Pelvic Girdle Pain in a Pregnant Population in Western Norway.
Primary Purpose
Pelvic Girdle Pain
Status
Completed
Phase
Not Applicable
Locations
Norway
Study Type
Interventional
Intervention
Chiropractic
Conventional medical intervention
Conventional and alternative intervention
Sponsored by
About this trial
This is an interventional treatment trial for Pelvic Girdle Pain focused on measuring Pelvic girdle pain, Chiropractic, Single-blinded, Outcome study
Eligibility Criteria
Inclusion Criteria:
- Lumbopelvic pain
- Pelvic pain
- Performed ultrasound examination at 18th pregnancy week
- Expected normal pregnancy without complications
- Good competency in Norwegian language
Sites / Locations
- Stavanger University Hospital, Department of Obstetrics and Gynaecology
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Active Comparator
Active Comparator
Arm Label
Chiropractic treatment
Conventional health care
Conventional and alternative treatment
Arm Description
Management for one-sided pelvic pain, as decided by the chiropractor
Conventional health care for one-sided pelvic pain
Treament of pregnant women with other pelvic pain syndromes.
Outcomes
Primary Outcome Measures
P4/thigh thrust
As outcome measures we are using pain provocation tests (P4/thigh thrust, Patrick's Faber, Gaenslen's test, and modified Trendelenburg's test), pain palpation tests (long dorsal ligament test and palpation of the symphysis), and a functional test, the active straight leg raise (ASLR) test. All tests are published and described in European guidelines on pelvic girdle pain (PGP). 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. Epub 2008 Feb 8.
Secondary Outcome Measures
Oswestry Disability Index
The Oswestry Disability Index is one of the principal condition-specific outcome measures the last 30 years for management of disabling effects from spinal disorders
Full Information
NCT ID
NCT01098136
First Posted
March 22, 2010
Last Updated
August 30, 2012
Sponsor
Helse Stavanger HF
Collaborators
University of Stavanger
1. Study Identification
Unique Protocol Identification Number
NCT01098136
Brief Title
Pelvic Girdle Pain in a Pregnant Population in Western Norway.
Official Title
A Study of Pelvic Girdle Pain in a Pregnant Population in Western Norway - Incidence, Cumulative Prevalence, Course and Intervention.
Study Type
Interventional
2. Study Status
Record Verification Date
August 2012
Overall Recruitment Status
Completed
Study Start Date
March 2010 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
December 2011 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Helse Stavanger HF
Collaborators
University of Stavanger
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objectives in this study are
to explore the incidence and cumulative prevalence of pelvic girdle pain (PGP) and its subgroups in a prospective longitudinal study during pregnancy, from 18 weeks until 6 weeks after delivery.
to examine the outcome of chiropractic management for a dominating one-sided PGP subgroup of pregnant women in a single-blinded controlled study, and to use efficacy measures that include pain, functional impairment, and sick-leave frequency.
to investigate possible predictors for treatment outcome in one-sided PGP in pregnant women.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pelvic Girdle Pain
Keywords
Pelvic girdle pain, Chiropractic, Single-blinded, Outcome study
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
650 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Chiropractic treatment
Arm Type
Active Comparator
Arm Description
Management for one-sided pelvic pain, as decided by the chiropractor
Arm Title
Conventional health care
Arm Type
Active Comparator
Arm Description
Conventional health care for one-sided pelvic pain
Arm Title
Conventional and alternative treatment
Arm Type
Active Comparator
Arm Description
Treament of pregnant women with other pelvic pain syndromes.
Intervention Type
Other
Intervention Name(s)
Chiropractic
Intervention Description
Manual treatment of musculoskeletal complaints
Intervention Type
Other
Intervention Name(s)
Conventional medical intervention
Intervention Description
Medical, physiotherapy
Intervention Type
Other
Intervention Name(s)
Conventional and alternative intervention
Intervention Description
Medical and alternative methods for treatment of pelvic pain syndromes
Primary Outcome Measure Information:
Title
P4/thigh thrust
Description
As outcome measures we are using pain provocation tests (P4/thigh thrust, Patrick's Faber, Gaenslen's test, and modified Trendelenburg's test), pain palpation tests (long dorsal ligament test and palpation of the symphysis), and a functional test, the active straight leg raise (ASLR) test. All tests are published and described in European guidelines on pelvic girdle pain (PGP). 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. Epub 2008 Feb 8.
Time Frame
Outcome is assessed at follow-up examination 6 weeks post-partum
Secondary Outcome Measure Information:
Title
Oswestry Disability Index
Description
The Oswestry Disability Index is one of the principal condition-specific outcome measures the last 30 years for management of disabling effects from spinal disorders
Time Frame
Outcome is assessed at follow-up examination 6 weeks post-partum
10. Eligibility
Sex
Female
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Lumbopelvic pain
Pelvic pain
Performed ultrasound examination at 18th pregnancy week
Expected normal pregnancy without complications
Good competency in Norwegian language
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Stefan Malmquist, DC MSc
Organizational Affiliation
Helse Stavanger HF
Official's Role
Principal Investigator
Facility Information:
Facility Name
Stavanger University Hospital, Department of Obstetrics and Gynaecology
City
Stavanger
ZIP/Postal Code
4068
Country
Norway
12. IPD Sharing Statement
Citations:
PubMed Identifier
28962596
Citation
Gausel AM, Kjaermann I, Malmqvist S, Andersen K, Dalen I, Larsen JP, Okland I. Chiropractic management of dominating one-sided pelvic girdle pain in pregnant women; a randomized controlled trial. BMC Pregnancy Childbirth. 2017 Sep 29;17(1):331. doi: 10.1186/s12884-017-1528-9.
Results Reference
derived
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Pelvic Girdle Pain in a Pregnant Population in Western Norway.
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