Randomised controlled trial for the treatment of pelvic girdle pain in pregnancy

Cork University Maternity Hospital (Ireland)0 sites226 target enrollmentMarch 24, 2009

Overview

No summary available.

Registry

who.int

Start Date

March 24, 2009

End Date

TBD

Last Updated

11 years ago

Study Type

Interventional

Sex

Female

Sponsor

Cork University Maternity Hospital (Ireland)

•Pregnant women (primigravida and multigravida; no age limits) from 20\-35 weeks of gestation attending Cork University Maternity Hospital (CUMH) low risk antenatal clinics who are referred to the physiotherapy department by their health care provider or following self referral with back pain or pelvic pain will be assessed for inclusion in the trial. Women referred to the physiotherapy department with symptoms of pelvic girdle pain (PGP) will be assessed on presentation by a one of six departmental physiotherapists specializing in women's health.
•To make the diagnosis of PGP the following tests will be performed as per the European Guidelines on the diagnosis and treatment of Pelvic Girdle Pain and a pain history taken as detailed.
•Sacroiliac joint assessment:
•1\. Posterior pelvic pain provocation test (P4\)
•2\. Gaenslen's test
•3\. Compression of anterior superior iliac spines (ASIS)
•4\. Distraction Sacro\-Iliac Joint (SIJ) pain provocation test
•5\. Assessment of Sulci depth in lumbar spine in neutral and extension
•Functional pelvic test:
•6\. Active straight leg raise test (ASLR)

•1\. Women with other pain conditions, history of orthopaedic disease or surgery in the spine or pelvic girdle systemic disorders or if attending the high risk antenatal clinic in CUMH
•2\. Women who volunteered a history of sexual abuse at any point of the study
•3\. Women who do not speak English fluently
•4\. Women with non viable pregnancies
•5\. Women who have already received treatment for PGP outside of this trial
•6\. Pregnant women who present who will not be booking at CUMH for their pregnancy or are not resident in the South West of Ireland
•7\. Women with a history of severe PGP in previous pregnancies. Severe PGP will be defined as occurring less than 20 weeks gestation in a previous pregnancy or requiring crutches in a previous pregnancy or women with a history of PGP in two or more previous pregnancies.