Biomechanical and Viscoelastic Properties of Thoracolumbar Fascia in Pregnancy Pelvic Girdle Pain

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age18-40
SponsorSultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey

About this trial

It has not been objectively clarified how the thoracolumbar fascia (TLF) changes the biomechanical adaptations that occur in the lumbopelvic region during pregnancy and whether it is associated with pelvic girdle pain (PGP). Therefore, the aim of this study is to determine the biomechanical and viscoelastic properties of TLF, which adapts to the changes in the lumbopelvic region in pregnant women with pelvic girdle pain, and to investigate its relationship with PGP.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

First-time pregnancy

Pregnant women diagnosed with pelvic girdle pain in 1st and 2nd trimesters

Pregnant women who do not have pelvic girdle pain in 1st and 2nd trimesters

Women not being pregnant

Disqualifiers

Presence of connective tissue disease

Deterioration of skin integrity in measurement areas

Presence of orthopedic, neurological, rheumatic problems that may cause musculoskeletal disorders and deviations from normal biomechanical alignment

History of spine, pelvis, or lower extremity surgery or fracture in the past 6 months

Trial population

Pregnant women with and without PGP and non-pregnant women

Trial design

Design model

Other

Time perspective

Cross-sectional

Treatments tested in this trial

  • Evaluation of pain

    Other intervention

    The severity of pelvic girdle pain will be evaluated with the Visual Analog Scale (VAS).

  • Application of pelvic girdle diagnostic tests

    Diagnostic test

    Pelvic girdle pain diagnostic tests will be applied.

  • Evaluation of biomechanics and viscoelastic properties of thoracolumbar fascia

    Other intervention

    The biomechanical and viscoelastic properties of the thoracolumbar fascia will be measured in the prone position and measurements will be taken from three different points

  • Evaluation of activity limitation

    Other intervention

    Pelvic Girdle Questionnaire will be filled

Treatment groups

60 Participants
are divided into 3 treatment groups
Group A: Group 1: Pregnant women with pelvic girdle pain4 interventions
Group B: Group 2: Pregnant women without pelvic girdle pain4 interventions
Group C: Group 3: Non-pregnant women1 intervention

Trial outcomes

Primary outcomes

1

Evaluation of biomechanical properties of thoracolumbar fascia

Measuring of the stiffness (N/m) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.

Time frame
Measurement the change from baseline stiffness values of Thoracolumbar fascia at 12. week and at 22. week
2

Evaluation of biomechanical properties of thoracolumbar fascia

Measuring of the decrement of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.

Time frame
Measurement the change from baseline decrement values of Thoracolumbar fascia at 12. week and at 22. week
3

Evaluation of biomechanical properties of thoracolumbar fascia

Measuring of the tone (Hz) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.

Time frame
Measurement the change from baseline tone values of Thoracolumbar fascia at 12. week and at 22. week
4

Evaluation of viscoelastic properties of thoracolumbar fascia

Measuring of the creep of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.

Time frame
Measurement the change from baseline creep values of Thoracolumbar fascia at 12. week and at 22. week

Secondary outcomes

1

Determining of painful areas

Marking of body chart

Time frame
Baseline
2

Evaluation of pain

Pain will be evaluated with Visual analog scale (VAS). The VAS is scaled between 0-10 points (0: no pain, 10: most severe pain).

Time frame
Baseline
3

Application of Pelvic Girdle Pain (PGP) diagnostic tests

The PGP diagnostic tests will be applied. The posterior pelvic pain provocation test is a pain provocation test used to determine the presence of sacroiliac dysfunction. No score is defined for tests.

Time frame
Baseline
4

Pelvic Girdle Questionnaire

Activity limitation will be evaluated Pelvic Girdle Questionnaire

Time frame
Baseline

Other outcomes

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