Abstract
Association of Pelvic Alignment and Posture in Pregnancy with Lower Back or Pelvic Girdle Pain During Postpartum Recovery: Myth or Reality? A Systematic Review
Highlights
Lower back pain (LBP) and pelvic girdle pain (PGP) are primary adverse consequences of pregnancy
Changes in pelvic alignment and posture during pregnancy may persist into the postpartum period
It was not possible to conclude that changes in posture and pelvic alignment are related to LBP or PGP, as many of the studies we reviewed included small sample sizes, and some studies used methods of low reliability
Summary
Lower back pain (LBP) and pelvic girdle pain (PGP) are primary adverse consequences of pregnancy. Over 50% of pregnant women suffer pain and ~30% of those complained that PGP persisted >3 months after childbirth [1,2,3]. According to Spice et al [6], persistent PGP for 3 months after delivery was associated with increased disability scores, positive pain provocation tests, increased symphyseal distention, asymmetric laxity of SI joints, and hypermobility. Increased intra-abdominal pressure is related to PGP [7]. Changing posture and excess abdominal area are natural occurrences in pregnancy [8]. Those changes potentially cause LBP and PGP. Accurate measurements of pelvic alignment and posture related to LBP or PGP are crucial to manage persistent pain
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