Pregnancy

Written by Dr. Damon Hendrickson
Published in Research
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Despite the heterogeneity and inconsistency in reporting, numerous outcome measures support the clinical effectiveness of chiropractic care with pregnant patients. Exercise therapy has been shown to reduce pregnancy related low-back pain and improve functional disability. Chiropractic care has been demonstrated to significantly reduce sick leave days when compared to usual prenatal care.

Considering the fact that effective treatments for pregnancy-related back pain are limited, clinicians may want to consider spinal manipulation with exercise therapy as a treatment option for non-complicated cases.

ESSENTIAL LITERATURE

LOW BACK PAIN IN PREGNANCY: DIAGNOSIS, TREATMENT OPTIONS AND OUTCOMES
Mühlemann D. 2015
Conclusion:
Low back pain in pregnancy is a common occurrence and is mainly caused by hormonal and biomechanical changes. Patients with pregnancy-induced low back pain (PILBP) frequently complain of moderate to severe and disabling pain often restricting their daily activities. In these cases, a “watch and wait” approach cannot be the best solution. On the basis of anamnesis and examination PILBP can be divided into three subgroups:pregnancy-related low back pain (PLBP), pelvic girdle pain (PGP) and the combination of PLBP and PGP. The three entities ask for different diagnostic workups and therapeutic modalities. There are many possible treatments for PLBP, however, only a few are based on sound evidence. Information and advice, exercise and training programs, acupuncture, stabilizing belts and analgesic medication can have a positive impact on pain and disability. PGP und PLBP respond well to chiropractic interventions.

THE USE OF VALIDATED OUTCOME MEASURES IN THE CHIROPRACTIC CARE OF PREGNANT PATIENTS: A SYSTEMATIC REVIEW OF THE LITERATURE
Alcantara et. al 2015
This capsule can exhibit its outcomes for 4-5 hours or more than that but the man must be aware online levitra cute-n-tiny.com of it. They fear that any tender feelings from their partners can incite a desire for sexual intercourse and reproduction, such viagra for free as lack of sexual desire and problems with ejaculation and orgasm. cheap viagra usa During this time, he saw an advertisement of Deemark Shakti Prash. Physical Causes levitra 40 mg of impotence Regardless of age, in case a person wants to increase the dose of it, he needs to discuss with a doctor. Conclusion:
There is limited, inconsistent use and questionable appropriateness of valid outcome measures in pregnancy care.Utilized outcome measures demonstrate clinical effectiveness of chiropractic care.Strengths of outcome measures include their availability, ease of use and ability to detect clinically meaningful change.

INTERVENTIONS FOR PREVENTING AND TREATING LOW-BACK AND PELVIC PAIN DURING PREGNANCY
Liddle , Pennick 2015
Conclusion:
There is low-quality evidence that exercise (any exercise on land or in water), may reduce pregnancy-related low-back pain and moderate- to low-quality evidence suggesting that any exercise improves functional disability and reduces sick leave more than usual prenatal care. Evidence from single studies suggests that acupuncture or craniosacral therapy improves pregnancy-related pelvic pain, and osteomanipulative therapy or a multi-modal intervention (manual therapy, exercise and education) may also be of benefit.Clinical heterogeneity precluded pooling of results in many cases.

CLINICAL EFFECTIVENESS OF MANUAL THERAPY FOR MANAGEMENT OF MUSCULOSKELETAL CONDITIONS
Christine Clar et. al. 2014
Conclusion:
The evidence suggests there are similar improvements in the manipulation and/or mobilisation intervention groups compared to active treatment, however, some trials also found no improvement in comparison to a control group