American Journal of Obstetrics & Gynecology
Volume 202, Issue 1 , Pages 43.e1-43.e8 , January 2010

Osteopathic manipulative treatment of back pain and related symptoms during pregnancy: a randomized controlled trial

Presented at the Fourth International Symposium on Advances in Osteopathic Research, German Osteopathic Association, Schlangenbad, Wiesbaden, Germany, Oct. 6, 2007 (Dr Licciardone); the 76th Annual Conference of the American College of Osteopathic Obstetricians and Gynecologists, Tucson, AZ, March 16-19, 2009 (Dr Hensel); and the Annual Convocation of the American Academy of Osteopathy, Little Rock, AR, March 25-29, 2009 (Dr Hensel).

  • John C. Licciardone, DO, MS, MBA

      Affiliations

    • The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX
    • Corresponding Author InformationReprints: John C. Licciardone, DO, MS, MBA, 3500 Camp Bowie Boulevard, Fort Worth, TX 76107
    • ,
  • Steve Buchanan, DO

      Affiliations

    • Department of Obstetrics and Gynecology, University of North Texas Health Science Center, Fort Worth, TX
    • ,
  • Kendi L. Hensel, DO, PhD

      Affiliations

    • The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX
    • ,
  • Hollis H. King, DO, PhD

      Affiliations

    • The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX
    • ,
  • Kimberly G. Fulda, DrPH

      Affiliations

    • Primary Care Research Institute, University of North Texas Health Science Center, Fort Worth, TX
    • ,
  • Scott T. Stoll, DO, PhD

      Affiliations

    • The Osteopathic Research Center, University of North Texas Health Science Center, Fort Worth, TX

Received 4 February 2009 ,Revised 1 May 2009 ,Accepted 20 July 2009.

References 

  1. Fast A, Shapiro D, Ducommun EJ, Friedmann LW, Bouklas T, Floman Y. Low-back pain in pregnancy. Spine. 1987;12:368–371
  2. To WW, Wong MW. Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta Obstet Gynecol Scand. 2003;82:1086–1091
  3. Wang SM, Dezinno P, Maranets I, Berman MR, Caldwell-Andrews AA, Kain ZN. Low back pain during pregnancy: prevalence, risk factors, and outcomes. Obstet Gynecol. 2004;104:65–70
  4. Skaggs CD, Prather H, Gross G, George JW, Thompson PA, Nelson DM. Back and pelvic pain in an underserved United States pregnant population: a preliminary descriptive survey. J Manipulative Physiol Ther. 2007;30:130–134
  5. Ritchie JR. Orthopedic considerations during pregnancy. Clin Obstet Gynecol. 2003;46:456–466
  6. Borg-Stein J, Dugan SA, Gruber J. Musculoskeletal aspects of pregnancy. Am J Phys Med Rehabil. 2005;84:180–192
  7. Heckman JD, Sassard R. Musculoskeletal considerations in pregnancy. J Bone Joint Surg Am. 1994;76:1720–1730
  8. Wang SM, DeZinno P, Fermo L, et al. Complementary and alternative medicine for low-back pain in pregnancy: a cross-sectional survey. J Altern Complement Med. 2005;11:459–464
  9. King HH, Tettambel MA, Lockwood MD, Johnson KH, Arsenault DA, Quist R. Osteopathic manipulative treatment in prenatal care: a retrospective case control design study. J Am Osteopath Assoc. 2003;103:577–582
  10. National Center for Complementary and Alternative Medicine. Manipulative and body-based practices: an overview. http://nccam.nih.gov/health/backgrounds/manipulative.htmAccessed May 2, 2007
  11. Piantadosi S. Clinical trials: a methodologic perspective. New York: John Wiley & Sons, Inc; 1997;
  12. In:  Ward RC editors. Foundations for osteopathic medicine. 2nd ed.. Philadelphia: Lippincott Williams & Wilkins; 2003;
  13. Gitlin RS, Wolf DL. Uterine contractions following osteopathic cranial manipulation: a pilot study. (abstract) J Amer Osteopath Assoc. 1992;92:1183
  14. Deyle GD, Henderson NE, Matekel RL, Ryder MG, Garber MB, Allison SC. Effectiveness of manual physical therapy and exercise in osteoarthritis of the knee: a randomized, controlled trial. Ann Intern Med. 2000;132:173–181
  15. Roland M, Morris R. A study of the natural history of back pain: part I: development of a reliable and sensitive measure of disability in low-back pain. Spine. 1983;8:141–144
  16. Haynes RB, Sackett DL, Guyatt GH, Tugwell P. Clinical epidemiology: how to do clinical practice research. 3rd ed.. Philadelphia: Lippincott Williams & Wilkins; 2006;
  17. Assendelft WJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG. Spinal manipulative therapy for low back pain: a meta-analysis of effectiveness relative to other therapies. Ann Intern Med. 2003;138:871–881
  18. Tettambel M. Obstetrics. In:  Ward RC editors. Foundations for osteopathic medicine. 2nd ed.. Philadelphia: Lippincott, Williams & Wilkins; 2003;p. 450–461
  19. Gupta P, Ray M, Dua T, Radhakrishnan G, Kumar R, Sachdev HP. Multimicronutrient supplementation for undernourished pregnant women and the birth size of their offspring: a double-blind, randomized, placebo-controlled trial. Arch Pediatr Adolesc Med. 2007;161:58–64

 This research was supported in part by Grants from the Osteopathic Heritage Foundation and the National Center for Complementary and Alternative Medicine at the National Institutes of Health (Grant number K24AT002422).

 Cite this article as: Licciardone JC, Buchanan S, Hensel KL, et al. Osteopathic manipulative treatment of back pain and related symptoms during pregnancy: a randomized controlled trial. Am J Obstet Gynecol 2010;202:43.e1-8.

PII: S0002-9378(09)00843-6

doi: 10.1016/j.ajog.2009.07.057

American Journal of Obstetrics & Gynecology
Volume 202, Issue 1 , Pages 43.e1-43.e8 , January 2010

Article Tools

* Image Usage & Resolution