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Britt Stuge - One of the best experts on this subject based on the ideXlab platform.
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trunk Pelvic and hip kinematics during the stork test in pregnant women with Pelvic Girdle Pain asymptomatic pregnant and non pregnant women
Clinical Biomechanics, 2020Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Vidar Jakobsen, Jan Cabri, Eva Bakke, Hilde Stendal RobinsonAbstract:Abstract Background Pelvic Girdle Pain is prevalent during pregnancy, and women affected report weight-bearing activities to be their main disability. The Stork test is a commonly used single-leg-stance test. As clinicians report specific movement patterns in those with Pelvic Girdle Pain, we aimed to investigate the influence of both pregnancy and Pelvic Girdle Pain on performance of the Stork test. Methods In this cross-sectional study, 25 pregnant women with Pelvic Girdle Pain, 23 asymptomatic pregnant and 24 asymptomatic non-pregnant women underwent three-dimensional kinematic analysis of the Stork test. Linear mixed models were used to investigate between-group differences in trunk, Pelvic and hip kinematics during neutral stance, weight shift, leg lift and single leg stance. Findings Few and small significant between-group differences were found. Pregnant women with Pelvic Girdle Pain had significantly less hip adduction during single leg stance compared to asymptomatic pregnant women (estimated marginal means (95% confidence intervals) -1.1° (−2.4°, 0.3°) and 1.0° (−0.4°, 2.4°), respectively; P = 0.03). Asymptomatic pregnant women had significantly less hip internal rotation compared to non-pregnant women 4.1° (1.6°, 6.7°) and 7.9° (5.4°, 10.4°), respectively (P = 0.04) and greater peak hip flexion angle of the lifted leg in single leg stance 80.4° (77.0°, 83.9°) and 74.1° (70.8°, 77.5°), respectively (P = 0.01). Variation in key kinematic variables was large across participants in all three groups. Interpretation Our findings indicate that trunk, Pelvic and hip movements during the Stork test are not specific to pregnancy and/or Pelvic Girdle Pain in the 2nd trimester. Instead, movement strategies appear unique to each individual.
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the timed up go test in pregnant women with Pelvic Girdle Pain compared to asymptomatic pregnant and non pregnant women
Musculoskeletal science and practice, 2019Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Jan Cabri, Hilde Stendal RobinsonAbstract:Abstract Background The Timed Up and Go (TUG) test, a standardized functional mobility test, has been proposed as a physical performance-based measure in pregnant women with Pelvic Girdle Pain (PGP). Objectives This cross-sectional study aimed to investigate physical function by the use of TUG in pregnant women with PGP compared to asymptomatic pregnant and non-pregnant women, and to identify factors associated with increased TUG. Methods In total, 25 pregnant women with PGP, 24 asymptomatic pregnant and 25 asymptomatic non-pregnant women participated. One-way analysis of variance was used to explore difference in TUG between the groups and multiple linear regression analyses to explore associations between TUG and potential explanatory variables. Results The time on TUG varied among pregnant women with PGP, and was significantly higher (mean (95% CI) 6.9 (6.5, 7.3) seconds) than for asymptomatic pregnant (5.8 (5.5, 6.0), p Conclusion Pregnant women with PGP used longer time and showed larger variation in TUG than asymptomatic pregnant and non-pregnant women, this underpins that TUG targets activities relevant to PGP. Our results provide new knowledge about factors influencing TUG time. Importantly, multivariable analyses suggest that Pain intensity should be considered when interpreting TUG time in pregnant women with PGP.
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prevalence and severity of low back and Pelvic Girdle Pain in pregnant nepalese women
BMC Pregnancy and Childbirth, 2019Co-Authors: Malin Eberhardgran, Margreth Grotle, Ranjeeta S Acharya, Anne Therese Tveter, Britt StugeAbstract:Low back Pain (LBP) and Pelvic Girdle Pain (PGP) are commonly reported during pregnancy and are known to affect pregnant women’s well-being. Still, these conditions are often considered to be a normal part of pregnancy. This study assesses the prevalence and severity of LBP and/or PGP among pregnant Nepalese women, as well as exploring factors associated with LBP and PGP. A cross-sectional study with successive recruitment of pregnant women was conducted at two district hospitals in Nepal from May 2016 to May 2017. The data was collected using self-reported questionnaires. Univariate and multivariate logistic regression were used to assess the associations between independent variables and LBP and/or PGP. A total of 1284 pregnant women were included in the study. The reported prevalence of pregnancy-related LBP and/or PGP was 34%. Pain intensity was high with a mean score (standard deviation) of 6 (2). The median (25th-75th percentiles) disability scores according to the total Pelvic Girdle Questionnaire and Oswestry Disability Index were 20 (10–32) and 30 (21–38), respectively. Even though only 52% of the women believed that the Pain would disappear after delivery, concern about LBP and/or PGP was reported to be low (median 2 (0–4) (Numeric Rating Scale 0–10)). In the final model for women with LBP and/or PGP the adjusted odds ratios were for body mass index (20–24, 25–30, > 30) 0.7 (95% confidence interval (CI), 0.44–1.21), 1.1 (95% CI, 0.66–1.83), and 1.5 (95% CI, 0.78–2.94) respectively, for Pelvic organ prolapse symptoms 6.6 (95% CI, 4.93–8.95) and for women with educated husbands (primary or secondary, higher secondary or above) 1.1 (95% CI, 0.53–2.16) and 1.7 (95% CI, 0.84–3.47), respectively. Pregnant Nepalese women commonly report LBP and/or PGP. The women experienced low disability despite severe Pain intensity and poor beliefs in recovery after delivery.
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kinematic and spatiotemporal gait characteristics in pregnant women with Pelvic Girdle Pain asymptomatic pregnant and non pregnant women
Clinical Biomechanics, 2019Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Vidar Jakobsen, Jan Cabri, Hilde Stendal RobinsonAbstract:BACKGROUND Walking difficulties are common among pregnant women with Pelvic Girdle Pain. This cross-sectional study investigated the influence of Pelvic Girdle Pain, pregnancy and speed on spatiotemporal and trunk, Pelvic and hip kinematics during gait in the 2nd trimester of pregnancy. METHODS Three-dimensional gait analysis at self-selected speed was performed in 25 pregnant women with Pelvic Girdle Pain, 24 asymptomatic pregnant and 24 non-pregnant women. Linear mixed models were used to investigate between-group differences in gait variables. Adjustment for gait speed was included in the analysis. Correlations between speed and fear of movement, disability and Pain were examined using Spearman correlation coefficient (rs). FINDINGS Pregnant women with Pelvic Girdle Pain walked 18% slower (estimated marginal means (95% confidence intervals) 1.18 (1.22, 1.24) meter/s) compared to asymptomatic pregnant women (1.44 (1.38, 1.50) meter/s) (P < 0.001). Moreover, with longer double limb support (5%, P = 0.04), shorter contralateral step length (3%, P = 0.03) and more restricted Pelvic and hip kinematics (0.001 ≤ P ≤ 0.01) adjusted for speed. Only stance, double limb support and thoracic rotation (0.001 ≤ P ≤ 0.04) differed between asymptomatic pregnant and non-pregnant women. Speed was negatively correlated with fear of movement (rs = -0.63, P = 0.01) and disability (rs = -0.46, P = 0.03) in the Pelvic Girdle Pain group. INTERPRETATION Gait is primarily influenced by Pelvic Girdle Pain and less by pregnancy. Pregnant women with Pelvic Girdle Pain walked slower and with a more rigid gait pattern compared to asymptomatic pregnant women, presumably related to altered load transfer. Our results may assist clinical evaluation of Pelvic Girdle Pain, as well as direct future research.
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the severity and impact of Pelvic Girdle Pain and low back Pain in pregnancy a multinational study
Journal of Womens Health, 2017Co-Authors: Annelie Gutke, Jill S Boissonnault, Gill Brook, Britt StugeAbstract:Abstract Background: Pelvic Girdle Pain (PGP) and low-back Pain (LBP) are the most common musculoskeletal disorders experienced during pregnancy, yet they are not familiar to healthcare providers in some countries. The objective was to compare prevalence, severity, and impact of PGP and LBP among pregnant women in the United States, the United Kingdom, Norway, and Sweden. Women's desires for, access to, and experience of treatment were also examined. Materials and Methods: This is a cross-sectional self-reported questionnaire study of pregnant women, recruited at maternity care units in gestational weeks 30–38. Main outcome measures were presence and impact of PGP and/or LBP. Results: A total of 869 pregnant women from the United States (n = 214), the United Kingdom (n = 220), Norway (n = 220), and Sweden (n = 215) were included. PGP and/or LBP were reported by 70%–86%, with lowest prevalence in Scandinavia. Severity and impact differed significantly across countries (p < 0.001), with U.K. women reporting...
Nina K Vollestad - One of the best experts on this subject based on the ideXlab platform.
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trunk Pelvic and hip kinematics during the stork test in pregnant women with Pelvic Girdle Pain asymptomatic pregnant and non pregnant women
Clinical Biomechanics, 2020Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Vidar Jakobsen, Jan Cabri, Eva Bakke, Hilde Stendal RobinsonAbstract:Abstract Background Pelvic Girdle Pain is prevalent during pregnancy, and women affected report weight-bearing activities to be their main disability. The Stork test is a commonly used single-leg-stance test. As clinicians report specific movement patterns in those with Pelvic Girdle Pain, we aimed to investigate the influence of both pregnancy and Pelvic Girdle Pain on performance of the Stork test. Methods In this cross-sectional study, 25 pregnant women with Pelvic Girdle Pain, 23 asymptomatic pregnant and 24 asymptomatic non-pregnant women underwent three-dimensional kinematic analysis of the Stork test. Linear mixed models were used to investigate between-group differences in trunk, Pelvic and hip kinematics during neutral stance, weight shift, leg lift and single leg stance. Findings Few and small significant between-group differences were found. Pregnant women with Pelvic Girdle Pain had significantly less hip adduction during single leg stance compared to asymptomatic pregnant women (estimated marginal means (95% confidence intervals) -1.1° (−2.4°, 0.3°) and 1.0° (−0.4°, 2.4°), respectively; P = 0.03). Asymptomatic pregnant women had significantly less hip internal rotation compared to non-pregnant women 4.1° (1.6°, 6.7°) and 7.9° (5.4°, 10.4°), respectively (P = 0.04) and greater peak hip flexion angle of the lifted leg in single leg stance 80.4° (77.0°, 83.9°) and 74.1° (70.8°, 77.5°), respectively (P = 0.01). Variation in key kinematic variables was large across participants in all three groups. Interpretation Our findings indicate that trunk, Pelvic and hip movements during the Stork test are not specific to pregnancy and/or Pelvic Girdle Pain in the 2nd trimester. Instead, movement strategies appear unique to each individual.
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the timed up go test in pregnant women with Pelvic Girdle Pain compared to asymptomatic pregnant and non pregnant women
Musculoskeletal science and practice, 2019Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Jan Cabri, Hilde Stendal RobinsonAbstract:Abstract Background The Timed Up and Go (TUG) test, a standardized functional mobility test, has been proposed as a physical performance-based measure in pregnant women with Pelvic Girdle Pain (PGP). Objectives This cross-sectional study aimed to investigate physical function by the use of TUG in pregnant women with PGP compared to asymptomatic pregnant and non-pregnant women, and to identify factors associated with increased TUG. Methods In total, 25 pregnant women with PGP, 24 asymptomatic pregnant and 25 asymptomatic non-pregnant women participated. One-way analysis of variance was used to explore difference in TUG between the groups and multiple linear regression analyses to explore associations between TUG and potential explanatory variables. Results The time on TUG varied among pregnant women with PGP, and was significantly higher (mean (95% CI) 6.9 (6.5, 7.3) seconds) than for asymptomatic pregnant (5.8 (5.5, 6.0), p Conclusion Pregnant women with PGP used longer time and showed larger variation in TUG than asymptomatic pregnant and non-pregnant women, this underpins that TUG targets activities relevant to PGP. Our results provide new knowledge about factors influencing TUG time. Importantly, multivariable analyses suggest that Pain intensity should be considered when interpreting TUG time in pregnant women with PGP.
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kinematic and spatiotemporal gait characteristics in pregnant women with Pelvic Girdle Pain asymptomatic pregnant and non pregnant women
Clinical Biomechanics, 2019Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Vidar Jakobsen, Jan Cabri, Hilde Stendal RobinsonAbstract:BACKGROUND Walking difficulties are common among pregnant women with Pelvic Girdle Pain. This cross-sectional study investigated the influence of Pelvic Girdle Pain, pregnancy and speed on spatiotemporal and trunk, Pelvic and hip kinematics during gait in the 2nd trimester of pregnancy. METHODS Three-dimensional gait analysis at self-selected speed was performed in 25 pregnant women with Pelvic Girdle Pain, 24 asymptomatic pregnant and 24 non-pregnant women. Linear mixed models were used to investigate between-group differences in gait variables. Adjustment for gait speed was included in the analysis. Correlations between speed and fear of movement, disability and Pain were examined using Spearman correlation coefficient (rs). FINDINGS Pregnant women with Pelvic Girdle Pain walked 18% slower (estimated marginal means (95% confidence intervals) 1.18 (1.22, 1.24) meter/s) compared to asymptomatic pregnant women (1.44 (1.38, 1.50) meter/s) (P < 0.001). Moreover, with longer double limb support (5%, P = 0.04), shorter contralateral step length (3%, P = 0.03) and more restricted Pelvic and hip kinematics (0.001 ≤ P ≤ 0.01) adjusted for speed. Only stance, double limb support and thoracic rotation (0.001 ≤ P ≤ 0.04) differed between asymptomatic pregnant and non-pregnant women. Speed was negatively correlated with fear of movement (rs = -0.63, P = 0.01) and disability (rs = -0.46, P = 0.03) in the Pelvic Girdle Pain group. INTERPRETATION Gait is primarily influenced by Pelvic Girdle Pain and less by pregnancy. Pregnant women with Pelvic Girdle Pain walked slower and with a more rigid gait pattern compared to asymptomatic pregnant women, presumably related to altered load transfer. Our results may assist clinical evaluation of Pelvic Girdle Pain, as well as direct future research.
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clinical course of Pelvic Girdle Pain postpartum impact of clinical findings in late pregnancy
Manual Therapy, 2014Co-Authors: Hilde Stendal Robinson, Nina K Vollestad, Marit B VeierodAbstract:The aims were to study: prevalence of Pelvic Girdle Pain (PGP) one year postpartum; clinical course of PGP, physical functioning (PF) and bodily Pain (BP) (from SF-36, 0 (worst) to 100 (best)) from gestation week (GW) 30 to one year postpartum; and whether findings at GW30 were associated with development of PF and BP from GW30 to one year postpartum. 215 pregnant women were followed from GW30 to one year postpartum. Clinical examination and questionnaire were used at GW30, questionnaire only were used at 12 weeks and one year postpartum. The women were categorised by GW30 clinical variables: self-reported PGP, Pain locations in the pelvis and response to two clinical tests. Linear mixed models for repeated measures were used to study PF and BP during follow-up, within the categories of clinical variables. PGP prevalence remained unchanged from 12 weeks to one year postpartum (31-30%). PF and BP scores improved markedly from GW30 to 12 weeks postpartum, and marginally thereafter. Median PF scores were 70, 95 and 100 at GW30, 12 weeks and one year postpartum, respectively. Corresponding median BP scores were 52, 84 and 84. We found significant interactions between each clinical variable and time (P ≤ 0.01) for PF and BP. The most afflicted women at GW30 experienced largest improvement. Despite high PGP prevalence one year postpartum, most women recovered in terms of PF and BP scores. Unfavourable clinical course postpartum did not appear to depend on self-reported PGP, Pain locations in the pelvis, or response to clinical tests at GW30.
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Pelvic Girdle Pain potential risk factors in pregnancy in relation to disability and Pain intensity three months postpartum
Manual Therapy, 2010Co-Authors: Hilde Stendal Robinson, Marit B Veierod, Anne Marit Mengshoel, Nina K VollestadAbstract:The objective of this prospective cohort study was to examine how results of clinical tests on women with Pelvic Girdle Pain (PGP) in late pregnancy were associated with disability and Pain intensity 12 weeks postpartum controlling for socio-demographical and psychological factors. Out of the 283 women clinically examined in gestation week 30, 179 were considered afflicted from PGP and constituted the study sample. Potential risk factors were assessed by questionnaires (at inclusion and in gestation week 30) and clinical examination in gestation week 30. The clinical examination included Pain provocation tests for the pelvis as well as the active straight leg raise test. We used Pain intensity and disability (disability rating index, DRI) as response variables, derived from questionnaires 12 weeks postpartum. Using multivariable linear regression analyses, sum of Pain provocation tests and pre-pregnancy low back Pain (LBP) were significantly associated with DRI 12 weeks postpartum. Furthermore, sum of Pain provocation tests and number of Pain sites were significantly associated with Pain intensity. In conclusion, we found that when including results of clinical tests as risk factors together with socio-demographical and psychological factors in multivariable regression models, the clinical risk factors are the ones that remain significant. These results are of clinical importance because they seem to have the potential to identify women with a poor prognosis.
Malin Eberhardgran - One of the best experts on this subject based on the ideXlab platform.
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prevalence and severity of low back and Pelvic Girdle Pain in pregnant nepalese women
BMC Pregnancy and Childbirth, 2019Co-Authors: Malin Eberhardgran, Margreth Grotle, Ranjeeta S Acharya, Anne Therese Tveter, Britt StugeAbstract:Low back Pain (LBP) and Pelvic Girdle Pain (PGP) are commonly reported during pregnancy and are known to affect pregnant women’s well-being. Still, these conditions are often considered to be a normal part of pregnancy. This study assesses the prevalence and severity of LBP and/or PGP among pregnant Nepalese women, as well as exploring factors associated with LBP and PGP. A cross-sectional study with successive recruitment of pregnant women was conducted at two district hospitals in Nepal from May 2016 to May 2017. The data was collected using self-reported questionnaires. Univariate and multivariate logistic regression were used to assess the associations between independent variables and LBP and/or PGP. A total of 1284 pregnant women were included in the study. The reported prevalence of pregnancy-related LBP and/or PGP was 34%. Pain intensity was high with a mean score (standard deviation) of 6 (2). The median (25th-75th percentiles) disability scores according to the total Pelvic Girdle Questionnaire and Oswestry Disability Index were 20 (10–32) and 30 (21–38), respectively. Even though only 52% of the women believed that the Pain would disappear after delivery, concern about LBP and/or PGP was reported to be low (median 2 (0–4) (Numeric Rating Scale 0–10)). In the final model for women with LBP and/or PGP the adjusted odds ratios were for body mass index (20–24, 25–30, > 30) 0.7 (95% confidence interval (CI), 0.44–1.21), 1.1 (95% CI, 0.66–1.83), and 1.5 (95% CI, 0.78–2.94) respectively, for Pelvic organ prolapse symptoms 6.6 (95% CI, 4.93–8.95) and for women with educated husbands (primary or secondary, higher secondary or above) 1.1 (95% CI, 0.53–2.16) and 1.7 (95% CI, 0.84–3.47), respectively. Pregnant Nepalese women commonly report LBP and/or PGP. The women experienced low disability despite severe Pain intensity and poor beliefs in recovery after delivery.
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does progestin only contraceptive use after pregnancy affect recovery from Pelvic Girdle Pain a prospective population study
PLOS ONE, 2017Co-Authors: Elisabeth Krefting Bjelland, Katrine Mari Owe, Siri Vangen, Hedvig Nordeng, Bo Engdahl, Per Kristiansson, Malin EberhardgranAbstract:Objective To estimate associations of progestin-only contraceptives with persistent Pelvic Girdle Pain 18 months after delivery. Methods Prospective population based cohort study during the years 2003-2011. We included 20,493 women enrolled in the Norwegian Mother and Child Cohort Study who reported Pelvic Girdle Pain in pregnancy week 30. Data were obtained by 3 self-administered questionnaires and the exposure was obtained by linkage to the Prescription Database of Norway. The outcome was Pelvic Girdle Pain 18 months after delivery. Results Pelvic Girdle Pain 18 months after delivery was reported by 9.7% (957/9830) of women with dispense of a progestin-only contraceptive and by 10.5% (1114/10,663) of women without dispense (adjusted odds ratio 0.93; 95% CI 0.84-1.02). In sub-analyses, long duration of exposure to a progestin intrauterine device or progestin-only oral contraceptives was associated with reduced odds of persistent Pelvic Girdle Pain (Ptrend = 0.021 and Ptrend = 0.005). Conversely, long duration of exposure to progestin injections and/or a progestin implant was associated with modest increased odds of persistent Pelvic Girdle Pain (Ptrend = 0.046). Early timing of progestin-only contraceptive dispense following delivery (≤3 months) was not significantly associated with persistent Pelvic Girdle Pain. Conclusions Our findings suggest a small beneficial effect of progestin intrauterine devices and progestin-only oral contraceptives on recovery from Pelvic Girdle Pain. We cannot completely rule out an opposing adverse effect of exposure to progestin injections and/or progestin implants. However, the modest increased odds of persistent Pelvic Girdle Pain among these users could be a result of unmeasured confounding.
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exercise level before pregnancy and engaging in high impact sports reduce the risk of Pelvic Girdle Pain a population based cohort study of 39 184 women
British Journal of Sports Medicine, 2016Co-Authors: Katrine Mari Owe, Malin Eberhardgran, Elisabeth Krefting Bjelland, Britt Stuge, Nicola Orsini, Siri VangenAbstract:Objective To examine whether an association exists between exercise levels pre-pregnancy and Pelvic Girdle Pain in pregnancy. Pelvic Girdle Pain in pregnancy has been associated with physical inactivity, a risk factor for adverse pregnancy outcomes. Methods We used data from a population-based cohort study including 39 184 nulliparous women with a singleton pregnancy enrolled in the Norwegian Mother and Child Cohort study. Pre-pregnancy exercise frequency and types were assessed by questionnaire in pregnancy week 17. Pelvic Girdle Pain, defined as combined Pain in the anterior pelvis and in the posterior pelvis bilaterally, was self-reported in pregnancy week 30. Multivariable Poisson regression estimated risks of Pelvic Girdle Pain associated with pre-pregnancy exercise. We examined a dose–response association of prepregnancy exercise frequency using restricted cubic splines. A test for non-linearity was also conducted. Final models were adjusted for pre-pregnancy BMI, age, education, history of low back Pain and history of depression. Results 4069 women (10.4%) reported Pelvic Girdle Pain in pregnancy and the prevalence among women who were non-exercisers prepregnancy was 12.5%. There was a non-linear association for pre-pregnancy exercise and risk of Pelvic Girdle Pain (test for non-linearity, p=0.003). Compared to non-exercisers, women exercising 3–5 times weekly pre-pregnancy had a 14% lower risk of developing Pelvic Girdle Pain in pregnancy (aRR 0.86, 95% CI 0.77 to 0.96). Taking part in high-impact exercises such as running, jogging, orienteering, ballgames, netball games and high-impact aerobics were associated with less risk of Pelvic Girdle Pain. Summary Women who exercise regularly and engage in high-impact exercises before the first pregnancy may have a reduced risk of Pelvic Girdle Pain in pregnancy.
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breastfeeding and Pelvic Girdle Pain a follow up study of 10 603 women 18 months after delivery
British Journal of Obstetrics and Gynaecology, 2015Co-Authors: Malin Eberhardgran, Elisabeth Krefting Bjelland, Katrine Mari Owe, Britt Stuge, Siri VangenAbstract:Objective To study the associations of patterns and duration of breastfeeding with the persistence of Pelvic Girdle Pain 18 months after delivery. Design Longitudinal population study. Setting Norway, for the period 1999–2011. Population A follow-up of 10 603 women with singleton deliveries in the Norwegian Mother and Child Cohort Study who reported Pelvic Girdle Pain at 0–3 months postpartum. Methods Data were obtained by four self-administered questionnaires and linked to the Medical Birth Registry of Norway. Main outcome measure Pelvic Girdle Pain, defined as combined anterior and bilateral posterior Pelvic Pain, 18 months after delivery. Results Eighteen months after delivery, 7.8% of respondents (829/10 603) reported Pelvic Girdle Pain. Breastfeeding patterns at 5 months after delivery were not associated with persistence of Pelvic Girdle Pain. The proportion of women with Pelvic Girdle Pain 18 months after delivery increased as the duration of breastfeeding decreased (test for trend, P < 0.001). The estimated associations attenuated after adjustment for educational level, smoking status, and body mass index, but remained statistically significant for the association between 0 and 2 months of breastfeeding and persistent Pelvic Girdle Pain (adjusted odds ratio 1.34; 95% confidence interval 1.03–1.75). The association of short breastfeeding duration with persistent Pelvic Girdle Pain was only present in women with body mass index ≥25 kg/m2. Conclusions Breastfeeding was associated with a small beneficial effect on the recovery process of Pelvic Girdle Pain in women with a body mass index ≥25 kg/m2. Among women with Pelvic Girdle Pain, breastfeeding should be encouraged in accordance with the existing child-feeding recommendations.
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hormonal contraception and Pelvic Girdle Pain during pregnancy a population study of 91 721 pregnancies in the norwegian mother and child cohort
Human Reproduction, 2013Co-Authors: Elisabeth Krefting Bjelland, Malin Eberhardgran, Siri Vangen, Hedvig Nordeng, Per KristianssonAbstract:Is pre-pregnancy hormonal contraception use associated with the development of Pelvic Girdle Pain during pregnancy? In contrast to combined oral contraceptive pills, long lifetime exposure to proge ...
Hilde Stendal Robinson - One of the best experts on this subject based on the ideXlab platform.
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generalized joint hypermobility and risk of Pelvic Girdle Pain in pregnancy does body mass index matter
Physiotherapy Theory and Practice, 2021Co-Authors: Hilde Stendal Robinson, Anne Lindgren, Elisabeth Krefting BjellandAbstract:Background: Women with generalized joint hypermobility may be at increased risk of pregnancy-related Pelvic Girdle Pain, but evidence is inconclusive. Objectives: In this prospective cohort study o...
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trunk Pelvic and hip kinematics during the stork test in pregnant women with Pelvic Girdle Pain asymptomatic pregnant and non pregnant women
Clinical Biomechanics, 2020Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Vidar Jakobsen, Jan Cabri, Eva Bakke, Hilde Stendal RobinsonAbstract:Abstract Background Pelvic Girdle Pain is prevalent during pregnancy, and women affected report weight-bearing activities to be their main disability. The Stork test is a commonly used single-leg-stance test. As clinicians report specific movement patterns in those with Pelvic Girdle Pain, we aimed to investigate the influence of both pregnancy and Pelvic Girdle Pain on performance of the Stork test. Methods In this cross-sectional study, 25 pregnant women with Pelvic Girdle Pain, 23 asymptomatic pregnant and 24 asymptomatic non-pregnant women underwent three-dimensional kinematic analysis of the Stork test. Linear mixed models were used to investigate between-group differences in trunk, Pelvic and hip kinematics during neutral stance, weight shift, leg lift and single leg stance. Findings Few and small significant between-group differences were found. Pregnant women with Pelvic Girdle Pain had significantly less hip adduction during single leg stance compared to asymptomatic pregnant women (estimated marginal means (95% confidence intervals) -1.1° (−2.4°, 0.3°) and 1.0° (−0.4°, 2.4°), respectively; P = 0.03). Asymptomatic pregnant women had significantly less hip internal rotation compared to non-pregnant women 4.1° (1.6°, 6.7°) and 7.9° (5.4°, 10.4°), respectively (P = 0.04) and greater peak hip flexion angle of the lifted leg in single leg stance 80.4° (77.0°, 83.9°) and 74.1° (70.8°, 77.5°), respectively (P = 0.01). Variation in key kinematic variables was large across participants in all three groups. Interpretation Our findings indicate that trunk, Pelvic and hip movements during the Stork test are not specific to pregnancy and/or Pelvic Girdle Pain in the 2nd trimester. Instead, movement strategies appear unique to each individual.
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the timed up go test in pregnant women with Pelvic Girdle Pain compared to asymptomatic pregnant and non pregnant women
Musculoskeletal science and practice, 2019Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Jan Cabri, Hilde Stendal RobinsonAbstract:Abstract Background The Timed Up and Go (TUG) test, a standardized functional mobility test, has been proposed as a physical performance-based measure in pregnant women with Pelvic Girdle Pain (PGP). Objectives This cross-sectional study aimed to investigate physical function by the use of TUG in pregnant women with PGP compared to asymptomatic pregnant and non-pregnant women, and to identify factors associated with increased TUG. Methods In total, 25 pregnant women with PGP, 24 asymptomatic pregnant and 25 asymptomatic non-pregnant women participated. One-way analysis of variance was used to explore difference in TUG between the groups and multiple linear regression analyses to explore associations between TUG and potential explanatory variables. Results The time on TUG varied among pregnant women with PGP, and was significantly higher (mean (95% CI) 6.9 (6.5, 7.3) seconds) than for asymptomatic pregnant (5.8 (5.5, 6.0), p Conclusion Pregnant women with PGP used longer time and showed larger variation in TUG than asymptomatic pregnant and non-pregnant women, this underpins that TUG targets activities relevant to PGP. Our results provide new knowledge about factors influencing TUG time. Importantly, multivariable analyses suggest that Pain intensity should be considered when interpreting TUG time in pregnant women with PGP.
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kinematic and spatiotemporal gait characteristics in pregnant women with Pelvic Girdle Pain asymptomatic pregnant and non pregnant women
Clinical Biomechanics, 2019Co-Authors: Lene Christensen, Britt Stuge, Marit B Veierod, Nina K Vollestad, Vidar Jakobsen, Jan Cabri, Hilde Stendal RobinsonAbstract:BACKGROUND Walking difficulties are common among pregnant women with Pelvic Girdle Pain. This cross-sectional study investigated the influence of Pelvic Girdle Pain, pregnancy and speed on spatiotemporal and trunk, Pelvic and hip kinematics during gait in the 2nd trimester of pregnancy. METHODS Three-dimensional gait analysis at self-selected speed was performed in 25 pregnant women with Pelvic Girdle Pain, 24 asymptomatic pregnant and 24 non-pregnant women. Linear mixed models were used to investigate between-group differences in gait variables. Adjustment for gait speed was included in the analysis. Correlations between speed and fear of movement, disability and Pain were examined using Spearman correlation coefficient (rs). FINDINGS Pregnant women with Pelvic Girdle Pain walked 18% slower (estimated marginal means (95% confidence intervals) 1.18 (1.22, 1.24) meter/s) compared to asymptomatic pregnant women (1.44 (1.38, 1.50) meter/s) (P < 0.001). Moreover, with longer double limb support (5%, P = 0.04), shorter contralateral step length (3%, P = 0.03) and more restricted Pelvic and hip kinematics (0.001 ≤ P ≤ 0.01) adjusted for speed. Only stance, double limb support and thoracic rotation (0.001 ≤ P ≤ 0.04) differed between asymptomatic pregnant and non-pregnant women. Speed was negatively correlated with fear of movement (rs = -0.63, P = 0.01) and disability (rs = -0.46, P = 0.03) in the Pelvic Girdle Pain group. INTERPRETATION Gait is primarily influenced by Pelvic Girdle Pain and less by pregnancy. Pregnant women with Pelvic Girdle Pain walked slower and with a more rigid gait pattern compared to asymptomatic pregnant women, presumably related to altered load transfer. Our results may assist clinical evaluation of Pelvic Girdle Pain, as well as direct future research.
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effectiveness of physical therapy interventions for pregnancy related Pelvic Girdle Pain pedro synthesis
British Journal of Sports Medicine, 2018Co-Authors: Hilde Stendal Robinson, Arun Prasad BalasundaramAbstract:Ferreira CWS, Alburquerque-Sendi’n F. Effectiveness of physical therapy for pregnancy-related low back and/or Pelvic Pain after delivery: a systematic review. Physiother Theory Pract 2013; 29: 419–431. Pelvic Girdle Pain (PGP) is often reported during and after pregnancy and the exact cause(s) is not clear. A wide variety of physical therapy interventions such as exercise/manual therapies, use of Pelvic belts, electrotherapeutic agents and patient education are presently used for the treatment of pregnancy-related PGP1. These interventions are continuing to be used, whereby evidence-informed decisions may not be followed. The aim of the systematic review was to investigate the effectiveness of physiotherapy interventions for the treatment of postpartum low back Pain (LBP) and PGP. The searches were conducted using eight electronic databases including PubMed, Medline, SciELO, LILACS, Cochrane Collaboration Database, SCIRUS, Scopus and the Physiotherapy Evidence Database (PEDro). The keywords used were obtained from the Medical Subject Headings, which included LBP, physiotherapy, postpartum period and pregnancy. Corresponding terms of these keywords in Portuguese and Spanish languages were also included. Studies published in peer-reviewed journals were only included with …
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women with diastasis recti abdominis might have weaker abdominal muscles and more abdominal Pain but no higher prevalence of Pelvic floor disorders low back and Pelvic Girdle Pain than women without diastasis recti abdominis
Physiotherapy, 2021Co-Authors: Sandra Gluppe, Marie Ellstrom Engh, Bo KariAbstract:Abstract Objective To investigate whether women with diastasis recti abdominis (DRA) have weaker abdominal muscles and higher prevalence of Pelvic floor disorders (PFD), low back, Pelvic Girdle and abdominal Pain than women without DRA. Design Cross sectional study of women with and without DRA. Setting University study. Participants Seventy-two parity and age matched women with and without DRA. Main outcome measures Maximal abdominal muscle strength and endurance were assessed with a dynamometer and with a curl-up test. Women reported whether they experienced PFD, low back Pain, Pelvic Girdle Pain or abdominal Pain. Those experiencing PFD or Pain completed the Pelvic Floor Distress Inventory-short form 20 (PFDI-20), the Oswestry Disability Index (ODI), the Pelvic Girdle Questionnaire (PGQ) or questions about abdominal Pain, respectively. Results Maximal abdominal strength standing with 30° hip flexion was significantly lower in women with DRA (mean difference −12.9 Nm, 95%CI: −24.4 to −1.5; P = 0.028), but adjusted analyses showed no significant difference (mean difference −11.9 Nm, 95%CI: −26.5 to 2.6; P = 0.106). Adjusted analyses showed significant higher prevalence of abdominal Pain in women with DRA (OR: 0.02, 95%CI: 0.00 to 0.61, P = 0.026). There was no difference between the groups in PFD, low back and Pelvic Girdle Pain. Conclusion Women with DRA tend to have weaker abdominal muscles and higher prevalence of abdominal Pain, but no higher prevalence of PFD, low back or Pelvic Girdle Pain than women without DRA.