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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1: Pregnant women with pelvic girdle pain | This group will consist of pregnant women diagnosed with pelvic girdle pain. |
| |
| Group 2: Pregnant women without pelvic girdle pain | This group will consist of pregnant women who do not have pelvic girdle pain. |
| |
| Group 3: Non-pregnant women | This group will consist of non-pregnant women. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Evaluation of pain | Other | The severity of pelvic girdle pain will be evaluated with the Visual Analog Scale (VAS). |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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. | Measurement the change from baseline stiffness values of Thoracolumbar fascia at 12. week and at 22. week |
| 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. | Measurement the change from baseline decrement values of Thoracolumbar fascia at 12. week and at 22. week |
| 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. | Measurement the change from baseline tone values of Thoracolumbar fascia at 12. week and at 22. week |
| 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. | Measurement the change from baseline creep values of Thoracolumbar fascia at 12. week and at 22. week |
| Evaluation of viscoelastic properties of thoracolumbar fascia | Measuring of thethe relaxation time (ms) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position. | Measurement the change from baseline relaxation time values of Thoracolumbar fascia at 12. week and at 22. week |
| Measure | Description | Time Frame |
|---|---|---|
| Determining of painful areas | Marking of body chart | Baseline |
| 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). |
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Inclusion Criteria:
Exclusion Criteria:
Pregnant women Healty Women
Pregnant women with and without PGP and non-pregnant women
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Nilüfer KABLAN, PhD | Contact | 05067638556 | niluferkablan@yahoo.com | |
| Merve Can, Msc | Contact | 05388397713 | mervecaann@gmail.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| İstanbul Medeniyet University | Recruiting | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35204392 | Result | Alcaraz-Clariana S, Garcia-Luque L, Garrido-Castro JL, Carmona-Perez C, Rodrigues-de-Souza DP, Fernandez-de-Las-Penas C, Alburquerque-Sendin F. Influence of Spinal Movements Associated with Physical Evaluation on Muscle Mechanical Properties of the Lumbar Paraspinal in Subjects with Acute Low Back Pain. Diagnostics (Basel). 2022 Jan 25;12(2):302. doi: 10.3390/diagnostics12020302. | |
| 32560861 |
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| 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 | 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 | Pelvic Girdle Questionnaire will be filled |
|
| Baseline |
| 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. | Baseline |
| Pelvic Girdle Questionnaire | Activity limitation will be evaluated Pelvic Girdle Questionnaire | Baseline |
| Evaluation of Body Weight | Measuring of the Body Weight | Measurement the change from baseline body weight (kg) at 12. and 22. weeks. |
| Evaluation of Body Mass Index (BMI) | BMI (kg/m2) will be calculated as person's weight in kilograms divided by the square of height in meters. | Measurement the change from baseline BMI values at 12.and 22. weeks |
| Result |
| Aldabe D, Milosavljevic S, Bussey MD. A multivariate model for predicting PPGP considering postural adjustment parameters. Musculoskelet Sci Pract. 2020 Aug;48:102153. doi: 10.1016/j.msksp.2020.102153. Epub 2020 May 5. |
| 29679246 | Result | Lohr C, Braumann KM, Reer R, Schroeder J, Schmidt T. Reliability of tensiomyography and myotonometry in detecting mechanical and contractile characteristics of the lumbar erector spinae in healthy volunteers. Eur J Appl Physiol. 2018 Jul;118(7):1349-1359. doi: 10.1007/s00421-018-3867-2. Epub 2018 Apr 20. |
| 34616306 | Result | Wu Z, Wang Y, Ye Z, Guan Y, Ye X, Chen Z, Li C, Chen G, Zhu Y, Du J, Chen G, Liu W, Xu X. Effects of Age and Sex on Properties of Lumbar Erector Spinae in Healthy People: Preliminary Results From a Pilot Study. Front Physiol. 2021 Sep 20;12:718068. doi: 10.3389/fphys.2021.718068. eCollection 2021. |
| 21596959 | Result | Stuge B, Garratt A, Krogstad Jenssen H, Grotle M. The pelvic girdle questionnaire: a condition-specific instrument for assessing activity limitations and symptoms in people with pelvic girdle pain. Phys Ther. 2011 Jul;91(7):1096-108. doi: 10.2522/ptj.20100357. Epub 2011 May 19. |
| ID | Term |
|---|---|
| D059388 | Pelvic Girdle Pain |
| ID | Term |
|---|---|
| D059352 | Musculoskeletal Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D017699 | Pelvic Pain |
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