The Prognostic Value of Asymmetric Laxity of the Sacroiliac Joints in Pregnancy-Related Pelvic Pain

Damen, Léonie; Buyruk, H.M.; Güler-Uysal, Füsun; Lotgering, F.K.; Snijders, Chris J.; Stam, Henk J.

doi:10.1097/00007632-200212150-00018

Cited by 94 publications

(74 citation statements)

References 23 publications

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“…After screening all titles and abstracts eight studies were found which addressed the inclusion and exclusion criteria [15,[45][46][47][48][49][50][51]. In addition to these, two more articles were found after hand searching [52,53].…”

Section: Study Selectionmentioning

confidence: 99%

“…In total, six studies reported the relationship between PPGP and pelvic mobility [15,45,[51][52][53][54] and four studies reported the relationship between motor control and PPGP [47][48][49][50]. Among them, seven were considered as case control [15,45,46,49,50,52,53] and three as cohort studies [47,48,51].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The pregnancy period covered by the studies varied widely: from 12th until 36th weeks. Results related to the postpartum period were not considered as the purpose of this SR was to focus on findings related to pregnancy period only [51,52,54]. Consequently, one study which assessed women in two periods, 36th week and postpartum, and was categorised as a cohort was considered in this SR as a case control [54].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Pelvic mobility was assessed by means of X-ray in two studies [52,53], ultrasonography in two studies [15,51] and DIV in two [45,46]. Motor control of the pelvis was assessed by using surface EMG in three studies [47][48][49] and one study used kinematic assessment [50].…”

Section: Study Characteristicsmentioning

confidence: 99%

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Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review

2012

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Purpose To determine the level of evidence for altered mechanical and motor control of the pelvis being associated with pregnancy-related pelvic girdle pain (PPGP). Methods This systematic review was undertaken by following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Six different databases were used for the electronic search. Observational cohorts, cross sectional or case-control studies focused on the association between altered kinematic/kinetic and motor control of the pelvis and PPGP during pregnancy were included. Study selection was conducted by two reviewers who firstly screened for titles, then for abstracts and finally for full articles. The Newcastle-Ottawa scale and the guidelines proposed by the Cochrane back review group were used to assess risk of bias and quality of evidence, respectively. Results 354 references were identified, and after excluding unwanted articles, 10 studies met the final inclusion criteria. Studies not related to motor control or pelvic mobility were the main reason for exclusion. Seven studies were case-control and three were prospective cohort studies. Seven studies were ranked as high while three were ranked as low quality. Among the high quality studies, six found association between PPGP and altered motor control and mobility of the pelvis.Conclusions The level of evidence for an association between PPGP and altered motor control and kinematic or kinetic parameters of the pelvis was found to be moderate.

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Section: Study Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review

2012

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“…32 Regarding the postpartum patient, previous research has indicated through a prospective cohort study that in patients with moderate to severe pregnancy-related pelvic pain, sacroiliac joint asymmetry laxity is predictive of persisting complaints postpartum in 77% of women. 33 The implementation of chiropractic care as part of the treatment protocol for the pregnant patient may reduce the likelihood of in utero constraint and its associated risks after parturition. Such care may also prevent or reduce the incidence of common prenatal conditions seen with neurologic and physiological involvement postpartum.…”

Section: Adjustive Procedures Of the Pregnant Patientmentioning

confidence: 99%

Pregnancy and chiropractic: a narrative review of the literature

Borggren

2007

Journal of Chiropractic Medicine

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Objective: The purpose of this article is to review the literature on the topic of chiropractic care during pregnancy. Methods: A PubMed search was performed using the terms pregnancy and chiropractic. Sources were cross-referenced to obtain further articles and research information after reviewing the articles obtained through the search. Results: Thirty-three references were used for this review. The current literature reports favorable results on the use of chiropractic care throughout pregnancy. Conclusions: Chiropractic evaluation and treatment during pregnancy may be considered a safe and effective means of treating common musculoskeletal symptoms that affect pregnant patients. The scarcity of published literature warrants further research.

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Sacroiliac Joint Hypermobility Biomechanics and What it Means for Health Care Providers and Patients

Enix

Mayer

2019

PM&R

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Sacroiliac joint dysfunction is complex with numerous etiologies. Proper stabilization of the sacroiliac joint allows for effective transfer of loads between the trunk and the lower extremities during static and dynamic activities, while maintaining a freely nutating motion. A loss of integrity of the stabilizing soft‐tissue structures inhibits the ability to transmit axial loads and creates uneven stresses on the joint and surrounding tissues. Hypermobility of the sacroiliac joint can be caused by ligamentous instability or secondary to adaptive biomechanical changes and increased stresses affecting the joints of the pelvis. This article examines the current evidence related to the loss of stability on sacroiliac joint pain and dysfunction. A review of exercise goals for the hypermobile joint is included.

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The Prognostic Value of Asymmetric Laxity of the Sacroiliac Joints in Pregnancy-Related Pelvic Pain

Abstract: These data indicate that in women with moderate to severe complaints of pelvic pain during pregnancy, sacroiliac joint asymmetric laxity measured during pregnancy is predictive of the persistence of moderate to severe pregnancy-related pelvic pain into the postpartum period.

Cited by 94 publications

References 23 publications

Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review

Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review

Pregnancy and chiropractic: a narrative review of the literature

Sacroiliac Joint Hypermobility Biomechanics and What it Means for Health Care Providers and Patients

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