The objectives in this study are 1. to explore the incidence and cumulative prevalence of pelvic girdle pain (PGP) and its subgroups in a prospective longitudinal study during pregnancy, from 18 weeks until 6 weeks after delivery. 2. to examine the outcome of chiropractic management for a dominating one-sided PGP subgroup of pregnant women in a single-blinded controlled study, and to use efficacy measures that include pain, functional impairment, and sick-leave frequency. 3. to investigate possible predictors for treatment outcome in one-sided PGP in pregnant women.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
650
Manual treatment of musculoskeletal complaints
Medical, physiotherapy
Medical and alternative methods for treatment of pelvic pain syndromes
Stavanger University Hospital, Department of Obstetrics and Gynaecology
Stavanger, Norway
P4/thigh thrust
As outcome measures we are using pain provocation tests (P4/thigh thrust, Patrick's Faber, Gaenslen's test, and modified Trendelenburg's test), pain palpation tests (long dorsal ligament test and palpation of the symphysis), and a functional test, the active straight leg raise (ASLR) test. All tests are published and described in European guidelines on pelvic girdle pain (PGP). Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008 Jun;17(6):794-819. Epub 2008 Feb 8.
Time frame: Outcome is assessed at follow-up examination 6 weeks post-partum
Oswestry Disability Index
The Oswestry Disability Index is one of the principal condition-specific outcome measures the last 30 years for management of disabling effects from spinal disorders
Time frame: Outcome is assessed at follow-up examination 6 weeks post-partum
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