Pelvic Girdle Pain, Pregnant Women
Conditions
Keywords
pregnant women, pelvic girdle pain, thoracolumbar fascia, stiffness, creep
Brief summary
It has not been objectively clarified how the thoracolumbar fascia (TLF) changes the biomechanical adaptations that occur in the lumbopelvic region during pregnancy and whether it is associated with pelvic girdle pain (PGP). Therefore, the aim of this study is to determine the biomechanical and viscoelastic properties of TLF, which adapts to the changes in the lumbopelvic region in pregnant women with pelvic girdle pain, and to investigate its relationship with PGP.
Interventions
OTHEREvaluation of pain
The severity of pelvic girdle pain will be evaluated with the Visual Analog Scale (VAS).
DIAGNOSTIC_TESTApplication of pelvic girdle diagnostic tests
Pelvic girdle pain diagnostic tests will be applied.
The biomechanical and viscoelastic properties of the thoracolumbar fascia will be measured in the prone position and measurements will be taken from three different points
Pelvic Girdle Questionnaire will be filled
Sponsors
Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Study design
Observational model
OTHER
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 40 Years
Healthy volunteers
Yes
Inclusion criteria
* First-time pregnancy * Pregnant women diagnosed with pelvic girdle pain in 1st and 2nd trimesters * Pregnant women who do not have pelvic girdle pain in 1st and 2nd trimesters * Women not being pregnant * Pre-pregnancy Body-Mass-Index (BMI) \< 30 kg/m2
Exclusion criteria
* Presence of connective tissue disease * Deterioration of skin integrity in measurement areas * Presence of orthopedic, neurological, rheumatic problems that may cause musculoskeletal disorders and deviations from normal biomechanical alignment * History of spine, pelvis, or lower extremity surgery or fracture in the past 6 months * Definition of chronic low back-pelvic region pain (lasting for more than 3 months and pain severity \>4 according to VAS) before pregnancy * Identification of metabolic disorders such as Type I, II diabetes, gestational diabetes mellitus (GDM), preeclampsia before and/or during pregnancy)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of biomechanical properties of thoracolumbar fascia | Measurement the change from baseline stiffness values of Thoracolumbar fascia at 12. week and at 22. week | Measuring of the stiffness (N/m) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position. |
| Evaluation of viscoelastic properties of thoracolumbar fascia | Measurement the change from baseline creep values of Thoracolumbar fascia at 12. week and at 22. week | Measuring of the creep of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Determining of painful areas | Baseline | Marking of body chart |
| Evaluation of pain | Baseline | Pain will be evaluated with Visual analog scale (VAS). The VAS is scaled between 0-10 points (0: no pain, 10: most severe pain). |
| Application of Pelvic Girdle Pain (PGP) diagnostic tests | Baseline | The PGP diagnostic tests will be applied. The posterior pelvic pain provocation test is a pain provocation test used to determine the presence of sacroiliac dysfunction. No score is defined for tests. |
| Pelvic Girdle Questionnaire | Baseline | Activity limitation will be evaluated Pelvic Girdle Questionnaire |
| Evaluation of Body Weight | Measurement the change from baseline body weight (kg) at 12. and 22. weeks. | Measuring of the Body Weight |
| Evaluation of Body Mass Index (BMI) | Measurement the change from baseline BMI values at 12.and 22. weeks | BMI (kg/m2) will be calculated as person's weight in kilograms divided by the square of height in meters. |
Countries
Turkey (Türkiye)
Outcome results
None listed