Pelvic Girdle Pain and Low Back Pain in Pregnancy: A Review

Vermani, Era; Mittal, Rajnish; Weeks, Andrew

doi:10.1111/j.1533-2500.2009.00327.x

Cited by 319 publications

(307 citation statements)

References 90 publications

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“…1 Back pain in pregnancy is a health concern in terms of not just physical pain and disability but also psychological and socioeconomic consequences affecting the health of pregnant women. 5,8,[22][23][24] In this case study, the patient presented with moderate pain as reported by a high pain numerical value. She reported functional limitations impacting daily living activities in her pregnancy.…”

Section: Discussionmentioning

confidence: 99%

Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study

Bernard¹,

Tuchin

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe chiropractic management of a patient with pregnancy-related lumbopelvic pain. Clinical Features: A pregnant 35-year-old woman experienced insidious moderate to severe pregnancy-related lumbopelvic pain and leg pain at 32 weeks' gestation. Pain limited her endurance capacity for walking and sitting. Clinical testing revealed a left sacroiliac joint functional disturbance and myofascial trigger points reproducing back and leg pain. Intervention and Outcome: A diagnosis of pregnancy-related low back pain and pregnancy-related pelvic girdle pain was made. The patient was treated with chiropractic spinal manipulation, soft tissue therapy, exercises, and ergonomic advice in 13 visits over 6 weeks. She consulted her obstetrician for her weekly obstetric visits. At the end of treatment, her low back pain reduced from 7 to 2 on a 0-10 numeric pain scale rating. Functional activities reported such as walking, sitting, and traveling comfortably in a car had improved. Conclusion: This patient with pregnancy-related lumbopelvic pain improved in pain and function after chiropractic treatment and usual obstetric management.

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Section: Discussionmentioning

confidence: 99%

Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study

Bernard¹,

Tuchin

2016

Journal of Chiropractic Medicine

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“…The other two tests, Gaenslen test and ASLR, were chosen because they are established in the literature on differential diagnosis of the lower back pain source with neural involvement (18). The last three tests are recommended by European community (20) and different authors (5,10,18,21) as the ODI. For the parametric data the Pearson correlation test was used and the level of significance was set at p < 0.05.…”

Section: Methodsmentioning

confidence: 99%

“…For example, Vermani et al (10) reported that the pain lumbopelvic starts from 18 gestational weeks, and the highest intensities occur between the 24th to 36th week. Malmqvist et al (4) reported that most women who develop moderate to severe pain, had this symptom from the 20th gestational week.…”

Section: Introductionmentioning

confidence: 99%

Association between kinesiologic dysfunctions, lumbar disability and lumbopelvic pain in pregnancy

Paula

Silva

Andres³

et al. 2017

Fisioter. mov.

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Introduction: Low back pain in pregnancy is highly prevalent and multifactorial. However, it is still unclear if the back pain is associated with functional kinetic changes that occur during pregnancy. Objective: To evaluate the occurrence of low back pain in pregnancy and to investigate the association of low back pain disability with intensity, pain origin and kinesilogic dysfunction (range of motion of the lumbar spine, lumbar flexibility and trunk mobility). Methods: Women (n = 32) with gestational age equal or less than 20 weeks, assisted in one health centers on the coast of Paraná. Obstetric and historical lumbopelvic of pain, musculoskeletal discomfort, intensity lumbopelvic pain, low back disability, the source of pain through specific clinical trials, joint range of motion of the lumbar spine, the lumbar flexibility and general mobility of the trunk were evaluated. Results: The lumbar region was the most reported and higher frequency (p = 0.000) for the occurrence of musculoskeletal discomforts. The prevalence of lumbopelvic pain was 93.8%. Most reported the first episode after the 14th week of pregnancy (90%), on a daily frequency (63.3%), high

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“…Several studies have tried to identify the etiology and pathogenesis of PPGP, but it still remains unknown. Although individual factors such as: mechanical, metabolic, traumatic, hormonal and degenerative are described as potential causes of PPGP [7] recent literature suggests a combination of factors might better explain its underlying mechanism [1].…”

Section: Introductionmentioning

confidence: 99%

“…A combination of mechanical and hormonal changes experienced during pregnancy is often cited as a possible cause for this disorder [8][9][10]. During pregnancy, the gravid uterus load acting on the spine and pelvis increases considerably.…”

Section: Introductionmentioning

confidence: 99%

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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Pelvic Girdle Pain and Low Back Pain in Pregnancy: A Review

Cited by 319 publications

References 90 publications

Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study

Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study

Association between kinesiologic dysfunctions, lumbar disability and lumbopelvic pain in pregnancy

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

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