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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

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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)
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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

lingua: Inglese

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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