Critical Review Example Essay

45681 Words May 21st, 2011 183 Pages
The Impact of Physical Therapy on Peripartum Females with Low Back/ Pelvic Pain
Mary E. Bono
December 13, 2004
Critical Literature Review and Scientific Writing, IDST 6400
University of Medicine and Dentistry of New Jersey "Peripartum pelvic pain is defined as pain in the pelvic region (with or without radiation) that started during pregnancy or within three weeks after delivery and for which no clear diagnosis is available to explain the symptoms." (Mens, Vleeming, Stoeckart, Stam, & Snijders, 1996, p. 1363). Forty-nine percent of women who are pregnant experience some type of back pain, including pain that is experienced above the lumbar region, in the lumbar region and pain over the sacroiliac joints, sometimes with
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Additional compressive force required to maintain stability at the sacroiliac joint is referred to as force closure and includes the action of the muscles and ligaments. (Stuge, Laerum, Kirkesola, & Vollestad, 2004) Decreased stability can result due to laxity of joint capsules and ligaments, decreased muscle strength or decreased co-contraction of stabilizing muscles. This decreased stability can strain the pelvic ligaments producing pain (Pool-Goudzwaard, Vleeming, Stoeckart, Snijders & Mens, 1998).
Although half of all pregnant women experience some type of back pain during pregnancy there is limited primary research for clinicians to review. Specifically, there is a lack of randomized clinical trials evaluating the effectiveness of physical therapy on treating women with pain experienced during pregnancy. Therefore the level of evidence in the literature is compromised. Even many of the secondary articles are low in evidence being mainly journalistic reviews and portraying more of the author 's opinion. Without the correct intervention many women may develop chronic pain. This pain can severely limit their daily activities and ability to care for their children. This review of the literature was conducted to provide clinicians with information regarding the effect of physical therapy, including stabilization exercises and patient education in reducing low back/posterior pelvic pain. The promising

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