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J Bodyw Mov Ther. 2017 Oct;21(4):752-762. doi: 10.1016/j.jbmt.2017.05.014. Epub 2017 May 31.

Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis.

Author information

1
Institute for Osteopathic Studies, Fürst-Bülow-Str. 10, 57074, Siegen, Germany. Electronic address: info@iniost.de.
2
Institute for Osteopathic Studies, Fürst-Bülow-Str. 10, 57074, Siegen, Germany. Electronic address: jan-david@franke-center.de.
3
School of Therapy & Social Work, Fresenius University of Applied Sciences, Germany. Electronic address: Belz.Sebastian@t-online.de.
4
Centre for Chronic Disease Prevention and Management, College of Health and Biomedicine, Victoria University, Melbourne, Australia; A.T. Still Research Institute, A.T. Still University, Kirksville, MO, USA. Electronic address: gary.fryer@vu.edu.au.

Abstract

BACKGROUND:

Low back pain (LBP) is a common complaint during pregnancy. This study examined the effectiveness of osteopathic manipulative treatment (OMT) for LBP in pregnant or postpartum women.

METHODS:

Randomized controlled trials unrestricted by language were reviewed. Outcomes were pain and functional status. Mean difference (MD) or standard mean difference (SMD) and overall effect size were calculated.

RESULTS:

Of 102 studies, 5 examined OMT for LBP in pregnancy and 3 for postpartum LBP. Moderate-quality evidence suggested OMT had a significant medium-sized effect on decreasing pain (MD, -16.65) and increasing functional status (SMD, -0.50) in pregnant women with LBP. Low-quality evidence suggested OMT had a significant moderate-sized effect on decreasing pain (MD, -38.00) and increasing functional status (SMD, -2.12) in postpartum women with LBP.

CONCLUSIONS:

This review suggests OMT produces clinically relevant benefits for pregnant or postpartum women with LBP. Further research may change estimates of effect, and larger, high-quality randomized controlled trials with robust comparison groups are recommended.

KEYWORDS:

Low back pain; Osteopathic manipulative treatment; Postpartum; Pregnancy; Spinal manipulation; Systematic review

PMID:
29037623
DOI:
10.1016/j.jbmt.2017.05.014
[Indexed for MEDLINE]

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