Laboratory of Functional Anatomy, Faculty of Motor Sciences, Université Libre de Bruxelles (ULB), Brussels, Belgium.
Haute Ecole Libre de Bruxelles - Ilya Prigogine, Bruxelles, Belgium.
J Clin Nurs. 2018 Jan;27(1-2):e129-e137. doi: 10.1111/jocn.13888. Epub 2017 Nov 3.
To analyse pain and functional capacity in women with pelvic girdle pain and to evaluate the effect of pelvic belt on these parameters. Two types of belts were to compare.
Pelvic girdle pain is very common during pregnancy. To prevent and relieve pelvic pain, women can use a set of techniques and tools such as a pelvic belt. While scientific evidence is lacking, commercial industries suggest the effectiveness of pelvic belts.
Randomised control trial.
Forty-six pregnant women with pelvic girdle pain were evaluated. Pain analysis included a quantitative and a qualitative assessment. A daily activities questionnaire was used for functional capacity evaluation. Women were tested at two times during the pregnancy for a longitudinal evaluation, and they used one of the two belt models during their pregnancy.
Pelvic pain started between the 14th-21st week of pregnancy. Pain intensity was 60 ± 20 mm. Daily activities could increase pain. The use of belts reduced pain. The intensity of pain decreased by 20 mm on a visual analogue scale. The daily activities were also easier. However, all these conclusions are valid only if pregnant women used belts regularly on short periods.
The belts appear to be interesting tools to reduce pelvic pain and improve comfort of pregnant women. This effect might be explained by an analgesic effect with proprioceptive and biomechanical effect. The different types of belts could have differential effects on global, sacroiliac joint and back pain during pregnancy, but this hypothesis requires confirmation.
Relevant for patient: to use an easy and validated tool. Relevant for clinical practice: to suggest a tool scientifically validated for patient. Relevant to economic issues: belts decrease pelvic pain and increase comfort of pregnant women. Sick leave could decrease.
分析骨盆带疼痛女性的疼痛和功能能力，并评估骨盆带对这些参数的影响。要比较两种类型的腰带。
骨盆带疼痛在怀孕期间非常常见。为了预防和缓解骨盆疼痛，女性可以使用一套技术和工具，如骨盆带。虽然缺乏科学证据，但商业行业表明骨盆带有效。
随机对照试验。
评估了 46 名患有骨盆带疼痛的孕妇。疼痛分析包括定量和定性评估。使用日常活动问卷评估功能能力。女性在怀孕期间进行两次测试以进行纵向评估，并在怀孕期间使用两种腰带模型之一。
骨盆疼痛始于妊娠第 14-21 周。疼痛强度为 60 ± 20 毫米。日常活动会增加疼痛。使用腰带可减轻疼痛。视觉模拟量表上的疼痛强度降低了 20 毫米。日常活动也更容易。然而，只有当孕妇在短时间内定期使用腰带时，所有这些结论才有效。
腰带似乎是减少孕妇骨盆疼痛和提高舒适度的有趣工具。这种效果可能与本体感觉和生物力学效应的镇痛作用有关。不同类型的腰带在怀孕期间可能对整体、骶髂关节和背部疼痛有不同的影响，但这一假设需要证实。
对患者相关：使用简单且经过验证的工具。对临床实践相关：为患者推荐经过科学验证的工具。对经济问题相关：腰带可减轻骨盆疼痛，提高孕妇舒适度。病假可能会减少。
