Pregnancy and pelvic girdle pain: Analysis of pelvic belt on pain

Bertuit, Jeanne; Lint, Charlotte Eloise Van; Rooze, Marcel; Feipel, Véronique

doi:10.1111/jocn.13888

Cited by 31 publications

(60 citation statements)

References 51 publications

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“…For all gait parameters, we did not observe any difference between the types of belts. However, according to Bertuit et al (2017), the type of belt could influence the sensation of pain. In this study, the narrow and flexible belt achieved better results on pain, which would lead us to favour this type of belt [9].…”

Section: Discussionmentioning

confidence: 99%

“…A difference between the two types was noted: the narrow flexible belt lead to a significant decrease in SIJ and global pain, while the broader and more rigid belt lead to a decrease in back pain, suggesting the possibility of a differential benefit of both types of belts. Further research is needed to confirm if the different types of belts (flexible or rigid belt) could have different effect during pregnancy [9]. Also, the flexible belt seemed to be better tolerated by the subjects compared to the rigid belt [9,18].…”

Section: Introductionmentioning

confidence: 99%

“…Further research is needed to confirm if the different types of belts (flexible or rigid belt) could have different effect during pregnancy [9]. Also, the flexible belt seemed to be better tolerated by the subjects compared to the rigid belt [9,18].…”

Section: Introductionmentioning

confidence: 99%

“…PGP seems to be related to hormonal and mechanical factors which have an impact on force closure leading to instability, owing to a slightly larger range of movement in the pelvic joints [5][6][7]. This instability could lead to pelvic or low back pain and hinder daily activities such as walking [8,9].…”

Section: Introductionmentioning

confidence: 99%

“…In a randomised control study involving forty-six pregnant women, Bertuit et al (2017) analysed the effect of belts worn during nine weeks on pain and disability. The results showed that the use of pelvic belts during several weeks reduced pelvic girdle pain, particularly in the sacroiliac joint.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of the influence of various types and positions of pelvic belts on gait parameters in pregnant women with pelvic pain

Bertuit

Feipel

2019

PPR

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BACKGROUND: Many pregnant women develop pelvic pain during their pregnancy. Pregnancy can modify pelvic geometry while causing micro-mobility, leading to some instability, which will manifest itself through pain and an increase of tiredness when walking. Pelvic belts could restore stability and help reduce pain, thus facilitating motor activities such as walking. However, there are no guidelines on the use of pelvic belts. PURPOSE: The objective of this study was to compare the effects of two types of belts and several belt positions on gait parameters in pregnant women. METHODS: Forty-six pregnant women with pelvic girdle pain and 23 non-pregnant women were recruited. The motor task consisted in several gait trials at three different speeds, with and without pelvic belt. Temporal and spatial parameters were analysed. Two pelvic belts (narrow and flexible or broad and rigid) and several positions (high or low) were used. An analysis of variance for repeated measures (ANOVA) assessed the effects of group (pregnant/not pregnant), gait speed and belt. RESULTS: Gait parameters did not show any significant difference according to belt type or position. For pregnant women, gait velocity was reduced. Gait cycle phases were modified by an increase of stance phase and double support. Gait pattern displayed alterations during pregnancy. These changes favour a more stable and safe gait. Conclusion: There was no difference between belt positions (high and low) or between belt types (narrow and flexible or broad and rigid) on gait parameters. This suggests that all belt types and positions could be advised to pregnant women.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Analysis of the influence of various types and positions of pelvic belts on gait parameters in pregnant women with pelvic pain

Bertuit

Feipel

2019

PPR

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The impact of a sacroiliac joint belt on function and pain using the active straight leg raise in pregnancy‐related pelvic girdle pain

Fitzgerald

Bennis

Marcotte

et al. 2021

PM&R

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Introduction: Pelvic girdle pain (PGP) is the most common musculoskeletal concern in pregnancy. The Active Straight Leg Raise (ASLR) test is diagnostic. Sacroiliac joint (SIJ) belts are included in multimodal therapy, but there is no established predictive measure to determine which pregnant women will benefit. Objective: To determine if the ASLR score is immediately reduced by SIJ belt application and whether PGP pain and function improves after 4 weeks of belt use. Design: Prospective observational cohort study. Setting: Academic medical center. Participants: Pregnant women at least 18 years of age in the second or third trimester of pregnancy with posterior PGP and ASLR score of 2 to 10. Interventions: Four-week SIJ belt use. Main Outcome Measures: ASLR, Numerical Rating Scale (NRS), Pelvic Girdle Questionnaire (PGQ), Perceived Global Impression of Improvement (PGII). Results: Sixty-three women enrolled. On multivariable analysis, immediate belted ASLR score was −2.70 points lower than the non-belted ASLR score (P < .001). Four weeks later there was significant improvement in the ASLR score with a belt (M diff = −0.99; P = .001) and without a belt (M diff = −1.94; P < .001); the decline was more precipitous for the non-belted response (M diff = −0.96; P = .02). Current NRS pain scores declined from baseline by approximately −0.94 points (P < .001). This decline did not depend on ASLR scores (interaction P = .43) or wearing a belt at the time of testing (interaction P = .51). Similar conclusions held for participants' usual NRS score and average PGQ score. After 4 weeks, 82% reported improvement based on the PGII. Conclusions: SIJ belts are a safe, well-tolerated, and effective therapeutic option for pregnancy-related PGP. The ASLR score is immediately reduced following SIJ belt application but does not predict pain score 4 weeks later. SIJ belt leads to significant improvements in pain and function over time.

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Bekkengordelpijn

Mens¹,

Wayenburg²

2019

Kleine Kwalen en Alledaagse Klachten Bij Zwangeren

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Pregnancy and pelvic girdle pain: Analysis of pelvic belt on pain

Abstract: Aims and objectives: To analyse pain and functional capacity in women with pelvic girdle pain and to evaluate the effect of pelvic belt on these parameters. Two types of belts were to compare.Background: Pelvic girdle pain is very common during pregnancy. To prevent and

Cited by 31 publications

References 51 publications

Analysis of the influence of various types and positions of pelvic belts on gait parameters in pregnant women with pelvic pain

Analysis of the influence of various types and positions of pelvic belts on gait parameters in pregnant women with pelvic pain

The impact of a sacroiliac joint belt on function and pain using the active straight leg raise in pregnancy‐related pelvic girdle pain

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