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

Palpation to assess tenderness showed considerable improvements especially in
the area of the piriformis muscle, the pubic symphysis and the obturator membrane.
In some areas the results were even highly significant. In the studies of Hansen [16]
and Wormslev [71], palpation showed far less positive results.
One exception, however, is the pelvic floor. In palpation it proves to be significantly
more tender than before the therapies. Nevertheless, this can still be regarded as a
therapeutic success, since the pelvic floor is activated more strongly and thus the
muscle fibres close to the attachment sites on the bone have become more tender.
[39] The activation of the pelvic floor is consistent with the model of the pelvic shear.
(see chapter 1.2.3.) [24]
5.2.3. Primary dependent variables
The calculation of the mean value of seven measurements in each observation
period served as a basis for the definition of the primary dependent variables. The
studies on reliability and validity [12, 49, 50, 67, 69] of the VAS and RDQ scales do
not mention the significance of the scales when they are measured multiple times
within a certain period of time.
After the series of therapies, the dependent variables quality of life and pain show
very significant improvements. The change after one therapy session is not yet
significant; however, the measuring after the second therapy shows significant
results. Due to the considerable increase in significance after the third therapy, it is
recommended to treat pregnant women with symptom-giving SIJ relaxation three
times.
It has become obvious that an OMT has significantly positive consequences on pain
and quality of life of women during pregnancy. In my literature survey I did not find
any studies answering this question. Osteopathy in childbirth preparation seems to
be of much more interest for researchers. Some studies [22] prove that in these
cases complications during the birth process are much less common. [22, 6, 64]
Master’s Thesis Wolfgang Aspalter 65