Manual Therapy
Volume 15, Issue 6 , Pages 522-528 , December 2010

Pelvic girdle pain: Potential risk factors in pregnancy in relation to disability and pain intensity three months postpartum

  • Hilde Stendal Robinson

      Affiliations

    • Department of Nursing and Health Sciences, Institute of Health and Society, University of Oslo, P.O. Box 1153, Blindern, N-0318 Oslo, Norway
    • Corresponding Author InformationCorresponding author. Tel.: +47 22858421; fax: +47 22858411.
  • ,
  • Anne Marit Mengshoel

      Affiliations

    • Department of Nursing and Health Sciences, Institute of Health and Society, University of Oslo, P.O. Box 1153, Blindern, N-0318 Oslo, Norway
  • ,
  • Marit B. Veierød

      Affiliations

    • Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, N-0317 Oslo, Norway
  • ,
  • Nina Vøllestad

      Affiliations

    • Department of Nursing and Health Sciences, Institute of Health and Society, University of Oslo, P.O. Box 1153, Blindern, N-0318 Oslo, Norway

Received 4 March 2010 ,Revised 6 May 2010 ,Accepted 10 May 2010.

References 

  1. 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):161–166
  2. Albert H, Godskesen M, Westergaard J. Prognosis in four syndromes of pregnancy-related pelvic pain. Acta Obstet Gynecol Scand. 2001;80(6):505–510
  3. Albert HB, Godskesen M, Korsholm L, Westergaard JG. Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand. 2006;85(5):539–544
  4. Berg G, Hammar M, Moller-Nielsen J, Linden U, Thorblad J. Low back pain during pregnancy. Obstet Gynecol. 1988;71(1):71–75
  5. Breen TW, Ransil BJ, Groves PA, Oriol NE. Factors associated with back pain after childbirth. Anesthesiology. 1994;81(1):29–34
  6. Cedraschi C, Allaz AF. How to identify patients with a poor prognosis in daily clinical practice. Best Pract Res Clin Rheumatol. 2005;19(4):577–591
  7. Croft P. The question is not “have you got it”? But “how much of it have you got”?. Pain. 2009;141(1–2):6–7
  8. Dreyfuss P, Michaelsen M, Pauza K, McLarty J, Bogduk N. The value of medical history and physical examination in diagnosing sacroiliac joint pain. [see comments] Spine. 1996;21(22):2594–2602
  9. Grotle M, Brox JI, Veierod MB, Glomsrod B, Lonn JH, Vollestad NK. Clinical course and prognostic factors in acute low back pain: patients consulting primary care for the first time. Spine. 2005;30(8):976–982
  10. Gutke A, Hansson ER, Zetherstrom G, Ostgaard HC. Posterior pelvic pain provocation test is negative in patients with lumbar herniated discs. Eur Spine J. 2009;18(7):1008–1012
  11. Gutke A, Ostgaard HC, Oberg B. Pelvic girdle pain and lumbar pain in pregnancy: a cohort study of the consequences in terms of health and functioning. Spine. 2006;31(5):E149–E155
  12. Gutke A, Ostgaard HC, Oberg B. Predicting persistent pregnancy-related low back pain. Spine. 2008;33(12):E386–E393
  13. Hansen A, Jensen DV, Wormslev M, Minck H, Johansen S, Larsen EC, et al. Symptom-giving pelvic girdle relaxation in pregnancy. II: Symptoms and clinical signs. Acta Obstet Gynecol Scand. 1999;78(2):111–115
  14. Kamaleri Y, Natvig B, Ihlebaek CM, Bruusgaard D. Does the number of musculoskeletal pain sites predict work disability? A 14-year prospective study. Eur J Pain. 2009;13(4):426–430
  15. Kirkwood BR, Sterne JAC. Essential medical statistics. Massachusetts, USA: Blackwell Science Ltd; 2003;
  16. Kristiansson P, Svardsudd K, von Schoultz B. Back pain during pregnancy: a prospective study. Spine. 1996;21(6):702–709
  17. Larsen EC, Wilken-Jensen C, Hansen A, Jensen DV, Johansen S, Minck H, et al. Symptom-giving pelvic girdle relaxation in pregnancy. I: Prevalence and risk factors. Acta Obstet Gynecol Scand. 1999;78(2):105–110
  18. Laslett M, Williams M. The reliability of selected pain provocation tests for sacroiliac joint pathology. Spine. 1994;19(11):1243–1249
  19. Linton SJ, Buer N, Vlaeyen JW, Hellsing AL. Are fear-avoidance beliefs related to the inception of an episode of back pain? A prospective study. Psychol Health. 2000;14:1051–1059
  20. Mens JM, Vleeming A, Snijders CJ, Koes BW, Stam HJ. Reliability and validity of the active straight leg raise test in posterior pelvic pain since pregnancy. Spine. 2001;26(10):1167–1171
  21. Mens JM, Vleeming A, Snijders CJ, Koes BW, Stam HJ. Validity of the active straight leg raise test for measuring disease severity in patients with posterior pelvic pain after pregnancy. Spine. 2002;27(2):196–200
  22. Mens JM, Vleeming A, Snijders CJ, Stam HJ, Ginai AZ. The active straight leg raising test and mobility of the pelvic joints. Eur Spine J. 1999;8(6):468–474
  23. Mogren IM. 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):1093–1102
  24. Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005;30(8):983–991
  25. Olsson C, Buer N, Holm K, Nilsson-Wikmar L. Lumbopelvic pain associated with catastrophizing and fear-avoidance beliefs in early pregnancy. Acta Obstet Gynecol Scand. 2009;88(4):378–385
  26. Olsson C, Nilsson-Wikmar L. Health-related quality of life and physical ability among pregnant women with and without back pain in late pregnancy. Acta Obstet Gynecol Scand. 2004;83(4):351–357
  27. Ostgaard HC, Andersson GB. Postpartum low-back pain. Spine. 1992;17(1):53–55
  28. Ostgaard HC, Andersson GB, Karlsson K. Prevalence of back pain in pregnancy. Spine. 1991;16(5):549–552
  29. Ostgaard HC, Roos-Hansson E, Zetherstrom G. Regression of back and posterior pelvic pain after pregnancy. Spine. 1996;21(23):2777–2780
  30. Ostgaard HC, Zetherstrom G, Roos-Hansson E. The posterior pelvic pain provocation test in pregnant women. Eur Spine J. 1994;3(5):258–260
  31. Rickels K, Garcia CR, Lipman RS, Derogatis LR, Fisher EL. The Hopkins Symptom Checklist. Assessing emotional distress in obstetric-gynecologic practice. Prim Care. 1976;3(4):751–764
  32. Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion- and pain provocation tests for the sacroiliac joint. Man Ther. 2007;12(1):72–79
  33. Robinson HS, Mengshoel AM, Bjelland EK, Vollestad NK. Pelvic girdle pain, clinical tests and disability in late pregnancy. Man Ther. 2010;15(3):280–285
  34. Robinson HS, Veierød MB, Mengshoel AM, Vøllestad NK. Pelvic girdle pain – associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord. 2010;
  35. Rost CC, Jacqueline J, Kaiser A, Verhagen AP, Koes BW. Prognosis of women with pelvic pain during pregnancy: a long-term follow-up study. Acta Obstet Gynecol Scand. 2006;85(7):771–777
  36. Salen BA, Spangfortke L, Nordemar R. The disability rating index: an instrument for the assessment of disability in clinical settings. J Clin Epidemiol. 1994;47(12):1423–1435
  37. Sandanger I, Moum T, Ingebrigtsen G, Dalgard OS, Sorensen T, Bruusgaard D. Concordance between symptom screening and diagnostic procedure: the Hopkins Symptom Checklist-25 and the Composite International Diagnostic Interview I. Soc Psychiatry Psychiatr Epidemiol. 1998;33(7):345–354
  38. Slipman CW, Sterenfeld EB, Chou LH, Herzog R, Vresilovic E. The predictive value of provocative sacroiliac joint stress maneuvers in the diagnosis of sacroiliac joint syndrome. Arch Phys Med Rehabil. 1998;79(3):288–292
  39. Stuge B, Veierod MB, Laerum E, Vollestad N. The efficacy of a treatment program focusing on specific stabilizing exercises for pelvic girdle pain after pregnancy: a two-year follow-up of a randomized clinical trial. Spine. 2004;29(10):E197–E203
  40. Thomas E, Silman AJ, Croft PR, Papageorgiou AC, Jayson MI, Macfarlane GJ. Predicting who develops chronic low back pain in primary care: a prospective study. BMJ. 1999;318(7199):1662–1667
  41. To WW, Wong MW. Factors associated with back pain symptoms in pregnancy and the persistence of pain 2 years after pregnancy. Acta Obstet Gynecol Scand. 2003;82(12):1086–1091
  42. Turgut F, Turgut M, Cetinsahin M. A prospective study of persistent back pain after pregnancy. Eur J Obstet Gynecol Reprod Biol. 1998;80(1):45–48
  43. 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;17(6):794–819
  44. Vleeming A, de Vries HJ, Mens JM, van Wingerden JP. Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain. Acta Obstet Gynecol Scand. 2002;81(5):430–436
  45. Vollestad NK, Stuge B. Prognostic factors for recovery from postpartum pelvic girdle pain. Eur Spine J. 2009;
  46. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52(2):157–168
  47. WHO . Obesity and overweight. WHO; 2010;Available from: http://www.who.int/mediacentre/factsheets/fs311/en/index.html[serial online], [accessed 25.01.10]
  48. Wu WH, Meijer OG, Uegaki K, Mens JMA, van Dieen JH, Wuisman PIJM, et al. Pregnancy-related pelvic girdle pain (PPP), I: terminology, clinical presentation, and prevalence. Eur Spine J. 2004;13(7):575–589

PII: S1356-689X(10)00082-2

doi: 10.1016/j.math.2010.05.007

Manual Therapy
Volume 15, Issue 6 , Pages 522-528 , December 2010