Self-administered Tests As a Screening Procedure for Pregnancy-related Pelvic Girdle Pain

Overview

Journal Eur Spine J

Specialty Orthopedics

Date 2009 Mar 31

PMID 19330361

Citations 11

Authors

Monika Fagevik Olsen

Annelie Gutke

Helen Elden

Charlotte Nordenman

Lina Fabricius

Melissa Gravesen

Anette Lind

Gunilla Kjellby-Wendt

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to investigate sensitivity and specificity of self-administrated tests aimed at pain provocation of posterior and/or anterior pelvis pain and to investigate pain intensity during and after palpation of the symphysis. A total of 175 women participated in the study, 100 pregnant women with and 25 pregnant women without lumbopelvic back pain and 50 non-pregnant women. Standard pain provocation tests were compared with self assessed tests. All women were asked to estimate pain during and after palpation of the symphysis. For posterior pelvic pain, the self-test of P4 and Bridging test had the highest sensitivity of 0.90 versus 0.97 and specificity of 0.92 and 0.87. Highest sensitivity for self-test for anterior pelvic pain was pulling a mat 0.85. Palpation of symphysis was painful and persistency of pain was the longest among women who fulfilled the criteria for symphyseal pain. There were overall significant differences between the groups concerning intensity and persistency of pain (P < 0.001). Our results indicate that pregnant women can perform a screening by provocation of posterior pelvic pain by self-tests with the new P4 self-test and the Bridging test. Palpation of the symphysis is painful and should only be used as a complement to history taking, pain drawing and pulling a MAT-test.

Citing Articles

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Effects of a New Mattress and Pillow and Standard Treatment for Nightly Pelvic Girdle Pain in Pregnant Women: A Randomised Controlled Study.

Feldthusen C, Fagevik Olsen M, Ejnell H, Elden H Int J Womens Health. 2021; 13:1251-1260.

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Validation of self-administered tests for screening for chronic pregnancy-related pelvic girdle pain.

Fagevik Olsen M, Kornung P, Kallin S, Elden H, Kjellby Wendt G, Gutke A BMC Musculoskelet Disord. 2021; 22(1):237.

PMID: 33648489 PMC: 7923664. DOI: 10.1186/s12891-021-04103-0.

Transcultural adaptation and psychometric validation of a Spanish-language version of the "Pelvic Girdle Questionnaire".

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References

Gutke A, Ostgaard H, Oberg B . Predicting persistent pregnancy-related low back pain. Spine (Phila Pa 1976). 2008; 33(12):E386-93. DOI: 10.1097/BRS.0b013e31817331a4. View

Ostgaard H, Zetherstrom G . Regression of back and posterior pelvic pain after pregnancy. Spine (Phila Pa 1976). 1996; 21(23):2777-80. DOI: 10.1097/00007632-199612010-00013. View

Gutke A, Ostgaard H, Oberg B . Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine (Phila Pa 1976). 2006; 31(5):E149-55. DOI: 10.1097/01.brs.0000201259.63363.e1. View

Albert H, Godskesen M, Westergaard J . Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. Eur Spine J. 2000; 9(2):161-6. PMC: 3611366. DOI: 10.1007/s005860050228. View

Kristiansson P, Svardsudd K, von Schoultz B . Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol. 1996; 175(5):1342-7. DOI: 10.1016/s0002-9378(96)70052-2. View

Ostgaard H, Zetherstrom G . The posterior pelvic pain provocation test in pregnant women. Eur Spine J. 1994; 3(5):258-60. DOI: 10.1007/BF02226575. View

Laslett M, Young S, Aprill C, McDonald B . Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests. Aust J Physiother. 2003; 49(2):89-97. DOI: 10.1016/s0004-9514(14)60125-2. View

Ostgaard H, Zetherstrom G, Svanberg B . Reduction of back and posterior pelvic pain in pregnancy. Spine (Phila Pa 1976). 1994; 19(8):894-900. DOI: 10.1097/00007632-199404150-00005. View

Huskisson E . Measurement of pain. Lancet. 1974; 2(7889):1127-31. DOI: 10.1016/s0140-6736(74)90884-8. View

10.

Mens J, Vleeming A, Stoeckart R, Stam H, Snijders C . Understanding peripartum pelvic pain. Implications of a patient survey. Spine (Phila Pa 1976). 1996; 21(11):1363-9; discussion 1369-70. DOI: 10.1097/00007632-199606010-00017. View

11.

Hansen A, Jensen D, Larsen E, Wilken-Jensen C, Kaae B, Frolich S . Postpartum pelvic pain--the "pelvic joint syndrome": a follow-up study with special reference to diagnostic methods. Acta Obstet Gynecol Scand. 2005; 84(2):170-6. DOI: 10.1111/j.0001-6349.2005.00687.x. View

12.

Brynhildsen J, Hansson A, Persson A, Hammar M . Follow-up of patients with low back pain during pregnancy. Obstet Gynecol. 1998; 91(2):182-6. DOI: 10.1016/s0029-7844(97)00630-3. View

13.

Noren L, Ostgaard S, Johansson G, Ostgaard H . Lumbar back and posterior pelvic pain during pregnancy: a 3-year follow-up. Eur Spine J. 2002; 11(3):267-71. PMC: 3610523. DOI: 10.1007/s00586-001-0357-7. View

14.

Mogren I . BMI, pain and hyper-mobility are determinants of long-term outcome for women with low back pain and pelvic pain during pregnancy. Eur Spine J. 2006; 15(7):1093-102. PMC: 3233935. DOI: 10.1007/s00586-005-0004-9. View

15.

Albert H, Godskesen M, Westergaard J . Prognosis in four syndromes of pregnancy-related pelvic pain. Acta Obstet Gynecol Scand. 2001; 80(6):505-10. View

16.

Turgut F, Turgut M, Cetinsahin M . A prospective study of persistent back pain after pregnancy. Eur J Obstet Gynecol Reprod Biol. 1998; 80(1):45-8. DOI: 10.1016/s0301-2115(98)00080-3. View

17.

Sturesson B, Uden G, Uden A . Pain pattern in pregnancy and "catching" of the leg in pregnant women with posterior pelvic pain. Spine (Phila Pa 1976). 1997; 22(16):1880-3; discussion 1884. DOI: 10.1097/00007632-199708150-00013. View

18.

Rost C, Jacqueline J, Kaiser A, Verhagen A, Koes B . Prognosis of women with pelvic pain during pregnancy: a long-term follow-up study. Acta Obstet Gynecol Scand. 2006; 85(7):771-7. DOI: 10.1080/00016340600626982. View

19.

Nilsson-Wikmar L, Holm K, Oijerstedt R, Harms-Ringdahl K . Effect of three different physical therapy treatments on pain and activity in pregnant women with pelvic girdle pain: a randomized clinical trial with 3, 6, and 12 months follow-up postpartum. Spine (Phila Pa 1976). 2005; 30(8):850-6. DOI: 10.1097/01.brs.0000158870.68159.d9. View

20.

To W, Wong M . Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta Obstet Gynecol Scand. 2003; 82(12):1086-91. DOI: 10.1046/j.1600-0412.2003.00235.x. View