Cochrane · systematic review · CD001139
Interventions for preventing and treating low‐back and pelvic pain during pregnancy
Liddle, SD, Pennick, V · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 50%Moderate 2 · 50%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Current version onlyLow‐back pain: any exercises + usual prenatal care versus usual prenatal care
Population: pregnant women with back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity measured by a number of different measurements; lower score = better. Low‐back pain: any exercises + usual prenatal care vs usual prenatal care | no estimate extracted | 7 studies · 645 participants | Low Downgraded: risk of bias, imprecision |
Disability measured by Roland Morris Disability Questionnaire and Oswestry Disability Index; lower score = better. Low‐back pain: any exercises + usual prenatal care vs usual prenatal care | no estimate extracted | 2 studies · 146 participants | Low Downgraded: risk of bias, imprecision |
Pelvic + low‐back pain: any exercises + usual prenatal care versus usual prenatal care
Population: pregnant women with, or at risk of developing, pelvic and back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of women who reported pain on Visual Analogue Scale. Pelvic + low‐back pain: any exercises + usual prenatal care vs usual prenatal care | RR 0.66 [0.45, 0.97] | 4 studies · 1176 participants | Moderate Downgraded: risk of bias |
Number of women who reported LBPP‐related sick leave. Pelvic + low‐back pain: any exercises + usual prenatal care vs usual prenatal care | RR 0.76 [0.62, 0.94] | 2 studies · 1062 participants | Moderate Downgraded: risk of bias |
Low‐back pain: any exercises + usual prenatal care versus usual prenatal care for treating back pain in pregnancy
Population: pregnant women with back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity measured by a number of different measurements; lower score = better Low‐back pain: any exercises + usual prenatal care vs usual prenatal care | no estimate extracted | 6 studies · 543 participants | Low Downgraded: risk of bias |
Disability measured by Roland Morris Disability Questionnaire and Oswestry Disability Index Low‐back pain: any exercises + usual prenatal care vs usual prenatal care | no estimate extracted | 2 studies · 146 participants | Low Downgraded: risk of bias, imprecision |
Low‐back pain: water gymnastics + usual prenatal care versus usual prenatal care for treating back pain in pregnancy
Population: pregnant women with back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of women taking sick leave because of back pain after 32 weeks' gestation Low‐back pain: water gymnastics + usual prenatal care vs usual prenatal care | RR 0.4 [0.17, 0.92] | 1 study · 241 participants | Low Downgraded: risk of bias, imprecision |
Low‐back pain: support belts for treating back pain in pregnancy
Population: pregnant women with back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
BellyBra versus Tubigrip ‐ Low‐back Pain | no estimate extracted | 1 study · 94 participants | Low Downgraded: risk of bias, imprecision |
BellyBra versus Tubigrip ‐ ADL | no estimate extracted | 1 study · 94 participants | Low Downgraded: risk of bias, imprecision |
Pelvic pain: deep versus superficial acupuncture for treating pelvic pain in pregnancy
Population: pregnant women with pelvic pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
evening pain, reported as better, based on women's report on Visual Analogue Scale Pelvic pain: deep vs superficial acupuncture | RR 1.06 [0.73, 1.54] | 1 study · 47 participants | Low Downgraded: risk of bias, imprecision |
Pelvic + low‐back pain: any exercises + usual prenatal care versus usual prenatal care for preventing and treating pelvic and back pain in pregnancy
Population: pregnant women with, or at risk of developing, pelvic and back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of women who reported pain on Visual Analogue Scale Pelvic + low‐back pain: any exercises + usual prenatal care vs usual prenatal care | RR 0.85 [0.73, 1] | 4 studies · 1344 participants | Moderate Downgraded: risk of bias |
Number of women who reported LBP/PGP‐related sick leave Pelvic + low‐back pain: any exercises + usual prenatal care vs usual prenatal care | RR 0.76 [0.62, 0.94] | 2 studies · 1062 participants | Moderate Downgraded: risk of bias |
Pelvic + low‐back pain: acupuncture + usual prenatal care versus usual prenatal care for preventing and treating pelvic and back pain in pregnancy
Population: pregnant women with, or at risk of developing, pelvic and back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of women who reported decreased pain Pelvic + low‐back pain: acupuncture + usual prenatal care vs usual prenatal care | RR 4.16 [1.77, 9.78] | 1 study · 72 participants | Low Downgraded: risk of bias, imprecision |
Pelvic + low‐back pain: acupuncture + usual prenatal care versus individualised physio + usual prenatal care for preventing and treating pelvic and back pain in pregnancy
Population: pregnant women with, or at risk of developing, pelvic and back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Numbers of women rating treatment as good or excellent Pelvic + low‐back pain: acupuncture + usual prenatal care vs individualised physio + usual prenatal care | RR 1.24 [0.96, 1.6] | 1 study · 46 participants | Low Downgraded: risk of bias, imprecision |