Does a Pelvic Belt Reduce Hip Adduction Weakness in Pregnancy-Related Posterior Pelvic Girdle Pain? A Case-Control Study

Eur J Phys Rehabil Med. 2017 Aug;53(4):575-581. doi: 10.23736/S1973-9087.17.04442-2. Epub 2017 Mar 1.

Abstract

Background: The cause of non-specific lumbopelvic pain is unknown. Pregnancy-related pelvic girdle pain seems to be a subgroup that deserves a specific treatment. One of the options is the use of a pelvic belt.

Aim: To objectify the influence of a pelvic belt in patients with pelvic girdle pain.

Design: Case-control study.

Setting: Outpatient clinic.

Population: A total of 49 women with long-lasting posterior pelvic girdle pain and 37 parous women of the same age group without pelvic girdle pain.

Methods: Hip adduction force was measured by asking the participant to squeeze a hand-held dynamometer between the knees. This was firstly performed without a pelvic belt and then with a pelvic belt. The increase of hip adduction force after applying the pelvic belt was expressed in percentages.

Results: After tightening a pelvic belt hip adduction force increased 25.9±33.9% in patients with pelvic girdle pain (P<0.0001) and 1.0±8.6% in participants without (P=0.67). The difference between groups was significant (P<0.00001).

Conclusions: A pelvic belt has a positive influence on hip adduction force in pregnancy-related posterior pelvic girdle pain.

Clinical rehabilitation impact: The results show an objective positive effect of the pelvic belt in women with long-lasting pregnancy-related posterior pelvic girdle pain in a test-situation. The results support the idea that the use of a belt could be part of a multidisciplinary rehabilitation of those patients.

MeSH terms

  • Adult
  • Case-Control Studies
  • Female
  • Hip Joint / physiopathology
  • Humans
  • Orthotic Devices / statistics & numerical data*
  • Pain Measurement*
  • Pelvic Girdle Pain / diagnosis*
  • Pelvic Girdle Pain / rehabilitation*
  • Pregnancy
  • Prognosis
  • Range of Motion, Articular / physiology
  • Reference Values
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Treatment Outcome