Osteopathic Manipulative Treatment for Back Pain on Pregnant Patients: A Narrative Review
Item
- Title
- Osteopathic Manipulative Treatment for Back Pain on Pregnant Patients: A Narrative Review
- Title
- Osteopathic Manipulative Treatment for Back Pain on Pregnant Patients: A Narrative Review
- Author(s)
- Adlercreutz Nina
- Abstract
- Backgrounds:The aim of the study was to present a clear picture of the changes that occurs during pregnancy which could lead to low back pain (LBP) and as well as a better understanding of osteopathic beliefs, approaches, effects and limitations to treat pregnant women with low back pain and pelvic pain. Objectives: To critically review the current knowledge literature on potential sources and causes of LBP in pregnancy (part A) and the effectiveness of osteopathic manipulative treatment (OMT) (Part B). Methods: Keyword searches conducted using relevant databases and on-line journals retrieved quantitative and qualitative articles for consideration. Best practice guidelines for systematic reviews were adapted to suit narrative review and obtain objectivity of results on A) 16 & B) 14, selected papers. Results: Natural body changes do not successfully explain LBP. Each phase or stage of pregnancy singularly predisposes women to aches and pains associated with pregnancy. Conclusions: A higher level of evidence was attributed to the nervous system as any structure in the lumbar spine that possesses a nerve supply can possibly become a source of pain. In this scope, there is growing evidence to suggest chronic LBP is defined by central sensitization rather than neuronal hypersensitivity within the spinal cord. Despite it is not possible to conclude that spinal manipulative therapy (SMT) related symptoms during pregnancy is more effective than other manipulative treatment, authors suppose SMT effects is related with the alteration of the neuroplastic changes in central sensitization.
- Abstract
- Backgrounds:The aim of the study was to present a clear picture of the changes that occurs during pregnancy which could lead to low back pain (LBP) and as well as a better understanding of osteopathic beliefs, approaches, effects and limitations to treat pregnant women with low back pain and pelvic pain. Objectives: To critically review the current knowledge literature on potential sources and causes of LBP in pregnancy (part A) and the effectiveness of osteopathic manipulative treatment (OMT) (Part B). Methods: Keyword searches conducted using relevant databases and on-line journals retrieved quantitative and qualitative articles for consideration. Best practice guidelines for systematic reviews were adapted to suit narrative review and obtain objectivity of results on A) 16 & B) 14, selected papers. Results: Natural body changes do not successfully explain LBP. Each phase or stage of pregnancy singularly predisposes women to aches and pains associated with pregnancy. Conclusions: A higher level of evidence was attributed to the nervous system as any structure in the lumbar spine that possesses a nerve supply can possibly become a source of pain. In this scope, there is growing evidence to suggest chronic LBP is defined by central sensitization rather than neuronal hypersensitivity within the spinal cord. Despite it is not possible to conclude that spinal manipulative therapy (SMT) related symptoms during pregnancy is more effective than other manipulative treatment, authors suppose SMT effects is related with the alteration of the neuroplastic changes in central sensitization.
- presented at
- British School of Osteopathy
- Date Accepted
- 2011
- Date Submitted
- 3.2.2012 00:00:00
- Type
- osteo_thesis
- Language
- English
- Pub-Identifier
- 15034
- Inst-Identifier
- 780
- Keywords
- Low back pain, pelvic pain, etiology, pregnancy, prevalence, diagnosis, overweight, physical activity, osteopathy, low back pain, pregnancy, effectiveness, OMT, SMT.
- Recommended
- 0
- Item sets
- Thesis
Adlercreutz Nina, “Osteopathic Manipulative Treatment for Back Pain on Pregnant Patients: A Narrative Review”, Osteopathic Research Web, accessed May 15, 2024, https://www.osteopathicresearch.com/s/orw/item/1802