Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints

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

doi:10.1080/obs.80.11.1019.1024

Cited by 14 publications

(30 citation statements)

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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%

“…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%

“…Motor control of the pelvis was assessed by using surface EMG in three studies [47][48][49] and one study used kinematic assessment [50]. The majority of the studies adopted ASLR test and the P4 test for assessing PPGP [15,45,50,51,54]. The most recent study was carried out by Dumas et al [48] and the earliest one written by Abramson et al [52].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The quality scores results related to case control and cohort studies are presented in Tables 3 and 4, respectively. Seven out of nine studies were considered as high quality studies since they presented five or more points [45,[48][49][50][51]54].…”

Section: Risk Of Bias Within Studiesmentioning

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%

Section: Risk Of Bias Within Studiesmentioning

confidence: 99%

See 3 more Smart Citations

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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Prevalence of sacroiliac joint fusion in females and males depending on parity status

Aulds

2024

American Journal of Biological Anthropology

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ObjectivesPrevious research shows that sacroiliac (SI) joint fusion is age and sex dependent. Older individuals—specifically starting in the fifth or sixth decade of life—are more likely to develop SI fusion. Females have a lower frequency of SI joint fusion than males, perhaps due to pregnancy or parturition. This study examines the relationship between SI joint fusion with both sex and parity status in females. The issue is whether the prevalence of SI fusion in nulliparous females is more similar to that of males or parous females.Materials and MethodsThe sample consists of 46 nulliparous females, 119 parous females, and 158 males from the William M. Bass Donated Skeletal Collection. Ages of the individuals ranged from 50 to 89 years. Sex, age, and parity status were self‐reported.ResultsThe frequency of SI joint fusion is significantly different among males (13.29%), nulliparous females (6.52%), and parous females (0.84%). Pairwise comparison of the three groups for SI joint fusion shows that parous females and males are significantly different, but nulliparous females are nonsignificantly different from parous females and males.DiscussionParity status does not appear to be a factor in the sexually dimorphic nature of SI joint fusion in this sample. Rather, biomechanical and hormonal factors may have a greater contribution to higher rates of SI joint fusion in males than females.

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The impact of activity on pelvic age‐at‐death estimation

Bertsatos

Chovalopoulou

Boskovits

et al. 2020

Intl J of Osteoarchaeology

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This study assesses whether greater levels of physical activity result in increased rates of degenerative change in the pubic symphysis and the iliac auricular surface. The sample comprises 131 skeletons from the Athens Collection. Skeletal age‐at‐death was estimated from the pubic symphysis and the iliac auricular surface. Skeletal activity was assessed using femoral cross‐sectional geometric (CSG) properties and fibrocartilaginous entheses. The association between skeletal age stages, CSG properties and entheseal changes (EC) was tested using Spearman correlation followed with partial Spearman correlation controlling for the effect of documented age‐at‐death and estimated body mass, as well as generalised linear models. Moreover, Kruskal–Wallis tests were used to compare the EC and CSG values among individuals who were underaged, correctly aged and overaged using the pubic symphysis and the iliac auricular surface. Our results show a negative correlation of skeletal age stages with particular CSG properties, implying a decrease in skeletal rigidity as age increases, and a positive correlation with EC scores, suggesting that older individuals exhibit more pronounced EC. Controlling for documented age‐at‐death and body mass produced low correlation coefficients and very few statistically significant results. The difference in EC and CSG values among underaged, correctly aged and overaged individuals was significant only for ECs in individuals over 50 years old. The present study highlights that the effect of activity on pelvic age markers is not pronounced, because a limited association between activity and skeletal degeneration in the pubic symphysis and iliac auricular surface was found. Considering the difficulty in identifying past occupations skeletally, our study supports that this often missing parameter in past osteobiographies does not affect skeletal age estimation. Moreover, our results suggest that taking into account the EC scores when evaluating skeletal age can provide further insights in age‐at‐death estimation in older individuals.

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Pelvic pain during pregnancy is associated with asymmetric laxity of the sacroiliac joints

Cited by 14 publications

References 0 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

Prevalence of sacroiliac joint fusion in females and males depending on parity status

The impact of activity on pelvic age‐at‐death estimation

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