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Evidence of stabilizing exercises for low back- and pelvic girdle pain - a critical review.
Brazilian Journal of Physical Therapy ( IF 3.4 ) Pub Date : 2018-11-17 , DOI: 10.1016/j.bjpt.2018.11.006
Britt Stuge 1
Affiliation  

Background

Pregnancy-related low back pain (LBP) and pelvic girdle pain (PGP) have been associated with an alteration in the strategy for lumbopelvic stabilization. Different core stabilization approaches exist, the evidence is however controversial.

Methods

This paper discusses how to improve the evidence of exercises for women suffering from LBP and PGP during and after pregnancy. Exercises should be understood in a context, where the bio-psycho-social perspective directs the prescription of exercises, targeting both psychological and physical factors. The type of exercise probably should be individually tailored to the needs and capability of the individual and it is not only about the most appropriate exercise, it is about dosage and delivery of the exercises, and it is about performance. To promote adherence the use of patient preferences, with self-defined movement goals, may be a motivational basis for behavior change. Communication skills may facilitate positive beliefs and provide a motivational foundation for empowerment, self-efficacy and for self-management. To learn by discovery where the patient learns through their own experiences, might motivate the patients to active engagement and to behavioral change. Adherence probably will increase when the patients understand the aim and the rationale behind the exercises they are prescribed. However, with high adherence to exercises that maintains an inappropriate motor pattern, LBP and PGP possibly could proceed into chronicity.

Conclusion

Exercises need to be meaningful to the patient, relevant for daily activities, individualized according to patient preferences, guided and supervised to secure performance and quality.



中文翻译:

稳定锻炼以减轻腰背和骨盆带疼痛的证据-一项重要评论。

背景

妊娠相关的腰背痛(LBP)和骨盆带痛(PGP)与腰椎骨盆稳定策略的改变有关。存在不同的核心稳定方法,但是证据存在争议。

方法

本文讨论了如何改善怀孕期间和之后患有LBP和PGP的女性运动的证据。应该在一种上下文中理解锻炼,在这种情况下,生物心理社会观点指导着针对心理和身体因素的锻炼处方。锻炼的类型可能应该根据个人的需求和能力进行量身定制,这不仅与最合适的锻炼有关,而且与锻炼的剂量和方式有关,而与表现有关。为了促进依从性,使用具有自定义运动目标的患者偏好可能是行为改变的动机基础。沟通技巧可以促进积极的信念,并为增强能力,自我效能感和自我管理提供动机基础。通过发现来学习病人可以从自己的经历中学到什么,可以激发病人积极参与和改变行为。当患者了解他们开处方后的目的和理由时,依从性可能会增加。但是,如果坚持锻炼以保持不适当的运动模式,则LBP和PGP可能会变成慢性病。

结论

锻炼需要对患者有意义,与日常活动相关,并根据患者的喜好进行个性化,指导和监督,以确保性能和质量。

更新日期:2018-11-17
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