The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain
Prospective cohort study. To determine the prognostic value of asymmetric laxity of the sacroiliac joints during pregnancy on pregnancy-related pelvic pain postpartum. In a previous study, we observed a significant relation between asymmetric laxity of the sacroiliac joints and moderate to severe pr...
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| Veröffentlicht in: | Spine (Philadelphia, Pa. 1976) Pa. 1976), 2002-12, Vol.27 (24), p.2820-2824 |
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| creator | DAMEN, Léonie BUYRUK, H. Muzaffer GÜLER-UYSAL, Füsun LOTGERING, Frederik K SNIJDERS, Chris J STAM, Hendrik J |
| description | Prospective cohort study.
To determine the prognostic value of asymmetric laxity of the sacroiliac joints during pregnancy on pregnancy-related pelvic pain postpartum.
In a previous study, we observed a significant relation between asymmetric laxity of the sacroiliac joints and moderate to severe pregnancy-related pelvic pain during pregnancy.
A group of 123 women were prospectively questioned and examined, and sacroiliac joint laxity was measured by means of Doppler imaging of vibrations at 36 weeks' gestation and at 8 weeks' postpartum. A left to right difference in sacroiliac joint laxity >or=3 threshold units was considered to indicate asymmetric laxity of the sacroiliac joints.
In subjects with moderate to severe pregnancy-related pelvic pain during pregnancy, sacroiliac joint asymmetric laxity was predictive of moderate to severe pregnancy-related pelvic pain persisting into the postpartum period in 77% of the subjects. The sensitivity, specificity, and positive predictive value of sacroiliac joint asymmetric laxity during pregnancy for pregnancy-related pelvic pain persisting postpartum were 65%, 83%, and 77%, respectively. Subjects with moderate to severe pregnancy-related pelvic pain and asymmetric laxity of the sacroiliac joints during pregnancy have a threefold higher risk of moderate to severe pregnancy-related pelvic pain postpartum than subjects with symmetric laxity.
These data indicate that in women with moderate to severe complaints of pelvic pain during pregnancy, sacroiliac joint asymmetric laxity measured during pregnancy is predictive of the persistence of moderate to severe pregnancy-related pelvic pain into the postpartum period. |
| doi_str_mv | 10.1097/00007632-200212150-00018 |
| format | Article |
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To determine the prognostic value of asymmetric laxity of the sacroiliac joints during pregnancy on pregnancy-related pelvic pain postpartum.
In a previous study, we observed a significant relation between asymmetric laxity of the sacroiliac joints and moderate to severe pregnancy-related pelvic pain during pregnancy.
A group of 123 women were prospectively questioned and examined, and sacroiliac joint laxity was measured by means of Doppler imaging of vibrations at 36 weeks' gestation and at 8 weeks' postpartum. A left to right difference in sacroiliac joint laxity >or=3 threshold units was considered to indicate asymmetric laxity of the sacroiliac joints.
In subjects with moderate to severe pregnancy-related pelvic pain during pregnancy, sacroiliac joint asymmetric laxity was predictive of moderate to severe pregnancy-related pelvic pain persisting into the postpartum period in 77% of the subjects. The sensitivity, specificity, and positive predictive value of sacroiliac joint asymmetric laxity during pregnancy for pregnancy-related pelvic pain persisting postpartum were 65%, 83%, and 77%, respectively. Subjects with moderate to severe pregnancy-related pelvic pain and asymmetric laxity of the sacroiliac joints during pregnancy have a threefold higher risk of moderate to severe pregnancy-related pelvic pain postpartum than subjects with symmetric laxity.
These data indicate that in women with moderate to severe complaints of pelvic pain during pregnancy, sacroiliac joint asymmetric laxity measured during pregnancy is predictive of the persistence of moderate to severe pregnancy-related pelvic pain into the postpartum period.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-200212150-00018</identifier><identifier>PMID: 12486354</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Adult ; Biological and medical sciences ; Cohort Studies ; Diseases of the osteoarticular system ; Female ; Humans ; Joint Instability - complications ; Joint Instability - diagnostic imaging ; Medical sciences ; Miscellaneous. Osteoarticular involvement in other diseases ; Pain Measurement ; Pelvic Pain - etiology ; Pregnancy ; Pregnancy Complications - etiology ; Prognosis ; Prospective Studies ; Sacroiliac Joint - diagnostic imaging ; Sacroiliac Joint - pathology ; Ultrasonography, Doppler</subject><ispartof>Spine (Philadelphia, Pa. 1976), 2002-12, Vol.27 (24), p.2820-2824</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c436t-80a4ae612b48f063dad5c831207e0d10c3c4f758fed785f7c04be9ccf2c291f3</citedby><cites>FETCH-LOGICAL-c436t-80a4ae612b48f063dad5c831207e0d10c3c4f758fed785f7c04be9ccf2c291f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14533884$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12486354$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DAMEN, Léonie</creatorcontrib><creatorcontrib>BUYRUK, H. Muzaffer</creatorcontrib><creatorcontrib>GÜLER-UYSAL, Füsun</creatorcontrib><creatorcontrib>LOTGERING, Frederik K</creatorcontrib><creatorcontrib>SNIJDERS, Chris J</creatorcontrib><creatorcontrib>STAM, Hendrik J</creatorcontrib><title>The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain</title><title>Spine (Philadelphia, Pa. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>Prospective cohort study.
To determine the prognostic value of asymmetric laxity of the sacroiliac joints during pregnancy on pregnancy-related pelvic pain postpartum.
In a previous study, we observed a significant relation between asymmetric laxity of the sacroiliac joints and moderate to severe pregnancy-related pelvic pain during pregnancy.
A group of 123 women were prospectively questioned and examined, and sacroiliac joint laxity was measured by means of Doppler imaging of vibrations at 36 weeks' gestation and at 8 weeks' postpartum. A left to right difference in sacroiliac joint laxity >or=3 threshold units was considered to indicate asymmetric laxity of the sacroiliac joints.
In subjects with moderate to severe pregnancy-related pelvic pain during pregnancy, sacroiliac joint asymmetric laxity was predictive of moderate to severe pregnancy-related pelvic pain persisting into the postpartum period in 77% of the subjects. The sensitivity, specificity, and positive predictive value of sacroiliac joint asymmetric laxity during pregnancy for pregnancy-related pelvic pain persisting postpartum were 65%, 83%, and 77%, respectively. Subjects with moderate to severe pregnancy-related pelvic pain and asymmetric laxity of the sacroiliac joints during pregnancy have a threefold higher risk of moderate to severe pregnancy-related pelvic pain postpartum than subjects with symmetric laxity.
These data indicate that in women with moderate to severe complaints of pelvic pain during pregnancy, sacroiliac joint asymmetric laxity measured during pregnancy is predictive of the persistence of moderate to severe pregnancy-related pelvic pain into the postpartum period.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cohort Studies</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Humans</subject><subject>Joint Instability - complications</subject><subject>Joint Instability - diagnostic imaging</subject><subject>Medical sciences</subject><subject>Miscellaneous. Osteoarticular involvement in other diseases</subject><subject>Pain Measurement</subject><subject>Pelvic Pain - etiology</subject><subject>Pregnancy</subject><subject>Pregnancy Complications - etiology</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Sacroiliac Joint - diagnostic imaging</subject><subject>Sacroiliac Joint - pathology</subject><subject>Ultrasonography, Doppler</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOwzAQRS0EoqXwCygb2AX8jJ0lqnhJldh0H7nOuLhyHsRJRf4elwbqzUijc8czB6GE4AeCc_mI45MZoynFmBJKBE5jh6gzNCeCqpQQkZ-jOWZZRDjLZugqhF1EMkbySzQjlKuMCT5HZv0JSds127oJvTPJXvsBksYmOoxVBX0Xe15_u348NPsIB226xnmnTbJrXN2HxNVxAmxrXZsx7cDrHsqkBb-P2Va7-hpdWO0D3Ex1gdYvz-vlW7r6eH1fPq1SE1fsU4U115ARuuHKxk1LXQqjGKFYAi4JNsxwK4WyUEolrDSYbyA3xlJDc2LZAt0fx8ZzvgYIfVG5YMB7XUMzhEJSqThROILqCMZDQujAFm3nKt2NBcHFwW_x57f491v8-o3R2-mPYVNBeQpOQiNwNwE6GO1tF6W4cOK4YEwpzn4AE4SENA</recordid><startdate>20021215</startdate><enddate>20021215</enddate><creator>DAMEN, Léonie</creator><creator>BUYRUK, H. Muzaffer</creator><creator>GÜLER-UYSAL, Füsun</creator><creator>LOTGERING, Frederik K</creator><creator>SNIJDERS, Chris J</creator><creator>STAM, Hendrik J</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20021215</creationdate><title>The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain</title><author>DAMEN, Léonie ; BUYRUK, H. Muzaffer ; GÜLER-UYSAL, Füsun ; LOTGERING, Frederik K ; SNIJDERS, Chris J ; STAM, Hendrik J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c436t-80a4ae612b48f063dad5c831207e0d10c3c4f758fed785f7c04be9ccf2c291f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cohort Studies</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Humans</topic><topic>Joint Instability - complications</topic><topic>Joint Instability - diagnostic imaging</topic><topic>Medical sciences</topic><topic>Miscellaneous. Osteoarticular involvement in other diseases</topic><topic>Pain Measurement</topic><topic>Pelvic Pain - etiology</topic><topic>Pregnancy</topic><topic>Pregnancy Complications - etiology</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Sacroiliac Joint - diagnostic imaging</topic><topic>Sacroiliac Joint - pathology</topic><topic>Ultrasonography, Doppler</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>DAMEN, Léonie</creatorcontrib><creatorcontrib>BUYRUK, H. Muzaffer</creatorcontrib><creatorcontrib>GÜLER-UYSAL, Füsun</creatorcontrib><creatorcontrib>LOTGERING, Frederik K</creatorcontrib><creatorcontrib>SNIJDERS, Chris J</creatorcontrib><creatorcontrib>STAM, Hendrik J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>DAMEN, Léonie</au><au>BUYRUK, H. Muzaffer</au><au>GÜLER-UYSAL, Füsun</au><au>LOTGERING, Frederik K</au><au>SNIJDERS, Chris J</au><au>STAM, Hendrik J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain</atitle><jtitle>Spine (Philadelphia, Pa. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2002-12-15</date><risdate>2002</risdate><volume>27</volume><issue>24</issue><spage>2820</spage><epage>2824</epage><pages>2820-2824</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>Prospective cohort study.
To determine the prognostic value of asymmetric laxity of the sacroiliac joints during pregnancy on pregnancy-related pelvic pain postpartum.
In a previous study, we observed a significant relation between asymmetric laxity of the sacroiliac joints and moderate to severe pregnancy-related pelvic pain during pregnancy.
A group of 123 women were prospectively questioned and examined, and sacroiliac joint laxity was measured by means of Doppler imaging of vibrations at 36 weeks' gestation and at 8 weeks' postpartum. A left to right difference in sacroiliac joint laxity >or=3 threshold units was considered to indicate asymmetric laxity of the sacroiliac joints.
In subjects with moderate to severe pregnancy-related pelvic pain during pregnancy, sacroiliac joint asymmetric laxity was predictive of moderate to severe pregnancy-related pelvic pain persisting into the postpartum period in 77% of the subjects. The sensitivity, specificity, and positive predictive value of sacroiliac joint asymmetric laxity during pregnancy for pregnancy-related pelvic pain persisting postpartum were 65%, 83%, and 77%, respectively. Subjects with moderate to severe pregnancy-related pelvic pain and asymmetric laxity of the sacroiliac joints during pregnancy have a threefold higher risk of moderate to severe pregnancy-related pelvic pain postpartum than subjects with symmetric laxity.
These data indicate that in women with moderate to severe complaints of pelvic pain during pregnancy, sacroiliac joint asymmetric laxity measured during pregnancy is predictive of the persistence of moderate to severe pregnancy-related pelvic pain into the postpartum period.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12486354</pmid><doi>10.1097/00007632-200212150-00018</doi><tpages>5</tpages></addata></record> |
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| ispartof | Spine (Philadelphia, Pa. 1976), 2002-12, Vol.27 (24), p.2820-2824 |
| issn | 0362-2436 1528-1159 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Adult Biological and medical sciences Cohort Studies Diseases of the osteoarticular system Female Humans Joint Instability - complications Joint Instability - diagnostic imaging Medical sciences Miscellaneous. Osteoarticular involvement in other diseases Pain Measurement Pelvic Pain - etiology Pregnancy Pregnancy Complications - etiology Prognosis Prospective Studies Sacroiliac Joint - diagnostic imaging Sacroiliac Joint - pathology Ultrasonography, Doppler |
| title | The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain |
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