The impact of a sacroiliac joint belt on function and pain using the active straight leg raise in <scp>pregnancy‐related</scp> pelvic girdle pain

Fitzgerald, Colleen M.; Bennis, Stacey; Marcotte, Marissa L.; Shannon, Megan; Iqba, Sana; Adams, William

doi:10.1002/pmrj.12591

Cited by 4 publications

(4 citation statements)

References 55 publications

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“…Compression garments targeting the lumbopelvic region are reported to reduce perceived symptoms of pain,108 109 incontinence110 111 and POP 112. One study in the general postpartum population found that SIJ belts were helpful in reducing pelvic girdle pain during performance of the Active Straight Leg Raise Test 113. In the general population with lumbopelvic pain, the effectiveness of SIJ belts is inconclusive and often described as having person-specific results 114–117.…”

Section: Resultsmentioning

confidence: 99%

“…112 One study in the general postpartum population found that SIJ belts were helpful in reducing pelvic girdle pain during performance of the Active Straight Leg Raise Test . 113 In the general population with lumbopelvic pain, the effectiveness of SIJ belts is inconclusive and often described as having person-specific results. [114][115][116][117] There is also no data on footwear and postpartum runners.…”

Section: Current Evidencementioning

confidence: 99%

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Clinical and exercise professional opinion of return-to-running readiness after childbirth: an international Delphi study and consensus statement

Christopher,

Donnelly,

Brockwell

et al. 2023

Br J Sports Med

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Female athletes have identified a lack of guidance as a barrier to successfully returning to running postpartum, and existing guidelines are vague. Our aim was to define the current practice of determining postpartum run-readiness through a consensus survey of international clinicians and exercise professionals in postpartum exercise to assist clinicians and inform sport policy changes.A three-round Delphi approach was used to gain international consensus from clinicians and exercise professionals on run-readiness postpartum. Professionals who work with postpartum runners participated in an online survey to answer open-ended questions about the following postpartum return-to-running topics: definitions (runner and postpartum), key biopsychosocial milestones that runners need to meet, recommended screening, timeline to initiate running, support items, education topics and factors that contribute to advising against running. Consensus was defined as ≥75% participant agreement.One hundred and eighteen professionals participated in round I, 107 participated in round II (response rate 90.6%) and 95 participated in round III (response rate 80.5%). Responses indicated that, following a minimum 3-week period of rest and recovery, an individualised timeline and gradual return to running progression can be considered. Screening for medical and psychological concerns, current physical capacity, and prior training history is recommended prior to a return to running.This study proposes recommendations for the initial guidance on return-to-running postpartum, framed in the context of current research and consensus from professionals. Future research is needed to strengthen and validate specific recommendations and develop guidelines for best practice when returning-to-running after childbirth.

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Section: Resultsmentioning

confidence: 99%

Section: Current Evidencementioning

confidence: 99%

Clinical and exercise professional opinion of return-to-running readiness after childbirth: an international Delphi study and consensus statement

Christopher,

Donnelly,

Brockwell

et al. 2023

Br J Sports Med

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“…One study of 46 women reported on a quantitative and qualitative assessment that pain intensity was decreased, and daily activities were easier with a pelvic support belt when used regularly 53 . These are safe, cost-effective, and easy to find options to include in the management of PRPGP in pregnancy 6,54 …”

Section: Managementmentioning

confidence: 99%

“…53 These are safe, cost-effective, and easy to find options to include in the management of PRPGP in pregnancy. 6,54…”

Section: Pelvic Support Beltsmentioning

confidence: 99%

Pelvic Girdle Pain in Pregnancy: A Review

Sward

Manning

Murchison

et al. 2023

Obstetrical &Amp; Gynecological Survey

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ImportancePelvic girdle pain is often thought to be a recent phenomenon, but this condition was described as early as 400 BC by Hippocrates. Despite being identified for years, confusion continues about the definition and management of this ailment affecting many pregnancies.ObjectivesThe purpose of the review is to assess the incidence, etiology, pathophysiology, risk factors, diagnosis, management, and pregnancy outcomes/recovery of current pregnancies, and outcomes of future pregnancies complicated by pelvic girdle pain.Evidence AcquisitionElectronic databases (PubMed and Embase) were searched from 1980 to 2021 with the only limitation being that the articles were in English. Studies were selected that examined associations between pelvic pain/pelvic girdle pain and pregnancy.ResultsThere were 343 articles identified. After reviewing the abstracts, 88 were used in this review. Pelvic girdle pain is a common condition of pregnancy, affecting a reported 20% of pregnant women. The pathophysiology is poorly understood and likely multifactorial, involving both hormonal and biomechanical changes that occur during pregnancy. Several risk factors have been identified. This diagnosis is most commonly made based on symptoms related to pelvic pain during pregnancy. Treatment should be multimodal, including pelvic girdle support, stabilizing exercises, analgesia, and potentially complementary therapies. The effects on future pregnancies are uncertain, although some limited information suggests an increased risk of recurrent PGP in subsequent pregnancies.ConclusionsPelvic girdle pain in pregnancy is a common condition that is often overlooked as a normal part of pregnancy but has a significant impact on quality of life during, after, and in subsequent pregnancies. Multimodal therapies are available and are largely low cost and noninvasive.RelevanceOur aim is to increase the awareness of pelvic girdle pain in pregnancy as a common but often underdiagnosed and undertreated condition.Target AudienceObstetricians and gynecologist, family physicians.Learning ObjectivesAfter completing this activity, the learner should be better able to describe the diagnosis, etiology, and pathophysiology of pelvic girdle pain; identify risk factors and appropriate management; and predict reoccurrence in a subsequent pregnancy.

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