- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04769375
Pelvic Girdle Pain in Pregnant Women
Investigation of the Effect of Gestational Diabetes Mellitus on the Pelvic Girdle Pain and Symptom Severity in Pregnant Women
Study Overview
Status
Conditions
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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İstanbul, Turkey
- İstanbul Sağlık Bilimleri University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
Pregnant women diagnosed with GDM in the 2nd and 3rd trimesters Pregnant women without GDM diagnosis in 2nd and 3rd trimester First pregnancy Second or third pregnancy 20-40 years old
Exclusion Criteria:
Diabetes mellitus before pregnancy The presence of an orthopedic or neurological problem that may cause musculoskeletal disorder and biomechanical sequence deviations from normal Pre-pregnancy chronic lumbar-pelvic pain description History of spine, pelvis or lower extremity surgery or fracture in the past 6 months
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
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Group 1: Pregnant women diagnosed with GDM (first pregnancy)
This group will consist of women with gestational diabetes mellitus according to routine control tests in their first pregnancy.
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The presence of pain localization pelvic girdle pain will be questioned in the body chart.
Inaddition to this, the level of the pelvic girdle pain will be evaluated by visual analog scale.
The tests will be applied sequentially to investigate the presence and severity of the pain (Tests: Posterior Pelvic Pain Provocation, Patriarch FABER, Long Dorsal Sacroiliac Ligament Pain Provocation, Simpsis Palpation, Modified Trendelenburg and Active Straight Leg Raise)
Pelvic girdle questionnaire will be filled by pregnant women with pelvic girdle pain.
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Group 2:Pregnant women diagnosed with GDM (2nd or 3rd pregnancy)
This group will consist of women with gestational diabetes mellitus according to routine control tests in their second or third pregnancy.
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The presence of pain localization pelvic girdle pain will be questioned in the body chart.
Inaddition to this, the level of the pelvic girdle pain will be evaluated by visual analog scale.
The tests will be applied sequentially to investigate the presence and severity of the pain (Tests: Posterior Pelvic Pain Provocation, Patriarch FABER, Long Dorsal Sacroiliac Ligament Pain Provocation, Simpsis Palpation, Modified Trendelenburg and Active Straight Leg Raise)
Pelvic girdle questionnaire will be filled by pregnant women with pelvic girdle pain.
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Group 3: Healthy pregnant women (first pregnancy)
This group will consist of women who do not have gestational diabetes mellitus according to routine control tests in their first pregnancy.
|
The presence of pain localization pelvic girdle pain will be questioned in the body chart.
Inaddition to this, the level of the pelvic girdle pain will be evaluated by visual analog scale.
The tests will be applied sequentially to investigate the presence and severity of the pain (Tests: Posterior Pelvic Pain Provocation, Patriarch FABER, Long Dorsal Sacroiliac Ligament Pain Provocation, Simpsis Palpation, Modified Trendelenburg and Active Straight Leg Raise)
Pelvic girdle questionnaire will be filled by pregnant women with pelvic girdle pain.
|
|
Group 4:Healthy pregnant women (2nd or 3rd pregnancy)
This group will consist of women who do not have gestational diabetes mellitus according to routine control tests in their second or third pregnancy.
|
The presence of pain localization pelvic girdle pain will be questioned in the body chart.
Inaddition to this, the level of the pelvic girdle pain will be evaluated by visual analog scale.
The tests will be applied sequentially to investigate the presence and severity of the pain (Tests: Posterior Pelvic Pain Provocation, Patriarch FABER, Long Dorsal Sacroiliac Ligament Pain Provocation, Simpsis Palpation, Modified Trendelenburg and Active Straight Leg Raise)
Pelvic girdle questionnaire will be filled by pregnant women with pelvic girdle pain.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Evaluation of pain
Time Frame: Baseline
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Measuring of the presence of pain and severity level of pain with body chart and vısual analog scale
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Baseline
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Evaluation of test of pelvic girdle
Time Frame: Baseline
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Measuring of the presence of pain and severity level of pain with pelvic girdle provocation and palpation tests
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Baseline
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Evaluation of pelvic girdle questionnaire
Time Frame: Baseline
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Measuring of the pelvic girdle questionnaire (PGQ) in pregnant women with pelvic girdle pain
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Baseline
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Collaborators and Investigators
Publications and helpful links
General Publications
- 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.
- Vleeming A, Albert HB, Ostgaard HC, Sturesson B, Stuge B. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J. 2008 Jun;17(6):794-819. doi: 10.1007/s00586-008-0602-4. Epub 2008 Feb 8.
- Eberhard-Gran M, Eskild A. Diabetes mellitus and pelvic girdle syndrome in pregnancy--is there an association? Acta Obstet Gynecol Scand. 2008;87(10):1015-9. doi: 10.1080/00016340802345944.
- Eivazi M, Abadi L. Low back pain in diabetes mellitus and importance of preventive approach. Health Promot Perspect. 2012 Jul 1;2(1):80-8. doi: 10.5681/hpp.2012.010. eCollection 2012.
- Plows JF, Stanley JL, Baker PN, Reynolds CM, Vickers MH. The Pathophysiology of Gestational Diabetes Mellitus. Int J Mol Sci. 2018 Oct 26;19(11):3342. doi: 10.3390/ijms19113342.
- Wuytack F, O'Donovan M. Outcomes and outcomes measurements used in intervention studies of pelvic girdle pain and lumbopelvic pain: a systematic review. Chiropr Man Therap. 2019 Nov 5;27:62. doi: 10.1186/s12998-019-0279-2. eCollection 2019.
- Palsson TS, Beales D, Slater H, O'Sullivan P, Graven-Nielsen T. Pregnancy is characterized by widespread deep-tissue hypersensitivity independent of lumbopelvic pain intensity, a facilitated response to manual orthopedic tests, and poorer self-reported health. J Pain. 2015 Mar;16(3):270-82. doi: 10.1016/j.jpain.2014.12.002. Epub 2014 Dec 23.
- Molsted S, Tribler J, Snorgaard O. Musculoskeletal pain in patients with type 2 diabetes. Diabetes Res Clin Pract. 2012 May;96(2):135-40. doi: 10.1016/j.diabres.2011.12.022. Epub 2012 Jan 12.
- Martins RF, Pinto e Silva JL. Treatment of pregnancy-related lumbar and pelvic girdle pain by the yoga method: a randomized controlled study. J Altern Complement Med. 2014 Jan;20(1):24-31. doi: 10.1089/acm.2012.0715. Epub 2013 Mar 18.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 31 (Other Identifier: IASO Thessalias)
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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