4.5 Article

Validation of self-administered tests for screening for chronic pregnancy-related pelvic girdle pain

期刊

BMC MUSCULOSKELETAL DISORDERS
卷 22, 期 1, 页码 -

出版社

BMC
DOI: 10.1186/s12891-021-04103-0

关键词

Chronic; Pelvic girdle pain; Postpartum; Provocation tests

资金

  1. Foundation of the Health and Medical care committee of the Region of Vastra Gotaland, Sweden [VGFOUREG-294331, VGFOUREG-294871, VGFOUREG-381421]
  2. University of Gothenburg

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This study evaluated the validity of self-administered tests for assessing chronic pregnancy-related PGP several years after delivery. Self-administered tests combined with additional specific questions or a pain-drawing can be used as a screening tool to diagnose chronic PGP, but the modified SLR test has limitations.
BackgroundMany women develop pelvic girdle pain (PGP) during pregnancy and about 10% have chronic pain several years after delivery. Self-administered pain provocation tests are one way to diagnose and evaluate this pain. Their validity in post-partum women is not yet studied.The purpose of this study was to evaluate the validity of self-administered test for assessment of chronic pregnancy-related PGP several years after delivery.MethodsWomen who previously have had PGP during pregnancy and who participated in one of three RCT studies were invited to a postal follow up of symptoms including performance of self-administered tests after two, 6 or 11 years later, respectively. In total, 289 women returned the questionnaire and the test-results. Of these, a sub-group of 44 women with current PGP underwent an in-person clinical examination. Comparisons were made between test results in women with versus without PGP but also, in the sub-group, between the self-administered tests and those performed during the clinical examination.ResultsFifty-one women reported PGP affecting daily life during the last 4 weeks, and 181 reported pain when performing at least one of the tests at home. Those with chronic PGP reported more positive tests (p<0.001). There was no significant difference between diagnosis from the self-administered tests compared to tests performed during the in-person clinical examination (p=0.305), either for anterior or posterior PGP. There were no significant differences of the results between the tests performed self-administered vs. during the clinical examination.ConclusionA battery of self-administered tests combined with for example additional specific questions or a pain-drawing can be used as a screening tool to diagnose chronic PGP years after delivery. However, the modified SLR test has limitations which makes its use questionable.

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