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

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5.2.4. Outlier The results graph of VAS and RMQ of test person TP13 (see annex H) shows a contrary development to the graph indicating the mean values. Her symptoms worsened considerably. This can also be seen clearly on the test sheet, since the number of positive provocation SIJ tests increase notably. Also, the number of tender palpation points rose. However, since there was only one outlier, these results do not influence the mean values of the test group. 5.3. Conclusion The intention of this study was to analyse whether and how pregnant women with instable SIJs react differently when receiving osteopathic treatment or not by using measurable parameters. Since in pregnancy the discomfort rises up to the point of giving birth [2, 17, 27, 29, 45], the test persons can serve as their own control group. They are observed during one week without receiving any treatment. This time frame serves as a reference week. Subsequently, the test persons are treated three times at an interval of at least one week. During these periods of time they also undergo observation. As a last step, the observation week after the third treatment is compared to the reference week. We speak of a within-subject study with 14 test persons. A series of tests consisting of six pain provocation tests following Laslett serves as inclusion criterion. [31] The primary dependent variables are quality of life, analysed on the basis of the RDQ, and pain, measured with the Visual Analogue Scale. Further variables are the pain provocation SIJ tests, palpation tests and the indication of pain areas. I do not elaborate in detail the osteopathic treatment used in this study; it is only mentioned as a black box. The study showed therapeutic success in pregnant women due to the application of OMT. Both dependent variables, pain and quality of life, showed a very significant (α ≤ 0.01) improvement after the therapy. Manual tests, especially the provocation SIJ Master’s Thesis Wolfgang Aspalter 66
tests according to Laslett [31] and the palpation of the obturator membrane and the pubic symphysis, also showed significant (α ≤ 0.05) to highly significant improvements after the therapy. No negative effects could be observed in the pregnant women after treatment. I was able to confirm my hypothesis that pregnant women with symptom-giving SIJ instability undergoing osteopathic treatment show considerably less discomfort in pregnancy. This study further proves the necessity of three osteopathic treatments for a very significant improvement for the pregnant women. The results support the relevance of this study for the field of osteopathy. Due to the highly relevant results, the present study confirms the significance of the provocation SIJ test series according to Laslett. I thus recommend that osteopaths use these tests in pregnant women in order to decide on the proper therapy on the basis of their results. Master’s Thesis Wolfgang Aspalter 67
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Can back pain caused by symptom-giv
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Acknowledgements Many people have h
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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 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
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: Palpation to assess tenderness show
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
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