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Am J Phys Med Rehabil. 2018 Dec;97(12):885-891. doi: 10.1097/PHM.0000000000000993.

The Effect of Stabilization Exercises on Pain, Disability, and Pelvic Floor Muscle Function in Postpartum Lumbopelvic Pain: A Randomized Controlled Trial.

Author information

1
From the Department of Physiotherapy, School of Rehabilitation, Zahedan University of Medical Sciences, Zahedan, Iran (ZT); Health Promotion Research Center, Department of Physiotherapy, School of Rehabilitation, Zahedan University of Medical Sciences, Zahedan, Iran (MH); and Department of Physiotherapy, Iran University of Medical Sciences, Tehran, Iran (MS).

Abstract

OBJECTIVE:

The effect of stabilization exercises on pain, disability, and pelvic floor muscle function in postpartum lumbopelvic pain.

DESIGN:

This is a single-blind, randomized controlled trial.

SETTING:

This study was performed at the physiotherapy clinic, Zahedan University of Medical Science, from January to November 2017.

PARTICIPANTS:

Thirty-six multiparous women with persistent postpartum lumbopelvic pain were recruited at least 3 mos after delivery.

INTERVENTIONS:

Subjects in the training group (n = 18) received electrotherapy modalities and specific stabilizing exercises. The control group (n = 18) received only electrotherapy modalities.

MAIN OUTCOME MEASURES:

Pain, disability, and bladder base displacement (at rest and pelvic floor muscles contraction) were measured through visual analog scale, Oswestry Disability Index questionnaires, and transabdominal ultrasound imaging respectively at baseline and after 6 wks of intervention.

RESULTS:

Between-groups comparison showed significant improvement in pain, disability, and bladder base displacement in the training group (P < 0.05). In within-group comparison, training group had significant difference for all variables (P < 0.05). In the control group, pain and disability had significant difference (P < 0.05), whereas bladder base displacement had no significant change (P < 0.05).

CONCLUSIONS:

The stabilizing exercises can remarkably improve pain, disability, and pelvic floor muscles function in postpartum lumbopelvic pain (Clinical Trial Registry: NCT03030846).

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