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Osteopathy for Back- and Pelvic Pain in Pregnancy

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2002/09, Pages: 66, type of study: controlled clinical trial

Free full text   (https://www.osteopathicresearch.com/s/orw/item/3039)

Keywords:

back pain [493]
pelvic pain [58]
pregnancy [142]
controlled clinical trial [283]
female [379]
women [333]
WSO [433]

Abstract:

Study Design: A prospective clinical case study of pregnant women with back or pelvic pain, 12 probationers in the intervention group and 12 in the control group. Objective: Few studies focus on a solution to the pelvic pain problem of pregnant women. The intention of this study was to evaluate the effeciency of osteopathic treatment and compare it with results of standard treatment. Summary of Background Data: About 50% of pregnant women suffer from back or pelvic pain The patogenesis of pelvic and low back pain during pregnancy is broadly unknown andmanifold. It is hypothesized that peripartum pelvic pain is caused by strain of ligaments in the pelvis and lower spine resulting from a combination of damage to ligaments, hormonaleffects, muscle weakness and the weight of the foetus; Up to now compensated posturalproblems have a tendency to get aggravated. It occured not only to be a handicap for the women but also a risk factor for birth complications and the development of chronic backproblems. Methods: 24 pregnant women at the 18th-34th week of gestation with pelvic pain and similarstarting situations were followed for 8 weeks.They filled in questionnaires at the beginning and the end of the observation period. Measure for pain intensity was a 10 cm VisualAnalogue Scale, measure for physical disability the 24 points counting Roland Morris Disability Questionnaire. The intervention group received 3 osteopathic treatments (“blackbox“-model), the control group any treatment they preferred. Results: The two groups showed a homogeneous starting point in base line characteristics,pain and disability scores. After 8 weeks the intervention group improved significantly (p<0,01) in both aspects, pain and disability. The control group registered no change in pain nor in disability. Furthermore, it occured that only 25% of them had any treatment at all. Conclusion: Osteopathy seemed to be a safe, pleasant and effective treatment for pregnant women with back or pelvic pain. The study also showed that the problems did not decrease with time without any intervention, so it should no longer be ignored or seen as something unalterable.


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