1,247 results on '"Pelvic girdle pain"'
Search Results
2. Exploring Central Sensitization in Pregnant Women
- Published
- 2024
3. Biomechanical and Viscoelastic Properties of Thoracolumbar Fascia in Pregnancy Pelvic Girdle Pain
- Published
- 2024
4. Pelvic Girdle Pain Symptom Severity in Pregnant Women With Gestational Diabetes Mellitus
- Published
- 2024
5. Effects of Specific Pelvic Stabilization Exercise in Postpartum Pregnancy-related Pelvic Girdle Pain Women
- Author
-
YI-JU TSAI, professor
- Published
- 2024
6. Comparing Effects of Kinesio and Dynamic Tapings in Postpartum Women With Pelvic Girdle Pain
- Author
-
YI-JU TSAI, associate professor
- Published
- 2024
7. The Efficacy of Cryotherapy in Pregnancy Related Pelvic Girdle Pain
- Author
-
Colleen M. Fitzgerald, MD, MS, MD, Professor
- Published
- 2024
8. Telehealth: Diaphragmatic vs. Pelvic Exercise in Postpartum Pregnancy-related Pelvic Girdle Pain
- Author
-
YI-JU TSAI, professor
- Published
- 2024
9. The prevalence of depression in women with pregnancy‐related pelvic girdle pain: A systematic review and meta‐analysis.
- Author
-
Halliday, Bradley, Chatfield, Sarah, Hosking, Joanne, and Freeman, Jennifer
- Subjects
PELVIC pain ,DEPRESSION in women ,PUERPERIUM ,PREGNANT women - Abstract
Background and Aims: Pregnancy‐related pelvic girdle pain (PPGP) is estimated to affect between 20% and 70% of pregnant women with 10% experiencing it for more than 3 months postpartum. Women may also experience depression during this period. Understanding the prevalence of depression in women with PPGP is important to inform clinical management. This systematic review aimed to examine the prevalence of depression in women with PPGP in the antepartum and postpartum periods. Methods: A systematic review and meta‐analysis. Seven databases were searched from inception until May 24, 2023, combining keywords relating to pelvic girdle pain (PGP), depression, and pregnancy. Two investigators independently screened study titles and abstracts against the eligibility criteria, extracting data characteristics of all included studies. Included articles were assessed for risk of bias. Summary estimates of the prevalence of depression were calculated with a random effects meta‐analysis (stratified by antepartum and postpartum periods). Results: Eleven studies (3172 participants) were included with nine suitable for meta‐analysis. The overall summary estimate of prevalence of depression among women with PPGP was 24% (95% confidence interval [CI] = 15%–37%), with significant heterogeneity between studies (I2 = 97%, p < 0.01). Among individual studies, the estimates ranged from 18% to 48% in the antepartum PGP population and from 5% to 39% in the postpartum PGP population. The summary estimate in the antepartum group was 37% (95% CI = 19%–59%; prediction interval 8%–81%) and 15% (95% CI = 7%–30%; prediction interval 3%–56%) in the postpartum group, although time (antepartum vs. postpartum) did not have a statistically significant moderating effect (p = 0.06). Two thirds of the studies were undertaken with Scandinavian populations, limiting the generalizability of these findings. Conclusion: Summary estimates for the prevalence of depression in women with PPGP are similar to previous studies investigating depression in the general peri‐natal population. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
10. Effects of Core Stability Exercise With Pregnancy Support Belt in Pubic Symphysis Dysfunction.
- Author
-
Adeela Arif, Senior Lecturer
- Published
- 2023
11. Sexual Function, Body Image, Kinesiophobia and Physical Activity in Pregnant Women
- Published
- 2023
12. Cross-cultural Adaptation and Validation of the Pelvic Girdle Questionnaire in French Language (PELVIC)
- Published
- 2023
13. The Role of Non-rigid Pelvic Belts in Managing Pregnancy-related Pelvic Girdle Pain and Low Back Pain: A Systematic Review
- Author
-
Shahrbanoo Bidari, Faezeh Ghorbani, Kourosh Barati, Arman Jalaleddini, and Mohammadreza Pourahmadi
- Subjects
pregnancy ,pelvic girdle pain ,low back pain ,maternity support ,pelvic belt ,Medicine ,Vocational rehabilitation. Employment of people with disabilities ,HD7255-7256 - Abstract
Objectives: Pelvic belts are prescribed for back and pelvic pain during pregnancy and postpartum. This study reviews level II literature (randomized clinical trials and clinical trials) considering the effect of pelvic belt application on pain and functional disability in pregnant women with pelvic girdle pain or low back pain. Methods: Two reviewers independently performed a computerized literature search from PubMed/MEDLINE (NLM), Scopus, Web of Science, PEDro and Google Scholar databases. The included studies were agreed upon by the two reviewers, and a third reviewer mediated any disagreements. Data extraction was conducted by the two reviewers and cross-checked by a third reviewer. The quality of each included trial was assessed independently by the two reviewers and scored using the PeDro scale. Any discrepancies in selecting the studies and scoring them were resolved by a third collaborator. Results: A total of 9 studies met the inclusion criteria and were selected for the systematic review. Four fair- and one low-quality study reported more significant pain reduction by the flexible pelvic belt than the usual healthcare or physical therapy. In two fair- and one low-quality study, higher functional improvement was reported by belt than healthcare or physical therapy. Meanwhile, one high- and one fair-quality study showed no added functional ability in the flexible belt for health care or exercise. Discussion: The current review suggests using the flexible belt as a practical treatment approach in alleviating pain in pregnant women with pelvic girdle pain or low back pain (LBP) during pregnancy. However, the added efficacy in functional disabilities is controversial.
- Published
- 2024
14. The Role of Non-rigid Pelvic Belts in Managing Pregnancy-related Pelvic Girdle Pain and Low Back Pain: A Systematic Review.
- Author
-
Bidari, Shahrbanoo, Ghorbani, Faezeh, Barati, Kourosh, Jalaleddini, Arman, and Pourahmadi, Mohammadreza
- Subjects
PHYSICAL therapy ,DATABASE searching ,PREGNANT women ,ORTHOPEDIC apparatus ,SYSTEMATIC reviews ,MEDLINE ,PAIN management ,MEDICAL databases ,PELVIC pain ,PREGNANCY complications ,ONLINE information services ,LUMBAR pain ,DISEASE complications ,PREGNANCY - Abstract
Objectives: Pelvic belts are prescribed for back and pelvic pain during pregnancy and postpartum. This study reviews level II literature (randomized clinical trials and clinical trials) considering the effect of pelvic belt application on pain and functional disability in pregnant women with pelvic girdle pain or low back pain. Methods: Two reviewers independently performed a computerized literature search from PubMed/MEDLINE (NLM), Scopus, Web of Science, PEDro and Google Scholar databases. The included studies were agreed upon by the two reviewers, and a third reviewer mediated any disagreements. Data extraction was conducted by the two reviewers and cross-checked by a third reviewer. The quality of each included trial was assessed independently by the two reviewers and scored using the PeDro scale. Any discrepancies in selecting the studies and scoring them were resolved by a third collaborator. Results: A total of 9 studies met the inclusion criteria and were selected for the systematic review. Four fair- and one low-quality study reported more significant pain reduction by the flexible pelvic belt than the usual healthcare or physical therapy. In two fair- and one low-quality study, higher functional improvement was reported by belt than healthcare or physical therapy. Meanwhile, one high- and one fair-quality study showed no added functional ability in the flexible belt for health care or exercise. Discussion: The current review suggests using the flexible belt as a practical treatment approach in alleviating pain in pregnant women with pelvic girdle pain or low back pain (LBP) during pregnancy. However, the added efficacy in functional disabilities is controversial. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
15. A derék- és medenceövi fájdalmat befolyásoló tényezők vizsgálata várandósság alatt és a szülést követő egy évben.
- Author
-
Dózsa-Juhász, Olívia, Kullai, Judit, Kovács-Szabó, Zsófia, Prémusz, Viktória, Makai, Alexandra, and Hock, Márta
- Abstract
Copyright of Hungarian Medical Journal / Orvosi Hetilap is the property of Akademiai Kiado and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
16. The RISE FOR HEALTH study: Methods for in-person musculoskeletal assessment.
- Author
-
Fitzgerald, Colleen, Fok, Cynthia, Kenton, Kim, Markland, Alayne, Meister, Melanie, Newman, Diane, Rudser, Kyle, Smith, Elia, Wyman, Jean, Lowder, Jerry, and Lukacz, Emily
- Subjects
bladder health ,in-person examination ,musculoskeletal assessment ,pelvic health ,pelvic muscle ,physical function ,womens health ,Humans ,Pelvic Girdle Pain ,Prospective Studies ,Sacroiliac Joint ,Low Back Pain - Abstract
OBJECTIVES: To describe the methods for the in-person musculoskeletal (MSK) assessment of the RISE FOR HEALTH (RISE) study, a population-based multicenter prospective cohort study designed to identify factors associated with bladder health (BH) conducted by the Prevention of Lower Urinary Tract Symptoms Research Consortium (PLUS). METHODS: A subset of RISE participants who express interest in the in-person assessment are screened to ensure eligibility (planned n = 525). Eligible consenting participants are asked to complete a standardized MSK assessment to evaluate core stability (four component core stability test, lumbar spine pain (seated slump test), pelvic girdle pain, (sacroiliac joint, anterior superior iliac spine, pubic symphysis tenderness, and pelvic girdle pain provocation test), hip pain (flexion, abduction, internal rotation and flexion, adduction and external rotation) and pelvic girdle function (active straight leg raise). Participants are also asked to complete the Short Physical Performance Battery to measure balance, gait speed, lower extremity strength, and functional capacity. RESULTS: Detailed online and in-person MSK training sessions led by physical therapy were used to certify research staff at each clinical center before the start of RISE in-person assessments. All evaluators exceeded the pre-specified pass rates. CONCLUSIONS: The RISE in-person MSK assessment will provide further insight into the role of general body MSK health and dysfunction and the spectrum of BH.
- Published
- 2023
17. The prevalence of depression in women with pregnancy‐related pelvic girdle pain: A systematic review and meta‐analysis
- Author
-
Bradley Halliday, Sarah Chatfield, Joanne Hosking, and Jennifer Freeman
- Subjects
depression ,pelvic girdle pain ,postpartum ,pregnancy ,systematic review ,Medicine - Abstract
Abstract Background and Aims Pregnancy‐related pelvic girdle pain (PPGP) is estimated to affect between 20% and 70% of pregnant women with 10% experiencing it for more than 3 months postpartum. Women may also experience depression during this period. Understanding the prevalence of depression in women with PPGP is important to inform clinical management. This systematic review aimed to examine the prevalence of depression in women with PPGP in the antepartum and postpartum periods. Methods A systematic review and meta‐analysis. Seven databases were searched from inception until May 24, 2023, combining keywords relating to pelvic girdle pain (PGP), depression, and pregnancy. Two investigators independently screened study titles and abstracts against the eligibility criteria, extracting data characteristics of all included studies. Included articles were assessed for risk of bias. Summary estimates of the prevalence of depression were calculated with a random effects meta‐analysis (stratified by antepartum and postpartum periods). Results Eleven studies (3172 participants) were included with nine suitable for meta‐analysis. The overall summary estimate of prevalence of depression among women with PPGP was 24% (95% confidence interval [CI] = 15%–37%), with significant heterogeneity between studies (I2 = 97%, p
- Published
- 2024
- Full Text
- View/download PDF
18. The Role of Proprioceptive Deficits and Psychosocial Factors in Pregnancy-related Pelvic Girdle Pain: a Follow-up Study (PROFit)
- Author
-
Ziekenhuis Oost-Limburg and Lotte Janssens, Professor
- Published
- 2023
19. Chronic Pain in Pregnancy
- Author
-
Huang, Ming J., Sinha, Ashish C., editor, and Pasca, Ioana F., editor
- Published
- 2024
- Full Text
- View/download PDF
20. Exploring the outcome 'days with bothersome pain' and its association with pain intensity, disability, and quality of life
- Author
-
Gausel Anne Marie, Dalen Ingvild, Eklund Andreas, Hoff Norvik Andreas, and Axén Iben
- Subjects
pain ,bothersome ,low back pain ,pelvic girdle pain ,Special situations and conditions ,RC952-1245 ,Medicine (General) ,R5-920 - Abstract
The aim of this study is to investigate the criterion validity, specifically the concurrent validity of the measure of days with bothersome pain, by investigating its association with measures of pain intensity, disability, and quality of life.
- Published
- 2024
- Full Text
- View/download PDF
21. Screening for Pregnancy Related Pelvic Girdle Pain (PPGP)
- Author
-
Lund University and Stina Lilje, Principal Investigator
- Published
- 2023
22. Evaluating the Management of Chronic Pelvic Girdle Pain (EMaPP)
- Author
-
Royal Cornwall Hospitals Trust, University Hospital Plymouth NHS Trust, and Bradley Halliday, Teaching and research associate
- Published
- 2023
23. Effects and Pathophysiology of Weight Training on Pregnancy-related Pelvic Girdle Pain (PPGP)
- Author
-
National Taiwan University Hospital and National Taiwan University
- Published
- 2023
24. Characteristics and effects on daily lives of pelvic girdle pain during early postpartum in Beijing women, China.
- Author
-
Li, Weitao, Cheng, Huan, Wu, Liping, Wu, Huiling, and Deng, Yafang
- Subjects
- *
MENTAL depression risk factors , *CROSS-sectional method , *EDINBURGH Postnatal Depression Scale , *PAIN measurement , *QUESTIONNAIRES , *POSTNATAL care , *DESCRIPTIVE statistics , *PELVIC pain , *WOMEN'S health , *PSYCHOLOGICAL tests , *SOCIAL support , *WELL-being , *ACTIVITIES of daily living - Abstract
Pelvic girdle pain (PGP) is a common problem during pregnancy and postpartum and negatively affects women's well-being. Yet it is not well known in China. This study assessed PGP's intensity, location, and quality and the status of daily activities on postpartum women with pain, and explored the relationship between pain and the prevalence of depressive symptoms. A cross-sectional study recruiting 1,038 eligible women at 6 weeks postpartum from the obstetric clinic of a hospital was conducted in Beijing, China. Data were collected using self-reported questionnaires, including Introductory information form, Body chart, Number Rating Scale, McGill Pain Questionnaire-2, Pelvic Girdle Questionnaire, and Edinburgh Postnatal Depression Scale. In this study, 32.2 percent women experienced pain. The mean (SD) pain intensity score was 3.07 ± 1.60. About 50.6 percent women experienced sacroiliac joint pain, and 25.5 percent women experienced pain in a combination of locations. About 73.1 percent women experienced aching pain, and 57.5 percent experienced more than one kind of pain quality. The mean total score, which assesses activity and symptom limitations, was 21.93 ± 17.35 (percent), of which a normal sex life (1.29 ± 0.94) was made more challenging due to pain. In mental health, the prevalence of depressive symptoms coincided with the prevalence of pain (p = 0.008). Postpartum PGP still needs to be taken seriously, and women with pain require further support. The above knowledge offers information to manage pain, daily lives and depressive symptoms, contributes to think about strategies to better promote postpartum women physical and mental health in the future. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
25. History of pain around the lumbopelvic region during perinatal period: a prospective cohort study.
- Author
-
Morino, Saori, Ishihara, Mika, Umezaki, Fumiko, Hatanaka, Hiroko, Yamashita, Mamoru, and Aoyama, Tomoki
- Subjects
- *
PERINATAL period , *GROIN pain , *JOINT pain , *LUMBAR pain , *PELVIC pain , *MEDICAL personnel , *SACROILIAC joint - Abstract
Purpose: Many women experience pain around the low back and pelvic girdle during/after pregnancy. These pains have different risk factors and require independent management strategies. Therefore, an epidemiological database is required to understand when each type of pain occurs, and how serious it could be. Thus, the history of pain in the lumbopelvic region throughout the perinatal period was investigated. Methods: The information of 170 women recruited at the obstetrics and gynecology clinics in Japan was collected at 12, 24, 30, and 36 weeks of pregnancy, in the early days after childbirth, and one month after childbirth. The presence and severity of sacroiliac joint pain, pubic pain, groin pain, and low back pain were assessed using a numerical rating scale. Descriptive statistics were used to determine changes in the prevalence of pain. In addition, the change in the severity of each type of pain was observed through descriptive statistics, by including only those who had pain. Results: The sacroiliac joint pain showed a twofold increase from 12 to 24 weeks, while the pubic pain suddenly increased after 24 weeks. The severity of pubic and groin pain increased sharply during pregnancy. Regarding low back pain, the change in the severity was lesser than the other pains. The sacroiliac joint pain was the highest among the four pains during pregnancy. Conclusion: Each type of pain had a different incidence rate and a different time of onset and aggravation. These results help women and health professionals to manage, and prevent these harmful symptoms. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
26. Effects of Muscle Energy Techniques Versus Core Stability Exercises in Pelvic Girdle Pain
- Published
- 2023
27. Translation and Validation of Pelvic Girdle Questionnaire in Urdu Language
- Published
- 2023
28. Patterns of surgical complications after delayed fixation of peripartum pubic symphysis rupture: a report of 5 cases
- Author
-
Grzegorz Doroszewski, Jan Wasielewski, Paweł Bartosz, Adam Caban, Anna Scholz, and Jerzy Białecki
- Subjects
Symphysis disruption ,Symphysis separation ,Childbirth ,Peripartum ,Pelvic girdle pain ,Pubic symphysis diastasis ,Surgery ,RD1-811 - Abstract
Abstract Background The disruption of the pubic symphysis during the peripartum period is a rare injury to the pelvic ring. In most cases, conservative treatment is successful. Nonetheless, there are cases where surgical intervention is necessary. We analyzed five surgical cases treated in our department and performed a literature review. Case presentations Five women, ranging in age from 25 to 38, who experienced peripartum symphysis rupture were primarily treated with a conservative approach. Patients who did not show improvement and met certain criteria, such as experiencing pain starting from childbirth, having a separation in the pubic bone of more than 10 mm, and/or having a vertical instability greater than 5 mm, were recommended to undergo surgery. The average length of time between childbirth and surgery was 5.6 months, ranging from 1 to 14 months. One patient was treated with an external fixator, another patient received a combination of an external fixator and an anterior plate, and three patients were treated with anterior plates. In four cases, we observed a failure in fixation and a partial or complete loss of reduction. The plate and screws were removed in one case, and in three cases, revision surgery was performed. One case involved using a larger plate, while the other used 90-90 plating, known as “box plate fixation.” The mean follow-up was 7.4 years. Two cases had good results, and two had excellent results on the Lindahl scale. Conclusion For patients with peripartum pubic symphyseal dislocation, our case series and literature review demonstrated that early reduction and fixation correlate with improved clinical outcomes and lower implant failure. For patients with subacute/chronic injuries, there was a higher incidence of implant failure. Orthogonal plate fixation and/or pubic symphysiodesis was associated with improved clinical outcomes.
- Published
- 2023
- Full Text
- View/download PDF
29. Effects of Silver Spike Point Therapy on Pelvic Girdle Pain PAIN
- Published
- 2022
30. The effect of exercise training and motivational counselling on physical activity behaviour and psychosocial factors in pregnant women: secondary analyses of the FitMum randomised controlled trial investigating prenatal physical activity.
- Author
-
Knudsen, Signe de Place, Roland, Caroline Borup, Alomairah, Saud Abdulaziz, Jessen, Anne Dsane, Maindal, Helle Terkildsen, Bendix, Jane M., Clausen, Tine D., Løkkegaard, Ellen, Stallknecht, Bente, and Molsted, Stig
- Subjects
- *
MOTIVATIONAL interviewing , *EXERCISE therapy , *PHYSICAL activity , *PREGNANT women , *MOTIVATION (Psychology) - Abstract
Background: A physically active lifestyle is beneficial during pregnancy. However, little is known about physical activity (PA) behaviour and psychosocial factors in women during and after pregnancy. This study examined exercise behavioural regulation, exercise self-efficacy, health-related quality of life, sickness absence and musculoskeletal pain in pregnant women offered either structured supervised exercise training, motivational counselling on PA, or standard prenatal care in the FitMum randomised controlled trial. Methods: Two hundred and eighteen healthy inactive pregnant women were randomised to structured supervised exercise training (n = 87), motivational counselling on PA (n = 86) or standard prenatal care (n = 45). The women answered the Behavioural Regulation in Exercise Questionnaire-2 (BREQ-2), the Pregnancy Exercise Self-Efficacy Scale (P-ESES-DK) and the Short Form 36 Health Survey Questionnaire (SF-36) at baseline (gestational age (GA) of max 15 weeks), GA 28 and 34 weeks, and one year after delivery. Sickness absence and low back and/or pelvic girdle pain were likewise reported in questionnaires at baseline and GA 28 weeks. Results: Participants offered structured supervised exercise training or motivational counselling on PA had higher autonomous motivation for exercise during pregnancy compared with participants receiving standard prenatal care (e.g., difference in intrinsic regulation at GA 28 weeks, structured supervised exercise training vs. standard prenatal care: mean difference in score 0.39 [0.16; 0.64], p < 0.001). Participants offered structured supervised exercise training also had higher exercise self-efficacy during pregnancy (e.g., GA 28 weeks, structured supervised exercise training vs. standard prenatal care: mean difference in score 6.97 [2.05; 12.02], p = 0.005). All participants reported high exercise self-efficacy at baseline and medium exercise self-efficacy during pregnancy and one year after delivery. No differences were found between groups in health-related quality of life, sickness absence or low back and/or pelvic girdle pain during pregnancy. No group differences were found one year after delivery. Conclusion: Structured supervised exercise training and motivational counselling on PA had important effects on autonomous exercise motivation during pregnancy. Exercise self-efficacy was also increased with structured supervised exercise training compared to standard prenatal care. No group differences in health-related quality of life, sickness absence, or pain were found during and after pregnancy. No effects were found one year post-delivery after intervention cessation. Trial registration: The study was approved by the Danish National Committee on Health Research Ethics (#H-18011067) and the Danish Data Protection Agency (#P-2019–512). The study adheres to the principles of the Helsinki declaration. Written informed consent was obtained at inclusion. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
31. The Influence of Physical Activity during Pregnancy on Maternal Pain and Discomfort: A Meta-Analysis.
- Author
-
Sánchez-Polán, Miguel, Nagpal, Taniya S., Zhang, Dingfeng, Silva-Jose, Cristina, Montejo, Rocío, and Barakat, Rubén
- Subjects
- *
PHYSICAL activity , *PELVIC pain , *PREGNANCY , *PELVIC bones , *PREGNANT women , *RANDOMIZED controlled trials - Abstract
Pregnant women may experience pain and discomfort during pregnancy, especially in areas such as the lower back and pelvic girdle. Pain in pregnancy is associated with poor quality of life, and because it is a common occurrence, pregnant women may be offered several resources to prevent discomforts throughout pregnancy, such as engaging in physical activity. This study was a meta-analysis of randomised controlled trials (prospectively registered in Prospero, registration number: CRD42023451320) aimed to assess the effects of physical activity during pregnancy on maternal pain and discomfort. We analysed 16 randomised clinical trials. The results of these analyses indicate that women who performed physical activity had significantly less intensity of pain (z = <2.69, p = <0.007; SMD = −0.66, 95% CI = −1.13, −0.18, I2 = <91%, Pheterogeneity = <0.001) and a reduction observed in the disability questionnaire (z = <2.37, p = <0.02; SMD = −0.80, 95% CI = −1.47, −0.14, I2 = <91%, Pheterogeneity = <0.001), and overall reduced general pain (z = <3.87, p = <0.001; SMD = −0.56, 95% CI = −0.84, −0.27, I2 = <86%, Pheterogeneity = <0.001) than women who did not practice physical activity during pregnancy. In conclusion, physical activity during pregnancy could effectively help to diminish pain intensity, reduce disability due to pain, and generally reduce pain. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
32. Lumbopelvic pain and sick leave during pregnancy: A comparison of Italy and Norway.
- Author
-
Haakstad, Lene Annette Hagen, Benvenuti, Maria Beatrice, Dalhaug, Emilie Mass, and Bø, Kari
- Subjects
LUMBAR pain ,SICK leave ,WEIGHT gain in pregnancy ,CONFIDENCE intervals ,PELVIC pain ,CROSS-sectional method ,RISK assessment ,COMPARATIVE studies ,SEVERITY of illness index ,PREGNANCY complications ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,PUBLIC hospitals ,ODDS ratio ,DISEASE risk factors - Abstract
Background: Pregnancy-related lumbopelvic pain is a frequently reported musculoskeletal disorder, but few studies have compared data between countries. Objectives: Examine prevalence, severity, and sick leave and explore potential risk factors associated with pregnancy-related lumbopelvic pain in Italian women and compare the results to a similar study in Norway, utilizing the same questionnaire. Design: Cross-sectional Methods: Italian (n = 481) and Norwegian women (n = 435) were allocated from two public hospitals in Rome (Fatebenefratelli San Giovanni Calibita-Isola Tiberina) and Oslo (Oslo University Hospital), as well as four antenatal clinics in Modena (Italy). The questionnaire was completed between gestation weeks 32 and 36, addressing women's experiences of pregnancy-related lumbopelvic pain and sick leave in current week, and retrospectively for prepregnancy, first and second trimesters. Results: In Italy and Norway, 39% and 57% of pregnant women reported pregnancy-related lumbopelvic pain, respectively, with 11% and 25% experiencing severe pregnancy-related lumbopelvic pain. Pregnancy-related lumbopelvic pain was associated with sick leave in Norway (p < 0.01), but not in Italy (p = 0.66) at late gestation. In both countries, women with pregnancy-related lumbopelvic pain versus those with no pregnancy-related lumbopelvic pain were more likely to be multiparous (Italy: 40% versus 31%, p = 0.06 and Norway: 53% versus 38%, p < 0.01), and have gestational weight gain above guidelines (Italy: 21% versus 13%, p = 0.02% and Norway: 27% versus 14%, p < 0.01) and previous experience of pregnancy-related lumbopelvic pain (Italy: 15% versus 2%, p < 0.01 and Norway: 31% versus 4%, p < 0.01). Maternal exercise (⩾2 times weekly) was associated with less pregnancy-related lumbopelvic pain (Italy: odds ratio = 0.33, 95% confidence interval = 0.11–1.0, p = 0.05 and Norway: odds ratio = 0.55, 95% confidence interval = 0.29–1.0, p = 0.06). Conclusion: We observed high rates of pregnancy-related lumbopelvic pain in Italy and Norway, with Norwegian women reporting the highest prevalence and severity level. While both countries had similar rates of sick leave in late gestation, an association between pregnancy-related lumbopelvic pain and sick leave was observed among Norwegian women only. Health care providers should be proactive in addressing pregnancy-related lumbopelvic pain through open communication and seeking input from pregnant individuals. However, it is essential to acknowledge that the current evidence on effective treatments remains limited and inconclusive, highlighting the need for further research in this field. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
33. Patterns of surgical complications after delayed fixation of peripartum pubic symphysis rupture: a report of 5 cases.
- Author
-
Doroszewski, Grzegorz, Wasielewski, Jan, Bartosz, Paweł, Caban, Adam, Scholz, Anna, and Białecki, Jerzy
- Subjects
- *
CONSERVATIVE treatment , *CHILDBIRTH , *PAIN , *ORTHOPEDIC implants , *PUBIC bone , *SURGICAL complications , *OPEN reduction internal fixation , *BONE screws , *PLASTIC surgery , *RETROSPECTIVE studies , *PUBIC symphysis , *TREATMENT delay (Medicine) , *FRACTURE fixation , *DESCRIPTIVE statistics , *CASE studies , *PERINATAL period , *LONGITUDINAL method ,PUBIC symphysis injuries ,EXTERNAL fixators - Abstract
Background: The disruption of the pubic symphysis during the peripartum period is a rare injury to the pelvic ring. In most cases, conservative treatment is successful. Nonetheless, there are cases where surgical intervention is necessary. We analyzed five surgical cases treated in our department and performed a literature review. Case presentations: Five women, ranging in age from 25 to 38, who experienced peripartum symphysis rupture were primarily treated with a conservative approach. Patients who did not show improvement and met certain criteria, such as experiencing pain starting from childbirth, having a separation in the pubic bone of more than 10 mm, and/or having a vertical instability greater than 5 mm, were recommended to undergo surgery. The average length of time between childbirth and surgery was 5.6 months, ranging from 1 to 14 months. One patient was treated with an external fixator, another patient received a combination of an external fixator and an anterior plate, and three patients were treated with anterior plates. In four cases, we observed a failure in fixation and a partial or complete loss of reduction. The plate and screws were removed in one case, and in three cases, revision surgery was performed. One case involved using a larger plate, while the other used 90-90 plating, known as "box plate fixation." The mean follow-up was 7.4 years. Two cases had good results, and two had excellent results on the Lindahl scale. Conclusion: For patients with peripartum pubic symphyseal dislocation, our case series and literature review demonstrated that early reduction and fixation correlate with improved clinical outcomes and lower implant failure. For patients with subacute/chronic injuries, there was a higher incidence of implant failure. Orthogonal plate fixation and/or pubic symphysiodesis was associated with improved clinical outcomes. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
34. Pelvic Floor Muscles and Stabilization Integrated Training Improved Pregnancy-related Pelvic Girdle Pain
- Author
-
YI-JU TSAI, professor
- Published
- 2022
35. Effects of Antenatal Exercises With Sacroiliac Joint Mobilization in Pregnancy Related Pelvic Girdle Pain
- Published
- 2022
36. Drivers, barriers, and response to care of Australian pregnant women seeking chiropractic care for low back and pelvic girdle pain: a qualitative case study
- Author
-
Maria Bernard-Giglio, Simon D French, Corrie Myburgh, and Katie de Luca
- Subjects
Chiropractic ,Pregnancy ,Low back pain ,Pelvic girdle pain ,Qualitative case study ,Spinal manipulation ,RZ201-275 ,Diseases of the musculoskeletal system ,RC925-935 - Abstract
Abstract Background Pregnancy-related low back and/or pelvic girdle pain is common, with a prevalence rate of up to 86% in pregnant women. Although 19.5% of Australian pregnant women visit a chiropractor for pelvic girdle pain, little is known about the experience of pregnant women who seek this care. The aim of this study was to describe and explore the experiences of Australian pregnant women who seek chiropractic care for their current pregnancy-related low back and/or pelvic girdle pain. Methods A qualitative case study approach with purposive sampling from 27 chiropractic practices was used. A grounded theory approach was informed by a constructivist and interpretivist stance, which provided understanding and meaning to the pregnant women’s experiences. Online unstructured interviews were recorded, transcribed, and anonymised. A thematic analysis was subsequently conducted on the primary data. Codes and major themes were developed with the use of critical self- reflection (memos), survey finding triangulation and respondent validation. Results Sixteen potential respondents expressed interest in participating. After eligibility screening and data saturation, nine interviews were undertaken. Four key themes were identified: “Care drivers: what drives care seeking?”, “Care barriers: what barriers are encountered?”, “Chiropractic treatment: what does treatment consist of?” and “Response to care: what response was there to care?”. Conclusion Four key themes: care drivers, care barriers, chiropractic treatment, and response to care support an emergent substantive-level theory in women’s care seeking experiences for pregnancy-related back pain and chiropractic care. This theory is that chiropractic care for pregnant women experiencing low back pain and pelvic girdle pain may improve pain and function, while reducing pregnancy-related biopsychosocial concerns. The findings may inform antenatal health providers and the chiropractic profession about pregnant women’s experience seeking chiropractic care as well as directing future research.
- Published
- 2023
- Full Text
- View/download PDF
37. 'We are not there yet': perceptions, beliefs and experiences of healthcare professionals caring for women with pregnancy-related pelvic girdle pain in Australia
- Author
-
Dragana Ceprnja, Lucy Chipchase, Pranee Liamputtong, and Amitabh Gupta
- Subjects
Pregnancy ,Pelvic girdle pain ,Qualitative ,Healthcare ,Interviews ,Medical ,Gynecology and obstetrics ,RG1-991 - Abstract
Abstract Background Pregnancy-related pelvic girdle pain (PPGP) is a common condition worldwide. Women report being unprepared about PPGP, and state they receive little recognition and support from healthcare professionals. Situated within the Common-Sense Model and Convergent Care Theory, this study sought to gain a conceptual understanding of the perceptions, beliefs and experiences of healthcare professionals who provide routine care for women with PPGP in Australia. Methods A qualitative research design, using individual, semi-structured interviews with purposive sampling of healthcare professionals (N=27) consisting of doctors (N=9), midwives (N=9) and physiotherapists (N=9). Most participants were female (22/27) with a range of professional experience. An interview guide consisting of open-ended questions was used with a flexible and responsive approach. Thematic analysis was performed where interview data were transcribed, coded, grouped into meaningful categories and then constructed into broad themes. Results Four themes were identified: 1. Identity and impact of PPGP; 2. What works well?; 3. What gets in the way?; and 4. Quality care: What is needed? Healthcare professionals recognised PPGP as a common and disabling condition, which created a large impact on a woman’s life during pregnancy. Stepped-level care, including education and physiotherapy intervention, was seen to be helpful and led to a positive prognosis. Barriers at patient, clinician and organisation levels were identified and led to consequences for women with PPGP not receiving the care they need. Conclusion This study elucidates important implications for health care delivery. Acknowledging that PPGP is a common condition causing difficulty for many women, healthcare professionals identified strong teamwork and greater clinical experience as important factors in being able to deliver appropriate healthcare. Whilst healthcare professionals reported being committed to caring for women during pregnancy, busy workloads, attitudes towards curability, and a lack of formal education were identified as barriers to care. The findings suggest timely access, clear referral pathways and an integrated approach are required for best care practice for women with PPGP. A greater emphasis on the need for multidisciplinary models of care during pregnancy is evident.
- Published
- 2023
- Full Text
- View/download PDF
38. Sexual Aspects of Pelvic Floor Disturbances/Disorders
- Author
-
Westerik-Verschuuren, Liesbeth, Lutke Holzik-Mensink, Marjolijn, Wieffer-Platvoet, Marleen, van der Velde, Minke, Geuens, Sam, editor, Polona Mivšek, Ana, editor, and Gianotten, Woet.L., editor
- Published
- 2023
- Full Text
- View/download PDF
39. Drivers, barriers, and response to care of Australian pregnant women seeking chiropractic care for low back and pelvic girdle pain: a qualitative case study.
- Author
-
Bernard-Giglio, Maria, French, Simon D, Myburgh, Corrie, and de Luca, Katie
- Subjects
PELVIC pain treatment ,LUMBAR pain ,HEALTH services accessibility ,CHIROPRACTIC ,GROUNDED theory ,RESEARCH methodology ,PREGNANT women ,INTERVIEWING ,PATIENTS' attitudes ,QUALITATIVE research ,DESCRIPTIVE statistics ,MEDICAL practice ,THEMATIC analysis ,JUDGMENT sampling ,DATA analysis software ,REFLECTION (Philosophy) - Abstract
Background: Pregnancy-related low back and/or pelvic girdle pain is common, with a prevalence rate of up to 86% in pregnant women. Although 19.5% of Australian pregnant women visit a chiropractor for pelvic girdle pain, little is known about the experience of pregnant women who seek this care. The aim of this study was to describe and explore the experiences of Australian pregnant women who seek chiropractic care for their current pregnancy-related low back and/or pelvic girdle pain. Methods: A qualitative case study approach with purposive sampling from 27 chiropractic practices was used. A grounded theory approach was informed by a constructivist and interpretivist stance, which provided understanding and meaning to the pregnant women's experiences. Online unstructured interviews were recorded, transcribed, and anonymised. A thematic analysis was subsequently conducted on the primary data. Codes and major themes were developed with the use of critical self- reflection (memos), survey finding triangulation and respondent validation. Results: Sixteen potential respondents expressed interest in participating. After eligibility screening and data saturation, nine interviews were undertaken. Four key themes were identified: "Care drivers: what drives care seeking?", "Care barriers: what barriers are encountered?", "Chiropractic treatment: what does treatment consist of?" and "Response to care: what response was there to care?". Conclusion: Four key themes: care drivers, care barriers, chiropractic treatment, and response to care support an emergent substantive-level theory in women's care seeking experiences for pregnancy-related back pain and chiropractic care. This theory is that chiropractic care for pregnant women experiencing low back pain and pelvic girdle pain may improve pain and function, while reducing pregnancy-related biopsychosocial concerns. The findings may inform antenatal health providers and the chiropractic profession about pregnant women's experience seeking chiropractic care as well as directing future research. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
40. Telerehabilitation for persistent Pelvic Girdle Pain within a biopsychosocial framework - A case report.
- Author
-
Starzec-Proserpio, Małgorzata and Vandyken, Carolyn
- Subjects
- *
TELEREHABILITATION , *BIOPSYCHOSOCIAL model , *PAIN measurement , *NEUROPHYSIOLOGY , *PHOBIAS , *PELVIC pain , *CONVALESCENCE , *DESENSITIZATION (Psychotherapy) , *SELF-efficacy , *TREATMENT effectiveness , *PUERPERIUM , *PREGNANCY complications , *BODY movement , *PAIN catastrophizing , *PAIN management , *EXERCISE therapy - Abstract
Persistent pregnancy-related pelvic girdle pain (PGP) and the resulting consequences may considerably influence a woman's quality of life. The complexity of this condition requires a whole-person centered approach. In response to COVID-19 outbreak, telerehabilitation has emerged as a promising alternative to traditional in-person visits. The aim of this report was to present the potential of telerehabilitation for persistent postpartum PGP within the biopsychosocial framework. A 26-year-old female presented with persistent pregnancy-related PGP of 8 months duration after her first vaginal delivery. The video-consults were performed using telerehabilitation platform. The patient received six telerehabilitation consults of 45 min duration over five weeks. Assessment of physical and psychosocial factors, cognitively focused strategies including pain neurophysiology education, sensory-motor remapping exercises, and graded increase of activity were administered. Rehabilitation was divided into the following phases: assessment, desensitization, graded exposure, and supported independence. The Pelvic Girdle Questionnaire (PGQ) score was significantly reduced from 72.2 during the assessment to 15.3 at discharge. This change was significantly more substantial than the minimal clinically important change estimated for the PGQ. Physiotherapists can utilize telerehabilitation to assist them with enacting appropriate care measures for persistent PGP within a biopsychosocial framework. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
41. Generalized joint hypermobility and the risk of pregnancy‐related pelvic girdle pain: Is body mass index of importance?—A prospective cohort study.
- Author
-
Ahlqvist, Kerstin, Bjelland, Elisabeth Krefting, Pingel, Ronnie, Schlager, Angela, Peterson, Magnus, Olsson, Christina B., Nilsson‐Wikmar, Lena, and Kristiansson, Per
- Subjects
- *
PELVIC pain , *JOINT hypermobility , *BODY mass index , *MEDICAL needs assessment , *LOGISTIC regression analysis - Abstract
Introduction: Pelvic girdle pain (PGP) affects approximately 50% of pregnant women. The mechanisms are multifactorial but not fully understood. Women with generalized joint hypermobility (GJH) may be vulnerable to load in the pelvic joints during pregnancy. Our aim was to investigate if women with GJH had an increased risk of PGP and higher pain intensity during and after pregnancy, compared with women with normal joint mobility. We also studied if body mass index (BMI) in early pregnancy influenced that risk. Material and methods: A prospective cohort study of 356 women, whose data were collected by self‐reports and clinical examinations in early and in late pregnancy and 9 months after childbirth. GJH was present with ≥5/9 points on the Beighton score. PGP was defined by a pain drawing and ≥1 positive test. Pain intensity was measured with a visual analogue scale (0–100 mm). We adjusted for age and origin in logistic regression and ordinal logistic regression analysis. Results: In early pregnancy, 47.1% of the women with GJH had PGP vs 32.6% of women with normal joint mobility (adjusted odds ratio [aOR] 1.76; 95% confidence interval [CI] 0.86–3.62) and had higher odds of reporting higher pain intensity (aOR 2.04; 95% CI 1.02–4.07). The odds of PGP were highest for women with GJH and BMI ≥25 kg/m2 (aOR 6.88; 95% CI 1.34–35.27) compared with women with normal joint mobility and BMI <25 kg/m2. The estimated associations were weaker and not statistically significant in late pregnancy or after childbirth. Conclusions: Women with GJH did not have an increased risk of PGP during or after pregnancy but reported higher pain intensity in early pregnancy compared with women with normal joint mobility. Since women with combined GJH and BMI ≥25 kg/m2 had the highest odds of PGP in early pregnancy, our results may suggest that health care needs to pay attention to and develop methods to reduce the risk of PGP and delay the onset of pain during pregnancy in women with this combination. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
42. Heredity of pregnancy‐related pelvic girdle pain in Sweden.
- Author
-
Kristiansson, Per, Zöller, Bengt, Dahl, Niklas, Kalliokoski, Paul, Hallqvist, Johan, and Li, Xinjun
- Subjects
- *
PELVIC pain , *PUBIC symphysis , *SACROILIAC joint , *HOSPITAL admission & discharge , *VITAL records (Births, deaths, etc.) - Abstract
Introduction: Pelvic girdle pain during and after pregnancy is a major public health problem with significant daily problems for affected women and their families. There is now accumulating evidence that pregnancy‐related pelvic girdle pain originates from the sacroiliac joints and the pubic symphysis as well as their extra‐articular ligaments. However, the heritability of the disease remains to be determined. We hypothesized that there is an increased familial risk of pregnancy‐related pelvic girdle pain. Material and methods: A population‐based national database linkage registry study of approximately 9.3 million individuals within 4.2 million families in Sweden with a recruitment period from 1997 to 2018. The Swedish Multi‐generation register was used to find female pairs of twins, full siblings, half‐siblings and first cousins where both in the pairs had a completed pregnancy. The outcome measure was diagnosis of pregnancy‐related pelvic girdle pain (International Classification of Diseases‐10 O26.7 [1997–2018]) in the first pregnancy. Data was obtained from the Swedish Hospital Discharge Register, the Swedish Outpatient Care Register, the Swedish Medical Birth Register, the Primary Healthcare Register, and Medical Treatment Register. Cox regression analysis was used to calculate adjusted estimated effect of the exposure variable familial history of pregnancy‐related pelvic girdle pain on the outcome variable pregnancy‐related pelvic girdle pain at first birth. Results: From the registers, 1 010 064 women pregnant with their first child within 795 654 families were collected. In total, 109 147 women were diagnosed with pregnancy‐related pelvic girdle pain. The adjusted hazard ratio for a familial risk of pregnancy‐related pelvic girdle pain was 2.09 (95% CI 1.85–2.37) among twins (monozygotic and dizygotic), 1.78 (95% CI 1.74–1.82) in full siblings, 1.16 (95% CI 1.06–1.28) in half‐siblings from the mother, 1.09 (95% CI 1.024–1.16) in half‐siblings from the father and 1.09 (95% CI 1.07–1.12) in first cousins. Conclusions: This nationwide observational study showed a familial clustering of pregnancy‐related pelvic girdle pain. The hazard ratio for the condition was associated with the degree of relatedness, suggesting that heredity factors contribute to the development of pregnancy‐related pelvic girdle pain. There is no causal treatment available for pregnancy‐related pelvic girdle pain and further studies are now encouraged to clarify the specific genetic factors that contribute to the disease and for future targeted interventions. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
43. Role of depressive symptoms on the development of pelvic girdle pain in pregnancy: A prospective inception cohort study.
- Author
-
Algård, Teresa, Kalliokoski, Paul, Ahlqvist, Kerstin, Schlager, Angela, and Kristiansson, Per
- Subjects
- *
PELVIC pain , *MENTAL depression , *SICK leave , *DIRECTED acyclic graphs , *PREGNANCY , *COHORT analysis , *PRENATAL depression - Abstract
Introduction: Pelvic girdle pain in pregnancy is a major public health concern. For too many women, the pain condition causes disability and sick leave, has a negative impact on daily life, and breeds doubt in their view as mother, partner, and worker. The pathophysiology is unknown and causal treatment is lacking. Depression in pregnancy is common, undertreated, and previously associated with pelvic girdle pain with unclear causal direction. Material and methods: A prospective inception cohort study of 356 Swedish women examined them in early and late pregnancy. Women with a positive Posterior Pelvic Pain Provocation test in early pregnancy were not included. The exposure, depressive symptoms in early pregnancy, was self‐reported on the Hospital Anxiety and Depression Scale, depression part (0–21). Outcome measure in late pregnancy was a graded score on the Posterior Pelvic Pain Provocation test (0–8). Covariates for statistical adjustment were identified in a directed acyclic graph. Linear robust and logistic regression were used in the statistical analyses. Results: In early pregnancy, the 248 women with negative Posterior Pelvic Pain Provocation test had a mean score of 2.35 (± 2.3 standard deviation) on the Hospital Anxiety and Depression Scale, depression part. In a fully adjusted, multiple robust regression model a positive association was shown between Hospital Anxiety and Depression Scale score, depression part, and the Posterior Pelvic Pain Provocation test score in late pregnancy with an estimated effect of β = 0.32 (95% confidence interval [CI] 0.16–0.48, p < 0.001). Dichotomization of exposure (Hospital Anxiety and Depression Scale, depression part <8/≥8) and outcome (Posterior Pelvic Pain Provocation test score 0/>0) rendered adjusted odds ratio 1.71 (95% CI 0.38–7.7) and numbers needed to treat adjusted odds ratio 5.54 (95% CI −3.4–14.5). Conclusions: Depressive symptoms in early pregnancy were associated with the development and intensity of pelvic girdle pain in late pregnancy. Considering the small sample size, screening and treatment for depressive symptoms in early pregnancy may enable a way to reduce and prevent disabling pelvic girdle pain in late pregnancy. Trials are needed to confirm the results. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
44. "We are not there yet": perceptions, beliefs and experiences of healthcare professionals caring for women with pregnancy-related pelvic girdle pain in Australia.
- Author
-
Ceprnja, Dragana, Chipchase, Lucy, Liamputtong, Pranee, and Gupta, Amitabh
- Subjects
- *
PELVIC pain , *MEDICAL personnel , *BUSINESSWOMEN , *MEDICAL care , *DISABILITIES - Abstract
Background: Pregnancy-related pelvic girdle pain (PPGP) is a common condition worldwide. Women report being unprepared about PPGP, and state they receive little recognition and support from healthcare professionals. Situated within the Common-Sense Model and Convergent Care Theory, this study sought to gain a conceptual understanding of the perceptions, beliefs and experiences of healthcare professionals who provide routine care for women with PPGP in Australia. Methods: A qualitative research design, using individual, semi-structured interviews with purposive sampling of healthcare professionals (N=27) consisting of doctors (N=9), midwives (N=9) and physiotherapists (N=9). Most participants were female (22/27) with a range of professional experience. An interview guide consisting of open-ended questions was used with a flexible and responsive approach. Thematic analysis was performed where interview data were transcribed, coded, grouped into meaningful categories and then constructed into broad themes. Results: Four themes were identified: 1. Identity and impact of PPGP; 2. What works well?; 3. What gets in the way?; and 4. Quality care: What is needed? Healthcare professionals recognised PPGP as a common and disabling condition, which created a large impact on a woman's life during pregnancy. Stepped-level care, including education and physiotherapy intervention, was seen to be helpful and led to a positive prognosis. Barriers at patient, clinician and organisation levels were identified and led to consequences for women with PPGP not receiving the care they need. Conclusion: This study elucidates important implications for health care delivery. Acknowledging that PPGP is a common condition causing difficulty for many women, healthcare professionals identified strong teamwork and greater clinical experience as important factors in being able to deliver appropriate healthcare. Whilst healthcare professionals reported being committed to caring for women during pregnancy, busy workloads, attitudes towards curability, and a lack of formal education were identified as barriers to care. The findings suggest timely access, clear referral pathways and an integrated approach are required for best care practice for women with PPGP. A greater emphasis on the need for multidisciplinary models of care during pregnancy is evident. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
45. Translation and validation of the Pelvic Girdle Questionnaire in the Urdu language.
- Author
-
Kalsoom, Faiza, Ikram, Mehwish, Noor, Rabiya, Abdulhameed, Sumera, and Bashir, Muhammad Salman
- Subjects
- *
PELVIC bones , *URDU language , *TRANSLATING & interpreting , *PELVIC pain , *CRONBACH'S alpha - Abstract
Introduction and hypothesis: The Pelvic Girdle Questionnaire (PGQ) is designed to determine pain and limited activities in pregnant and postpartum women with pelvic girdle pain (PGP). The purpose of this study was to translate the PGQ into the Urdu language and find out the cross-cultural validity and reliability of the Urdu PGQ among pregnant and postpartum women. Methods: A translation and cultural adaptation study was performed following international guidelines. The PGQ (the Urdu version) was drafted and a pilot study was conducted on 16 pregnant and postpartum women. A total of 125 pregnant and postpartum females participated in this study for validity and test–retest reliability. SPSS 25 was used for data analysis. Results: Content validity was analyzed by the content validity index ranging from (0.92 to 1). Convergent validity was determined by correlating the Urdu version of the PGQ with the Oswestry Disability Index (ODI). Pearson rank correlation coefficient between the PGQ and the ODI (p=0.84) showed convergent validity. Internal consistency and test–retest reliability of the Urdu version of the PGQ were calculated by Cronbach's alpha (α=0.98), and intra-class correlation coefficient (ICC=0.98) respectively. Conclusion: The Urdu version of the PGQ showed good content and convergent validity as well as high internal consistency and test–retest reliability. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
46. Biomechanical and Viscoelastic Properties of Plantar Fascia in Pregnant Women
- Published
- 2022
47. Pelvic Girdle Pain in Pregnant Women
- Published
- 2022
48. Pilates Exercise OnPost PartumWomen With Pelvic Girdle Pain
- Author
-
Mona Oktarina
- Subjects
pilates exercise ,pain ,visual analogue scale ,pelvic girdle pain ,Nursing ,RT1-120 - Abstract
Objective: To determine the effectof Pilates exercise on pain in post-partum women with pelvic girdle pain. Method: The research design used a pre-experimental design with one group pretest-posttest design. The population in this study were all postpartum women in Kuningan Barat sub-district, South Jakarta with complaints of pelvic girdle pain. The sampling technique in this study is non-probability method by purposive sampling in which the researcher took a sample based on predetermined criteria as many as 10 respondents. Pain data collection used the Visual Analog Scale and tested with the t test. Results: analysis of the dependent T test in postpartum women with pelvic girdle pain concluded that the pretest and posttest pain scores had a P-value (0.001) < ? 0.05, so H0 was rejected. Conclusion: Giving Pilates exercises can reduce pain in postpartum woman with pelvic girdle pain.
- Published
- 2023
- Full Text
- View/download PDF
49. Evaluation of an orthotic intervention for the management of pregnancy related pelvic girdle pain (PGP)
- Author
-
Cameron, Lee
- Subjects
618.1 ,Pregnancy ,Pelvic Girdle Pain ,Orthotic Devices - Abstract
The overall aim of the thesis was to evaluate the effectiveness of a novel orthotic intervention, a customised Dynamic Elastomeric Fabric Orthosis (DEFO), in the management of both antenatal and post-partum pelvic girdle pain (PGP). In the first instance the fabric, from which the DEFO was constructed, underwent testing to determine if the different colour fabrics available possessed the same underlying fabric stiffness and elastic hysteresis to ensure that each orthotic was standardised. Laboratory testing identified significant differences in both fabric stiffness and elastic hysteresis, between colours. The findings of this study enabled standardisation of the intervention by using a single coloured customised DEFO (Black), ensuring rigor of the planned evaluation studies. A randomised controlled trial, with participants experiencing antenatal PGP, was then completed assessing the effectiveness of the novel customised DEFO in comparison to a standard issue pelvic belt (Serola Belt). It found that there was both a statistically (p < .05) and clinically significant (one point minimal clinically important difference (MCID)) change in favour of the DEFO in reducing both day and night pain as measured by the numerical pain rating scale (NPRS). Following impromptu discussions with participants experiencing long-standing PGP, and a further review of the literature, it was evident that this was an under-researched area. A single case study series was therefore undertaken to explore the potential effectiveness of the customised DEFO in reducing pain and improving function and quality of life in women with chronic (> 3months) PGP. The single case study series also afforded an opportunity to identify potential outcome measures that could be used if a larger trial was considered in the future. This single case study series suggests that a customized DEFO could potentially reduce pain, increase health related quality of life, improve mood and increase activity levels for persons suffering from chronic post-partum PGP, thereby hopefully identifying a possible new treatment option for managing this condition. The results of this single case study series provides the basis for a larger clinical trial. Conclusion This thesis has provided an evaluation of orthotic intervention for pregnancy related PGP. The results have shown that orthotic intervention in antenatal PGP can provide an improvement in PGP related symptoms such as pain and function. This research has helped to fill a knowledge gap and provided current evidence to move towards improved clinical care. Furthermore, this thesis has provided a more in-depth awareness into chronic post-partum PGP and the magnitude of improvement that may be associated with the customized DEFO. The results of this single case study series provides the basis for a larger clinical trial.
- Published
- 2020
50. Importance of internal vaginal pelvic floor muscle exams for women with external lumbar/hip/pelvic girdle pain.
- Author
-
Dune, Tanaka J., Griffin, Arianna, Hoffman, Elizabeth Gunnar, Joyce, Cara, Taege, Susanne, Brubaker, Linda, and Fitzgerald, Colleen M.
- Subjects
- *
PELVIC pain , *PELVIC floor , *BODY mass index , *PAIN clinics , *PAIN measurement , *PLASTIC surgery - Abstract
Introduction and hypothesis: The relationship between external lumbar, hip, and/or pelvic girdle pain and internal vaginal pelvic floor myofascial pain is not well described. We assessed this relationship in a cohort of adult women. Methods: The cohort included women ≥ 18 years old who received care for external lumbar, hip, and/or pelvic girdle pain (reported or elicited on physical examination) who then underwent internal vaginal myofascial levator ani pain assessments, in a tertiary care Female Pelvic Medicine and Reconstructive Surgery pelvic pain clinic over a 2-year period (2013 and 2014). Results: The cohort of 177 women had an average age of 44.9±16.0 years, an average body mass index of 27.2±7.0 kg/m2, and the majority (79.2%) were white. Most patients presented with a chief complaint of pelvic (51.4%), vulvovaginal (18.6%), and/or lumbar (15.3%) pain. Women who reported symptoms of lumbar, hip, or pelvic girdle pain were more likely to have pain on vaginal pelvic floor muscle examination than women without this history (OR, 7.24; 95% CI, 1.95–26.93, p=0.003). The majority (85.9%) of women had bilateral internal vaginal pelvic floor myofascial pain on examination. Conclusions: Although participants did not describe "vaginal pelvic floor myofascial pain," the high detection rate for internal vaginal pelvic floor myofascial pain on clinical examination highlights an opportunity to improve treatment planning. These findings suggest that the vaginal pelvic floor muscle examination should be part of the assessment of all women with lumbar, hip, and/or pelvic girdle pain. The relationship between this finding and clinical outcomes following directed treatment warrants additional study. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
Catalog
Discovery Service for Jio Institute Digital Library
For full access to our library's resources, please sign in.