- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05403437
Pelvic Girdle Pain Symptom Severity in Pregnant Women With Gestational Diabetes Mellitus
May 31, 2022 updated by: Sultan Abdulhamid Han Training and Research Hospital, Istanbul, Turkey
Investigation of the Effect of Gestational Diabetes Mellitus on Pelvic Girdle Pain Symptom Severity
Pelvic girdle pain (PGP), which is a common musculoskeletal problem of pregnancy, and gestational diabetes mellitus (GDM), which is diagnosed at the end of the second trimester and at the beginning of the third trimester, occur in a parallel time period.
The addition of hyperglycemia to the physiological changes in pregnancy stimulates a new series of cycles and contributes to inflammation, and it is predicted that the presence of GDM may trigger the pain intensity of PGP.
Therefore, the aim of this study is to investigate the effect of GDM on PGP symptom severity (pain).
Study Overview
Status
Not yet recruiting
Conditions
Study Type
Observational
Enrollment (Anticipated)
63
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
İstanbul, Turkey
- Istanbul Medeniyet University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 40 years (ADULT)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Sampling Method
Probability Sample
Study Population
Pregnant women with PGP and GDM Pregnant women with PGP but without GDM
Description
Inclusion Criteria:
- Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have been started.
- Pregnant women (with PGP) diagnosed with GDM in the 2nd and 3rd trimesters, whose treatment process (diet/insulin) for insulin regulation have not been started
- Pregnant women (with PGP) who were not diagnosed with GDM in the 2nd and 3rd trimesters
Exclusion Criteria:
- Pre-pregnancy Diabetes Mellitus
- Presence of an orthopedic or neurological problem that may cause musculoskeletal disorders and deviations from normal biomechanical alignment
- Presence of connective tissue disease
- Definition of chronic low back-pelvic region pain (lasting for more than 3 months and pain severity >4 according to VAS) before pregnancy
- History of spine, pelvis, or lower extremity surgery or fracture in the past 6 months
- History of pelvic fracture
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Group 1: Pregnant women with PGP and newly diagnosed with GDM
Pregnant women with PGP who were newly diagnosed with Gestational Diabetes Mellitus (GDM) according to routine control examinations and whose treatment for diabetes was not started
|
Painful areas will be marked on the body chart.
The presence and severity of pelvic girdle pain will be determined by the Visual Analog Scale (VAS).
Pelvic girdle pain diagnostic tests will be applied.
The severity of the pain that occurs in positive tests will be evaluated with VAS.
The Pelvic Girdle Questionnaire will be filled.
|
Group 2: Pregnant women with PGP and diagnosed with GDM
Pregnant women with PGP who were diagnosed with Gestational Diabetes Mellitus (GDM) according to routine control examinations and whose treatment has been already started for diabetes
|
Painful areas will be marked on the body chart.
The presence and severity of pelvic girdle pain will be determined by the Visual Analog Scale (VAS).
Pelvic girdle pain diagnostic tests will be applied.
The severity of the pain that occurs in positive tests will be evaluated with VAS.
The Pelvic Girdle Questionnaire will be filled.
|
Group 3: Pregnant women with PGP
Pregnant women with PGP who were not diagnosed with GDM according to routine control examinations
|
Painful areas will be marked on the body chart.
The presence and severity of pelvic girdle pain will be determined by the Visual Analog Scale (VAS).
Pelvic girdle pain diagnostic tests will be applied.
The severity of the pain that occurs in positive tests will be evaluated with VAS.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Determining of painful areas
Time Frame: Baseline (Current)
|
Marking painful areas on the body chart
|
Baseline (Current)
|
Evaluation of pain
Time Frame: Baseline (Current)
|
Pain will be evaluated with Visual Analog Scale (VAS).
The VAS is scaled between 0-10 points (0: no pain, 10: most severe pain).
|
Baseline (Current)
|
Application of PGP diagnostic tests
Time Frame: Baseline
|
Pelvic Girdle Pain diagnostic tests will be applied.
|
Baseline
|
Evaluation of PGP severity
Time Frame: Baseline
|
The severity of the pain that occurs in positive tests will be evaluated with VAS.
The VAS is scaled between 0-10 points (0: no pain, 10: most severe pain).
|
Baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Pelvic Girdle Questionnaire
Time Frame: Baseline
|
Activity limitation will be evaluated Pelvic Girdle Questionnaire
|
Baseline
|
Evaluation of Body Weight
Time Frame: Baseline
|
Measuring of the Body Weight
|
Baseline
|
Evaluation of Body Mass Index (BMI)
Time Frame: Baseline
|
BMI (kg/m2) will be calculated as person's weight in kilograms divided by the square of height in meters.
|
Baseline
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- 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.
- Aldabe D, Milosavljevic S, Bussey MD. Is pregnancy related pelvic girdle pain associated with altered kinematic, kinetic and motor control of the pelvis? A systematic review. Eur Spine J. 2012 Sep;21(9):1777-87. doi: 10.1007/s00586-012-2401-1. Epub 2012 Jun 21.
- 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.
- 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.
- 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.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (ANTICIPATED)
June 1, 2022
Primary Completion (ANTICIPATED)
March 15, 2023
Study Completion (ANTICIPATED)
June 15, 2023
Study Registration Dates
First Submitted
April 15, 2022
First Submitted That Met QC Criteria
May 31, 2022
First Posted (ACTUAL)
June 3, 2022
Study Record Updates
Last Update Posted (ACTUAL)
June 3, 2022
Last Update Submitted That Met QC Criteria
May 31, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 35 09/03/2022
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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