Pelvic Girdle Pain Symptom Severity in Pregnant Women With Gestational Diabetes Mellitus
Study Details
Study Description
Brief Summary
Pelvic girdle pain (PGP), which is a common musculoskeletal problem of pregnancy, and gestational diabetes mellitus (GDM), which is diagnosed at the end of the second trimester and at the beginning of the third trimester, occur in a parallel time period. The addition of hyperglycemia to the physiological changes in pregnancy stimulates a new series of cycles and contributes to inflammation, and it is predicted that the presence of GDM may trigger the pain intensity of PGP. Therefore, the aim of this study is to investigate the effect of GDM on PGP symptom severity (pain).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Group 1: Pregnant women with PGP and newly diagnosed with GDM Pregnant women with PGP who were newly diagnosed with Gestational Diabetes Mellitus (GDM) according to routine control examinations and whose treatment for diabetes was not started |
Other: Evaluation of pain
Painful areas will be marked on the body chart. The presence and severity of pelvic girdle pain will be determined by the Visual Analog Scale (VAS).
Diagnostic Test: Evaluation of pelvic girdle pain diagnostic tests
Pelvic girdle pain diagnostic tests will be applied. The severity of the pain that occurs in positive tests will be evaluated with VAS.
Other: Evaluation of activity limitation
The Pelvic Girdle Questionnaire will be filled.
|
| Group 2: Pregnant women with PGP and diagnosed with GDM Pregnant women with PGP who were diagnosed with Gestational Diabetes Mellitus (GDM) according to routine control examinations and whose treatment has been already started for diabetes |
Other: Evaluation of pain
Painful areas will be marked on the body chart. The presence and severity of pelvic girdle pain will be determined by the Visual Analog Scale (VAS).
Diagnostic Test: Evaluation of pelvic girdle pain diagnostic tests
Pelvic girdle pain diagnostic tests will be applied. The severity of the pain that occurs in positive tests will be evaluated with VAS.
Other: Evaluation of activity limitation
The Pelvic Girdle Questionnaire will be filled.
|
| Group 3: Pregnant women with PGP Pregnant women with PGP who were not diagnosed with GDM according to routine control examinations |
Other: Evaluation of pain
Painful areas will be marked on the body chart. The presence and severity of pelvic girdle pain will be determined by the Visual Analog Scale (VAS).
Diagnostic Test: Evaluation of pelvic girdle pain diagnostic tests
Pelvic girdle pain diagnostic tests will be applied. The severity of the pain that occurs in positive tests will be evaluated with VAS.
|
Outcome Measures
Primary Outcome Measures
- Determining of painful areas [Baseline (Current)]
Marking painful areas on the body chart
- Evaluation of pain [Baseline (Current)]
Pain will be evaluated with Visual Analog Scale (VAS). The VAS is scaled between 0-10 points (0: no pain, 10: most severe pain).
- Application of PGP diagnostic tests [Baseline]
Pelvic Girdle Pain diagnostic tests will be applied.
- Evaluation of PGP severity [Baseline]
The severity of the pain that occurs in positive tests will be evaluated with VAS. The VAS is scaled between 0-10 points (0: no pain, 10: most severe pain).
Secondary Outcome Measures
- Pelvic Girdle Questionnaire [Baseline]
Activity limitation will be evaluated Pelvic Girdle Questionnaire
- Evaluation of Body Weight [Baseline]
Measuring of the Body Weight
- Evaluation of Body Mass Index (BMI) [Baseline]
BMI (kg/m2) will be calculated as person's weight in kilograms divided by the square of height in meters.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have been started.
-
Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have not been started
-
Pregnant women (with PGP) who were not diagnosed with GDM in the 2nd and 3rd trimesters
Exclusion Criteria:
-
Pre-pregnancy Diabetes Mellitus
-
Presence of an orthopedic or neurological problem that may cause musculoskeletal disorders and deviations from normal biomechanical alignment
-
Presence of connective tissue disease
-
Definition of chronic low back-pelvic region pain (lasting for more than 3 months and pain severity >4 according to VAS) before pregnancy
-
History of spine, pelvis, or lower extremity surgery or fracture in the past 6 months
-
History of pelvic fracture
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | İstanbul Medeniyet University | İstanbul | Turkey |
Sponsors and Collaborators
- Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 35 09/03/2022