Journal of Rehabilitation Research & Development (JRRD)

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Volume 52 Number 6, 2015
   Pages 629 — 640

Abstract — Diastasis of symphysis pubis and labor: Systematic review

M. Alicia Urraca-Gesto, PT;1 Gustavo Plaza-Manzano, PhD;2 Alejandro Ferragut-Garcías, PT;3 Daniel Pecos-Martín, PhD;4 Tomás Gallego-Izquierdo, PhD;4 Natalia Romero-Franco, PhD5*

1Department of Rehabilitation and Physiotherapy, University Hospital Alcorcón Foundation, Madrid, Spain; 2Department of Physical Medicine and Rehabilitation, Complutense University, Madrid, Spain; 3Department of Physiotherapy and Nursery, University of Islas Baleares, Mallorca, Spain; 4Department of Physical Therapy, Alcalá University, Madrid, Spain; 5Department of Physical Therapy, Catholic University of San Antonio, Murcia, Spain

Abstract — Symphysis pubis diastasis (SPD) is an infrequent complication of labor that can impair womens' general health through failure of the passive stability of the pelvic girdle. Although conservative approaches are often used to decrease symptoms and interpubic separation, notably few studies have analyzed the effect of these methods on managing the symptoms of women with SPD. The purpose of this study was to review the available literature on the conservative treatment of SPD during pregnancy and labor. A computer-based search using PubMed, PEDro, and CINAHL was performed up to November 2014. We selected all studies that considered women with SPD during pregnancy or labor and treated them with conservative methods and excluded those that included surgical intervention. Eighteen studies were selected, most of which were case reports. Although the overall results of conservative treatment were unclear because of the type and design of the obtained studies, most of the studies reported bed rest in the lateral decubitus position and a pelvic girdle as basic treatments. Additionally, the few clinical trials reported recommended additional physiotherapy, including strengthening and stabilizing exercises, to reduce SPD symptoms.

Key words: conservative treatment, diastasis, exercise, interpubic gap, labor, physiotherapy, pregnancy, SPD, symphysis pubis, women's health.


View HTML ¦ View PDF ¦ Contents Vol. 52, No.6

This article and any supplementary material should be cited as follows:
Urraca-Gesto MA, Plaza-Manzano G, Ferragut-Garcías A, Pecos-Martín D, Gallego-Izquierdo T, Romero-Franco N. Diastasis of symphysis pubis and labor: Systematic review. J Rehabil Res Dev. 2015;52(6):629–40.
http://dx.doi.org/10.1682/JRRD.2014.12.0302
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