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

7. Conclusion
ASLR-test
The ASLR test alone seems to be inadequate in diagnosing pelvic instability due to the
debatable sensitivity. However specificity and reliability are good, so the ASLR test belongs
in a to be defined test battery for the diagnosis of bekkeninstability.
The “other” functional tests
Other hip motion tests with and without compression which are used in this study, seem to
have added value for diagnosis pelvic instability
Research into the validity, sensitivity, specificity and reliability are however essential to
determine the correct value of these tests to determine
DPQ
The DPQ gives so far the most clear and comprehensive picture of the low back and pelvic
pain at postpartum women. Although the DPQ is for the time being the best differentiation
questionnaire to support this study, the questions are not entirely applicable to women who
had just given birth. Therefore it is recommended to develop also a questionnaire that
matches this target group more closely.
Prevalence
The prevalence in women bekkeninstability for 3-11 weeks postnatally is:
On the basis of only the ASLR test: 20%
On the basis of only the other tests for instability is: 45%
On the basis of all the tests is: 63%
The prevalence of lower back and pelvic pain on the basis of the DPQ is: 80%
Significant differences and conclusions
o Significant differences were found in the ASLR test in respect to the total DPQ scores
as well the physical and psychoemotionel sections of the DPQ. These differences
confirm that the ASLR test makes a clear distinction between the different scores on
the DPQ as well in the physical and psycho emotional section of the DPQ. This can
be seen as a confirmation of the validity of the ASLR test.
Osteopathie Schule Deutschland
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