Biomechanical Changes in Women With Post-partum Pelvic Girdle Pain: An Observational Case-control Study

NCT04077801 | Completed

• 1 other identifier: P.T.REC/012/005284
• Study Type: observational
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

Research suggests that changes in pelvic alignment during the perinatal period are the primary cause of pelvic girdle pain (PGP), both perinatally and postnatally. Researchers also report an association between temporomandibular joint disorder (TMD) and changes in lumbopelvic alignment. There are, however, no reports investigating temporomandibular joint disorders or changes in biomechanical alignment among women with postpartum pelvic girdle pain.

Conditions

Postpartum Pain

Keywords

Pelvic girdle Pain, lumbopelvic angles, pelvic parameters, and temporomandibular joint disorders.

Outcome Measures

Primary Outcomes (5)

• body mass index

  BMI in kg/m\^2

  3 months

• Pelvic tilt in degrees:

  The blocks are released and the rods are placed over the crest of the ilium. The blocks are then pressed firmly toward the midline. Read the angle from the level. If the gauge reads over 21/2°, the result is listed as positive.Anterior pelvic tilting angle: PALM was used for measuring pelvic tilting angle. A mark was put on a point just inferior to ASIS; another mark was put just inferior to PSIS. The callipers of the PALM were put on these two points

  3 months

• jaw movement

  lateral deviation mouth opening (MIO): From sitting position, with the use of the calliper, the distance between the incisal edges along the midline of the upper and lower central incisors without pain was measured, by placing one end of the poley gauge against the incisal edge of one of the upper central incisors, and the other end against the incisal edge of the opposing lower incisor. The distance recorded in millimeters, the subjects was instructed to" open your mouth as wide as possible without causing pain or discomfort". The poley gauge was sterilized with antiseptic solution before and after each measure

  3 months

• Spinal curves Measurement

  lumber angle-pelvic inclination by mm

  3 months

• Satisfaction assessed by the VAS

  Degrees of pain will be assessed using a VAS, which was a method of representing subjects\' pain on a 10 cm linear scale. Score of 0 meant \'no pain\' and 10 meant \'worst pain\'. Tomeasure specific symptoms, such as the s

  3 months

Study Arms (2)

Study group (group A)

Maximal vertical mouth opening (MIO): From sitting position, with the use of the calliper, the distance between the incisal edges along the midline of the upper and lower central incisors without pain was measured, by placing one end of the poley gauge against the incisal edge of one of the upper central incisors, and the other end against the incisal edge of the opposing lower incisor. The distance recorded in millimetres, the subjects was instructed to" open your mouth as wide as possible without causing pain or discomfort". The poley gauge was sterilized with antiseptic solution before and after each measure Postpartum pain Intervention 'Visual analogue scale'

Diagnostic Test: diagnostic test; Diagnostic Test: Postpartum pain; Other: Visual analogue scale

Control group (group B):

Maximal vertical mouth opening (MIO): From sitting position, with the use of the calliper, the distance between the incisal edges along the midline of the upper and lower central incisors without pain was measured, by placing one end of the poley gauge against the incisal edge of one of the upper central incisors, and the other end against the incisal edge of the opposing lower incisor. The distance recorded in millimetres, the subjects was instructed to" open your mouth as wide as possible without causing pain or discomfort". The poley gauge was sterilized with antiseptic solution before and after each measure Postpartum pain Intervention 'Visual analogue scale'

Diagnostic Test: diagnostic test; Diagnostic Test: Postpartum pain; Other: Visual analogue scale

Interventions

diagnostic test DIAGNOSTIC_TEST

diagnostic test

Control group (group B):; Study group (group A)

Postpartum pain DIAGNOSTIC_TEST

test

Control group (group B):; Study group (group A)

Visual analogue scale OTHER

test TMJ /pelvic angle/lumber angle

Control group (group B):; Study group (group A)

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: female
• Age Groups: Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

75 women will participate in this study, The selected cases divide into a study group(A) included 44 women who have CPP and group (B) included 31 women of the participants were normal and considered the control group. They will be selected from outpatient clinic of obstetrics and Gynaecology department in El-Hosary family health Centre. All participants will be given a full explanation of the protocol of the study and informed consent form will be signed from each subject before participating in the study (

You may qualify if:

• \- The age of the participants will be ranged from 20 to 40 years. Their body mass index will be ranged from 20 to 25 kg/m2. They will have regular menstrual cycle. They will not receive any hormonal therapy or taking any regular drugs

You may not qualify if:

• Bone disease. Discogenic state with radiculopathy or not. Systemic disease of musculoskeletal system. Any sensory problems. Previous vertebral fractures. Major spinal structural abnormality. Major jaw abnormality. Any jaw orthotics or prosthesis. Missing teeth.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Rovan Elbesh

Giza, Egypt

Location

MeSH Terms

Conditions

Pelvic Girdle Pain; Temporomandibular Joint Disorders

Interventions

Diagnostic Tests, Routine

Condition Hierarchy (Ancestors)

Musculoskeletal Pain; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Pelvic Pain; Craniomandibular Disorders; Mandibular Diseases; Jaw Diseases; Musculoskeletal Diseases; Joint Diseases; Muscular Diseases; Stomatognathic Diseases

Intervention Hierarchy (Ancestors)

Diagnostic Techniques and Procedures; Diagnosis

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: doctor

Study Record Dates

• First Submitted: September 1, 2019
• First Posted: September 4, 2019
• Study Start: September 8, 2019
• Primary Completion: January 1, 2020
• Study Completion: February 5, 2020
• Last Updated: September 19, 2024

Record last verified: 2024-09

Locations

EG (1)