Document Detail


The occurrence of strain symptoms in the lumbosacral region and pelvis during pregnancy and after childbirth.
MedLine Citation:
PMID:  20605556     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The etiology and pathology of pain in the lumbosacral region and pelvis of pregnant women during and after pregnancy have not been fully determined. This study evaluated if lower back pain during pregnancy and after childbirth is connected with static alterations in the alignment of the pelvis, dysfunction of sacroiliac joints, and irritation of the pelvic ligaments and spine in the lumbosacral region.
METHODS: This study was carried out on a group of 30 women in their eighth month of pregnancy and through 3 months after childbirth. Techniques of manual examination were used to determine the strain. Static alteration of the pelvis was evaluated in both the sitting and standing positions on the basis of alignment of the posterior superior iliac spines. Irritation of the iliolumbar ligaments, sacrotuberous, sacroiliac, and interspinous ligaments was evaluated by means of pressure palpation. Disorders of sacroiliac joint function were evaluated with the Patrick FABERE test, the standing Gillet test, and the standing and sitting flexion tests.
RESULTS: The most frequently irritated ligaments in the lumbar region are interspinous (60%), iliolumbar (40%), and sacroiliac (36%).
CONCLUSIONS: In women, in their eighth month of pregnancy and after childbirth, disorders of static alterations in pelvis alignment and sacroiliac joint dysfunction may occur. The state of pregnancy may result in strain symptoms in the lumbosacral region and pelvis with variable pain intensifying in various static positions.
Authors:
Tomasz Sipko; Dominika Grygier; Katarzyna Barczyk; Gabriela Eliasz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of manipulative and physiological therapeutics     Volume:  33     ISSN:  1532-6586     ISO Abbreviation:  J Manipulative Physiol Ther     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-07     Completed Date:  2010-12-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7807107     Medline TA:  J Manipulative Physiol Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  370-7     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2010 National University of Health Sciences. Published by Mosby, Inc. All rights reserved.
Affiliation:
Academy of Physical Education, Faculty of Physiotherapy in Wrocław, Al. Paderewskiego 35, Wrocław, Poland. tsipko@wp.pl
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Humans
Low Back Pain / diagnosis,  etiology*
Pelvic Pain / diagnosis,  etiology*
Pilot Projects
Pregnancy
Pregnancy Complications / diagnosis,  etiology*
Puerperal Disorders / diagnosis,  etiology*

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