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

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The following symptoms are often seen with women with pelvic instability (Jan Mens 2009; Röst 2011; Gutke et al. 2007): Pain in the coccyx Incontinence Period cramps Bowel Complaints Bloating Painful urination or presses Fatigue, exhaustion, depression 2.2 The prevalence of pelvic instability The prevalence of pregnancy-related pelvic pain and back pain is very diverse. Prevalence is "the total number of people suffering from a particular disease at a given time in a population group is present." (Jochems & Joosten 1993) In table 1 (which can be found in the appendix), the various studies from 1977 to 2012 are mapped. The main striking themes in this section will be described. 2.2.1 Population In the various studies there is a huge difference in participants. The population in the various studies is between 34 and 7526 participants. (Bastiaanssen, de Bie, Bastia Ones, Essed, et al 2005; Bastiaanssen, de Bie, Bastia Ones, Heuts, et al 2005). The size of a population has affects the reliability of the study. 2.2.2 The description of the pain In various studies on the prevalence of pelvic instability different terms and descriptions of the symptoms are used. In 8 studies, the symptoms are even not described. Each survey has a different definition or no definition of pelvic pain and back pain. Östgaard et al. however has a clear method to distinguish between low back pain and pelvic pain. Bastiaansen has created a table according to Östgaard’s criteria (see table 2). Osteopathie Schule Deutschland Dresden International University Page 19
Table 2: Table by Bastiaanssen made of the criteria form Östgaard to differentiate low back pain from posterior pelvic pain. (Bastiaanssen, de Bie, Bastiaenen, Essed, et al. 2005) Back pain Posterior pelvic pain A pain drawing with markings drawn above the sacrum Back pain experienced when the patien was in forward flexion Decreased motion in the lumbar spine Pain from palpation of ther erector spine muscle Negative posterior pelvic pain provocations test results A pain drawing with well defined markings of stabbing in the buttocks distal and lateral to the L5-S1 area, with or without radiation to the posterior thigh or knee (but no radiation to the foot). A history of time- and weight- bearing related pain in the posterior pelvis, deep in the gluteal area. Pain free intervals Free range of motion in the hips and spine and no nerve root syndrome Positive posterior pelvic pain provocations test results Albert et al. and Robinson et al. use the term pelvic joint pain and divide them into five clearly defined subgroups. The five subgroups are: Pelvic girdle syndrome, symphysiolysis, one-sided sacro-iliac syndrome, double-sided sacro-iliac syndrome and a miscellaneous group.(Bastiaanssen, de Bie, Bastiaenen, Essed, et al. 2005; Albert et al. 2002; Robinson et al. 2006) What is also clear from the description of the symptoms, is that during time, different names have been used for pregnancy-related pelvic pain. Bastiaanssen et al. used a definition for pelvic pain that most closely matches the definition which is described in the European Guidelines for the diagnosis and treatment of pelvic girdle pain.(Andry Vleeming et al. 2008; Bastiaanssen, de Bie, Bastiaenen, Heuts, et al. 2005). This description is: ”Pelvic girdle pain (PGP) generally arise in relation to pregnancy, trauma, arthritis and osteoarthritis. Pain is experienced between the posterior iliac crest and the gluteal fold, particularly in the vicinity to the SI joint. The pain may radiate in the posterior thigh and can also occur in conjunction with or separately in the symphysis. The endurance capacity for standing, walking, and sitting is diminished. The diagnosis of PGP can be reached after exclusion of lumbar causes. The pain or functional disturbances in relation to PGP must be reproducible bij specific clinical tests.” Osteopathie Schule Deutschland Dresden International University Page 20
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 and 16: As third reasons there are the ridg
Page 17 and 18: The anterior oblique sling: The ant
Page 19: This description of the symptoms co
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
Page 53 and 54: Table 15: Hypothesis 1: Characteris
Page 55 and 56: There are no significant difference
Page 57 and 58: Figure 6: Hypothesis 2: Different s
Page 59 and 60: Figure 8: Hypothesis 3: Characteris
Page 61 and 62: Figure 9: Hypothesis 3: Score on th
Page 63 and 64: Table 28: Hypothesis 4: Differences
Page 65 and 66: Figure 11: Hypothesis 4: Score on t
Page 67 and 68: Table 33: Hypothesis 5: Total score
Page 69 and 70: 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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