سامانه مدیریت نشریات علمی دانشگاه علوم پزشکی مشهد

رئوفی, دکتر سیما, توپچی زاده, دکتر وحیده, بابائی, دکتر ثریا, دولتی, دکتر صنم, مطلق, دکتر کیمیا, صالح, دکتر پرویز, دولت خواه, دکتر ندا. (1402). مرور نظام‌مند کارآزمایی‌های بالینی تصادفی شده کنترل‌دار اثربخشی مدیریت محافظه‌کارانه و روش‌های درمانی فیزیکی در درد کمر و کمربند لگنی مرتبط با بارداری. , 26(10), 96-120. doi: 10.22038/ijogi.2023.74209.5816
دکتر سیما رئوفی; دکتر وحیده توپچی زاده; دکتر ثریا بابائی; دکتر صنم دولتی; دکتر کیمیا مطلق; دکتر پرویز صالح; دکتر ندا دولت خواه. "مرور نظام‌مند کارآزمایی‌های بالینی تصادفی شده کنترل‌دار اثربخشی مدیریت محافظه‌کارانه و روش‌های درمانی فیزیکی در درد کمر و کمربند لگنی مرتبط با بارداری". , 26, 10, 1402, 96-120. doi: 10.22038/ijogi.2023.74209.5816
رئوفی, دکتر سیما, توپچی زاده, دکتر وحیده, بابائی, دکتر ثریا, دولتی, دکتر صنم, مطلق, دکتر کیمیا, صالح, دکتر پرویز, دولت خواه, دکتر ندا. (1402). 'مرور نظام‌مند کارآزمایی‌های بالینی تصادفی شده کنترل‌دار اثربخشی مدیریت محافظه‌کارانه و روش‌های درمانی فیزیکی در درد کمر و کمربند لگنی مرتبط با بارداری', , 26(10), pp. 96-120. doi: 10.22038/ijogi.2023.74209.5816
رئوفی, دکتر سیما, توپچی زاده, دکتر وحیده, بابائی, دکتر ثریا, دولتی, دکتر صنم, مطلق, دکتر کیمیا, صالح, دکتر پرویز, دولت خواه, دکتر ندا. مرور نظام‌مند کارآزمایی‌های بالینی تصادفی شده کنترل‌دار اثربخشی مدیریت محافظه‌کارانه و روش‌های درمانی فیزیکی در درد کمر و کمربند لگنی مرتبط با بارداری. , 1402; 26(10): 96-120. doi: 10.22038/ijogi.2023.74209.5816

مرور نظام‌مند کارآزمایی‌های بالینی تصادفی شده کنترل‌دار اثربخشی مدیریت محافظه‌کارانه و روش‌های درمانی فیزیکی در درد کمر و کمربند لگنی مرتبط با بارداری

مجله زنان، مامایی و نازایی ایران
دوره 26، شماره 10، دی 1402، صفحه 96-120    اصل مقاله (1 M)
نوع مقاله: مروری
شناسه دیجیتال (DOI): 10.22038/ijogi.2023.74209.5816
نویسندگان
دکتر سیما رئوفی1؛ دکتر وحیده توپچی زاده2؛ دکتر ثریا بابائی3؛ دکتر صنم دولتی3؛ دکتر کیمیا مطلق4؛ دکتر پرویز صالح5؛ دکتر ندا دولت خواه* 6
1رزیدنت گروه طب فیزیکی و توان‌بخشی، مرکز تحقیقات طب فیزیکی و توان‌بخشی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
2استاد گروه طب فیزیکی و توان‌بخشی، مرکز تحقیقات طب فیزیکی و توان‌بخشی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
3استادیار پژوهشی، مرکز تحقیقات طب فیزیکی و توان‌بخشی، معاونت تحقیقات و فناوری، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
4پزشک عمومی، دستیار پژوهشی، مرکز تحقیقات طب فیزیکی و توان‌بخشی، معاونت تحقیقات و فناوری، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
5استاد گروه بیماری‌های عفونی، مرکز تحقیقات کلیه، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
6استادیار گروه طب فیزیکی و توان‌بخشی، مرکز تحقیقات طب فیزیکی و توان‌بخشی، دانشکده پزشکی، دانشگاه علوم پزشکی تبریز، تبریز، ایران.
چکیده
مقدمه: کمردرد مرتبط با بارداری، یکی از شایع‌ترین اختلالات اسکلتی عضلانی در دوران بارداری است. در برخی زنان، کمردرد مرتبط با بارداری می‌تواند شروع یک کمردرد مزمن برای سایر دوران زندگی آن‌ها و عامل مشکلات و ناتوانی‌های بعدی باشد. مطالعه حاضر با هدف مرور نظام‌مند اثربخشی مدیریت محافظه‌کارانه و درمان‌های فیزیکی در کمردرد و درد کمربند لگنی مرتبط با بارداری انجام شد.
روش‌کار: جستجو در پایگاه‌های اطلاعاتی فارسی‌زبان شامل SID، Magiran، ایران مدکس و انگلیسی ‌زبان EMBASE، Web of Science، ClinicalTrials.gov، Scopus، (PEDro) Physiotherapy Evidence Database، (AMED)  Allied and Complementary Medicine Databaseو (Pubmed) MEDLINE بدون محدودیت زمانی تا شهریور ماه 1401 با کلمات کلیدی: ("بارداری" یا "حاملگی" یا "مراقبت‌های پس از زایمان") و ("درد کمربند لگنی" یا "کمردرد") و ("مدیریت محافظه‌کارانه" یا "خود مدیریتی" یا "طب مکمل" یا "فیزیوتراپی" یا "نوار کینزیو" یا "طب سوزنی" یا "درمان دستی" یا "تمرین عضلانی" یا "طب فشاری" یا "حجامت خشک" یا "ماساژ درمانی" یا "کمربند" یا "فعالیت فیزیکی" یا "آب‌درمانی" یا "هیدروتراپی" یا "ورزش‌درمانی") انجام شد. کیفیت مطالعات با ابزار خطر سوگیری کاکرین بررسی شد.
یافته­ ها: 86 مقاله وارد نتایج نهایی شدند. آموزش ارگونومیک و تمرینات ورزشی با شدت کم و متوسط منجر به تسکین درد و ارتقاء عملکردی در مبتلایان به درد کمر یا کمربند لگنی مرتبط با بارداری می‌شود. طب سوزنی لوکال محل درد و طب سوزنی گوش، نوار کینزیو و کمربند اصلاح‌ شده به‌طور جداگانه و یا در ترکیب با سایر روش‌ها، منجر به تسکین درد و بهبود عملکرد می‌شود.
نتیجه ­گیری: پزشکان می‌توانند مدیریت محافظه‌کارانه چندوجهی و ترکیب آموزش ارگونومیک و تمرینات ورزشی با طب سوزنی، نوار کینزیو و کمربند را برای مدیریت درد کمر و کمربند لگنی مرتبط با بارداری توصیه کنند. در انتخاب سایر مداخلات به‌علت کمبود شواهد باید احتیاط کرد.
کلیدواژه‌ها
بارداری؛ روش درمانی فیزیکی؛ کمردرد؛ کمربند لگنی؛ مدیریت محافظه‌کارانه
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