Pregnant patients often experience pelvic girdle pain and dysfunction at various stages of pregnancy, particularly the latter half.  Some, as you know, really struggle with it during pregnancy and even after baby arrives.  So, is there a way we can identify those at risk of developing a bigger problem in order to tailor their care accordingly? The study reviewed this week investigates…


Approximately half of pregnant women will experience pelvic girdle pain (PGP) during their pregnancy, with 25-30% experiencing severe pain. The exact etiology of PGP is unknown; however, it is known to lead to pain-related restrictions on physical activity during and after childbirth, and to have a psychological impact on their perceived health, sexual life and general quality of life. PGP is classified as specific (caused by trauma) or non-specific (multifactorial) and is diagnosed through physical examination. To date, no gold-standard testing exists for the diagnosis of PGP, although the posterior pelvic pain provocation test (P4) for sacroiliac joint dysfunction and the active straight leg raise test (ASLR) for detecting failing force closure have both shown high levels of validity and reliability (both described in the Review). Existing prospective studies on PGP have generally collected data at baseline and at 1-2 follow-ups, limiting the total amount of data available for analysis. More frequent data collection may allow for a more accurate description of the clinical course of PGP. Collection of longitudinal data through text messages has been shown to be feasible in clinical settings and allows for the collection of a much greater data pool. The authors of this study aimed to explore the differences in demographics and clinical characteristics at mid-pregnancy and the weekly amount of days with bothersome symptoms throughout the second half of pregnancy in women sub-grouped based on the results of two valid and reliable clinical tests (P4 and ASLR) at 18 weeks of pregnancy.

The authors hypothesized that sacroiliac dysfunction and failing force closure diagnosed at mid-pregnancy could be used to predict a course of bothersome symptoms throughout the second half of pregnancy…LOG IN OR SUBSCRIBE TO READ OR LISTEN TO THIS REVIEW!
 
pelvic girdle pain