Pelvik Kuşak Ağrısında Klinik Testler ile Hasta Bildirimli ve Performansa Dayalı Sonuç Ölçümleri

Year 2021, , 321 - 327, 01.09.2021

Semiha Yenişehir

https://doi.org/10.19127/bshealthscience.875304

Abstract

Pelvik kuşak ağrısı (PKA) yaygın olarak görülen bir kas-iskelet sistemi hastalığıdır. Gebelik, travma, artrit ve osteoartrit ile ilişkili olarak artan PKA, hormonal, biyomekanik, travmatik, metabolik, genetik, psikolojik, nörofizyolojik ve dejeneratif faktörlere bağlı olarak ortaya çıkmaktadır. PKA ağrı ve aktivite limitasyonu gibi durumlara yol açarak yaşam kalitesinde azalmaya yol açmaktadır. PKA’lı bireylerde açığa çıkan bu durumların hasta bildirimli ve performansa yönelik sonuç ölçümleriyle değerlendirilmesi, tedavi programının planlaması ve etkinliğinin gösterilmesi açısından önemli rol oynamaktadır. Bu çalışmanın amacı PKA’lı bireylerin tanı ve değerlendirilmesinde kullanılan klinik testleri ile hasta bildirimli ve performansa dayalı sonuç ölçümlerini derlemektir. Bu amaçla PubMed, Google Scholar ve ScienceDirect veri tabanlarında ilgili anahtar sözcükler kullanılarak 1 Aralık 2020 tarihine kadar yayımlanmış olan çalışmalarda tarama yapılmıştır. PKA’lı bireylerin tanısında kullanılan klinik testler ve değerlendirilmesinde kullanılan hasta bildirimli ve performansa dayalı sonuç ölçümleri psikometrik analizlerle sunulmuş, gerek performansa dayalı sonuç ölçümleri ve gerekse bunların karşılaştırıldığı çalışmaların oldukça az sayıda olduğu görülmüştür. Bu derlemenin bulgularının PKA’lı bireylerle çalışan tüm sağlık profesyonelleri ve araştırmacılar için yol gösterici olacağı düşünülmektedir.

Keywords

Pelvik kuşak ağrısı, Posterior pelvik ağrı, Tanısal testler, Fiziksel performans, Hasta bildirimli sonuç ölçümleri

Clinical Tests and Patient-Reported and Performance-Based Outcome Measures in Pelvic Girdle Pain

Abstract

Pelvic girdle pain (PGP) is a common musculoskeletal disease. PGP, which increases in relation to pregnancy, trauma, arthritis and osteoarthritis, arises due to hormonal, biomechanical, traumatic, metabolic, genetic, psychological, neurophysiological and degenerative factors. PGP causes a decrease in quality of life by causing conditions such as pain and activity limitation. Assessment of these conditions in individuals with PGP by patient notification and performance-based outcome measurements play an important role in terms of planning the treatment program and its effectiveness. This study aimed to compile clinical tests and outcome measures used in the diagnosis and evaluation of individuals with PGP. For this aim, the studies published in PubMed, Google Scholar, and ScienceDirect databases were searched using the relevant keywords 1 December 2020. The clinical tests used for diagnosis and patient-reported and performance-based outcome measures used in the evaluation of individuals with PGP have been presented with psychometric analysis, and it has been observed that there are very few studies that compared both performance-based outcome measures and these. It is thought that the findings of this review will be a guide for all health professionals and researchers working with individuals with PGP.

Keywords

Pelvic girdle pain, Posterior pelvic pain, Diagnostic tests, Physical performance, Patient reported outcome measures

References

• Albert H, Godskesen M, Westergaard J. 2000. Evaluation of clinical tests used in classification procedures in pregnancy-related pelvic joint pain. Eur Spine J, 9(2): 161-166.
• Albert HB, Godskesen M, Korsholm L, Westergaard JG. 2006. Risk factors in developing pregnancy‐related pelvic girdle pain. Acta Obstet Gynecol Scand, 85(5): 539-544.
• Almousa S, Lamprianidou E, Kitsoulis G. 2018. The effectiveness of stabilising exercises in pelvic girdle pain during pregnancy and after delivery: A systematic review. Physiother Res Int, 23: e1699.
• Bastiaenen CH, de Bie RA, Wolters PM, Vlaeyen JW, Leffers P, Stelma F. 2006. Effectiveness of a tailor-made intervention for pregnancy-related pelvic girdle and/or low back pain after delivery: short-term results of a randomized clinical trial [ISRCTN08477490]. BMC Musculoskelet Disord, 7: 19.
• Beales D, Lutz A, Thompson J, Wand BM, O'Sullivan P. 2016. Disturbed body perception, reduced sleep, and kinesiophobia in subjects with pregnancy-related persistent lumbopelvic pain and moderate levels of disability: An exploratory study. Man Ther, 21: 69-75.
• Bingül ÖÖ, Aslan U. 2013. Korku-kaçınma inanışlar anketi’nin Türkçe’ye uyarlanması, güvenirliği ve geçerliği. Fizyoter Rehabil, 24(1): 135-143.
• Boissonnault JS. 2009. A review of self-report functional outcome measures in selected obstetric physical therapy interventions. J Womens Health Phys Ther, 33(1): 7-12.
• Christensen L, Vøllestad NK, Veierød MB, Stuge B, Cabri J, Robinson HS. 2019. The Timed Up & Go test in pregnant women with pelvic girdle pain compared to asymptomatic pregnant and non-pregnant women. Musculoskelet Sci Pract, 43: 110-116.
• Cook C, Massa L, Harm-Ernandes I, Segneri R, Adcock J, Kennedy C. 2007. Interrater reliability and diagnostic accuracy of pelvic girdle pain classification. J Manipulative Physiol Ther, 30(4): 252-258.
• Dean CM, Richards CL, Malouin F. 2001. Walking speed over 10 metres overestimates locomotor capacity after stroke. Clin Rehabil, 15(4): 415-421.
• De Vries H, Vleeming A, Ronchetti I, van Wingerden J. 2007. Pelvic girdle pain: the sensitivity and specificity of the Long Dorsal Sacroiliac Ligament test. 6th Interdisciplinary World Congress on Low back & Back Pain. Barcelona, November 2007, 488-491.
• Engeset J, Stuge B, Fegran L. 2014. Pelvic girdle pain affects the whole life--a qualitative interview study in Norway on women's experiences with pelvic girdle pain after delivery. BMC Res Notes, 7: 686.
• Evensen NM, Kvåle A, Brækken IH. 2015. Reliability of the timed up and go test and ten‐metre timed walk test in pregnant women with pelvic girdle pain. Physiother Res Int, 20(3): 158-165.
• Evensen NM, Kvåle A, Brækken IH. 2016. Convergent validity of the Timed Up and Go Test and Ten-metre Timed Walk Test in pregnant women with pelvic girdle pain. Man Ther, 21: 94-99.
• Fairbank J, Couper J, Davies J, O’brien J. 1980. The Oswestry low back pain disability questionnaire. Physiotherapy, 66(8): 271-273.
• Franke H, Franke JD, Belz S, Fryer G. 2017. Osteopathic manipulative treatment for low back and pelvic girdle pain during and after pregnancy: A systematic review and meta-analysis. J Bodyw Mov Ther, 21(4): 752-762.
• Grotle M, Garratt AM, Krogstad Jenssen H, Stuge B. 2012. Reliability and construct validity of self-report questionnaires for patients with pelvic girdle pain. Phys Ther, 92(1): 111-123.
• Gutke A, Boissonnault J, Brook G, Stuge B. 2018. The Severity and Impact of Pelvic Girdle Pain and Low-Back Pain in Pregnancy: A Multinational Study. J Womens Health (Larchmt), 27(4): 510-517.
• Kocyigit H. 1999. Kisa Form-36 (KF-36)'nm Türkçe versiyonunun güvenilirliği ve geçerliliği. İlaç ve Tedavi Derg, 12: 102-106.
• Kordi R, Abolhasani M, Rostami M, Hantoushzadeh S, Mansournia MA, Vasheghani-Farahani F. 2013. Comparison between the effect of lumbopelvic belt and home based pelvic stabilizing exercise on pregnant women with pelvic girdle pain; a randomized controlled trial. J Back Musculoskelet Rehabil, 26(2): 133-139.
• Kristiansson P, Svärdsudd K. 1996. Discriminatory power of tests applied in back pain during pregnancy. Spine (Phila Pa 1976), 21(20): 2337-2343.
• Kücükdeveci A, McKenna S, Kutlay S, Gürsel Y, Whalley D, Arasil T. 2000. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res, 23(1): 31-38.
• Martins RF, Pinto e Silva JL. 2014. Treatment of pregnancy-related lumbar and pelvic girdle pain by the yoga method: a randomized controlled study. J Altern Complement Med, 20(1): 24-31.
• Mens JM, Vleeming A, Snijders CJ, Koes BW, Stam HJ. 2001. Reliability and validity of the active straight leg raise test in posterior pelvic pain since pregnancy. Spine (Phila Pa 1976), 26(10): 1167-1171.
• Ogollah R, Bishop A, Lewis M, Grotle M, Foster NE. 2019. Responsiveness and Minimal Important Change for Pain and Disability Outcome Measures in Pregnancy-Related Low Back and Pelvic Girdle Pain. Phys Ther, 99(11): 1551-1561.
• Ostgaard HC, Zetherström G, Roos-Hansson E. 1994. The posterior pelvic pain provocation test in pregnant women. Eur Spine J, 3(5): 258-260.
• O’Sullivan PB, Beales DJ. 2007. Diagnosis and classification of pelvic girdle pain disorders-Part 1: A mechanism based approach within a biopsychosocial framework. Man Ther, 12(2): 86-97.
• Podsiadlo D, Richardson S. 1991. The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 39(2): 142-148.
• Rashidi Fakari F, Simbar M, Saei Ghare Naz M. 2018. The Relationship between Fear-Avoidance Beliefs and Pain in Pregnant Women with Pelvic Girdle Pain: A Cross-Sectional Study. Int J Community Based Nurs Midwifery, 6(4): 305-313.
• Robinson HS, Veierød MB, Mengshoel AM, Vøllestad NK. 2010. Pelvic girdle pain-associations between risk factors in early pregnancy and disability or pain intensity in late pregnancy: a prospective cohort study. BMC Musculoskelet Disord, 11(1): 91.
• Robinson HS, Vøllestad NK, Veierød MB. 2014. Clinical course of pelvic girdle pain postpartum - impact of clinical findings in late pregnancy. Man Ther, 19(3): 190-196.
• Robinson PS, Balasundaram AP, Vøllestad NK, Robinson HS. 2018. The association between pregnancy, pelvic girdle pain and health-related quality of life–a comparison of two instruments. J Patient Rep Outcomes, 2(1): 45.
• Stuge B, Garratt A, Krogstad Jenssen H, Grotle M. 2011. The pelvic girdle questionnaire: a condition-specific instrument for assessing activity limitations and symptoms in people with pelvic girdle pain. Phys Ther, 91(7): 1096-1108.
• Stuge B, Jenssen HK, Grotle M. 2017. The pelvic girdle questionnaire: responsiveness and minimal important change in women with pregnancy-related pelvic girdle pain, low back pain, or both. Phys Ther, 97(11): 1103-1113.
• Sullivan MJ, Bishop SR, Pivik J. 1995. The pain catastrophizing scale: development and validation. Psychol Assess, 7(4): 524.
• Ugurlu M, Karakas Ugurlu G, Erten S, Caykoylu A. 2017. Validity of Turkish form of Pain Catastrophizing Scale and modeling of the relationship between pain-related disability with pain intensity, cognitive, and emotional factors. Psychıat Clin Psych, 27(2): 189-196.
• Vermani E, Mittal R, Weeks A. 2010. Pelvic girdle pain and low back pain in pregnancy: a review. Pain Pract, 10(1): 60-71.
• Vleeming A, de Vries HJ, Mens JM, van Wingerden JP. 2002. Possible role of the long dorsal sacroiliac ligament in women with peripartum pelvic pain. Acta Obstet Gynecol Scand, 81(5): 430-436.
• Vleeming A, Albert HB, Östgaard HC, Sturesson B, Stuge B. 2008. European guidelines for the diagnosis and treatment of pelvic girdle pain. Eur Spine J, 7(6): 794-819.
• Waddell G, Newton M, Henderson I, Somerville D, Main CJ. 1993. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain, 52(2): 157-168.
• Ware Jr JE, Sherbourne CD. 1992. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care, 473-483.
• Whitney SL, Wrisley DM, Marchetti GF, Gee MA, Redfern MS, Furman JM. 2005. Clinical measurement of sit-to-stand performance in people with balance disorders: validity of data for the Five-Times-Sit-to-Stand Test. Phys Ther, 85(10): 1034-1045.
• Yakut E, Düger T, Öksüz Ç, Yörükan S, Üreten K, Turan D. 2004. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine, 29(5): 581-585.
• Yelvar GDY, Cirak Y, Demir YP, Türkyılmaz ES. 2019. Cultural adaptation, reliability and validity of the pelvic girdle questionnaire in pregnant women. Ankara Med J, 19(3): 513-523.
• Yenişehir S, Karakaya İÇ, Sivaslıoğlu AA, Oruk DÖ, Karakaya MG. 2020. Reliability and validity of Five Times Sit to Stand Test in pregnancy-related pelvic girdle pain. Musculoskelet Sci Pract, 102157. DOI: 10.1016/j.msksp.2020.102157.
• Zehra SR, Sharif F, Ahmad A, Gilani SA. 2020. Association between fear avoidance belief and pain in pregnant women with pelvic girdle pain. RMJ, 45(2): 338-341.