Can back pain caused by symptom-giving sacroiliac joint relaxation ...

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Piriformis muscle The increase of weight in the abdomen gives rise to a nutation torque in the SIJ and a flexion torque in the hip joint, which is why the piriformis muscle, amongst others, has to be activated more strongly. The tension in the muscles increases and becomes painful more frequently. [24, 39] Sacrotuberous ligament 50 % of the 225 persons tested by Hansen et al. [16] showed tenderness to palpation of the sacrotuberous ligament. Wormslev et al.’s test of this structure in 40 pregnant women indicates a reliability of kappa=0.54. [71] Pelvic floor The pelvic floor muscles need a certain level of tension in order to be able to stabilise the SIJ. When the ligaments in the pelvic girdle become softer, the tension in the pelvic floor muscles usually increases. This can also lead to pain in the areas where these muscles attach to the bone. [39] Obturator membrane According to Molinari [39] the tension of the obturator membrane plays a major role in the pelvic region. In a healthy state the membrane should be under a slight and balanced tension and thus without pain. If there is an imbalance in the pelvis, e.g. due to instabilities, the tension in the obturator membrane increases and palpation can be painful. [39] Master’s Thesis Wolfgang Aspalter 46
3.4.4. Areas of pain I asked the patient to mark her pain in the corresponding areas on a body chart (see fig. 3O). The following six areas of the body were defined: o Lower lumbar spine and transversely across the back o PSIS left o PSIS right o Pubic symphysis and ventrally in the lower abdomen o Buttocks and left leg o Buttocks and right leg Pubic symphysis Lumbar spine Buttocks, right leg Buttocks, left leg PSIS left/right Fig. 3O: Body chart Master’s Thesis Wolfgang Aspalter 47
Page 1 and 2: Can back pain caused by symptom-giv
Page 3 and 4: Acknowledgements Many people have h
Page 5 and 6: Abbreviations +LR Likelihood ratio
Page 7 and 8: 1.4.1. General aspects of pregnancy
Page 9 and 10: 0. Introduction Can osteopathic tre
Page 11 and 12: 1. Background 1.1. Anatomy 1.1.1. T
Page 13 and 14: The sacrotuberous ligament The sacr
Page 15 and 16: The thoracolumbar fascia is a very
Page 17 and 18: The sacrouterine ligaments The sacr
Page 19 and 20: contribute to this locking mechanis
Page 21 and 22: 1.3. Pathophysiology In the literat
Page 23 and 24: 1.3.4. Symptom-giving pelvic girdle
Page 25 and 26: 1.4. Changes in pregnancy 1.4.1. Ge
Page 27 and 28: 1.4.4. Posture and postural changes
Page 29 and 30: Diaphragmatic excursion is increase
Page 31 and 32: Differences in cellular activity ha
Page 33 and 34: The following is a schematic repres
Page 35 and 36: Independent variables: o Whole grou
Page 37 and 38: 3.2.3. Therapy In each of the three
Page 39 and 40: 3.4.1. General osteopathic SIJ test
Page 41 and 42: 3.4.2. Pain provocation SIJ test Pr
Page 43 and 44: Fig. 3J: Pelvic torsion right Fig.
Page 45: 3.4.3. Palpation The sensitivity to
Page 49 and 50: one point was added. An individual
Page 51 and 52: 3.6. Statistics For the evaluation
Page 53 and 54: 4. Evaluation 4.1. Evaluation of th
Page 55 and 56: Active straight leg raise test (ASL
Page 57 and 58: 4.2.4. Significance of the test res
Page 59 and 60: oth dependent variables, i.e. pain
Page 61 and 62: Z (RDQ) Z (VAS) RW 0.735 0.416 PT1W
Page 63 and 64: Psychosocial aspects of the diagnos
Page 65 and 66: Palpation to assess tenderness show
Page 67 and 68: tests according to Laslett [31] and
Page 69 and 70: [13] Goerke K. (2006): Taschenatlas
Page 71 and 72: [43] Östgaard H.C., Andersson G. (
Page 73 and 74: [70] Wojtys E.M., Huston L.J., Lind
Page 75 and 76: List of tables Table 3A Specific va
Page 77 and 78: Annex Annex A Patientenzettel Annex
Page 79 and 80: Annex B Zustimmung zur Teilnahme an
Page 81 and 82: Master’s Thesis Wolfgang Aspalter
Page 83 and 84: Master’s Thesis Wolfgang Aspalter
Page 85 and 86: Annex E Roland Morris Fragenkatalog
Page 87 and 88: Annex G Schmerz 10,00 9,00 8,00 7,0

Can back pain caused by symptom-giving sacroiliac joint relaxation ...

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