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Management of Symphysis Pubis Dysfunction During Pregnancy Using Exercise and Pelvic Support Belts

J Depledge, MHSc(Hon), is Part-time Lecturer, School of Physiotherapy, Auckland University of Technology, Auckland, New Zealand
PJ McNair, PhD, is Professor, School of Physiotherapy, Auckland University of Technology, Private Bag 92006, Auckland, New Zealand (peter.mcnair{at}aut.ac.nz)
C Keal-Smith, Grad Dip Physiotherapy, is Senior Lecturer and Clinical Director, School of Physiotherapy, Auckland University of Technology
M Williams, MSc(Hon), is Biostatistician, School of Physiotherapy, Auckland University of Technology

Address all correspondence to Dr McNair

Background and Purpose. Symphysis pubis pain is a significant problem for some pregnant women. The purpose of this study was to investigate the effects of exercise, advice, and pelvic support belts on the management of symphysis pubis dysfunction during pregnancy. Subjects. Ninety pregnant women with symphysis pubis dysfunction were randomly assigned to 3 treatment groups. Methods. A randomized masked prospective experimental clinical trial was conducted. Specific muscle strengthening exercises and advice concerning appropriate methods for performing activities of daily living were given to the 3 groups, and 2 of the groups were given either a rigid pelvic support belt or a nonrigid pelvic support belt. The dependent variables, which were measured before and after the intervention, were a Roland-Morris Questionnaire score, a Patient-Specific Functional Scale score, and a pain score (101-point numerical rating score). Results. After the intervention, there was a significant reduction in the Roland-Morris Questionnaire score, the Patient-Specific Functional Scale score, and the average and worst pain scores in all groups. With the exception of average pain, there were no significant differences between groups for the other measures. Discussion and Conclusion. The findings indicate that the use of either a rigid or a nonrigid pelvic support belt did not add to the effects provided by exercise and advice.

Key Words: Belts • Exercise • Pain • Pregnancy • Symphysis pubis • Women's health