A systematic review of randomised controlled trials on the effectiveness of exercise programs on lumbo pelvic pain among postnatal women

Background: A substantial number of women tend to be affected by Lumbo Pelvic Pain (LPP) following child birth. Physical exercise is indicated as a beneficial method to relieve LPP, but individual studies appear to suggest mixed findings about its effectiveness. This systematic review aimed to synthesise evidence from randomised controlled trials on the effectiveness of exercise on LPP among postnatal women to inform policy, practice and future research. Methods: A systematic review was conducted of all randomised controlled trials published between January 1990 and July 2014, identified through a comprehensive search of following databases: PubMed, PEDro, Embase, Cinahl, Medline, SPORTDiscus, Cochrane Pregnancy and Childbirth Group’s Trials Register, and electronic libraries of authors’institutions. Randomised controlled trials were eligible for inclusion if the intervention comprised of postnatal exercise for women with LPP onset during pregnancy or within 3 months after delivery and the outcome measures included changes in LPP. Selected articles were assessed using the PEDro Scale for methodological quality and findings were synthesised narratively as meta-analysis was found to be inappropriate due to heterogeneity among included studies. Results: Four randomised controlled trials were included, involving 251 postnatal women. Three trials were rated as of ‘good’ methodological quality. All trials, except one, were at low risk of bias. The trials included physical exercise programs with varying components, differing modes of delivery, follow up times and outcome measures. Intervention in one trial, involving physical therapy with specific stabilising exercises, proved to be effective in reducing LPP intensity. An improvement in gluteal pain on the right side was reported in another trial and a significant difference in pain frequency in another. Conclusion: Our review indicates that only few randomised controlled trials have evaluated the effectiveness of exercise on LPP among postnatal women. There is also a great amount of variability across existing trials in the components of exercise programs, modes of delivery, follow up times and outcome measures. While there is some evidence to indicate the effectiveness of exercise for relieving LPP, further good quality trials are needed to ascertain the most effective elements of postnatal exercise programs suited for LPP treatment

Effect of the first wave of COVID-19 on Poison Control Centre activities in 21 European countries : an EAPCCT initiative

Peer reviewe

Dinner guests at Cathie Summerhayes' place, Turner, Canberra, 2007 [picture] /

Title devised by cataloguer based on information from inscription.; Part of the collection: Breathing the rarefied air of Canberra, 2007.; Inscriptions: "Dinner at Cathie Summerhayes, Turner. From the series, 'Breathing the rarefied air of Canberra'. Back row: Cathie, her husband David, daughter, Sid and dog, Teddy. Front row: Vanilo Netto, Martyn Jolly, Jacqueline Lo. Dinner: Chicken, mashed potato & greens. William Yang, 2007. 1/20"--In ink on sheet below photograph.; Photographer's stamp lower right.; Condition: Left edge roughly cut.; Also available in electronic version via the Internet at: http://nla.gov.au/nla.pic-vn4400877; Purchased from Helen Maxwell Gallery, 2008.Dinner at Cathie Summerhaye

The Höfðahólarrock avalanche (sturzström): Chronological constraint of paraglacial landsliding on an Icelandic hillslope

International audienc

An early Holocene age for the Vatn landslide (Skagafjörður, central northern Iceland): Insights into the role of postglacial landsliding on slope development

International audienceRecent research in northern Iceland has highlighted a significant period of rock slope instability during the early Holocene due to the combined effects of postglacial rebound, relative sea-level fall, and glacially oversteepened mountain slopes. Using the Vatn landslide (Skagafjörður, central northern Iceland) as an example, this paper focuses on this period and describes the sequence of events that led to landsliding. Geomorphic mapping, stratigraphical evidence, and both radiocarbon and tephra dating were applied. Collectively, the data acquired indicate that the landslide occurred between 11,400 and 10,790 cal. yr BP. However, while rock slope failure represents a significant disintegration of mountain slopes, this study suggests that large postglacial landslides might also play a role in arresting sediment transport from other hillslope processes rather than contributing large volumes of sediment