A rehabilitation programme focussing on pelvic floor muscle training for persistent lumbopelvic pain after childbirth: A randomized controlled trial

J Rehabil Med. 2021 Apr 12;53(4):jrm00180. doi: 10.2340/16501977-2812.

Abstract

Objective: To evaluate the effects of a rehabilitation programme for lumbopelvic pain after childbirth.

Methods: Women with lumbopelvic pain 3 months postpartum were included in a randomized controlled trial. Patients in the intervention group (n = 48) received pelvic floor muscle training combined 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. Outcomes 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 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.

Conclusion: A postpartum programme for women with lumbopelvic pain is feasible and improves the physical domain of quality of life.

Keywords: biofeedback; lumbopelvic pain; myoelectric stimulation; pelvic floor; postpartum women.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Lumbosacral Region / physiopathology*
  • Pain / rehabilitation*
  • Pelvic Floor / physiopathology*
  • Postpartum Period / physiology*
  • Pregnancy
  • Quality of Life / psychology*