Effects of craniosacral therapy as adjunct to standard treatment for pelvic girdle pain in pregnant women: a multicenter, single blind, randomized controlled trial.
OBJECTIVE
Pelvic girdle pain (PGP) is a disabling condition affecting 30% of pregnant women. The aim of this study was to investigate the efficacy of craniosacral therapy as an adjunct to standard treatment compared with standard treatment alone for PGP during pregnancy.


METHODS
Randomized, multicenter, single blind, controlled trial.


METHODS
University hospital, a private clinic and 26 maternity care centers in Gothenburg, Sweden.


METHODS
A total of 123 pregnant women with PGP.


METHODS
Participants were randomly assigned to standard treatment (control group, n = 60) or standard treatment plus craniosacral therapy (intervention group, n = 63).


METHODS



METHODS
pain intensity (visual analog scale 0-100 mm) and sick leave.


RESULTS
function (Oswestry Disability Index), health-related quality of life (European Quality of Life measure), unpleasantness of pain (visual analog scale), and assessment of the severity of PGP by an independent examiner.


RESULTS
Between-group differences for morning pain, symptom-free women and function in the last treatment week were in favor of the intervention group. Visual analog scale median was 27 mm (95% confidence interval 24.6-35.9) vs. 35 mm (95% confidence interval 33.5-45.7) (p = 0.017) and the function disability index was 40 (range 34-46) vs. 48 (range 40-56) (p = 0.016).


CONCLUSIONS
Lower morning pain intensity and less deteriorated function was seen after craniosacral therapy in conjunction with standard treatment compared with standard treatment alone, but no effects regarding evening pain and sick-leave. Treatment effects were small and clinically questionable and conclusions should be drawn carefully. Further studies are warranted before recommending craniosacral therapy for PGP.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. helen.elden@gu.se
Helen
H
Elden
Hans-Christian
HC
Östgaard
Anna
A
Glantz
Pia
P
Marciniak
Ann-Charlotte
AC
Linnér
Monika Fagevik
MF
Olsén
D000328:Adult; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008405:Massage; D010147:Pain Measurement; D059388:Pelvic Girdle Pain / Q000628:therapy*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011788:Quality of Life; D012720:Severity of Illness Index; D018582:Sick Leave; D016037:Single-Blind Method; D016896:Treatment Outcome