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Physiotherapy. 2016 Mar;102(1):78-85. doi: 10.1016/j.physio.2015.02.003. Epub 2015 Apr 19.

Current management of pregnancy-related low back pain: a national cross-sectional survey of U.K. physiotherapists.

Author information

1
Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK. Electronic address: a.bishop@keele.ac.uk.
2
Research Institute for Primary Care and Health Sciences, Keele University, Keele, UK.

Abstract

BACKGROUND:

Pregnancy-related low back pain (LBP) is very common. Evidence from a systematic review supports the use of exercise and acupuncture, although little is known about the care received by women with pregnancy-related back pain in the U.K.

OBJECTIVE:

To describe current acupuncture and standard care management of pregnancy-related LBP by U.K. physiotherapists.

DESIGN:

Cross-sectional survey of physiotherapists with experience of treating women with pregnancy-related LBP from three professional networks of the Chartered Society of Physiotherapy.

METHODS:

In total, 1093 physiotherapists were mailed a questionnaire. The questionnaire captured respondents' demographic and practice setting information, and experience of managing women with pregnancy-related back pain, and investigated the reported management of pregnancy-related LBP using a patient case vignette of a specific, 'typical' case.

RESULTS:

The overall response rate was 58% (629/1093). Four hundred and ninety-nine physiotherapists had experience of treating women with pregnancy-related LBP and were included in the analysis. Most respondents worked wholly or partly in the U.K. National Health Service (78%). Most respondents reported that they treat patients with pregnancy-related LBP in three to four one-to-one treatment sessions over 3 to 6 weeks. The results show that a range of management strategies are employed for pregnancy-related LBP, and multimodal management is common. The most common reported treatment was home exercises (94%), and 24% of physiotherapists reported that they would use acupuncture with the patient described in the vignette.

CONCLUSIONS:

This study provides the first robust data on the management of pregnancy-related LBP by U.K. physiotherapists. Multimodal management is common, although exercise is the most frequently used treatment for pregnancy-related LBP. Acupuncture is used less often for this patient group.

KEYWORDS:

Acupuncture; Low back pain; Physiotherapy; Pregnancy; Survey

PMID:
26050136
DOI:
10.1016/j.physio.2015.02.003
[Indexed for MEDLINE]
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