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|The effect of stabilization exercises on pain, disability and pelvic floor muscle function in postpartum lumbopelvic pain: a randomized controlled trial|
|Teymuri Z, Hosseinifar M, Sirousi M|
|American Journal of Physical Medicine & Rehabilitation 2018 Dec;97(12):885-891|
|6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*|
OBJECTIVE: The effect of stabilization exercises on pain, disability and pelvic floor muscle function in postpartum lumbopelvic pain. DESIGN: A single-blind, randomized controlled trial SETTING: This study was performed at the physiotherapy clinic, Zahedan University of medical science, January to November 2017. PARTICIPANTS: Thirty-six Multiparous women with persistent postpartum Lumbopelvic pain were recruited at least three months 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 Trans-Abdominal ultrasound imaging respectively at baseline and after six weeks 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). CONCLUSION: The stabilizing exercises can remarkably improve pain, disability and pelvic floor muscles function in postpartum lumbopelvic pain. (Clinical Trial Registry NCT03030846).