Pelvic girdle pain and relevance of ASLR testing: A ... - Cindy Verheul

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There were researches in the field of anatomy, stability, risk factors for developing pelvic symptoms, the symptoms and the prevalence. In addition, research has been conducted into improving the diagnostics concerning pelvic complaints. The scope was to make a compilation of tests to differentiate whether there is low back and pelvic pain or pelvic instability. In particular, the development of the Active Straight Leg Raising (ASLR test) test has been animportant development. Because of its debatable sensitivity this test will not be enough to diagnose pelvic instability. There is a need for a small and in practice easily executable test battery. Allthough there are several studies done, there is still no good test battery found and established. The research of this master study is a contribution to the composition of a potential test battery. A totally new test battery has been developed for this study which should be evaluated. Osteopathie Schule Deutschland Dresden International University Page 11
2. Basics This study aims to assess the prevalence of pelvic instability in postnatal women, and the relevance of stability testing. To understand how the hypotheses are created, the following background is important. Pelvic girdle pain and pelvic instability is an important issue in postnatal complaints. First, the anatomy will be displayed in a transparant way. Knowledge of the anatomy is important to understand how the author made her choices for certain hypotheses regarding the diagnosisof pelvic instability. Last but not least this study tries to examine and illustrate: The prevalence of pregnancy related low back and pelvic pain, The determination of the pelvic instability, including specifics of the ASLR test. The Dallas Pain Questionaire 2.1 Anatomy 2.1.1 The bone structures The pelvis is formed by 3 bone structures: the left ilium, the right ilium and sacrum that is positioned between the two iliac bones on the back side. These three bones form three joints: the left sacroiliac joint (SI joint) and right sacroiliac joint and the pubic symphysis on the front. 2.1.2 The function of the pelvis The two legs are connected to the iliac bones on both sides. Because of this there are opposing forces on the pelvis: The upward force from the legs The downward gravity of the torso. These two forces affect each on a different aspect of the pelvis. Gravity affects the sacrum, and the upward force affects the anterior part of the acetabulum. (DonTIGNY 1985) Osteopathie Schule Deutschland Dresden International University Page 12
Page 1 and 2: pelvic girdle pain and relevance of
Page 3 and 4: Conformity declaration Author: Joha
Page 5 and 6: 5.2.2 Hypothesis 2 ................
Page 7 and 8: Figure/Table # List of tables Descr
Page 9 and 10: Figure/Table # List of figures Desc
Page 11: 1. Introduction This Master researc
Page 15 and 16: As third reasons there are the ridg
Page 17 and 18: The anterior oblique sling: The ant
Page 19 and 20: This description of the symptoms co
Page 21 and 22: Table 2: Table by Bastiaanssen made
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Page 25 and 26: 2.3.2 Clinical tests These are divi
Page 27 and 28: For women with pregnancy-related po
Page 29 and 30: muscle strength. The highest score
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Table 28: Hypothesis 4: Differences
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Figure 11: Hypothesis 4: Score on t
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Table 33: Hypothesis 5: Total score
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Characteristics on negative physica
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Characteristics and differences: Th
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We have also seen that for 35% of t
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6.2.1 Population The recruitment of
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score of 2-3. From the perspective
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A reason that these women do not sc
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pain above the lumbar region. Howev
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tests exist out of the ASLR + the o
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As already mentioned, in the group
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6.3.6 Hypothesis 6 H0: There is no
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o Also significant differences were
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Gutke, A., Josefsson, A. & Oberg, B
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Vleeming, A, 2007. The role of the
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10 Appendix 10.1 Tables In this sec
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Prevalence of Pregnancy related LBP
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Prevalence of Pregnancy related LBP
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Table 12: Independent sample test f
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Table 25: Hypothesis 3: Independent
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10.2 Informed Consent Permission-ba
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Strookje (leaflet) Ik wil meewerken
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10.5 Dallas Pain Questionaire Naam_
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Niet veranderd Drastisch veranderd
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pelvic girdle pain and relevance of
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