Biomechanical and Viscoelastic Properties of Thoracolumbar Fascia in Pregnancy Pelvic Girdle Pain

Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey

Status: Enrolling

Conditions: Pregnant Women; Pelvic Girdle Pain

Treatments: Other: Evaluation of pain; Other: Evaluation of activity limitation; Other: Evaluation of biomechanics and viscoelastic properties of thoracolumbar fascia; Diagnostic Test: Application of pelvic girdle diagnostic tests

Study type: Observational

Funder types: Other

Identifiers

NCT05403424

33 09/03/2022

Details and patient eligibility

About

It has not been objectively clarified how the thoracolumbar fascia (TLF) changes the biomechanical adaptations that occur in the lumbopelvic region during pregnancy and whether it is associated with pelvic girdle pain (PGP). Therefore, the aim of this study is to determine the biomechanical and viscoelastic properties of TLF, which adapts to the changes in the lumbopelvic region in pregnant women with pelvic girdle pain, and to investigate its relationship with PGP.

Enrollment: 60 estimated patients

Sex: Female

Ages: 18 to 40 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• First-time pregnancy
• Pregnant women diagnosed with pelvic girdle pain in 1st and 2nd trimesters
• Pregnant women who do not have pelvic girdle pain in 1st and 2nd trimesters
• Women not being pregnant
• Pre-pregnancy Body-Mass-Index (BMI) < 30 kg/m2

Exclusion criteria

• Presence of connective tissue disease
• Deterioration of skin integrity in measurement areas
• Presence of orthopedic, neurological, rheumatic problems that may cause musculoskeletal disorders and deviations from normal biomechanical alignment
• History of spine, pelvis, or lower extremity surgery or fracture in the past 6 months
• Definition of chronic low back-pelvic region pain (lasting for more than 3 months and pain severity >4 according to VAS) before pregnancy
• Identification of metabolic disorders such as Type I, II diabetes, gestational diabetes mellitus (GDM), preeclampsia before and/or during pregnancy)

Trial design

60 participants in 3 patient groups

Group 1: Pregnant women with pelvic girdle pain

Description:

This group will consist of pregnant women diagnosed with pelvic girdle pain.

Treatment:

Diagnostic Test: Application of pelvic girdle diagnostic tests

Other: Evaluation of activity limitation

Other: Evaluation of biomechanics and viscoelastic properties of thoracolumbar fascia

Other: Evaluation of pain

Group 2: Pregnant women without pelvic girdle pain

Description:

This group will consist of pregnant women who do not have pelvic girdle pain.

Treatment:

Diagnostic Test: Application of pelvic girdle diagnostic tests

Other: Evaluation of activity limitation

Other: Evaluation of biomechanics and viscoelastic properties of thoracolumbar fascia

Other: Evaluation of pain

Group 3: Non-pregnant women

Description:

This group will consist of non-pregnant women.

Treatment:

Other: Evaluation of biomechanics and viscoelastic properties of thoracolumbar fascia