Relations between pregnancy-related low back pain, pelvic floor activity and pelvic floor dysfunction |
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| Authors: | Annelies L Pool-Goudzwaard Marijke C. P. H. Slieker ten Hove Mark E Vierhout Paul. H. Mulder Jan J. M. Pool Chris J Snijders Rob Stoeckart |
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| Affiliation: | (1) Department of Biomedical Physics and Technology, Faculty of Medicine and Allied Health Sciences, Erasmus Medical Center, Rotterdam, Netherlands;(2) Centre for Pelvic reconstructive Surgery, Faculty of Medicine and Allied Health Sciences, Erasmus Medical Center, Rotterdam, Netherlands;(3) Department of Epidemiology and Biostatistics, Faculty of Medicine and Allied Health Sciences, Erasmus Medical Center, Rotterdam, Netherlands;(4) Department of Neuroscience, Faculty of Medicine and Allied Health Sciences, Erasmus Medical Center, Rotterdam, Netherlands;(5) EMGO institute, VU medical Center, Amsterdam, Netherlands;(6) Medical Center Impact, Zoetermeer, Netherlands;(7) Department of Biomedical Physics and Technology, Erasmus Medical Centre, PO Box 1738, 3000 Rotterdam, Netherlands |
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| Abstract: | To assess the occurrence of pelvic floor dysfunction (PFD) in pregnancy- related low back and pelvic pain (PLBP) patients, a cross-sectional study was performed, comprising 77 subjects. Each subject underwent physical assessment, and filled in the Urogenital Distress Inventory completed with gynaecological questions. Differences in the presence of PFD between PLBP patients and healthy controls as well as differences in pelvic floor muscle activity were tested for significance. Interaction by age and vaginal delivery were tested. PFD occurred in 52% of all PLBP patients, significantly more than in the healthy control group. In PLBP patients a significantly increased activity of the pelvic floor muscles could be demonstrated with respect to healthy controls. The occurrence of PFD and PLBP was influenced by a confounding effect of age. Clinicians should be aware of the relation between PLBP and PFD and hence address both problems at the same time. |
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| Keywords: | Pelvic floor muscles Pelvic floor dysfunction Urine incontinence Pelvic pain Low back pain Sacroiliac joint |
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