INTRODUCTION: Several systematic reviews have already been performed with the aim of verifying the effect of combined treatments on the improvement of gestational low back and pelvic pain. However, the effect of exercise therapy in the treatment of gestational low back and pelvic pain is still unclear. OBJECTIVES: To review the evidence from randomized controlled trials (RCTs) of exercise therapy on pain, disability, recovery and overall health in women with gestational low back and pelvic pain. METHODS: Searches were conducted on Medline, Embase, CINAHL, CENTRAL and PEDro in February 2018. Some keywords used were randomized controlled trial, low back pain and exercise therapy. Only RCTs of women with gestational low back and pelvic pain were selected, whose treatment was based on exercise therapy. Studies were analyzed descriptively. RESULTS: Analyzing the 21 eligible studies, we may not confirm that exercises are superior to no treatment, minimal intervention/usual care, and other types of treatment for gestational low back and pelvic pain. This limitation is due to the high heterogeneity between the eligible studies. CONCLUSION: Evidence with good methodological quality is scarce for the use of exercises in the treatment of gestational low back and pelvic pain.

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