Expert advice about therapeutic exercise in the management o
Sacroiliac dysfunction during pregnancy is a primary cause of pain and disability. There is wide heterogeneity in approaches to sacroiliac dysfunction in pregnancy. Expert advice is effective for the reduction of symptoms of sacroiliac dysfunction.

The objective was to assess primiparous and multiparous women, and singleton and multiple pregnancies in a recently published randomized trial.

In total, 500 women with sacroiliac dysfunction diagnosed in pregnancy were randomized into a study group (who received expert advice about therapeutic exercise) and a control group. The outcome measures assessed were: pain intensity; and degree of functional disability (Quebec scale) at enrolment and after 3 and 6 weeks. Primiparous and multiparous women, and singleton and multiple pregnancies in the study, and control groups were analyzed separately.

- Sacroiliac dysfunction was more common in primiparous women compared with multiparous women, and in multiple pregnancies compared with singleton pregnancies.

- For all four subgroups analyzed in this secondary analysis, the reduction in pain intensity and the degree of functional disability were better in the study group compared with the control group.

- Better results for the two outcome measures were found when comparing primiparous and multiparous women in the study group at follow-up, but the difference in functional disability disappeared 6 weeks after enrolment.

- There was no difference in the two outcome measures between singleton and multiple pregnancies 3 and 6 weeks after enrolment.

Expert advice about therapeutic exercise is effective for the reduction of symptoms of sacroiliac dysfunction in all four subgroups. Earlier reduction of pain intensity and degree of functional disability were obtained in primiparous women compared with multiparous women in the study group.

European Journal of Obstetrics & Gynecology and Reproductive Biology
Source: https://doi.org/10.1016/j.ejogrb.2021.08.011
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