Gestational Diabetes, Pelvic Girdle Pain, Pregnant Women
Conditions
Keywords
pregnant women, pelvic girdle pain, gestational diabetes
Brief summary
Pelvic girdle pain (PGP), which is a common musculoskeletal problem of pregnancy, and gestational diabetes mellitus (GDM), which is diagnosed at the end of the second trimester and at the beginning of the third trimester, occur in a parallel time period. The addition of hyperglycemia to the physiological changes in pregnancy stimulates a new series of cycles and contributes to inflammation, and it is predicted that the presence of GDM may trigger the pain intensity of PGP. Therefore, the aim of this study is to investigate the effect of GDM on PGP symptom severity (pain).
Interventions
Painful areas will be marked on the body chart. The presence and severity of pelvic girdle pain will be determined by the Visual Analog Scale (VAS).
Pelvic girdle pain diagnostic tests will be applied. The severity of the pain that occurs in positive tests will be evaluated with VAS.
The Pelvic Girdle Questionnaire will be filled.
Sponsors
Study design
Eligibility
Inclusion criteria
* Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have been started. * Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have not been started * Pregnant women (with PGP) who were not diagnosed with GDM in the 2nd and 3rd trimesters
Exclusion criteria
* Pre-pregnancy Diabetes Mellitus * Presence of an orthopedic or neurological problem that may cause musculoskeletal disorders and deviations from normal biomechanical alignment * Presence of connective tissue disease * Definition of chronic low back-pelvic region pain (lasting for more than 3 months and pain severity \>4 according to VAS) before pregnancy * History of spine, pelvis, or lower extremity surgery or fracture in the past 6 months * History of pelvic fracture
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Determining of painful areas | Baseline (Current) | Marking painful areas on the body chart |
| Evaluation of pain | Baseline (Current) | 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 PGP diagnostic tests | Baseline | Pelvic Girdle Pain diagnostic tests will be applied. No score defined for test. |
| Evaluation of PGP severity | Baseline | The severity of the pain that occurs in positive tests will be evaluated with VAS. The VAS is scaled between 0-10 points (0: no pain, 10: most severe pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Evaluation of Body Weight | Baseline | Measuring of the Body Weight |
| Evaluation of Body Mass Index (BMI) | Baseline | BMI (kg/m2) will be calculated as person's weight in kilograms divided by the square of height in meters. |
| Pelvic Girdle Questionnaire | Baseline | Activity limitation will be evaluated Pelvic Girdle Questionnaire |
Countries
Turkey (Türkiye)