Differences in balance control despite self-reported resolution of pregnancy-related pelvic girdle pain. A cross-sectional study
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Coppieters, Michel W
Pool, Jan JM
Pool-Goudzwaard, Annelies L
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Abstract
Background 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.
Objectives This study aimed to assess balance control in postpartum women with and without a history of PGP during pregnancy.
Design Cross-sectional study.
Method 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.
Results 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.
Conclusions 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.
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Musculoskeletal Science and Practice
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62
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© 2022 The Authors. Published by Elsevier Ltd. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Orthopaedics
Biomechanics
Allied health and rehabilitation science
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van Benten, E; Coppieters, MW; Pool, JJM; Pool-Goudzwaard, AL, Differences in balance control despite self-reported resolution of pregnancy-related pelvic girdle pain. A cross-sectional study, Musculoskeletal Science and Practice, 2022, 62, pp. 102620