Division of Physiotherapy, Department of Medicine and Health Sciences, Linköping University, Linköping, Sweden.
J Rehabil Med. 2010 Nov;42(10):929-35. doi: 10.2340/16501977-0615.
To investigate the efficacy of home-based specific stabilizing exercises focusing on the local stabilizing muscles as the only intervention in the treatment of persistent postpartum pelvic girdle pain.
A prospective, randomized, single-blinded, clinically controlled study.
Eighty-eight women with pelvic girdle pain were recruited 3 months after delivery.
The treatment consisted of specific stabilizing exercises targeting the local trunk muscles. The reference group had a single telephone contact with a physiotherapist. Primary outcome was disability measured with Oswestry Disability Index. Secondary outcomes were pain, health-related quality of life (EQ-5D), symptom satisfaction, and muscle function.
No significant differences between groups could be found at 3- or 6-month follow-up regarding primary outcome in disability. Within-group comparisons showed some improvement in both groups in terms of disability, pain, symptom satisfaction and muscle function compared with baseline, although the majority still experienced pelvic girdle pain.
Treatment with this home-training concept of specific stabilizing exercises targeting the local muscles was no more effective in improving consequences of persistent postpartum pelvic girdle pain than the clinically natural course. Regardless of whether treatment with specific stabilizing exercises was carried out, the majority of women still experienced some back pain almost one year after pregnancy.
研究仅以局部稳定肌为主要干预措施的家庭基础特定稳定练习对持续性产后骨盆带疼痛的治疗效果。
前瞻性、随机、单盲、临床对照研究。
88 名产后 3 个月出现骨盆带疼痛的女性。
治疗包括针对局部躯干肌肉的特定稳定练习。对照组仅与物理治疗师进行一次电话联系。主要结局指标是采用 Oswestry 功能障碍指数（Oswestry Disability Index）测量的残疾程度。次要结局指标为疼痛、健康相关生活质量（EQ-5D）、症状满意度和肌肉功能。
在 3 个月和 6 个月的随访中，两组在残疾这一主要结局指标上均无显著差异。组内比较显示，两组在残疾、疼痛、症状满意度和肌肉功能方面均较基线有所改善，尽管大多数患者仍有骨盆带疼痛。
与临床自然病程相比，针对局部肌肉的这种家庭训练特定稳定练习治疗方案在改善持续性产后骨盆带疼痛的后果方面并无优势。无论是否进行特定稳定练习治疗，大多数女性在妊娠后近一年仍会出现一些背痛。
