Comparative efficacy of mobilization vs. stabilization exercises combined with TENS therapy and pelvic floor muscle training in managing pelvic girdle pain

Background. Pelvic girdle pain (PGP) is a prevalent and debilitating condition, particularly during and after pregnancy, often requiring tailored therapeutic interventions. Despite various treatment options, the comparative effectiveness of different multimodal approaches remains insufficiently explored. This study evaluates the impact of mobilization exercises combined with transcutaneous electrical nerve stimulation (TENS) therapy and pelvic floor muscle training versus stabilization exercises paired with the same adjunct therapies. Objective. To compare the effectiveness of these two intervention strategies in reducing pain, improving functional mobility and pelvic stability, and enhancing quality of life in individuals with PGP. Methods. Eighty patients diagnosed with PGP were randomly assigned to two groups. Group A underwent mobilization exercises, TENS therapy, and pelvic floor muscle training, while Group B engaged in stabilization exercises, TENS therapy, and pelvic floor muscle training. The six-week intervention included daily exercises and five weekly TENS therapy sessions. Outcome measures included pain severity (via Visual Analog Scale), functional mobility (Pelvic Girdle Questionnaire scores), pelvic stability, and patient-reported quality of life. Results. Group A demonstrated a significant reduction in pain (VAS scores from 4.1 to 2.6, p < 0.001) and improved functional mobility (PGQ scores from 29.3 to 16.2, p < 0.001) compared to Group B. Patient-reported outcomes, including satisfaction, stability, and quality of life, were also significantly better in Group A. While both groups experienced improvements, mobilization exercises combined with TENS therapy and pelvic floor muscle training proved superior in overall effectiveness. Conclusion. Mobilization exercises combined with TENS therapy and pelvic floor muscle training offer a more effective approach to managing PGP than stabilization exercises with the same adjunct therapies. This combination provides superior pain relief, functional mobility, and overall quality of life improvements, supporting its use in clinical practice.