Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Physical Therapy Association

Clinton, Susan C.; Newell, Alaina M.; Downey, Patricia; Ferreira, Kimberly

doi:10.1097/jwh.0000000000000081

Cited by 39 publications

(43 citation statements)

References 86 publications

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“…On this basis, LBP is quite often considered ‘normal’ during pregnancy, but women report that it interferes with their activities of daily living (Colla, Paiva & Thomas, 2017; Hughes et al, 2018). PGP during pregnancy is estimated to range in prevalence from 24% to 50%, with the cited reason for this range being there is variability in how PGP is defined, how physical assessments to identify PGP are performed and how it is reported (Clinton et al, 2017; Fitzgerald & Mallinson, 2012; Walters, West & Nippita, 2018). Research suggests the two common prenatal ailments negatively impact activities of daily living (Clinton et al, 2017) and, in Scandinavian countries, they have been found to account for a large proportion of sick-leave taken by pregnant women or postnatal women returning to work (Backhausen et al, 2018; Aldabe, Milosavljevic & Bussey, 2012; Larsen et al, 1999; Stuge, Hilde & Vøllestad, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, training of the diagonal trunk muscle system, (specifically internal and external oblique muscles, latissimus dorsi, multifidus and gluteus maximus), and the use of pelvic support belts together assist women to achieve greater reductions in symptoms than are typically achieved by spontaneous resolution alone (Mens, Snijders & Stam, 2000; Stuge, Holm & Vøllestad, 2006). Pelvic support belts provide often-needed support to reduce prenatal pain and so such belts tend to be an early intervention provided to manage pain in this context (Bertuit et al, 2018; Carr, 2003; Clinton et al, 2017; Vleeming et al, 2008). However, other factors need to be considered when prescribing pelvic support belts, given the target population is pregnant women.…”

Section: Introductionmentioning

confidence: 99%

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Compression shorts reduce prenatal pelvic and low back pain: a prospective quasi-experimental controlled study

Szkwara

Hing

Pope

et al. 2019

PeerJ

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Background Common prenatal ailments negatively impact performance of activities of daily living and it has been proposed that the use of dynamic elastomeric fabric orthoses, more commonly referred to as compression garments, during pregnancy might aid in the reduction of pain from these ailments, allowing for improved functional capacity. However, the effectiveness of such garments in this context has not been established. This study aims to determine whether compression shorts are effective and thermally safe in the prevention and management of prenatal pelvic and low back pain (LBP). Method A prospective quasi-experimental controlled study using parallel groups without random allocation was conducted, involving 55 childbearing women (gestational weeks 16–31) recruited from hospital and community-based maternity care providers. The compression shorts group (SG) wore SRC Pregnancy Shorts in addition to receiving usual care. The comparison group (CG) received usual care alone. Primary outcome measures—Numeric Pain Rating Scale (NPRS) and Roland Morris Disability Questionnaire (RMDQ) and secondary measures Pelvic Floor Impact Questionnaire - 7 (PFIQ-7) and SF-36 Short Form Health Survey—were assessed fortnightly over 6-weeks for both groups. The compression SG self-assessed daily their body temperatures to monitor thermal impact. Data analysis involved descriptive analyses of the primary and secondary outcome measures scores by group and time-point, and multivariable linear regressions to assess between-group differences in change scores at 6-weeks from baseline while controlling for baseline factors. Results After controlling for baseline scores, gestational weeks and parity, statistically significant differences in NPRS and RMDQ change scores between groups were in favour of the compression SG. At 6-weeks, mean (SD) NPRS change scores in the compression SG and CG were significantly different, at −0.38 (2.21) and 2.82 (2.68), respectively, p = 0.003. Mean (SD) RMDQ change scores in the compression SG and CG were also significantly different, at 0.46 (3.05) and 3.64 (3.32), respectively, p = 0.009. A total of 883 (99.7%) of the reported daily self-assessed body temperatures ranged between 35.4 and 38.0 °C when wearing the compression shorts. At 6-weeks, mean (SD) PFIQ-7 and SF-36 change scores in the compression SG and CG were not significantly different. Conclusion Compression shorts are effective and thermally safe for prenatal management of pelvic and LBP. Registration Trial registration was not required (Australian Government Department of Health Therapeutic Goods Administration (TGA), 2018).

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Compression shorts reduce prenatal pelvic and low back pain: a prospective quasi-experimental controlled study

Szkwara

Hing

Pope

et al. 2019

PeerJ

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“…A recent systematic review of intervention trials for posterior pelvic pain indicated favorable effects on pain after manual therapies . However, other reviews have been less favorable with respect to manual interventions, resulting in conflicting support for these interventions for posterior pelvic pain . Consequently, if manual therapy is to be used in the treatment of SI joint pain, providers should understand what manual therapy may accomplish, as well as its limitations.…”

Section: Introductionmentioning

confidence: 99%

“…10 However, other reviews have been less favorable with respect to manual interventions, resulting in conflicting support for these interventions for posterior pelvic pain. 11 Consequently, if manual therapy is to be used in the treatment of SI joint pain, providers should understand what manual therapy may accomplish, as well as its limitations. It is important to appreciate how manual therapy may fit within a comprehensive management strategy for posterior pelvic pain to maximize outcomes.…”

Section: Introductionmentioning

confidence: 99%

Use of Manual Therapy for Posterior Pelvic Girdle Pain

Miles

Bishop

2019

PM&R

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Use of manual therapies in the treatment of posterior pelvic pain is a common practice. The rationale for use of manual therapies is often associated with the structural movement of the sacroiliac joint. Increasing evidence has shown this not to be the case, as manual therapy's effect is more neurophysiological in nature. This article seeks to clarify the difference between the two explanations as well as to expand upon outside influences such as expectations, therapeutic alliance, and equipoise that may influence the outcome of treatment. Treatment effects may be maximized with manual therapy if clinicians have an understanding of the role of each of these variables in their treatment approach.

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“…Під час вагітності діагностична візуалізація з використанням променевого навантаження протипоказана [14].…”

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Pelvic-spine pain at pregnancy: diagnostics and treatment

Tankut¹,

Berenov²,

Berenova³

2020

ORTHOPAEDICS, TRAUMATOLOGY and PROSTHETICS

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The course of pregnancy is often complicated by pelvic spine pain (PSP), which leads to household and occupational disabi lity, negatively affects the condition of the fetus and the unborn child. Objective: to analyze the main factors in the development of PSP in pregnant women, to improve the methods of diagnosis and treatment. Methods: the protocols of clinical, biomechani cal and ultrasound examinations of 175 women of reproductive age (18-45 years old) with PSP were studied. The following structural sources of pain were identified: facet joints, sacro iliac joints, and hip joints, intervertebral discs, pubic joints, and myofascial structures. Each type of pain was classified according to the nature of the pain syndrome. Results: maps schemes of sources and variants of pain syndromes localization were proposed. There were 4 main factors in the development of lumbar pain syndrome (instability (40.8 %), facet joints pain, diskalgia (5.1 %), functional blockade of the lumbar vertebral motor segments (26.3 %)), 5 -pelvic (instability joints (39.5 %), arthralgia (23 %), functional blockade (40.8 %), syndromes of the sacroiliac joints (80 %) and symphysitis (48.7 %)). Basic treatment programs for pregnant women with PSP have been developed, the use of which led to a decrease in pain intensity during pregnancy by an average of 75 %. Some of the positive results of rehabilitation increased from (70.11 ± 16.42) % in the first trimester to (75.80 ± 18.43) % in the third. The rehabili tation index was (81.49 ± 19.26) %. Conclusions: PSP in preg nant women differs from pain at degenerative spine diseases and pelvic. The proposed working chartsschemes of different types of sources and variants of localization of pain syndromes significantly improved the diagnosis of these pathological condi tions, which helped to determine the treatment method. The ef fectiveness and expediency of using the developed program for the treatment of pregnant women with PSP in medical practice has been confirmed.

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Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Physical Therapy Association

Cited by 39 publications

References 86 publications

Compression shorts reduce prenatal pelvic and low back pain: a prospective quasi-experimental controlled study

Compression shorts reduce prenatal pelvic and low back pain: a prospective quasi-experimental controlled study

Use of Manual Therapy for Posterior Pelvic Girdle Pain

Pelvic-spine pain at pregnancy: diagnostics and treatment

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