Vesting Sabine, Gutke Annelie, de Baets Liesbet
Närhälsan Gibraltar Rehabilitation, Gothenburg, Sweden.
Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Ann Med. 2025 Dec;57(1):2476046. doi: 10.1080/07853890.2025.2476046. Epub 2025 Mar 18.
This review evaluated the effectiveness of patient education and information on low back pain (LBP) and pelvic girdle pain (PGP) in pregnant and postpartum women and evaluated their alignment with modern pain education principles rooted in the biopsychosocial model.
A systematized narrative review was performed, including a systematic search of three databases and reference screening from relevant systematic reviews. The methodological quality of the included randomized controlled trials (RCT) was evaluated using the PEDro scale.
Eighteen studies, including nine RCTs with PEDro scores ranging from to 2-8, indicated that patient education during pregnancy can help reduce pain and related disability. Most studies did not differentiate between LBP and PGP, which limits the specificity and targeted approach of educational interventions. Education alone is less effective without accompanying active treatment. Current programs primarily emphasize biomechanics, covering anatomy and physical changes, but often neglect lifestyle factors, such as stress and sleep.
Although patient education is important for managing pregnancy-related LBP and PGP, its effectiveness may be improved by tailoring programs to specific pain conditions and integrating a biopsychosocial perspective on pain.
本综述评估了患者教育及信息对孕妇和产后女性下背痛（LBP）和骨盆带疼痛（PGP）的有效性，并评估了它们与基于生物心理社会模型的现代疼痛教育原则的一致性。
进行了一项系统的叙述性综述，包括对三个数据库的系统检索以及从相关系统综述中筛选参考文献。使用PEDro量表评估纳入的随机对照试验（RCT）的方法学质量。
18项研究，包括9项PEDro评分在2至8分之间的RCT，表明孕期的患者教育有助于减轻疼痛及相关功能障碍。大多数研究未区分LBP和PGP，这限制了教育干预措施的特异性和针对性。单纯的教育在没有积极治疗相伴的情况下效果较差。当前的项目主要强调生物力学，涵盖解剖学和身体变化，但常常忽视生活方式因素，如压力和睡眠。
尽管患者教育对于管理与妊娠相关的LBP和PGP很重要，但通过针对特定疼痛状况调整项目并纳入对疼痛的生物心理社会观点，其有效性可能会得到提高。
