Sexual Function, Body Image, Kinesiophobia and Physical Activity in Pregnant Women

Comparison of Sexual Function, Body Image, Kinesiophobia and Physical Activity Level in Women With and Without Pregnancy-related Pelvic Girdle Pain''

This study compares sexual function, body image, kinesiophobia and physical activity level in women with and without pregnancy-related pelvic girdle pain.

Study Overview

• Status: Completed
• Conditions: Pregnancy-Related Pelvic Girdle Pain
• Intervention / Treatment: Diagnostic test: clinical diagnostic test

Detailed Description

Pelvic girdle pain (PGP) is a condition felt around the posterior iliac crystals, gluteal region and the sacroiliac joints, may spread to the back of the thigh, and may occur together or separately with pain in the symphysis pubis. Pregnancy-related PGP causes problems in the sexual life of women. Body image differs with the development of physical symptoms and changes in body size and shape during pregnancy. Body dissatisfaction resulting from physical changes can cause problems in women's attitudes towards sexuality. Sexual function is affected by physiological, anatomical and psychological changes that occur during pregnancy. Sexual function during pregnancy has been associated with conditions such as body image, physical activity level, and pain.

In the literature, there are studies evaluating the relationship between sexual function and body image in pregnant women and in different populations. However, in these studies, questionnaires specific to pregnant women were not used to evaluate sexual function and body image, and a comparison of these parameters was not investigate in women with and without pregnancy-related PGP.

Therefore, this study was planned to compare sexual function, body image, kinesiophobia and physical activity levels in women with and without pregnancy-related PGP.

The outcome measures are Pregnancy Sexual Response Inventory (PSRI), Body Image in Pregnancy Scale (BIPS-Turkish), Tampa Kinesiophobia Scale (TKS) and Pregnancy physical activity questionnaire (PPAQ).

The clinical diagnosis tests are Active Straight Leg Rise, Posterior Pelvic Pain Provocation Test, Long Dorsal Sacroiliac Ligament Palpation, Pelvic Compression, Pelvic Distraction, Patrick-Faber Test and Gaenslen Test.

• Study Type: Observational
• Enrollment (Actual): 125

Contacts and Locations

Study Locations

• Turkey
  • Muş, Turkey, 49000
    • Semiha Yenişehir

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

• Sampling Method: Non-Probability Sample

Study Population

Women with and without pregnancy-related pelvic girdle pain

Description

Inclusion Criteria:

• Being between 18 and 40 years-old,
• Being second or third trimester of pregnancy
• Being literate in Turkish

Exclusion Criteria:

• Having a pregnancy complication (preeclampsia, pregnancy-induced hypertension, diabetes, etc.),
• Having a known gynecological or urological problem that may mimic PGP
• Having neurological (multiple sclerosis, spinal cord injury, etc.), orthopedic (hip dislocation, etc.), cardiopulmonary (heart failure, chronic obstructive pulmonary disease, etc.) problems that affect sexual function and physical activity,
• Having situations in which sexual activity is contraindicated and should be restricted (placenta previa, risk of premature birth, cervical insufficiency, antepartum hemorrhage, premature rupture of membranes, genital infection, etc.),
• Having visual, auditory and cognitive problems that may prevent participation in the study.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
women with pelvic girdle pain; The subjects who have at least one positive result from Active Straight Leg Raise, and Posterior Pelvic Pain Provocation Tests; and at least two positive results from the Pelvic Compression and Distraction, Patrick Faber, Gaenslen and Long Dorsal Sacroiliac Ligament Palpation tests are classified as with PGP group.	Diagnostic test: clinical diagnostic test; The clinical diagnosis tests are Active Straight Leg Rise ASLR, Posterior Pelvic Pain Provocation, Long Dorsal Sacroiliac Ligament Palpation (LDSLP), Pelvic Compression, Pelvic Distraction, Patrick-Faber Test (PF), and Gaenslen Test (GT). The subjects who had at least one positive result from ASLR and P4 Tests; and at least two positive results from the Pelvic Compression and Distraction, PF, GT and LDSLP tests are classified as with PGP group.
women without pelvic girdle pain; The subjects who have not at least one positive result from Active Straight Leg Raise, and Posterior Pelvic Pain Provocation Tests; and at least two positive results from the Pelvic Compression and Distraction, Patrick Faber, Gaenslen and Long Dorsal Sacroiliac Ligament Palpation tests are classified as without PGP group.	Diagnostic test: clinical diagnostic test; The clinical diagnosis tests are Active Straight Leg Rise ASLR, Posterior Pelvic Pain Provocation, Long Dorsal Sacroiliac Ligament Palpation (LDSLP), Pelvic Compression, Pelvic Distraction, Patrick-Faber Test (PF), and Gaenslen Test (GT). The subjects who had at least one positive result from ASLR and P4 Tests; and at least two positive results from the Pelvic Compression and Distraction, PF, GT and LDSLP tests are classified as with PGP group.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pregnancy Sexual Response Inventory-Turkish version	to assess sexual functions in pregnant women with and without PGP	immediately before the clinical diagnostic tests will be applied the questionnaire
Body Image in Pregnancy Scale (BIPS-Turkish)	to evaluate body image perceptions of Turkish pregnant women with and without PGP	immediately before the clinical diagnostic tests will be applied the questionnaire
Tampa Scale for Kinesiophobia-Turkish version	to evaluate level of kinesiophobia of Turkish pregnant women with and without PGP	immediately before the clinical diagnostic tests will be applied the questionnaire
Pregnancy Physical Activity Questionnaire-Turkish version	To evaluate the physical activity level of pregnant women with and without PGP	immediately before the clinical diagnostic tests will be applied the questionnaire

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pelvic Girdle Questionnaire Pelvic Girdle Questionnaire-Turkish version	To evaluate both disability and symptoms women with pregnancy-related PGP	immediately after the clinical diagnostic tests for PGP will be applied the questionnaire

Collaborators and Investigators

• Sponsor: Muş Alparlan University
• Investigators: Principal Investigator: SEMİHA YENİŞEHİR, Muş Alparslan University

Study record dates

Study Major Dates

• Study Start (Actual): April 24, 2023
• Primary Completion (Actual): July 30, 2023
• Study Completion (Actual): August 30, 2023

Study Registration Dates

• First Submitted: May 9, 2023
• First Submitted That Met QC Criteria: August 11, 2023
• First Posted (Actual): August 14, 2023

Study Record Updates

• Last Update Posted (Actual): November 28, 2023
• Last Update Submitted That Met QC Criteria: November 27, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Keywords: sexual function; fear of movement; pelvic girdle pain; body image
• Additional Relevant MeSH Terms: Mental Disorders; Pain; Neurologic Manifestations; Musculoskeletal Pain; Anxiety Disorders; Pelvic Pain; Phobic Disorders; Pelvic Girdle Pain; Kinesiophobia
• Other Study ID Numbers: 18.04.2023-90204

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No