Engelsk titel: Dynamic control and stability - efficient against pelvic girdle pain?
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Författare:
Stuge B
Email: britt.stuge@medisin.uio.no
Språk: Eng
Antal referenser: 0
Dokumenttyp:
Artikel
UI-nummer: 06093858
Sammanfattning
This article presents the essence of a PhD-thesis which increased the knowledge about treatment of pregnancy-related pelvic girdle pain (PGP). Patients often consult physiotherapists for treatment of their PGP, but the evidence for the effect of different treatment modalities has been uncertain. This is shown in a review of physiotherapy interventions. Based on recent research of motor control of local muscles to provide segmental control and dynamic stability of the lumbopelvic region, a physiotherapy program including specific exercises was proposed, and results from the trial are reported. The thesis contains five papers (P): P I a systematic review of the effect from various physical therapy interventions; P II a randomized controlled trial; P III a follow up over two years; P IV principles for stability training; P V a case control study assessing deep muscle activation. The thesis showed no strong evidence for pain prevention, strong and long lasting treatment effect of physiotherapy including specific stabilization exercises, and no statistical significant difference in voluntary local muscle contraction between responding and non-responding individuals.