Usual care in pelvic physiotherapy in patients with pelvic girdle pain

The goal of this study is to investigate the effect of a pelvic physiotherapeutic /manual therapeutic treatment (usual care) in patients
with PGP (subgroups reduced force closure and excessive force closure)and the influence on EMG signals of the pelvic floor
Objective of the study:

The influence of mobilisation of the sacroiliacal joint and an stabilizing or relaxation exercise program on pain, the function of the
pelvic floor, the m. Transversus Abdominus and functional state in patients with pelvic girdle pain.

Study design:

This is a longitudinal study in which patients with pelvic pain, subgroups reduced and excessive force closure, receiving a usual
care pelvic physiotherapeutic /manual therapeutic treatment (mobilization of the sacral iliac joint and a stabilizing or relaxing
e xercise program) are followed.

Design:

Randomized Controlled Trail with two groups, an intervention group and a control group.

The intervention group gets alongside a stabilizing or relaxing exercise program and mobilization of the sacral iliac joint. The control
group will receive a stabilizing or relaxing exercise program during the first 6 weeks. After 6 weeks, they also receive the
mobilization of the sacral iliac joint. The patients are randomly divided over the two groups.

Low back and pelvic pain (LRP / BP) during and after pregnancy is common in the Netherlands. In women who
having a history of LRP / BP shows a point prevalence of 88.5% during pregnancy that decreases to
53.8% two weeks after delivery. In women without such a history one can find a point prevalence
67.4 ° / o during pregnancy decreasing to 28.1% two weeks after delivery (1). Pelvic pain during
pregnancy has an incidence of 20.1%. At 62.5 % of this group, the pain disappeared within one month
childbirth. In 8.6% of women, the pelvic pain persists for two years after delivery.

Pelvic pain during pregnancy often leads to limitations in daily life and absenteeism.
Despite the amount of research that has been done, the diagnosis and classification of pelvic pain remains
controversial. To date, for the majority of pelvic pain disorders, there is no clear evidence
pathological-anatomical substrate found.
Little research has been done into the treatment of pelvic pain.
In our practice patients with pelvic pain regularly come. From clinical experience seems a combination of
mobilization and a stabilizing or relaxing exercise program of the local and global musculature
to be. It is therefore of great importance to substantiate this scientifically.

3-6-12 months

mobilisation of th sacro-iliacal joint and a stabilizing or relaxating exercise