European guidelines on the diagnosis and treatment of pelvic girdle pain

Vleeming, Andry; Albert, H; Hc, Ostgaard; Stuge, Britt; Sturesson, Bengt

doi:10.1016/b978-044310178-6.50033-5

Cited by 212 publications

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“…Previous reported studies have found than 10% of pregnant women have severe lumbo-pelvic pain that interferes with daily activities (Fast et al 1990) and the prevalence of pregnant women suffering from lumbo-pelvic pain is about 20% (Vleeming et al 2008;Grotle et al 2012). In the postpartum period reported lumbo-pelvic pain is expected to be high (Parker et al 2009) and it may affect between 9% and 48% (Bø and Backe-Hansen 2007) of women.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

et al. 2015

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This file was dowloaded from the institutional repository Brage NIH -brage.bibsys.no/nih Mota, P., Pascoal, A. G., Carita, A., Bø, K. (2014). Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain. Manual Therapy. doi:10.1016/j.math.2014.09.002Dette er siste tekst-versjon av artikkelen, og den kan inneholde små forskjeller fra forlagets pdf-versjon. Forlagets pdf-versjon finner du på www.sciencedirect.com: http://dx

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Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

et al. 2015

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“…PGP is reported by 20% of women and is experienced between the posterior iliac crest and the gluteal fold, predominantly at the level of the sacroiliac joints and potentially radiating to the posterior thigh (Vleeming et al 2008). Pain can also be experienced in conjunction with, or exclusively in, the symphysis.…”

Section: Introductionmentioning

confidence: 99%

“…According to current guidelines (Vleeming et al 2008), classification of PGP requires the exclusion of lumbar causes. Several tests have been described for examining the lumbar spine in pregnancy (Ostgaard et al 1994b;Sturesson et al 1997), but the test reaction, in terms of pain or stiffness, is not specific enough to exclude intervertebral disc pathology, which is probably the most common structural source of non-specific lumbopelvic pain (Bogduk 1995).…”

Section: Introductionmentioning

confidence: 99%

The inter-rater reliability of a standardised classification system for pregnancy-related lumbopelvic pain

2010

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“…In a smaller fraction, the pain persists for years after childbirth [14,23]. Several prognostic factors have been identified for development of and recovery from LBP although no clear picture has been established [31]. According to recently published guidelines PGP can be viewed as a specific form of LBP that can occur separately or in conjunction with LBP [31].…”

Section: Introductionmentioning

confidence: 99%

“…Several prognostic factors have been identified for development of and recovery from LBP although no clear picture has been established [31]. According to recently published guidelines PGP can be viewed as a specific form of LBP that can occur separately or in conjunction with LBP [31]. It is thus of importance to examine prognostic factors for PGP.…”

Section: Introductionmentioning

confidence: 99%

Prognostic factors for recovery from postpartum pelvic girdle pain

Vøllestad

Stuge

2009

Eur Spine J

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Pelvic girdle pain (PGP) has a high incidence during pregnancy and in some women pain will persist for years. Most studies have used pain as the outcome measure, and little attention is given to functioning or disability. A better understanding of prognostic factors for recovery seems important for clinical care and treatment. The aim of the present paper was to identify prognostic factors for recovery from postpartum PGP and disability, and to determine the impacts of prognostic factors when pain intensity and disability are used as outcome measures. Seventy-eight women with diagnosed PGP were included 6-16 weeks postpartum. Possible prognostic factors were obtained through clinical tests and questionnaires at baseline. The clinical tests were posterior pelvic pain provocation (P4) test, active straight leg raise (ASLR) test and pain provocation of long dorsal sacroiliac ligament (LDL). One year postpartum outcome measures were obtained by Oswestry disability index (ODI ver 2.0) and worst evening pain (VAS 0-100). Multiple linear regression and logistic regression analyses were used to identify significant prognostic factors. At baseline 60% believed they would recover and 40% were uncertain or believed they would not recover. Fifty per cent had a history of low back pain (LBP), and 20% had high emotional distress (HSCL25-item C1.75). About 75% had positive LDL and P4 at both sides and 24% had pain located to all three pelvic joints. Forty per cent had ASLR scores of at least 4 (sum score range 0-10). Multivariate analyses showed consistently that ASLR and belief in improvement were statistical significant predictors for both disability and pain as outcome measures. ASLR score \4 predicted 10 points lower ODI and 19 points lower evening pain compared with having ASLR score of at least 4. Pain location was a statistical significant predictor in only one analysis. History of LBP or high psychological distress was not prognostic for recovery. ASLR test and belief in improvement are predictors of clinical significance in women having PGP postpartum.

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European guidelines on the diagnosis and treatment of pelvic girdle pain

Cited by 212 publications

References 0 publications

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

Prevalence and risk factors of diastasis recti abdominis from late pregnancy to 6 months postpartum, and relationship with lumbo-pelvic pain

The inter-rater reliability of a standardised classification system for pregnancy-related lumbopelvic pain

Prognostic factors for recovery from postpartum pelvic girdle pain

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