Robinson Hilde Stendal, Mengshoel Anne Marit, Bjelland Elisabeth Krefting, Vøllestad Nina K
Institute of Nursing and Health Sciences, Section of Health Sciences, University of Oslo, P.O. Box 1153, Blindern, N-0318 Oslo, Norway.
Man Ther. 2010 Jun;15(3):280-5. doi: 10.1016/j.math.2010.01.006. Epub 2010 Feb 8.
The objective of this cross-sectional study was to explore the associations between pain locations, responses to the posterior pelvic pain provocation (P4) test, responses to the active straight leg raise (ASLR) test and disability in late pregnancy. 283 women in gestation week 30 (mean age 31.3 years; 59% nullipara) completed a questionnaire (including pain drawing and Disability Rating Index, DRI). A physiotherapist blinded for the questionnaire data assessed responses to the P4 and ASLR tests. The pain drawing was used to: 1) distinguish between Pelvic girdle pain (PGP) and low back pain (LBP); 2) discriminate between pain locations within the pelvic area. A large variation was found in DRI within each pain location group. Women with PGP were more afflicted than the women with LBP and those without PGP. Highest DRI score was reported by women having combined symphysis pain and bilateral posterior pain. The multivariate analyses showed that results from P4 and ASLR contributed independently to DRI. Taken together, pain location combined with responses to P4 and ASLR tests are relevant when evaluating affliction in pregnant women with possible PGP.
这项横断面研究的目的是探讨疼痛部位、对骨盆后疼痛激发试验（P4）的反应、对主动直腿抬高试验（ASLR）的反应与妊娠晚期残疾之间的关联。283名妊娠30周的女性（平均年龄31.3岁；59%为初产妇）完成了一份问卷（包括疼痛绘图和残疾评定指数，DRI）。一名对问卷数据不知情的物理治疗师评估了对P4和ASLR试验的反应。疼痛绘图用于：1）区分骨盆带疼痛（PGP）和腰痛（LBP）；2）区分骨盆区域内的疼痛部位。在每个疼痛部位组中，DRI存在很大差异。患有PGP的女性比患有LBP的女性和没有PGP的女性受影响更大。耻骨联合疼痛和双侧后部疼痛的女性报告的DRI得分最高。多变量分析表明，P4和ASLR的结果对DRI有独立贡献。综上所述，在评估可能患有PGP的孕妇的痛苦程度时，疼痛部位与对P4和ASLR试验的反应相结合是相关的。
