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PMID: 35839702 Published · ppublish English

Differences in balance control despite self-reported resolution of pregnancy-related pelvic girdle pain. A cross-sectional study.

Musculoskeletal science & practice ·Vol. 62 ·2022-12-00

van Benten E, Coppieters MW, Pool JJM, Pool-Goudzwaard AL

Abstract

Motor control patterns are altered when women with pregnancy-related pelvic girdle pain (PGP) experience pain. In low back pain, these adaptations can persist after recovery. This study aimed to assess balance control in postpartum women with and without a history of PGP during pregnancy. Cross-sectional study. Eighteen postpartum women who reported to be recovered from PGP, and twelve postpartum women without a history of PGP during pregnancy performed two clinical tests: the single leg stance and active straight leg raise test. Primary outcomes were ground reaction forces measured with a force platform. Multiple linear regression analyses showed smaller lateral displacement (β = -11cm; 95%CI: 19 to -3; p = 0.008) and lower displacement velocity of the Centre of Pressure (COP) (Ratio of Geometric Means (RGM) 0.76; 95%CI: 0.59 to 0.99; p = 0.043) during single leg stance in the participants with a history of PGP compared to participants without a history of PGP. Push-off force (β = -4.8 N; 95%CI: 22.0 to 12.5; p = 0.57) and asymmetry of push-off force (RGM 1.77; 95%CI: 0.62 to 5.04; p = 0.27) did not differ between groups. During the active straight leg raise test, no differences in lateral displacement (β = 3 cm; 95%CI: 3 to 8; p = 0.30) and COP displacement velocity (RGM 1.03; 95%CI: 0.70 to 1.52; p = 0.87) were observed. Although the women with a history of PGP considered themselves recovered, their balance control during single leg stance was poorer compared to those without a history of PGP. No differences were found during the active straight leg raise test.

Keywords
Musculoskeletal Postpartum Pregnancy Rehabilitation Women's health
MeSH 主题词
Pregnancy Female Humans Pelvic Girdle Pain/diagnosis Cross-Sectional Studies Self Report Postpartum Period Low Back Pain/diagnosis
Article Info
Journal
Musculoskeletal science & practice
Abbr.
Musculoskelet Sci Pract
ISSN
2468-7812
Corresponding email
Published
2022-12-00
Language
English
Country/Region
Netherlands
NLM ID
101692753
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