Pregnancy-related lumbopelvic pain: Physiotherapy, functional disability, and quality of life

Authors

DOI:

https://doi.org/10.62827/fb.v27i9.1320

Keywords:

Pregnancy; Pelvic Girdle Pain; Exercise Therapy; Disability Evaluation; Quality of Life.

Abstract

Introduction: Pregnancy-related lumbopelvic pain may interfere with daily activities; pain intensity, functional disability, and quality of life are distinct outcomes. Objective: To critically examine evidence on physiotherapy for pregnancy-related lumbopelvic pain and its effects on functional disability and quality of life. Methods: This narrative review used PubMed searches and an external web search engine to locate articles in the SciELO Brazil collection through September 26, 2026. Sources were selected for clinical relevance, design, and outcomes, with full-text reading of those used in the synthesis. Results: Therapeutic exercise showed favorable pain findings at six to twelve weeks, whereas functional effects were less consistent. Brazilian studies located in SciELO added evidence on interventions and functional assessment. Exercise plus education outperformed education alone in a synthesis of trials; confidence intervals for pelvic belts included no effect. Quality of life was assessed less often. Conclusion: Therapeutic exercise may reduce pain in symptomatic pregnant women; disability effects vary by comparator and follow-up. A uniform global quality of life benefit and a single superior protocol have not been demonstrated.

Author Biographies

  • Ellen Araujo Santos, UNINOVE

    Médica CRM-SP 246501 pela Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brasil

  • Gabriela Sarnacki Zaitter, Faculdade de Pinhais

    Faculdade de Pinhais, Pinhais, PR, Brasil

  • Larissa Frazão Torres, Universidade Tiradentes

    Médica CRM- AL 10082 pela Universidade Tiradentes, Maceió, AL, Brasil

  • Renata Araujo Cardoso, Universidade Tiradentes

    Médica CRM-SE 7968 pela Universidade Tiradentes, Maceió, AL, Brasil

  • Giusara Zuley Curvelo Rosado, UNINOVE

    Médica CRM-SP 246528 pela Universidade Nove de Julho (UNINOVE), São Paulo, SP, Brasil

References

Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008;17(6):794-819. doi:10.1007/s00586-008-0602-4

Shi Z, Yan F, Lu Y, Liu W, Wang Z, Zhang H. Pregnancy-related low back/pelvic girdle pain: Prevalence, severity, and risk factors in Zhengzhou, China. J Back Musculoskelet Rehabil. 2023;36(4):895-902. doi:10.3233/BMR-220147

Gutke A, Boissonnault J, Brook G, Stuge B. The Severity and Impact of Pelvic Girdle Pain and Low-Back Pain in Pregnancy: A Multinational Study. J Womens Health (Larchmt). 2018;27(4):510-7. doi:10.1089/jwh.2017.6342

Stuge B, Garratt A, Krogstad Jenssen H, Grotle M. The pelvic girdle questionnaire: a condition-specific instrument for assessing activity limitations and symptoms in people with pelvic girdle pain. Phys Ther. 2011;91(7):1096-108. doi:10.2522/ptj.20100357

Fagundes FML, Cabral CMN. Cross-cultural adaptation of the Pelvic Girdle Questionnaire (PGQ) into Brazilian Portuguese and clinimetric testing of the PGQ and Roland Morris questionnaire in pregnancy pelvic pain. Braz J Phys Ther. 2019;23(2):132-9. doi:10.1016/j.bjpt.2018.11.003

Simões L, Teixeira-Salmela LF, Magalhães L, Stuge B, Laurentino G, Wanderley E, et al. Analysis of Test-Retest Reliability, Construct Validity, and Internal Consistency of the Brazilian Version of the Pelvic Girdle Questionnaire. J Manipulative Physiol Ther. 2018;41(5):425-33. doi:10.1016/j.jmpt.2017.10.008

Eggen MH, Stuge B, Mowinckel P, Jensen KS, Hagen KB. Can supervised group exercises including ergonomic advice reduce the prevalence and severity of low back pain and pelvic girdle pain in pregnancy? A randomized controlled trial. Phys Ther. 2012;92(6):781-90. doi:10.2522/ptj.20110119

Davenport MH, Marchand AA, Mottola MF, Poitras VJ, Gray CE, Jaramillo Garcia A, et al. Exercise for the prevention and treatment of low back, pelvic girdle and lumbopelvic pain during pregnancy: a systematic review and meta-analysis. Br J Sports Med. 2019;53(2):90-8. doi:10.1136/bjsports-2018-099400

Santos FF, Lourenço BM, Souza MB, Maia LB, Oliveira VC, Oliveira MX. Prevention of low back and pelvic girdle pain during pregnancy: a systematic review and meta-analysis of randomised controlled trials with GRADE recommendations. Physiotherapy. 2023;118:1-11. doi:10.1016/j.physio.2022.09.004

Mamipour H, Farazmehr S, Negahban H, Nazary-Moghadam S, Dehghan-Manshadi F, Navi Nezhad M, et al. Effect of Core Stabilization Exercises on Pain, Functional Disability, and Quality of Life in Pregnant Women With Lumbar and Pelvic Girdle Pain: A Randomized Controlled Trial. J Manipulative Physiol Ther. 2023;46(1):27-36. doi:10.1016/j.jmpt.2023.05.005

Yıldırım P, Basol G, Karahan AY. Pilates-based therapeutic exercise for pregnancy-related low back and pelvic pain: A prospective, randomized, controlled trial. Turk J Phys Med Rehabil. 2023;69(2):207-15. doi:10.5606/tftrd.2023.11054

Mladenovic M, Coughlan LM, Nascimento PRCD, Simmons MJ, Dufour S, Spadoni G, et al. The effectiveness of physiotherapy interventions for Pregnancy-Related lumbopelvic pain: A systematic review and meta-analysis of randomized controlled trials. Braz J Phys Ther. 2026;30(5):101605. doi:10.1016/j.bjpt.2026.101605

Lu X, Zhou D, Shi J, Heng J, Yan D, Meng D. Exploring exercise prescription parameters for pregnancy-related pelvic girdle pain: A systematic review and meta-analysis of effects on pain and function. J Pain. 2026;47:106401. doi:10.1016/j.jpain.2026.106401

Diez-Buil H, Hernandez-Lucas P, Leirós-Rodríguez R, Echeverría-García O. Effects of the combination of exercise and education in the treatment of low back and/or pelvic pain in pregnant women: Systematic review and meta-analysis. Int J Gynaecol Obstet. 2024;164(3):811-22. doi:10.1002/ijgo.15000

García-Lucas C, Serrano-Raya L, Boldó-Roda A, Ibáñez-Meca N, Arguisuelas MD, Suso-Martí L, et al. Efficacy of an online pain neuroscience education intervention for women with pregnancy-related lumbopelvic pain: a randomized controlled trial. Pain Med. 2026;27(4):418-25. doi:10.1093/pm/pnaf150

Lauridsen J, Dalbøge A, Jahn A. The effect of pelvic belts to manage low back and pelvic pain during pregnancy: a systematic review and meta-analysis. Midwifery. 2025;148:104529. doi:10.1016/j.midw.2025.104529

Kordi R, Abolhasani M, Rostami M, Hantoushzadeh S, Mansournia MA, Vasheghani-Farahani F. Comparison between the effect of lumbopelvic belt and home based pelvic stabilizing exercise on pregnant women with pelvic girdle pain; a randomized controlled trial. J Back Musculoskelet Rehabil. 2013;26(2):133-9. doi:10.3233/BMR-2012-00357

Martins RF, Pinto e Silva JL. Tratamento da lombalgia e dor pélvica posterior na gestação por um método de exercícios. Rev Bras Ginecol Obstet. 2005;27(5):275-82. doi:10.1590/S0100-72032005000500008

Gil VFB, Osis MJD, Faúndes A. Lombalgia durante a gestação: eficácia do tratamento com Reeducação Postural Global (RPG). Fisioter Pesqui. 2011;18(2):164-70. doi:10.1590/S1809-29502011000200011

de Paula LF, Silva RGC, Andres LF, Korelo RIG. Association between kinesiologic dysfunctions, lumbar disability and lumbopelvic pain in pregnancy. Fisioter Mov. 2017;30(3):473-84. doi:10.1590/1980-5918.030.003.AO05

Lira SOR, Sousa VPS, Medeiros CNA, Viana ESR. Impact of lumbopelvic pain on postural balance during sit-to-stand activity in pregnant women: a cross-sectional study. Fisioter Mov. 2019;32:e003221. doi:10.1590/1980-5918.032.AO21

Firmento BS, Moccellin AS, Albino MAS, Driusso P. Avaliação da lordose lombar e sua relação com a dor lombopélvica em gestantes. Fisioter Pesqui. 2012;19(2):128-34. doi:10.1590/S1809-29502012000200007

Published

2026-10-14

How to Cite

Pregnancy-related lumbopelvic pain: Physiotherapy, functional disability, and quality of life. (2026). Fisioterapia Brasil, 27(9), 5879-5889. https://doi.org/10.62827/fb.v27i9.1320

Most read articles by the same author(s)