Biomechanical and Viscoelastic Properties of Thoracolumbar Fascia in Pregnancy Pelvic Girdle Pain
Investigation of Biomechanical and Viscoelastic Properties of Thoracolumbar Fascia in Pregnant Women With Pelvic Girdle Pain
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Contacts and Locations
Study Locations
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Istanbul, Turkey (Türkiye)
- Istanbul Medeniyet University
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- 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
- Pre-pregnancy Body-Mass-Index (BMI) < 30 kg/m2
Exclusion Criteria:
- 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
- Definition of chronic low back-pelvic region pain (lasting for more than 3 months and pain severity >4 according to VAS) before pregnancy
- Identification of metabolic disorders such as Type I, II diabetes, gestational diabetes mellitus (GDM), preeclampsia before and/or during pregnancy)
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
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Group 1: Pregnant women with pelvic girdle pain
This group will consist of pregnant women diagnosed with pelvic girdle pain.
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The severity of pelvic girdle pain will be evaluated with the Visual Analog Scale (VAS).
Pelvic girdle pain diagnostic tests will be applied.
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
Pelvic Girdle Questionnaire will be filled
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Group 2: Pregnant women without pelvic girdle pain
This group will consist of pregnant women who do not have pelvic girdle pain.
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The severity of pelvic girdle pain will be evaluated with the Visual Analog Scale (VAS).
Pelvic girdle pain diagnostic tests will be applied.
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
Pelvic Girdle Questionnaire will be filled
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Group 3: Non-pregnant women
This group will consist of non-pregnant women.
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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
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Evaluation of biomechanical properties of thoracolumbar fascia
Time Frame: Measurement the change from baseline stiffness values of Thoracolumbar fascia at 12. week and at 22. week
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Measuring of the stiffness (N/m) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.
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Measurement the change from baseline stiffness values of Thoracolumbar fascia at 12. week and at 22. week
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Evaluation of biomechanical properties of thoracolumbar fascia
Time Frame: Measurement the change from baseline decrement values of Thoracolumbar fascia at 12. week and at 22. week
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Measuring of the decrement of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.
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Measurement the change from baseline decrement values of Thoracolumbar fascia at 12. week and at 22. week
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Evaluation of biomechanical properties of thoracolumbar fascia
Time Frame: Measurement the change from baseline tone values of Thoracolumbar fascia at 12. week and at 22. week
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Measuring of the tone (Hz) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.
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Measurement the change from baseline tone values of Thoracolumbar fascia at 12. week and at 22. week
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Evaluation of viscoelastic properties of thoracolumbar fascia
Time Frame: Measurement the change from baseline creep values of Thoracolumbar fascia at 12. week and at 22. week
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Measuring of the creep of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.
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Measurement the change from baseline creep values of Thoracolumbar fascia at 12. week and at 22. week
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Evaluation of viscoelastic properties of thoracolumbar fascia
Time Frame: Measurement the change from baseline relaxation time values of Thoracolumbar fascia at 12. week and at 22. week
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Measuring of thethe relaxation time (ms) of the thoracolumbar fascia (with MyotonPro, Myoton AS, Tallin, Estonia) in the prone position.
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Measurement the change from baseline relaxation time values of Thoracolumbar fascia at 12. week and at 22. week
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Pelvic Girdle Questionnaire
Time Frame: Baseline
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Activity limitation will be evaluated Pelvic Girdle Questionnaire
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Baseline
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Determining of painful areas
Time Frame: Baseline
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Marking of body chart
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Baseline
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Evaluation of pain
Time Frame: Baseline
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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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Baseline
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Evaluation of Body Weight
Time Frame: Measurement the change from baseline body weight (kg) at 12. and 22. weeks.
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Measuring of the Body Weight
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Measurement the change from baseline body weight (kg) at 12. and 22. weeks.
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Evaluation of Body Mass Index (BMI)
Time Frame: Measurement the change from baseline BMI values at 12.and 22. weeks
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BMI (kg/m2) will be calculated as person's weight in kilograms divided by the square of height in meters.
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Measurement the change from baseline BMI values at 12.and 22. weeks
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Application of Pelvic Girdle Pain (PGP) diagnostic tests
Time Frame: Baseline
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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.
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Baseline
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- 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.
- 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.
- 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.
- 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.
- 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.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 33 09/03/2022
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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