Abstract
Aim: To identify, critically appraise and synthesize key findings regarding the effectiveness, feasibility and acceptability of using (DEFO) to manage ailments during pre-natal and post-natal phases of care.
Design: Systematic review.
Method: Electronic databases (PubMED, CINAHL, EMBASE, Cochrane, PEDro) were used to identify relevant studies following the PRISMA procedure guidelines and applying an eligibility criterion. Eligible studies were sub-divided: ‘prenatal’ and ‘postnatal’ studies. Modified Downs and Black Checklist was used to determine the methodological quality. Data was extracted, summarised and critically appraised using a critical narrative synthesis approach to address our study aims.
Results: Seventeen studies (prenatal n=13; postnatal n=4) were included. Concerns surrounding the heterogeneity and methodological quality of the included studies were identified making it difficult to compare findings. Effectiveness: DEFO may have a role in the reduction of back pain in activities of daily living in prenatal and postnatal care; however, not all studies that reviewed quality of life found a significant difference. Feasibility and Acceptability: some evidence that pelvic belts can lead to skin discomfort while wearing the DEFO particularly during pregnancy. There are presently no studies in the postpartum period examining the feasibility and acceptability of using DEFO.
Conclusion: There is little available evidence to support the effectiveness, feasibility and acceptability of DEFO for managing pain and enhancing functional capacity and quality life during prenatal and postnatal care. Future research in this area is required.
Key Practice Point: Limited high-quality evidence to support or refute the value of DEFO in prenatal and postnatal populations.
Design: Systematic review.
Method: Electronic databases (PubMED, CINAHL, EMBASE, Cochrane, PEDro) were used to identify relevant studies following the PRISMA procedure guidelines and applying an eligibility criterion. Eligible studies were sub-divided: ‘prenatal’ and ‘postnatal’ studies. Modified Downs and Black Checklist was used to determine the methodological quality. Data was extracted, summarised and critically appraised using a critical narrative synthesis approach to address our study aims.
Results: Seventeen studies (prenatal n=13; postnatal n=4) were included. Concerns surrounding the heterogeneity and methodological quality of the included studies were identified making it difficult to compare findings. Effectiveness: DEFO may have a role in the reduction of back pain in activities of daily living in prenatal and postnatal care; however, not all studies that reviewed quality of life found a significant difference. Feasibility and Acceptability: some evidence that pelvic belts can lead to skin discomfort while wearing the DEFO particularly during pregnancy. There are presently no studies in the postpartum period examining the feasibility and acceptability of using DEFO.
Conclusion: There is little available evidence to support the effectiveness, feasibility and acceptability of DEFO for managing pain and enhancing functional capacity and quality life during prenatal and postnatal care. Future research in this area is required.
Key Practice Point: Limited high-quality evidence to support or refute the value of DEFO in prenatal and postnatal populations.
| Original language | English |
|---|---|
| Pages | 283 |
| Number of pages | 1 |
| Publication status | Published - 17 Oct 2019 |
| Event | TRANSFORM 2019 Physiotherapy Conference - Adelaide Convention Centre, Adelaide, Australia Duration: 17 Oct 2019 → 19 Oct 2019 https://transform.physio/ https://transform.physio/wp-content/uploads/2019/09/Abstract_Book_Adelaide_2019.pdf (Book of Abstracts) https://transform.physio/#program |
Conference
| Conference | TRANSFORM 2019 Physiotherapy Conference |
|---|---|
| Abbreviated title | APA |
| Country/Territory | Australia |
| City | Adelaide |
| Period | 17/10/19 → 19/10/19 |
| Internet address |