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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2017 Mar 01

DOI: 10.23736/S1973-9087.17.04442-2

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Does a pelvic belt reduce hip adduction weakness in pregnancy-related posterior pelvic girdle pain? A case-control study

Jan M., Mens

Department of Rehabilitation Medicine, Erasmus University Medical Centre, Rotterdam, The Netherlands


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BACKGROUND: The cause of non-specific lumbopelvic pain is unknown. Pregnancy-related pelvic girdle pain seems to be a subgroup that deserves a specific treatment. One of the options is the use of a pelvic belt.
AIM: To objectify the influence of a pelvic belt in patients with pelvic girdle pain.
DESIGN. Case-control study.
SETTING: Outpatient clinic.
POPULATION: A total of 49 women with long-lasting posterior pelvic girdle pain and 37 parous women of the same age group without pelvic girdle pain.
METHODS: Hip adduction force was measured by asking the participant to squeeze a hand-held dynamometer between the knees. This was firstly performed without a pelvic belt and then with a pelvic belt. The increase of hip adduction force after applying the pelvic belt was expressed in percentages.
RESULTS: After tightening a pelvic belt hip adduction force increased 25.9% (SD 33.9%) in patients with pelvic girdle pain (P<0.0001) and 1.0% (SD 8.6%) in participants without (P=0.67). The difference between groups was significant (P<0.00001).
CONCLUSION: A pelvic belt has a positive influence on hip adduction force in pregnancy-related posterior pelvic girdle pain.
CLINICAL REHABILITATION IMPACT: The results show an objective positive effect of the pelvic belt in women with long-lasting pregnancy-related posterior pelvic girdle pain in a test-situation. The results support the idea that the use of a belt could be part of a multidisciplinary rehabilitation of those patients.


KEY WORDS: Braces - Muscle weakness - Rehabilitation

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