Document Detail

Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence.
MedLine Citation:
PMID:  15338362     Owner:  NLM     Status:  MEDLINE    
Pregnancy-related lumbopelvic pain has puzzled medicine for a long time. The present systematic review focuses on terminology, clinical presentation, and prevalence. Numerous terms are used, as if they indicated one and the same entity. We propose "pregnancy-related pelvic girdle pain (PPP)", and "pregnancy-related low back pain (PLBP)", present evidence that the two add up to "lumbopelvic pain", and show that they are distinct entities (although underlying mechanisms may be similar). Average pain intensity during pregnancy is 50 mm on a visual analogue scale; postpartum, pain is less. During pregnancy, serious pain occurs in about 25%, and severe disability in about 8% of patients. After pregnancy, problems are serious in about 7%. The mechanisms behind disabilities remain unclear, and constitute an important research priority. Changes in muscle activity, unusual perceptions of the leg when moving it, and altered motor coordination were observed but remain poorly understood. Published prevalence for PPP and/or PLBP varies widely. Quantitative analysis was used to explain the differences. Overall, about 45% of all pregnant women and 25% of all women postpartum suffer from PPP and/or PLBP. These values decrease by about 20% if one excludes mild complaints. Strenuous work, previous low back pain, and previous PPP and/or PLBP are risk factors, and the inclusion/exclusion of high-risk subgroups influences prevalence. Of all patients, about one-half have PPP, one-third PLBP, and one-sixth both conditions combined. Overall, the literature reveals that PPP deserves serious attention from the clinical and research communities, at all times and in all countries.
W H Wu; O G Meijer; K Uegaki; J M A Mens; J H van Dieën; P I J M Wuisman; H C Ostgaard
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review     Date:  2004-08-27
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  13     ISSN:  0940-6719     ISO Abbreviation:  Eur Spine J     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-19     Completed Date:  2004-12-21     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  575-89     Citation Subset:  IM    
Department of Orthopaedics, Vrije Universiteit Medical Centre (VUMC), Amsterdam, The Netherlands.
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MeSH Terms
Pelvic Pain / epidemiology*,  physiopathology*
Pregnancy Complications / epidemiology*,  physiopathology*
Risk Factors
Terminology as Topic*
Comment In:
Eur Spine J. 2006 Jan;15(1):2-7   [PMID:  16411130 ]

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