Can back pain caused by symptom-giving sacroiliac joint relaxation ...
Can back pain caused by symptom-giving sacroiliac joint relaxation ...
Can back pain caused by symptom-giving sacroiliac joint relaxation ...
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3.4.3. Palpation<br />
The sensitivity to pressure of the following six anatomical structures was assessed <strong>by</strong><br />
means of palpation, classifying them as tender or normal.<br />
Hansen et al. in 1999 [16] and Wormslev et al. in 1994 [71] conducted studies to test<br />
these structures in pregnant women, too. I also took the results from these studies<br />
into consideration.<br />
PSIS<br />
Since the mobility of the SIJ increases during pregnancy, the <strong>joint</strong> capsule and the<br />
adjoining ligaments get increasingly irritated. [39]<br />
70 % of the 220 persons tested <strong>by</strong> Hansen et al. [16] showed tenderness to palpation<br />
of the PSIS.<br />
Pubic symphysis<br />
Since the mobility of the symphysis increases during pregnancy, the <strong>joint</strong> capsule<br />
and the adjoining ligaments get increasingly irritated. [39]<br />
80 % of the 227 persons tested <strong>by</strong> Hansen et al. [16] showed tenderness to palpation<br />
of the pubic symphysis. Wormslev et al.’s test of this structure in 40 pregnant women<br />
indicates a reliability of kappa=0.55. [71]<br />
Iliopsoas muscle<br />
69 % of the 227 persons tested <strong>by</strong> Hansen et al. [16] showed tenderness to palpation<br />
of the iliopsoas muscle.<br />
Wormslev et al.’s test of this structure in 40 pregnant women indicates a reliability of<br />
kappa=0.40. [71]<br />
Master’s Thesis Wolfgang Aspalter 45