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

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The test results of this hypothesis shows that the percentage of women on the other positive tests for pelvic instability the score is 38% However this represents only 3 women. Because of this low population, this result is strongly sensitive for coincendences. It would therefore be interesting to investigate if the same test with a larger population shows similar results. If we look at the group of women with a negative score on the ASLR test in combination with a positive score on one or more of the other instability tests, and compare these with the group of women with a positive score on the ASLR test and the other tests (for pelvic instability), it shows that these differences are not significant. However, because this groups of women are relative small (14 women, compared to 1), you can not really speak of groups of women. Significance can only be defined in groups.. Although no statistically significant difference could be shown here, it does not mean that there was no difference at all. The comparison between the group of women with negative scores on the ASLR test and negative scores on the other tests for pelvic instability, and the group of women who scored positive on the ASLR test in combination with a negative score on the other test for pelvic instability shows a significance score of 75% (p
pain above the lumbar region. However this might be a result of pelvic instability, because the pelvis supports the spine. A change in the pelvis results in a change in the position of the sacrum. These changes are a result of adjustments from the legs, as for example as a result of an uneven surface. Compensations in the pelvis occur within the limits of the joint. However during pelvic instability there is increased mobility or asymmetric laxity of the SI joints. (Jan MA Mens & Annelies Pool Goudzwaard 2009) This may result in an enlarged position change of the sacrum and probably beyond the normal limits of the joint. As a result there will be an increased adaptation of the sacral spine. During pregnancy a woman’s body goes through many adjustments and compensations.. When the body of the mother is recovering from its compensation during pregnancy did, and also must adapt to the increased mobility of the pelvis, it is expected that this causes problems. Where these symptoms will manifest itself is different for each individual. It is however to be expected that the entire spine needs to compensate. The regions of the compensation do not need to create complaints. However, if there is in these regions an osteopathic dysfunction, this will create complaints because this dysfunction will hinder the compensation behavior of the spine and any other structures. According to the results of this hypothesis there is a relative high percentage of women suffering from pelvic instability. One reason for the onset of instability is that it is a consequence of the permanent changes that occur in the SI joints and the pubic symphysis. The formation of gas bubbles in the pubic symphysis and the SI joints and the increase of synovial fluid are normal consequences of a vaginal delivery. (Garagiola et al 1989) The body of the woman will react to this "normal" instability, by building up stability. The pattern that can occur to “capture” this instability may result in excessive contraction of muscles and by pressing. (Man January 2009) It is also possible that these women start immediately to build up stability. Anyway the body of a woman needs time to build this compensation. This makes it possible that in a survey performed three months postnatal or later it shows that the complaints of pelvic instability have been improved . This is probably due to the "natural" change in muscle tension around the pelvis. When a "wrong" contraction pattern is created, pelvic instability is to be expected because a wrong coordination pattern does not support the stability in the pelvis. Osteopathie Schule Deutschland Dresden International University Page 80
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pelvic girdle pain and relevance of
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Conformity declaration Author: Joha
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5.2.2 Hypothesis 2 ................
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Figure/Table # List of tables Descr
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Figure/Table # List of figures Desc
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1. Introduction This Master researc
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2. Basics This study aims to assess
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As third reasons there are the ridg
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The anterior oblique sling: The ant
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This description of the symptoms co
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Table 2: Table by Bastiaanssen made
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which the period of measurement aft
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2.3.2 Clinical tests These are divi
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For women with pregnancy-related po
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Pelvic girdle pain and relevance of ASLR testing: A ... - Cindy Verheul

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