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Irish Medical Journal Oct 2018
Topics: Adult; Female; Humans; Middle Aged; Pain Measurement; Pelvic Girdle Pain; Physical Therapists; Pregnancy; Pregnancy Complications; Referral and Consultation; Severity of Illness Index; Surveys and Questionnaires; Young Adult
PubMed: 30556677
DOI: No ID Found -
Studies in Health Technology and... 2008For the last 60 years, the impressive progress of the scoliosis surgery has hidden the development of the conservative orthopedic treatment. The stabilization of the...
For the last 60 years, the impressive progress of the scoliosis surgery has hidden the development of the conservative orthopedic treatment. The stabilization of the scoliosis, which implies the safeguarding of a spine as mobile as possible, remains a valid objective. The Lyon Brace management combines 3 techniques. A reduction of the scoliosis using a plaster cast fixed on an EDF (Elongation Derotation Flexion) Cotrel's frame. It carries through a flow of the musculoligamentar structure of the concavity. A contention by Lyon Brace. Orthesis without any cervical superstructure is adjustable, symmetric, see through and active. The elongation between the two scapular and pelvic girdle leads to a disc decompression which makes easier the 3D correction of the curves. The individual moulding (custom made) is actually electronic using a "full 3D imaging" system by Orten. To every 14 types of Lenke's classification matches a specific blue print. A specific physiotherapy combining the consciousness of the deformity, suppling up of the retracted elements of the concavity, compensatory suppling up of the girdles, improvement of the vital capacity based on exhalation, reharmonisation of the static, static strengthening in order to facilitate the ability to be still in a corrected position, kyphotisation proprioceptive exercises to stimulate the maturation of the postural system. We advise the scoliotics to practice sport during the treatment period. The long term follow up confirms a global effectiveness indication of 0,89 with the rib hump declining by half. When we treat scoliotics with Cobb angle less than 45 degrees, surgical treatment can be prevented in 98% of the patients.In France 60% of the families agree with this stringent treatment which becomes easier thanks to its ambulatory realization and the excellent formation of the partners, the physiotherapists and the orthesist.
Topics: Braces; Equipment Design; Humans; Scoliosis; Treatment Outcome
PubMed: 18401102
DOI: No ID Found -
Pain Practice : the Official Journal of... Feb 2012Pelvic pain is a common condition. Treatment interventions have traditionally targeted biomedical conditions with variable success. Utilizing a systematic approach to... (Review)
Review
Pelvic pain is a common condition. Treatment interventions have traditionally targeted biomedical conditions with variable success. Utilizing a systematic approach to examination of the pelvic girdle and related organ systems contained within the pelvis will aid the clinician in identifying the painful structure(s) as well as the associated impairments limiting functional recovery. From this, a complete management program can be instituted. The following description of gynecologic, urologic, gastrointestinal, musculoskeletal, and neurologic conditions that can cause or are associated with chronic pelvic pain leads to conservative management proposals based on the available evidence. Finally, nonoperative interventional strategies are described, which target the pain system from a cognitive behavioral perspective, address movement dysfunctions, and address interventional pain technique possibilities.
Topics: Chronic Pain; Diagnosis, Differential; Female; Humans; Pain Management; Pelvic Pain; Physical Examination; Physical Therapy Modalities
PubMed: 21801301
DOI: 10.1111/j.1533-2500.2011.00492.x -
Acta Obstetricia Et Gynecologica... Feb 1999Pelvic pain in pregnancy appears to be a problem that is increasing. This study was undertaken to describe and analyze the relationship between subjective symptoms,...
BACKGROUND
Pelvic pain in pregnancy appears to be a problem that is increasing. This study was undertaken to describe and analyze the relationship between subjective symptoms, daily disability, and clinical findings in women with symptom-giving pelvic girdle relaxation in pregnancy
MATERIALS AND METHODS
Out of 1600 pregnant women 238 had pelvic pain. After a clinical examination 11 women were excluded due to low back pain. The rest, 227 women, was considered having symptom-giving pelvic girdle relaxation during pregnancy.
RESULTS
Symptom-giving pelvic girdle relaxation in pregnancy seriously interferes with many activities of daily living such as housekeeping, walking, working, and sexual life. The women's statements of pelvic pain are well correlated to the number of positive clinical tests.
CONCLUSION
Symptom-giving pelvic girdle relaxation in pregnancy causes considerable disabilities concerning daily activities.
Topics: Activities of Daily Living; Adult; Denmark; Female; Humans; Pelvic Pain; Pregnancy; Pregnancy Complications; Prospective Studies; Risk Factors; Sick Leave
PubMed: 10023872
DOI: No ID Found -
Biological Reviews of the Cambridge... May 2015Newly discovered pelvic and reproductive structures within placoderms, representing some of the most crownward members of the gnathostome stem group and the most basal...
Newly discovered pelvic and reproductive structures within placoderms, representing some of the most crownward members of the gnathostome stem group and the most basal jawed vertebrates, challenge established ideas on the origin of the pelvic girdle and reproductive complexity. Here we critically review previous descriptions of the pelvic structures in placoderms and reinterpret the morphology of the pelvic region within the arthrodires and ptyctodonts, in particular the position of the pelvic fin and the relationship of the male clasper to the pelvic girdle. Absence of clear articular surfaces on the clasper and girdle in the Arthrodira, along with evidence from the Ptyctodontida, suggest that these are separate structures along the body. We describe similarities between the pectoral and pelvic girdles and claspers, for example, all these have both dermal and perichondral (cartilaginous) components. Claspers in placoderms and chondrichthyans develop in very different ways; in sharks, claspers develop from the pelvic fin while the claspers in placoderms develop separately, suggesting that their independent development involved a posterior extension of the 'competent stripes' for fin development previously limited to the region between the paired pectoral and pelvic fins. Within this expanded zone, we suggest that clasper position relative to the pelvic fins was determined by genes responsible for limb position. Information on early gnathostome reproductive processes is preserved in both the Ptyctodontida and Arthrodira, including the presence of multiple embryos in pregnant females, embryos of differing sizes and of different sexes (e.g. male claspers preserved in some embyros). By comparison with chondrichthyans, these observations suggest more complex reproductive strategies in placoderms than previously appreciated.
Topics: Animals; Biological Evolution; Fishes; Fossils; Genitalia; Pelvis
PubMed: 24889865
DOI: 10.1111/brv.12118 -
Anatomical Record (Hoboken, N.J. : 2007) Mar 2021The ontogeny of the paired appendages has been extensively studied in lungfishes and tetrapods, but remains poorly known in coelacanths. Recent work has shed light on...
The ontogeny of the paired appendages has been extensively studied in lungfishes and tetrapods, but remains poorly known in coelacanths. Recent work has shed light on the anatomy and development of the pectoral fin in Latimeria chalumnae. Yet, information on the development of the pelvic fin and girdle is still lacking. Here, we described the development of the pelvic fin and girdle in Latimeria chalumnae based on 3D reconstructions generated from conventional and X-ray synchrotron microtomography, as well as MRI acquisitions. As in other jawed vertebrates, the development of the pelvic fin occurs later than that of the pectoral fin in Latimeria. Many elements of the endoskeleton are not yet formed at the earliest stage sampled. The four mesomeres are already formed in the fetus, but only the most proximal radial elements (preaxial radial 0-1) are formed and individualized at this stage. We suggest that all the preaxial radial elements in the pelvic and pectoral fin of Latimeria are formed through the fragmentation of the mesomeres. We document the progressive ossification of the pelvic girdle, and the presence of a trabecular system in the adult. This trabecular system likely reinforces the cartilaginous girdle to resist the muscle forces exerted during locomotion. Finally, the presence of a preaxial element in contact with the pelvic girdle from the earliest stage of development onward questions the mono-basal condition of the pelvic fin in Latimeria. However, the particular shape of the mesomeres may explain the presence of this element in contact with the girdle.
Topics: Animal Fins; Animals; Biological Evolution; Fishes; Fossils; Magnetic Resonance Imaging; Pelvis; Phylogeny
PubMed: 32445538
DOI: 10.1002/ar.24452 -
Health and Quality of Life Outcomes Feb 2017The Pelvic Girdle Questionnaire is the only instrument designed to assess pain and disability specifically in pregnant or postpartum women with pelvic girdle pain. The...
BACKGROUND
The Pelvic Girdle Questionnaire is the only instrument designed to assess pain and disability specifically in pregnant or postpartum women with pelvic girdle pain. The objective of this study was the adaptation to the Spanish language and analysis of the psychometric properties of the Pelvic Girdle Questionnaire.
METHODS
This is a descriptive cross-sectional study divided into two phases. In the first phase, a translation and adaptation process was performed according to international guidelines. Secondly, the analysis of the properties of the Spanish version was conducted using a sample of 125 pregnant or postpartum women suffering from pelvic girdle pain. Participants completed the Spanish version along with five other measurement instruments through an online platform. Internal consistency, construct validity, test-retest reliability, the ceiling and floor effects, responsiveness and discriminatory ability of the Spanish version were analysed.
RESULTS
The Spanish version of the Pelvic Girdle Questionnaire showed high internal consistency with Cronbach's alpha = 0.961, and an intraclass correlation coefficient of 0.962. The convergent validity showed high positive correlation with other questionnaires used. ROC curves showed no discriminatory capacity for number of sites of pain or pregnancy/post-partum state.
CONCLUSIONS
This article presents the translation, validation and psychometric properties of the Spanish version of the Pelvic Girdle Questionnaire, that has proved to be an appropriate and valid assessment tool of disability due to pelvic girdle pain in pregnant and postpartum women.
Topics: Adolescent; Adult; Cross-Cultural Comparison; Cross-Sectional Studies; Female; Humans; Middle Aged; Pelvic Girdle Pain; Pregnancy; Pregnancy Complications; Puerperal Disorders; Spain; Surveys and Questionnaires; Translating; Young Adult
PubMed: 28143502
DOI: 10.1186/s12955-017-0605-0 -
BJOG : An International Journal of... Dec 2011To study the association of age at menarche with presence of pelvic girdle syndrome in pregnancy.
OBJECTIVE
To study the association of age at menarche with presence of pelvic girdle syndrome in pregnancy.
DESIGN
Population study.
SETTING
Norway 1999-2007.
POPULATION
A total of 74 973 pregnant women in the Norwegian Mother and Child Cohort Study.
METHODS
Data were obtained by self-administered questionnaires in weeks 17 and 30 of gestation.
MAIN OUTCOME MEASURE
Pelvic girdle syndrome in pregnancy at 30 weeks of gestation, defined as pain in the pubic symphysis in the anterior pelvis and in both sacroiliac joints in the posterior pelvis.
RESULTS
The prevalence of pelvic girdle syndrome was 20.6% (328/1593) in women with menarche before the age of 11, it was 16.3% (3200/22 044) in women with menarche at the age of 12 and 12.7% (1252/9859) in women with menarche after the age of 14 (chi-square test for trend, P < 0.001). The inverse association of age at menarche with pelvic girdle syndrome remained after adjustment for body mass index, maternal age, parity, educational level, previous low back pain, emotional distress and physically demanding work. Women with early menarche and high body mass index had the highest prevalence of pelvic girdle syndrome, but the association of early menarche with pelvic girdle syndrome was similar in women with and without high body mass index.
CONCLUSIONS
Early menarche was associated with increased prevalence of pelvic girdle syndrome in pregnancy. Factors associated with early menarche may play a role in the development of pelvic girdle pain.
Topics: Adolescent; Adult; Age Factors; Body Mass Index; Educational Status; Employment; Female; Humans; Low Back Pain; Maternal Age; Menarche; Norway; Parity; Pelvic Girdle Pain; Pregnancy; Pregnancy Complications; Prevalence; Prospective Studies; Risk Factors; Stress, Psychological; Young Adult
PubMed: 21895953
DOI: 10.1111/j.1471-0528.2011.03099.x -
Zhongguo Zhen Jiu = Chinese Acupuncture... Mar 2020To observe the effect on postpartum pelvic girdle pain treated with the combined therapy of pelvic-sacral tendon-regulation needling technique of acupuncture and... (Randomized Controlled Trial)
Randomized Controlled Trial
[Pelvic-sacral tendon-regulation needling technique of acupuncture combined with manipulative reduction in treatment of postpartum pelvic girdle pain: a randomized controlled trial].
OBJECTIVE
To observe the effect on postpartum pelvic girdle pain treated with the combined therapy of pelvic-sacral tendon-regulation needling technique of acupuncture and manipulative reduction and the simple manipulative therapy.
METHODS
A total of 80 patients with postpartum pelvic girdle pain were randomized into an observation group and a control group, 40 cases in each one. In the control group, the manipulative reduction was simply adopted. In the observation group, on the base of the treatment as the control group, the pelvic-sacral tendon-regulation needling technique of acupuncture was applied at Mingmen (GV 4), Dachangshu (BL 25), Yaoyangguan (GV 3), Ciliao (BL 32), Zhongliao (BL 33), Huantiao (GB 30) and Yanglingquan (GB 34). In either group, the treatment was given once every two days, three times a week and 3 treatments taken as one course. Totally, 3 courses of treatment were required. The clinical therapeutic effect was compared in the patients between the two groups. The changes in the scores of the pain visual analogue scale (VAS), Oswestry dysfunction index (ODI) and Japanese Orthopaedic Association (JOA), as well as the pelvic floor distress inventoryshort form 20 (PFDI-20), the pelvic floor impact questionnaire (PFIQ-7) and the sex life index (the frequency of intercourse and orgasm) were recorded in the patients of the two groups before and after treatment.
RESULTS
The total effective rate was 95.0% (38/40) in the observation group, higher than 77.5% (31/40) in the control group (<0.01). After treatment, the scores of VAS, ODI, PFDI-20 and PFIQ-7 were lower than those before treatment respectively in the patients of the two groups (<0.01). JOA score and the sex life index were increased after treatment as compared with those before treatment in the two groups (<0.01). The difference value of each of the above indexes in the observation group was higher than the control group (<0.01).
CONCLUSION
The combined therapy of pelvic-sacral tendon-regulation needling technique of acupuncture and manipulative reduction effectively alleviates pain and improves the muscle strength of pelvic floor muscle fibers in the patients with postpartum pelvic girdle pain. Its therapeutic effect is better than that of the simple manipulative therapy.
Topics: Acupuncture Points; Acupuncture Therapy; Female; Humans; Pelvic Girdle Pain; Pelvis; Postpartum Period; Pregnancy; Sacrum; Tendons; Treatment Outcome
PubMed: 32270638
DOI: 10.13703/j.0255-2930.20190313-k0002 -
Neuromuscular Disorders : NMD Dec 2017Although limb girdle weakness is not part of the major diagnostic criteria of oculopharyngeal muscular dystrophy (OPMD), it has frequently been observed in the Dutch and...
Although limb girdle weakness is not part of the major diagnostic criteria of oculopharyngeal muscular dystrophy (OPMD), it has frequently been observed in the Dutch and other OPMD cohorts. In the Dutch cohort, this might be related to the relatively old age or the severity of the genetic defect. This patient-control study (14 OPMD patients and 12 controls) investigated the involvement of limb girdle muscles with a multidimensional approach in early OPMD. We assessed functional abilities, disease impact, physical activity, muscle strength, histopathology and fatty infiltration using questionnaires, actometer, functional tests, manual and quantitative muscle testing, muscle biopsy and muscle MRI. The study showed that involvement of pelvic girdle and proximal leg can be a relatively early feature of OPMD, resulting in impaired daily life activities. The fat fraction of the hip adductors and hamstrings was significantly higher in OPMD patients than in controls. Future studies should include assessment of hip flexors, hip adductors and hamstrings (muscle strength measurements and MRI), functional tests and questionnaires. These findings are important in future diagnostics, management and for the design of outcome measures in trials.
Topics: Adipose Tissue; Adult; Case-Control Studies; Female; Humans; Leg; Male; Middle Aged; Muscle, Skeletal; Muscular Dystrophy, Oculopharyngeal; Netherlands; Pelvis
PubMed: 29102430
DOI: 10.1016/j.nmd.2017.09.010