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

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Abstract Objective: My objective was to test the hypothesis whether it is possible to reduce the symptom-giving sacroiliac joint relaxation in pregnancy with osteopathic treatment and whether three therapy sessions are adequate for this purpose. Design: This is an empirical study with non-randomised sampling (haphazard sample) applying within subject design. Subjects and methods: 14 pregnant women with symptom-giving sacroiliac joint relaxation were examined from the 12 th week of pregnancy till the 34 th week of pregnancy. Before the therapy they were observed during one reference week with regard to pain intensity and quality of life. Observation took place also after the therapy. Interventions: Three therapy sessions took place in intervals of one to two weeks. Observation was based on questionnaires answered before the therapy sessions and after each treatment. The pregnant women were tested by means of manual examinations before the series of therapy sessions and after the last observation period. Results: Very significant improvement of the primary dependent variables, i.e. pain intensity and quality of life, was observed after the series of therapy sessions. Various manual examinations also indicated that significant improvement of the symptom-giving SIJ relaxation in pregnancy was achieved. Conclusion: Three osteopathic therapy sessions are necessary for the treatment of symptom-giving SIJ relaxation in pregnancy in order to reach significant improvement. Key words: pregnancy, sacroiliac joint, relaxation, pelvic pain, osteopathy, clinical tests.
Abbreviations +LR Likelihood ratio for positive test ASLR Active straight leg raise g Gramm I.A. Interexaminar agreement K Kappa agreement coefficient K-S Test Kolmogorov-Smirnov Test L2, 4, 5 Lumbar segment 2, 4, 5 LAS Less affected side Lig. Ligament LS Lumbar spine M. Muscle MAS More affected side ml Milliliter mm Millimetres OMT Osteopathic manual treatment PGR Symptom-giving pelvic girdle relaxation PJS Pelvic joint syndrome PPPP Posterior pelvic pain since pregnancy PT1W - PT3W Post therapy 1 week – post therapy 3 week RDQ Roland-Morris Disability Questionnaire RW Reference week S1-S4 Sacral segment 1 - 4 SIJ Sacroiliac joint PSIS Posterior superior iliac spine SLR Straight leg raise SPSS Statistical package for social sciences T10 Thoracic segment 10 TP5-22 Test person 5-22 VAS Visual Analogue Scale
Page 1 and 2: Can back pain caused by symptom-giv
Page 3: Acknowledgements Many people have h
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 and 46: 3.4.3. Palpation The sensitivity to
Page 47 and 48: 3.4.4. Areas of pain I asked the pa
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
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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
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tests according to Laslett [31] and
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[13] Goerke K. (2006): Taschenatlas
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[43] Östgaard H.C., Andersson G. (
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[70] Wojtys E.M., Huston L.J., Lind
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List of tables Table 3A Specific va
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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
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Can back pain caused by symptom-giving sacroiliac joint relaxation ...

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