Сучасні підходи до фізичної терапії попереково-тазового болю та дисфункції тазового дна у перинатальному періоді

Aim: to analyze and synthesize current scientific evidence on the effectiveness of physical therapy interventions for managing lumbopelvic pain and pelvic floor dysfunction in women during the perinatal period, and to outline prospects for integrating a biopsychosocial approach into functional rehabilitation programs. Materials and methods. An analytical narrative review of contemporary scientific publications indexed in PubMed, Google Scholar, and the Cochrane Library was conducted. The analysis included full-text articles, findings from randomized controlled trials, and clinical guidelines on physical therapy for lumbopelvic pain and pelvic floor dysfunction during the perinatal period. The information was synthesized using methods of critical analysis and a structured synthesis of the available scientific data. Results. A review of the literature indicates that physical therapy and individualized exercise programs are considered a safe and effective first-line non-pharmacological treatment for lumbopelvic pain and pelvic floor dysfunction in perinatal women. Most studies describe the highest effectiveness for structured rehabilitation programs combining core muscle stability training with targeted activation of the transversus abdominis muscle. Particular attention is given to biofeedback techniques, including transabdominal ultrasonography, as tools to enhance control of pelvic floor muscle function. The publications also emphasize the importance of a biopsychosocial approach for comprehensive functional recovery of women. Conclusions. Synthesized evidence supports the use of physical therapy as a key component of conservative management for lumbopelvic pain and pelvic floor dysfunction during the perinatal period. Integrating structured exercise programs, biofeedback methods, and biopsychosocial principles may improve rehabilitation outcomes and enhance the safety of recovery.