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

Period of measurement
The postpartum period in which the study took place is 3-11 weeks . Although shortly after
birth the greatest changes in relation to recovery occur, a period of 3-11 weeks seems to be
long. However, when one looks at the study of Larsen et al, we see that the percentage of
women with pelvic complaints two months and six months after giving birth decreases just
one percent. (Larsen et al 1999). Therefore the author sees 3-11 weeks as a good period of
measurement.
Moment of measurement
To study pelvic instability it is essential that physical examination takes place but alst that
there is no retrospective research Therefore all tests of all women have been also performed
in the period of 3-11 weeks postnatally. Especially for completing the DPQ it was important
that no time has been elapsed after the physical examination to fill in the experience of
complaints (so not retrospective). Of course physical testing can only take place in the
period of measurement.
.
6.3 Discussion of the results
To structurize this part of the discussion, the results are discussed by hypothesis
6.3.1 Hypothesis 1
H0: There is no difference between the women who score positive on the Dallas Pain
Questionnaire and the women who have a negative score on the Dallas Pain Questionnaire
Striking feature out of the results of this hypothesis is that although there is a positive score
on one or more of the other functional tests for pelvic instability, there is a negative score on
the DPQ and a negative score on the ASLR test . If only the ASLR test and DPQ would have
been performed, the results would indicate that the women in question would not be
diagnosed for pelvic instabilty. It seems very unlikely that a woman with pelvic instability is
symptom-free.
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