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Pelvic Girdle Pain in a Pregnant Population in Western Norway.

Not Applicable
Completed
Conditions
Pelvic Girdle Pain
Interventions
Other: Chiropractic
Other: Conventional medical intervention
Other: Conventional and alternative intervention
Registration Number
NCT01098136
Lead Sponsor
Helse Stavanger HF
Brief Summary

The objectives in this study are

1. to explore the incidence and cumulative prevalence of pelvic girdle pain (PGP) and its subgroups in a prospective longitudinal study during pregnancy, from 18 weeks until 6 weeks after delivery.

2. to examine the outcome of chiropractic management for a dominating one-sided PGP subgroup of pregnant women in a single-blinded controlled study, and to use efficacy measures that include pain, functional impairment, and sick-leave frequency.

3. to investigate possible predictors for treatment outcome in one-sided PGP in pregnant women.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
650
Inclusion Criteria
  • Lumbopelvic pain
  • Pelvic pain
  • Performed ultrasound examination at 18th pregnancy week
  • Expected normal pregnancy without complications
  • Good competency in Norwegian language
Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Chiropractic treatmentChiropracticManagement for one-sided pelvic pain, as decided by the chiropractor
Conventional health careConventional medical interventionConventional health care for one-sided pelvic pain
Conventional and alternative treatmentConventional and alternative interventionTreament of pregnant women with other pelvic pain syndromes.
Primary Outcome Measures
NameTimeMethod
P4/thigh thrustOutcome is assessed at follow-up examination 6 weeks post-partum

As outcome measures we are using pain provocation tests (P4/thigh thrust, Patrick's Faber, Gaenslen's test, and modified Trendelenburg's test), pain palpation tests (long dorsal ligament test and palpation of the symphysis), and a functional test, the active straight leg raise (ASLR) test. All tests are published and described in European guidelines on pelvic girdle pain (PGP). Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008 Jun;17(6):794-819. Epub 2008 Feb 8.

Secondary Outcome Measures
NameTimeMethod
Oswestry Disability IndexOutcome is assessed at follow-up examination 6 weeks post-partum

The Oswestry Disability Index is one of the principal condition-specific outcome measures the last 30 years for management of disabling effects from spinal disorders

Trial Locations

Locations (1)

Stavanger University Hospital, Department of Obstetrics and Gynaecology

🇳🇴

Stavanger, Norway

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