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A rehabilitation programme focussing on pelvic floor muscle training for persistent lumbopelvic pain after childbirth: a randomized controlled trial [with consumer summary]
Wang H, Feng X, Liu Z, Liu Y, Xiong R
Journal of Rehabilitation Medicine 2021 Apr;53(4):jrm00180
clinical trial
8/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; 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: To evaluate the effects of a rehabilitation programme, focusing on biofeedback-assisted pelvic floor muscle training, for lumbopelvic pain after childbirth. METHODS: Women with lumbopelvic pain 3 months postpartum were included in a randomized controlled trial. All participants received stabilization strengthening exercises. Patients in the intervention group (n = 48) also received biofeedback-assisted pelvic floor muscle training in combination with neuromuscular electrical stimulation of the paraspinal muscles for 12 weeks, while patients in the control group (n = 48) received neuromuscular electrical stimulation for 12 weeks. Preliminary outcomes at 6 and 12 weeks were measured with the Triple numerical pain rating scale (NPRS), Modified Oswestry Disability Questionnaire (MODQ) and Short-Form Health Survey-36 (SF-36). RESULTS: The NPRS score was significantly better in the intervention group at 12 weeks compared with the control group (p = 0.000). The MODQ score was also significantly better at 6 and 12 weeks compared with the control group (p = 0.009 and p = 0.015, respectively). The mean value of the Physical Components Summary of the SF-36, was significantly better in the intervention group at 6 weeks (p = 0.000) and 12 weeks (p = 0.000) compared with the control group, but there was no significant improvement in Mental Components Summary of the SF-36. There were significant differences between groups for all of these scores, except for the Mental Components Summary score. CONCLUSION: The results of this study show that a postpartum programme for women with lumbopelvic pain, using biofeedback-assisted pelvic floor muscle training in combination with neuromuscular electrical stimulation of the paraspinal muscles, is feasible and improves the physical domain of quality of life.

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