Midwifery · 2025
The effect of pelvic belts to manage low back and pelvic pain during pregnancy a systematic review and meta-analysis.
СтатьяМетаанализСистематический обзорНазвание и аннотация: Перевод в очереди
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Lauridsen Jane, Dalbøge Annett, Jahn Alexander
Аннотация
PROBLEM: Low back (LBP) and pelvic girdle pain (PGP) reduce functional capacity and quality of life during pregnancy.
BACKGROUND: LBP and PGP are commonly experienced during pregnancy. Pelvic belts represent an intervention with minimal intrusion, easy access, and low cost, however the effect on health impairments (e.g., reducing pain) is uncertain.
AIM: This systematic review and meta-analysis evaluated the effects of pelvic belts on health impairments during pregnancy.
METHODS: Studies including pregnant women with singleton pregnancies experiencing LBP, PGP, or both were included. Studies with participants having co-morbidities, non-pregnancy-related LBP, PGP, or pelvic floor pain were excluded. The intervention was pelvic belt use compared to no belt or other types of belts. Outcomes included health impairments (e.g., pain and disability). After risk of bias assessment meta-analysis presented as forest plots was conducted using random-effects models, and heterogeneity was assessed using I² statistics. Publication bias was evaluated using funnel plots and Egger's test. Sensitivity analyses compared rigid and non-rigid belts. Level of evidence was evaluated using GRADE. Data were analysed in STATA.
RESULTS: Seven studies were included. Meta-analysis showed a mean reduction in pain scores of -20.17 (95 % CI: [-40.73], [0.4]) (N = 6 studies) and a smaller reduction in disability of -4.65 (95 % CI: [-16.57], [7.26]) (N = 5 studies). The level of evidence was rated as low and very low.
CONCLUSION: Pelvic belts provide modest pain reduction and minimal improvement in disability during pregnancy. Due to the low to very low level of evidence, further studies are needed to make clinical recommendations on pelvic belts.
BACKGROUND: LBP and PGP are commonly experienced during pregnancy. Pelvic belts represent an intervention with minimal intrusion, easy access, and low cost, however the effect on health impairments (e.g., reducing pain) is uncertain.
AIM: This systematic review and meta-analysis evaluated the effects of pelvic belts on health impairments during pregnancy.
METHODS: Studies including pregnant women with singleton pregnancies experiencing LBP, PGP, or both were included. Studies with participants having co-morbidities, non-pregnancy-related LBP, PGP, or pelvic floor pain were excluded. The intervention was pelvic belt use compared to no belt or other types of belts. Outcomes included health impairments (e.g., pain and disability). After risk of bias assessment meta-analysis presented as forest plots was conducted using random-effects models, and heterogeneity was assessed using I² statistics. Publication bias was evaluated using funnel plots and Egger's test. Sensitivity analyses compared rigid and non-rigid belts. Level of evidence was evaluated using GRADE. Data were analysed in STATA.
RESULTS: Seven studies were included. Meta-analysis showed a mean reduction in pain scores of -20.17 (95 % CI: [-40.73], [0.4]) (N = 6 studies) and a smaller reduction in disability of -4.65 (95 % CI: [-16.57], [7.26]) (N = 5 studies). The level of evidence was rated as low and very low.
CONCLUSION: Pelvic belts provide modest pain reduction and minimal improvement in disability during pregnancy. Due to the low to very low level of evidence, further studies are needed to make clinical recommendations on pelvic belts.