain during pregnancy. Objective: The aim of this systematic review is to determine the effect of exercise on reducing lumbopelvic pain intensity in pregnant women. Study Design: A systematic review and meta-analysis. Methods: Seven databases (CINAHL, Medline, ScienceDirect, SportDiscus, ProQuest, Google Scholar, and Cochrane) were searched in October 2020 and again in February 2022. Studies investigating the effect of exercise on low back or pelvic pain in pregnant women were included, with no limitation on publication date. Primary data collected for quantitative analysis included pain intensity. Bias was assessed using the Cochrane bias tool. A meta-analysis was performed using individual study effect sizes (ES) using a random-effects model. Results: Initial search yielded 1,771 results and 21 articles were identified as meeting the inclusion criteria. One article utilized 2 intervention groups and was counted as separate studies. Meta-analysis on 22 studies yielded a statistically significant and large ES, indicating exercise intervention during pregnancy results in significantly lower pain reports compared with usual prenatal care (overall ES = 2.07; 95% confidence interval = 1.35-2.78; P < .001). Conclusion: Exercise is beneficial in the management of lumbopelvic pain in pregnant women.

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Section: Meta-analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of Exercise on Lumbopelvic Pain During Pregnancy: A Systematic Review and Meta-analysis

Tombers

Grob²,

Ollenburg

et al. 2023

Journal of Women's Health Physical Therapy

View full text Add to dashboard Cite

show abstract

“…Compensation of lumbar lordosis results in increased flexion of the cervical spine, adduction and internal rotation of the shoulder girdle, hyperextension of the knee and reliance on the posterior part of the foot [68]. Adjusted posture during pregnancy leads to the body imbalance, shortening or stretching of muscles, which can result in painful conditions such as sacroiliac dysfunction, low back pain or hip pain [68][69][70].…”

Section: Postural Adjustmentsmentioning

confidence: 99%

Why We should Recommend Exercise in Pregnancy?

Filipec¹,

Matijević²

2022

Clin. Exp. Obstet. Gynecol.

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Objective: This narrative review is presenting the impact of exercise on pregnant women and fetus and provides current recommendations for exercise in pregnancy. Mechanism: Exercise during pregnancy has a numerous effects on both pregnant woman and her fetus. When recommending exercise during pregnancy, it is necessary to keep in mind the physiological responses of the body's systems during exercise, changes occuring in pregnancy and the influence of this changes on pregnant woman's body as well as on the fetus and fetal responses to exercise during pregnancy. The type, intensity, duration, and frequency of exercise should be adjusted to the level of physical activity of pregnant women and period of pregnancy in order to achieve clinically significant health benefits. Findings in Brief: Exercise in pregnancy is beneficial for both the mother and her fetus and contributes to the prevention of pregnancy-related disorders. It is recommend to exercise 30 minutes daily five days a week with a tendency to increase the exercise each day in order to accumulate 150 to 300 minutes of exercise per week with moderate intensity. Conclusions: Regular exercise leads to specific adaptation processes of the body systems improving the physical and mental health of pregnant women with positive effect on her fetus.

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Expert advice about therapeutic exercise in the management of sacroiliac dysfunction in pregnancy: Secondary analysis of a randomized trial

Cited by 2 publications

References 26 publications

Effects of Exercise on Lumbopelvic Pain During Pregnancy: A Systematic Review and Meta-analysis

Effects of Exercise on Lumbopelvic Pain During Pregnancy: A Systematic Review and Meta-analysis

Why We should Recommend Exercise in Pregnancy?

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