Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain

Fayiz El-Shamy; Magda Morsy; Anees Saleh

doi:doi:10.11648/j.ejpm.20140206.12

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Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain

Fayiz El-Shamy, Magda Morsy, Anees Saleh

Published in European Journal of Preventive Medicine (Volume 2, Issue 6)

Received: 4 October 2014 Accepted: 18 October 2014 Published: 30 October 2014

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Abstract

Aims: To investigate the effect of pelvic belt on relieving antenatal symphyseal pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics, Kafelsheikh general hospital - Kafelsheikh, between June 2014 and September 2014. Methodology: Twenty pregnant women (age range 25-30 years) at 24 weeks gestation with a good general health were selected randomly, clinically diagnosed with symphyeal pain and divided into 2 equal groups (A&B). Patients in group A were treated by pelvic belt with tensile force of 50 N. for 4 weeks, patients in group B without any treatment. Severity of symphyseal pain and diastasis were measured by mean of a 100-mm horizontal visual analogue scale and ultrasound before and after the treatment program. Results: Patients in group A showed non signiﬁcant difference in severity of symphyseal pain and diastasis (P=0.54 & 0.84 respectively). Patients in group B showed highly signiﬁcant increase in severity of symphyseal pain and diastasis (P=0.001). There were highly signiﬁcant difference between both groups (P=0.001) after the treatment program. The symphyseal pain value was significantly correlated with the decrease in symphyseal diastasis.(Pearson’s correlation coefficient 0.59, P=0.005). Conclusion: Application of a pelvic belt at the symphysis pubis decrease antenatal symphyseal diastasis and pain.

Published in	European Journal of Preventive Medicine (Volume 2, Issue 6)
DOI	10.11648/j.ejpm.20140206.12
Page(s)	90-94
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Pregnancy, Symphyseal Pain, Tensile Force, Pelvic Belt

References

[1]	Becker, I., Woodley, S. J. and Stringer, M. "The adult human pubic symphysis: a systematic review". Journal of Anatomy. 217(5):475-87(2010).
[2]	Rodrigo, C. and Renato, P."Nutrition pathways to the symphysis pubis". Journal of Anatomy. 204(3), 209–215, 2004.
[3]	Gamble, J. and Simmons, S. "The Symphysis Pubis: Anatomic and Pathologic Considerations". Clinical Orthopaedics and Related Research.203, 261-272,1986.
[4]	Kelly, O., Anne, P. and Gerald, M."Pubic symphysis separation". Fetal and Maternal Medicine Review 13, 141-155, 2002.
[5]	Panditrao, S. , Eknathrao, B. , Popat, G. and Ramkrishna, M. ,"Pubic Symphysial Diastasis During Normal Vaginal Delivery", Journal of Obste India. 55 (4),365-366, 2005.
[6]	Scicluna, J., Alderson, J., Webster, V. and Whiting, P. "Epidural analgesia for acute symphysis pubis dysfunction in the second trimester". International Journal of Obstetric Anesthesiology. 13(1),50-2, 2004.
[7]	Wu, W. H., Meijer , O. G., Uegaki, K., Mens, J. M. A., van Dieën, J. H., Wuisman, P. I. J. M. and Östgaard. H. C. "Pregnancy-related pelvic girdle pain (PPP), I: Terminology, clinical presentation, and prevalence". European Spine Journal. 13( 7 ), 2004.
[8]	Vleeming ,A., Albert ,H. and Ostgaared, H., “European guidelines for the diagnosis and treatment of pelvic girdle pain”. Eur. Spine. J.17,794-819, 2008.
[9]	Wellock, K. and Cricbton, A., “Understanding pregnant women experience of symphysis pubis dysfunction: the effect of pain”. Evidence based midwifery. 5(2),40-46, 2007.
[10]	Leadbetter, R., Mawerd, D. and Lindow, S., “Symphysis pubis dysfunction: a review of the literature”. The Journal of Maternal–Fetal and Neonatal Medicine.16,349–354,2004.
[11]	Okkafor, U. and Sokunbi, T.,” Physiotherapy Management of Sub-acute Postpartum Diastasis of Pubic Symphysis A case report”. Journal of the Nigeria society of physiotherapy.17,37-40, 2009.
[12]	Khorashadi, L., Petscavage, J. and Richardson, M., “Postpartum symphysis pubis diastasis” . Radiological Case Reports. 6(3), 2011.
[13]	Bjourklund, K., Bergstrom, S. and Nordostrom, M., “Symphyseal distension in relation to serum relaxin levels and pelvic pain in pregnancy”.Acta.Obstet.Gynecol.Scand.79(4),269-275, 2000.
[14]	Dunbar, R.,“Puerperal diastasis of the public symphysis”. A case report.J.Reprod.Med.47,581-3, 2002.
[15]	Berg, G., Hammar, M., Mo¨ller-Nielsen, J., Linde´n, U. and Thorblad, J., “Low back pain during pregnancy”. Obstet. Gynecol. 71,71–75,1988.
[16]	Mens, J.M.A., Vleeming, A., Stoeckart, R., Stam, H.J. and Snijders, C.J., “Understanding peripartum pelvic pain. Implications of a patient survey”. Spine 21,1363–1370, 1996.
[17]	O¨stgaard, H.C., Zetherstro¨m, G., Roos-Hansen, E. and Svanberg, B., “Reduction of back and posterior pelvic pain in pregnancy”. Spine 19, 894–900,1994.
[18]	Richordson, C., Snijders, C., Hides, J. and Damen, l. "The relation between the transverse abdominis muscles, sacroiliac joint mechanics, and low back pain", Spine.27,399-405,2002.
[19]	Snijders, C.J., Vleeming, A. and Stoeckart, R., “Transfer of lumbosacral load to iliac bones and legs. Part I: biomechanics of self-bracing of the sacroiliac joints and significance for treatment and exercise”. Clin. Biomech. 8, 285–294,1993a.
[20]	Snijders, C.J., Vleeming, A. and Stoeckart, R., “Transfer of lumbosacral load to iliac bones and legs. Part 2: loading of the sacroiliac joints when lifting in a stooped posture”. Clin. Biomech. 8, 295–301,1993b.
[21]	Piantadosi,s. “Clinical trial: a methodologic perspective. John wily& sons, new York. 1997.
[22]	Collins, S.L., Moore, R.A. and McQuay, H.J. “The visual analogue pain intensity scale: what is moderate pain in millimeters?”. Pain. 72, 95–97,1997.
[23]	Damen, L., Spoor, C.W., Snijders, C.J.and Stam, H.J. “Does a pelvic belt influence sacroiliac joint stiffness?:. Clin. Biomech. 17,495–498, 2002.
[24]	Mens, J.M., Vleeming, A., Snijders, C.J., Stam, H.J.and Ginai, A.Z. “The active straight leg raising test and mobility of the pelvic joints”. Eur. Spine J. 8, 468–473,1999.
[25]	Ho, S., Yu, w., Lae, T. and Chow, D. "Effectiveness of maternity support belts in reducing low back pain during pregnancy :A Review ". Journal of clinical nursing.18(11),1523-1532,2008.
[26]	Lee, y. and Chein, C. "Lumbar vertebral angles and back muscle loading with belts", Industrial Health,37,390-397,1999.
[27]	Mens, J., Damen, L., Snijders ,C. and Stam, S. "The mechanical effect of a pelvic belt in patients with pregnancy related pelvic pain", Clinical biomechanics. 21.122-127,2006.

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APA Style

Fayiz El-Shamy, Magda Morsy, Anees Saleh. (2014). Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain. European Journal of Preventive Medicine, 2(6), 90-94. https://doi.org/10.11648/j.ejpm.20140206.12

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ACS Style

Fayiz El-Shamy; Magda Morsy; Anees Saleh. Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain. Eur. J. Prev. Med. 2014, 2(6), 90-94. doi: 10.11648/j.ejpm.20140206.12

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AMA Style

Fayiz El-Shamy, Magda Morsy, Anees Saleh. Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain. Eur J Prev Med. 2014;2(6):90-94. doi: 10.11648/j.ejpm.20140206.12

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@article{10.11648/j.ejpm.20140206.12,
  author = {Fayiz El-Shamy and Magda Morsy and Anees Saleh},
  title = {Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain},
  journal = {European Journal of Preventive Medicine},
  volume = {2},
  number = {6},
  pages = {90-94},
  doi = {10.11648/j.ejpm.20140206.12},
  url = {https://doi.org/10.11648/j.ejpm.20140206.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20140206.12},
  abstract = {Aims: To investigate the effect of pelvic belt on relieving antenatal symphyseal pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics, Kafelsheikh general hospital - Kafelsheikh, between June 2014 and September 2014. Methodology: Twenty pregnant women (age range 25-30 years) at 24 weeks gestation with a good general health were selected randomly, clinically diagnosed with symphyeal pain and divided into 2 equal groups (A&B). Patients in group A were treated by pelvic belt with tensile force of 50 N. for 4 weeks, patients in group B without any treatment. Severity of symphyseal pain and diastasis were measured by mean of a 100-mm horizontal visual analogue scale and ultrasound before and after the treatment program. Results: Patients in group A showed non signiﬁcant difference in severity of symphyseal pain and diastasis (P=0.54 & 0.84 respectively). Patients in group B showed highly signiﬁcant increase in severity of symphyseal pain and diastasis (P=0.001). There were highly signiﬁcant difference between both groups (P=0.001) after the treatment program. The symphyseal pain value was significantly correlated with the decrease in symphyseal diastasis.(Pearson’s correlation coefficient 0.59, P=0.005). Conclusion: Application of a pelvic belt at the symphysis pubis decrease antenatal symphyseal diastasis and pain.},
 year = {2014}
}

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TY - JOUR
T1 - Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain
AU - Fayiz El-Shamy
AU - Magda Morsy
AU - Anees Saleh
Y1 - 2014/10/30
PY - 2014
N1 - https://doi.org/10.11648/j.ejpm.20140206.12
DO - 10.11648/j.ejpm.20140206.12
T2 - European Journal of Preventive Medicine
JF - European Journal of Preventive Medicine
JO - European Journal of Preventive Medicine
SP - 90
EP - 94
PB - Science Publishing Group
SN - 2330-8230
UR - https://doi.org/10.11648/j.ejpm.20140206.12
AB - Aims: To investigate the effect of pelvic belt on relieving antenatal symphyseal pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics, Kafelsheikh general hospital - Kafelsheikh, between June 2014 and September 2014. Methodology: Twenty pregnant women (age range 25-30 years) at 24 weeks gestation with a good general health were selected randomly, clinically diagnosed with symphyeal pain and divided into 2 equal groups (A&B). Patients in group A were treated by pelvic belt with tensile force of 50 N. for 4 weeks, patients in group B without any treatment. Severity of symphyseal pain and diastasis were measured by mean of a 100-mm horizontal visual analogue scale and ultrasound before and after the treatment program. Results: Patients in group A showed non signiﬁcant difference in severity of symphyseal pain and diastasis (P=0.54 & 0.84 respectively). Patients in group B showed highly signiﬁcant increase in severity of symphyseal pain and diastasis (P=0.001). There were highly signiﬁcant difference between both groups (P=0.001) after the treatment program. The symphyseal pain value was significantly correlated with the decrease in symphyseal diastasis.(Pearson’s correlation coefficient 0.59, P=0.005). Conclusion: Application of a pelvic belt at the symphysis pubis decrease antenatal symphyseal diastasis and pain.
VL - 2
IS - 6
ER -

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Author Information

Fayiz El-Shamy

Department of Physical Therapy for Women’s Health, Faculty of Physical Therapy, Kafelsheikh University, Kafelsheikh, Egypt
Magda Morsy

Department of Physical Therapy for Gynecology and Obstetrics, Faculty of Physical Therapy, Cairo University, Cairo, Egypt
Anees Saleh

Department of Biomechanics, Faculty of Physical Therapy, Kafelsheikh University, Kafelsheikh ,Egypt

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APA Style

Fayiz El-Shamy, Magda Morsy, Anees Saleh. (2014). Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain. European Journal of Preventive Medicine, 2(6), 90-94. https://doi.org/10.11648/j.ejpm.20140206.12

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ACS Style

Fayiz El-Shamy; Magda Morsy; Anees Saleh. Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain. Eur. J. Prev. Med. 2014, 2(6), 90-94. doi: 10.11648/j.ejpm.20140206.12

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AMA Style

Fayiz El-Shamy, Magda Morsy, Anees Saleh. Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain. Eur J Prev Med. 2014;2(6):90-94. doi: 10.11648/j.ejpm.20140206.12

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@article{10.11648/j.ejpm.20140206.12,
  author = {Fayiz El-Shamy and Magda Morsy and Anees Saleh},
  title = {Tensile Force Effect of Pelvic Belt in Patients with Antenatal Symphyseal Pain},
  journal = {European Journal of Preventive Medicine},
  volume = {2},
  number = {6},
  pages = {90-94},
  doi = {10.11648/j.ejpm.20140206.12},
  url = {https://doi.org/10.11648/j.ejpm.20140206.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejpm.20140206.12},
  abstract = {Aims: To investigate the effect of pelvic belt on relieving antenatal symphyseal pain. Study design: A randomized clinical controlled trial. Place and Duration of study: Department of Obstetrics, Kafelsheikh general hospital - Kafelsheikh, between June 2014 and September 2014. Methodology: Twenty pregnant women (age range 25-30 years) at 24 weeks gestation with a good general health were selected randomly, clinically diagnosed with symphyeal pain and divided into 2 equal groups (A&B). Patients in group A were treated by pelvic belt with tensile force of 50 N. for 4 weeks, patients in group B without any treatment. Severity of symphyseal pain and diastasis were measured by mean of a 100-mm horizontal visual analogue scale and ultrasound before and after the treatment program. Results: Patients in group A showed non signiﬁcant difference in severity of symphyseal pain and diastasis (P=0.54 & 0.84 respectively). Patients in group B showed highly signiﬁcant increase in severity of symphyseal pain and diastasis (P=0.001). There were highly signiﬁcant difference between both groups (P=0.001) after the treatment program. The symphyseal pain value was significantly correlated with the decrease in symphyseal diastasis.(Pearson’s correlation coefficient 0.59, P=0.005). Conclusion: Application of a pelvic belt at the symphysis pubis decrease antenatal symphyseal diastasis and pain.},
 year = {2014}
}

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