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

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friction and movement in the SI joint arises. (A. L. Pool-Goudzwaard et al. 1998; A Vleeming 2007) At an instability in the SI joint after pregnancy there is usually an increase in counternutation and also a reduced self-locking mechanism. (Jan Mens 2009) 2.1.4 The muscle chains in function of stabilizing the pelvis Because of the aim of this paper, in describing the stabilizing process of the pelvis, the describtion of the muscles is in function of stabilizing the pelvis. They are functioning in chains to support the pelvis. Pool et al. described three muscle chains to contribute to maintain a stable pelvis. They speak about a longitudinal, a posterior oblique and an anterior oblique sling.(A. L. Pool- Goudzwaard et al. 1998) The longitudinal sling: The longitudinal sling consist the m. multifidus which originates from the sacrum, the deep layer of the thoracolumbar fascia and the sacrotuberous ligament and attaches the long head of the biceps femoris. A contraction of the m. multifidus creates a tendency to nutation. Which increases the tension in the interosseous and short dorsal sacroiliac ligaments. This muscle chain also inflates the thoracolumbar fascia. By the contraction of the mm. erector spinae and the long head of the m. biceps femoris, the tension in the sacrotuberous ligament increases. All these effects of the longitudinal sling has an stabilizing effect on the SI joints, through the compression force. (A. L. Pool- Goudzwaard et al. 1998) The posterior oblique sling: The posterior oblique sling starts with the contraction of the m. latissimus dorsi and the m. gluteus maximus. The function of these muscles are synergistically. In this muscle chain the anatomical connections of the muscles with the thoracolumbar fascia and the sacrotuberous ligaments are responsible for the increasing compression force on the pelvis to support the stability. (A. L. Pool-Goudzwaard et al. 1998) Osteopathie Schule Deutschland Dresden International University Page 15
The anterior oblique sling: The anterior oblique sling consist with the oblique external and internal abdominal muscles and also with the m. transversus abdominis, because of the connections between these muscles via the linea alba. (A. L. Pool-Goudzwaard et al. 1998) Because the transversus abdominis muscle is a deep trunk muscle it is responsible for the lumbar segmental stability, which is also occurs by the multifidi. In a co-contraction they are required for specific lumbar segmental stability, and pelvic stabiltity which is suggested by Pool-Goudzwaard et al. (A. L. Pool-Goudzwaard et al. 1998) 2.1.5 The pelvic floor The pelvic floor muscles (PFM) forms a part of the pelvis. They form a musculair diafragma that constrict the movement of the lower end of the rectum and the urethra, it lifts the pelvic organs and prevents the descent during a rise in the intra-abdominal pressure. It also constricts the levator hiatus. (Annelies Pool-Goudzwaard et al. 2004; Stuge et al. 2012) Together with the coccygeus muscles and the levator ani muscles, the pelvic floor resists to the downward intra-abdominal pressure. During pregnancy, the PFM bear the weight of the uterus and to allow the passage of the fetus. These muscles near the SI joint seem to contribute to the force closure. (Annelies Pool- Goudzwaard et al. 2004) Pool-Goudzwaard et al. show also that an increase in tension on the PFM in combination with m. pubococcygeus, m. coccygeus iliococcygeus causing a stiffening in the SI joints and pelvic ring. This again demonstrates that the tension of the PFM contribute to the force closure of the pelvis. While a lack of tension in the PFM results in a decreased load transfer finally pain in the lumbopelvic area. (Stuge et al. 2012; Annelies Pool-Goudzwaard et al. 2004) O’Sullivan et al. shows in his study of motor control strategies at subjects with SI joint pain during the ASLR test that these “strategies” into the PFM have changed within the studied audience. Here there is an increased activity and decreased endurance time of the PFM. This is expressed as follows: subjects with sacroiliac pain show a descend a of the PFM during conscious contraction. These people urinate frequently and have a tendency to incontinence. (P. O’Sullivan et al. 2002) Osteopathie Schule Deutschland Dresden International University Page 16
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 and 12: 1. Introduction This Master researc
Page 13 and 14: 2. Basics This study aims to assess
Page 15: As third reasons there are the ridg
Page 19 and 20: This description of the symptoms co
Page 21 and 22: Table 2: Table by Bastiaanssen made
Page 23 and 24: which the period of measurement aft
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
Page 31 and 32: various aspects of the psychologica
Page 33 and 34: 3. Hypotheses Hypothesis 1 H0: The
Page 35 and 36: 4. Materials and Methods 4.1 Type o
Page 37 and 38: These physical tests were first per
Page 39 and 40: : With these data, I calculated how
Page 41 and 42: No further differentiation was made
Page 43 and 44: Initial posture therapist two: this
Page 45 and 46: The columns contain the following i
Page 47 and 48: 5. Results 5.1 Population character
Page 49 and 50: Figure 2: Characteristics of the gr
Page 51 and 52: Following test combinations are com
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Page 63 and 64: Table 28: Hypothesis 4: Differences
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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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Pelvic girdle pain and relevance of ASLR testing: A ... - Cindy Verheul

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