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Pregnancy AND low back pain AND Chiropractic

Helen Hall, Holger Cramer, Tobias Sundberg, Lesley Ward, Jon Adams, Craig Moore, David Sibbritt, Romy Lauche
BACKGROUND: Low back pain and pelvic girth pain are common in pregnancy and women commonly utilize complementary manual therapies such as massage, spinal manipulation, chiropractic, and osteopathy to manage their symptoms. OBJECTIVE: The aim of this systematically review was to critically appraise and synthesize the best available evidence regarding the effectiveness of manual therapies for managing pregnancy-related low back and pelvic pain. METHODS: Seven databases were searched from their inception until April 2015 for randomized controlled trials...
September 2016: Medicine (Baltimore)
Maria Bernard, Peter Tuchin
OBJECTIVE: The purpose of this case report is to describe chiropractic management of a patient with pregnancy-related lumbopelvic pain. CLINICAL FEATURES: A pregnant 35-year-old woman experienced insidious moderate to severe pregnancy-related lumbopelvic pain and leg pain at 32 weeks' gestation. Pain limited her endurance capacity for walking and sitting. Clinical testing revealed a left sacroiliac joint functional disturbance and myofascial trigger points reproducing back and leg pain...
June 2016: Journal of Chiropractic Medicine
Carol Ann Weis, Kent Stuber, Jon Barrett, Alexandra Greco, Alexander Kipershlak, Tierney Glenn, Ryan Desjardins, Jennifer Nash, Jason Busse
We assessed the attitudes of Canadian obstetricians toward chiropractic with a 38-item cross-sectional survey. Ninety-one obstetricians completed the survey, for a response rate of 14% (91 of 659). Overall, 30% of respondents held positive views toward chiropractic, 37% were neutral, and 33% reported negative views. Most (77%) reported that chiropractic care was effective for some musculoskeletal complaints, but 74% disagreed that chiropractic had a role in treatment of non-musculoskeletal conditions. Forty percent of respondents referred at least some patients for chiropractic care each year, and 56% were interested in learning more about chiropractic care...
April 2016: Journal of Evidence-based Complementary & Alternative Medicine
Daniel Mühlemann, Malin B Mühlemann
Low back pain in pregnancy is a common occurrence and is mainly caused by hormonal and biomechanical changes. Patients with pregnancy-induced low back pain (PILBP) frequently complain of moderate to severe and disabling pain often restricting their daily activities. In these cases, a “watch and wait” approach cannot be the best solution. On the basis of anamnesis and examination PILBP can be divided into three subgroups: pregnancy-related low back pain (PLBP), pelvic girdle pain (PGP) and the combination of PLBP and PGP...
May 20, 2015: Praxis
Joella Pettigrew
No abstract text is available yet for this article.
2014: Midwifery Today with International Midwife
Cynthia K Peterson, Daniel Mühlemann, Barry Kim Humphreys
BACKGROUND: Low back pain in pregnancy is common and research evidence on the response to chiropractic treatment is limited. The purposes of this study are 1) to report outcomes in pregnant patients receiving chiropractic treatment; 2) to compare outcomes from subgroups; 3) to assess predictors of outcome. METHODS: Pregnant patients with low back or pelvic pain, no contraindications to manipulative therapy and no manual therapy in the prior 3 months were recruited...
2014: Chiropractic & Manual Therapies
Ciara Close, Marlene Sinclair, S Dianne Liddle, Elaine Madden, Julie E M McCullough, Ciara Hughes
AIM: To evaluate and summarize the current evidence on the effectiveness of complementary and alternative medicine for the management of low back pain and/or pelvic pain in pregnancy. BACKGROUND: International research demonstrates that 25-30% of women use complementary and alternative medicine to manage low back and pelvic pain in pregnancy without robust evidence demonstrating its effectiveness. DESIGN: A systematic review of randomized controlled trials to determine the effectiveness of complementary and alternative medicine for low back and/or pelvic pain in pregnancy...
August 2014: Journal of Advanced Nursing
Christopher Oswald, Ceara C Higgins, Demetry Assimakopoulos
QUESTION: Many of my pregnant patients have muscle and joint aches, and are reluctant to use analgesics. What is known about chiropractic care during pregnancy? ANSWER: As pregnant women move into their second and third trimesters, their centres of mass shift anteriorly, causing an increase in lumbar lordosis, which causes low back and pelvic girdle pain. Increasing recent evidence attests to the effectiveness and safety of treating this pain using manual therapy...
August 2013: Canadian Family Physician Médecin de Famille Canadien
James W George, Clayton D Skaggs, Paul A Thompson, D Michael Nelson, Jeffrey A Gavard, Gilad A Gross
OBJECTIVE: Women commonly experience low back pain during pregnancy. We examined whether a multimodal approach of musculoskeletal and obstetric management (MOM) was superior to standard obstetric care to reduce pain, impairment, and disability in the antepartum period. STUDY DESIGN: A prospective, randomized trial of 169 women was conducted. Baseline evaluation occurred at 24-28 weeks' gestation, with follow-up at 33 weeks' gestation. Primary outcomes were the Numerical Rating Scale (NRS) for pain and the Quebec Disability Questionnaire (QDQ)...
April 2013: American Journal of Obstetrics and Gynecology
Shabnam Sadr, Neda Pourkiani-Allah-Abad, Kent Jason Stuber
UNLABELLED: HASH(0x407d0d8) BACKGROUND: Chiropractors regularly treat pregnant patients for low back pain during their pregnancy. An increasing amount of literature on this topic supports this form of treatment; however the experience of the pregnant patient with low back pain and their chiropractor has not yet been explored. The objective of this study is to explore the experience of chiropractic treatment for pregnant women with low back pain, and their chiropractors...
2012: Chiropractic & Manual Therapies
Emily R Howell
OBJECTIVE: Two case reports review the chiropractic treatment and rehabilitation management of Symphysis Pubis Dysfunction (SPD). CLINICAL FEATURES: Patient 1: a 35-year-old female presented at 30 weeks pregnant with severe left sided Symphysis Pubis Dysfunction and low back pain. Patient 2: a 33-year-old female also 30 weeks pregnant, presented with right sided Symphysis Pubis Dysfunction and sacroiliac pain. INTERVENTION AND OUTCOME: Treatment included soft tissue therapy, pregnancy support belt, side-lying mobilizations, pelvic blocks and instrument-assisted pubic symphysis adjustments...
June 2012: Journal of the Canadian Chiropractic Association
Marian Majchrzycki, Przemysław M Mrozikiewicz, Piotr Kocur, Joanna Bartkowiak-Wieczorek, Marcin Hoffmann, Wanda Stryła, Agnieszka Seremak-Mrozikiewicz, Edmund Grześkowiak
Pain of lumbosacral segment of the vertebral column and the pelvis concerns about 45% of all pregnant women. The change of the body posture during pregnancy is the result of gravity centre relocation, which affects the musculosceletal system. Development of the joint, ligament and myofascial dysfunctions, as well as the pain in the lumbosacral segment and the pelvis, are the most common reasons of spine pain. The aim of this review is to present the current state of knowledge about lumbar spine pain in pregnant women with special focus on the pain connected with muscular, joint and ligament disorders...
November 2010: Ginekologia Polska
F D O'Shea, E Boyle, D C Salonen, C Ammendolia, C Peterson, W Hsu, R D Inman
OBJECTIVE: The prevalence of sacroiliac (SI) joint abnormalities in a primary low back pain population remains unresolved. The aims of our study were to define the prevalence of SI joint disease in this cohort, and to identify clinical features that might accurately predict radiographic changes in the SI joint and spine. METHODS: Lumbar spine and anteroposterior pelvis radiographs taken over a 3-year period for the evaluation of back pain at a major chiropractic college were scored for the presence of inflammatory or degenerative features...
April 2010: Arthritis Care & Research
Donald R Murphy, Eric L Hurwitz, Ericka E McGovern
OBJECTIVE: The purpose of this study was to describe the clinical outcomes of patients with pregnancy-related lumbopelvic pain (PRLP) treated according to a diagnosis-based clinical decision rule. METHODS: This was a prospective observational cohort of consecutive patients with PRLP. Data on 115 patients were collected at baseline and on 78 patients at the end of the active treatment. Disability was measured using the Bournemouth Disability Questionnaire (BDQ). Pain intensity was measured using the Numerical Rating Scale for pain (NRS)...
October 2009: Journal of Manipulative and Physiological Therapeutics
Lindsey Zerdecki, Steven Passmore
No abstract text is available yet for this article.
2008: Midwifery Today with International Midwife
Kent J Stuber, Dean L Smith
OBJECTIVE: This study systematically reviewed the published evidence regarding chiropractic care, including spinal manipulation, for pregnancy-related low back pain (LBP). METHODS: A multimodal search strategy was conducted, including multiple database searches along with reference and journal hand searching. Studies were limited to those published in English and in a peer-reviewed journal or conference proceeding between January 1982 and July 2007. All study designs were considered except single case reports, personal narratives, and qualitative designs...
July 2008: Journal of Manipulative and Physiological Therapeutics
Anthony J Lisi
Low back pain is a common complaint in pregnancy, with a reported prevalence of 57% to 69% and incidence of 61%. Although such pain can result in significant disability, it has been shown that as few as 32% of women report symptoms to their prenatal provider, and only 25% of providers recommend treatment. Chiropractors sometimes manage low back pain in pregnant women; however, scarce data exist regarding such treatment. This retrospective case series was undertaken to describe the results of a group of pregnant women with low back pain who underwent chiropractic treatment including spinal manipulation...
January 2006: Journal of Midwifery & Women's Health
Shu-Ming Wang, Peggy DeZinno, Leona Fermo, Keith William, Alison A Caldwell-Andrews, Ferne Bravemen, Zeev N Kain
OBJECTIVE: To identify common treatments used for low-back pain (LBP) during pregnancy. DESIGN: A two-part anonymous survey. SETTING/LOCATION: New Haven, Connecticut. SUBJECTS: Pregnant women and providers of prenatal health care (nurse educators, nurse midwives, and obstetricians). RESULTS: We found that the majority of pregnant women who participated in our survey (61.7%) reported that they would accept complementary and alternative medicine (CAM) therapy as treatment for LBP during pregnancy...
June 2005: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
David B Stapleton, Alastair H MacLennan, Per Kristiansson
OBJECTIVE: To determine the prevalence of low back pain during pregnancy (LBPP) in an Australian population. DESIGN: A representative population-based survey of women aged 15 years and older. SETTING AND SAMPLE: Four thousand four hundred randomly selected South Australian households were visited by trained surveyors who interviewed 1531 women (69.7% response rate) using pre-tested questions. METHODS: The South Australian Health Omnibus survey was utilised...
November 2002: Australian & New Zealand Journal of Obstetrics & Gynaecology
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