2015
DOI: 10.5435/jaaos-d-14-00248
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Low Back Pain and Pelvic Girdle Pain in Pregnancy

Abstract: Pregnancy has a profound effect on the human body, particularly the musculoskeletal system. Hormonal changes cause ligamentous joint laxity, weight gain, and a shift in the center of gravity that leads to lumbar spine hyperlordosis and anterior tilting of the pelvis. In addition, vascular changes may lead to compromised metabolic supply in the low back. The most common musculoskeletal complaints in pregnancy are low back pain and/or pelvic girdle pain. They can be diagnosed and differentiated from each other b… Show more

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Cited by 164 publications
(213 citation statements)
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“…Simultaneously, the muscle torque of the erector spinae was increased in a model for pregnant women, compared to a model for non-pregnant women. This has also been demonstrated in previous research [5]. An assessment of muscle torque, especially in the muscles around the trunk segment of pregnant women can help to assess muscle stress related to LPP, and this is useful for managing LPP [31].…”
Section: Results Of Estimating Muscle Torque With the Proposed Musculosupporting
confidence: 66%
See 1 more Smart Citation
“…Simultaneously, the muscle torque of the erector spinae was increased in a model for pregnant women, compared to a model for non-pregnant women. This has also been demonstrated in previous research [5]. An assessment of muscle torque, especially in the muscles around the trunk segment of pregnant women can help to assess muscle stress related to LPP, and this is useful for managing LPP [31].…”
Section: Results Of Estimating Muscle Torque With the Proposed Musculosupporting
confidence: 66%
“…These physical and musculoskeletal changes elicit postural and movement changes and place strain on various body segments and muscles, which subsequently contribute to musculoskeletal pain, especially lower back and pelvic girdle pain during pregnancy [3,4]. Pain around the lower back and pelvis is collectively called lumbopelvic pain (LPP), and it is a common symptom during pregnancy that lowers the quality of life in many women during and after pregnancy [5,6]. LPP is thought to be strongly related to physical stress from daily basic activities, such as walking [7], and in particular, from some motions that includes flex rotations of the trunk, such as sitting, standing and bending [8,9].…”
Section: Introductionmentioning
confidence: 99%
“…Similar to non-specific LBP in the general population, risk factors for pregnancy related LBP and PGP are believed to be multifactorial (eg, increased joint laxity, displacement of gravity centre and increased axial loading, and vascular changes) and the exact pathogenesis remains unclear 67. The complex nature and unpredictable course of the condition further complicate the prevention of first time symptom onset.…”
Section: Discussionmentioning
confidence: 99%
“…Other rare pathologies may include osteomyelitis [99] and spinal tumours [91,100] . A detailed account of the aetiology of low back and pelvic pain in pregnancy can be found in other publications [11,12] .…”
Section: Discussionmentioning
confidence: 99%