Effects of Specific Pelvic Stabilization Exercise With Transabdominal Ultrasonography-guided Biofeedback in Postpartum Women Suffering From Pregnancy-related Pelvic Girdle Pain
Study Details
Study Description
Brief Summary
Postpartum women with PPGP receiving specific pelvic stabilization exercise training with transabdominal sonography-guided Biofeedback would have better improvements on muscle functions, physical functions, pain, and disability compared to the regular pelvic stabilization exercise group
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Transabdominal Sonography-guided Biofeedback group pelvic floor muscle training with transabdominal sonography-guided Biofeedback |
Other: pelvic floor muscle training
pelvic floor muscle training
Other: pelvic floor muscle combined global muscle exercise training
pelvic floor muscle combined global muscle exercise training
Other: education of pelvic girdle
education of pelvic girdle
|
| Active Comparator: Exercise group pelvic floor muscle training |
Other: pelvic floor muscle training
pelvic floor muscle training
Other: pelvic floor muscle combined global muscle exercise training
pelvic floor muscle combined global muscle exercise training
Other: education of pelvic girdle
education of pelvic girdle
|
| Placebo Comparator: Control group pelvic girdle education |
Other: education of pelvic girdle
education of pelvic girdle
|
| Other: Health group pelvic girdle education |
Other: education of pelvic girdle
education of pelvic girdle
|
Outcome Measures
Primary Outcome Measures
- Muscle function measures of abdominal muscle [8 weeks]
Untrasonography image for muscle thickness of abdominal muscle during rest and ASLR test.
- Muscle function measures of inter recti distance [8 weeks]
Untrasonography image for muscle thickness of inter recti distance during rest, maximum contraction, and ASLR test.
- Muscle function measures of pelvic floor muscle control [8 weeks]
Untrasonography image for muscle thickness of pelvic floor muscle control during rest, maximum contraction, and ASLR test.
- pain intensity measure of Visual Analogue Scale(VAS) [8 weeks]
Visual Analogue Scale(VAS) is a self-reported instrument assessing average pain intensity in currently. Possible score range from 0 (no pain) to 10 (worst possible pain).
- pain intensity measure of pelvic girdle questionnaire(PGQ) [8 weeks]
pelvic girdle questionnaire(PGQ) is a self-reported instrument assessing pelvic girdle pain intensity in currently. Questionnaire consisting of 20 activity items and 5 symptom items on a 4-point response scale. Possible score range from 0 (no pain) to 100 (worst possible pain).
- pain intensity measure of Oswestry Low Back Pain Disability Questionnaire(ODI) [8 weeks]
Oswestry Low Back Pain Disability Questionnaire(ODI) is a self-reported instrument assessing patient's permanent functional disability in currently. For each section the total possible score is 5: if the first statement is marked the section score = 0; if the last statement is marked, it = 5. The higher the score, the greater the degree of disability.
- functional performance of ASLR fatigue task [8 weeks]
Participants lifted the heel of the test leg to 20 cm for as long as possible. Participants were required to maintain pressure in the cuff beneath their back as close to 40 mm Hg as possible. Visual feedback of cuff pressure was provided throughout the task, but no instruction was given on how to affect cuff pressure. Task failure was defi ned as an inability to maintain heel height 10 cm or more off the plinth and/or a change in cuff pressure of 20 mm Hg or more.
- functional performance of timed up and go test [8 weeks]
Test instructions were given in Norwegian. Translated into English, the instructions were as follows: 'After "ready, set, go" stand up, walk as fast as you can until you cross the white line, turn around, and walk back to the chair and sit down again'. The white line was positioned 3m from the patient's starting position. 'After "ready, set, go" stand up, walk as fast as you can until you cross the white line, turn around, and walk back to the chair and sit down again'. The white line was positioned 3m from the patient's starting position.
- functional performance of 6m timed walk test(fast walking) [8 weeks]
Subjects commenced the test in standing with their toes up against the tape marker. Test instructions translated into English were as follows: 'After "ready, set, go", walk as fast as you can up to the last white line without stopping or speaking along the way'. Performances were timed (to the nearest 100th of a second) between the 2m and 8m markers and later converted into speed in metres per second.
Secondary Outcome Measures
- General health [8 weeks]
36-item Short-Form Survey(SF-36)
Eligibility Criteria
Criteria
Inclusion Criteria:
-
postpartum : ≥ 3 months
-
pregnancy-related pelvic pain
-
pain location is located between posterior iliac crest and gluteal fold
-
Clinical screening test for pelvic pain :
ASLR : positive and SI joint ≥ 2 (+ symphysis ≥ 1)
Exclusion Criteria:
-
lumbar or pelvic surgery
-
other causes of pelvic pain (such as fractures)
-
Radiculopathy
-
other health problems, such as cancer, cardiovascular disease, rheumatism , etc
-
daily activities limited , unable to complete the experiment
-
communication disorders
-
mental disorder
-
pregnancy
-
have been trained in stable muscle strength in the past.
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | National Cheng Kung University | Tainan | Taiwan | 701 |
Sponsors and Collaborators
- YI-JU TSAI
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- NCKU-TSAI