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Minimal-contact physical interventions for pregnant women with musculoskeletal disorders: a systematic review of randomised and non-randomised clinical trials.

Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
August 1, 2022
Chukwuebuka P Onyekere et al. (4 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of minimal-contact physical interventions, including massage, on pain, disability, and quality of life in pregnant women with musculoskeletal disorders.

Results Summary

Partner massage plus information using booklets/photographs reduced pain intensity in pregnant women with low back pain. The study found that minimal-contact interventions, including massage, were effective for pain relief in this population.

Population

Pregnant women with musculoskeletal disorders, specifically those with lumbopelvic pain and low back pain.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Education and multimodal home exercises plus handbooks/multimodal individual/group exercises; and self-management programmes
decrease
pain intensity, sick leave and disability
pregnant women with lumbopelvic pain
-
improved
#1
Individual home-based progressive muscle relaxation exercises; unsupervised water exercises plus information using handbooks/videos/music; group multimodal exercises plus home exercises and information/education; and partner massage plus information using booklets/photographs
decrease
pain intensity
pregnant women with low back pain
-
reduced
#2
Non-rigid/customised lumbopelvic belts plus information
decrease
pain intensity
pregnant women with pelvic girdle pain
-
reduced pain intensity more significantly than rigid belts or stabilisation exercises plus information
#3
Minimal contact interventions
neutral
-
-
-
are effective
#4
Abstract

This review summarised minimal-contact physical interventions and their effects on pain, disability and quality of life in pregnant women with musculoskeletal disorders. Twelve bibliographic databases were systematically searched until December 31 2020. PEDro Scale was used for quality assessments. Narrative synthesis of 10 eligible studies was conducted. Education and multimodal home exercises plus handbooks/multimodal individual/group exercises; and self-management programmes improved pain intensity, sick leave and disability in pregnant women with lumbopelvic pain. Individual home-based progressive muscle relaxation exercises; unsupervised water exercises plus information using handbooks/videos/music; group multimodal exercises plus home exercises and information/education; and partner massage plus information using booklets/photographs reduced pain intensity in pregnant women with low back pain. Non-rigid/customised lumbopelvic belts plus information reduced pain intensity more significantly than rigid belts or stabilisation exercises plus information among pregnant women with pelvic girdle pain. Minimal contact interventions are effective and may be utilised during infectious disease pandemics.

Medical Subject Headings (MeSH)
Exercise TherapyFemaleHumansLow Back PainMusculoskeletal DiseasesPregnancyPregnancy ComplicationsPregnant PeopleQuality of LifeWater
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality80/10
Citation Metrics
Total Citations1
Citations/Year0.3
Relative Citation Ratio0.24
NIH Percentile12.4%
Research Impact Scores
APT Score0.25
Weight Score2.28
Normalized Score0.66
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