Guidelines on Pelvic Girdle Pain During Pregnancy

A common condition that occurs most frequently during the antepartum (before delivery) period is pelvic girdle pain (PGP) .It causes pain and physical impairment.

A common condition that occurs most frequently during the antepartum (before delivery) period is pelvic girdle pain (PGP) .It causes pain and physical impairment. A new guideline for evidence-based physical therapy practice for PGP during pregnancy appears in the Journal of Women's Health Physical Therapy, official journal of the Section on Women's Health (SOWH) of the American Physical Therapy Association. The journal is published by Wolters Kluwer.

Created by the authors for the SOWH and Orthopedic Section of the APTA, the new document presents a clinical practice guideline for physical therapy management for PGP in the antepartum population. The lead author is Susan C. Clinton, PT, DScPT, COMT, OCS, WCS, FAAOMPT, of Embody Physiotherapy & Wellness, LLC, Sewickley, Pa.

Cleidocranial Dysplasia (CCD) | Rubber Man | Marie-Sainton disease | Mutational Dysostosis
Cleidocranial dysplasia - Rubber man - Read about the condition where a person affected by this condition is able to rill their shoulder and arm at will in any direction.

‘While strong evidence shows that women with PGP are at high risk of falls, there is little evidence on measures to assess balance or reduce the risk of falls, including activity limitations.’

Antepartum Pelvic Girdle Pain - Guideline for Physical Therapy Management Pelvic girdle pain is estimated to occur in up to 70 percent of women sometime during pregnancy. Women with PGP develop pain in the pelvic region, which sometimes brings changes in posture, gait, and activity level. These symptoms can cause significant impairment in several areas of patients' lives.

Symptoms of PGP may be severe in 20 percent of women, and in some cases may persist after delivery. Physical therapists play an important role in assessment and management of women with patients with PGP during and after pregnancy.

The new guideline makes recommendations for physical therapy management in key areas.

Pelvic Floor Disorders - Causes, Symptoms, Diagnosis, Treatment, Prevention
Abnormalities of bowel storage, poor urine stream and pelvic pain are signs of pelvic floor disorders that can be corrected with exercises and kegels in women.

Recommendations are ranked by strength of supporting evidence and address specific categories of impairment based on body function, body structure, and activities/participation. Topics include: Risk factors. Based on strong evidence, risk factors for the development of or more severe PGP include previous pregnancy, orthopedic dysfunction (such as hip and/or leg dysfunction), increased body mass index, and smoking. Risk is also higher for patients with work dissatisfaction and those who don't believe that their condition will improve.

Clinical course. Several factors can help to identify women who will have persistent problems. These include PGP developing early in pregnancy, multiple pain locations, and abnormal results on multiple physical therapy assessments.

3-D Technique Helps Cancer Victim Get Back Pelvis
In a first of its kind of pelvic transplant, a 3-D printer helped a man get a new pelvis after half of the original one had to be removed as he suffered from a rare bone cancer.

Examination and diagnosis. The guideline highlights the importance of recognizing other pregnancy-related conditions that may appear similar to PGP. Important clinical tests and outcome questionnaires for assessing women with PGP are identified as well.

Physical therapy interventions. Physical therapy recommendations for PGP may include the use of a support belt, exercise programs, or manual therapy techniques. Yet so far there is only weak or conflicting evidence to support these recommendations.

UNC Study Finds Pelvis Continues to Widen During Lifetime
Evidence that, even though you're not getting taller anymore, the pelvis ( hipbones ) does continue to widen as people advance in age from 20 years to 79 years has been found in a new study.

The new document is part of the SOWH's ongoing effort to create evidence-based practice guidelines for women's health and orthopedic physical management of patients with musculoskeletal impairments described in the World Health Organization's International Classification of Functioning, Disability, and Health (ICF). The full guideline is available on the Journal of Women's Health Physical Therapy and the Section on Women's Health websites.

The authors believe their research review and evidence-based guideline will provide a useful guide to diagnosis, management, and outcomes assessment for the common problem of PGP, with interventions guided by the individual patient's physical impairment. Susan Clinton adds, "The creation of this guideline also has a very important role in informing research where evidence is sparse in the literature."

Source-Eurekalert