Application of osteopathic manipulative technique in the treatment of back pain during pregnancy

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(1)Ginekol Pol. 2015, 86, 224-228. 4 6 % ' ) 4 3 + 0 Á ( 3 ; ) poł ożn i ct wo. Application of osteopathic manipulative technique in the treatment of back pain during pregnancy Zastosowanie manualnych technik osteopatycznych w leczeniu bólu pleców u kobiet w ciąży

(2) 1, Hubert Wolski2,3 2,4, Joanna Lipiec,

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(4) &' 1 1. Department of Rheumatology and Rehabilitation, Poznan University of Medical Sciences, Poland Division of Perinatology and Women’s Diseases, Department of Perinatology and Gynecology, Poznan University of Medical Sciences, Poland 3 Division of Obstetrics and Gynecology, Podhalanski Multidisciplinary Hospital Nowy Targ, Poland 4 Department of Pharmacology and Phytochemistry, Institute of Natural Fibers and Medicinal Plants, Poznan, Poland 5 Department of Pathophysiology of Locomotor Organs, Poznan University of Medical Sciences, Poland 6 Faculty of Physical Education, Sport and Rehabilitation, University School of Physical Education Poznan, Poland 7 Greater Poland Cancer Centre, Department of Head and Neck Surgery, Poznan, Poland 8 Laboratory of Experimental Pharmacogenetics, Department of Clinical Pharmacy and Biopharmacy, University of Medical Sciences, Poznan, Poland 9 Department of Nursing, Poznan University of Medical Sciences, Poznan, Poland 10 Department of Obstetrics and Women’s Diseases, Poznan University of Medical Sciences, Poznan, Poland 2. Abstract Changes in body posture, musculoskeletal disorders and somatic dysfunctions are frequently observed during pregnancy, especially ligament, joint and myofascial impairment. The aim of the paper is to present the use of osteopathic manipulative treatment (OMT) for back and pelvic pain in pregnancy on the basis of a review of the available literature. MEDLINE and Cochrane Library were searched in January 2014 for relevant reports, randomized controlled trials, clinical and case studies of OMT use in pregnant women. Each eligible source was verified and analyzed by two independent reviewers. OMT procedures appear to be effective and safe for pelvic and spinal pain management in the lumbosacral area in pregnant women.. Key words: pregnancy / low-back pain / manual therapy / / osteopathic manipulative treatment /. Corresponding author: Marian Majchrzycki Department of Rheumatology and Rehabilitation Poznan University of Medical Sciences, Poland Poland, 61-545 Poznań, ul. 28 czerwca 1956 r. nr 135/147 e-mail: marian.majchrzycki@gmail.com. 224. Otrzymano: 23.05.2014 Zaakceptowano do druku: 20.06.2014. © Polskie Towarzystwo Ginekologiczne. Nr 3/2015.

(5) Ginekol Pol. 2015, 86, 224-228. 4 6 % ' ) 4 3 + 0 Á ( 3 ; ) po ł o ż n i c t wo. Marian Majchrzycki et al. Application of osteopathic manipulative technique in the treatment of back pain during pregnancy.. Streszczenie W trakcie ciąży u kobiet zachodzą zmiany w postawie ciała, układzie mięśniowo-szkieletowym oraz zaburzenia somatyczne. Najczęściej dochodzi do dysfunkcji więzadeł, stawów i powięzi. Celem pracy jest przedstawienie wykorzystania bezpiecznych osteopatycznych technik manualnych w leczeniu bólu pleców i miednicy u kobiet w ciąży, na podstawie przeglądu dostępnej literatury naukowej. Przegląd literatury przeprowadzono w bazach danych MEDLINE i Cochrane Library w styczniu 2014 roku. Do analizy wybrano prace poglądowe, randomizowane, kliniczne oraz studium przypadku dotyczące terapii manualnej u kobiet w ciąży. Każda praca była weryfikowana i analizowana przez dwóch niezależnych badaczy. Osteopatyczne techniki manualne (OMT) wydają się być skuteczną i bezpieczną terapią w bólach odcinka lędźwiowo-krzyżowego kręgosłupa i miednicy u kobiet w ciąży.. Słowa kluczowe: / ból pleców / terapia manualna / osteopatia /. Introduction. Osteopathic manipulative treatment for pregnant women. ()) *

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(54) Ginekol Pol. 2015, 86, 224-228. 4 6 % ' ) 4 3 + 0 Á ( 3 ; ) poł ożn i ct wo. Marian Majchrzycki et al. Application of osteopathic manipulative technique in the treatment of back pain during pregnancy.. Tabl e I . Summary of Osteopathic manipulative treatment in pregnant women.. Number of participants. Study type. Week of pregnancy.

(55) therapy. Comparison between groups. conclusions. King et al. . 321 women. Clinical study. After delivery. Group 1: with OMT (160 women) Group 2. Group that did not receive prenatal OMT (161 women). The case control study found evidence of improved outcomes in labor and delivery for women who received prenatal OMT compared with women who did not.. Results of the study support the hypothesis that prenatal OMT may reduce the occurrence of some complications of pregnancy, labor and delivery.. Licciardone et al. . 144 women. RCT. 30th week of pregnancy. Group 1: usual obstetric care and OMT Group 2: usual obstetric care and sham ultrasound treatment Group 3: usual obstetric care only. During pregnancy, back pain decreased in Group 1, remained unchanged in Group 2, and increased in Group 3.. OMT slows or halts the deterioration

(56) functioning during the third trimester of pregnancy.. Daly et al. . 23 women. Clinical study. During pregnancy. One group of 11 women with sacroiliac subluxation.. 11 from 23 women meeting criteria for sacroiliac subluxation was treated with OMT.. After OMT 91% of women had relief of pain and no signs of sacroiliac subluxation.. McIntyre et al. . 20 women. Clinical study. During pregnancy. 20 women with low back pain.. After three visits 15 women had no pain and

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(59) 50% improvement in their pain.. Low back pain in pregnancy is likely to be due to sacroiliac dysfunction which

(60) improved with mobilisation.. Smallwood et al. . Woman. Case study. During pregnancy and labor. A 30-year-old woman desiring natural childbirth with a history of low back pain.. The patient was able to undergo labor and delivery without the painkillers. Stage two of labor was on the quicker end of the spectrum.. OMT for the laboring woman should be considered as a treatment modality to facilitate a natural childbirth.. Licciardone et al. . 144 women. RCT. The third trimester of pregnancy. Group 1: usual obstetric care and OMT Group 2: usual obstetric care and sham ultrasound treatment Group 3: usual obstetric care only. Patients in Group 1 were.

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(67) 1 vs Group 2 and for Group 1 vs Group 3 were .

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(70) dysfunction during the third trimester of pregnancy.. George et al. . 169 women. RCT. 24-28 weeks’ gestation with followup 33 weeks’ gestation. Group 1: musculoskeletal and obstetric management (87 women) Group 2: standard obstetric care (81 women). Group 1 demonstrated.

(71) reductions in Numerical Rating Scales scores and Quebec Disability Questionnaire scores from baseline to followup evaluation. Group 2 demonstrated no.

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(76) more than standard obstetric care.. Study. RCT – randomized controlled trial OMT – osteopathic manipulative treatment. 226. © Polskie Towarzystwo Ginekologiczne. Nr 3/2015.

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(134) )- K- -- )"- /0-"00 -5. Oświadczenie autorów: 1. Marian Majchrzycki – autor koncepcji i założeń pracy, przygotowanie manuskryptu i piśmiennictwa – autor zgłaszający i odpowiedzialny za manuskrypt. 2. Hubert Wolski – współautor tekstu pracy, zebranie piśmiennictwa, przygotowanie manuskryptu. 3. Agnieszka Seremak-Mrozikiewicz – współautor tekstu pracy, korekta i aktualizacja literatury. 4. Joanna Lipiec – zebranie piśmiennictwa, przygotowanie manuskryptu. 5. Sławomir Marszałek – zebranie piśmiennictwa, przygotowanie manuskryptu. 6. Przemysław M. Mrozikiewicz – opracowanie koncepcji pracy, współautor tekstu pracy. 7. Andrzej Klejewski – zebranie piśmiennictwa, przygotowanie manuskryptu. 8. Przemysław Lisiński – korekta i akceptacja ostatecznego kształtu manuskryptu. Źródło finansowania: Praca nie była finansowana przez żadną instytucję naukowo-badawczą, stowarzyszenie ani inny podmiot, autorzy nie otrzymali żadnego grantu. Konflikt interesów:. +_^Y\dc XSO dQ¨K]dKT UYX»SU^_ SXÔ\O]éa Y\Kd XSO Y^\dcWKVS ŞKNXOQY acXKQ\Ydzenia związanego z powstawaniem pracy.. © Polskie Towarzystwo Ginekologiczne. 227.

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